Healthcare infrastructure investments fail in predictable ways. The power goes out. Medical oxygen purity drops. Water is not safe to drink. These failures are often preventable, but only if you know where to look.

Ainslie Street Advisory (ASA) is an independent, fee-for-service consultancy built around finding these risks before they impact clinical care. We help healthcare organizations, investors, Ministries of Health, and NGOs identify and mitigate healthcare infrastructure risks in challenging settings.

ASA works across the investment lifecycle: from due diligence and capital planning through asset acceptance and long-term performance. We are independent of equipment suppliers, contractors, and implementing organizations; our advice focuses on protecting capital and sustaining essential healthcare services.

A structured approach to healthcare infrastructure risk

ASA’s work is grounded in the Facilities Readiness Assessment (FRA), a structured risk assessment methodology developed from over a decade of field implementation and technical leadership across Africa, Latin America, and the Caribbean.

The FRA examines electrical power, oxygen and medical gas, potable water and sanitation, healthcare waste management, facility safety, and operations + maintenance. ASA adapts the FRA to assess investments before capital is committed, review portfolio risks, and diagnose underperforming assets.

The FRA has been distributed through GO2AL’s Innovation Working Group and the Rural Water Supply Network (RWSN).

ASA piloted the FRA’s O2/medical gas module at Thika Level 5 Referral Hospital in Kiambu County, Kenya in May 2026.