The diabetic foot: progress in Sub-Saharan Africa

Abstract

In Sub-Saharan Africa (SSA), the number of people with diabetes mellitus is increasing along with the number of complications linked to the condition. Among all complications, diabetes-related foot complications (DRFC) have the greatest rates of morbidity and mortality, and their incidence will increase in tandem with it. Over the past two decades, the magnitude of DRFC has underscored the challenges within SSA’s healthcare systems, including limited access to diagnostics, specialized healthcare providers, and treatment options. Education and prevention have proven critical in addressing these challenges, as evidenced by programs like ’Step by Step’ and ’Train the Foot Healthcare Professional’. These initiatives not only focus on prevention but also equip healthcare providers with skills in identification, diagnosis, treatment, and holistic management of DRFC, significantly reducing severe complications and improving outcomes. The integration of digital health technologies, including telemedicine and mobile health tools, offers innovative solutions for enhancing access to care, particularly in underserved areas. Governments have a pivotal role in recognizing and addressing the burden of DRFC through policy initiatives, surveillance systems, and public health campaigns. Bridging these gaps requires a coordinated approach, leveraging education, technology, and collaboration to build resilient healthcare systems and improve the management of DRFC in SSA.