Assistance for the abandoned children of Bamako

Deprived of family support and access to medical services, schooling and vocational training, street children and youth are socially excluded. They are victims of physical and sexual violence and are highly exposed to dermatological infections, malaria, schistosomiasis, STIs HIV/AIDS and drug-addiction (solvent inhalation). They have fallen into a psychological process of desocialisation, which is linked to stigma and the internal perverse logic maintained by groups of street children. This leads these children to confine themselves to their personal territories and makes it so they are incapable of expressing their suffering and asking for assistance.


Meeting with street children during the day and at night: offering medical help, providing a forum for them to express themselves, and helping them off the streets
The mobile assistance teams (composed of a driver, a social worker and a doctor or a nurse) of samusocialMali drive around the neighbourhoods of Bamako every night. Two rounds, specifically directed toward girls, are carried out by a team of women.
The teams work locally to provide medical, psychosocial and educational assistance. Through medical care and group and individual talks, professional and multidisciplinary teams warn children about the dangers of a hostile environment. They help them to better understand past events, to overcome present difficulties and to make plans for the future. Depending on the situation of each child, referrals to medical structures or shelters, partners of samusocialMali, are carried out during night rounds.
During the day, the teams provide weekly medical services in the partner centres. They also conduct street rounds and provide follow-up for children who have been directed to a referral medical or social unit.



In Bamako, many children live in the streets without any medical or social care.

Medical care being given in a samusocial flying clinic.

Better understanding the issue of street children

samusocialMali has set up a database that enables it to accumulate information collected with children and to conduct statistical studies in order to better identify the socio-demographic aspects of the problem.
In 2002, the association thus initiated and supported the National Office for the Promotion of Children and Families’ project that involved counting the number of wandering children in the district of Bamako.
It is currently working on a qualitative research project about the situation of street children in Bamako, based on an analysis of individual children’s files that are put together by the teams.

Transmitting a real know-how and building the capacities of participants

samusocialMali was entrusted by the Malian authorities with the official mission to train the public, private and associative parties who work with street children in Bamako. The training was composed of five specific units over the period 2002-2004. It aimed to improve educational and therapeutic assistance by transmitting guidelines and tools for a clinical and psychopathological approach to children and teenagers in danger on the street.
In addition, the association has intervened since 2003 within the framework of the Inter-University Diploma "The approach of mobile children in danger on the streets of large urban centres," set up by samusocialInternational in Paris with the Medical Universities of Saint Antoine and Créteil.
The samusocialMali team has also welcomed professionals of other Samusocial organisations targeting street children in order to share their specific expertise during inter-association talks, organised by samusocialInternational.
samusocialMali has participated in Unesco’s international project on "Street Children and HIV/AIDS" since 2003. The first comments are available at www.paueducation.com/sida.