If you're determined to go down the M$/AS route, IMO you'll have to (get your employer to) invest in M$ VisualC++, install it on the target platform and hope that nmake etc. will understand all of the make(1) script generated by perl Makefile.PL when you run the standard CPAN perl Makefile.PL, make install sequence.
A user level that continues to overstate my experience :-))