1) Rural English teachers in Pakistan primarily use translation and exam preparation techniques rather than engaging students in activities to develop language skills like speaking, listening, reading and writing. 2) Classroom observations and teacher interviews revealed that teachers are not properly trained, have large class sizes, and focus on textbooks rather than lesson planning or developing language skills. 3) The examination system which only tests translation and grammar was identified as a major barrier preventing teachers from using more effective techniques to help students gain real proficiency in English.