About PPIP

PPIP will take care of the numbers, while you take care of mothers and babies

The Perinatal Problem Identification Program (PPIP) is a tool to make your perinatal and maternal death audit easier. It does not do the audit for you, but it takes the tedious paperwork out of the process. The moment you enter the basic data, you can instantly do extensive data analysis, and even present your data in graphs and print reports – all with the press of a button.

Let there be no doubt: medical audit (and certainly perinatal and maternal death audit) is not a process that happens without dedicated individuals spending time and effort to make it happen. Furthermore, audit is a futile process if it doesn’t ‘close the loop’ by changing the practice it is auditing. The purpose of audit is not the audit, or the figures, or the reports it generates, but the improvement of practice. If you do not intend to change the way you care for mothers and their babies, PPIP will do nothing for you. If, on the other hand, you want the quality of your care to be weighed and measured because you want to do better, PPIP will provide you with an instrument to make sense of your data without spending hours going through data sheets.

Audit structures provided by PPIP

PPIP structures your data by allowing you to enter three distinct data elements:


PPIP allow you to enter numbers of deliveries, stillbirths, early and late neonatal deaths and maternal deaths. This already allows for the calculation of different rates (Perinatal Mortality Rate, Neonatal Mortality Rate, Early & Late Neonatal Mortality Rate, Stillbirth Rate and Maternal Mortality Ratio) and is also used as denominator in various calculations. A number of other fields describing the women delivered each month are also available, which includes Multiple Pregnancies, Antenatal Care, BBA, Morbidity Markers, Delivery Methods, Parity, Syphilis & HIV serology, Age, and ART Use.


Each perinatal, neonatal and maternal death is entered in more detail. PPIP allows entry of basic demographic data, after which a primary obstetric cause of death and a final cause of death must be identified. Obviously these causes can then be analyzed in detail.

Avoidable factors

Lastly, PPIP allows for the identification of specific avoidable factors. These are incidents related to the actions of the mother or health care personnel, or the health care system, which may have altered the outcome of the specific case had it been managed differently. Again, these avoidable factors can be included in data analysis.

Structuring your data analysis

PPIP allows you to include data from different facilities when you perform data analyses. Data from one specific institution is entered as a single ‘Data Set’, and any number of Data Sets can then be arranged in a ‘Data Pyramid’. PPIP v3 allows you to set up an unlimited number of Data Pyramids to reflect different ways you want to look at your data.

Data analysis functions

Once you have entered your data, simply switch to the ‘Analyse Data’ section of PPIP for easy access to all data analyses. You can specify which data you want to look at (Data Sets, Data Pyramid & Dates) and then perform various analyses with a simple click of the mouse. Various data analyses allow you to apply data filters, to drill down to the exact data you want to analyse. Various analysis results are presented as graphs in addition to the data tables.

Data analysis results can be printed, written to an Adobe .pdf document, written to a MS Word document, or exported to a MS Excel document.

A last word

If you are serious about perinatal and maternal death audit, and you are looking for a tool to make this process more immediate and less painful, then PPIP is for you. It is supplied to you free of charge, although you have to apply for a licence to use it.

A few examples of specific data analyses are displayed below. Click on the thumbnails to display larger images.

PPIPv3 Sample Image PPIPv3 Sample Image PPIPv3 Sample Image PPIPv3 Sample Image PPIPv3 Sample Image