Background: Orphans in sub-Saharan Africa, particularly Nigeria, face increasing challenges due to the HIV/AIDS epidemic, terrorism, and natural disasters, leading to a growing orphan population. In addition to the material hardships experienced by orphans, stigmatization remains a profound issue, exacerbating their medical, social, and psychological well-being. Stigma affects children’s self-esteem, mental health, social relationships, and access to opportunities, making it a critical area of concern for orphaned children in institutional care. This study investigates the impact of stigma on the well-being of children in orphanages in Kaduna, Nigeria, focusing on medical, social, and psychosocial aspects of their lives. Methodology: This cross-sectional descriptive study was conducted among 100 children living in orphanages across Kaduna. Data were collected through interviewer-administered questionnaires designed to capture socio-demographic data, medical conditions, behavioural patterns, stigma levels, and psychosocial status. The study also explored how these children cope with the stigma associated with being orphans. Results: The findings revealed a significant presence of stigma among the orphan population, with 9% of children reporting being stigmatized by peers. Although 83.3% of respondents indicated positive peer relationships, bullying affected 11.4% of the children. Medical issues were prevalent, with 53.7% of the children underweight and 46.7% not fully immunized. Behavioural disorders such as hyperactivity (27%) and enuresis (22.3%) were also common. Despite these challenges, 89.2% reported good self-esteem, although many employed maladaptive coping mechanisms, with 46.8% adjusting their goals to cope with their circumstances. Conclusion: The study highlights the pervasive impact of stigma on the well-being of orphans in Kaduna, contributing to psychological distress and health challenges. Addressing the stigma and its effects requires comprehensive intervention strategies that integrate medical, psychosocial, and educational support.
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