1. Caribbean Diabetic Footcare ProjectUK
Presentation
By the
Rotary Club of Ledbury D1100

2. Caribbean Diabetic Footcare Project
A humanitarian programme
by the
Rotary Club of Ledbury
and the
International Diabetes Federation
A District 1100
preferred project

3. Currently over 300 million people worldwide have diabetes By close to 500 million people will have diabetes 7.8% of the adult population

4. Every 30 seconds a diabetic-related leg amputation occurs somewhere in the world Up to 80% of these amputations can be prevented

5. 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 21st century

6. amputation levels among the highest in the world
Caribbean Islands:
20% have diabetes
amputation levels among the highest in the world

7. Person cannot feel minor skin problems, e.g. splinters
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

8. Regular screened diabetes...
Skin problems treated to allow ulcers to heal
Foot saved

9. Untreated, the ulcerated skin develops gangrene
Diabetes untreated...
Untreated, the ulcerated skin develops gangrene
Amputation is the only solution
Lose one leg:
61% die in 5 years
30% lose second leg
Lose two legs:
18 months to live

10. Diabetes is a killer and amputation leads to death
Up to 80% of these legs can be saved

11. for the loss of a single limb
The community cost
£25,000 – £43,000
for the loss of a single limb
£150 - £450
to save a limb

12. Caribbean Diabetic Footcare Project
How did the project start? Phase 1 - Tobago

13. Dr Lloydan Joseph Tobago RC
Initiators
Dr Lloydan Joseph Tobago RC
John Greedy Ledbury RC

14. 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…

15. Tobago Pilot Project Outcome
54% fewer amputations
Now 70%

16. Progress
2006
The project is adopted and funded by Tobago Health Authority
2007
The TT Government extended the project to the island of Trinidad

17. The Pilot project proven to be
Simple
Effective
Low cost
Sustainable
Rewarding
Saving
limbs,
lives and families

18. In partnership with

19. Ledbury Rotary Club and the
Partnership
2008
Ledbury Rotary Club and the
International Diabetes Federation (IDF) set up an international agreement and partnership

20. Expansion into other Caribbean islands and South American countries
Partnership
IDF provided
50,000 euro
as start-up fund
Expansion into other Caribbean islands and South American countries

21. 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
Set up joint Rotary/WHO
and
Rotary/UN projects

22. Blue lit building throughout World Strasbourg Parliament
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

23. Surveys assessed / Initial visit Matching Grant application
Partnership
Project timepoints
Surveys assessed / Initial visit
Matching Grant application
First training Course (Basic)
12 month data collection
Second training Course (Advanced)
Final Report

24. Partnership By
end
2008
Survey assessed, islands identified and allocated to Rotary clubs
Phase 2
Matching Grant approved for
Montserrat & Nevis (Ledbury RC)

25. Phase 3 Island projects started 2008-9
Partnership
Phase 3
Island projects started
BVI/St Maarten
(Matching Grant Gloucester Severn Rotary Club)
Barbados
St Lucia

26. Island projects started 2010-11
Partnership
Phase 4
Island projects started
St Kitts (Lichfield St Chad RC D1060)
Antigua (Central Chester County RC, USA)

27. Island projects started 2011-12
Partnership
Phase 5
Island projects started
Dominica (Hereford Group of Rotary Clubs)
Grenada (Royal Forest of Dean Rotary Club)

28. 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.

29. By 2011:- Volunteers Partnership 12 IDF faculty members
3 Canadian Podiatrists
Many Rotarians (over 20/project)

30. UK – Canada - USA- Caribbean
Partnership
Support from Clubs
UK – Canada - USA- Caribbean
Plus personal donations and
donations from other organisations
including Inner Wheel

31. Comments from Rotarians
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

32. Comments from Montserrat
Partnership
“The footcare project deals with a very important health issue.”
“Your club is in our hearts!”
Comments from Montserrat

33. The qualified 27 trainees have now trained another 84 colleagues.
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)

34. the RI Strategic Plan for Health & Hunger
2012 and beyond
Our project fits
the RI Strategic Plan for Health & Hunger
Disease Prevention & treatment
Education
Economic & Community Development

35. 2012 and beyond
Looking Forward
Broaden approach
Awareness
Life for a child programme
Prevention
Train The Trainers programme in Tobago
and Brazil

36. Rotary District 1100 INTERNATIONAL Rotary How you can help
Support the programme to ensure that this effective and essential life-saving programme is sustained and
continues to expand
Rotary
Humanity in motion
INTERNATIONAL
Rotary District 1100

37. Rotary District 1100 INTERNATIONAL Rotary Thank you for your interest.
For further information and updates
please visit our website
Rotary
Humanity in motion
INTERNATIONAL
Rotary District 1100