Resilient infrastructure for critical care
Hospital uptime, delivered as a service.
Winko builds and operates the infrastructure a hospital cannot afford to lose: electricity, oxygen support, cold chain, connectivity and monitoring. One accountable operating layer, contracted for uptime rather than for a list of components.
The problem
Hospitals experience outages as failed clinical workflows, not missing kilowatt-hours.
A laboratory that cannot run samples. A pharmacy whose cold chain has broken. An oxygen concentrator that stops mid-shift. Where the grid is unreliable, these are daily events, and they are met with diesel generators, fragmented equipment donations and nobody accountable for the whole.
Hospitals do not need another collection of solar components. They need one operating layer for the infrastructure that cannot fail, with monitoring, maintenance and incident response built in from day one.
Uptime is the product.
The platform
Standardised architecture. Configurable clinical envelope.
CriticalCareOS brings power, oxygen support, cold chain, connectivity, monitoring and maintenance under one accountable operating model. The architecture repeats from hospital to hospital. What each hospital protects is chosen with the hospital.
The CriticalCareOS envelope
Solar generation
Sized to the protected load
Battery storage
Rides through outages
Medical oxygen
Concentration and supply
Cold chain
Pharmacy, blood, vaccines
Connectivity
Clinical and data systems
Remote monitoring
Uptime, incidents, service
Delivered as one containerised deployment. The hospital contracts for uptime across the envelope, not for a list of components.
Winko standardises
The assessment methodology, system architecture, integration approach and deployment sequence. Then the monitoring, maintenance, local technician model, incident response, reporting and accountability for uptime.
The hospital configures
Physical capacity and the protected clinical envelope, chosen against its own loads, priorities and growth.
Why it scales
Hospitals of very different sizes sit in the portfolio. That variation does not work against productisation, because capacity and envelope are precisely the parts meant to be configured.
Engagement levels
Start with the services the hospital cannot afford to lose.
Protects the laboratory, pharmacy and main store: the services nearly every patient passes through.
Adds maternity, theatre, blood bank and imaging to the protected envelope.
Hospital-wide critical infrastructure under a single uptime contract.
How it deploys
Three stages, the same every time.
Assess
Map critical loads, cold chain, oxygen, connectivity, generator and grid performance. The output is a clinical case and a sized envelope, not a component quote.
Configure and implement
Define the architecture, replace weak distribution boards where needed, procure, install and commission.
Train and maintain
Establish local ownership, remote visibility, incident response and donor-grade reporting. Maintenance is part of the product, not an aftercare function.
Impact at scale
One proof point, now a multi-country portfolio.
Each deployment is described by the clinical infrastructure it protects. Live, implementing, awarded and assessed are different milestones, and Winko reports them separately.
Liberia
F.J. Grante Memorial Hospital
Hospital-scale power, storage, oxygen and HVAC. Reference system, 400+ days without a critical-infrastructure failure.
Channel: DirectGhana
Britannia Medical Centre
Containerised emergency and critical care unit. Closest existing build to a CriticalCareOS reference unit.
Channel: DirectUganda
Mulago Hospital, sickle cell programme
Critical-care infrastructure for the paediatric haematology programme. Engineering and procurement complete.
Channel: Direct Relief and Texas Children's Global HOPEMalawi
Kamuzu Central Hospital
Pharmacy and laboratory at entry configuration.
Channel: Direct Relief and Texas Children's Global HOPEThe Gambia
Edward Francis Small Teaching Hospital, Banjul
Hospital-wide critical infrastructure, including automated cleaning.
Channel: SCCM / IGPC AIRSLiberia
Hope for Women Health Center
Imaging, sterilisation, cold chain, laboratory and agreed essential services.
Channel: SCCM / IGPC AIRSKenya
Lwala Community Hospital
Hospital-wide proposal: blood bank, laboratory, pharmacy, maternity and digital workflows.
Channel: Direct Relief and Every Mother CountsUnit economics
What one dollar delivers
Every $1 deployed into critical hospital infrastructure translates into measurable healthcare, energy, resilience and climate outcomes.
$1
of critical infrastructure
13
patient visits supported
Lifetime unit economics for the laboratory and pharmacy critical services at a reference facility serving about 100,000 patient visits a year: roughly $0.075 of infrastructure cost per visit over the life of the system.
Putting those numbers in perspective
The ratios are derived from the PDF's reference facility assumption: lifetime infrastructure cost divided across laboratory and pharmacy critical services at about 100,000 patient visits per year, then translated into delivered electricity, diesel avoided, avoided emissions and protected outage time.
Partners and recognition
Deployed with the institutions that fund and run critical care.
Direct Relief
Uganda, Malawi, Kenya
SCCM and IGPC
AIRS programme, The Gambia and Liberia
Texas Children's Global HOPE
Paediatric haematology and oncology
Every Mother Counts
Lwala Community Hospital, Kenya
Harvard President's Innovation Challenge 2026
First prize, Social Impact track.
Harvard Innovation Labs Launch Lab X
2026 to 2027 cohort.
Berkeley SkyDeck
Portfolio company; UC Berkeley Haas international consulting case, 2026.
Ministries of Health
Relationships in each operating country, with standing to work inside public hospitals.
Work with us
Procure uptime as an outcome, not components project by project.
Hospitals and Ministries of Health
Start with an assessment. Winko maps your critical loads and returns a clinical case with a sized envelope.
Donors, NGOs and health programmes
Fund a protected envelope with donor-grade reporting on uptime, incidents and service performance.
Infrastructure and climate finance
Back hospital assets in emerging markets with operating data comparable site to site.