The small Gouvernements Burgerlijk Ziekenhuis (Government Civil Hospital) at Pakan Baroe, built on advice of the Governor of the East Coast of Sumatra in 1931 never was opened as a consequence of the depression. The hospital was taken over by the Landschap of Siak in November 1935.

A Landschap in the Netherlands Indies was a self-governing administrative unity. As the decentralization policy of the NI Government progressed, not only regencies, municipalities or provinces, but also Landschappen took over existing hospitals from the central government.  One of the examples was the Landschapsziekenhuis at Pakan Baroe.

Pakanbaroe was the capital town of the subdepartment Kampar-Kiri, department Bengkalis, situated on the East Coast of Sumatra. The town of Pakan Baroe was situated on the motorway which connected Pajakoembo and Fort de Kock with Padang and on the river Siak, which saw steamboats that had a regular service on Singapore  (Gonggryp 1934, p. 616 and 1101).