HUM learning Project


BHI collaborated with its long-standing partner Partners in Health to design, build and program the Hôpital Universitaire de Mirebalais (HUM) in Mirebalais, Haiti after the devastating earthquake of 2010.

Completed in late 2012, and opened in May 2013, this public teaching hospital is the most sophisticated and advanced tertiary care hospital in Haiti.  By blending high standards of patient care with a dedication to sustainability, HUM stands as a solid example of the successful delivery of medical services to diverse communities in resourced constrained settings.

BHI is now in the process of returning to HUM with a team of architects, engineers, clinicians and builders to reexamine its original design and build process.  In reviewing ‘lessons learned’, BHI and its partners will assess aspects of the project that were successfully executed and identify other facets that could be improved upon.  With this important research underway, the aim is to publish these findings, making this vitally important information available to any fellow NGO trying to develop secondary, district or tertiary care teaching hospitals in very challenging and resourced constrained settings, such as Haiti.



Emergency Medicine and Emergency Room Design for Resource Constrained Settings

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BHI has assembled a team of architects, planners, engineers and clinicians to review the design elements – including traffic flow, intended spatial use and equipment allocation – for emergency medical facilities in resource challenged settings like Haiti.  Taking into consideration the unique elements of rural emergency medicine in these settings, BHI is currently developing prototype layouts highlighting optimal patient and staff traffic flow within each facility.  With this synthesized research, BHI will aim to publish a paper in a leading academic medical journal so as to share its findings with the broader community and effect change in the status quo.



Operating Cost Modeling Tool

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In conjunction with Dartmouth College’s John Sloan Dickey Center for International Understanding and its Tuck School of Business, BHI has embarked on the development of open source software to support Ministries of Health (MOHs) and Non-Governmental Organizations building health care facilities and clinics in resource constrained settings.  Through a series of inputs (i.e. country specific parameters, geographic conditions, demographic data and services offered, etc.) the software will aid organizations in the development of a realistic and practical operating cost model for each facility they wish to build.  Furthermore, the tool will assist partners in developing a plan for design layout as well as budgeting for capital costs including design, construction, furnishings, and medical equipment.


 Infrastructure and Construction Details for Hospitals in Resource Constrained Settings


With its experience working in some of the most resource challenged areas of the globe, BHI has become increasingly focused on the essential need to develop standardize details for project overview, planning and execution.  With this, BHI is dedicated to continuing its research on the ways in which hospitals and clinics can commit to low operating costs and sustainability while delivering high standards of care in a dignified setting and manner.


 Lancet Commission on Global Surgery

“Timing and cost of scaling up surgical in low income  countries” 2012-2030; A modeling study   

BHI worked with the Lancet commission on global surgery to conduct research and develop data for the modeling study "Timing and Cost of Scaling Up Surgical in Low Income Countries, 2012-2030”.  This study directly addressed the very real concerns and important parameters of working with the cost of design, construction and equipping surgical suites in resource constrained settings.  The paper was published in the Lancet Global Health in April 2015.