1. Installation on Windows Vista/Windows 7 NOTE: Installation on Windows Vista can differ depending on the version of Windows installed​ ​ In most computers it is installed as demonstrated in this instruction manual Note: Installation not designed for MAC computers

2. Step 1: Type the following link into the search engine to begin download: www.clap.ops- oms.org/system_caribe.html www.clap.ops- oms.org/system_caribe.html Once the page is opened: 1. Download the guideline by clicking SIP_Caribbean Guide 2. Click the link “SIP_Caribbean” shown in the image to the right. Once it has completely downloaded, open the “SETUP_Caribean.exe” extension by clicking it and proceed to the next step In this site you will be able to download the customized version of the Perinatal Information System for English-speaking Caribbean Countries: SIP_Caribbean. Downloading and installing the software is a simple process but we recommend you to have a printed copy of the installation guide. Download the guide from the following link: SIP_Caribbean GuideSIP_Caribbean Guide Please, before starting the process verify that the Windows 7 version (or beyond) is installed in your computer. If you have a previous version of Windows 7, you may need to install the additional software of the following link: setuppad.exe setuppad.exe Download the Perinatal Information System from the following link: SIP_CaribbeanSIP_Caribbean Once it has completely downloaded, open de "Setup_Caribbean.exe" extension and proceed to next steps include in the guide. Please note: If you are a SIP user, remember to back up the information periodically before installing the program. Thank you for visiting us an using the Perinatal Information System

3. Step 2: Allow the program permission to run on the computer system The program must be granted permission to run on the computer. Click “Run” to grant permission

4. Step 3: Allow time for complete download of the software The following screen will appear once the download begins. The green bar indicates how far the installation is to completion. At no point in the downloading process should you close this box or click “cancelar” which cancels the download

5. Step 4: Set up your user account Once your download is completed, you will be shown this screen. Click “>>" which means "next".

6. Step 5: Change the file location A folder will appear with the title “C.\Program File\sip\", however this folder location must be changed. To change the folder location click the "cambiar-change" button at the top right. NOTE: CRUCIAL STEP! Must be performed correctly or will create errors in running the program

7. Step 6: Enter the new file location After selecting the change file location in step 5, now enter the new file location by typing in the last box “C:\sip\” then click “OK”

8. Step 7: Install the program​ Next, click the “>>" button to begin installation. A green bar indicates it is successfully installing

9. Step 8: Confirm the installation Once the bar completely loads (complete green) it will automatically move to step 9

10. Step 9: Finalize the Installation To complete the installation you must finalize it by clicking “Exit" After it is completely finalized a SIP icon will appear on the desktop. ​

11. To open the program click the SIP icon (located on the desktop) twice. ​ Step 10: Program Start Up

12. Step 11: File uploading The following messages may appear in Spanish in a dialog box and corresponds to files needing to be installed. Click “OK” to both Note: If these message does not appear, you are completed at this step and the program will immediately open. Otherwise, complete the last two steps

13. Step 12: Enter SIP To enter into the program only press the " enter" button on your keyboard once Once completed the program will automatically launch into the SIP- Caribbean program.

14. Step 13: Configuration of SIP The following message will appear asking if you want the system to configure to its original version. Click “OK” for the configuration to occur Note: This message may not appear on your screen. If not, proceed to step 14

15. Step 14: Selection of Language Preference To translate the program to English, select the “English” icon to the bottom of the page as demonstrated in the image top right. A message will appear asking you to confirm your language preference by selecting “Yes”.

16. Step 15: Specify your program Setup To specify your program setup you must select the “Management programs” tab followed by selecting the “General Setup Specifications” option

17. Step 16: Country Selection In the “Country” tab select your country then click the save icon as demonstrated in the image. A message will appear saying that the selection was successfully made. Click “OK” and then exit this box by clicking the “x” in the top right hand corner

18. Step 17: How to Enter a Clinical Record Once you have successfully completed the previous steps you are now ready to enter information into the online system To begin entering patient information select the “Enter a Clinical Record” tab as illustrated in the image to the right. This selection will launch the virtual perinatal record as displayed in step 18

19. Step 18: Enter Information in the Perinatal Record To enter information on the virtual card, select the area you wish to enter information and double click into the spot. A blinking cursor indicates that you can enter information. To reverse sides of the card select the “R” at the top of the page as shown in the image to the right. Once on the reverse side, to go back to the first side of the card click “A” which is also found at the top right. Remember to save information as you go along by selecting the save button found to the top. To record a PCR it is mandatory that the four variables highlighted in red are completed. Otherwise the PCR will be not recorded.