Practical infrastructure support for hospitals that can’t afford to fail.
Healthcare infrastructure in limited-resource settings fails in predictable ways. The power goes out. Medical oxygen purity drops. Water isn't safe to drink. These failures are often preventable, but only if you know where to look.
Ainslie Street Advisory is an independent, fee-for-service technical consulting firm. We work with NGOs, Ministries of Health, development contractors, and implementing partners across sub-Saharan Africa and worldwide to answer one question: will your healthcare infrastructure perform when it matters?
ASA’s Facilities Readiness Assessment (FRA) is a structured healthcare infrastructure risk assessment methodology grounded in a decade of implementation experience. ASA uses the FRA to deliver practical, candid assessments and the support to act on them. The FRA has been distributed internationally through GO2AL’s Innovation Working Group and the Rural Water Supply Network (RWSN), and we piloted its O2/medical gas module at Thika Level 5 Referral Hospital in Kiambu County, Kenya in May 2026.
Practice Areas
ASA supports clients across two main practice areas: infrastructure and operations.
Client engagements are typically structured as “Quick Looks”, Facilities Readiness Assessments, or ongoing Implementation Advisory, depending on context, budget, and level of support required.
Infrastructure
Capital project development advisory
System planning reviews and stress-testing
Facilities contingency planning and emergency preparedness
Principal Experience: Partnered with Ministry of Health to install a PSA oxygen plant and upgrade electrical infrastructure at a rural district hospital in southern Africa. Coordinated design review, procurement, supplier and contractor management, and commissioning. PSA plant continues to supply life-saving medical oxygen to neighboring health facilities nearly three years after commissioning.
Operations
Operations and maintenance program design
Contractor and vendor management
Supply chain planning for infrastructure systems
Technical team design and recruitment support
Principal Experience: Reduced PSA oxygen plant downtime by 91% in two years by re-organizing a four-country PSA plant network supplying medical oxygen to hospitals and health centers across sub-Saharan Africa. Designed and implemented an O+M program with structured workflows, local accountability, and hands-on maintenance training.