Pakistani President Asif Ali Zardari ordered Tuesday that the young Pakistani activist who was seriously injured in a shooting by the Pakistani Taliban be sent abroad for medical treatment, the website for Pakistan's Dawn newspaper reported.

Malala Yousafzai, a 14-year-old Pakistani activist who won international acclaim for her work promoting peace, and two other young girls were shot and seriously injured Tuesday, police and hospital officials said.

Local police and hospital officials told NBC News that Malala was shot after leaving her school in the Swat region.

Official sources told Dawn that the single bullet, which hit Malala's head, had pierced down to her backbone.

“We have thoroughly examined her, she is in critical condition. The bullet traveled from her head and then lodged in the back shoulder, near the neck,” a doctor told the AFP agency, according to Dawn, requesting anonymity as he was not authorized to speak to media.

“Next three to four days are important for her life. She is in the intensive care unit and semi-conscious, although not on the ventilator,” he added, according to Dawn.

“In such a condition, she immediately needs a sophisticated surgical procedure, which is not possible in the country,” sources told Dawn.

Malala was nominated for the International Children's Peace Prize in 2011 for a blog she wrote under a pseudonym for the BBC. She also won the National Peace Prize in Pakistan, was honored with a school named after her, and quickly became an outspoken critic of the Taliban in Pakistan and a public advocate for peace.

In the blog, she chronicled life in the Swat Valley under the brutal and oppressive rule of the local faction of the Pakistani Taliban, who carried out public floggings, hung dead bodies in the streets, and banned education for girls.

AFP

Soldiers take Malala Yousafzai, 14, to an army hospital after a gunman attacked her and two other girls in Peshawar, Pakistan, on Tuesday.

Obama her 'ideal' leader
In early 2011, the militants had added Malala to their hit list. 

"We wanted to kill her as she was pro-West, she was speaking against Taliban and more important she was calling President Obama as her ideal. She was young but was promoting a Western culture in the Pakhtun populated areas," Ihsanullah Ihsan, the spokesman of Tehrik-e-Taliban Pakistan or TTP said Tuesday.

Veronique De Viguerie / Getty Images, file

Malala Yousafzai, pictured here at the age of 12 in March 2009, was undergoing surgery after she was shot twice Tuesday.

The Taliban had made a plan for killing her a year ago but were waiting for an opportunity, he told NBC News.

Malala was initially treated at the Saidu Sharif Teaching Hospital, in Mingora, the main city of Swat, but was airlifted to a hospital in the larger city of Peshawar.

'New radicals': Pakistan's Generation Y battles to shape country's future

A police official, quoting other students who witnessed the shooting, said some people came in a car and stopped in front of the school and then asked them to identify Malala.

"Since the students already knew about threats to Malala Yousufzai's life, therefore they said they didn't know her," the police officer said.

Slideshow: Pakistan: A nation in turmoil

Arshad Arbab / EPA

Images of daily life, political pursuits, religious rites and deadly violence.

Launch slideshow

But he said Malala was shot when she came out of the school and got in a school van.

Americans ignore 'great risks,' travel to Pakistan to protest US drone strikes

The young girl's stark depictions of daily life in Swat -- as Pakistan’s army carried out a massive military operation against the Taliban in the area -- led her to become the first Pakistani girl nominated for the children's peace prize.

She began writing the diary for the BBC when she was just 11.

In one posting on her BBC blog, she wrote: "My younger brother does not like going to school. He cries while going to school and is jubilant coming back home ... He said that whenever he saw someone he got scared that he might be kidnapped. My brother often prays 'O God bring peace to Swat and if not then bring either the U.S. or China here.'"

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PESHAWAR, Pakistan – The ring road in Peshawar is a rough ride: navigating certain stretches means dodging enormous potholes, steering clear of steep ditches and swerving to avoid the occasional brave soul who darts from one side of the road to the other.

Yet this has been, for the last decade, one of the main arteries on which convoys of trucks carrying supplies for U.S. and NATO forces have made their way into Afghanistan. Those ground lines of communication that run from Karachi's ports to two border crossings in Pakistan have been a fundamental part of the U.S.-Pakistan relationship, as has the air line of communication.

When the U.S.-Pakistan alliance was tested once again in late November after a U.S. cross-border air strike that killed 24 Pakistani soldiers, Pakistan reacted by shutting down the ground supply routes – a step they've taken before in protest to U.S. actions. The air lines of communication remain open.

But access to those crucial land routes has never been denied to the U.S. for this long, and the two accounts from the U.S. and the Pakistan military of the cross-border strike that prompted their closure are so starkly different that it's hard to see how they can be reconciled.

Even though the Americans have reduced their dependence on Pakistan's roads over the last few years by using alternative routes running through Russia and Central Asia, the cost of moving goods via air and on that northern route is much greater – reportedly six times more a month – than using Pakistan's routes.

Asif Hassan / AFP - Getty Images

This photograph taken on Dec. 18, 2011 shows a general view of the NATO supply of oil tankers stand parked near oil terminals in Pakistan's port city of Karachi.

It now costs about $104 million per month to send supplies through the longer northern route, according to Pentagon figures shown to the Associated Press. That is $87 million more than when the cargo was shipped through Pakistan.

Pakistan's government is conducting its own internal review of the alliance with the U.S., and officials here say no decision will be made about the supply lines until that review is complete and recommendations have been discussed by the government. Already, however, there are forces at work within Pakistan's religious and political parties to prevent the government from reopening those lines and re-engaging on the same level with the U.S.

Issue of nationalism
At a recent rally in Rawalpindi for the Pakistan Defense Council, made up of dozens of religious and political parties, leaders mentioned the NATO supply lines with the same fervor as they did deeply nationalistic issues such as divided Kashmir and the country’s nuclear weapons. The crowd of thousands cheered as speaker after speaker threatened that there could be countrywide protests should the government decide to reopen the supply lines.

"The NATO supply lines should not be restored at any cost," said Mohammad Abdullah Gul, chairman of the National Youth Conference and a member of the Pakistan Defense Council.

"Even if the government restores (them), we are not going to accept it. The people of Pakistan, we are going to mobilize. From Khyber to Karachi, they will be mobilized and they will stop the NATO supply lines," he said.

Retired Col. Nazir Ahmed is the spokesman for Jamaat-ud-Dawa, an organization which he describes as having a "purely Islamic platform."

He said that the NATO supply lines were "rightly" blocked, and should stay blocked "forever," unless the U.S. "comes to us on the basis of equality."

He was particularly outraged by the recent cross-border attack.

Asif Hassan / AFP - Getty Images

This photograph taken on Dec. 18, 2011 shows NATO's supply of oil tankers stand parked near oil terminals in Pakistan's port city of Karachi.

"After the aggression that the Americans committed on the Pakistan Army?  They slaughtered and killed so many Muslim soldiers," said Nazir. "Every country has the right to defend its borders and its ideology."

For this segment of the population – frustrated by what they see as a decade of subservience to American policy in a deeply unpopular war here – a decision to reopen the supply lines is tantamount to a decision to put U.S. interests ahead of Pakistan's.

That sentiment felt by a growing number of Pakistanis who think the relationship with the U.S. has not benefitted their own country will make it difficult for Pakistan's leaders to publicly re-engage with the U.S., and reopen the supply lines in the same manner and under the same conditions as before.

Both U.S. and Pakistani officials say they remain committed to their alliance. How the NATO supply routes will fit into that alliance, however, is yet to be seen.