The Establishment of an Educational and Preventive Foot Care Service for Subjects with Diabetes in Zimbabwe (RN13-04)*

Main institution:

Zimbabwe Diabetes Association (ZDA) Research Committee

Other institutions:

University of Zimbabwe, College of Health Sciences (UZCHS); Parirenyatwa Groups of Hospitals; Harare Central Hospital Department of Medicine & Diabetes Clinic; Zimbabwe Ministry of Health and Child Care (MoHCC); City of Harare (CoH); Mangwiro Surgery; University of Alexandria (Egypt); International Diabetes Federation

Principal investigators:

Alice Matimba; John Chamunorwa Mangwiro; Lovemore Gwanzura
 

Location of the project:

Harare, Zimbabwe

Amount allocated:

USD 20.000

Date:

May 1, 2014 – November 1, 2014

Objectives:

Diabetic foot complications are characterized by ischaemia, neuropathy and infection. Patients with poor glycemic control, among other factors, are at high risk of developing diabetic foot. Early referral, non-invasive vascular testing, imaging and intervention are key to improving diabetic foot ulcer healing and to prevent amputation (1). In Zimbabwe diabetic patients visiting a primary care centre and diagnosed of diabetic foot ulcers are referred to the tertiary hospitals for further management or hospitalization. In order to alleviate the diabetic foot burden, and to improve quality of diabetes care, patient awareness and screening facilities are paramount. However, diabetologists as well as podiatry and diabetes informational resources are limited, suggesting the need for enhancing preventive care through empowering healthcare practitioners (HCP), patient education, efficient diagnostic tools and follow up services. While adapting to local needs, the aim of this proposal is to implement the Egypt protocol for diabetic patients attending diabetic clinics and primary care centres in Harare, Zimbabwe. The project will establish a preventive foot care centre and provide a screening and early detection service as well as education and awareness about diabetic foot complications and risk factors.

*Agreement under discussion

This project is part of our BRIDGES Research Net programme. BRIDGES is an International Diabetes Federation programme supported by an educational grant from Lilly Diabetes.