Accessibility And Utilization Of School Health Services In Almajiri Educational System In Hadejia Emirate Zone, Jigawa State.

The Almajiri educational system, deeply embedded in the socio-religious fabric of northern Nigeria, offers Quranic instruction to millions of children, yet is persistently marred by inadequate access to basic health services. This deficit contributes to widespread malnutrition, poor hygiene, and preventable illnesses, all of which significantly impair the learning capacity and overall well-being of Almajiri pupils. This study investigates the accessibility and utilization of school health services (SHS) within Almajiri schools in the Hadejia Emirate Zone of Jigawa State. Employing a descriptive cross-sectional design, data were gathered from Almajiri pupils, Mallams (Islamic teachers), and healthcare providers using structured questionnaires and semi-structured interviews. Quantitative data were analyzed using descriptive and inferential statistics. The findings indicate a stark lack of essential health services only 20% of schools reported any form of healthcare provision, with first aid being the most common. Critical services such as immunizations, routine medical check-ups, dental care, and health education were largely absent. The major barriers to SHS access included financial constraints, cultural beliefs, lack of health awareness, and inadequate government engagement. Utilization of existing health services was low, with most pupils seeking care only in severe cases. The study concludes that the current state of SHS in Almajiri schools is grossly inadequate, posing serious public health and educational challenges. It recommends the integration of comprehensive, culturally responsive school health programs into the Almajiri education system, along with stronger policy commitment and multi-sectoral collaboration to ensure equitable health access for this vulnerable population.