“We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya

Non-governmental organizations (national and international) are important actors in addressing health issues in Kenya. Sandflea/jigger infections (tungiasis) are a public health challenge that severely affect children, older adults, and other vulnerable people in poor communities worldwide. In Kenya...

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Main Authors: Åse Walle Mørkve, Jackline Sitienei, Graziella Van den Bergh
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Societies
Subjects:
Online Access:https://www.mdpi.com/2075-4698/14/2/28
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author Åse Walle Mørkve
Jackline Sitienei
Graziella Van den Bergh
author_facet Åse Walle Mørkve
Jackline Sitienei
Graziella Van den Bergh
author_sort Åse Walle Mørkve
collection DOAJ
description Non-governmental organizations (national and international) are important actors in addressing health issues in Kenya. Sandflea/jigger infections (tungiasis) are a public health challenge that severely affect children, older adults, and other vulnerable people in poor communities worldwide. In Kenya, NGOs have been involved in sandflea eradication for more than twenty years. Without treatment, the flea may cause debilitating infections and sores, resulting in difficulties with walking and grasping, as well as social harassment. This paper aims to shed light on health workers’ and volunteers’ perceptions of the government and civil society’s role in fighting jigger infections. Data were collected through a qualitative case study design, with a three-month fieldwork including participation in mobile jigger removal programs, 18 semi-structured in-depth interviews, informal talks, and observations, in five villages in Bungoma County. The thematic analysis of the data resulted in three recurring themes: (1) the NGO-driven jigger program as a (fragile) resource for local communities, (2) the need for more consistent collaboration between NGOs and public health services, and (3) the local perceptions of the governments’ responsibilities in combatting the plague. The findings imply that the 10-year-old national policy guidelines on the prevention and control of jigger infestations need to be updated; this includes the coordination of the public and private actors’ roles, the incorporation of lessons learned, and the need for a multisectoral One Health approach to combat the jigger menace in the country.
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spelling doaj.art-3002f8aa28ce4c5fb28ebee51ed940a72024-02-23T15:34:30ZengMDPI AGSocieties2075-46982024-02-011422810.3390/soc14020028“We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, KenyaÅse Walle Mørkve0Jackline Sitienei1Graziella Van den Bergh2Department of Intercultural Studies, NLA University College, 5812 Bergen, NorwayDepartment of Health Policy Management and Human Nutrition, Moi University, Eldoret 30100, KenyaDepartment of Health and Functioning, Section for Global Health and Rehabilitation, Western Norway University of Applied Sciences, 5020 Bergen, NorwayNon-governmental organizations (national and international) are important actors in addressing health issues in Kenya. Sandflea/jigger infections (tungiasis) are a public health challenge that severely affect children, older adults, and other vulnerable people in poor communities worldwide. In Kenya, NGOs have been involved in sandflea eradication for more than twenty years. Without treatment, the flea may cause debilitating infections and sores, resulting in difficulties with walking and grasping, as well as social harassment. This paper aims to shed light on health workers’ and volunteers’ perceptions of the government and civil society’s role in fighting jigger infections. Data were collected through a qualitative case study design, with a three-month fieldwork including participation in mobile jigger removal programs, 18 semi-structured in-depth interviews, informal talks, and observations, in five villages in Bungoma County. The thematic analysis of the data resulted in three recurring themes: (1) the NGO-driven jigger program as a (fragile) resource for local communities, (2) the need for more consistent collaboration between NGOs and public health services, and (3) the local perceptions of the governments’ responsibilities in combatting the plague. The findings imply that the 10-year-old national policy guidelines on the prevention and control of jigger infestations need to be updated; this includes the coordination of the public and private actors’ roles, the incorporation of lessons learned, and the need for a multisectoral One Health approach to combat the jigger menace in the country.https://www.mdpi.com/2075-4698/14/2/28sandfleasjiggertungiasisnon-governmental organizationsKenyapublic health
spellingShingle Åse Walle Mørkve
Jackline Sitienei
Graziella Van den Bergh
“We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
Societies
sandfleas
jigger
tungiasis
non-governmental organizations
Kenya
public health
title “We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
title_full “We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
title_fullStr “We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
title_full_unstemmed “We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
title_short “We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya
title_sort we are just supposed to be an ngo helping a qualitative case study of health workers and volunteers perceptions of the government and civil society s role in fighting jiggers in bungoma county kenya
topic sandfleas
jigger
tungiasis
non-governmental organizations
Kenya
public health
url https://www.mdpi.com/2075-4698/14/2/28
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