Free ambulance service in southern Pakistan delivers babies, and hope, onboard 

Sindh Integrated Emergency and Health Services (SIEHS) ambulances drive down an highway in Makli, Sindh, on April 20, 2025. (AN Photo)
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Updated 21 April 2025
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Free ambulance service in southern Pakistan delivers babies, and hope, onboard 

  • Nearly 100 babies successfully delivered inside Sindh Integrated Emergency and Health Services ambulances this year
  • As per UN report, Pakistan was among four countries that accounted for nearly half of all maternal deaths worldwide in 2023

MAKLI, Sindh: Earlier this month close to the crack of dawn, a free ambulance service in southern Pakistan received a call that a 26-year-old woman from a remote village in Thatta had gone into labor without a health facility nearby for miles. 

Within minutes of receiving the call, a Sindh Integrated Emergency and Health Services (SIEHS) ambulance staffed with health workers trained in emergency obstetric care sped off toward Shabeera Bibi’s location in the Sindh province. The paramedics stabilized her and left with her for the nearest health center but realized soon that there just wasn’t enough time to reach the facility.

With her husband’s consent, Shabeera’s baby boy was delivered in the moving ambulance, one of 100 babies born in an SIEHS ambulance in this year alone. 




Shabeera Bibi holding her baby at her residence in Makli, Sindh, Pakistan on April 20, 2025. (AN Photo)

“I was in a lot of pain when I was about to deliver, the baby’s condition was also at risk and my water had broken,” Bibi recalled, sitting on a charpoy back at home in her mud home in Hussain Notiar village. 

In her arms, she held her newborn son Fayyaz. 

“I am simply grateful to Allah for saving my baby and my life, and that my baby is still with me today.”

Pakistan’s Sindh province is the second most populated province of the country where 30 percent of women receive no prenatal care, 60 percent do not give birth in a health facility, and the maternal mortality ratio is thrice the UN’s Sustainable Development Goal 3 target.

As per a recent United Nations report, Pakistan was among four countries that accounted for nearly half of all maternal deaths worldwide in 2023. The situation is dire in rural districts such as Thatta, where the health infrastructure is shoddy and few skilled birth attendants are available.




Sindh Integrated Emergency and Health Services (SIEHS) health workers enter a small house in a remote village in Makli, Sindh, Pakistan on April 20, 2025. (AN Photo)

Set up in 2021, SIEHS, which runs as a public-private partnership, wants to fill the gap, with its ambulances, called ‘HOPE,’ providing free and round-the-clock assistance to people in Sindh though the 1122 helpline. 

“Our job is to respond to emergencies,” Farheen Haider, an emergency Mmedical technician (EMT) at SIEHS, told Arab News. “When it’s a delivery case, we respond immediately. If the situation is more critical, we try to manage the patient on the way.”

Since its establishment, SIEHS has delivered 400 babies in ambulances across Sindh, with the mothers surviving in all cases, Haider added.

Shabeera’s was one such case in which paramedics worked in the confined space of the ambulance, performing the delivery and administering immediate postnatal care, including carrying out an APGAR scoring to gauge the health of the baby, as well as cleaning the mother and baby and cutting the umbilical cord. 

The baby’s grandmother, Haseena Bibi, recalled the ordeal the woman went through that day. 

“We are very poor and we couldn’t reach the hospital … we were very worried and then the girl [Shabeera] said that she couldn’t bear it anymore,” Haseena said.

She said the ambulance arrived quickly and Shabeera gave birth on the way.
 
Around 600 HOPE ambulances are operating in various districts of Sindh, Wazeer Ahmed, SIEHS regional manager told Arab News. 

One of the main objectives of the service, he explained, was to move expecting women to hospitals:

“But if there are complications or the baby is about to be delivered, we take permission from the parents or the husband and proceed with the delivery inside the ambulance.”
 


‘Look ahead or look up?’: Pakistan’s police face new challenge as militants take to drone warfare

Updated 14 January 2026
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‘Look ahead or look up?’: Pakistan’s police face new challenge as militants take to drone warfare

  • Officials say militants are using weapons and equipment left behind after allied forces withdrew from Afghanistan
  • Police in northwest Pakistan say electronic jammers have helped repel more than 300 drone attacks since mid-2025

BANNU, Pakistan: On a quiet morning last July, Constable Hazrat Ali had just finished his prayers at the Miryan police station in Pakistan’s volatile northwest when the shouting began.

His colleagues in Bannu district spotted a small speck in the sky. Before Ali could take cover, an explosion tore through the compound behind him. It was not a mortar or a suicide vest, but an improvised explosive dropped from a drone.

“Now should we look ahead or look up [to sky]?” said Ali, who was wounded again in a second drone strike during an operation against militants last month. He still carries shrapnel scars on his back, hand and foot, physical reminders of how the battlefield has shifted upward.

For police in the northwestern Khyber Pakhtunkhwa (KP) province, the fight against militancy has become a three-dimensional conflict. Pakistani officials say armed groups, including the Tehreek-e-Taliban Pakistan (TTP), are increasingly deploying commercial drones modified to drop explosives, alongside other weapons they say were acquired after the US military withdrawal from neighboring Afghanistan.

Security analysts say the trend mirrors a wider global pattern, where low-cost, commercially available drones are being repurposed by non-state actors from the Middle East to Eastern Europe, challenging traditional policing and counterinsurgency tactics.

The escalation comes as militant violence has surged across Pakistan. Islamabad-based Pakistan Institute for Conflict and Security Studies (PICSS) reported a 73 percent rise in combat-related deaths in 2025, with fatalities climbing to 3,387 from 1,950 a year earlier. Militants have increasingly shifted operations from northern tribal belts to southern KP districts such as Bannu, Lakki Marwat and Dera Ismail Khan.

“Bannu is an important town of southern KP, and we are feeling the heat,” said Sajjad Khan, the region’s police chief. “There has been an enormous increase in the number of incidents of terrorism… It is a mix of local militants and Afghan militants.”

In 2025 alone, Bannu police recorded 134 attacks on stations, checkpoints and personnel. At least 27 police officers were killed, while authorities say 53 militants died in the clashes. Many assaults involved coordinated, multi-pronged attacks using heavy weapons.

Drones have also added a new layer of danger. What began as reconnaissance tools have been weaponized with improvised devices that rely on gravity rather than guidance systems.

“Earlier, they used to drop [explosives] in bottles. After that, they started cutting pipes for this purpose,” said Jamshed Khan, head of the regional bomb disposal unit. “Now we have encountered a new type: a pistol hand grenade.”

When dropped from above, he explained, a metal pin ignites the charge on impact.

Deputy Superintendent of Police Raza Khan, who narrowly survived a drone strike during construction at a checkpoint, described devices packed with nails, bullets and metal fragments.

“They attach a shuttlecock-like piece on top. When they drop it from a height, its direction remains straight toward the ground,” he said.

TARGETING CIVILIANS

Officials say militants’ rapid adoption of drone technology has been fueled by access to equipment on informal markets, while police procurement remains slower.

“It is easy for militants to get such things,” Sajjad Khan said. “And for us, I mean, we have to go through certain process and procedures as per rules.”

That imbalance began to shift in mid-2025, when authorities deployed electronic anti-drone systems in the region. Before that, officers relied on snipers or improvised nets strung over police compounds.

“Initially, when we did not have that anti-drone system, their strikes were effective,” the police chief said, adding that more than 300 attempted drone attacks have since been repelled or electronically disrupted. “That was a decisive moment.”

Police say militants have also targeted civilians, killing nine people in drone attacks this year, often in communities accused of cooperating with authorities. Several police stations suffered structural damage.

Bannu’s location as a gateway between Pakistan and Afghanistan has made it a security flashpoint since colonial times. But officials say the aerial dimension of the conflict has placed unprecedented strain on local forces.

For constables like Hazrat Ali, new technology offers some protection, but resolve remains central.

“Nowadays, they have ammunition and all kinds of the most modern weapons. They also have large drones,” he said. “When we fight them, we fight with our courage and determination.”