STRENGTHENING DIABETES FOOT INFECTION DETECTION THROUGH COMMUNITY HEALTH WORKERS IN RURAL EASTERN CAPE, SOUTH AFRICA kathryn_chu@yahoo.com

PW07-21

STRENGTHENING DIABETES FOOT INFECTION DETECTION THROUGH COMMUNITY HEALTH WORKERS IN RURAL EASTERN CAPE, SOUTH AFRICA

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South Africa

Oral or Poster

Diabetes Mellitus is a growing non-communicable disease in South Africa, affecting approximately 15% adults. Complications such as diabetic foot infections (DMFI) can lead to lower limb amputation and death. This study aimed to evaluate community health workers (CHW) screening and referral of DMFI.

The study was conducted in Ngqeleni, Eastern Cape, South Africa. CHWs conducted home visits, providing education and screened for DMFI, and referred at-risk individuals to local clinics. The DMFI screening involved a visual inspection of the feet for abnormalities (e.g., ulcers, wounds, or infections) and a sensory test using a monofilament to detect peripheral neuropathy.

A total of 40 CHWs screened 519 clients (mean age: 57 years; 87% female). Of these, 79 (15.2%) were identified as high risk, and 78 (98.7%) referred to clinics for further assessment. Of those who attended, 31 (40%) received medication, 23 (29%) received wound care, and some clients received both treatments. Additionally, 2 (2%) were further referred to hospitals. No clients required incision and drainage or amputation.

CHWs are working to raise awareness and facilitating early detection of DMFI in rural communities. Working with the local clinics to ensure timely and effective referrals are essential to ensure optimal patient outcomes.