Jiggers Eradication Program

            The jigger is a sand flea which has become endemic in some regions of Kenya. The jigger embeds itself in the skin, especially under toenails and fingernails, but can infect any area of the body. It causes lesions which are extremely itchy and can become inflamed and infected. These infections often lead to the following  secondary infections: gangrene, sepsis, loss of toenails, auto-amputation of toes or fingers. Tetanus, which is fatal, is also a common secondary infection.

To complicate the situation there is a very strong social stigma so people are hesitant to seek treatment. We have had parents send their children for treatment while they remained home out of shame. The leading cause of jiggers is lack of hygiene.

Some of the effects of jiggers are:

  1. Difficulty walking.
  2. Inability to work or carry out daily chores.
  3. Stigmatization by the community
  4. Infections such as HIV/AIDS passed from person to person.

During our May 2012 mission we piloted a jiggers eradication program. We were shocked by the devastation caused by this parasite. The 1,081 jiggers patients we treated while in Kenya represent only a small proportion of those still in need of treatment today. We have a trusted community worker in Kenya, Johnstone, who is partnering with us to further the growth of this program. He has treated another 200 persons since we returned to Canada and we are organizing to treat another 500. Treatment includes home visits to rid the home of jiggers and to educate patients on how to prevent reinfection.

February 2013: since the inception of the Jiggers Eradication Program in 2012, 5,727 men, women and children have been cured of jiggers. As well, their homes have been treated and education conducted regarding prevention. Thirty six schools have been inspected, treated and teachers educated on prevention. Thanks to our wonderful community worker, this program continues to work toward the goal of eliminating jiggers in this area of Kenya.


Parasitic worms are also endemic in the region of Kenya that we service. Worm infestations can cause many health issues, such as malnutrition and anemia, especially in children and affect school attendance.

When in Kenya, CNFA nurses provide a deworming program within the local schools. During our 2012 mission we treated a total of 5,361 children. In our absence, our Kenyan nurse partners will revisit all schools that received treatment for follow up care in six month intervals.


On September 7, 2012 CNFA had 5 wheelchairs and one pair of crutches delivered to 5 adults and one child.

While working in Kenya we at times see people at our clinics, or during a home visit, who have suffered a stroke or mishap that has left them with a loss of mobility. This can be complete or partial paralysis. We also occasionally see those with neurological disorders such as cerebral palsy. Upon returning to Canada we work with the Association of Physically Disabled of Kenya to provide appropriate assistive devices for these patients. With the assistance of a community worker, this organization will visit the patient in their home to assess the needs. The wheelchairs and crutches are all manufactured in Kenya using Kenyan labour. They are heavy duty and designed to withstand the rough terrain on which they will be used.

Sexual Health

Sexual Health Education is an essential component of our mission work. With each clinic, groups of women gather with a sexual health nurse to discuss STI prevention and healthy relationships. Sexual health education is also provided in the schools for middle school boys and girls. With each discussion, reusable sanitary pads, which are made in Canada, are distributed to the girls. Also, male and female condoms are offered to men and women in groups at each clinic.

3 Responses to Projects

  1. Bill & Judy Robertson says:

    Gail: You presentation today ( May 24,2014) @ St Luke’s Church Burlington was very powerful. I think there will be some fundraising from our group.

    Bill & Judy Robertson

  2. Dr, Ongwae Peter says:

    jiggers eradication is noble as it restores dignity and confidence to affected. Pharmaceutical Society of Kenya has identified a needy area, on 19th September 2015 we are holding a jigger campaign at Nangeni Primary School Western kenya. We are looking forward to doing a good job.

  3. J Taylor says:

    I’ve watched a lot of jigger removal videos and can say without a doubt that The Rise up society has by far the most pain free removal techniques I’ve seen so far. Why hasn’t our Canadian nurses offered to help Jim Nduruchi in his fight against the jiggers.He also needs help in his efforts to build a home for the aged so the families can’t just put them out to die. (which still happens). Or are left alone for the jiggers to eat them alive. He has more projects planned also for helping jigger victims and their families. Please let me know if aiding him in his fight is a possibility.

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