This report looks at the different issues and actions involved in implementing a health care project in Southern Africa. It is divided into 11 sections: 1) introduction; 2) project inception, available infrastructure, needs assessment, civil works and operational costs; 3) project organization, management, planning, and implementation; 4) project brief, including: aims, planning study results, sites, equipment and components, master plans, norms, accommodation and costs, departmental planning policies, operational policy statement, building construction, budget costs, activity schedules, and design brief; 5) hospital design using specific principles and dimensions for different departments; 6) engineering; 7) costs management during construction; 8) planning of health equipment; 9) commissioning; 10) project evaluation; and 11) mistakes and how to avoid them. [Publisher's abstract].