Pakistan has been severely affected by the global economic crises, high inflation and an acute energy crisis, which is crippling the country’s productivity. Foreign investment has not returned, due to investor concerns related to governance, energy, security, and a slow-down in the global economy. According to UNDP's Human Development Index 2011, Pakistan is ranked 145 out of 187 countries – ranking well below the South Asia regional average. Relations between Pakistan and the US continued to be strained due to differences related to the war on terrorism. More recently, the release of the anti-Islam film has caused widespread protests throughout the country. Security remains a dominating issue in the context of Pakistan, affecting nearly all aspects of programming for INGOs. The volatile security situation creates difficulties in accessing programme areas, particularly for international staff.