Pakistan produces around 75% of the worlds high-end surgical instruments that are used in hospitals and health clinics around the world. Child labour and exploitative labour practices are used to produce these – operating in small, informal units at lower ends of the supply chain. I led a multi-stakeholder initiative to tackle this problem, working in partnership with the Pakistan Institute for Labour Education & Research (PILER), European public buyers, the Pakistani government, manufacturers, industry association, trade unions and NGOs.