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INTERNATIONAL

Rotary District 1100. INTERNATIONAL. Presentation to Caribbean Rotary Clubs by Rotary Club of Ledbury August 2008. Rotary District 1100. INTERNATIONAL. Caribbean Diabetic Footcare Project. A humanitarian programme by the Rotary Club of Ledbury

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INTERNATIONAL

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  1. Rotary District 1100 INTERNATIONAL • Presentation to • Caribbean Rotary Clubs • by Rotary Club of Ledbury • August 2008

  2. Rotary District 1100 INTERNATIONAL CaribbeanDiabetic Footcare Project A humanitarian programme by the Rotary Club of Ledbury and the International Diabetes Federation

  3. The Background: World-wide, Diabetes kills more people than HIV/AIDS and Malaria combined

  4. The Background: 380 million people will suffer from Diabetes world-wide by 2025

  5. The Background: 20% suffer from Diabetes in the Caribbean islands Caribbean amputation levels are among the highest in the world…

  6. The Need: Diabetes is a killer… and amputation leads to death

  7. DIABETES CAN RESULT IN FOOT AMPUTATIONS UNLESS REGULAR SCREENING AND SIMPLE TREATMENT IS PROVIDED DIABETES Causes circulation problems especially in feet Affects nerve endings resulting in loss of feeling ↓ RESULT Patient cannot feel minor skin problems eg splinter thorns ↓ The minor skin problem becomes ulcerated Regular screening ↓ Skin problems treated to allows ulcers to heal ↓ Foot saved Untreated ↓ The ulcerated skin develops gangrene ↓ Amputation is the only solution

  8. The Patients: • Lose two legs… • 18-month life expectancy

  9. The Need: Ledbury Rotary Club identified the need for action during a social visit by John Greedy to Tobago

  10. The Patients: • Lose one leg – • 61% die in 5 years • 30% lose other leg

  11. The Patients: • Lose two legs - • The patient will • only have an • 18-month life expectancy

  12. The Need: 50% to 80% of these legs can be SAVED

  13. The Community Cost: The cost of the loss of a single limb is US$50,000 to US$86,000 (Dr Karel Bakker IDF)

  14. The Price: The proven cost to save a limb is US$300 - US$900 (Tobago data)

  15. The Strategy: Ledbury and Tobago Rotary Clubs entered into a joint project Working together to provide simple and effective intervention

  16. How it Works – Who does What: Ledbury club: provides facilitators, co-ordinators, marketing, raises funds Caribbean club: provides local leadership, community & medical links, clinical support Canadian Footcare Specialists: Train local staff, treat patients, record results,

  17. What does the project do? • Raises awareness of diabetes • Wins community confidence • Trains local staff in modern techniques • Local tutors then expand the service

  18. The Outcome – 2000-2006: Following a four-year Tobago pilot scheme… Two weeks community training programme annually Three dedicated footcare clinics have been established

  19. The Outcome – 2000-2006: 3,750 patients treated 35 staff trained 54% fewer amputations

  20. Progress to 2007 2006… The project is adopted and partially funded by Government of Trinidad & Tobago

  21. Progress to 2007 2007… The TT Government extended the Project to the island of Trinidad

  22. The future? Nine more Caribbean Rotary Clubs have declared a need and asked to join the project Montserrat, Nevis, Dominica, Barbados, Guyana, St Kitts, St Lucia, Grenada, St Maarten

  23. This Footcare Project is • Simple • Effective • Low cost • Proven and sustainable • Rewarding IT SAVES LIVES AND FAMILIES • The Footcare Project is: • Simple • Effective • Low cost • Proven and sustainable • Rewarding • IT SAVES LIVES AND FAMILIES

  24. The Project has won RIBI Awards “Ordinary Rotarians doing Extraordinary things” and “International Service” and it is endorsed by leading academics Professor David Armstrong Dr Karel Bakker Professor Andrew Boulton

  25. The future Partnership with International Diabetes Federation (IDF) Add new training teams More funding Involve new Rotary Club partners

  26. Our Partners, IDF International Diabetes Federation QUOTE “This project is wonderful example of how a small group of committed people can make a significant difference to the lives of people living with diabetes”. Dr Karel Bakker Chair IWGDF section of IDF

  27. Our Partners, IDF QUOTE “Diabetes deaths equal HIV-AIDS and Malaria combined… …It is worst in low-and middle-income countries… …Lack of education and care”. Rotarian Martin Silink President of International Diabetes Federation and Chair of Rotary International Diabetes Action Group

  28. The IDF/Rotary partnership International Diabetes Federation On February 14, 2008 talks between Ledbury Rotary Club and the IDF were started… …leading to our international agreement and partnership

  29. The IDF / Rotary Partnership International Diabetes Federation The partnership will merge the IDF’s STEP-by-STEP programme (India; Sri Lanka; Bangladesh; Tanzania; Pakistan; Egypt) with the Rotary (Caribbean) programme expanding the life-saving project into other Caribbean islands and South American countries

  30. The IDF / Rotary Partnership International Diabetes Federation A memorandum of agreement has been reached between the new partners with the IDF offering a start-up matching grant of US$80,000

  31. The IDF / Rotary Partnership International Diabetes Federation • Caribbean Rotary clubs can provide • local leadership • community links • medical links • to ensure that this life-saving programme is sustained and grows

  32. The IDF / Rotary Partnership International Diabetes Federation Survey forms are being sent to Caribbean Rotary Clubs and Health Authorities to confirm the need and maintain the project on a professional and scientific basis August 2008

  33. ROTARY Humanity in Motion Thank you for your interest For further information and updates visit our website www.ledbury.rotaryweb.org Rotary District 1100 INTERNATIONAL

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