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Top 25 health construction contractors by World Bank-financed contract value 2026

Puentes y Calzadas Infraestructuras leads with USD 90.0 million in World Bank-financed construction works contracts in health projects signed from 1 November 2024 to 31 October 2026. The list ranks the 25 companies with the highest total value among 335 companies that won 389 such contracts worldwide.

  • MeasureValue of World Bank-financed contracts won
  • PeriodContracts signed 1 November 2024 to 31 October 2026
  • Ranked25 companies
  • Updated10 Nov 2026

Top 10 at a glance

  1. Puentes y Calzadas Infraestructuras90 USD million
  2. Kuzu Group60.7 USD million
  3. TREC16.4 USD million
  4. Shree Gautam Construction14.5 USD million
  5. Kainat Enterprises13.2 USD million
  6. Fazal & Brothers11.7 USD million
  7. Bhartia Infra Projects10.5 USD million
  8. SBP Commercial10.5 USD million
  9. Delta Constructions8.6 USD million
  10. Macrocosm Builders6.6 USD million

The full list

RankCompanyHeadquartersValue of World Bank-financed contracts won (USD million)
1Puentes y Calzadas InfraestructurasSpain90
2Kuzu GroupTurkiye60.7
3TRECPakistan16.4
4Shree Gautam ConstructionIndia14.5
5Kainat EnterprisesPakistan13.2
6Fazal & BrothersPakistan11.7
7Bhartia Infra ProjectsIndia10.5
7SBP CommercialIndia10.5
9Delta ConstructionsMalawi8.6
10Macrocosm BuildersIndia6.6
11Building Alliance GroupUkraine5.9
12FundamentUkraine5.2
12MTM-KompanionUkraine5.2
12InterconUkraine5.2
12High-Tech Ecogreen ContractorsIndia5.2
12Adyaraj DevelopersIndia5.2
12Eunipetrus Multi-Purpose NigeriaNigeria5.2
18Obet Obet NigeriaNigeria4.1
19BK Zhitloprombud-8Ukraine3.5
20HBAS & Co.Pakistan3.3
21Winbarg HomesNigeria3.2
21Mohammed Abdulmohsin Al-Kharafi & SonsKuwait3.2
23Entreprise Al OulDjibouti3.1
24Consolidated Contractors Company (CCC)Greece2.9
24Siam ProDjibouti2.9

How this list is built

Counted are World Bank-financed construction works contracts in health projects signed between 1 November 2024 and 31 October 2026 in any borrowing country, where the financing project is classified under health as its only sector, valued at each company's recorded share of the contract in US dollars; contracts with individual consultants, government bodies, universities and research institutes, hospitals, non-profit groups and United Nations or other international agencies are left out. Joint venture contracts are split between the partners as recorded (usually in equal shares), so no contract value is counted twice and each partner is credited with one contract, while contracts recorded only under a consortium name are left out. Subsidiaries and spelling variants are rolled up to one company where the parent group is clear and public (for example China Road and Bridge into China Communications Construction), and ties share a rank.

Every position is set by the data alone, by the same rules for every company. Spotted something to update? Write to info@stratummarketresearch.com with the list and the line, and we correct it within two working days.

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Frequently asked questions

Who is number one in the health construction contractors on World Bank-financed contracts ranking?

Puentes y Calzadas Infraestructuras ranks first with 90 USD million (Contracts signed 1 November 2024 to 31 October 2026).

How is this ranking calculated?

Counted are World Bank-financed construction works contracts in health projects signed between 1 November 2024 and 31 October 2026 in any borrowing country, where the financing project is classified under health as its only sector, valued at each company's recorded share of the contract in US dollars; contracts with individual consultants, government bodies, universities and research institutes, hospitals, non-profit groups and United Nations or other international agencies are left out. Joint venture contracts are split between the partners as recorded (usually in equal shares), so no contract value is counted twice and each partner is credited with one contract, while contracts recorded only under a consortium name are left out. Subsidiaries and spelling variants are rolled up to one company where the parent group is clear and public (for example China Road and Bridge into China Communications Construction), and ties share a rank.

Can a company pay to rank higher?

Positions come only from the counts described above, and inclusion is free. Every company is ranked by the same rules.

How often is the ranking updated?

Every list is recomputed each quarter from the latest public records, and the update date is printed on the page.

Can a ranked company use the badge?

Yes. Every ranked company can use the free web badge on this page on its website, in press releases and on social media.

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