SCREENING FOR DIABETES FOOT INFECTION THROUGH COMMUNITY HEALTH WORKERS IN RURAL EASTERN CAPE, SOUTH AFRICA kchu@sun.ac.za

PW07-21

SCREENING FOR DIABETES FOOT INFECTION THROUGH COMMUNITY HEALTH WORKERS IN RURAL EASTERN CAPE, SOUTH AFRICA

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South Africa

Oral or Poster

Diabetes Mellitus (DM) is an increasing non-communicable disease in South Africa. Complications, particularly diabetic foot infections, can lead to lower limb amputation and death. This study evaluated community health workers (CHWs) in screening and referring individuals with DM and associated foot infections.

The study was conducted in Ngqeleni, Eastern Cape, South Africa. Trained CHWs conducted home visits to provide education, screen for DM, and assess associated foot infections. Screening for foot complications included visual inspection for abnormalities (e.g., ulcers, wounds, infections) and sensory testing using a monofilament to detect peripheral neuropathy. Individuals identified as at risk were referred to local clinics for further assessment.

A total of 2,762 individuals were screened for DM, of whom 151 (5.5%) were at-risk and were referred for further evaluation. Additionally, 635 individuals were screened for foot infections, with 156 (24.6%) being at risk and referred for clinical care. Of those at risk for DM, 150 (99.3%) attended clinics; 27 (18.0%) received medication, and 3 (2.0%) were referred to hospital care. Among those at risk for foot infections, 77 (49.4%) attended clinics. Of these, 37 (48.1%) received medication, 19 (24.7%) received wound care, 1 (1.3%) underwent incision and drainage, and 4 (5.2%) were referred to the hospital. No amputations were reported.

CHWs can effectively screen for DM and associated foot infections in rural communities. Strengthening referral systems is essential to ensure timely care and improve patient outcomes.