Distribution of Total Scores
SDSPET total scores were plotted in a histogram as shown in Figure 1. A right-skewed distribution was observed, with over 80% of districts receiving a total score of 4 or less out of 36. There were four districts that scored substantially higher, with total scores between 24 and 30. A higher score denotes a more complete policy. The median total score was 2.25 (1st to 3rd quartile range 1.25-3.375).