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