Since you're using measure values, you should create a calculated field for each 'MoM' calculation and add it into the appropriate place in your measure values list.
Is your actual data using a hardcoded month like 'April' in your example or do you have a real date field to reference?
The data is in a real date field. Hopefully that doesn't have too drastic of an impact on how it would be calculated.
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The real date field is much more helpful.
Start with this example and build out a calculated field for one of your measures- Month Over Month Difference As a Percentage | Tableau Software, This approach utilizes Tableau Calculations.
Once you've nailed it, follow the same method to calculate MoM for each of the remaining metrics.
Thanks so much, Tom!
Now to figure out how to condition those columns for coloring....