This tale of public health systems that lacked resilience is consistent with other trends that are well known to analysts of the region. Many countries in the region entered 2020 with a decades-old history of chronic low growth, macroeconomic imbalances, and governance challenges, including a deficit in data availability and transparency. The region's emerging recovery in 2021 will be uneven across countries, and only a few countries will surpass the GDP per capita levels achieved prior to the pandemic.

Introduction: Diabetic foot is a common complication among individuals with diabetes, characterized by the development of ulcers, infections, and amputation. In a study conducted at the Prince Sultan Military Medical City in Saudi Arabia, a cross-sectional research was conducted to determine the characteristics, prevalence, and risk factors of diabetic foot in diabetic patients attending a primary healthcare center and diabetes clinic. A sample of 300 patients was sampled using a comprehensive sampling technique and data collected from medical records. The results showed that the prevalence of diabetic foot in the study population was 15.8%. Risk factors for diabetic foot included older age, duration of diabetes, peripheral neuropathy, and peripheral arterial disease. In addition, the results showed that the prevalence of peripheral neuropathy was 89.3%, and the prevalence of peripheral arterial disease was 35.4%. These findings highlight the need for prevention and early intervention for diabetic foot in this population, as well as the importance of screening for peripheral neuropathy and peripheral arterial disease in diabetic patients. Further research is needed to understand the specific risk factors for diabetic foot in the Arab population and to develop appropriate prevention and management strategies.Top of Form Methods: In the Prince Sultan Military Medical City, family medicine and community Centre in Riyadh (KSA), a cross-sectional research was conducted among diabetic patients who were visiting the PHC, Diabetics clinic. The participants were from Saudi Arabia. The purpose of the research was to determine the characteristics of Dm foot in PSMMC, as well as the prevalence of Dm foot in PSMMC and the risk factors associated with Dm foot in PSMMC.Results: Dm foot is associated with neuropathy with a p-value of 0.004, which is statistically significant. No other risk factors are associated with Dm foot in Riyadh this is due to the low number of people with Dm foot in the area. Chi-square test cannot be done for Changes in sleep risk factor because no participant with both normal and Dm foot mentioned it as a risk factor. They all do not experience changes in sleep. Conclusion:There is a high prevalence of risk factors for diabetic foot problems, which has led to an increase in the frequency of these complications and calls for primary and secondary preventive programs to reduce morbidity and death in addition to the economic cost of the complications. When treating diabetic patients, it is important to take additional precautions, such as releasing pressure on the nerves in the lower extremities.

The Policy Research Working Paper Series disseminates the findings of work in progress to encourage the exchange of ideas about development issues. An objective of the series is to get the findings out quickly, even if the presentations are less than fully polished. The papers carry the names of the authors and should be cited accordingly. The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the views of the International Bank for Reconstruction and Development/World Bank and its affiliated organizations, or those of the Executive Directors of the World Bank or the governments they represent.

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