Projects

Diabetes foot care WDF08-315

Diabetes foot care WDF08-315

WDF08-315
The objective of the project is to improve capacity for prevention and care of diabetic foot in Indonesia.

Objectives & approach

The prevalence of diabetes is expected to increase dramatically in Indonesia within the next two decades making the availability of diabetes management including management and prevention of complications such as diabetic foot very important.
 
Diabetic foot is one of the most common chronic complications of diabetes. It is estimated that one in every six people with diabetes suffers from foot problems and annually 1 million limb amputations take place worldwide due to diabetes.
 
In Indonesia a major barrier for prevention of diabetic foot problems is lack of trained staff, especially trained nurses that are able to provide proper care to people with diabetes and diabetic foot. Also, awareness and skills related to diabetes management amongst physicians are low. Only four hospitals have a diabetic foot clinic to serve a population of more than 234 million people. 
 
Objective
The objective of the project is to improve capacity for prevention and care of diabetic foot in Indonesia.
 
Approach
The project intends to improve the capacity to provide preventive and therapeutic foot care for people with diabetes in Indonesia by increasing the capacity of 25 provincial hospitals in managing the diabetic foot and establishing 5 diabetic foot care centres.
 
Initially, four trainers will be trained in India in order to gain specialised knowledge on diabetic foot problems. The four trainers will come from Jakarta and Surabaya - an internist and a nurse from each location. After the training the four trainers are expected to share their acquired knowledge and skills with other potential trainers at a two-day workshop.
 
The four trainers will together with experts develop training modules, guidelines and education materials for patients, doctors and nurses about diabetic foot care which will be used in the project activities.
 
Training of health care workers will be initiated in both Jakarta and Surubaya. Training courses will be conducted twice in both cities for 30 internists and 30 nurses from 30 provincial hospitals. The training will consist of basic foot care including prevention, early detection of high-risk feet as well as practical management skills.
 
The duration of the training of internists is three days and it will mainly focus on increasing awareness of diabetic foot problems and their ability to identify and assess the foot at risk and plan for the management.
 
The nurses on the other hand will receive five days training of which the first three will be together with the internists. During the last two days the nurses will further acquire the necessary skills to examine and perform preventive foot care.
 
Upon completion of the training, all participants are endorsed to set up a diabetic foot clinic in their respective hospital.
 
Advanced diabetic foot centres will be established in five existing diabetes centres throughout the country. These centres will serve as referral centres for the nearby provinces when advanced foot care is required.
 
One year after the training, an advanced training course will be conducted for 50% of the original participants. The selection of participants for the advanced course will be based on their accomplishments in implementing the knowledge and skills gained from the basic training course. The advanced course focuses on enhancing skills in management of severe foot problems such as large ulcer and gangrene.
 
The applied approach for the project resembles the WDF supported Step-by-Step model, developed and implemented under WDF03-056.
 
Expected results 
Establishment of 5 advanced foot centres  
Basic foot care established in 25 provincial hospitals  
30 internists and 30 nurses trained in diabetic foot care 
Access to proper foot care for 3 million people with diabetes

 

Project information

Project nr.: 
WDF08-315
Project Status: 
Completed
Interventions and focus areas: 
Primary focus area: 
Region: 
Western Pacific
Country: 
Indonesia
Partners: 
Indonesian Society of Endocrinology (PERKENI)
Project responsible: 
Dr. P. Soewondo
Project period: 
2008 to 2011
Project budget: 
USD 300.742
WDF contribution: 
USD 248.975
Expected results 
Establishment of 5 advanced foot centres  
Basic foot care established in 25 provincial hospitals  
30 internists and 30 nurses trained in diabetic foot care 
Access to proper foot care for 3 million people with diabetes