The purpose of this study undertaken in 2013 was to determine the prevalence of trachoma and water and sanitation coverage in four local government areas (LGAs) of Jigawa State, Nigeria. A population-based cross-sectional survey was conducted in each LGA using Global Trachoma Mapping Project (GTMP) protocols. The result concluded that trachoma is a public health problem in all four LGAs surveyed and the full SAFE strategy needs to be implemented to achieve trachoma elimination.