Caribbean Diabetic Footcare Project UK Presentation By the Rotary Club of Ledbury D 1100
Caribbean Diabetic Footcare Project A humanitarian programme by the Rotary Club of Ledbury and the International Diabetes Federation A District 1100 preferred project
Currently over 300 million people worldwide have diabetes By 2030 close to 500 million people will have diabetes 7. 8% of the adult population
Every 30 seconds a diabetic-related leg amputation occurs somewhere in the world Up to 80% of these amputations can be prevented
Annually, 3. 8 million people worldwide die from diabetes – more than HIV/AIDS and malaria combined Diabetes is one of the greatest public health threats of 21 st century
Caribbean Islands: 20% have diabetes amputation levels among the highest in the world
Diabetes. . . Affects nerve endings Person cannot feel The minor resulting in skin problem minor skin loss of feeling becomes problems, e. g. and ulcerated splinters circulation problems
Regular screened diabetes. . . Skin problems treated to allow ulcers to heal Foot saved
Diabetes untreated. . . Untreated, the Amputation is ulcerated skin the only develops solution gangrene Lose one leg: 61% die in 5 years 30% lose second leg Lose two legs: 18 months to live
Up to 80% Diabetes is a killer of these and amputation leads legs can be to death saved
The community cost £ 25, 000 – £ 43, 000 for the loss of a single limb £ 150 - £ 450 to save a limb
Caribbean Diabetic Footcare Project How did the project start? Phase 1 - Tobago
Initiators Dr Lloydan Joseph Tobago RC John Greedy Ledbury RC
Tobago Pilot Project Outcome Ledbury & Tobago Rotary Clubs with Canadian Volunteer Footcare Specialists Established 3 footcare clinics 3, 750 patients treated 35 staff trained and…
Tobago Pilot Project Outcome 54% fewer amputations Now 70%
Progress 2006 -7 2006 2007 The project is adopted and funded by Tobago Health Authority The TT Government extended the project to the island of Trinidad
The Pilot project proven to be • • • Simple Effective Low cost Sustainable Rewarding Saving limbs, lives and families
In partnership with
Partnership 2008 Ledbury Rotary Club and the International Diabetes Federation (IDF) set up an international agreement and partnership
Partnership IDF provided 50, 000 euro as start-up fund Expansion into other Caribbean islands and South American countries
Partnership Australian Rotarian Martin Silink IP President of IDF Secretary of Rotary Action Group on Diabetes Set up joint Rotary/WHO and Rotary/UN projects
United Nations “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 Day 14 November Blue lit building throughout World Strasbourg Parliament Sydney Opera House Ledbury Market House
Partnership Project timepoints Surveys assessed / Initial visit Matching Grant application • • First training Course (Basic) 12 month data collection Second training Course (Advanced) 12 month data collection Final Report
Partnership By end 2008 Survey assessed, islands identified and allocated to Rotary clubs Phase 2 Matching Grant approved for Montserrat & Nevis (Ledbury RC)
Partnership Phase 3 Island projects started 2008 -9 BVI/St Maarten (Matching Grant Gloucester Severn Rotary Club) Barbados St Lucia
Partnership Phase 4 Island projects started 2010 -11 St Kitts (Lichfield St Chad RC D 1060) Antigua (Central Chester County RC, USA)
Partnership Phase 5 Island projects started 2011 -12 Dominica (Hereford Group of Rotary Clubs) Grenada (Royal Forest of Dean Rotary Club)
Partnership By 2011: § Our International Partnerships raised over $300, 000 to support projects in 12 Caribbean countries. § Rotary has provided 70% of funding. (IDF 17% and WDF 13%). § District 7030 set up a District Diabetes committee § 10 years work resulted in over 300 staff trained and 70% reduction in limbs lost.
Partnership By 2011: Volunteers § 12 IDF faculty members § 3 Canadian Podiatrists § Many Rotarians (over 20/project)
Partnership Support from 37 Clubs UK – Canada - USA- Caribbean Plus personal donations and donations from other organisations including Inner Wheel
Partnership “This is a great international project with the financial security of Rotarians at both ends of the chain” “It is wonderful to see what a small rural club can achieve with this international project” Comments from Rotarians
Partnership “The footcare project deals with a very important health issue. ” “Your club is in our hearts!” Comments 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)
2012 and beyond Our project fits the RI Strategic Plan for Health & Hunger § Disease Prevention & treatment § Education § Economic & Community Development
2012 and beyond Looking Forward Broaden approach § Awareness § Life for a child programme § Prevention § Train The Trainers programme in Tobago and Brazil
How you can help Support the programme to ensure that this effective and essential lifesaving programme is sustained and continues to expand Rotary District 1100 INTERNATIONAL Rotary Humanity in motion
Thank you for your interest. For further information and updates please visit our website www. ledbury. rotaryweb. org Rotary District 1100 INTERNATIONAL Rotary Humanity in motion
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