In 1983, CLAP/WR published the Perinatal Information System (SIP). SIP is the result of a technical consensus among hundreds of professionals in the Region convened periodically by CLAP/WR for its review. It is part of PAHO's tool kit for improving the quality of care provided to mothers and newborns.
The objectives of SIP are to
- serve as a basis for planning care
- check and monitor the implementation of evidence-based practices
- unify data collection by adopting standards
- facilitate inter-level communication
- obtain reliable statistics locally
- favour compliance with standards
- boost the training of health care workers
- record data of legal interest
- facilitate auditing
- characterise the population receiving care
- evaluate the quality of care
- conduct operational epidemiological investigations
Through SIP, users at local maternities can enter the CH data into a database created with the SIP program, thus enabling them to produce local reports. The databases can be consolidated and analysed nationally or regionally to describe the situation of various indicators over time, by geographic area, or other specific characteristics of the population. At the central level, it becomes a useful tool for monitoring maternal and neonatal events and for evaluating national and regional programs.
All forms can be printed from the SIP Program. This new capacity that SIP offers produces a reader-friendly document that contains all the data entered until then.
When the mother and her newborn are discharged, both this document and all the completed forms may be printed out. This simple recording method is beneficial for health care providers, as it renders a time-consuming and sometimes complex process of care much easier.
Since 1983, the PCR has been modified several times. These changes respond to the need to keep the contents updated with the best scientific evidence available, as well as to include the national and international priorities set by the Ministries of Health in the region. Its format and design, however, have undergone few modifications. Clinical data from pregnancy to postpartum are presented on a single page; most clinical data require just checking predefined boxes, and when more information, investigation or follow-up (alerts) is required, the spaces are highlighted in yellow.