What We Do
Implementation literature identifies three key barriers preventing widespread effective KMC coverage.
1
1
Resource Gaps
Limited equipment and inadequate staff training hinder effective KMC delivery.
2
2
Data Gaps
Inconsistent monitoring and evaluation means there is limited data about KMC coverage and how to improve this.
3
3
Scaling Barriers
Limited national planning and weak supply chains systematically prevent quality KMC coverage at scale.
Resource Gaps
We equip repurposed hospital space with required KMC equipment. We train local nurses to supervise KMC. Together with our program team this gives hospitals the capacity to change practice.
Data Gaps
Our M&E coordinators collect real-time data to drive rapid program optimisation. We analyse this to generate local contextual evidence that justifies hospital buy-in and government adoption.
Scale Gaps
We refine implementation guidance based aligned with local policies and guidelines to facilitate government adoption and show how KMC can be sustainably scaled.
We overcome these 3 barriers to bridge the gap between practice and policy. Our aim is to sustainably embed capacity for effective KMC into the healthcare system to make it the standard pathway care pathway for newborns.
Cost-Effectiveness
First Embrace aims to save lives at a cost comparable to GiveWell's most effective global health charities.

This stems from our lean approach and KMC's low-tech simplicity. Our work funds only evidence based care protocols, required equipment and staff and M&E. Digital M&E systems minimise administrative overhead whilst maximising data value.

Government health budgets require robust, context-specific proof before system-wide adoption. Our Year 1 pilot produces precisely this evidence, de-risking the transition from donor-funded pilot to national care standard.
Core Elements
Hospital Partnership
Partner with a hospital. Build relationships with hospital management and clinicians. Advocate for hospital improvements.
Repurpose Space
Make space in hospitals suitable for KMC. Supply necessary equipment in line with WHO guidance.
Train KMC Nurses
Recruit and train skilled nurses to provide KMC training to caregivers.
Onboard Staff
Hire and onboard a dedicated Program Manager and a rigorous M&E Coordinator.
Register Babies
Register and initiate KMC as soon as possible following delivery of eligible babies.
Monitor & Train
Monitor baby's vital signs every 4 hours, train caregivers on over danger signs in babies and breastfeeding support.
Referrals
Refer babies that exhibit danger signs to intensive care unit. Work with hospitals to delay discharge of babies who are unwell or too underweight.
Follow Up with Mothers
Conduct follow-up calls until the baby reaches the end of the neonatal period. Run maternal peer groups for daily support at home.
Monitoring & Evaluation
M&E coordinators continuously monitor and evaluate quality of care and the knowledge and experience of mothers and nurses, and generate data for impact evaluation. We analyse this data to improve the effectiveness of our work and make data-driven decisions.
Extended Support
Our work also includes:
Breastfeeding Counselling
Breastfeeding support for struggling mothers.
KC Champions
Drive KMC coverage by supporting champions who promote KMC.
Group Counseling Sessions
Provide education to other clinical staff to improve adoption of basic neonatal practices.
Community Health Worker Visits
Inform mothers about how to request home visits from a health worker after discharge.
Government Relationships
Building strong relationships with government to overcome systems bottlenecks to scaling KMC.
Data Led Approach
From bedside to dashboards, our nurses' work generates 500 data points per caregiver-baby pair throughout their KMC journey on a digital app. This granular data flows into real-time dashboards that visualise outcome data and other key metrics.
Care Fidelity Tracking
Monitor quality of KMC including continuous skin-to-skin contact, feeding frequency, and maternal support provision.
Optimisation
Leverage real-time data to refine workflows. Daily analysis enables proactive risk detection, with insights applied weekly to ensure effective ward operation.
Outcome Measurement
Track survival rates, weight gain, infection rates, and discharge readiness against comparison facilities.
Staff Performance
Assess nursing competency, identify training needs, and celebrate excellence through objective metrics. Facilitate performance management assessments.
Evidence Generation
Comparative analysis with non-KMC hospitals allows precise measurement of counterfactual impact and cost-effectiveness. Raw data shared with stakeholders.
Government Partnership
Generate robust, evidence-backed KMC implementation blueprint to support government partnerships and secure commitments to system wide adoption for national scale.