First Embrace

Making lifesaving newborn careuniversal in Africa.

1.18 million newborns die here every year.

Kangaroo Care is recommended by the WHO for every vulnerable newborn.Across Africa only 5% receive it.

First Embrace helps governments close this gap.

18%

of vulnerable newborns do not survivethe neonatal period in Nigeria.

Our own estimate, replicating GiveWell’s methodology.

A national estimate, covering newborns born in hospitals and in the community, where mortality is likely higher.

The reasons why can be solved affordably.

First Embrace works with government hospitals and institutions to make Kangaroo Care the main method of care.

The problem

What is Kangaroo Care?

  1. 1Skin to skin care
  2. 2Exclusive breastfeeding
  3. 3Danger-sign education

The evidence

Kangaroo Care reduces newborn deaths by 33%, for $3,500 or less per life saved.

Cochrane. Meta-analysis of 21 randomised trials in low birthweight and preterm newborns, most of them in low-resource settings.

GiveWell. Cost-effectiveness estimate for Kangaroo Care: $1,342 to $3,356 per life saved.

The evidence exists. Delivery at scale does not.

Results · since February 2026

Starting in Nigeria.Building for scale.

We are refining the model in collaboration with the government, so it can be delivered throughout the public health system.

773
Newborns cared for
Since February 2026
96%
Received Kangaroo Care
741 of 773 newborns
91%
Survived the neonatal period
483 of 532 who have reached the end of the neonatal period
2
Public hospitals
Kano State, with a third in preparation

How do we close the gap?

GiveWell’s analysis of implementation literature identifies common barriers limiting Kangaroo Care’s reach.Our model is designed to address each one.To our knowledge we are the only organisation supporting the government to practically scale Kangaroo Care in Kano.

A nursing team on the Kangaroo Care ward in Kano
01
Deliver

We equip existing wards to WHO standards and train dedicated nursing teams to run them in public hospitals.

A nurse logging a Kangaroo Care session in the monitoring system
02
Measure

Nurses log every Kangaroo Care session in a real-time monitoring system, and the ward is run off what it shows.

First Embrace meeting the Kano State Ministry of Health
03
Embed

We work with government to make this the standard of care the health system delivers.

The path to scale

Nigerian national policy (2017) aims for 95% Kangaroo Care coverage by 2030.

Shifting from incubator to Kangaroo Caremay cost a health system very little.

An incubator

Mains power, servicing by a technician, transport, repairs. It warms one newborn at a time, and it keeps that newborn away from their mother.

Kangaroo Care

A wrap. It works through a power cut, the warmth comes from the mother, and one mother can hold twins or triplets at once.

We think that switch can be made for minimal marginal cost, and the emerging economic evidence supports it.

Our work is to help them make this change at scale.

When newborns die, and how many stay with us

A mother on the Kangaroo Care ward in Kano holding her twins skin-to-skin

Around 60% of newborn deaths happen in the first three days of life.

Systematic review of 34 studies.

77% of our newborns stay with us through them.

575 of 745 newborns whose stay has ended reached day 3 or beyond.

Supported by

Stichting Nieuwe WaardeBedrock PhilanthropyFactory For GoodAmbitious Impact
Five mothers holding their newborns in Kangaroo Care chairs on a ward in Kano

Why us

Built for this challenge. Led by those closest to it.

We unite global clinical experience with local systems expertise.

Prof. Zubaida Farouk
Prof. Zubaida Farouk
Head of Training
Dr Musa Sufi
Dr Musa Sufi
Government Lead
Dr Wesley Quadros
Dr Wesley Quadros
Co-founder
Ikra Gulzar
Ikra Gulzar
Co-founder

Partners

Advised by experts from

Save the ChildrenNew IncentivesAnshEvidence ActionGiveWell

Support

$120 gives a newborn Kangaroo Care from birth to home.

We estimate our programs can save a newborn life for around $3,000. Predictable funding lowers equipment costs through bulk procurement, so every dollar goes further. Donations in particular countries are tax deductible: contact us for information.

A mother carrying her newborn skin-to-skin in a Kangaroo Care wrap
$25
Kangaroo Care for a vulnerable newborn on the day when they are most likely to not survive.
$120
Kangaroo Care from birth to home for one newborn.
$1,000
Kangaroo Care for a whole ward of vulnerable newborns for a week.
$3,000
A newborn life saved.
Donate

Donating is as quick as reading this. One-off or monthly.

Look after a hospital

$60,000 funds our program costs at a public hospital for a whole year, reaching up to 1,000 vulnerable newborns with lifesaving care.

Contact us at info@firstembrace.org.uk to sponsor a hospital. Sponsors receive regular updates and a detailed annual report.

Help us save more newborn lives

We communicate our work in detail through our newsletter, transparently. Feedback is welcome by reply.