Case Story


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Initiative Name:
The Strengthening of the Perinatal Information System between Honduras, El Salvador, Nicaragua and Panama
Initiative Status:
Completed and consolidating results
Adaptation, replication or scaling up of a previous initiative?
Modality of the initiative:
Family/Community Health and Health Promotion
Health Information Systems and Technology
mortalidad perinatal; sistemas de información en hospital; vigilancia de la población; Honduras, El Salvador, Nicaragua, Panama, SIP, perinatal mortality, health information systems, health surveillance systems

Geographic Identifiers

Countries Leading or Providing Technical Cooperation:
El Salvador, Honduras, Nicaragua, Panamá
Countries Demanding Technical Cooperation:
El Salvador, Nicaragua, Panamá,Honduras
Participating National Institutions, Organizations and/or Subregional Entities:
Ministerio de Salud de Honduras, Ministerio de Salud de El Salvador, Ministerio de Salud de Nicaragua, Ministerio de Salud de Panamá, Instituto Hondureño de Seguridad Social, Instituto Salvadoreño de Seguridad Social, Caja de Seguro Social (Panamá)
Participating International and Multilateral Organizations:
Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS), CLAP/SMR/OPS – OMS, UNFPA, USAID
Initiative Start Date:
Initiative End Date:

Initiative Cost/Budget and Sources of Funding

Initiative Total Cost/Budget: (in US$)
US$ 488,760.00
Percentage Contributed by National Governments:
Honduras - $109,500.00 (22.4%)
El Salvador - $75,300.00 (15.4%)
Nicaragua - $49,560.00 (10.1%)
Panamá- $115,750.00 (23.7%).
Percentage Contributed by 3rd party sources:
OPS – OMS - $138,650.00 (28.4%)

Initiative Description

The Millennium Development Goals (MDGs) of the United Nations have posed a great challenge for countries in the monitoring of the indicators for the Sexual and Reproductive Health-related goals. In this regard, the World Health Organization defined a strategy to accelerate the progress toward the achievement of the reproductive health related MDGs and the international targets of development for reproductive health. The plan has five key components, two of them being: "to strengthen the capability of the health system" and "to improve the basis of information for the establishment of priorities."

The Perinatal Information System (SIP) was created by the Latin American Center for Perinatology/ Reproductive Health of Women (CLAP/SMR) in 1983. It is made up of several instruments: the Perinatal Clinical Record (PCR), the Perinatal Card (PC), and the Computerized System with programs and manuals for processing the data. The PCR brings together in a single sheet a series of clinical data from the gestation up to the puerperium, that summarizes the minimum information indispensable for adequate care of pregnant women and their newborns. Its use is both simple and low-cost. The data of the PCR can be entered in the programs for datum processing of the SIP for later consolidation and analysis at the local, regional or national level.

The main goal of this project was to strengthen the Perinatal Information Systems for the surveillance of sexual and reproductive health with an emphasis on perinatal maternal health in the subregion of Central America.

This system made it possible to have up-to-date data on priority indicators at the service delivery level, while at the same time allowing for a local, national and regional understanding of compliance with standards as well as the development of specific programs in critical areas that needed to be improved in the health services delivery process. Furthermore, the information obtained with the indicators has generated research which, in turn, has contributed to decision-making at the appropriate levels. Additionally, the SIP promotes teamwork between gynecologists, pediatricians, nurses, educators, statisticians and planners, by facilitating an integrated management of effective interventions in perinatal and maternal care at all levels, which is an important tool in evaluating the quality of perinatal maternal care. The institutionalization of the SIP in the countries also ensures its sustainability. Finally, it is important to point out the harmonization of the standards of perinatal maternal care in the involved countries, which is possible through the instruments provided through the SIP.

Click here to read more about the project/initiative (in Spanish)

Additional Material:



Links and Additional Resources:

Contact Information:

Name of Contact Person:
Dra. Alma Morales, Asesora Salud Sexual Reproductiva, Representación Honduras
Organización Panamericana de la Salud
Representación de la OPS/OMS en Honduras
Colonia Palmira, Edificio Imperial, 6 y 7 piso
Tegucigalpa, Honduras, Apdo. Postal 728

Additional contact:
Dra. Maritza Romero, Asesora subregional FCH
Organización Panamericana de la Salud

Additional contact:
Dr. Gerardo Martínez, Asesor SIP, CLAP/SMR, OPS/OMS