Massachusettes General Hospital

County: Bungoma, Garissa, Turkana, Kakamega

Project Title: Every Second Matters for Mothers and Babies - Uterine Balloon Tamponade (ESM-UBT)

After delivery, when the bleeding won’t stop, a woman may lose her womb through an emergency hysterectomy. Worse still, she may die from the bleeding. Post-partum hemorrhage (PPH) is the leading killer of women in Kenya immediately following delivery.

The Every Second Matters Uterine Balloon Tamponade (ESM–UBT) package is an innovative solution to PPH that is already saving lives. The package includes a 3-hour simulation based training, low cost ESM-UBT kits, pocket checklists, delivery room wall charts and reference manuals. The kit that stops the bleeding consists of a condom tied to a Foley catheter and inflated with clean water through a syringe and one-way valve.

ESM-UBT has already been successfully introduced in South Sudan, Sierra Leone, Kenya, Ghana, Senegal, and Nepal. When the device was used in Kenya, Senegal, Sierra Leone, and Nepal to help 237 women who were critically ill with uncontrolled PPH, the survival rate was 98%. This was despite the fact that 41% of the women were already either in an altered mental state or unconscious from their hemorrhage. Besides saving lives, the ESM-UBT package averts the need for PPH-related emergency hysterectomies.

To date, ESM-UBT has been formally implemented in 182 Kenya health facilities. Successful scaling of ESM-UBT in Garissa, Turkana, Bungoma and Kakamega will lead to its implementation in other areas of Kenya as well as in other regions of the world.

The project is being implemented by Massachusetts General Hospital in collaboration with Kisumu Medical Education Trust, national and county MOH and UNICEF.

See the Midwives Story from Africa video for on-the-ground stories about this innovation.