First Embrace

Kangaroo Care saves lives. The problem is delivery.

We exist to close that gap.

A Kangaroo Care ward in a Nigerian hospital

The delivery gap

Three barriers keep Kangaroo Care from every newborn who needs it

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

01Resources
27%

of surveyed hospitals offer Kangaroo Care (Save the Children, 2016).

Wraps and enough trained nurses aren’t there.

Most hospitals don’t have the wraps, the equipment, or staff trained in the protocol to deliver Kangaroo Care on the wards they already run.

02Data
0

routine indicators of Kangaroo Care coverage in operation nationwide.

Nobody is measuring what’s happening.

Without coverage data, funding and implementation remain limited and preventable mortality continues.

03Scaling
5%

of eligible newborns receive Kangaroo Care nationwide.

Source

The policy has no operational playbook.

Hospitals know Kangaroo Care works. They lack the dedicated staff, blueprint, and feedback loops to deliver it consistently.

How we close the gap

Our model turns Kangaroo Care from an underused policy recommendation into a reliable clinical service. We try to give every vulnerable newborn Kangaroo Care within 24 hours of birth, followed by continuous skin-to-skin care, breastfeeding support, and close monitoring of danger signs.

Chapter 01

We equip existing wards with only what they really need to deliver Kangaroo Care.

We build capacity for Kangaroo Care, based on WHO recommendations and designed for the realities of a Nigerian hospital.

A hospital ward equipped by First Embrace for Kangaroo Care

Chapter 02

We deploy Kangaroo Care-certified nursing teams.

Each hospital receives full-time Kangaroo Care nurses and an on-site monitoring & evaluation coordinator to deliver onboarding, adherence support, and continuous coaching.

First Embrace nurses on the Kangaroo Care ward

Chapter 03

We run real-time monitoring & improvement cycles.

Using a digital M&E system developed by Ansh and adapted to Nigeria, we track every Kangaroo Care session, newborn status, and nurse interaction. Weekly dashboards let us iterate quickly, alongside the nurses on-site.

The digital monitoring system capturing a Kangaroo Care session

Chapter 04

We embed Kangaroo Care locally for long-term scale.

We collect effectiveness evidence and use it to unlock wider government adoption, adapting all materials and delivery to the local context.

Meeting with the Honourable Commissioner of Health, Kano State
Honourable Commissioner of Health, Kano State

Our path to scale

We scale by proving the model, then working with government so they deliver it

Nigeria’s Every Newborn Action Plan targets 95% Kangaroo Care coverage by 2030. To our knowledge, we are the only partner practically scaling it in large public hospitals in Kano.

  1. 01

    Baseline audit

    Establish a clear starting point to measure and improve against.

  2. 02

    Equip & train

    Provide the ward, equipment, and skills to deliver Kangaroo Care.

  3. 03

    Measure & iterate

    Track every session and refine the approach continuously.

  4. 04

    Government delivery

    Work with the hospital and state so they deliver the program themselves for the long term.

Theory of change

How the inputs become impact

Inputs & Activities

Human resources for Kangaroo Care: trained nurses and a program team

Required Kangaroo Care equipment

Partnerships for buy-in from hospital management and government

Outputs

More babies referred to wards with capacity for Kangaroo Care

More caregivers deliver Kangaroo Care

Outcomes

More babies 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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