KMET trains 16 private hospitals from Kisumu County on management of PPH using the ESM-UBT

26 healthcare practitioners of various cadres are currently undergoing a training on management of postpartum hemorrhage (PPH) using the Every Second Matters Uterine Balloon Tamponade (ESM-UBTTM) at the KMET Health Complex.


Uncontrolled PPH (bleeding after birth) is a leading cause of maternal death worldwide and accounts for over 2000 deaths in Kenya annually. If not managed effectively a healthy woman can die within two hours after developing PPH.

According to Kisumu County Health Information and Records officer, Mr. James Otieno, the county has recorded an increase in maternal deaths this year due to the protracted nurses’ strike in the public sector that has rendered most clients especially pregnant women helpless.

The industrial action has also seen the private sector catering for an unusually huge number of patients hence the KMET-facilitated training is a move to improve preparedness of the private health facilities to handle maternal health emergencies-especially PPH.

The training covers active management of third stage of labor (AMTSL), basic PPH management, and emergency PPH management which includes use the ESM-UBT to manage bleeding.


The ESM-UBT is an evidence-based, low cost, effective, easy to use and safe solution for uncontrolled PPH and is assembled and distributed by KMET through the KMET Centre for Maternal Health Innovations Centre. It can arrest PPH in 5 to 10 minutes and has recorded a 97% survival from uncontrolled PPH among critically ill women.

Over 350 lives in 15 counties have been saved by the kit since its roll out in 2012 in the country in partnership with Massachusetts General Hospital (MGH) and the Ministry of Health Kenya.