First Embrace
A Kangaroo Care ward in a Nigerian hospital

What we do

Kangaroo Care is proven to save lives.The problem is delivery.

We exist to close that gap.

Three barriers keep Kangaroo Care from newborns who need it

Kangaroo Care has been Nigerian national policy since 2017. Implementation literature reviewed by GiveWell reveals three recurring barriers limiting Kangaroo Care’s reach.

Resources

of Nigerian hospitals surveyed by Save the Children (2016) offered Kangaroo Care.

Affordable resources aren’t there.

Most hospitals don’t have the resources to reliably deliver Kangaroo Care.

Data

indicators of Kangaroo Care coverage among vulnerable newborns.

Nobody is measuring what’s happening.

Without coverage data, funding and implementation remain limited.

Systems

Estimated Kangaroo Care coverage in Africa.

The policy has no practical plan.

Hospitals don’t receive state financing and supervision for Kangaroo Care.

We deliver lifesaving care, then work to enable the system to.

A hospital ward equipped by First Embrace for Kangaroo Care

We equip wards with only what they are missing to deliver Kangaroo Care reliably.

Capacity built to WHO standards, designed for a Nigerian hospital.

First Embrace nurses on the Kangaroo Care ward

We deploy trained nursing teams.

Full-time Kangaroo Care nurses and an on-site M&E coordinator, coaching continuously.

The digital monitoring system capturing a Kangaroo Care session

We run real-time monitoring & improvement cycles.

A digital M&E system designed initially by Ansh logs every Kangaroo Care session. Weekly dashboards let us refine delivery with the program team.

Meeting with the Honourable Commissioner of Health, Kano State

We embed Kangaroo Care so it is delivered sustainably.

We leverage evidence and existing policy to support the government in eliminating barriers to delivering this at scale.

How we measure

Every figure on this site, and how it is made

We publish what the ward records, not what we would like it to say.

Where the numbers come from

Nurses log every Kangaroo Care session as it happens, and this site queries that database directly.

How we compare

Against a baseline taken at the same hospital before we started, and against national estimates from UNICEF and NDHS data — a national average alone would flatter us.

What we do not claim

A baseline comparison is not a trial. We report what happened in our wards, not proof that Kangaroo Care caused it.

Theory of change

How we turn inputs into impact

Inputs & Activities

Human resources: trained nurses and a program team

Physical resources: Kangaroo Care wraps and chairs

Partnerships for buy-in from hospital management and government

Outputs

More newborns referred to wards with capacity for Kangaroo Care

More caregivers deliver Kangaroo Care

Outcomes

More newborns receive Kangaroo Care

Kangaroo Care institutionalised as standard of care within the health system

Increased newborn weight gain

Reduced neonatal sepsis and hypothermia

Reduced hospital readmissions

Impact

Improved survival and health of vulnerable newborns

Arrows indicate evidence certaintyhighmediumlow

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