Episode Summary In this episode of Med City Fem Forward, host Marissa Plescia speaks with Allison Adamson, architect at Build Health International, about the creation of a Maternal Center of Excellence in Sierra Leone — a project designed to transform maternal healthcare delivery in one of the world's highest-risk regions for childbirth.
Allison explains how healthcare infrastructure directly impacts patient outcomes, why design choices influence trust and dignity in care, and how global partnerships are addressing preventable maternal mortality. The conversation explores how architecture, community collaboration, and sustainable healthcare systems come together to support women before, during, and after childbirth.
Listeners will gain insight into how thoughtful healthcare design can save lives, empower communities, and reshape global health equity — and why American healthcare stakeholders should pay attention to these efforts.
Links & Resources -
Connect with Marissa Plescia
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mplescia@medcitynews.com
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https://www.linkedin.com/in/marissaplescia/
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Allison Adamson
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Guest Email aadamson@buildhealthinternational.org
Keywords Maternal health
Global health infrastructure
Healthcare architecture
Women's health equity
Maternal mortality prevention
Build Health International
Partners In Health
Sierra Leone healthcare
Global nonprofit healthcare
Healthcare design innovation
Maternal Center of Excellence
Healthcare access
Equitable healthcare systems
Global public health
Hospital design
Community-centered healthcare
Medical infrastructure development
Women's healthcare systems
Nonprofit healthcare partnerships
Healthcare sustainability
Episode Highlights 00:04–00:21 – Introduction to the episode and focus on global women's health infrastructure
00:26–01:15 – Allison Adamson introduces Build Health International and its global mission
01:15–02:44 – Origins of the Maternal Center of Excellence and partnership with Partners In Health
02:44–03:32 – Sierra Leone's healthcare challenges and maternal mortality crisis
02:53–05:26 – Inside the 120-bed maternal facility and range of care services offered
03:32–04:40 – Designing dignity, trust, and comfort into healthcare environments
03:50–04:13 – Mother dormitories supporting families with babies in NICU care
04:13–05:03 – Education spaces and community health engagement within the hospital
05:29–06:50 – Lessons learned from healthcare projects in Haiti and other countries
06:58–08:12 – Community collaboration and clinician input shaping the design process
08:12–08:47 – Partners In Health's operational role in delivering care
09:02–10:42 – Why global healthcare infrastructure matters to American audiences
10:09–10:42 – Repurposing medical equipment to expand global healthcare access
10:50–11:57 – Future projects supporting women's health and healthcare systems worldwide