Table 1 Global health transition scale used for Global Assessment of Change

7 A very great deal better

6 A great deal better

5 A good deal better

4 Moderately better

3 Somewhat better

2 A little better

1 About the same, hardly any better at all

0 No change

−1 About the same, hardly any worse at all

−2 A little worse

−3 Somewhat worse

−4 Moderately worse

−5 A good deal worse

−6 A great deal worse

−7 A very great deal worse