Pakistan has a long way to go to improve the levels of education for girls. There is, however, good news in universities which creates a positive trickle-down effect. The Aga Khan University (AKU) has a campus in Karachi offering degrees in education and health; it has achieved a gender balance of 50% for both its student and staff intake. However, Firoz Rasul, President of AKU, sees a noticeable difference between graduates who return from overseas, identifying more confidence and resilience in taking up leadership positions. It is this exposure that has led to AKU developing a leadership programme working with overseas institutions to prepare more women to build capacity for leadership positions, particularly in the medical field.