Diabetic Foot Care, Kenya
Country of Operation
- World Diabetes FoundationNot-for-profit
- Kenya Diabetic Management and Information (DMI) CentreNot-for-profit
- Ministries of Health in KenyaGovernment
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryDiabetic Foot Care is a project that educates health care professionals and diabetes patients about prevention, screening and care for diabetes-related foot complications. There is also a mobile diabetic foot clinic provides screening services in rural areas.
In Kenya, 3-6% of the population suffers from diabetes. Many of the individuals with diabetes are poor and at high risk of diabetes-related complications such as diabetic foot problems which may lead to lower limb amputations. The overall goals of the model are to have a sustainable, integrated, and low-cost care for diabetes patients through targeting education in lower limb complications, prevention of unnecessary amputations, and empowerment of patients to better care for their feet by detecting problems earlier and seeking timely help when problems arise.
Key program components
Initially, 10 doctors who will serve as provincial coordinators will undergo training in basic foot care followed by an advanced training program six months later. Each provincial coordinator is in charge of a diabetic foot care center at diabetes clinics in a provincial hospital providing comprehensive prevention and management programs for people with diabetic foot problems. The provincial coordinators will each train 100 primary health care professionals from their province. The primary health care professionals will be trained in clinical examination of feet, giving information related to foot care to patients, and referring diabetics to the next level of care when necessary. The training will emphasize patient self-management and care; primary health care professionals are expected to promote this through patient education sessions at the health facilities and during individual consultations. As a result of this training, 52 foot care centers will be established within diabetes clinics in local health facilities. In addition, mobile diabetic foot clinics provide prevention, care, and education on diabetic foot care in remote, rural areas. They conduct mass screening camps to detect diabetic foot complications in these remote areas. They are manned by trained health care professionals and operated on a rotating basis throughout Kenya, on average conducting screening and care 4-5 days every 4 months in each province.