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

• PPOR: A Community Approach for Using Data to Improve Women and Infants Health (MCHJ article 2010)
• PPOR 101 Training (CityMatCH Webinar 2014)
• PPOR High-Level Overview (CityMatCH Webinar 2018)
• PPOR – Using Data and Community Involvement to Prevent Infant Mortality (CityMatCH PowerPoint 2012)
• Community Readiness: Analytic Readiness and Stakeholder Analyses

 Do the Analysis

• Vital Records Data – Access and Preparation (CityMatCH PowerPoint)
• Phase 1 Analysis
• Phase 2 Analysis
• Perinatal Periods of Risk: Analytic Preparation and Phase 1 Analytic Methods for Investigating Feto-Infant Mortality (MCHJ article 2010)
• Perinatal Periods of Risk: Phase 2 Analytic Methods for Further Investigating Feto-Infant Mortality (MCHJ article 2010)
• Local data examples

Include your community to really DO PPOR

• Community Readiness
• Perinatal Periods of Risk: A Community Approach for Using Data to Improve Women and Infants Health (MCHJ article 2010)
• Communities that used PPOR Approach 
• CityMatCH Projects that used PPOR: Institute for Equity in Birth Outcomes  & Collective Impact Learning Collaborative 

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 citymatch.org, accessed DD/MM/YYYY.