The document summarizes Egypt's Perinatal/Neonatal Mortality Surveillance System (PNMSS) from 2010-2014. It established sentinel sites across 22 health facilities in 3 governorates to accurately collect data on perinatal and neonatal deaths and their causes. The system aimed to help decision-makers develop strategies to reduce mortality and achieve Millennium Development Goals. Future plans included reviewing the system for national scale-up and disseminating findings to stakeholders to inform suggested strategies addressing main causes of perinatal mortality. Challenges included introducing new surveillance methods and physician turnover.