Pressure swing adsorption (PSA) plants—as the primary source of bulk medical oxygen for many health facilities—play a vital role in many countries’ medical oxygen supply systems.

This report summarizes the results of an analysis that PATH—in collaboration with Build Health International, Partners in Health, and Assist International—conducted on PSA plant failures, and opportunities for improved management.

It highlights common issues and causes of failure across the PSA plant life cycle—from planning and decision–making to installation, training, and operations or maintenance—and recommends ways to redress them so that decision–makers, health facility managers, suppliers, and plant operators can improve plant management.