Studies of the prevalence of diabetes in Peru (PERUDIAB) have determined it is 7.0% for the country as a whole, but in Lima it is as high as 8.4%. With these data, it is estimated that in absolute figures there are around one million people with diabetes in Peru, and if we bear in mind that some 46% of people are undiagnosed, we can infer that there are around 2 million people affected by the disease.
• To create Networks in clinics at different health care levels in the La Libertad and Lambayeque regions
• Creation and implementation of foot clinics
• To strengthen the specific skills, according to health care level, of doctors and nurses
• To evaluate the performance of beneficiary clinics
• To raise awareness of diabetes and diabetic foot
• Establishment of four networks (one EsSalud and one MoH network in each targeted region) through the establishment of a technical committee; including referral mechanisms on diabetic foot care involving advanced, intermediate and basic health facilities.
• Provision of upgraded foot care equipment to 30 health facilities (two advanced, five intermediate and 23 basic).
• Development and implementation of guidelines for diabetic foot care at intermediate and advanced care levels.
• Training of doctors and nurses in advanced diabetic foot care and surgery through workshops and courses; for advanced care level international trainers from the region will be involved as these skills are not available in Peru.
• Training of surgeons in limb saving surgery and advanced wound care.
• Establishment of a skills development center for diabetic foot care.
• Establishment of a comprehensive monitoring and evaluation system for the involved clinics and registered patients; including clinical indicators.
• Implementation of various communication strategies for increased awareness on diabetes and diabetic foot for early detection.
• 30 clinics upgraded and included in four networks in two regions (19 MoH clinics and 11 EsSalud clinics).
• Guidelines for basic level foot care refined and endorsed by authorities.
• Guidelines for foot care at intermediate and advanced care levels developed and endorsed by authorities.
• 30 doctors (GPs) and 30 nurses with updated and advanced knowledge about basic foot care (basic and intermediate level).
• 30 nurses trained in interactive education and basic foot care (basic and intermediate level).
• 12 surgeons (three general, six traumatologists and three cardiovascular surgeons) trained in limb saving surgery and advanced wound care (intermediate and advanced level).
• 10 nurses trained in advanced wound care (intermediate and advanced level).
• 7,000 patients registered and evaluated for diabetic foot.
• 700 patients trained in self-management of diabetic foot care.
• Approx. 100 people with diabetic foot deformities have undergone surgery.
• 50 patients with wounds have feet saved.
• 100 patients in advanced wound healing.
• 600,000 reached through awareness activities (mass media).