Design 4 Others Impact Report by H D R

2020

IMPACT DESIGN FOR OTHERS // D4O

REPORT

Kensington Health Science Academy | School District of Philadelphia, Philadelphia, Pennsylvania, USA

OUR MISSION FOREWORD

03 04

THE D4O STORY

HOW IT WORKS

WHO WE WORK WITH BY THE NUMBERS

PROJECT SPOTLIGHTS OUR VOLUNTEERS

iKure | Construction for Change, Outpatient Clinic, West Bengal, India

OUR MISSION To improve lives by dedicating our time and expertise to projects that advance health and well-being around the world.

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We all seek the personal fulfillment that comes from knowing that what we do has meaning. But finding work that provides that sense of purpose takes introspection, inspiration and the motivation to seek out and prioritize opportunities that align with our values. All of which can be found in the volunteers of our philanthropic organization, Design 4 Others (D4O).

FOREWORD

HDR is a design firm known for our expertise in complex building typologies. We have designed some of the world’s largest hospitals and some of its most sophisticated research laboratories. We deliver our design expertise around the globe, from Vancouver, Canada to Sydney, Australia—and many, many points in between. And we’ve been doing so for more than 50 years.

We do what we do with a simple, singular mission: to make the world a better place. And yet, despite the significant and far-reaching impact these projects have, it’s the work we do through D4O that takes our breath away.

Typically when we design a building, we collaborate with our clients—we talk with CEOs and facility managers, with clinicians and with scientists. We hold focus groups and conduct simulations, we build mockups and apply Lean Six Sigma thinking to operational processes. But rarely do we get the chance to stand shoulder to shoulder with the people whose livelihood depends on the very buildings we design. D4O has provided us with the chance to work in partnership with local communities who believe a medical clinic in a remote region in Uganda can go beyond providing care for AIDS—aiming to actually help destigmatize the disease itself. We’ve had the opportunity to collaborate with the International Institutes of Health, which sees smart, replicable laboratory design as an opportunity to open doors for the use of new technology for research and public health activities in the region. We’ve imagined how a school design could reflect the idea of “whole child” education with non-profit partners who believe that education can be a path out of poverty.

Our D4O project work gives us a chance to stretch our design in new and interesting ways. We are challenged to re-think the very notion of an outpatient clinic, considering it not within the context of a middle class suburb, but within the backdrop of East Africa’s Malawi region, one of the poorest countries in the world. We get a chance to work alongside builders who can teach us what it means to truly respect the local vernacular—how to use sloped roofs, shaded courtyards, compressed-earth bricks, wood trusses, and corrugated metal roofing to design in different climates and cultures.

also to the profession they love. I once described architects and designers as “the builder of dreams.” This, I believe, is the very essence of what D4O work is all about. We can design a better world, and so we use D4O as the opportunity to do just that.

Doug Wignall President of Architecture, HDR

The impact of these projects is profound on many levels—not the least of which is how they change the volunteers who have helped make them happen. There’s a reason D4O began with two volunteers, then grew to seven, then 40, then 120—and now number more than 200. The D4O experience is a powerful one: it’s a way for people to create deeper relationships with their colleagues and

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Optimize Health | Construction for Change, Health Care Clinic (Pilot Building), Raghogarh, Madhya Pradesh, India

THE D4O STORY

Design Expertise: The Missing Link It started with a question: How can a company make a difference in the world, beyond the work we do with clients? In 2007, several employees at CUH2A (an architecture firm acquired by HDR in 2008) rallied around the idea that the answer was found in our ability to use our design expertise to positively impact underserved communities. Whether from watching news reports on the limited access to HIV testing in Africa or through pro bono projects done for our clients— we all felt strongly that opportunities existed to bring our lab planning and architectural design expertise to clients to make a significant impact on health and livelihood in communities around the world.

We were unsure how to structure such a program and find the right partners to utilize these services. But a small group of us were determined to figure it out and, with the backing and support of firm leadership, we began to float the idea with clients and potential partners. Slowly, connections and opportunities started to emerge. By the end of that first year, we had started two projects: the Mozambique National Health Institute Concept Design with the International Association of National Public Health Institutes (IANPHI) and Tanzania Regional Diagnostic Laboratories with the Abbott Fund.

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So we gave the effort a name that reflected this simple mission: Design 4 Others. Impact Amplified: The Ripple Effect

Kensington Health Science Academy | School District of Philadelphia, Philadelphia, Pennsylvania, USA

The experience of these initial projects— which increased disease monitoring and diagnostic testing capabilities respectively —confirmed what we had intuited:

Design expertise is often missing from conversations that address major challenges in underserved communities around the world— and pro bono provision of design services can make a real difference.

While the vision and mission of Design 4 Others is rooted in the impact to people served by the projects, what we did not anticipate was the ripple effect this initiative would have. D4O projects have created opportunities to utilize skills and knowledge that our typical day-to-day work may not include and to work with colleagues in other offices that we might not otherwise. The projects have also presented different types of problems derived from different geographies, governments, and cultures—allowing us to exercise our creative muscles in new ways. For the local organizations that D4O works with, these projects have created access to HDR experts, many of whom have become informal mentors to them—ultimately furthering the impact of the expertise provided and the sustainability of solutions. For the organizations that provide funding, construction, or operational support to the projects, D4O offers like-minded partners who are able to adapt design services to fit their needs. In some cases, the need has

been to create visibility and draw attention to the project with a conceptual design. D4O teams have imagined and illustrated what, for example, a new diagnostic lab might look like—helping communities and funding partners understand and endorse the vision. In other cases, conceptual designs have been further developed and handed off to local architects and construction teams to see through to fruition.

We learn as much from those we work with as they impart from us. We offer our access to resources to others, but we, in turn, learn to work in a more nimble, creative manner. Growing and Diversifying As HDR has grown over the years, new employees have been drawn to the D4O group. They have brought new areas of expertise and new connections, which has spurred more opportunities for impact. Projects have represented new building typologies, such as health clinics and schools. The quality of the work being generated has been recognized not just by the communities and partners we

work with, but also by the design profession. In 2017, two D4O projects were recognized at Opacity, an internal critique of HDR projects from across the firm. Jurors commended the thoughtful designs that engage communities in a meaningful way and have a significant impact on quality of life. The on-going work of D4O has also provided an outlet to participate in pro-bono design competitions. Whether we win these competitions or not— the exercise of participating in them continues to expand our understanding of what it means to “design for others.”

HOW IT WORKS Design 4 Others is a diverse group of design professionals from HDR who are passionate about volunteering time to projects that support communities in need.

WHAT WE DO

We work with industry partners toward common goals—to make a difference by providing architecture, engineering and planning services for limited or no compensation. We focus on complex projects that utilize our strengths and maximize the efforts of individuals, creating a collective contribution.

50/50 TIME

Projects are evaluated by a steering committee of volunteers and are selected based on how well they fit our mission, availability of resources, and demonstrated need. About 50% of the required time is volunteered by employees and the other half is subsidized by HDR.

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Cape Verde Institute of Health | IANPHI, Meeting with the Ministry Praia, Cape Verde

Our partners allow us to broaden our reach and expand access to areas of need worldwide. These critical change agents help D4O connect our resources to proven global networks in the promotion of access to healthcare and education and to foster economic growth. We combine efforts with our partners to mobilize knowledge, capacity and expertise in local communities to advance community development objectives.

WHO WE WORK WITH

• • • • • • • • • • • •

Abbott Fund Association of Public Health Laboratories (APHL) U.S. Centers for Disease Control and Prevention (CDC) Construction for Change (C4C) Health Protection Agency Humanity for Children Lwala Community Alliance (LWA) Ministério da Saúde Fundaçāo Oswaldo Cruz (FIOCRUZ) National Institutes of Health (NIH) Pfizer International Association of National Public Health Institutes (IANPHI) World Health Organization (WHO)

+640,000

SQUARE FEET DESIGNED

BY THE NUMBERS

15 24

CLIENTS

PROJECTS

216

COUNTRIES WORKED IN

YEARS

VOLUNTEERS

Barbados // Canada // Ecuador // Guinea Bissau // India // Kenya // Malawi // Mozambique // Nepal // Tanzania // Uganda // United States

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Partners in Health | Construction for Change, Outpatient Department, Neno District Hospital, Donda, Malawi

PROJECT SPOTLIGHTS

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THE IMPACT The new Mozambique National Institute of Health was officially inaugurated in June 2018. It allows for the opening of new lines of scientific work, as well as the use of new technologies for research and public health activities in the country.

PARTNERS Mozambique NIH, IANPHI, Oswaldo Cruz Foundation, U.S. CDC PROJECT DETAILS 85,000 SF LOCATION Maputo, Mozambique

PROJECT SPOTLIGHTS

Mozambique National Institute of Health Concept Design Facilitating Best Practices in Science, Disease Monitoring, and Outbreak Response

Background: The International Association of National Public Health Institutes (IANPHI) links and strengthens the government agencies responsible for public health in member countries around the world. In Mozambique, IANPHI is working with the National Institute of Health to help them improve the well-being of the country’s citizens and become the national reference point for technical and scientific solutions to the country’s health issues.

Project: With aspirations of building a national public health institute from the ground up, we collaborated with IANPHI, the Mozambique National Institute of Health (NIH), Oswaldo Cruz Foundation, the U.S. Centers for Disease Control and Prevention (CDC), and other partners to determine facility needs and design requirements to achieve their long-term strategic goals. Primary goals were two-fold: to provide key public health functions in the area, including laboratory science, disease monitoring, and outbreak response; and to provide space for teaching and accessioning, as well as lab space for the following functions: Bacteriology & Parasitology, Virology & Cell Biology, Animal Care, Insectary, and Medical Entomology & Immunoassay.

Solution: We designed the laboratory space with adjacent support spaces including glass wash, media prep, bulk storage, offices, reference library, training rooms, cafeteria, shower, and laundry facilities. In an effort to strike a balance between visibility and accessibility, security and community engagement, the various programs have been organized into a laboratory “bar” and an office “bar” joined centrally by a communicating stair and a bridge, along with an open-air breakout space. While the final design varies significantly from the initial proposed design, the design concept did help potential donors recognize the viability of a new institute.

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THE IMPACT Twenty-three refurbished regional labs provide support for more than 120 district laboratories in Tanzania, improving healthcare for millions of people across the country who have HIV, diabetes, and other chronic diseases.

PARTNERS Tanzania Ministry of Health, CDC-Tanzania, Abbott Fund Tanzania, Association of Public Health Labs PROJECT DETAILS 23 clinics at 3,000 SF each LOCATION Multiple sites throughout Tanzania

PROJECT SPOTLIGHTS

Regional Diagnostic Laboratories for Abbott Fund Bringing Higher Standards and Standardization to Tanzania’s Regional Labs Background: Abbott Fund, the philanthropic arm of Abbott Laboratories, invests in communities around the world to develop community-driven, impactful, and sustainable solutions that remove barriers to living a healthy life. In 2007, they committed financing to the Tanzania Ministry of Health to support new or renovated construction of 23 laboratories across Tanzania over a period of three years.

Project: A 2002 public health laboratory assessment found most of Tanzania’s regional laboratories inefficiently designed and in poor condition. Because they were impeding access to quality HIV/AIDS services, the Tanzania Ministry of Health requested that all regional laboratories be upgraded to provide standard clinical laboratory diagnostic testing, histological services and to accommodate laboratory services, functions and training not currently available. A partnership was developed between the Ministry, CDCTanzania, Abbott Fund Tanzania, the Association of Public Health Labs, and D4O to expedite the nationwide laboratory improvements.

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PROJECT SPOTLIGHTS

Solution: We partnered with Abbott Fund to develop a prototype for a diagnostic laboratory that could be used as a model for new-build and laboratory renovations at regional hospitals across Tanzania. Schematic design was completed in 2008 and turned over to a local architect for construction. The first of these labs was completed in Amana in May 2009 and has significantly improved the quality and quantity of care being provided across the hospital, which treats 800 to 1,600 outpatients daily. Patients at Amana, impressed with the quality treatment and speed of service, are now recommending to friends and neighbors that they be tested for HIV at the site.

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THE IMPACT In August 2015, Lwala Community Alliance (LWA) celebrated the opening of their new hospital wing, which provides 16 inpatient beds, separate rooms for well-child and prenatal visits, and a new and expanded pharmacy and laboratory. In the first two months after opening, LWA saw a 10% increase in patient visits.

PARTNERS Lwala Community Alliance PROJECT DETAILS 39,500 SF LOCATION Nyanza, Migori County, Kenya

PROJECT SPOTLIGHTS

Lwala Community Alliance Accommodating Increased Demand for Patient Care in Rural Kenya

Background: Lwala Community Alliance (LWA) is a community-led non-profit organization operating in rural western Kenya that helped mobilize neighbors to build the area’s first hospital. LWA co-runs the community hospital with the Ministry of Health and provides technical assistance to two lower-level government facilities. They recognize poor health as a complex and nuanced issue—so beyond running the health facility, they also deliver community health services to people’s homes and schools.

some of that space for the bed ward. This increase in patient numbers not only furthered the need to expedite a planned second phase construction, but necessitated the need for a new bed ward to alleviate overcrowding and realign the services of the maternal wing. The increase in patient numbers has also meant a need for additional staff. However, that increase can only happen if adequate housing is provided for them. In 2012 and 2013, we led LWA through a series of master planning activities to inform how best to address anticipated growth over time.

Project: Since it opened in 2011, accelerated increases in patient numbers at Lwala Community Hospital resulted in overcrowding of clinical areas within the maternal wing due to the need to reallocate

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Solution: During master planning sessions, plans for the following were developed: • New support facilities for the hospital including main entry and patient receiving/waiting areas, pharmacy, laboratory, imaging and electro-diagnostic rooms, respiratory therapy and other public, staff and support functions • A new, shared adult and pediatric inpatient unit to address crowding issues • An off-site community center in a location central to the community • Staff housing located adjacent to the hospital to create a living community The final outcome of our work with LWA was the development of an overall site/facility vision; a programmatic statement of needs; conceptual plans including floor plans, elevations, equipment layouts and outline specifications; a phasing plan to set the schedule of implementation; assistance in reviewing cost estimates and value engineering for planned budgets; and collaboration with the local architect and contractor to implement conceptual design approaches.

PROJECT SPOTLIGHTS

PROJECT UPDATE According to their 2018 Annual Report, today Lwala Community Hospital stands as a center of excellence. It serves 90% of its catchment population, and provides free care to pregnant women, children under

the age of five, and people living with HIV. The hospital has excellent quality indicators and is investing in new technologies to support innovative care. It also serves as the epicenter from which their quality

improvement team provides support and training to seven government health facilities throughout the region.

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THE IMPACT Since the new clinic opened in 2016, the average number of patients seen per day has doubled, helping FIRMC address the health disparities for a larger group of residents in this area through clinical care, prevention, and education.

PARTNERS Foundation for International Medical Relief of Children (FIMRC), Construction for Change, 30/30 Project PROJECT DETAILS 8,900 SF LOCATION Bumwalukani Parish, Bududa District, Uganda

PROJECT SPOTLIGHTS

Foundation for International Medical Relief of Children (FIMRC) Clinic Designed to Increase Capacity and Offer a Welcoming Experience Background: The Foundation for International Medical Relief of Children (FIMRC) is a non-profit organization that works in developing countries around the world to improve the health of families by implementing “innovative and self-sustainable health improvement programs.” The site they sponsor in Uganda is one of the poorest in the country with the highest prevalence of HIV infection. In early 2015, FIMRC received a grant from 30/30 Project to build a new clinic that would better support the clinical activities underway at the site.

counseling, education, and treatment in addition to other services. We designed the new facility to be welcoming—more like a school, and less like a clinic. The entrance is double height glass and offers room for waiting. However, it can be closed off on the interior corner for security when the clinic is closed, while allowing the public space to remain open.

Project: The new FIMRC clinic offers rapid testing for HIV, syphilis and pregnancy; complete maternal child healthcare; and HIV

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PROJECT SPOTLIGHTS

Solution: We imagined a modular, modern interpretation of the local vernacular that uses wood trusses for the roof—typical of the area—with brick walls. Openings in the brick walls create patterns on the exterior that offer privacy to those inside while providing ventilation and views out. A single point of access offers better security and allows nurses to see people before they leave and conduct exit interviews. Administrative areas and residential space on the second floor above the maternity wing have separate secure entrances so midwives can more easily come and go. A covered pavilion space adjacent to the clinic as well as an open secure courtyard and covered areas along the perimeter opposite the clinic provide shelter for families at the discretion of clinical staff.

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photo credit: Becca Dobyns

THE IMPACT In 2018, the Charles Wickam Academic Centre opened, allowing Flying Kites to more than double the number of students that have access to their whole child education model.

PARTNERS Flying Kites, Construction for Change PROJECT DETAILS 8,300 SF LOCATION Njabini, Kenya

PROJECT SPOTLIGHTS

Flying Kites Primary School Changing Lives Through Education

Background: Flying Kites mission is rooted in the belief that education is the path out of poverty. The organization’s Leadership Academy in Njabini, Kenya serves as a center of excellence, providing children with “competitive education characterized by small classrooms, progressive course material, integrative care, and inspired teachers.” They also engage with the wider community through their Teacher Training Institute and by finding solutions that address barriers to learning, such as school lunch programs and sanitation facilities.

Project: Through a partnership with Construction for Change, D4O was engaged to develop a conceptual design for a new Flying Kites school to facilitate an expansion of the program, supporting a stated goal to “triple the size of our primary school from one that serves 40 students to one that serves 135+ critically poor, high-performing students (105 day students and 20 to 30 orphaned children living on-site).” Solution: While the original program only included a 10-classroom block, D4O worked with Flying Kites to further develop the building’s program, adding a common space central to the classrooms that would help foster less structured learning, quiet study, student interactions, and community gathering. The design was organized

around this open-air, covered gathering space, which is anchored by a two-sided fireplace. Classrooms line the sides in a staggered or “rhythm” configuration to encourage individual identity. Modular design allows for ease of construction and uniformity for flexibility in the future. Interiors are inspired by natural elements found in Njabini and the symbolism in the Flying Kites logo. The kite is a prominent, unifying symbol throughout the facility. The interior aesthetic is whimsical in the common area while the classrooms serve a more functional and collaborative learning environment. Natural daylighting and color play essential roles in bringing in the outdoors and elevating the spaces. Color aids significantly in wayfinding between the common area and classroom spaces.

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photo credit: Becca Dobyns

The structure of the building is exposed and creates the visual identity for the school. The main roof over the central gathering space and smaller roofs over the classrooms are wood-framed and pitched, supported by a series of square wood columns. The building is oriented on the site to ensure minimal excavation and ground plane manipulation. The terraced floor plan aligns with the contours and existing site slope. The exterior design creates simplistic and functional gathering spaces with a direct relationship to the interior center space of the building.

PARTNER TESTIMONIAL “[We are] incredibly indebted to [D4O] for helping us think through the design concepts. It’s truly a stunning building and a beacon of hope not just for our students, but for our partner schools. The whole community feels it’s a true sign that they too are worth investing in— so often impoverished communities get overlooked when it comes to beauty in design.” Leila de Bruyne Flying Kites, Executive Director, U.S. photo credit: Becca Dobyns

PROJECT UPDATE HDR completed the initial design work on this project in 2015. In 2019, Flying Kites celebrated the opening of their new school—the Charles Wickham Academic Center. As evidence of HDR’s continuing support of Flying Kites’ mission, the HDR Foundation recently awarded them a $15,000 grant. The grant will allow Flying Kites to double enrollment for primary education in the local elementary school. Funds will purchase physical education uniforms for 70 new students enrolled this year (clothing and shoes), along with equipment for PE and competitive sports (balls, nets, jerseys, elbow/knee pads, and shin guards). Support for students will integrate nutrition, physical education, extracurricular athletics and healthy choices.

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THE IMPACT The Neno Chronic Care Clinic broke ground in 2018. Since opening, it is the primary outpatient facility for 20,000 people in the district.

PARTNERS Construction for Change, 30/30 Project, Partners in Health PROJECT DETAILS 14,900 SF LOCATION Neno District, Malawi

PROJECT SPOTLIGHTS

Partners in Health Outpatient Department Expanding Outpatient, Community-Based Care in Rural Malawi

Background: Partners in Health (PIH) has a mission “to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair.” They have worked in the remote and rural southern district of Neno since 2007, where high infant mortality rates, malaria, and HIV are among the most prevalent health issues. PIH collaborates with Malawi’s Ministry of Health to provide comprehensive care for about 160,000 people in Neno. Community-based screening, in-home visits, and improved care options are all part of the PIH model. Since they began working in Neno, PIH has built a district hospital and a community hospital, revitalized 10 health centers that have fallen into disrepair, and built two more.

Project: D4O was engaged to design an outpatient facility planned for the existing community hospital in Neno, where it will enhance the capacity and quality of healthcare now being offered.

Sustainable Elements

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DESIGN COMPETITION JUROR COMMENTS

Solution: The design team studied vernacular construction and worked with on-site representatives to understand what building methods could be employed by local builders with available materials, including compressed earth brick, siteassembled steel windows, wood roof trusses, and corrugated metal roofing. To keep systems simple and energy use low, the design maximizes the use of daylight and natural ventilation, and minimizes solar heat gain. The massing incorporates sloping roofs to shed water during the rainy seasons, overhangs to provide shade from the intense sun, and covered exterior waiting areas to facilitate natural ventilation.

The facility is comprised of an outpatient clinic, an integrated care clinic, and maternal and children’s health clinic. Each is conceived as a pavilion with a distinct entry and waiting area. Two additional pavilions house a pharmacy and support functions. They are organized around a linear courtyard. The waiting areas house a large number of patients and allow for queuing before they are seen by a clinician. Education, exam, and treatment spaces open off the waiting areas so that patients can see when a room is free and clinicians can better manage the visitation process. The new facility will reflect the importance of health to the community it serves.

“This is a healthcare project that is firmly rooted in its community. That’s one of the things that really excited us. Not only are you looking at a project that represents a very different model of healthcare than in the U.S., but also, the project’s intent is truly about engaging with the community—talking to local builders, using local materials, not imbuing the project with an American view of healthcare and the ‘right way to do things.’ Plus, it’s a lovely building: the waiting areas, and the fact that everything was conceived in terms of flow and answering the needs of particular patients. Overall, we thought this project was very wellconsidered and well-communicated.”

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THE IMPACT This conceptual exercise demonstrates how design can transform a clinic into a community and educational resource.

PARTNERS School District of Philadelphia PROJECT DETAILS 14,000 SF LOCATION Philadelphia, Pennsylvania, USA

PROJECT SPOTLIGHTS

Kensington Health Science Academy Preparing High School Students for the Future of Health Science Training & Education Partner Background: The mission of Friends of Kensington Health Sciences Academy is to help high school students in the Kensington area successfully transition into post-secondary educational and employment opportunities in the health sciences, science, technology, and mathematics areas.

Project: Kensington Health Sciences Academy seeks to prepare every student academically and holistically to be responsible, caring community members, ready for college or career upon graduation. The Friends of Kensington Health Sciences Academy engaged HDR to develop a conceptual design for a clinic that would be adjacent to the school, offer training to high school students, and serve as a welcoming center where families in the Kensington neighborhood can come for affordable medical and dental care.

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PROJECT SPOTLIGHTS

Solution: The design for this new health science academy both literally and symbolically connects the school—its students and faculty—with the greater Philadelphia community. The design defines a clear public entrance on the north side, with the private entrance on the opposing side, defining the ends of the internal circulation. The circulation spine continues outside the building along the axis that connects to the existing school. A sweeping curve in the center embraces a large community “green,” creating a connection to nature within this gritty, urban area. The green can be enjoyed by both the school and members of the community for events, recreation, informal gathering, or simply as a pleasant outdoor place to be.

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D4O and partners on site in Baruipur, West Bengal India working on the iKure Clinic project, 2019

D4O VOLUNTEER S Volunteers are the heart of Design 4 Others. They go the extra mile, put in the extra hours, and bring their expertise, hard work, and passion to our projects. Some are current employees of HDR, some have moved on to different firms. Some have worked on multiple projects over the years, some on just one. We owe a debt of gratitude to all of them. Our hope is that the experiences they gain from the work are rewarding and meaningful. We celebrate their spirit of generosity and giving. On behalf of HDR and the many partners we’ve collaborated with over the years, we simply say, “Thank you.”

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Matibabu Kenya Project Charette, 2019

Cape Verde Institute of Health | IANPHI, Praia, Cape Verde 2017

Design for the Children Competition, 2009

Tanzania Regional Diagnostic Laboratories site visit, 2010

Uganda Virus Research Institute | IANPHI, Entebbe, Uganda 2007

Matibabu Kenya Health Project Charette, 2019

Matibabu Hospital Planning, 2019

iKure Team Meetings, West Bengal, India, 2019

“Working with D4O has been a fulfilling and inspiring exercise: I’ve gained experience on an exciting, unique project while assisting a community in need. I know that the work will really make a difference.”

THE VOLUNTEER E XPERIENCE “Over the years, I have had the fortune to learn from the wisdom of others. Design 4 Others has given me the privilege to share my expertise in architecture and to give back in a meaningful way; to enhance the lives of people around the world—and specifically those who need it most.” —Mohammed Ayoub

—Paul Howard Harrison

“Half the world’s population live in extreme poverty and lack access to basic services for human needs. D4O has offered me, from a privileged background, the opportunity to give back; to use my skills and make a hands-on contribution to better the existence of deserving communities... This is a great feeling.” —Norman Fisher

“My experience with D4O has been rewarding in many ways. Through the projects I have been involved in, I was able to meet new work colleagues and build relationships within our company. Everyone has opportunities to take on different tasks and challenge themselves outside of their regular 9-5 roles. The impact these projects have on communities and the people they will serve is a rewarding feeling that makes volunteering with D4O worth it.” —Dean Mapeso

“Watching your client be so succumbed by emotion that they are moved to tears by the design and services you are providing them makes for one of my most accomplished memories in my career and the reason why I participate in D4O.”

“D4O gives me an opportunity to share my interest and talents with others to transform the lives of individuals in underserved communities in other parts of the world.”

“D4O fills me with hope. I can leave my everyday life and be inspired by how truly wonderful people can be!”

—Stacy Haldeman Figueria

—Brian Giebink

—Ellen Randall