Ainslie Street Advisory enables operations and delivers sustainable capital projects in the world’s most challenging contexts. We partner with NGOs, development ministries, and mission-driven companies to turn bold ambitions into operational realities: on time, under budget, and ready to actually work.
Our Experience
We bring nearly two decades of operational leadership in complex, high-stakes environments, including working with:
Partners In Health – Led health facility infrastructure and operations initiatives across eight countries, improving uptime and decreasing operational costs for critical technical systems.
Médecins Sans Frontières / Doctors Without Borders – Managed security and operations at hospitals in Haiti, South Sudan, and Malawi under challenging field conditions.
High-growth startups – Built systems and teams from the ground up, balancing speed with long-term sustainability.
This unique blend of global health, humanitarian response, and agile private-sector execution allows us to deliver results when stakes are high and resources are tight.
Our Services
Infrastructure
Capital planning and facility readiness
Critical systems audits: safety, electrical, water, and medical oxygen
Contingency planning in limited-resource contexts
Case Study: Partnered with Ministry of Health to install a PSA oxygen plant and upgrade electrical infrastructure at a rural district hospital in sub-Saharan Africa. Coordinated design review, procurement, supplier and contractor management, and commissioning. PSA plant continues to supply life-saving medical oxygen to neighboring health facilities two years after commissioning.
Operations
Process design and improvement
Operations and maintenance programs
Procurement, supply chain, and inventory management for technical systems
Case Study: Reduced downtime by 91% in two years by re-organizing a four-country PSA oxygen plant network supplying multiple hospitals and health centers in sub-Saharan Africa. Built, implemented, and ran a preventive maintenance program with structured workflows, local accountability, and targeted training.
Teams
Org chart design and recruitment
Coaching for infrastructure and operations leaders
Operations and applied security training (tailored 1–5 day sessions)
Case Study: Developed recruitment strategy for local technical teams across four countries, decentralizing expertise and improving electrical, water/sanitation, and medical gas capital project implementation.