Caribbean Diabetic Footcare Project
description
Transcript of Caribbean Diabetic Footcare Project
Caribbean Diabetic Footcare Project
Presentation to Presentation to Caribbean Rotary ClubsCaribbean Rotary Clubs
By theBy the Rotary Club of Ledbury D1100Rotary Club of Ledbury D1100
September 2010September 2010
By theBy the Rotary Club of Ledbury D1100Rotary Club of Ledbury D1100
September 2010September 2010
Caribbean Diabetic Footcare Project
A humanitarian programme by the
Rotary Club of Ledburyand the
International Diabetes Federation
A District 1100 preferred projectA District 1100
preferred project
Annually, 3.8 million people worldwide die from diabetes – more than HIV/AIDS
and malaria combined
By 2025 390 million people will have diabetes
Caribbean Islands:
20% have
diabetes
amputation levels among the world’s highest
Diabetes...
Affects nerve endings
resulting in loss of feeling
and circulation problems
Person cannot feel minor skin
problems, e.g. splinters
The minor skin problem
becomes ulcerated
Regular screened diabetes...
Skin problems treated to
allow ulcers to heal
Foot saved
Diabetes untreated...
Untreated, the ulcerated skin
develops gangrene
Amputation is the only solution
Lose one leg:61% die in 5 years30% lose second leg
Lose two legs:18 months to live
Diabetes is a killerand amputation leads
to death
50%-80% of these
legs can be saved
How to save a limb
The community cost
38,000 – 65,000
for the loss of a single limb
225 – 675
to save a limb
Figures are in US DollarsFigures are in US Dollars
Initiators
Dr Lloydan JosephTobago RC
John GreedyLedbury RC
How it works
Ledbury
Club
Facilitators,
co-ordinators, marketing,
raises funds
Tobago
club
Provides local leadership, community &
medical links, clinical support
Canadian Footcare
Specialists
Train local staff, treat patients, record results
What does the project do?
• Raises awareness of diabetes • Wins community confidence• Trains local staff in modern
techniques• Trains local tutors to expand the
service
Outcome: 2000-2006
Tobago pilot scheme, 2 weeks community training programme annually for 4 years
Established 3 footcare clinics
3,750 patients treated
35 staff trained
and…
Outcome: 2000-2006
54% fewer amputations
2009 now 70% and funded by TT Government
Footcare project is proven to be
• Simple
• Effective
• Low cost
• Sustainable
• Rewarding
Saving
limbs,
lives and families
In partnership with
Partnership
February 2008
Ledbury Rotary Club and the
International Diabetes Federation (IDF) set up an
international agreement and partnership
IDF provided 80,000 US$ as start-up fund
Expansion into other Caribbean islands and
South American countries
Partnership
Set up joint Rotary/WHO
and Rotary/UN
projects
Australian Rotarian
Martin Silink
IP President of IDF
Secretary of Rotary Action Group on
Diabetes
Partnership
“The United Nations passed Resolution 61/225 which called on all UN Member
States to develop national policies for the prevention, treatment and care of
diabetes”
UN World Diabetes Day14 November
Blue lit building throughout WorldStrasbourg ParliamentSydney Opera House
Ledbury Market House
United Nations
By
end
2008
Survey assessed, islands identified and allocated to Rotary clubs
Matching Grants approved for Montserrat & Nevis (Ledbury), andBritish Virgin Islands, St Maarten (Gloucester Severn)
Partnership
20092009Matching Grant
applications put on hold by RI Foundation
Emergency funding from IDF, WDF and the
Rotary host clubs means that Barbados and St
Lucia started on time as planned
Partnership
Island projects started
2008-9Barbados
BVI
Montserrat
Nevis
St Lucia
St Maarten
Island projects planned
2010 - 11St Kitts (Lichfield St Chad)
Antigua (Central Chester County, USA)
Dominica (Hereford Group of Rotary Clubs??)
Grenada
Guyana
Partnership
To date:- Our International Partnerships raised $211,000 to support projects in 6 Caribbean countries.
Rotary has provided $83,000 – ie 40% of funding. (IDF $73,000 and WDF $55,000).
District 7030 to set up a District Diabetes committee
10 years work resulted in, at least, 277 staff trained and 70% reduction in limbs lost.
Partnership
Support from 23 Clubs
UK – Canada - Caribbean
Plus personal donations and
donations from other organisations
including Inner Wheel
Partnership
E-mail received 27 November 2009
“The footcare project deals with a very important health issue.”
“Your club is in our hearts!”
Comments from MontserratComments from Montserrat
Partnership
Since the initial session in July 2009:
The qualified 27 trainees have now
trained another 84 colleagues.
“The Flow of Knowledge”
Interim Report from St Lucia (Jan 2010)Interim Report from St Lucia (Jan 2010)
Partnership
Rotary Foundation’s
Future Vision puts the emphasis on strategic projects
with NGO partners
RI Strategic Plan
Includes the view to
“Carry out a service project recommended by the RI resource group for health and hunger”
2010 and beyond
Our project fits Future Vision criteria and
the RI Strategic Plan for Health & Hunger
Disease Prevention & treatment Education Economic & Community Development
2010 and beyond
LOOKING AHEAD
Our International Partnerships
Ledbury Rotary Club International Diabetes Federation District 7030 Diabetes Committee
exploring how to work within the proposed
Rotary Future Vision Programme
2010 and beyond
How you can help
Support the programme to ensure that this effective and essential life-saving programme is sustained and
continues to expand
RotaryHumanity in
motion
INTERNATIONAL
Rotary District 1100
Thank you for your interest.
For further information and updates
please visit our website
www.ledbury.rotaryweb.org
RotaryHumanity in
motion
INTERNATIONAL
Rotary District 1100