A Child-Centered Design for Pediatric Healthcare in Ilesha, Nigeria: A Contextual Case Study Approach

Abstract

The quality of the physical environment in pediatric healthcare facilities has a profound impact on children's recovery, emotional well-being, and overall treatment outcomes. In Ilesha, Osun State, Nigeria, pediatric healthcare delivery is constrained by outdated infrastructure and the absence of child-focused design. This study presented a design-led case study that explored the development of a culturally and environmentally responsive pediatric healthcare facility, aimed at addressing spatial, functional, and psychosocial needs within this underserved context. Adopting a qualitative case study methodology, the research integrated site analysis, stakeholder consultations, and contextual assessment to inform a comprehensive architectural design process. The proposed design incorporated key elements such as child-scaled furniture, interactive waiting areas, natural ventilation, optimized daylighting, and spatial zoning that enhanced safety, comfort, and wayfinding for patients and caregivers. The design also responded to the climatic conditions and sociocultural characteristics of the region, supporting sustainability and local relevance. The findings demonstrated the potential of user-centered, context-sensitive design in improving pediatric healthcare delivery in Ilesha city. This case contributed to the broader discourse on healthcare architecture in low- and middle-income settings, offering a replicable model for similar urban contexts. It highlights the role of architectural design in promoting healing, operational efficiency, and community engagement in pediatric health infrastructure.