D-Foot is an official partnership stakeholder in the Global Cooperation on Assistive Technology (GATE) initiative, established by WHO in 2014.
We actively support the GATE's global vision: everyone in need has affordable assistive quality products that enable them to lead a healthy, productive and dignified life. This includes adapted shoes, orthotics and prosthetics.
In response to WHO’s Priority Assistive Products List and Assistive Technology Needs Assessment Toolkit, D-Foot developed FLIRT-Bird, an educational package on adapted footwear.
This document can assist our national representatives to negotiate with their governments to ensure that sufficient offloading is provided as part of diabetic foot care, and protective footwear is supplied to patients at risk, to reduce amputation risk.
D-Foot is supported by FIP to enhance the awareness of diabetic foot care amongst podiatrists, doctors, surgeons, nurses and allied healthcare professionals worldwide.
FIP supports the foundation of podiatry as a profession and a professional association in those countries where D-Foot is active and no formal podiatry association exists.
D-Foot involves FIP in countries where it is active but no podiatry association member of FIP is established.
There is an established collaboration between the International Federation of Podiatrist and D-Foot International. This partnership, announced in 2017, has produced standardized competence packages for diabetic foot care practitioners. The aim of the collaboration is to agree internationally on the terminology used among foot specialists involved in the care of the diabetic foot. Podiatrists are the gatekeepers of the diabetic foot, but the term podiatry is confusing.
From to date on, the terms podiatry and podiatrist will be legally permitted to be used in official communication to discuss training, skills and clinical practice. Individuals may, of course, still use the accepted term in their own language.
The partnership is currently developing four levels of skills and competences that can be used as benchmarks or a tool for development in diabetic foot care.
Both associations agreed that they will only approach and further invest in countries which have the political commitment towards developing podiatry.
During the EWMA- meeting in Amsterdam, May 2017, both presidents made some clear statements:
“Two independent large scale retrospective reviews demonstrated that care by podiatrists of people with diabetes resulted in decreased lower extremity complications, including amputations. There were also significant cost savings,” said Dr Matthew Garoufalis, President of the FIP-IFP. “It is important that a podiatrist is involved in the interdisciplinary teams around the diabetic patient. Podiatrists can develop skills and competences and achieve a higher level of education”.
“The delay of referral is our enemy. “Podiatrists are essential in the prevention, care and follow-up of the diabetic foot,” said Dr Van Acker and Dr Garoufalis. With the different levels of podiatry in diabetic foot care we want to support the development of podiatry for the benefit of the patients.”
The International Working Group on the Diabetic Foot - Guidance produces and publishes the international evidence-based consensus guidance documents and systematic reviews on the prevention and management of foot problems in diabetes.
D-Foot International is the implementation and education arm of IWGDF-Guidance.
UNFM promotes online technology to disseminate knowledge. The organisation strongly supports educational exchange with and among developing countries.
D-Foot partners with UNFM in the DIAFI data collection project, the e-footcare.org project, a series of video lectures on the diabetes foot, and the UNFM m-Health package on text messages specific for foot care and problem prevention.