Build Health International has been supporting strategic growth at Koidu Government Hospital in Sierra Leone since the 2014-16 Ebola epidemic, completing a hospital master plan and providing critical consulting services in collaboration with Partners In Health.

BHI designed, engineered, and managed construction for the new 10-building Maternal Center of Excellence at Koidu Government Hospital, in close partnership with PIH and clinical staff. Now largely complete and accepting patients, the MCOE is a key part of Partners In Health’s strategy to transform the risks and realities of childbearing in Sierra Leone. The design reflects values of compassion, openness, and dignity, removes barriers to care, and supports the highest quality services to build trust with the community.

In Sierra Leone, families and communities play a central role in care. Drawing on its extensive experience in the local healthcare context, BHI designed the Maternal Center of Excellence to accommodate family members alongside patients while efficiently managing space and resources. Strategically placed courtyards, waiting areas, and dormitories for mothers with babies in the NICU address the reality that many families cannot afford local accommodation. Private locations and discrete layouts support sensitive services such as family planning and youth counseling, reflecting BHI’s commitment to context-driven, patient-centered design that balances quality care with cultural and practical needs.

Renderings provided by The Living, an Autodesk research studio.

Read the MCOE opening report which covers more key project information.