BWBR’s 2024 Scholarship Recipients Challenge Injustice in Design

The most recent Side of Design podcast from BWBR introduces us to two architecture students whose work demands we reconsider what makes good design. Sierra Espinoza and Pwapadeino Wonosikou (who goes by Deino), this year’s BWBR equity scholarship winners, aren’t waiting until graduation to tackle the industry’s most pressing questions about who benefits from the spaces we build—and who doesn’t.

Art, Science, and Lived Experience

The Scholarship for Gender Equity in Design was awarded to fourth-year Howard University student Sierra, who grew up immersed in creativity. “I’ve come from a big art family. On my mom’s side everybody is either a painter, sculptor, jewelry maker, photographer… except for my mom who decided to go into law, funnily enough,” she says. When you add her love of science and childhood memories of watching her dad build her grandmother’s house in Trinidad and Tobago, architecture feels almost inevitable.

Deino’s path to winning the Scholarship for Diversity and Inclusion in Design winds through three continents. Now studying at Dunwoody College of Technology, she’s lived in Africa, Europe, and North America—experiences that left her with questions. “Something that has been evident for me growing up in these different continents has been the types of buildings that have been produced that I’ve been able to see and visit or just live in,” she explains. These cross-cultural contrasts sparked a curiosity: why do buildings look and function so differently across the world?

When Design Builds Walls—And When It Tears Them Down

When asked about design’s role in creating equity, both students skip the textbook answers.

Sierra cuts straight to the heart of it: design determines who gets what. “Design can be a powerful tool for resource allocation and community empowerment,” she says, pointing to how the right spaces can open doors to education, jobs, and healthcare.

But Sierra doesn’t stop at material resources. Design shapes belonging—or exclusion. “For centuries, especially in this country, there have always been a group of people that are essentially cast away from everybody else, whether that be socially cast away or physically cast away.” Good design, she argues, can “flip this narrative” and create physical proof that marginalized communities belong.

Deino doesn’t shy away from design’s dark side. “It has this power to create beautiful things but also to destroy things that are already beautiful,” she says, referencing how American highways carved up thriving neighborhoods. “The country has a history of creating destruction in communities with design.” The profession’s power is “a double-edged sword in how it can create and how it can hurt and destroy.”

Design That Fights Back

Their award-winning projects don’t just look good on paper—they’re direct responses to real-world injustice.

Sierra’s “Resilient, Biophilic, and Equitable Puerto Rican Housing” takes aim at a painful reality: “Puerto Rico is often neglected by US government aid during tropical storms and hurricanes, and they’re left to fend for themselves without adequate access to fresh water or power.” What sets Sierra’s approach apart isn’t fancy materials or striking forms. It’s listening. Her research uncovered something critical: “Puerto Ricans would rather not be relocated after they lose their homes in tropical storms, but if they had to be relocated, they wanted to, as a community, be moved as a unit.” When disaster strikes, people need more than shelter—they need neighbors. “If you are baking a cake and you don’t have enough eggs, who do you go to? You go next door. It’s the same thing when your house floods or your wall has fallen, and you need to rebuild.”

Deino’s “Hikima” (meaning “The ability to know and apply”) challenges educational environments to embrace African culture. While researching Nigerian schools, she hit a wall: “When I look at precedents, I don’t see a lot of things that are from Africa. You see a lot of things from Europe, America.” Which is exactly why Deino’s concept emphasizes African education and architecture as a point of knowledge and pride. “I went to a boarding school in Nigeria for high school,” she explains. “When I moved to America for college, I wasn’t behind in physics, I wasn’t behind on the sciences, I wasn’t behind on the arts.” The message was clear: “I had a great education. Why isn’t my heritage, my culture, celebrated in what I’m studying?”

“You Don’t Do It All By Yourself”

Our scholarship winners emphasize the importance of diversity in design, showing how different cultural backgrounds and lived experiences lead to more thoughtful, inclusive, and impactful environments.

“I use this illustration myself all the time,” Deino says. “When you’re designing in school or writing a report, you always need some sort of second eye.” That second perspective doesn’t just catch typos—it catches blind spots. “If everyone thinks the same way, that doesn’t help produce something great.”

Deino’s vision of collaboration is radically refreshing in its simple clarity. “When you have someone of a different culture, identity, race, gender, tradition… they come in like, ‘Oh well, where I’m from, which probably could be the client’s background, we do this this way.'” Diverse perspectives make buildings work for the people who use them.

Sierra puts it bluntly: architects who don’t understand communities produce buildings that harm them. “Their designs lack the things that the community needs, like access to healthy foods, educational resources, healthy buildings, green spaces.” The consequences are real: “Designers are hurting communities and not helping them, and, as designers ourselves, I’m sure we’d rather help and not hurt.”

The Future Is In Good Hands

The students’ personal plans reflect their values of innovation and social responsibility. Sierra, who expects to return to New York after graduation, has her sights set on reimagining the city’s housing projects for her thesis. Her goal: transform them “to be equitable, healthier and potentially biophilic spaces that can better serve marginalized populations.”

Deino plans to pursue environmental building design with a focus on social equity, hoping to someday work with the U.S. Green Building Council while also bringing her skills back to Nigeria. Her thesis explores how “activities on the site have created a barrier for people and stripped the environment” through emissions and food access limitations.

These young designers’ thoughtful perspectives offer a hopeful glimpse into architecture’s future, and BWBR is proud to fund a scholarship program that elevates diverse voices and helps shape critical pathways within the design industry. We’re so excited to witness Sierra and Deino’s continued impact in the community!

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Building Hope: Key Considerations for Pediatric Healthcare Design

The needs of pediatric patients, their families, and their healthcare providers are unique and designing these environments requires a thoughtful, layered approach to planning and design. Creating spaces for young patients goes beyond functionality—it’s about crafting an environment that fosters confidence, encourages playfulness, and offers hope in the face of uncertainty.

Caring for young patients means coordinating with and supporting the entire family unit. Environments should be designed to foster collaboration among large multidisciplinary care teams that are striving to treat complex conditions all while creating a comforting sense of home. And at the heart of it all is having an understanding and empathy for the journey these patients are on.  

Family-Centered Care

Designing spaces that support and accommodate families helps reduce stress and fosters a sense of comfort. Providing dedicated spaces for family members ensures they can remain close to their child during hospital stays, which is particularly important for those who have traveled long distances for care. Access to essential amenities—such as kitchen facilities, quiet sleep rooms, technology centers, laundry services, and fitness spaces—restores a sense of normalcy and routine. Family members can best care for their loved ones when we prioritize how to care for them

Engagement for Multiple Scales and Age Groups

Child friendly, not childish. Incorporating engaging design elements for different age groups creates inclusive spaces where all children can feel comfortable. Interactive play areas for younger children and teen lounges for adolescents foster a sense of belonging. Interior design elements and graphics that are fun, yet sophisticated, help create an environment that appeals to children of all ages as well as their parents and care providers. Well-designed pediatric spaces should challenge the minds and creativity of children, rather than relying on very literal themes and designs. These types of spaces have proven to be more timeless, while also being appealing and interesting to teens and adults.

Safe and Secure Environments

Advanced safety features and protocols protect patients, families, and staff. Thoughtful design strategies—including controlled access points, intuitive wayfinding, compartmentalized units, and secure outdoor areas—help create a safe and reassuring environment. The thoughtful integration of weapons detection systems, carefully coordinated within the building’s design, enhances security without disrupting the healing environment. While these considerations may not always be at the forefront of design discussions, they are essential to ensuring that children, families, and caregivers can focus on what truly matters: the healing process.

Flexible and Adaptable Spaces

Flexibility and adaptability are crucial in pediatric healthcare settings, where needs can rapidly change. Multi-functional spaces that can be easily reconfigured to accommodate different medical procedures, varying acuity levels, family activities, or emerging technologies ensure long-term relevance and usability. Additionally, pediatric hospitals have exceptionally high levels of community engagement, often hosting university sports teams, music programs and performances, and large public events. Designing primary visitor areas to accommodate these activities fosters a strong connection between the hospital and the community.

Research-Informed Benchmarking

Leveraging the latest research and evidence-based practices is essential in pediatric healthcare design. Benchmarking against industry standards and incorporating cutting-edge findings help create environments that support the highest levels of care and innovation. By avoiding under-building or over-building, facilities are able to focus their capital on the optimal amount of patient-centered space.

Our team at BWBR is a proud member and contributor to the Center for Health Design’s Pediatric Environment Network (PEN). This network brings together facility directors from leading children’s hospitals across North America, along with select healthcare design experts, to establish best practices and emerging trends in pediatric healthcare design.

Operational Efficiency and Supportive Spaces

Strategically planned layouts streamline workflows, minimize travel distances for staff, and optimize resource allocation. Efficient design improves staff productivity and enhances the patient experience by reducing wait times and ensuring timely care. At a time when virtually all healthcare systems are challenged with achieving the right staffing levels, sound planning can help optimize staffing ratios and serve more spaces with fewer providers.

Dedicated spaces for staff respite, continuing education, and collaboration support the well-being and professional growth of care providers, contributing to a positive and sustainable work environment.

Centers of Excellence for Community and Regional Hospitals

When people hear the term Children’s Hospital, they often picture our large academic medical centers—massive, multi-billion-dollar towers in major metropolitan areas. While these prestigious institutions play a critical role in treating the most complex cases, there is a growing trend of dedicated pediatric centers within regional and community hospitals in emerging mid-size metropolitan areas.

Many of these facilities are co-located with Women’s and Infant’s services, including labor and delivery and neonatal intensive care units (NICU’s). Establishing Women’s and Children’s centers in these regions allows for high-level pediatric care to become more accessible, reducing the need for families to travel long distances for specialized treatment. They deliver critical care closer to home.

Resiliency and Sustainability

Incorporating sustainable materials, energy-efficient systems, and water conservation strategies minimizes environmental impact while reducing long-term operational costs. Pediatric healthcare facilities must also be designed for resiliency, ensuring they can withstand natural disasters, power outages, or public health crises. Features like backup power, adaptable spaces, and durable, non-toxic materials contribute to a safe, healing environment. Prioritizing sustainability and resilience ensures that pediatric patients receive uninterrupted, high-quality care in facilities designed to support both current and future healthcare needs.

Technology to Enhance Experience and Operations

Advanced technology is transforming pediatric healthcare by improving operational efficiency and elevating the patient experience. Real-time location systems (RTLS) streamline workflows, while AI-driven scheduling optimizes patient flow and reduces wait times. Interactive digital displays, virtual reality (VR) for distraction therapy, and telemedicine options create a more engaging and child-friendly environment.

Smart room controls, which allow patients to personalize their lighting and entertainment, enhance comfort and a sense of control. By integrating these technologies, pediatric healthcare facilities provide a more seamless, personalized, and supportive care experience for children and their families.

Final Thoughts

Children’s hospitals are more than just buildings; they shape experiences, ease anxieties, and provide moments of comfort in life’s most challenging times. Thoughtful design considers not only medical needs but also the emotions, resilience, and imagination of children and their families. Every design decision has the potential to bring a sense of calm, connection, and hope.

When we design with empathy, we don’t just build hospitals—we create spaces where healing feels possible.