TECHNICAL AND FINANCIAL PROPOSAL

Project: Construction of a Small Malaria Treatment Hospital in Sudan

Submitted by: Humanity Organization

Location: [Target State – e.g., White Nile, Gedaref, Kassala, or Darfur], Sudan

SECTION A: EXECUTIVE SUMMARY

Project Title: Emergency Malaria Treatment Hospital Construction Project

Location: [Specify State/Locality], Sudan

Duration: [12-18 Months]

Total Budget: [To be calculated based on unit costs below]

Humanity Organization proposes to construct a fully equipped small hospital dedicated to malaria diagnosis, treatment, and prevention in one of Sudan's most malaria-affected regions. The facility will serve approximately 50,000 - 75,000 people annually, including displaced populations, host communities, and vulnerable groups such as pregnant women and children under five.

Malaria remains one of the deadliest diseases in Sudan. As of February 2026, Sudan is facing a major malaria outbreak alongside ongoing conflict, displacement, and health system collapse . This hospital will provide life-saving care to communities currently cut off from health services.

SECTION B: BACKGROUND AND JUSTIFICATION

B.1 The Malaria Crisis in Sudan

Sudan is facing a catastrophic malaria outbreak. The World Health Organization (WHO) has documented alarming numbers:

• Thousands of suspected malaria cases in recent outbreaks across multiple states

• Over 70% of health facilities are non-functional in conflict-affected areas, leaving patients without care

• Pregnant women and children under five are most vulnerable, with malaria being a leading cause of maternal and child mortality

• Displacement has scattered millions into camps with no access to health services, where malaria spreads rapidly

• Disease outbreaks overlap – malaria, cholera, measles, and dengue fever are occurring simultaneously, overwhelming what little health infrastructure remains

The Ministry of Health has reported malaria outbreaks in:

• White Nile State

• Gedaref State

• Kassala State

• Darfur States (North, South, Central, West)

• Kordofan States (North and South)

• Al Jazirah State

• River Nile State

• Northern State

In White Nile State, the outbreak began in October 2025 and was still ongoing as of February 2026 . Overcrowded transit centers and reception areas for newly displaced people are particularly affected, with limited access to healthcare .

B.2 Why a Small Hospital?

While primary health centers and mobile clinics provide essential services, severe malaria cases require:

• Inpatient care for complicated cases (cerebral malaria, severe anemia, respiratory distress)

• Intravenous (IV) artesunate administration and monitoring

• Blood transfusion services for severe anemia

• 24-hour observation for patients at risk of deterioration

• Maternity services for pregnant women with malaria

• Isolation capacity for patients with overlapping infections

A small, strategically located hospital fills the critical gap between basic health posts and overwhelmed regional hospitals that are hours or days away.

B.3 Target Beneficiaries

• Direct: 50,000 - 75,000 patients annually seeking malaria diagnosis and treatment

• Priority Groups:

  • Children under five with severe malaria

  • Pregnant women requiring specialized care

  • Displaced populations in nearby camps and settlements

  • Host communities with no access to secondary care

  • Patients with complicated or recurrent malaria

  • Cases requiring blood transfusion or intensive monitoring

B.4 Geographic Targeting

The hospital will be located in a high-burden area based on:

• Ministry of Health malaria surveillance data

• Presence of displaced populations and overcrowded camps

• Distance to nearest functional health facility

• Accessibility for surrounding communities

• Security and stability for ongoing operations

Priority states: White Nile, Gedaref, Kassala, South Darfur, or South Kordofan

SECTION C: PROJECT OBJECTIVES

C.1 Overall Objective

To reduce morbidity and mortality from malaria in targeted communities of Sudan through the construction and operation of a dedicated, fully equipped malaria treatment hospital.

C.2 Specific Objectives

1. To construct a small, fully equipped hospital with capacity for 30-50 inpatient beds and dedicated malaria treatment services.

2. To provide 24/7 access to quality malaria diagnosis and treatment, including for severe and complicated cases.

3. To establish maternity services with capacity to manage malaria in pregnancy.

4. To create a referral hub for peripheral health facilities and mobile clinics.

5. To build local health worker capacity through training and mentorship.

6. To integrate malaria prevention services including insecticide-treated net distribution and health education.

7. To contribute to disease surveillance and outbreak detection.

SECTION D: TECHNICAL SPECIFICATIONS AND DESIGN

D.1 Hospital Design Overview

The hospital will be designed as a single-story structure with reinforced concrete construction, suitable for Sudan's climate and built to international health facility standards.

D.2 Hospital Departments and Rooms

D.3 Essential Equipment and Furniture

D.4 Malaria-Specific Medical Supplies (Annual)

SECTION E: IMPLEMENTATION APPROACH

E.1 Implementation Phases

E.2 Construction Standards

All construction will comply with:

• Sudan Ministry of Health health facility guidelines

• WHO standards for health infrastructure

• Sphere standards for health facilities in humanitarian settings

• Local building codes and regulations

• Infection prevention and control (IPC) design principles

E.3 Staffing Plan

E.4 Training and Capacity Building

• Clinical training on national malaria treatment protocols (severe malaria, uncomplicated malaria, malaria in pregnancy)

• Laboratory training on malaria microscopy and quality assurance

• Infection prevention and control practices

• Data collection and reporting for disease surveillance

• Community health education for prevention and early care-seeking

SECTION F: SUSTAINABILITY AND COMMUNITY ENGAGEMENT

F.1 Operational Sustainability

F.2 Community Engagement

• Formation of a Hospital Advisory Committee including community representatives

• Community health workers recruited from target communities

• Health education campaigns on malaria prevention, early treatment-seeking, and proper use of insecticide-treated nets

• Regular community feedback mechanisms and suggestion boxes

F.3 Linkages with Other Services

The hospital will serve as a referral hub for:

• Primary health centers and mobile clinics in the catchment area

• Community health workers conducting active case finding

• Village malaria workers in remote areas

SECTION G: MONITORING, EVALUATION, AND REPORTING

G.1 Key Performance Indicators

G.2 Monitoring Plan

• Daily: Patient registers, medicine stock reports

• Weekly: Malaria case reporting to Ministry of Health

• Monthly: Internal progress reports, stock reconciliations

• Quarterly: Community feedback surveys, quality assessments

• Annually: External evaluation, comprehensive data analysis

G.3 Reporting

Humanity Organization will provide:

• Monthly operational reports

• Quarterly donor reports (narrative and financial)

• Annual impact report

• Outbreak alerts and rapid reporting

SECTION H: BUDGET AND FINANCIAL INFORMATION

H.1 Estimated Construction Costs

H.2 Estimated Medical Equipment and Furniture Costs

H.3 Estimated Medical Supplies (First Year)

H.4 Estimated Operational Costs (First Year)

H.5 Project Management and Support

H.6 Total Project Budget

H.7 Alternative Donor Packages

SECTION I: RISK MANAGEMENT

SECTION J: QUALIFICATIONS AND EXPERIENCE

J.1 Humanity Organization Capabilities

Humanity Organization has:

• Proven experience in health infrastructure projects in challenging environments

• Established network of local partners and contractors in Sudan

• Technical staff with experience in hospital construction and health programming

• Strong financial management and donor reporting systems

• Commitment to transparency, accountability, and humanitarian principles

J.2 Key Personnel

J.3 Compliance

Humanity Organization will comply with:

• Sudan Ministry of Health regulations and standards

• WHO technical guidelines for malaria treatment

• Sphere standards for health facilities

• Donor procurement and financial guidelines

• Local laws and registration requirements

SECTION K: PARTNERSHIPS AND COORDINATION

Humanity Organization will coordinate with:

SECTION L: CONTACT INFORMATION

Humanity Organization

[Address]

[Phone/WhatsApp]

[Email]

[Website]

Authorized Signatory:

[Name and Title]

Date: ____________________

SECTION M: APPENDICES

• Appendix A: Detailed architectural drawings and site plan

• Appendix B: Engineering specifications and materials list

• Appendix C: Medical equipment list with specifications

• Appendix D: Malaria treatment protocols (based on WHO and Sudan Ministry of Health)

• Appendix E: CVs of key personnel

• Appendix F: Previous health project references

• Appendix G: Letters of support (to be obtained from Ministry of Health, community leaders)

• Appendix H: Environmental impact assessment

• Appendix I: Staff organigram and job descriptions

• Appendix J: Community engagement plan

• Appendix K: Sustainability plan

End of Proposal

Additional Notes for Your Tender Submission:

1. Ministry of Health Coordination: Ensure you have preliminary discussions with the State Ministry of Health in your target location before submission. Their support will be critical for approval and sustainability.

2. Site Selection: If you haven't selected a specific site, propose a needs-based selection process with clear criteria and indicate that final site will be determined in consultation with health authorities.

3. Malaria Data: Reference the most recent Ministry of Health malaria data for your target state to justify the intervention. The search results confirm ongoing outbreaks in White Nile, Gedaref, Kassala, and other states as of February 2026 .

4. Integration: Emphasize how the hospital will integrate with existing health services (referrals from PHCCs, mobile clinics, community health workers) rather than duplicating or competing.

5. Sustainability: Donors are increasingly concerned about sustainability. Your plan for Ministry of Health integration, community committees, and cost recovery demonstrates long-term thinking.