V AKU'S DEVELOPMENT THUS FAR. ITS RELATIONS TO THE REST OF THE AGA KHAN DEVELOPMENT NETWORK AND TO THE INSTITUTE OF ISMAILI STUDIES
     
  1 Aga Khan University at Age Ten
     
    When the Harvard Report was written, AKU was only beginning. Now, as its celebrates its tenth anniversary it has had time to become more than a vision. It has become a living institution, with local addresses in a particular country, and behaving in ways that are becoming characteristic. The Commission consists in part of Trustees of this young AKU and does not easily take a detached view of where the University now stands. But it has sought to judge how the evolution of AKU thus far conforms to the vision set for it and how ten years of life may invite changes in that vision.
     
    One must remember fundamentals first. In its short life thus far, AKU has established itself as an autonomous institution of integrity and quality. It has mobilised the resources it has needed to operate as an independent private institution, an achievement that the sober calculations of the MCC report have impressively underscored; it has not been subject to governmental and other outside interference; it has maintained the free intellectual atmosphere without which there cannot be a proper university; and it has given degrees that are recognised in Pakistan and abroad. These are fundamentals and our observations on higher education in many parts of the world confirm that they are still matters not to be taken for granted. Reciting them quickly may gloss over too easily the achievement they represent. They have required great efforts and commitments : in the Chancellor's steady vision; the support of the Jamat; the Trustees' guidance, and the untiring efforts of Acting Rectors, Deans, the President, faculty and staff. And more than fundamentals have been achieved as AKU has won a prestigious and distinctive image. Abundant applications, far in excess of possible admissions, confirm the quality of education AKU has been offering and the honesty of selection by merit in the admissions process is one of the strongest evidences of the moral integrity of the institution.
     
    In keeping with one of the passages from His Highness' Charter Acceptance speech(quoted above in Section II of this report), the School of Nursing and the Medical College were established to meet perceived needs for educational programmes in developing countries. The School of Nursing was directed to an evident need in the dearth of nurses available for the new Aga Khan Hospital, but also to the wider need to reduce the disparity -much denounced by the World Bank and others -between the numbers of trained nurses and doctors in Pakistan and other developing countries. Still wider ambitions -to elevate the status of the nursing profession and to improve opportunities for women - were also present from the creation of this School. The Medical College when it was originally conceived was less obviously distinctive in character and objectives, though in quality it aimed to remedy some of the notorious deficiencies prevalent in Pakistani medical education. By the time it opened its doors it had, notably under the stimulus of the 1981 Conference on Hospitals and Primary Health Care, set a distinctive course toward responding to the health care needs of developing countries in its Community Health Sciences programme. It has established programmes that have attracted international attention and support and won the enthusiasm of the Medical Centre Committee in its recent report.
     
    The Institute for Educational Development was likewise established in response to a perceived need, in this case to raise the quality of education in the schools of Pakistan and elsewhere. Growing out of a series of projects developed by the Aga Khan Foundation and the planning of an Aga Khan Education Services Task Force, its initial strategy has been to seek improvement through raising the quality of teaching and the status of teachers. An innovative approach through so-called Professional Development Centres in "real" schools (not in a school or faculty of education) has been adopted. IED is only in its first year but its opening of professional opportunities for women, its methods and vigorous leadership have already elicited much enthusiasm and brought heavy importunings to take on other educational problems and functions.
     
    The Medical College began as an institution offering the first medical degree and the School of Nursing began with a diploma programme. There has been a tendency in both schools to move toward more advanced levels. The Medical College has graduate residency training for doctors and the basic science departments would like to initiate graduate programmes. The School of Nursing now offers a BScN in nursing and has been planning an MScN degree. But both units remain strongly engaged in their initial commitment to undergraduate and diploma education and there is as yet no settled policy on the appropriate level at which the Faculty of Health Sciences might concentrate its efforts. IED is providing an MEd programme for master teachers, but a large part of the instruction it offers is in nondegree post-professional education. Since the Commission has devoted a great deal of attention to the question of levels at which AKU may make its greatest contribution, it has been concerned to understand how AKU's choices thus far have been made, and how they may foreshadow future choices. On the evidence thus far, it appears that AKU will be responsive to needs at several levels, from diploma or certificate level, through first degrees to graduate and post-professional study. This flexible and pragmatic responsiveness would be in keeping with the vision expressed by His Highness in the Charter Acceptance speech. Our own views on the levels at which the future AKU should concentrate have proven to be complex, as the exposition in Sections VI and VII below will show.
     
    These beginnings of AKU in its first ten years have given it commitments to particular fields and programmes in particular places. It has been essential to the original aspirations of the University that what has been done in these fields and places should be well done, as we believe it has. But, as the Harvard Report stressed. doing a good job with the students it actually teaches and the patients it cares for is not enough to fulfil AKU's aspirations to be a distinctive and important university. AKU can only be a small institution in the vastness of the developing and Muslim worlds which it aims to serve. Its pursuit of wider consequences from what it does has thus far rested primarily on its establishment of exemplary programmes and standards that may be emulated by others. In these respects, it can properly claim impressive achievements, both for the School of' Nursing and the Medical College. They are looked to for models and ideas and their staff are increasingly called upon for consultations on educational and professional policies by the Pakistan government and others. The Community Health Sciences department of the Medical College has been invited to undertake more projects than it can readily manage and in the brief life of IED similar evidence of pressure to engage in pilot projects, reforms and consultations have quickly appeared.

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