A global report shows that Pakistani women still face the world's worst inequality in access to health care, education and work.

The annual Gender Gap Index by the Geneva-based World Economic Forum released Tuesday showed Pakistan ranked 141 out of 142, second to last in global gender equality.

This is the third year in a trot that Pakistan has maintained the second to last ranking.

The only country where women face worse equality issues is Yemen.

Neighbouring India's ranking falling from 101st out of 136 countries surveyed last year to 114th out of 142 countries this year.

The United States rose three places to rank 20th, while Yemen and Chad remained at the bottom.

Nordic nations lead the world again in promoting equality of the sexes, with Iceland, Finland, Norway, Sweden and Denmark in the top five spots.