Report

Changing Healthcare Access for Almajiri Children

Every child deserves healthcare regardless of where he sleeps
August 25, 2026

The Almajiri system is one of the largest informal educational institutions in West Africa, accommodating boys aged 5–19 who leave their households to attend Quranic schools known as Tsangaya, shaped by poverty, migration, and chronic underfunding.

Living apart from their families under non-family caregivers and moving frequently between schools and home states, these boys carry a distinct child protection risk profile: undocumented identity, unverifiable age, and no reliable means of tracing a child who moves. They depend on Mallams and community goodwill for food, shelter, and healthcare, with weak linkage to formal primary healthcare (PHC) and near-total exclusion from health financing such as KSCHMA.

AlmajiriCare was designed to bridge that gap, sponsoring vulnerable boys into the Kano State contributory healthcare arrangement, and strengthening referral coordination between
schools, caregivers, and facilities.

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