Project Overview:
Name: Salam Centre for Cardiac Surgery
Location: Soba District, Khartoum, Sudan (along the Nile River)
Architects: Studio TAMassociati (Italy)
Client: Emergency NGO
Completion Year: 2010
Built-up Area: Approximately 7,200 m²
Bed Capacity: 63 beds
Function: Specialized cardiac surgery hospital offering free treatment
Construction System: Prefabricated concrete panels, steel structures, reused shipping containers
Awards: Aga Khan Award for Architecture, 2013

Architecture that Speaks Peace: The Salam Centre

Salam Centre for Cardiac Surgery by Studio TAMassociati-Sheet1
The exterior of the Salam Centre, where architecture quietly voices healing and purpose_© Aga Khan Development Network. (n.d.) https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre

Situated on the banks of the Nile in Khartoum, the Salam Centre for Cardiac Surgery, designed by Studio TAMassociati, exemplifies a harmonious blend of functionality and environmental responsiveness. The design adopts a pavilion-in-a-garden concept, with primary buildings organized around expansive courtyards. This layout not only facilitates natural ventilation and lighting but also creates serene spaces conducive to healing.

Salam Centre for Cardiac Surgery by Studio TAMassociati-Sheet2
The central courtyard is anchored by mango trees—symbolic heart and spatial anchor._© Aga Khan Development Network. (n.d.) https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre [Accessed 17 April 2025].
The central courtyard, anchored by two mature mango trees, serves as a symbolic and physical nucleus from which the building’s trajectories emanate. This spatial organization ensures clear separation between public, semi-public, and private zones, enhancing operational efficiency and patient privacy.

The architectural language emphasizes simplicity and clarity. With a capacity of 63 beds, the Centre is carefully planned to ensure efficient patient flow, privacy, and optimal recovery environments. Neutral color palettes, consistent geometric forms, and repetitive patterns reduce visual noise, fostering a calming environment. Circulation paths are straightforward, minimizing confusion and aiding in intuitive navigation for both patients and staff.

From Steel to Shelter: Rethinking Waste, Embracing Context

Salam Centre for Cardiac Surgery by Studio TAMassociati-Sheet3
Discarded containers  on-site._© Aga Khan Development Network. (n.d.)https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre [Accessed 17 April 2025].
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Interior view of reused  containers._© Aga Khan Development Network. (n.d.)https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre [Accessed 17 April 2025].
The construction strategy prioritized adaptability and resilience, essential for the Sudanese context. Prefabricated concrete panels and lightweight steel structures were employed to expedite construction while maintaining quality. These materials offer durability and are well-suited to withstand the region’s climatic challenges.

A notable feature is the innovative reuse of 90 shipping containers, initially used to transport construction materials. These containers were repurposed to create staff accommodations, each unit comprising 1.5 containers with integrated bathrooms and verandas facing the garden. This approach not only reduced waste but also provided functional and comfortable living spaces.

To combat the intense Sudanese heat, the design incorporates brise-soleil screens, deep overhangs, and insulated walls. These elements, combined with operable windows and open corridors, facilitate passive cooling and reduce reliance on mechanical systems. Interior finishes, such as polished cement floors and locally sourced tiles, ensure ease of maintenance and longevity.

Sustainability: The Silent Healer That Must Learn to Scream

Salam Centre for Cardiac Surgery by Studio TAMassociati-Sheet5
A semi-shaded outdoor space fostering informal interaction and quiet pause._© Aga Khan Development Network. (n.d.) https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre [Accessed 17 April 2025].
In the story of architecture, sustainability often whispers—guiding comfort, health, and harmony in silence. But today, in a world edging toward crisis, it must become a louder voice—a scream that pulls us back toward human-centered and earth-centered design. The Salam Centre doesn’t just whisper sustainability—it embeds it into every breath of its being.

The building employs passive design strategies, including optimal orientation, natural ventilation, and thermal mass utilization, to maintain comfortable indoor temperatures. Courtyards act as thermal buffers, enhancing airflow and creating microclimates within the facility.

An extensive solar panel system powers lighting and water-heating needs, reducing the facility’s carbon footprint. The use of local materials and labor not only minimized environmental impact but also bolstered the local economy.

The design’s emphasis on sustainability and functionality earned it the Aga Khan Award for Architecture in 2013, recognizing its excellence in architectural design and its positive impact on the community.

A Living Model of What Architecture Should Be

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Interior ward view—where calm, dignified design supports recovery and dignity._© Aga Khan Development Network. (n.d.) https://the.akdn/en/how-we-work/our-agencies/aga-khan-trust-culture/akaa/salam-cardiac-surgery-centre [Accessed 17 April 2025].
The Salam Centre for Cardiac Surgery stands as a testament to how thoughtful architectural design can address complex challenges. By integrating functional planning, innovative construction techniques, and sustainable practices, the Centre provides a healing environment tailored to its context. Its design serves as a model for future healthcare facilities in similar settings, demonstrating that architecture can profoundly influence well-being and operational efficiency.

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