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Ultra Wideband (UWB) has many favorable factors for use in a wireless body area network application. The major drawback is the high power consumption of an UWB receiver. One solution to address this problem is to use a transmit-only UWB sensor node. In this paper, we propose a multi-access scheme that is suitable for asynchronous transmit-only UWB wireless body area networks (UWB-WBAN). Each sensor attached on the patient under monitoring is assigned a unique number of UWB pulses per data bit. The number of UWB pulses assigned to the sensors is optimized to improve the bit error rate and system reliability. Simulation shows that through careful selection of the number of pulses for the sensors, it is possible to maintain almost similar bit error probability, regardless of the distance from the receiver.