Regions with the greatest positive (>+5 points) or negative (>-5 points) change in overall Index scores from 2012 to 2013, with changes in goal scores also shown (see Table M in S1 File for full results).

NA indicates the goal was not relevant to the region and so not given a score. Values outside the range of -10 to +10 are rounded to the nearest whole number. Regions with the greatest positive (>+5 points) or negative (>-5 points) change in overall Index scores from 2012 to 2013, with changes in goal scores also shown (see Table M in S1 File for full results).