Change Health Center

Population Analysis
Main Clinic
Project Pieces
Urban localization of clinics
Main Clinic Section Cut
Flows and urban context
Land use and data
Coapan Satellite Clinic
San Lorenzo Satellite Clinic
Assembly Parts
San Francisco Main Clinic

Primary Authors

  • Juan Enrique Flores Carbajal
  • Ricardo Alfonso Tapia Saab
  • Manolo Rubin Moreno
  • Lizbeth Vazquez Bello


  • Instituto Tecnologico y de Estudios Superiores de Monterrey


  • Alejandra Maria Vilalta y Perdomo (Internationalization Director)


  • Claudia Tamayo Castro


Modernity has brought us virtually closer, making possible the communication between larger distances, housing developers and higher land costs on the center of the city caused an uncontrolled sprawl that provoked a lack of services on the periphery and a lack of community values because of the physical distance between inhabitants. Governments are unable to bring services as health or transport to them, the system failed because that made inhabitants vulnerable. With a horizontal urban growth metropolises started joining between them and becoming megalopolises with the same problems as metropolis but with a lack of space, and a constant change in the city layout, periphery becomes a middle part of the city and inhabitants constantly redefine city size. It’s fundamental to join forces between NGO's and governments in order to solve those problems. Supported by technology and creating a model of service that could be repeatable; technology could allow us to reach far communities and bring services to them, enlarge the service coverture inside and outside the city with multiple land positions on the city according to studies and analysis. The project should be easy to assemble and disassemble, easy to transport, repeatable and adaptable to the specific context of each land position and maintain the function for which it was created, nowadays modernity let us select industrialized pieces that could be easy to obtain. Also spaces could change once the project is assembled according to the arising necessities in time.

Project Statement

Project is located in Tehuacan, a 274,900 inhabitants city in the state of Puebla, it has a 18,502 senior population, representing the 6.7% of the total population, by the year 2025 that number would be up to 20,300 seniors, furthermore there is 1 geriatrician per every 4000 seniors. According to WHO data, there should be 1 geriatrician per every 700 seniors maximum. The urban growth of the city is a sprawl model, there are 29 towns in a 30 km ratio, representing 29,443 seniors with no health facilities in any of them, and they live in a high exclusion situation. According to CONAPO, a Mexican population institute, the percentage of people living in extreme exclusion situation is up to 30.5% in Tehuacan Metropolitan Zone, and 39.6% in high exclusion situation, meaning they does not have access to education, health services, and some of them live in houses without floor or sanitation. There are only 6 health institutions in Tehuacan; they are not enough and most of the population has difficulties to reach due a problem of transport and distance. Project started with the support of a NGO, which proposed 5 properties where it could be placed, but with the intention of reusing those properties in the future. The project was planned as self-sustaining, where health services would be offered and carried to the most remote communities. Seniors could also have a place to live and receive services and attention for free.

Project Description

As there were 5 possible properties in order to provide health services to the community, a qualitative study was made and only 3 of them were selected; it was considered: site access, number of inhabitants inside and outside of the city in an attention ratio, nearby facilities, physical characteristics, context, and restrictions. Project creates a network of service, bringing health facilities to nearby communities with a system of mobile medical units, a core medical center with the facilities for seniors and two satellite centers. All of them with medical attention, laboratory, drugstore, and emergency, divided by modules of 16'x 16'. Modules are made up of industrialized pieces of steel and wood mainly, and designed to have no waste or special parts. Each module is adaptable according to its function; panels, crystals and doors could be removed or placed, project is lifted from the ground, and there is no welding and no concrete. Total number of consulting rooms was made in function of the number of geriatricians and doctors were needed for the city considering the growing rates. In design process laboratory and drugstore were placed in the façade for marketing purposes, the rent of those spaces and the consulting rooms make the seniors assistance center and the mobile medical units sustainable. System makes possible to disassemble the entire project, transport and place it in a different place and context if necessary, it can be added or removed modules as needed, spaces could grow or repeat, and also the project.

Population Analysis