3rd Train-the-Foot-Trainer course

International Working Group on the Diabetic Foot (IWDG)

IWGDF was founded in 1996 and subsequently became a Consultative Section of the International Diabetes Federation (IDF) in in 2000 and an integrated part of the IDF programme as IDF Diabetic Foot Programme in 2010.
In 1999 the IWGDF published for the first International Consensus on the Diabetic Foot and Practical Guidelines on the Management and the Prevention of the Diabetic Foot. To date, this publication has been translated into 26 languages, and more than 80.000 copies were distributed globally. In order to implement the International Consensus, the IWGDF recruited local champions as members of the IWGDF and nowadays these members represent over 100 countries around the world.
In 2005, IWGDF decided that the International Consensus texts should be updated and expanded. Working groups of independent experts in the field were asked to revise and update the chapters of the original text, according to current knowledge and standards; the IWGDF Editorial Board guided this process. The last consensus document was launch at the Noordwijkerhout meeting of 2011.(more info...)

Step- by- Step programmes and Step- by- Step courses (SbS)

The International Working Group on the Diabetic Foot together with the Diabetic Foot Society of India (DFSI) and the Muhimbili University College Of Health Sciences Dar es Salaam, Tanzania (MUCHS), have initiated a foot care project called “Step by Step, improving diabetic foot care in the developing world”  in 2003. The World Diabetes Foundation (WDF) financially made this possible.
Among others successful projects,a programmes in the Caribbean region were financed by Rotary Clubs in several countries (lead by the Rotary Club of Ledbury, UK), Rotary International and IDF.
The Step-by-Step programme (SbS) is a two-year project. Teams consisting of a doctor and a nurse or paramedic, are invited to attend a basic and an advanced course. During the two years data collection is mandatory. The goal is to improve educational skills and the management of diabetic foot problems. By doing so this has created a cascade effect and sustainability in the region/country. An experienced national and international faculty is responsible for teaching and the practical sessions. Medical equipment and educational materials are provided to all participants. Very successfully pilot programmes and studies were held in India and Tanzania in 2004 and 2005 . More recent publication(s) have shown that well executed SbS programmes have a significant reduction in amputation rate. (more info...)

Train the Foot Trainer (TfTT)

The spin-off effect of SbS was significant. This programme was successfully introduced in a dozen other countries since the beginning and there is a rapidly increasing demand for these programmes in more countries. As a result, it was felt that in order to sustain this good work a new model had to be adopted, which was robust both financial and in manpower terms.
For this reason the Step by Step Development and Research Group (SSDRG) of the IWGDF initiated the idea at the end of 2010, of developing the Train the Foot Trainer course with the aim to reach more regions in a shorter period to respond in an efficient way to the demands.
The first pilot projects were the TtFT courses held in the SACA (South and Central America) region in December 2012, and the Caribbean Region TtFT course in June 2013 in Tobago.
Today we can conclude to have a good success: 13 of the 14 countries of the SACA developed an own implementation programme for the coming 2, 5 years. Some of them started a BASIC course already and all developed a full plan of action. Sustainability is secured so far in the SACA region after 12 months. So far more then 1000 healthcare providers got their training. (more info...)