GWADAR, Pakistan: Remote and impoverished, Pakistan’s Gwadar port at first glance seems an unlikely crown jewel in a multi-billion-dollar development project with China aimed at constructing a 21st century Silk Road.
Situated on a barren peninsula in the Arabian Sea, Gwadar, or the “gate of the wind,” owes its fortuitous selection as Pakistan’s next economic hub to its strategic location near the Strait of Hormuz.
The city is set to become the bridgehead for the China-Pakistan Economic Corridor (CPEC), a $54 billion (SR202.50 billion) project launched in 2013 linking western China to the Indian Ocean via Pakistan.
The corridor is one of the largest projects in Beijing’s “One Belt One Road” initiative, comprising a network of roads and sea routes involving 65 countries.
The Chinese-financed initiative aims to connect the country with Africa, Asia and Europe through a vast network of ports, railways, roads and industrial parks.
But for Pakistan, participating in the project presents an enormous challenge in a country plagued by weak institutions, endemic corruption and a range of insurgencies in areas slated to host the corridor.
“This port is going to help Pakistan make linkages with neighboring countries. The entire nation will be getting benefits out of Gwadar,” Dostain Khan Jamaldini, chairman of the Gwadar Port Authority, told reporters.
But “the first beneficiaries of this port will be the people of Gwadar.”
The subject of economic dividends is extremely sensitive in resource-rich Balochistan — one of Pakistan’s poorest and most violent provinces, where separatist insurgencies have been waged for decades.
Since the beginning of the project militants have repeatedly attacked construction sites and targeted Chinese workers.
The project includes the country’s first deep-water port, a free-trade zone and 50 kilometers of dock space.
“Gwadar port is not Chinese, our strong partner is Chinese and we appreciate their boldness,” said Jamaldini.
“They came to Gwadar when nobody was accepting the idea to come and visit.”
China has eyed Gwadar for years.
Beijing financed an earlier scheme to develop the port prior to 2007, which was later overseen by a Singaporean group. But following bouts of insecurity, the Singaporeans handed it back to the Chinese in 2013.
The ambitious corridor is also far from popular in the region. India makes no mystery of its reservations over an infrastructure project that crosses through disputed Kashmiri territory.
This month US Defense Secretary Jim Mattis raised concerns about the issue, sparking a fierce backlash in Pakistan and claims Washington was trying to “contain China” in favor of arch-rival India.
Beyond diplomatic concerns, security remains a key issue in Gwadar, according to Brig. Kamal Azfar, who heads “Brigade 440” — a security outfit created to protect CPEC projects and personnel.
Hostile forces are trying to “scuttle or stall CPEC,” he said in reference to accusations India has backed insurgents hostile to the project.
The area also lacks water and electricity, which developers hope will be remedied by dams and desalination plants outlined in the scheme.
Officials also worry the peninsula will fall victim to real estate speculation. Property prices near the port doubled between 2014 and 2016, said Sajjad Baloch, the director of the Gwadar Development Authority, before falling 20 percent.
And despite promises of future prosperity, skilled labor is lacking, says Mohamed Siddique, who runs a local hospital. Even with modern facilities it operates at a limited capacity because of a dearth of specialists.
In Gwadar city, economic activity spurred by CPEC remains limited. A lone freighter was anchored in the port during AFP’s recent visit. Only three to four arrive every month, according to port authorities.
The expressway leading to the site is unfinished.
About 300 Chinese people working on various projects live in prefabricated houses on the port — coined Chinatown — but only venture out with a security escort.
The city itself, with a population of about 100,000 that is projected by one estimate to jump tenfold by 2050, has relied on fishing and the artisanal construction of boats for generations.
Up to 50,000 people, mostly fishermen, could be “gradually” resettled to make way for the project, Baloch said, adding the potential move could see them relocated to a “state-of-the-art jetty.”
The first priority for the jobs will go to Gwadaris, “then to the Balochis, then to the people of any part of Pakistan,” Baloch said.
However few Gwadaris have been hired at the port, according to locals building boats on a nearby beach.
“We are hoping to get a job there,” said Juneid.
For others, it’s a chance to right the wrongs of past subjugation.
“Balochistan province should get the maximum benefits instead of outsiders,” said Abdullah Usman, 47, a social worker.
“It will be unfortunate if the local Baloch do not benefit... that would cause an increase in the several decades long sense of deprivation.”
At a forgotten Pakistan port, China paves a new Silk Road
At a forgotten Pakistan port, China paves a new Silk Road
AI’s shift toward proactive healthcare
- Experts reveal how AI is reducing burnout and streamlining workflows
JEDDAH: Artificial intelligence is increasingly moving from the margins of healthcare innovation into its operational core. Rather than replacing clinicians, AI is being deployed to address persistent challenges across health systems, from administrative overload and staff burnout to fragmented data and inefficient patient flow.
Speaking to Arab News, Abbes Seqqat, chief executive officer of Rain Stella Technologies, and Eric Turkington, chief product officer, discussed how AI is already transforming healthcare delivery — and why its impact is most meaningful when embedded directly into clinical workflows rather than treated as a standalone tool.
Seqqat describes AI’s role as accelerating a structural shift in healthcare delivery. “AI is accelerating the shift in healthcare from reactive to proactive care, because AI fundamentally helps detect, analyze and predict,” he said, noting that many health systems lack the resources to perform these tasks at scale.
While AI use cases in healthcare are broad, Seqqat emphasized that the most effective applications today focus on operational and clinical fundamentals, including reducing administrative burden, identifying patient risks earlier, and capturing clinical data more reliably and in real time.
RST’s portfolio reflects this approach, spanning surgical data capture and workflow automation, cloud-based electronic medical records, and health information exchange. Across these systems, the common goal is improving data quality and usability so clinicians can spend less time managing information and more time delivering care.
According to Turkington, RST’s systems rely on a mix of established and emerging AI technologies.
“Across the portfolio, we are using a wide range of AI and predictive technologies, from voice technology to reliably capture clinician inputs, to large language models that analyze and act on collected data,” he said.
A key focus has been adapting AI to regional and clinical realities. Voice models, for example, have been trained on UAE and GCC accents and grounded in medical terminology to improve accuracy in real-world settings. RST also uses retrieval-augmented generation and multi-agent AI architectures, allowing different AI components to perform specialized tasks such as classifying surgical notes, identifying unusual events, or assisting with billing and coding, Turkington explained.
DID YOU KNOW?
• AI can detect, analyze, and predict patient risks faster than traditional methods.
• Systems like Equinox use voice input and predictive analytics to actively support clinical decisions.
• AI assistants provide real-time updates, automate documentation, and improve coordination in operating theaters.
One of the central concerns around AI adoption is whether it adds complexity to already demanding clinical roles. Seqqat argues the opposite should be the goal.
“For nurses and frontline staff, AI’s greatest contribution is removing the invisible administrative friction that leads to burnout,” Seqqat said.
In operating theaters, AI systems can replace manual coordination methods such as phone calls and whiteboards by providing real-time situational awareness. By automating updates, anticipating delays, and serving as an on-demand clinical notepad, AI reduces cognitive load and allows staff to remain focused on patient care, he explained.
RST’s voice-enabled assistant, Orva, is designed specifically for perioperative environments.
Turkington said it enables hands-free documentation and coordination, helping surgical teams manage schedules and resources more effectively.
By capturing live updates through voice input, Orva can surface delays, flag bottlenecks, and prompt coordination between departments. It also assists with documentation and coding, reducing errors and supporting more accurate reimbursement— an area where incomplete records often create downstream challenges.
Electronic medical records remain central to healthcare delivery, but Turkington noted that AI can move them beyond passive data repositories.
“We designed Equinox as an EMR that enables you to spend less time with the software and more time with patients,” Turkington said.
Through voice input, automated documentation from visual annotations, and AI-generated pre-visit summaries, the system can actively support clinicians rather than slow them down. Predictive analytics, such as identifying no-show risks or highlighting care gaps, further shift EMRs toward decision-support tools rather than administrative obligations.
Both executives stressed that AI’s effectiveness depends heavily on data access and quality. Seqqat pointed to interoperability as a prerequisite rather than an afterthought.
“AI is only as powerful as the data it can access,” he said, adding that fragmented records limit both clinical insight and system-wide learning.
Health information exchanges, such as RST’s Constellation platform, enable patient data to be viewed longitudinally across providers. AI can then assist with patient identity matching and population-level analysis, allowing trends and risks to be identified across large datasets.
Turkington shared an example from an operating theatre where AI helped prevent cascading delays. When a surgical case ran late, a nurse verbally updated Orva that the patient was ready to exit. The system alerted the recovery unit, analyzed schedule conflicts, and prompted management to reassign staff before delays affected subsequent procedures.
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By tagging the cause of the delay and feeding that data into predictive models, the system helped prevent similar issues in the future — without additional manual coordination.
According to Seqqat, the primary returns from AI adoption come from combining efficiency with financial accuracy. Streamlined workflows allow providers to treat more patients without compromising care, while improved documentation reduces revenue leakage.
Looking ahead, Seqqat sees AI becoming central to Saudi Arabia’s healthcare transformation. He described its role as advancing smart hospitals, predictive patient flow, and precision medicine aligned with Vision 2030 goals.
“The role of AI in Saudi Arabia’s healthcare sector is evolving from a supporting technology to a foundational pillar of the Kingdom’s Vision 2030 transformation. Over the next few years, we expect to see AI move into the realm of smart hospitals, where predictive analytics optimize patient flow and AI-driven precision medicine leverages the Saudi Genome Program to provide hyper-personalized care. By unifying national health data and automating complex administrative workflows, AI will enable a more proactive, value-based healthcare model that improves patient outcomes and operational efficiency across the country.”
