High costs, low awareness and a lack of care - the diabetic foot in Nigeria

Nigeria, with a population of about 128 million people, is Africa’s most populous country. Life expectancy at birth is 47 years; about 60% of the population live below the poverty line. While healthcare structures and institutions are inadequate, and there is a chronic lack of skilled healthcare personnel, diabetes is on the increase. Uncontrolled urbanization is the driving force behind rising obesity levels and a subsequent boom in levels of type 2 diabetes. Given this scenario, it is not surprising that problems associated with diabetes foot ulceration, quite literally cripple individual sufferers, place a huge strain on the economy of their families, and represent a growing threat to the economy of the country. The authors describe the dimensions of the problem, including provision for foot care, in Nigeria, and propose possible steps for an effective response.
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Keywords: 
Africa, Nigeria, foot ulceration, awareness, prevention
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