Study title: Impact of free maternity health services on quality of care to women presenting with late obstetric haemorrhage at Kenyatta National Hospital. Background: Obstetric hemorrhage is the leading cause of pregnancy – related mortality worldwide and is considered to be the most preventable cause of maternal mortality. Skilled care averts majority of maternal/fetal morbidities and mortalities that may occur due to unskilled care. Free maternity services in Kenya was a step to increasing SBA utilization. With the free maternal care policy in play, it is cited that the burden on facility resources and health professionals increases without adequate increases in compensation and/or staffing which threatens quality of medical services and outcomes. Increased staff load and problems in handling patient load clearly indicate that emergency obstetric care will be suboptimal. For patients with obstetric haemorrhage, delayed care or poor monitoring arising from the overburdened resources is catastrophic. Improved quality of medical care is the most important factor for the prevention of mortality due to obstetric hemorrhage and therefore there is need to improve the capacity of the facilities to provide quality services to mothers especially in the Sub-Saharan Africa where majority of maternal mortality occurs. Objective: To compare the quality of care offered to women presenting with late obstetric hemorrhage at Kenyatta National Hospital one year after and one year before the free maternity care policy in Kenya.