The multinational french company ELLIPSE contracted INGHO a few months ago for the ellaboration of the 4 engieenring projects in hospitals in Senegal, specifically in the cities of TOUBA, KAFFRINE, SEDHIOU Y KEDOUGOU, those hospitals have got a built surface between 14.400 m2 and 21.400 m2 and they are equipped with all the services of a speciality hospital. The main challenges of the projects are linked to the geographical location of the buildings, project facilities design and equipment selection adapated to local requirements has been a challenge for the project team. The buildings construction has just started and we hope it will be finished by the end of next year, and then provide the so needed health services.