Fasting on the frontline: Karachi ambulance driver navigates chaos to save lives during Ramadan

The photograph released by Pakistan’s Edhi Foundation on February 20, 2025, shows an ambulance driver waits outside an Edhi Home in Karachi. (Facebook/@edhi.org)
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Updated 18 March 2025
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Fasting on the frontline: Karachi ambulance driver navigates chaos to save lives during Ramadan

  • For Ghulam Nabi and hundreds of other Edhi ambulance drivers, Ramadan does not change their daily duties
  • Nabi says his iftar often consists of just dates and water, eaten on the road between emergencies

KARACHI: In Karachi, where traffic is relentless and sirens are a constant, 63-year-old Ghulam Nabi has spent the past 14 years behind the wheel of an Edhi Foundation ambulance, responding to emergencies in a city where every second can mean the difference between life and death.

The Edhi Foundation, one of the world’s largest charities, operates nearly 1,800 ambulances, including over 200 in Karachi, where it was founded by the late veteran philanthropist Abdul Sattar Edhi, who passed away in July 2016. Nabi is one of the hundreds of drivers keeping the wheels of these ambulances going.

Even during the Muslim fasting month of Ramadan, he remains committed to his duty. Often, his iftar — the evening meal to break the fast, which most people share with their families at home — happens on the road, between dispatches.

“Whether it’s sunny, hot, stormy, rainy, Ramadan or Eid, no matter what, we have to do our duty and serve humanity,” he said in a recent conversation with Arab News.

Living in an old apartment in the city’s historic Kharadar area, he begins his day by walking to the Edhi headquarters nearly a kilometer away. From there, his shift unfolds unpredictably, sometimes requiring him to attend to road accidents, rush cardiac arrest patients to hospitals or transport the deceased to their final resting places.

“Just yesterday, it was time to break the fast. Five to ten minutes before iftar, we were informed that an accident had occurred on Mai Kolachi Road,” Nabi recalled, adding that he had to leave iftar and rush to the spot.

“On the way, someone gave us dates, and we broke our fast with them,” he added.

Nabi recalled that at one point during Ramadan, he was asked to pick up a corpse from a house where it had remained unattended for nearly a week. As he reached the place, he realized it was decomposed and in such a condition that no one wanted to go near it.

But Nabi handled it, giving it to the relatives in a casket after completing the required legal procedures.

“We had to carry the body while fasting,” he said.

‘FRONTLINE HEROES’

Muhammad Amin, who oversees the Karachi Control Room at the Edhi Foundation, holds his team, particularly Nabi, in high esteem.

“He is an excellent driver, and all the qualities required in his job are found in him,” he told Arab News. “From keeping the ambulance clean to its general upkeep, following driving protocols and handling emergencies, Ghulam Nabi excels in all these aspects.”

Amin noted Ramadan always brought unique challenges to the drivers since their workload never decreased.

“There was a fire near Chakar Hotel on the Super Highway [yesterday], where our team, which included the drivers, went,” he said. “The drivers were fasting, but they worked through the fire and performed their duties.”

“If you look at it, these drivers can truly be called our frontline heroes,” he added.

Nabi said his entry into this line of work was unexpected. He used to run a small business that suffered losses, forcing him to shut it down. As he started looking for employment opportunities, a friend referred him to Edhi in 2010.

“Since that day, I have been engaged in humanitarian work,” he said.

‘SAVING HUMANITY’

Karachi, a megacity with over 20 million people, suffers from broken roads, congested streets and widespread disregard for traffic rules. These conditions significantly increase the challenges of Nabi’s job, making him fear that he might not be able to reach people in need on time.

Despite such hardships, he said he was proud of his work and found fulfillment in transporting patients and the injured to hospitals for treatment.

“Whoever saves a life, saves all of humanity,” he said, his eyes shining.

To Nabi, his work is a continuation of the legacy of Abdul Sattar Edhi, the late humanitarian whose foundation has provided free ambulance services for decades.

“Here, we are carrying forward Edhi Sahib’s mission,” he said. “Humanitarian work will never stop.”

As dusk falls and families across Karachi gather for iftar at home, Nabi finds himself away from his loved ones.

“Our hearts also long to break our fast with our children, but our iftar is often on the road or in the ambulance, and we have to break our fast with dates or water,” he said, as he opened his fast with the evening prayer call while sitting on a roadside bench in a Karachi street.


Pakistan says IMF has not imposed new conditions under $7 billion bailout

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Pakistan says IMF has not imposed new conditions under $7 billion bailout

  • Finance ministry says measures cited as ‘new conditions’ are phased extensions of reforms already agreed
  • Media described steps like civil servants’ asset disclosures and sugar industry deregulation as new demands

ISLAMABAD: Pakistan said on Sunday some of the reform measures mentioned in the media and linked to the International Monetary Fund (IMF) bailout program are not “new conditions” imposed by the lender but extensions of commitments already agreed under the arrangement.

Local media and social platforms have described a series of IMF-linked structural benchmarks as fresh conditions under the $7 billion loan for Pakistan in recent weeks. News reports published and broadcast in India also mentioned 11 measures under the loan, describing them as new IMF demands imposed on the country.

“The Ministry of Finance has clarified the intent, context, and continuity of reform measures under Pakistan’s IMF Extended Fund Facility (EFF) program, particularly in response to recent commentary regarding so-called ‘new conditions,’” said an official statement circulated in Islamabad.

“The purpose is to reaffirm that the measures referenced are part of a phased, medium-term reform agenda agreed with the IMF, many of which are extensions or logical progressions of reforms already initiated by the Government of Pakistan,” it added.

The ministry said the EFF is designed to support medium-term structural reforms implemented in a sequenced manner, with each program review building on prior actions to meet policy objectives agreed at the outset.

It provided detailed clarification on 11 measures that had been characterized as new conditions, including public disclosure of asset declarations of civil servants, strengthening the operational effectiveness of the National Accountability Bureau, empowering provincial anti-corruption bodies through access to financial intelligence and facilitating foreign remittances.

Other measures cited included the development of the local currency bond market, deregulation of the sugar industry, a comprehensive reform roadmap for the Federal Board of Revenue, a medium-term tax reform strategy, phased privatization of power distribution companies, regulatory reforms to strengthen corporate compliance and contingency measures to address potential revenue shortfalls.

The ministry said several of these reforms had been embedded in the Memorandum of Economic and Financial Policies (MEFP), a document detailing mutually agreed commitments, dating back to May 2024 and March 2025, including pledges related to tax policy, governance, energy sector restructuring and revenue mobilization.

“During discussions and negotiations with the IMF, the Government of Pakistan presents its planned policy reform initiatives,” the statement added. “Where the IMF assesses that these initiatives contribute to the agreed program objectives, they are incorporated into the MEFP.”

“As a result,” it continued, “many of the structural benchmarks and actions included in the latest MEFP are derived from reforms already undertaken or initiated by the Government of Pakistan, rather than being externally imposed or newly introduced conditions.”

The statement noted the measures outlined in the latest MEFP represent “continuity, sequencing and deepening of Pakistan’s agreed reform agenda” under the IMF loan, rather than the “imposition of abrupt or unprecedented conditions.”