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Bridging the divide between primary health care and community

South African cities have a complex social and physical post-Apartheid layering. The historical legacy, referring here specifically to the inadequate roll-out of public facilities in areas and uprooting as well as separating of communities, have resulted in under serviced environments that can lack...

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Main Author: Buys, Lüet Schraader
Other Authors: Silverman, Melinda
Format: Thesis
Language:English
Published: School of Architecture, Planning and Geomatics 2017
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access_status_str Open Access
author Buys, Lüet Schraader
author2 Silverman, Melinda
author_browse Buys, Lüet Schraader
Silverman, Melinda
author_facet Silverman, Melinda
Buys, Lüet Schraader
author_sort Buys, Lüet Schraader
collection Thesis
description South African cities have a complex social and physical post-Apartheid layering. The historical legacy, referring here specifically to the inadequate roll-out of public facilities in areas and uprooting as well as separating of communities, have resulted in under serviced environments that can lack social cohesion and often struggle with poverty. Public institutions play a catalytic role within a community. To this end, health care portrays the government in a legible 'provider' role and is, in some ways, an obvious way to make citizens feel valued in comparison with other public institutions. Health care institutions impact the community in a unique way due to the combination of specificity of service and the emotive way it is experienced by the individual. This dissertation aims to research, define (and ultimately) test a strategy that aims to stitch together the fissure between community and institutions, by rethinking the urban interface of generic primary health care facilities. This research is structured around themes of theory, policy, the continuum of care and physical environments; each in order to better understand what and how the 'gap' between health care institution and community is constructed. Programmatic and/or spatial ideas that inform the architectural design. This dissertation asserts that providing 'traditional' generic institutions sustains rather than improves the life of the community. The research suggests that existing health care facilities can be more effective as public spaces by introducing new programmes, disaggregating the formal interface, redefining and activating a new urban threshold and providing meaningful open space. The design ultimately aims to act as a new skin or threshold through which institutions relate to the community.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:34:23.309Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher School of Architecture, Planning and Geomatics
publisherStr School of Architecture, Planning and Geomatics
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/22998 Bridging the divide between primary health care and community Buys, Lüet Schraader Silverman, Melinda Isaacs, Fadly Architecure and Planning South African cities have a complex social and physical post-Apartheid layering. The historical legacy, referring here specifically to the inadequate roll-out of public facilities in areas and uprooting as well as separating of communities, have resulted in under serviced environments that can lack social cohesion and often struggle with poverty. Public institutions play a catalytic role within a community. To this end, health care portrays the government in a legible 'provider' role and is, in some ways, an obvious way to make citizens feel valued in comparison with other public institutions. Health care institutions impact the community in a unique way due to the combination of specificity of service and the emotive way it is experienced by the individual. This dissertation aims to research, define (and ultimately) test a strategy that aims to stitch together the fissure between community and institutions, by rethinking the urban interface of generic primary health care facilities. This research is structured around themes of theory, policy, the continuum of care and physical environments; each in order to better understand what and how the 'gap' between health care institution and community is constructed. Programmatic and/or spatial ideas that inform the architectural design. This dissertation asserts that providing 'traditional' generic institutions sustains rather than improves the life of the community. The research suggests that existing health care facilities can be more effective as public spaces by introducing new programmes, disaggregating the formal interface, redefining and activating a new urban threshold and providing meaningful open space. The design ultimately aims to act as a new skin or threshold through which institutions relate to the community. 2017-01-24T11:38:47Z 2017-01-24T11:38:47Z 2016 Master Thesis Masters MArch (Prof) http://hdl.handle.net/11427/22998 eng application/pdf School of Architecture, Planning and Geomatics Faculty of Engineering and the Built Environment University of Cape Town
spellingShingle Architecure and Planning
Buys, Lüet Schraader
Bridging the divide between primary health care and community
thesis_degree_str Master's
title Bridging the divide between primary health care and community
title_full Bridging the divide between primary health care and community
title_fullStr Bridging the divide between primary health care and community
title_full_unstemmed Bridging the divide between primary health care and community
title_short Bridging the divide between primary health care and community
title_sort bridging the divide between primary health care and community
topic Architecure and Planning
url http://hdl.handle.net/11427/22998
work_keys_str_mv AT buysluetschraader bridgingthedividebetweenprimaryhealthcareandcommunity