The incidence of lower extremity amputation as a consequence of diabetes is considered to be a key indicator of the quality of foot care provided. The reasons for poor outcomes of foot complications in various less developed countries are due to many factors which include lack of awareness among patients and health care providers, non existent or limited podiatry services, poor access to health care facilities, delay in seeking timely medical care, poor referral of health care providers for specialist treatment, lack of concept of a team approach for the treatment of the complicated foot, absence of training programmes for health care providers and lack of quality assurance programmes. In a country where diabetic foot health resources hardly exist, those health providers involved in diabetes care, need to apply sound strategies to facilitate good foot self-care. Every opportunity to promote foot health should be explored in a busy clinic set-up. This includes the application of psychologically-based interventions to assist people to adopt positive self-care foot health behaviour.