Hostels for Hope

Each year, for thousands of women in the United Republic of Tanzania, a positive diagnosis of cervical or breast cancer and the good news that treatment is available is followed by an impossible decision: travel to a distant hospital for treatment where there may not be safe or affordable lodging, or stay at home and succumb to cancer.

To ease this burden, Pink Ribbon Red Ribbon, the George W. Bush Institute, the American Cancer Society (ACS), HKS, Inc., and Southern Methodist University (SMU) launched an international competition in April 2016 to solicit designs for two “homes-away-from-home” for these women.

Inspired by the ACS Hope Lodges, these hostels will provide safety and comfort for Tanzanian women as they receive life-saving cancer treatment.

Innovative people have solved similar challenges in low- and middle-income countries with fresh thinking, sustainable materials, and resourceful ingenuity, by incorporating modular units, pre-fabricated structures, local materials, and ecologically sustainable approaches. We sought that level of creativity in the design of wellness hostels, so that women with cancer in Tanzania can get the care they need to survive. And we were not disappointed: the entries were resourceful and inventive proposals with the potential to increase access to critical treatment that will save the lives of many women.

Hostels for Hope design competition winners have been announced! Learn more

Event day media coverage


Learn about Hostels for Hope in Kiswahili.

The United Republic of Tanzania has some of the highest rates of cervical and breast cancer in the world, yet even after the anticipated completion of a cancer hospital at Bugando Medical Centre (BMC) in Mwanza, the nation’s second-largest city, the specialized services needed to treat them will be available at only two hospitals in this country of 49 million. In Dar es Salaam, Ocean Road Cancer Institute (ORCI) treats close to 10,000 women each year for cervical and breast cancer, 60 percent of whom live outside the capital.

Despite the services available now at OCRI and soon at BMC, many women diagnosed with cancer do not seek care, or drop out once they have started. Most will die at home. The reason? They simply live too far from the hospitals, and have no safe and affordable place to live between sessions of their cancer treatment.

Women who lack the funds to pay for long-term lodging, or those who do not have family or friends in Dar es Salaam or Mwanza with whom they can live for extended periods, face the prospect of having to camp outside without appropriate shelter on or near the hospital grounds. As a result, many women choose to stay home and die, rather than endure cancer treatment in a city far from family and home in places that are uncomfortable or unaffordable.

Solution: An International Architecture And Design Competition

Pink Ribbon Red Ribbon, ACS, the George W. Bush Institute, HKS, Inc., and SMU seek to provide a home-away-from-home for these women, much like the American Cancer Society’s Hope Lodges in the United States. After detailed research, we found the cost of designing and building similar places in Dar es Salaam and Mwanza with traditional construction methods to be financially prohibitive. This stimulated a search for a creative and cost-effective alternative.

Our design sponsor, international architecture firm HKS, along with local architects and engineers in Tanzania, will assist in bringing the winning concepts to reality. They will work alongside the winning teams to fill gaps and provide as much construction insight as needed.

Goals Of The Competition

  • Ensure more women can complete their cancer treatment by providing accommodations through application of an innovative design
  • Advance the goals of socially responsible architecture
  • Offer young/aspiring architecture, design, and engineering students–including those from Africa–the chance to complete a real-life work project that will change lives

Competition Overview

The Tanzanian Hostel Design Competition is an international design competition that has attracted impressive design ideas and solutions from architects and architectural students from around the world to create a place of healing and rest on two sites, near to Tanzania’s primary cancer treatment hospitals. Participants in the competition were invited to submit designs for either site or a prototype solution that are adaptable to both Tanzanian sites.

There were two tracks for the competition: one for professionals and one for students.

Professional Track Awards:

  • 1st Prize: $8,000
  • 2nd Prize: $4,000
  • 3rd Prize: $2,000

Student Track Awards:

  • 1st Prize: $2,000
  • 2nd Prize: $1,000
  • 3rd Prize: $500

In addition to the corresponding monetary prize, the competitor whose design the jury chooses as the overall winner of the competition in each track will have the chance to attend the eventual ribbon-cutting ceremony. If a team submits a winning design, a member of the team will have a chance to attend the ribbon-cutting ceremony.

The competition had no entry fee. For submission guidelines, see


April 7, 2016: Announcement of the Competition and opening of the window for submissions

April 7 to July 18, 2016: Window for submissions

Autumn 2016: Judging of submissions, electronically in multiple rounds

February 4, 2017 (World Cancer Day): Announcement of the winning designs

Click here to see the winners! Event day media coverage.


Frank Kanza, Architect and Engineer at The Abbott Fund Tanzania, United Republic of Tanzania

Mr. Kanza has over 35 years of surveying practice working for Consulting and Construction Companies, undertaking medium- and large-scale building projects as well as civil engineering construction projects, and working for non-governmental organizations managing infrastructure construction projects.

He spent three years in the United Kingdom, working for a quantity surveying consulting firm on pre-contract quantity surveying activities such as preparing pre-tender estimates and bid documents, preparation of interim valuations, measurement and valuing of variations, interim and final payment certificates, verification of day works and claims, and preparation and agreeing final accounts. The next seven years he worked with MECCO Construction Company, a Tanzanian Class One building and civil engineering construction company. That work involved projects procurement, i.e. tendering, cost planning, cost control, and monitoring, as well as construction projects site management.

Then Mr. Kanza joined AS Noremco Construction, a Norwegian building and civil engineering construction company, where he spent the next twelve and a half years on project procurement, site management and project finalization. Also at Noremco, he was also tasked to set up and manage an “autonomous maintenance department” specializing in planned preventive and corrective maintenance services for completed and handed-over projects.

He worked with Axios Foundation, a Non-Governmental Organization, as a Facilities Manager, before joining the Abbott Fund Tanzania, where he has been for the last eight years. He is now the Director of Facilities and works as a technical manager and director of Public-Private Partnership programs being financed and implemented by the Abbott Fund in Tanzania.

Daniel Mwakasungula, Principal Architect, Ministry of Health, United Republic of Tanzania

Daniel Mwakasungula, Principal Architect at the Ministry of Health in Tanzania, joins the Hostels for Hope jury with years of experience. Some notable projects include his design and construction supervision for the Jane Goodall Charitable Hospital, the transformation of the Lupaso Dispensary into a Health Center, and the Multi-Drug-Resistant Tuberculosis Ward and Laboratory at the Kibongoto Hospital. Mr. Mwakasungula also served as Project Manager for the rehabilitation, extension and construction of Health and Training facilities in Mtwara, Mara and Tabora Regions. He collaborated with Landplan Icon Architects to design and supervise the construction of Headquarters and Zonal Blood Transfusion Centers.

Mr. Mwakasungula has certifications from the Architects and Quantity Surveyors Registration Board as well as the Corporate Membership to the Architects Association of Tanzania. His background and education include an advanced diploma in architecture from the Ardhi Institute in Tanzania, a Masters of Architecture from the University of York, and a diploma in Project Planning and Management from the Institute for Housing and Urban development studies.

Cameron Sinclair, Founder of Small Works and Co-Founder of Architecture for Humanity, United Kingdom of Great Britain and Northern Ireland

Trained as an architect, Cameron Sinclair has worked in the recovery efforts of every major natural disaster over the past two decades. From post-Katrina reconstruction to community-led building in Haiti, Sinclair has been part of building shelters for communities in nine countries, and has raised over $50 million for humanitarian activities. As co-founder of Architecture for Humanity, he built schools, health clinics and affordable housing, and developed long-term, sustainable reconstruction programs.

Sinclair is principal designer and founder of Small Works, a for-purpose design firm that partners with social ventures, non-profits and foundations to implement building solutions for communities in need. Working in community development, conservation, and reconstruction, projects range from post-conflict shelter solutions, a headquarters for a breast-cancer association, a therapy lab for returning veterans, and schools for Syrian refugees in Jordan.

Sinclair has co-edited a series of best-selling books entitled, “Design Like You Give A Damn,” is a visiting professor at a number of universities, and holds an honorary doctorate of Architecture. Sinclair was a Senior Fellow of the Design Futures Council, an advisor at the U.S. Agency for International Development, and a Young Global Leader of the World Economic Forum. A recipient of many awards, Sinclair won the TED prize and the National Design Award, and was a runner-up for United Kingdom Designer of the Year.

Kristen Solt, Strategic Director, Global Stakeholder Engagement, American Cancer Society (ACS), United States of America

As Strategic Director, Global Stakeholder Engagement, Kristen collaborates with internal and external stakeholders, working to engage corporate and high-net-worth individuals with ACS’s Global Health priorities. She also serves as senior technical advisor for the assessment, design, implementation and evaluation of key patient support programming endeavors (patient lodging, transportation, and navigation) in ACS key focus countries.

Prior to this role, Kristen directed the nationwide strategy for the American Cancer Society’s Hope Lodge and patient-lodging programs. Through her guidance of the Hope Lodge Network, the number of Lodges grew by nearly 35% to 32 facilities nationwide, and streamlining facility operations and program delivery has led to increased efficiency for the program nationwide. The overall portfolio of patient lodging programming has increased under her leadership, bringing to the Society multi-million dollar corporate partnerships and greater resource inventory.

Kristen’s collaborative approach to delivering on the mission has led to numerous partnerships with donors, medical professionals, and corporations to enhance program delivery and secure support for the Hope Lodge and patient-lodging programs nationwide.

She has a B.A. and a Masters degree in Communications from Auburn University. Her volunteer work has included serving as the president of Healthcare Hospitality Network, and chair of the National Advisory Council and member of the Board of Trustees of The Harpeth Hall School in Nashville, Tennessee.

Jeff Stouffer, Executive Vice President, Health Group Director, HKS, Inc.United States of America

Jeff has dedicated his entire 30-year career to designing cutting-edge healthcare facilities in the United States and abroad. He believes the fusion of evidence-influenced design and flexible planning principles result in facilities that support a hospital’s mission and its staff’s operational goals. As director of HKS’s health practice, Jeff’s responsibilities include directing the group’s administrative, financial, management and strategic planning.

Jeff has incorporated lean/process improvement tenets into many of the firm’s projects, setting industry standards. He believes Lean design creates better outcomes, standardizes workflow, eliminates waste, and reduces errors. He feels it is safer for patients and the people who care for them.

Jeff shares his knowledge with the design and healthcare communities by speaking at various conferences. He has also lectured throughout the United States and published numerous articles on topical design-related issues.

Y Tsai, Founder of Y Tsai Design StudioRepublic of South Africa

Architect Y Tsai heads up Tsai Design Studio, a multidisciplinary design studio working in the field of architecture, interior and furniture. The studio, based in Cape Town, South Africa, strives to produce provocative design solutions that are unconventional, yet instilled with a strong sense of cultural and social relevance within the context of the greater global South.

Winner of a number of prestigious accolades, including Most Beautiful Object in South Africa for a system of Nested Bunk Beds, and the international Red Dot Award, Tsai was also the South African winner of the 2008 International Young Design Entrepreneur Award sponsored by the British Council. In 2014 the studio was short-listed for the international Young African Architect award, and had its work exhibited at the Venice Architectural Biennale.

Tsai is one of the committee members of the Cape Town Design Network and interim committee member of Cape Town’s World Design Capital 2014 bid. In 2013 Tsai was elected to be the Creative Director for Open Design, Cape Town’s annual design festival.

Dr. Beatrice Wiafe-Addai, President of Breast Care International and Founder of the Peace and Love Hospitals in Accra and KumasiRepublic of Ghana

Dr. Beatrice Wiafe-Addai has 26 years of experience as a medical doctor in Ghana. She is the first Ghanaian female general surgeon. Her training and wide scope of study as a specialist in breast-cancer management and a consultant surgeon led her to found the Peace and Love Hospitals in Accra and Kumasi, which she serves as Chief Executive Officer and Medical Director. These specialist hospitals champion the cause of breast cancer and breast diseases in Ghana and across Africa. Dr. Wiafe-Addai is also the Founder and President of the non-governmental organization Breast Care International.

Dr. Wiafe-Addai graduated from the Zaporoshye Medical University, in what is now Ukraine, in 1989. She returned to Ghana thereafter to work at the Komfo Anokye Teaching Hospital, and entered into the Residency Program as a Resident Surgeon in 1994. In 2001, she specialized in General Surgery at the Moscow Medical Academy, and followed that course of study with a Ph.D. She majored in Breast Surgery and Breast-Cancer Management, Ultrasonography, and Oncology.

Dr. Wiafe-Addai is a member of the Ghana Medical Association; Patron of the Ghana Association of Female Medical and Dental Practitioners; Patron of the Chirano Gold Mines Ladies Association; Member of the Surgical Society of Moscow; Member of the Board of Directors of Mpraeso Senior High School; Member of the Management Board of the Kwahu Government Hospital; and a founding member of the Wiafe Scholarship Foundation, created in honour of her late parents to assist needy but brilliant children in science and math. She is the Chair of the Susan G. Komen® Ghana Race for the Cure, serves as the Chair for the BCI Ghana Walk for the Cure events, and is Chair of the Ghana Breast Cancer Alliance. She is a Member of the Council of the African Organization for Research and Training in Cancer (AORTIC), and of the Executive Committee of the International Breast Cancer and Nutrition (IBCN) Project of Purdue University in the United States.

Dr. Wiafe-Addai has received several International awards, including the European Society of Researchers of Quality (ESOR) Quality Achievement Award for 2015, the World Leader Businessperson Award for 2015, an International Gold Star for Leadership in Quality (Geneva, 2010), and the Susan Bukerly Butler Award for Innovation, Initiative and Leadership in Science (France, 2013).


Pink Ribbon Red Ribbon,® an independent affiliate of the George W. Bush Institute, is a global partnership of national governments, non-governmental (NGO) and multilateral organizations, foundations, and corporations with a shared goal of reducing deaths from cervical cancer and breast cancer in low- and middle-income countries. Visit

The American Cancer Society is a U.S.-led, global, community-based voluntary health organization dedicated to eliminating cancer as a major health problem. Together with millions of supporters, the American Cancer Society is working to free the world from the pain and suffering of cancer.

Outside of the United States, our focus is on countries with the most need where we can achieve measurable results. The Society supports local cancer organizations, hospitals, and governments in their efforts to improve cancer literacy and awareness around risk factors through increased access to high-quality information. We work to improve treatment outcomes in lower- and middle-income countries by expanding access to high-quality chemotherapy, radiotherapy, and pain relief, and getting patients diagnosed and into treatment earlier. With more than 100 years of experience behind us, the Society takes the lessons we’ve learned and works to enhance the capacity of cancer organizations in lower- and middle-income countries to lead the fight against cancer in their countries. Visit

Housed within the George W. Bush Presidential Center, the George W. Bush Institute is an action-oriented, nonpartisan policy organization with the mission of cultivating leaders, fostering policies to solve today’s most pressing challenges and taking action to save and change lives. The work of the Bush Institute is inspired by the principles that guided the Bushes in public life: education is the foundation of a successful life; freedom is a universal human desire; free enterprise is the engine of economic prosperity; and every human life is precious.

To those wanting to make an impact with design, HKS is the architect where focused people consistently deliver the extraordinary. We are passionate, knowing that people live, work, play and inhabit the spaces and places we imagine and envision for our clients. We are responsive, understanding that we are in a service business and the vision is that of our clients – never of ours alone. We are global, creating exceptional spaces across the globe through our connected network of offices and people. We are one, with tremendous talent across a wide spectrum of expertise, believing that the value of talent, experience and knowledge is multiplied when shared. We are thorough, balancing extraordinary design with technical expertise and construction administration backgrounds for streamlined, on-time, within-budget projects. We are HKS. We create places that enhance the human experience. Each and every day. Visit

The SMU Center for Global Health Impact seeks to improve and save lives in global health by educating new and established leaders in global health, incubating innovative ideas that may be scaled, and activating professional and general communities for sustainable impact. The Center works to enhance health through innovative and entrepreneurial approaches in research, service delivery, and education to provide effective, desirable and affordable health solutions to those who most need them. Visit

SMU, a nationally ranked private university with seven degree-granting schools, is a distinguished center for teaching and research located near the heart of Dallas, Texas. SMU’s 11,000 students benefit from small classes, leadership opportunities, international study and innovative programs. Visit

Committed to serving the health needs of Tanzania’s underserved and most vulnerable populations, T-MARC Tanzania is a fully independent and locally managed non-governmental organization (NGO) specializing in social marketing and behavior-change communication. Proud of its status as one of Tanzania’s largest NGOs, governed and managed solely by Tanzanians, T-MARC Tanzania employs bold and dynamic approaches to expanding access to health products as well as informing and changing health behaviors. T-MARC Tanzania works on a wide range of health-related issues, including HIV/AIDS, reproductive health and family planning, cervical cancer, malaria, nutrition, water and sanitation, gender-based violence, menstrual hygiene and girls’ empowerment. Visit