The people, doctors, and fishers behind Tideline
From a handful of volunteer doctors renting wooden fishing boats in 2004 to over 500 field staff across six countries today.
Field Medical Team, Delta © Tideline
In the winter of 2004, severe Arabian Sea storm surges devastated artisanal fishing villages along the Sindh coast. Roads collapsed, potable water wells were contaminated by sea brine, and regional hospitals were inaccessible.
A small team of Karachi physicians and logistics volunteers pooled personal funds to hire three wooden fishing boats. Packing them with intravenous antibiotics, water purification chemicals, and neonatal supplies, they began making weekly rounds to isolated islands.
What began as an emergency response evolved into a permanent operational philosophy: wherever geography or extreme tides cut off families from healthcare and dignity, we go. Today, Tideline operates clinic boats, cyclone-proof classrooms, mangrove nurseries, and fisheries cooperatives across South Asia and East Africa.
Six non-negotiable principles that guide every mission
Key milestones from 2004 to the present day
Founded after coastal storm surges
Established in Karachi by volunteer physicians responding to catastrophic Arabian Sea storm surges.
First mobile clinic fleet commissioned
Two wooden clinic boats equipped with refrigeration units begin weekly rounds in the lower delta.
Fisheries cooperatives launch
First 400 artisanal fishers organize to pool fuel costs and bypass exploitative middlemen.
Education program launches
Classrooms and teacher-training modules introduced for children cut off by monsoon seasons.
Mangrove restoration hits 1M trees
Community-led green belts established to protect shorelines against cyclone surges.
First independent public audit published
Instituted full public financial disclosure and open access impact accounting.
Operations expand to 5 countries
Replicating coastal community clinic model in Kenya and Southeast Asia.
1,240,000 people reached annually
Over 62,300 patients treated and 4,800 fishers enrolled in active cooperatives.
Executive leadership and independent board of trustees
Executive Leadership
3 Officers
Dr. Fatima Al-Mansoor
Head of Mission & Chief Medical OfficerTrauma surgeon and epidemiologist with 18 years experience managing floating clinics and disaster response across Southeast Asia.
Marcus Vance
Director of Maritime LogisticsMaster mariner and humanitarian logistician overseeing our purpose-built fleet of shallow-draft medical vessels and supply depots.
Elena Rostova
Director of Financial TransparencyFormer audit director leading our open-ledger accounting, ensuring 84% program allocation integrity and real-time donor reporting.
Board of Trustees & Oversight
2 Trustees
Prof. Arthur Chen
Chair, Board of TrusteesProfessor of Public Health Governance and advocate for community-led humanitarian autonomy.
Amina Diallo
Independent Trustee & Environmental CounselEnvironmental attorney specializing in coastal rights and climate displacement defense across island jurisdictions.
Help our field doctors and boat clinics keep moving
Ninety-one percent of our funding comes directly from individual donors. Unrestricted monthly support ensures our doctors can stay when roads are washed away.