In 2018, the country ranked 139th on the Human Development Index (HDI), indicating medium development. According to the Global Hunger Index (2018), Laos ranks as the 36th hungriest nation in the world out of the list of the 52 nations with the worst hunger situation(s). In 2019, the UN Special Rapporteur on extreme poverty and human rights conducted an official visit to Laos and found that the country's top-down approach to economic growth and poverty alleviation "is all too often counterproductive, leading to impoverishment and jeopardizing the rights of the poor and marginalised."