Bureau of Maternal & Child Health
Division of Community Health & Prevention
Illinois Department of Human Services

Program Description

The Illinois FIMR initiative is a voluntary program to monitor fetal and neonatal deaths.


All women who are residents within the 606 Chicagoland area that have experienced a fetal or neonatal death.


The Fetal Infant Mortality Review (FIMR) initiative is a nationwide program designed to identify the non-medical factors that contribute to adverse pregnancy outcomes. Once identified, FIMR empowers the community to develop and implement solutions to break down barriers to optimize pregnancy outcomes. Home visits are made so that data can be collected and reviewed. Community based action plans are designed and implemented based on the information obtained from the reviews to improve the overall perinatal outcomes.

The Illinois FIMR initiative is a supported by a federal grant in collaboration with DHS and the Chicago Department of Public Health. It identifies fetal deaths (infants born dead after the 20th week of gestation) and neonatal deaths (any live born infant regardless of gestational age and weight who dies within the first 28 days of life).


The program consists of case identification, outreach to enroll women/families into the program, an in-home interview, medical record abstraction, and case reviews by a multidisciplinary team.

Delivery Method

Home visits and community based action plans.

Program Data

Fetal and Infant Mortality Review Program Program Data
Performance Indicators SFY03 SFY04 SFY05 SFY06
Grant Amount (Numbers in 000's) $169.30 $168.10 $179.70 $171.60
Number of Grantees 1 1 1 1

Program Effectiveness

The program has been extremely effective in identifying the social and economic factors impacting pregnancy outcomes in the City of Chicago. This information that is presented in an annual report is used to guide program efforts to reduce infant mortality and pre-term delivery rates.