Malik Ahmad Jalal

The Aman Foundation

Aman Foundation supports health and education needs of fast growing Pakistani cities through services such as advanced lifesaving ambulance services.
Focus: Emergency Services and Healthcare, Vocational Skill Training
Geographic Area of Impact: Pakistan
Model: Hybrid Non-Profit
Number of Direct Beneficiaries: 1,300,000 (2016)
Annual Budget: USD $14,900,000 (2016)
Percentage Earned Revenue: 46% (2016)
The Social Problem
Pakistan has one of the highest rates of urbanization in South Asia, estimated at 2.8% per annum. Over 60% of its population resides in cities. Rapidly growing slums are increasing the burden on its already weak education and health infrastructure. Karachi, its largest city, houses over 20 million people, representing 10 percent of the country’s population. However, Karachi’s existing hospitals can support only 13,800 patients. Advanced life-saving emergency services are little to non-existent.
Innovation and Activities
Aman Foundation offers a community based, prevention-oriented, and affordable healthcare model for Pakistani cities through:
1. A health workers program serving patients at their door steps,
2. Community clinics, and
3. An ambulance service that connects people to the tertiary healthcare system.
Aman’s ambulance fleet is the first of its kind in Pakistan, equipped with advanced lifesaving equipment, operated by trained paramedics, and coordinated through a central command and control system, all focused on reducing response times and mortality rates. With a fleet of 100 ambulances, 100 doctors, and 750 medical technicians, the service addresses 46 percent of Karachi’s medical emergency needs within a response time of under 12 minutes.
As of 2016, it achieved fifty percent financial sustainability by adopting a tiered pricing model based on urgency of the medical need and the patient’s ability to pay. The ambulances attend to over 100,000 cases a year, 60% of which are road accidents that are attended to free of charge and hospital rides from non-affluent neighborhoods priced at $3. Over 65% of cases are considered to be serious or life-threatening in nature. In 2015, the Government of Sindh entered into a five year public-private partnership with Aman that will support the expansion of its ambulance operations to 450,000 cases per year and generate an operating fee of USD 1 million.
Sukh, Aman’s community health program launched in 2012, focuses on family planning, reproductive and child health and supports one million people. In 2011, Aman launched a vocational skill training program for 3,000 youth in highly violence-prone urban neighbourhoods with support from USAID, and it is now exploring corporates as clients. Across its identified impact areas of health and education, Aman adopts an entrepreneurial approach of using its own seed capital to incubate social enterprises with high potential to scale.
Once the model is proven, it leverages external funding partnerships and service agreements with governments to achieve faster systemic scale and impact.
The Entrepreneur
Aman was founded in 2008 as the private Foundation of Fayeeza Naqvi and Arif Naqvi, Founder of the Abraaj Group. The Foundation’s CEO, Malik Ahmad Jalal, who leads overall strategy and operations, previously served in senior roles at Abraaj and Goldman Sachs. In 2016, Ahmad was awarded Harvard Kennedy School’s Emerging Global Leader Award for his spirit of public service.