Perinatal Periods of Risk Approach

What is PPOR?

Perinatal Periods of Risk (PPOR) is a comprehensive approach to help communities use data to reduce infant mortality. Designed for use in US cities with high infant mortality rates, PPOR brings local stakeholders together to implement systems changes based on their own local vital records data and other information sources. By estimating preventable mortality in four periods of risk, then digging deeper to understand the potential role of various risk factors, PPOR focuses the community’s efforts where the most progress is possible.

CityMatCH developed the approach between 2000-2004. Want to use the PPOR approach, then use the below resources to get started:

Get Started

 Do the Analysis

Include your community to really DO PPOR

Reference PPOR

  • Link to archived data table (product of the project) cities and counties PPOR results from a long time ago.
  • Journal Articles

Suggested citation for referencing this resources page: CityMatCH, available at, accessed DD/MM/YYYY.