The location of the Hospital on the Eastern Highlands poses particular implementation challenges, as the nearest port is about 300 km away. Still, the modernization and exten-sion of the Goroka Provincial Hospital was successfully completed in 2018. With its newly constructed and modernized areas, the Hospital features around 300 patient beds, locat-ed in a remote region in the island’s interior about 1,600 meters above sea level. The project comprised the turn-key construction of a new central hospital building com-prising following departments: Accident and Emergency, Critical Care Unit, Outpatient Clinics, Radiology, Operating Theaters, Endoscopy, Intensive-Care Unit, Laboratory, Woman Healths & Birthing Suite and Central Sterilization Unit.