Perinatal Periods of Risk (PPOR)

Perinatal Periods of Risk 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 community stakeholders together to build consensus and partnership based on local data. PPOR provides an analytic framework and steps for investigating and addressing the specific local causes of high fetal and infant mortality rates and disparities.  Initial analyses are based only on vital records data (births, deaths, and fetal deaths); later steps utilize all available sources of data and information. The Perinatal Periods of Risk (PPOR) approach was developed during 2000-2004 by CityMatCH and its’ member health departments with support and involvement of the Centers for Disease Control and Prevention and the March of Dimes. It was adapted for U.S. cities from an approach used by the World Health Organization. PPOR methods are detailed in a suite of articles in the Maternal and Child Health Journal.


Use the PPOR Approach
2012 CityLights: 15 Years of PPOR
Journal Articles
Local Examples of PPOR
CityMatCH Projects Incorporating PPOR (Institute for Equity in Birth Outcomes & Collective Impact Learning Collaborative)
Data Tables


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