Strategic Renovation and Healthcare Infrastructure: A Case Study of Facility Upgrades and Compliance at a Private Hospital in Kenya

Authors

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

Author Biographies

  • Toseef Din, Strathmore business school

    Toseef Din is a seasoned healthcare leader with over 20 years of experience spanning finance, healthcare administration, and strategic leadership. She currently serves as the Chief Executive Officer of M.P. Shah Hospital in Nairobi, Kenya, where she leads transformative initiatives in healthcare sustainability and systems strengthening. Toseef is a PhD candidate at Strathmore Business School and serves on the Governing Council of the International Hospital Federation and board member of the United Nations Global compact, Kenya, where she champions sustainable healthcare practices. She integrates leadership, systems thinking, and climate action in her work. Toseef holds professional qualifications in ACCA and CPA, and a Master’s degree in Financial Management

  • Dr. Nancy Njiraini (PhD), Strathmore Business School

    Nancy Njiraini senior faculty member at Strathmore University in Nairobi and previously studied and worked at the University of Glasgow in Scotland. Nancy brings over 35 years of corporate and academic experience, the first 23 years in senior corporate roles in Kenya, the UK, and the USA, and the last 12 years in academia. She has published over 65 academic documents, which include refereed journal papers, technical papers, book chapters, conference papers, and case studies. She has worked with 7 PhD students, 3 of whom are past students, and 4 currently under supervision, and has supervised over 50 MBA and MCom students' dissertations. Nancy, in collaboration with colleagues, has secured over $6,592,000 in funding from different funders for several projects and consultancy work. She is a CIM chartered marketer and specialises in business strategy, marketing, and corporate communication.

  • Professor Edward G. Ochieng (PhD), The British University in Dubai (BUiD)

    Edward is a Professor of Project Management at the British University in Dubai. Edward’s research interests primarily focus on major project management. Extensive experience and knowledge relating to organisational challenges and solution development for managing large capital and heavy engineering projects. Edited 33 book chapters, published 4 books, 31 book chapters and over 120 refereed papers in refereed journals and conferences. Supervised over 28 PhD students and completed over 300 MSc/MBA industrial projects by research. Edward is currently supervising 10 PhD students. He has also acted as an internal and external examiner of more than 20 PhD students in UK universities and secured an estimated $1,546,153.00 from a range of funders for several projects and consultancy in project management.

     

Published

2025-12-25

Conference Proceedings Volume

Section

Open Access Proceeding Proceedings of Smart and Sustainable Built Environment Conference Series

How to Cite

Strategic Renovation and Healthcare Infrastructure: A Case Study of Facility Upgrades and Compliance at a Private Hospital in Kenya. (2025). Proceedings of Smart and Sustainable Built Environment Conference Series, 293-303. https://isasbec.abc2.net/index.php/sasbe/article/view/2672