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The IIHS Design Lab developed design and services infrastructure guidelines for primary healthcare infrastructure in 2015–16 for the Department of Health and Family Welfare, Government of Karnataka through the Karnataka Health Systems Development and Reform Project (KHSDRP). The guidelines document included aspects of sustainable site planning, regional climate responsive strategies, comprehensive set of recommendations and practices for sustainable services such as water supply, sanitation and energy, besides a set of type designs, room details and visual language components for Auxiliary Nurse and Mid-wife (ANM) Sub-centres, Primary Health Centres (PHCs) and Community Health Centres (CHCs) to be developed in the state of Karnataka.