The implementation of biophilic design principles and strategies has become
a popular and acceptable idea in both developed and developing economies. While studies
acknowledge the potential of biophilic design in hospital settings, the implementation of
biophilic principles in developing healthcare infrastructure faces numerous challenges that
are neither highlighted nor well documented. This study examined important issues that
typically limit the use of biophilic features, based on a review of published literature. The
study identified regulatory compliance and cost constraints as the main categories of challenges
faced in the implementation of biophilic design. The study recommends awareness
and engagement of all stakeholders from the design stage to the implementation stage and
post occupancy evaluations, as well as financial incentives to encourage the adoption,
innovation and development of specialized skills and business ventures in biophilic design
and sustainable infrastructure development
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