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<article article-type="research-article" dtd-version="1.2" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="issn">2514-7153</journal-id>
<journal-title-group>
<journal-title>International Journal of First Aid Education</journal-title>
</journal-title-group>
<issn pub-type="epub">2514-7153</issn>
<publisher>
<publisher-name>Aperio Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.25894/ijfae.2962</article-id>
<article-categories>
<subj-group>
<subject>View from the field</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>STOP THE BLEED&#174; Kenya: A Community-Driven First-Response Model for Road-Traffic Trauma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-0652-8901</contrib-id>
<name>
<surname>Kimanzi</surname>
<given-names>William</given-names>
</name>
<email>study@thequickfix.org</email>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
</contrib-group>
<aff id="aff-1"><label>1</label>Training, The QuickFix Learning Hub, KE</aff>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-10-24">
<day>24</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>8</volume>
<issue>1</issue>
<fpage>48</fpage>
<lpage>50</lpage>
<history>
<date date-type="received" iso-8601-date="2025-08-06">
<day>06</day>
<month>08</month>
<year>2025</year>
</date>
<date date-type="accepted" iso-8601-date="2025-10-07">
<day>07</day>
<month>10</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 The Author(s)</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (<uri xlink:href="http://creativecommons.org/licenses/by/4.0/">CC BY 4.0</uri>), which enables reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. See <uri xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</uri>.</license-p>
</license>
</permissions>
<self-uri xlink:href="https://firstaidjournal.org/articles/10.25894/ijfae.2962/"/>
<abstract>
<sec>
<title>Background:</title>
<p>Kenya loses an estimated 13 people daily to road traffic injuries, often from uncontrolled bleeding during the critical pre-hospital window.</p>
</sec>
<sec>
<title>Objective:</title>
<p>To describe the design, early impact, and policy implications of the STOP THE BLEED<sup>&#174;</sup> Kenya Initiative &#8211; a localized, community-led bleeding-control training program adapted from the global campaign.</p>
</sec>
<sec>
<title>Methods:</title>
<p>This program was delivered to high-risk community groups through modular, scenario-based training and microlearning channels. Lay responders were trained using a localized curriculum aligned with global best practices.</p>
</sec>
<sec>
<title>Results:</title>
<p>Within 31 weeks (March&#8211;September 2025), 1,275 people were trained across eight counties. Follow-up surveys indicated 87% post-training confidence, 69% skill retention at 4 weeks, and field reports of first aid delivered before ambulance arrival.</p>
</sec>
<sec>
<title>Conclusion:</title>
<p>STOP THE BLEED<sup>&#174;</sup> Kenya demonstrates that grassroots bleeding-control training can improve community readiness, bridge trauma care gaps, and align with national emergency care frameworks in LMICs.</p>
</sec>
</abstract>
<kwd-group>
<kwd>First aid</kwd>
<kwd>Road safety</kwd>
<kwd>Kenya</kwd>
<kwd>Africa</kwd>
<kwd>Community Health</kwd>
<kwd>Pre-hospital Care</kwd>
<kwd>LMIC</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<fig>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ijfae-2962_kimanzi-g1.png"/>
</fig>
<sec>
<title>Context</title>
<p>Kenya loses an estimated 13 people every day to road traffic accidents (RTAs) (<xref ref-type="bibr" rid="B2">KNBS, 2025</xref>). Many of these deaths are due to uncontrolled bleeding that occurs in the critical pre-hospital window.</p>
<p>Common bleeding emergencies from RTAs include severe limb injuries from motorcycle (boda-boda) crashes, pedestrian knock-downs, and head and facial trauma. These cases are often worsened by delayed ambulance response and limited access to trauma facilities outside major cities.</p>
<p>The STOP THE BLEED<sup>&#174;</sup> Kenya Initiative was launched in March 2025 to democratize life-saving bleeding-control skills for those most likely to witness or experience road-traffic trauma. Adapted from the globally recognized program (<xref ref-type="bibr" rid="B1">ACS, STOP THE BLEED<sup>&#174;</sup></xref>), the Kenyan model uses low-cost, locally available training aids &#8211; including bamboo sticks paired with fabric strips as improvised windlass-type tourniquets, branded fabrics and scarves as triangular bandages and slings, foam rolls and rolled towels to simulate injured limbs, and water-filled gloves for wound-packing demonstrations.</p>
<p>The intervention is a short, high-impact 2-hour course, adapted from the US Department of Defense bleeding-control curriculum. The program aims to train 2,025 people free of charge by December 2025, equipping high-risk community members with critical skills before formal emergency services arrive.</p>
</sec>
<sec>
<title>Program Design and Approach</title>
<p>This initiative primarily targets boda-boda riders, schoolteachers, caregivers, and high-school students &#8211; groups with frequent exposure to road-traffic incidents.</p>
<p>Delivery combines:</p>
<list list-type="bullet">
<list-item><p>Instructor-led demonstrations and peer-to-peer practice</p></list-item>
<list-item><p>Scenario-based drills with locally relevant case studies</p></list-item>
<list-item><p>Micro-learning videos shared via WhatsApp and community forums</p></list-item>
<list-item><p>Integration with community events such as road-safety campaigns, school-safety weeks, and cycling-awareness drives</p></list-item>
</list>
<p>Training is delivered in English and Kiswahili using culturally relevant case studies. For Deaf and Hard-of-Hearing participants, Kenyan Sign Language interpreters were engaged, with plans to integrate interpreters into the Training-of-Trainers (ToT) pipeline to ensure long-term inclusivity.</p>
<p>Sessions are tailored by audience type: boda-boda riders prefer short practical sessions, while teachers and students benefit from structured demonstrations. Deaf participants require visual aids and extended practice time.</p>
<p>Participants are mobilized through boda-boda Savings and Credit Cooperative Organizations (SACCOs), school boards, community-based organizations, non-governmental organisations (NGOs), and open calls at county-level events. WhatsApp groups are used for coordination, feedback, and ongoing peer support.</p>
</sec>
<sec>
<title>Outcomes and Impact</title>
<p>In the first 31 weeks (March &#8211; September 2025), a total of 1,275 people were trained across the eight counties of Nairobi, Machakos, Kiambu, Mombasa, Kajiado, Meru, Kilifi and Nyandarua &#8212; all at no cost to participants.</p>
<p>A key milestone was the inclusion of Deaf and Hard-of-Hearing learners, with interpreters embedded in sessions.</p>
<p><bold>Impact indicators:</bold></p>
<list list-type="bullet">
<list-item><p><bold>87%</bold> of trainees reported higher confidence in managing bleeding emergencies (post-training self-assessments).</p></list-item>
<list-item><p><bold>69%</bold> retained key bleeding-control steps after four weeks (via WhatsApp quizzes).</p></list-item>
</list>
<p>By September 2025, the program had achieved 63% of its annual target (1,275 of 2,025 trainees) while maintaining a no-cost model to maximize access.</p>
<boxed-text>
<sec>
<title>Example Field Cases</title>
<list list-type="bullet">
<list-item><p><italic>In Nairobi, a boda-boda rider used a tourniquet improvised from a neck scarf and thin metal bar to control thigh bleeding in a fellow rider following a crash, stabilizing the victim until paramedics arrived</italic>.</p></list-item>
<list-item><p><italic>In Meru County, a Deaf participant, assisted by a peer interpreter, successfully managed a bleeding wound in a neighbor injured during a farm tool accident</italic>.</p></list-item>
<list-item><p><italic>In Kiambu, a teacher trained under the program controlled severe bleeding in a student injured in a school bus accident, using direct pressure and bandaging</italic>.</p></list-item>
</list>
</sec>
</boxed-text>
<p>These real-world cases were shared voluntarily through participant WhatsApp groups, which also serve as platforms for ongoing peer support and informal monitoring of impact.</p>
</sec>
<sec>
<title>What next?</title>
<p>STOP THE BLEED<sup>&#174;</sup> Kenya demonstrates that a community-first, low-cost approach can close critical care gaps in low-resource settings by equipping ordinary citizens &#8211; especially those in high-exposure occupations &#8211; with bleeding-control skills to save lives before professional help arrives.</p>
<p>Early results show both grassroots and institutional traction, with counties expressing interest, professional bodies engaging, and volunteers stepping forward. Linking this initiative to national emergency care frameworks offers a scalable, evidence-based model for reducing preventable trauma deaths.</p>
<p>The Emergency, Chronic and Critical Illness Fund (ECCIF) under Kenya&#8217;s Social Health Authority presents an opportunity to integrate trained community responders into formal emergency-care frameworks.</p>
<p><bold>Recommendations:</bold></p>
<list list-type="bullet">
<list-item><p>Recognize trained community responders as first-tier assets in county emergency &#8211; health plans.</p></list-item>
<list-item><p>Incorporate bleeding-control education into outreach programs.</p></list-item>
<list-item><p>Expand public &#8211; private partnerships with boda-boda SACCOs, schools, and transport associations to scale adoption.</p></list-item>
</list>
<p><bold>Question for readers:</bold></p>
<p>What other countries have Stop the Bleed initiatives and how are they tailored to the local context?</p>
<p>To keep up to date with Kenya&#8217;s Stop the Bleed campaign see <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://stopthebleed.co.ke">https://stopthebleed.co.ke</ext-link>.</p>
</sec>
</body>
<back>
<sec>
<title>Competing Interests</title>
<p>The author has no competing interests to declare.</p>
</sec>
<ref-list>
<ref id="B1"><mixed-citation publication-type="webpage"><collab>American College of Surgeons, STOP THE BLEED<sup>&#174;</sup></collab>, <uri>https://stopthebleed.org</uri></mixed-citation></ref>
<ref id="B2"><mixed-citation publication-type="webpage"><collab>Kenya National Bureau of Statistics</collab>. (<year>2025</year>). <article-title>Economic Survey 2025</article-title>. <uri>https://www.knbs.or.ke/wp-content/uploads/2025/05/2025-Economic-Survey.pdf</uri></mixed-citation></ref>
</ref-list>
</back>
</article>