The focus of the image is a man pulling a rickshaw through the crowded streets since they seem to be out of place in the modernized world and he is going against the traffic.
The man seems to be maneuvering his rickshaw to make way for the motorcycle passing through and the rickshaw is loaded with goods and two passengers to be transported. The crowded street used by many, has a jam going on.
The man seems to be doing his daily work pulling his rickshaw carrying customers and goods. He seems to be risking himself by going the opposite way of the traffic.
I think that the photographer is trying to show the gruesome work done by these people. The photographer is trying to portray the lives of uneducated rickshaw pullers.
I like the way the photograph was taken as it de-pics something we usually don't see. If I were the photographer I would have taken the photograph the same way to show the world how some people have to go through life.