Ainslie Street Advisory is a field-oriented technical consulting firm that helps clients improve healthcare infrastructure and run efficient operations in difficult places. ASA provides hands-on support to NGOs, Ministries of Health, and other partners to plan, maintain, and troubleshoot WASH, medical oxygen, and electrical systems at hospitals and health centers in limited-resource contexts. We focus on failure prevention, risk mitigation, and long-term sustainability to ensure infrastructure and equipment will perform as intended long after commissioning and handover.
Our work is practical, independent, and grounded in years of hands-on experience solving infrastructure problems and running operations in real hospitals across Africa, Latin America, and the Caribbean.
Our Services
ASA typically begins a client engagement with a Facilities Readiness Assessment.
Delivered at low cost in about a week on-site via hands-on assessments and structured interviews, our Facilities Readiness Assessment gives healthcare leaders clear, actionable information about the state of their facilities’ infrastructure: electrical, medical gas, WASH, and life safety systems.
Informed by the findings from the FRA and driven by client priorities, we then provide support across three core practice areas:
Infrastructure
Capital project development support
Emergency preparedness and facilities contingency planning
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
Operations and maintenance program design
Contractor and vendor management
Supply chain planning for infrastructure 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 support
1:1 coaching for healthcare infrastructure and operations leaders
Field operations and applied security training (custom 1–5 day engagements)
Case Study: Developed recruitment strategy for technical teams across four countries, decentralizing expertise and improving electrical, WASH, and medical gas capital project implementation.
Our Experience
MSF/Doctors Without Borders – Managed infrastructure, operations, and security at hospitals and health centers in Haiti, South Sudan, and Malawi.
Partners In Health – Led healthcare infrastructure programs across seven countries, improving uptime and decreasing operational costs for medical oxygen, WASH, and electrical systems.
High-growth startups – Built teams and processes from the ground up while balancing the demands of growth, efficiency, and sustainability.