Assessment of Circulation Systems and Movement Efficiency within Pediatric Healthcare Environments in Selected Hospitals in Lagos State.
Authors
Department of Architecture, College of Environmental Science and Management, Caleb University, Imota, Ikorodu, Lagos (Nigeria)
Department of Architecture, College of Environmental Science and Management, Caleb University, Imota, Ikorodu, Lagos (Nigeria)
Department of Architecture, College of Environmental Science and Management, Caleb University, Imota, Ikorodu, Lagos (Nigeria)
Article Information
DOI: 10.51244/IJRSI.2026.1307000214
Subject Category: Architecture
Volume/Issue: 13/7 | Page No: 2869-2884
Publication Timeline
Submitted: 2026-07-26
Accepted: 2026-08-01
Published: 2026-08-07
Abstract
Efficient circulation systems are essential in healthcare architecture because they influence accessibility, operational efficiency, infection control, wayfinding, and the overall healthcare experience. In pediatric healthcare facilities, circulation planning is particularly important due to the unique needs of children, caregivers, healthcare personnel, and visitors. However, many pediatric hospitals in Lagos State continue to experience movement congestion, poor wayfinding, fragmented departmental relationships, and inefficient circulation patterns that hinder service delivery and user satisfaction.
This study evaluates circulation systems and movement efficiency in selected pediatric healthcare facilities in Lagos State using a mixed-methods case study approach. The selected case studies are the Pediatric Department of Lagos State University Teaching Hospital (LASUTH), Ikeja, and Lifeline Children’s Hospital, Surulere. Data were collected through direct observation, architectural analysis, photographic documentation, a structured questionnaire survey administered to 35 healthcare professionals (doctors, nurses, administrators, and facility managers) across both facilities, and a review of relevant literature.The findings reveal that effective circulation systems significantly improve healthcare functionality, workflow continuity, accessibility, patient supervision, emotional comfort, and the overall user experience. The study concludes that well-planned circulation is fundamental to efficient pediatric healthcare delivery. It recommends the integration of child-centered wayfinding systems, therapeutic movement spaces, coordinated circulation hierarchies, and evidence-based planning strategies to enhance the functionality, safety, and user experience of contemporary pediatric healthcare facilities in Lagos State.
Keywords
Pediatric healthcare facilities, circulation systems, movement efficiency
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References
1. Abubakar, I., Musa, A., & Bello, S. (2022). Healthcare accessibility and operational challenges within urban healthcare facilities in Nigeria. Journal of Healthcare Infrastructure, 8(2), 45–58. [Google Scholar] [Crossref]
2. Adeleye, O. O., & Akinyemi, A. T. (2021). Spatial organization and circulation efficiency within healthcare environments in Nigeria. International Journal of Built Environment and Sustainability, 9(1), 66–81. [Google Scholar] [Crossref]
3. Ahmed, S., Muhammad, I. B., Abdulrahman, M. E., & Adebisi, G. O. (2022). Visual accessibility and inclusive wayfinding design in hospital environment in Nigeria. Journal of Art, Architecture and Built Environment, 5(1), 15–29. [Google Scholar] [Crossref]
4. Ahmed, S., & Muhammad, I. B. (2022). Healthcare wayfinding systems and visual accessibility in healthcare environments. International Journal of Healthcare Design, 7(2), 44–59. [Google Scholar] [Crossref]
5. Akinluyi, M. L., Awe, F. C., Adeleye, O. O., & Ogunruku, M. P. (2019). Paediatric physical facilities design characteristics in Southwestern Nigerian University Teaching Hospitals. Universal Journal of Public Health, 7(6), 233–254. [Google Scholar] [Crossref]
6. Akinluyi, M. L., & Fadamiro, J. A. (2021). Design quality and level of compliance for outpatient physical facilities in Southwest Nigeria. International Journal of Research and Innovation in Social Science, 5(2), 554–563. [Google Scholar] [Crossref]
7. Akinwale, T., & Kuye, O. (2022). Urban population growth and healthcare infrastructure challenges in Lagos State. Nigerian Journal of Urban Studies, 10(3), 87–103. [Google Scholar] [Crossref]
8. Akubue, C. (2024). Circulation hierarchy and movement systems in healthcare architecture. Journal of Contemporary Healthcare Planning, 6(1), 20–37. [Google Scholar] [Crossref]
9. Allahyar, M., Kazemi, F., & Heidari, A. (2021). Landscape preferences of a children’s hospital: Children and therapist perspectives. Urban Forestry and Urban Greening, 61, 127138. [Google Scholar] [Crossref]
10. Alhsainat, E., & Kağan Günçe, A. (2024). Healing environment in pediatric cancer centers by positive distraction design. Behavioral Sciences, 14(11), 1010. [Google Scholar] [Crossref]
11. Anselm, A. J., Mohammed, S., Tyabo, S., & Mohammed, A. (2024). Study of spatial disorientation and wayfinding challenges in buildings using axial analysis. Journal of Architectural Environment and Structural Engineering Research, 7(1), 20–33. [Google Scholar] [Crossref]
12. Bahrami, F., Zangiabadi, M., & Karami, S. (2025). Child-friendly design in paediatric healthcare environments: Exploring children’s preferences for nature, space and play. Journal of Asian Architecture and Building Engineering, 1–17. [Google Scholar] [Crossref]
13. Brambilla, A., Rebecchi, A., & Capolongo, S. (2019). Evidence-based hospital design: A literature review of recent publications about the impact of built environment on hospital occupants. Annali dell’Istituto Superiore di Sanità, 55(2), 165–180. [Google Scholar] [Crossref]
14. Carpman, J. R., & Grant, M. A. (2016). Design that cares: Planning health facilities for patients and visitors (3rd ed.). Wiley. [Google Scholar] [Crossref]
15. Chaudhury, H., Mahmood, A., & Valente, M. (2009). The effect of environmental design on reducing nursing errors and increasing efficiency in acute care settings. Environment and Behavior, 41(6), 755–786. [Google Scholar] [Crossref]
16. Emmanuel, U., Osondu, E. D., & Kalu, K. C. (2020). Architectural design strategies for infection prevention and control in healthcare facilities. Journal of Environmental Health Science and Engineering, 18(2), 1699–1707. [Google Scholar] [Crossref]
17. Jia, Y., Wang, L., & Chen, X. (2023). Smart spatial simulation tools for evaluating hospital circulation systems and movement efficiency. Journal of Healthcare Engineering, 14(3), 88–105. [Google Scholar] [Crossref]
18. Jiang, S., & Verderber, S. (2016). On the planning and design of hospital circulation zones: A review of evidence-based literature. HERD: Health Environments Research and Design Journal, 9(4), 124–146. [Google Scholar] [Crossref]
19. Kumari, P., & Singh, R. (2024). A study on effective space planning and circulation for a better experience in pediatric hospitals. International Journal of Scientific Research in Architecture and Planning, 6(2), 45–58. [Google Scholar] [Crossref]
20. Omole, F., Adeyemi, B., & Salisu, T. (2023). Congestion and circulation inefficiencies in public healthcare facilities in Nigeria. Nigerian Journal of Healthcare Planning, 12(1), 71–86. [Google Scholar] [Crossref]
21. Onechojo, E., Yakubu, M., & Ibrahim, H. (2024). Digital healthcare planning approaches and evidence-based hospital design strategies. Journal of Sustainable Healthcare Architecture, 5(1), 33–49. [Google Scholar] [Crossref]
22. Ogunyemi, A., & Lawanson, T. (2022). Spatial deficiencies and healthcare dissatisfaction within urban healthcare facilities in Lagos State. African Journal of Built Environment Research, 14(2), 52–69. [Google Scholar] [Crossref]
23. Ozlem, K., Arslan, B., & Yildiz, M. (2024). Computational approaches to healthcare circulation planning and functional adjacency analysis. Journal of Healthcare Architecture and Planning, 11(2), 60–79. [Google Scholar] [Crossref]
24. Salawu, A., Bello, K., & Ibrahim, S. (2022). Wayfinding systems and healthcare accessibility within public healthcare facilities in Nigeria. Journal of Environmental Design Studies, 8(4), 91–107. [Google Scholar] [Crossref]
25. Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H., Choi, Y., Quan, X., & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. HERD: Health Environments Research and Design Journal, 1(3), 61–125. [Google Scholar] [Crossref]
26. Verderber, S., & Fine, D. J. (2000). Healthcare architecture in an era of radical transformation. Yale University Press. [Google Scholar] [Crossref]
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