Primary Healthcare Center in India

Low-cost healthcare facility with passive ventilation and shaded courtyards

Primary Healthcare Center in India

  • 1 / 11

    Primary Healthcare Center in India

    The outer roof with prominent central gutter leading to rainwater collection pond gives a visual expression of water as a life giving element and also recalls folklore pertaining to name of the place, Devara Outhu Pallam, meaning “God’s spring-village”.

  • 2 / 11

    Primary Healthcare Center in India

    The healthcare center is a high-quality outpatient healthcare facility that intends to serve a group of agricultural villages in the vicinity.

  • 3 / 11

    Primary Healthcare Center in India

    Double skin building concept creates a shaded climatic buffer around the clinic.

  • 4 / 11

    Primary Healthcare Center in India

    The panels can be opened or closed depending on the degree of climatic protection required for the interior.

  • 5 / 11

    A11APacIN-prog12-04.jpg

    The landscape plan uses vetiver cultivation for soil stabilization at the terrace edges and also for future use in making woven thatch mats.

  • 6 / 11

    Primary Healthcare Center in India

    Project update 2012 - The landscape plan uses vetiver cultivation for soil stabilization at the terrace edges and also for future use in making woven thatch mats.

  • 7 / 11

    Primary Healthcare Center in India

    Inspired by traditional architectural elements, the building features a protective “verandah”.

  • 8 / 11

    Primary Healthcare Center in India

    The vetiver grass panels can be manufactured locally by Mahalir Aran Trust-MAT which operates a nearby garment stitching unit that employs local women who belong to a rehabilitation halfway home.

  • 9 / 11

    Primary Healthcare Center in India

    The lightweight corrugated galvanized steel “shade roof” channels rain water into the central concrete gutter (which also supports it) for collection, groundwater recharge and storage.

  • 10 / 11

    Primary Healthcare Center in India

    The rubble stones are used to build retaining walls for the raised floor plinth including the outdoor gathering space and for landscape bund elements.

  • 11 / 11

    Primary Healthcare Center in India

    The unique portal type frames combine slender 65x65mm double steel angle sections that sandwich two structurally profiled “shera” 12mm thick flyash cement fiberboards.

  • Awards Acknowledgement prize 2011–2012 Asia Pacific

Set against the dry, sun-drenched landscape of southern Tamil Nadu, this rural healthcare centre offers quiet dignity through simplicity. Just west of Dharmapuri, the building rests gently on the land, balancing technical function with human comfort. Its form embraces the rhythm of the climate, offering shaded spaces and cool interiors that speak to the region’s traditions and needs. Modest in scale and materials, the project reflects an architecture of restraint—where care and design are equally present.

By Iype Chacko Venperampil, Rajesh Renganathan - flying elephant studio, Bangalore, India

The facility comprises a compact, single-storey structure with a high-tech medical core surrounded by a low-tech perimeter. Built on a limited budget, it uses locally sourced brick and passive cooling strategies to reduce energy use and improve patient comfort in the hot, semi-arid environment.

Project Status

Construction was completed in September 2011, and the healthcare centre is reported to be functioning well.

Primary Healthcare Center in India

Project authors

  • Holcim Awards 2011 ceremony for Asia Pacific – Singapore
    Iype Chacko Venperampil

    flying elephant studio

    India

  • Holcim Awards 2011 ceremony for Asia Pacific – Singapore
    Rajesh Renganathan

    flying elephant studio

    India

Project Summary

Located in the agricultural landscape of Devara Outhu Pallam in rural Tamil Nadu, the Primary Healthcare Centre was commissioned by Mahalir Aran Trust (MAT), a local NGO, and designed by Flying Elephant Studio. Serving a diverse local population of Hindu, Muslim, and Christian communities, the centre responds thoughtfully to the region’s hot, semi-arid tropical climate, characterised by harsh summers and seasonal rainfall from both the northeast and southwest monsoons.

The modest budget and small scale of the project led to a compact, linear footprint—optimised for natural daylighting and cross ventilation. The spatial layout is defined by a clear programmatic hierarchy: a high-tech core housing clinic functions is wrapped by a low-tech, airy waiting verandah. This “building within a building” concept is further surrounded by an outer cultivated landscape, creating multiple layers of thermal and experiential buffering. A stepped amphitheatre at the entrance allows space for public health awareness gatherings and community events.

Primary Healthcare Center in India

Double skin building concept creates a shaded climatic buffer around the clinic.

Designed as a double-skin structure, the building uses passive strategies to mitigate the harsh climate. The outer screen of Vetiver grass thatch, moistened during dry seasons, promotes evaporative cooling while shielding interiors from glare and dust. The cultivated outer layer employs traditional agricultural techniques, including Vetiver grass for soil retention, as well as medicinal plant gardens, orchards, and terraces inspired by the five classical landscape types from ancient Tamil Sangam poetry. Rainwater is celebrated both functionally and symbolically through a prominent central roof gutter that channels water into a collection pond—referencing the site’s name, Devara Outhu Pallam, or “God’s Spring Village.”

Implementation embraced community involvement, blending advanced construction methods with local craft. While the sterile inner core required skilled non-local labour supported by local assistants, the outer envelope was built using local materials and skills—such as Vetiver thatch panels and rubble masonry for plinths and retaining walls. The project not only provides essential healthcare infrastructure but also sets a precedent for climate-sensitive design, community engagement, and sustainable construction in rural India.

Jury Appraisal

Elegance Through Detail and Purpose

The jury recognizes the strength of the project in its sophisticated detailing. Materials are employed respecting their specific qualities. Altogether this forms a simple and elegant design. This is continued in the natural simplicity of providing gathering spaces that will be utilized for providing health awareness programs to the local community. This small-scale edifice is an outstanding example for comparable building tasks.

Primary Healthcare Center in India

The healthcare center is a high-quality outpatient healthcare facility that intends to serve a group of agricultural villages in the vicinity.

Project Updates

Statements on Sustainability

  • This project introduces the concept of a layered, double-skin “building within a building” for the first time in this building type and regional context. The outer enclosure integrates sustainable materials such as recycled Tetra Pak corrugated roofing sheets and locally sourced porous Vetiver grass thatch panels, which are moistened to facilitate evaporative cooling and reduce interior temperatures. As a climate-responsive and culturally rooted solution, the design serves as a prototype that can be replicated across similar regions.

  • The outer Vetiver thatch screen, along with random rubble masonry for plinths and bunds, draws on local craftsmanship. Meanwhile, the technically demanding inner sterile core is constructed by skilled professionals working alongside local assistants—setting a benchmark for best practices and knowledge transfer within the local construction workforce. Once operational, the facility will employ local nurses and support community health through government-led rural healthcare programs, including hosting gatherings to promote public health awareness.

  • The building demonstrates a strong climatic response that reduces the need for mechanical cooling. Sustainable water management practices—including rainwater harvesting, groundwater recharge, and drip irrigation—are employed throughout the landscape design, promoting environmental stewardship and resource efficiency.

  • By improving access to primary healthcare at the village level, the project significantly reduces the financial burden associated with travel to urban hospitals. Timely and competent medical intervention in a local setting provides substantial economic and social value to rural communities.

  • The architectural language reflects and reinforces the local landscape, incorporating visually distinctive elements such as stone rubble retaining walls and Vetiver thatch screens. The landscape design draws inspiration from the five traditional landscape types described in Tamil Sangam poetry, grounding the project in regional heritage. A sculpted water spout and collection pool visually and symbolically reference the local folklore of Devara Outhu Pallam, meaning “God’s Own Spring.”