Barriers to implementation | Strategies for addressing implementation barriers |
Inadequate health workers | An increased supply and distribution of health care workers that are trained on foot care. Available staff should be provided with financial rewards, career development, continuing education, improved hospital infrastructure, resource availability, better hospital management and improved recognition of health professionals, help reduce on “brain-drain”. Emphasis on pre-school training on diabetes and foot care so that every provider should be knowledgeable Revision of existing diabetes guidelines to include management of diabetic foot ulcers to prevent complications |
Limited financial resources to increase screening and treatment of diabetic foot complications | Increased funding support for EHP services Integrating diabetic foot care into already existing well-funded programme or EHP services provided in all health delivery points |
Inadequate trained health workers to provide integrated diabetic foot care | In service (CPD) training and mentorship for health care workers on foot care, screening and management Integrated regular supervision, audit and feedback of diabetes and foot care in all existing programmes |
Loss to follow up | All diabetic patients should receive comprehensive health education on foot care and sugar level control to prevent complications Emphasise on peer support programmes, proper foot ware, prevention of injuries |