Strategic Renovation and Healthcare Infrastructure: A Case Study of Facility Upgrades and Compliance at a Private Hospital in Kenya
Abstract
Legacy healthcare infrastructure in low- and middle-income countries increasingly faces pressure to modernise ageing buildings, enhance patient safety, and align with international accreditation standards. This study aims to examine how phased healthcare renovation and infrastructure upgrades can be strategically planned and implemented within an active hospital environment to meet clinical, safety, and compliance goals. The study will employ a descriptive case study to evaluate the renovation of a critical hospital unit in Kenya, a low- and middle-income country. The case study methodological approach will be guided by Evidence-Based Design (EBD), user input, and Joint Commission International (JCI) tracer assessments. Data will be drawn from internal project records, audit findings and architectural plans. Theoretically, the findings of this study are intended to contribute to the limited body of knowledge on hospital renovation and restoration in low- and middle-income countries. Practically, the findings of this study aim to provide practical insights into how healthcare facilities in resource-constrained urban settings can approach infrastructure renewal not merely as construction tasks, but as integrated, strategic opportunities to embed resilience, safety, and sustainability into the built environment.
Keywords: Healthcare renovation, Infrastructure modernisation, JCI compliance, Phased construction, Kenya