Sindh Integrated Emergency & Health Services

What Sindh Integrated Emergency & Health Services does

Sindh Integrated Emergency & Health Services (SIEHS) is a Karachi-headquartered nonprofit operating the Government of Sindh's flagship pre-hospital emergency health program. Established in August 2021 as a public-private partnership under the Department of Health — succeeding the prior Aman Foundation — SIEHS runs the free 1122 ambulance service (branded HOPE) and the 24/7 1123 Tele-Tabeeb telemedicine helpline. All services are provided at no cost to the user, with operations funded primarily through Government of Sindh grants and supplemented by public donations and a Shariah-compliant Zakat channel certified by Ehsan Shariah Advisors.

The HOPE ambulance fleet numbers 350–600 vehicles, each equipped with 29 advanced medical devices (ventilators, incubators, AEDs, cardiac monitors, auto-loading stretchers, oxygen systems), effectively functioning as mobile ICUs. SIEHS operates across all 30 districts of Sindh with a centralized command-and-control center, supporting a first female bike ambulance squad for congested urban access. The RDE (Research, Development & Education) department trains emergency responders (6,600+ trained, 350+ sessions) and is building academic ties with Dow University of Health Sciences, Iqra University, and SIHPP. Between August 2021 and June 2026 the service handled 28.8M calls, 8.4M interventions, 128,000+ road traffic accident cases, 1,050+ ambulance births, and 644,000+ telehealth calls (44,000+ clinical consultations).

The business model is effectively a contracted government service with philanthropic top-up. Core revenue comes from provincial government budget allocations and contractual funding under DoH-SIEHS; secondary inflows include Zakat, Sadaqah, and general donations processed via Faysal Bank and Sindh Bank accounts. The customer base is the entire population of Sindh (~50M+ people), but the effective single payer/anchor funder is the Government of Sindh, with the general public as the free-of-charge end user. Headcount sits in the 1,001–5,000 range, consistent with a province-wide 24/7 operation including paramedics, EMTs, dispatchers, telehealth clinicians, training staff, and administration.

Name

Sindh Integrated Emergency & Health Services

Legal name

Sindh Integrated Emergency & Health Services

Website

https://siehs.org

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

SIEHS is a Sindh government public-private partnership that operates the free 1122 HOPE ambulance service and 24/7 1123 Tele-Tabeeb telehealth helpline across all 30 districts of Sindh, Pakistan, serving the province's population with ICU-equipped ambulances, trained paramedics, and the country's first female bike ambulance squad.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

akta.pro secondary industry

Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK)

Keywords

• Emergency medical services
• Ambulance services
• Telemedicine healthcare
• Pre-hospital emergency care
• Public health services

Headquarters

HQ city

Karachi

HQ country

Pakistan

HQ region

Asia

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Operations, Personnel, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Government Funding & Grants: SIEHS operates as a public-private partnership established by the Government of Sindh. Core operations are funded through government grants and budgetary allocations from the provincial government, making services free to the public.
2. Donations & Zakat: SIEHS accepts general donations, Sadaqah, and Zakat contributions from the public. Donations are received via bank transfers to designated accounts at Faysal Bank and Sindh Bank. Zakat collection is Shariah-compliant, certified by Ehsan Shariah Advisors, and is funneled into a dedicated Zakat Fund used for medical supplies, life-saving interventions, and hospital transfers for eligible beneficiaries.
3. Government Contracts: SIEHS operates as an initiative under the Department of Health - Sindh (DoH-SIEHS), suggesting contractual funding arrangements with the provincial government for the provision of emergency medical services across 30 districts.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

SIEHS provides free round-the-clock emergency medical services across Sindh province through the SIEHS-1122 ambulance helpline with a fleet of 350-600 HOPE ambulances equipped as mobile ICUs, complemented by Tele-Tabeeb 1123, a 24/7 telemedicine helpline offering medical consultations and mental health counseling nationwide. The organization also operates a Research, Development & Education (RDE) department for training emergency responders and healthcare professionals.

Product overview

Sindh Integrated Emergency & Health Services (SIEHS) operates a unified emergency healthcare platform consisting of three core services: SIEHS-1122 (free ambulance service with HOPE ambulances providing ICU-equipped emergency response across 30 districts), Tele-Tabeeb-1123 (24/7 telemedicine helpline offering medical and mental health consultations), and Research Development & Education (RDE, internal training arm for staff development). The organization also operates the Friends of Hope Club for community engagement. All services are provided free of charge to the public, functioning as a public-private partnership established in 2021.

Differentiator

Problem solved

Functional benefit

Products and services

• SIEHS 1122 Emergency Ambulance Service Free round-the-clock state-of-the-art life-saving ambulance service accessible across 30 districts of Sindh by dialing 1122. The HOPE ambulance fleet is equipped with 29 advanced medical devices (ventilators, incubators, AED machines, cardiac monitors, suction machines, auto-loading stretchers) functioning as mobile ICUs, staffed by trained paramedics, and is used for emergency medical response, trauma care, road accident response, obstetric emergencies, and critical patient transport to hospitals.
• Tele-Tabeeb 1123 Telemedicine Helpline 24/7 free virtual clinic providing nationwide medical consultation, diagnostic guidance, and mental health counseling via the 1123 phone helpline. Available free of charge to all residents of Pakistan, supporting follow-ups, emergency calls, and general health information queries.
• Female Bike Ambulance Squad First female bike ambulance squad in Pakistan, deploying 50 trained female responders on 150cc purpose-built motorcycles equipped with essential life-saving equipment, communication devices, and emergency drugs. Designed to reach congested urban areas where conventional ambulances face delays.

Quantifiable outcome

• 28.8 million total calls received; 8.4 million lives saved through interventions; 1,050+ babies delivered in ambulances; 400 total ambulance births with all mothers surviving
• +2 more outcomes

Named customers3 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Seven partnerships are on record, tiered minor, core and supporting.

• Iqra UniversityminorStrategic or Co-development Partner · 8 December 2023A Memorandum of Understanding was signed between Iqra University and SIEHS on December 8, 2023, for collaboration in education, training, or research initiatives.
• Sindh Institute of Health and Population Planning (SIHPP)minorStrategic or Co-development Partner · 4 December 2023An MOU was signed between SIEHS and SIHPP (Raheem Bakhsh Maitlo) on December 4, 2023, for mutual interest collaboration in health and population initiatives.
• Rescue 1122 (Sindh-wide ambulance network)coreStrategic or Co-development Partner · 1 September 2023Rescue 1122's ambulance services were launched across all 30 districts of Sindh under DoH-SIEHS, with over 350 ambulances deployed. The launch event was attended by the caretaker Health Minister of Sindh and other government officials, marking a major expansion of emergency services.
• Government of Sindh (Department of Health)coreStrategic or Co-development Partner · 1 August 2021SIEHS operates as a public-private partnership under the Department of Health Sindh (DoH-SIEHS). The Government of Sindh funds operations, provides mandate, and backs the service through the Health Minister and Secretary Health. This is the foundational partnership enabling all SIEHS activities.
• Dow University of Health SciencescoreStrategic or Co-development PartnerDr. Mohammed Saeed Quraishy, Vice Chancellor of Dow University of Health Sciences, serves on the SIEHS Board of Directors. The university provides academic and research collaboration through its leadership.
• Provincial Disaster Management Authority (PDMA) SindhcoreStrategic or Co-development PartnerSyed Salman Shah, Director General of PDMA Sindh since 2013, serves on the SIEHS Board of Directors. PDMA collaboration ensures disaster response coordination alongside emergency healthcare services.
• Ehsan Shariah Advisors and Consultant Private Limited (ESAAC)supportingImplementation/ SI/ Consulting PartnerESAAC serves as SIEHS's Shariah Advisor, providing oversight and certification that SIEHS's Zakat collection and disbursement processes comply with Islamic law. The organization issues annual Shariah Compliance Certificates.

Scale indicators17 records

Recent moves8 records

Expansion highlights6 records

Emerging players

• Riders for Health: UK-headquartered nonprofit that pioneered motorcycle/motorbike-based health transport across sub-Saharan Africa. Emerging peer with overlapping technology and demographic approach to SIEHS's female bike ambulance squad for last-mile/last-mile congestion emergencies.
• Sehat Kahani: Pakistani telemedicine platform connecting patients to doctors via phone/internet, including mental health services. Emerging player directly comparable to Tele-Tabeeb 1123's nationwide telehealth helpline model and operating in the same Pakistani market.

Direct peers

• Aman Healthcare Services: Predecessor organization to SIEHS (SIEHS was formed from the Aman Foundation in 2021). Continues to operate primary care and ambulance-adjacent services; a direct historical peer with overlapping governance DNA (Dr. Junaid Razzak was a founding member).
• Edhi Foundation: Pakistan's largest private nonprofit ambulance and welfare organization with nationwide coverage including Sindh. Closest direct peer in terms of free-to-patient ambulance services, and a benchmark for capital-efficient nonprofit emergency operations in Pakistan.
• Chhipa Foundation: Karachi-headquartered nonprofit operating a large ambulance and welfare network, with strong brand recognition in Sindh. Direct peer competing for similar donor and volunteer mindshare in the same geographic market.
• Khyber Pakhtunkhwa Rescue 1122: Provincial emergency service in KPK using the Rescue 1122 brand, same hotline number, and similar government-mandated PPP structure. Highly comparable operating model in a different Pakistani province.
• Rescue 1122 Punjab: Punjab's government-operated emergency ambulance service using the same 1122 number and PPP-style governance model. Direct functional peer operating the same hotline in an adjacent Pakistani province with comparable fleet-based emergency response.

Broad incumbents

• Acadian Ambulance Service: One of the largest private ambulance and air medical companies in the United States. Broad incumbent peer for fleet operations, dispatch, and mobile-ICU-grade emergency medical services at national scale.
• Falck A/S: Global commercial leader in ambulance services, emergency healthcare, and workforce safety across Europe, the Americas, and beyond. Broader incumbent demonstrating the scale an integrated ambulance-plus-telehealth platform can achieve at international scale.

Regional players

• National Emergency Medical Service (Kenya): Government-supported ambulance and emergency medical service initiative in Kenya with public-private partnership characteristics similar to SIEHS. Useful regional peer benchmark for LMIC public emergency service design and scaling.

Market position

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/siehspk
• Facebookfacebook.com/siehspk
• LinkedInlinkedin.com/company/siehspk

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Sindh Integrated Emergency & Health Services