Postpartum hemorrhage (PPH) occurs in approximately 5% of all births and despite concerted efforts, remains the leading cause of maternal mortality and morbidity worldwide. Many of these deaths are preventable with quality evidence-based care. In Tanzania, 29% of all maternal deaths are due to PPH, contributing to the high national maternal mortality ratio (556 deaths/100,000 live births). Unfortunately, this situation has remained largely unchanged for the past 10 years.