Executive Summary - Ministry of Health Documents/dentalinformation...November 2013 Executive Summary...
Transcript of Executive Summary - Ministry of Health Documents/dentalinformation...November 2013 Executive Summary...
November 2013
Executive SummaryA Review of the
Oral Health Agenda 2008-2012
PEARL 2012
Published by:Department of Dental Services
Ministry of HealthBrunei Darussalam
Printed by:Printing Department
Prime Minister’s OfficeBrunei Darussalam
PEARL 2012P: prioritise clients through oral health promotion & prevention, and provideE: education and training that ensure effective, efficient and
excellent service, that isA: accessible and affordable while meeting theR: rehabilitative and curative oral needs of the clients to
achieve aL: lifelong smile
VisionTogether towards a Healthy Nation(Healthy Mouth, Healthy Nation)
MissionTo improve Oral Health through effective, equitable,
affordable, accessible, safe & sustainable Oral Health Care in Brunei Darussalam
TABLE OF CONTENTSFOREWORDS 1
OVERVIEW 5
ACCESSIBILITY 9
PROMOTION & PREVENTION 19
EDUCATION & TRAINING 41
ALLOCATION OF FUNDS 47
NOTABLE ACHIEVEMENTS OF ORAL HEALTH AGENDA 53
CHALLENGES AND CONSTRAINTS 56
CONCLUSION 58
RECOMMENDATIONS 59
ACKNOWLEDGEMENTS 60
COMMITTEE MEMBERS 60
A Review of the Oral Health Agenda 2008 - 2012 1
Foreword by Honourable Minister of Health
It gives me a great pleasure to write a foreword for this landmark document.
Oral health is an integral part of general health and has a direct impact on systemic health and quality of life. The Oral Health Agenda 2008–2012 is the Department of Dental Services’ 5-years strategic plan to improve the health and well-being of the Brunei population by improving their oral health status and reducing the burden of oral diseases through its mission of providing effective, equitable, affordable, accessible, safe and sustainable oral health care services. This will definitely enable us to move towards Ministry of Health’s vision 2035 of ‘Together Towards a Healthy Nation’.
I am very pleased to note that most of the objectives of the Oral Health Agenda 2008 - 2012 have been achieved in all the four key result areas namely, optimising accessibility, oral health promotion and disease prevention, education and training and allocation of funding for oral health services. At this juncture, I would strongly urge the Department of Dental Services to do an in-depth analysis into the reasons why some of the objectives of the Oral Health Agenda
Forewords
2 A Review of the Oral Health Agenda 2008 - 2012
were not achieved. Efforts also should be focused towards improving the oral health status amongst school children. The causes need to be identified so it can be taken into consideration when planning for the next Oral Health Agenda 2014 - 2018. Only by doing this will the Department of Dental Services have a better outcome of achieving success in the next strategic plan.
In addition, I would like to bring your attention to the finding of the Health System Survey which was carried out in July 2013 whereby it was pointed out that the waiting time for members of the public to see their dentists or dental therapists was unsatisfactory. This aspect of our customer service must be seriously addressed and strategies put in place to remedy the situation. Hopefully this will be incorporated into the next Oral Health Agenda.
I strongly recommend to the Department of Dental Services to effectively plan, formulate, implement, monitor and evaluate the forthcoming Oral Health Agenda 2014 - 2018 so that it comprises a more comprehensive, focused and innovative strategies which are also guided by the best practices, based on evidence recommended by the World Health Organization. This will enable us to achieve international accreditation standards and continue to provide a high standard of oral health care services that will be amongst the best in the region. Therefore, I fully urge the Department of Dental Services to establish a Steering Committee to ensure the successful achievement of the next Oral Health Agenda 2014–2018. You have my assurance that the Ministry of Health will continuously support the Department of Dental Services in this endeavour.
Lastly, I would like to take this opportunity to congratulate the Department of Dental Services for producing this review, especially the committee members who have sacrificed so much of their time, effort and energy to come out with this document.
Pehin Orang Kaya Johan Pahlawan Dato Seri Setia Awang Haji Adananbin Begawan Pehin Siraja Khatib Dato Seri Setia Haji Awang Mohd Yusof
Minister of Health
Forewords
A Review of the Oral Health Agenda 2008 - 2012 3
Foreword by Director and Chief Executive OfficerDepartment of Dental Services
In August 2008, the Department of Dental Services released its first 5-year strategic planning which is also known as the Oral Health Agenda 2008 - 2012. It placed emphasis on 4 key areas, which aimed to improve the oral health status and reduce the burden of oral diseases of the Brunei population. It is therefore with great pleasure that the Oral Health Agenda 2008 - 2012 has come to a laudable conclusion.
Working towards our vision ‘Together Towards a Healthy Nation’ requires consistent team work and relentless effort. Ensuring that oral health care services are accessible and responsive to the needs of the community is the first step in accomplishing that objective. The vision is for an environment that promotes oral health, whether through fluoridated water, a healthy diet, or dental services staffed by a multidisciplinary workforce that actively addresses the needs of the community.
In this future, oral health is recognised as an important part of general health. Links between oral health care services and other health care ensure that oral health is promoted, improved,
Dr. Haji Shamshir bin Haji Zainal AbidinDirector
Department of Dental Services
Dayang Faredah binti Haji Abdul RahimChief Executive Officer
Department of Dental Services
Forewords
4 A Review of the Oral Health Agenda 2008 - 2012
maintained and, where necessary, restored at the earliest opportunity. The Department of Dental Services is committed to working together with other stakeholders to tackle these problems, despite the difficulties involved. Our combined goals must be the improvement in the oral health of our community and the highest quality care for people, within the money available.
Our agenda for the past five years was challenging and exciting, and brought us many opportunities. While we can take pride in the progress we have made, we remain determined to do better. The steps set out in our action plans for the last 5 years aim to help us to do so. Therefore, considerable work is needed to ensure that unachieved strategies/interventions can be addressed in the forthcoming Oral Health Agenda. The combined synergies of the dental workforce and the convergence of ideas which focus on prevention of dental diseases and oral health promotion will remain the top priority of the dental services in the years ahead.
We sincerely appreciate the continuous support by our Honourable Minister of Health. We also wish to thank the Permanent Secretary and the Director General of Medical Services who were pillars of encouragement in our quest towards the realisation of ‘PEARL’. Lastly, we would like to thank and congratulate all the members of the 4 working groups for their hard work and dedication for this publication.
Forewords
A Review of the Oral Health Agenda 2008 - 2012 5
OVERVIEW
The Oral Health Agenda 2008-2012 was launched by the previous Honourable Minister of Health, Brunei Darussalam, on the 8th August 2008. It is a comprehensive document that outlines the strategic framework and plan of action that the Department of Dental Services have taken over the last 5 years to accomplish its mission and move towards its vision.
This Oral Health Agenda 2008-2012, also known as ‘PEARL 2012’, presented ways to move forward, to promote oral health, prevent oral disease, and provide equitable access to oral health care, with the effective and efficient use of resources. It appeals for oral health to be considered when drawing up appropriate health policies and during the allocation of the health budget. It advocates for the integration of oral health into systemic health by using a ‘common risk approach’. The Agenda realises that the oral health workforce urgently needs to develop their capacity, competencies and skills in order to provide a quality oral health services that would promote both the oral and systemic health of the population and improve their quality of life.
AIMS OF THE ORAL HEALTH AGENDA 2008–2012
The main aim of the Oral Health Agenda 2008–2012 was to improve the health and well-being of the Brunei population by improving oral health status and reducing the burden of oral diseases.
The Agenda aimed to help all residents in Brunei Darussalam to retain as many of their teeth as possible throughout their lives; to have good oral health as part of their general good health; to have access to appropriate, affordable, safe and sustainable quality oral health services; and to identify the information and services that will enable them to take control of their oral health.
The ultimate aim was to develop strategies/interventions that will achieve sustained long term improvements in oral health. This will involve prudent spending of public oral health care money, where it will have the greatest impact on oral health and contain future costs.
Overview
6 A Review of the Oral Health Agenda 2008 - 2012
The Agenda is based on the following 4 main themes:
1. Accessibility: Providing access to appropriate, affordable, safe and sustainable quality oral health services including health promotion, prevention, early intervention and treatment for all residents in Brunei Darussalam.
2. Promotion and Prevention: The recognition that oral health is an integral part of general health and the need to change the perceptions of oral health, with a strong focus on promoting health and the intervention and early identification of oral disease by using a population health approach and by increased collaboration amongst all the stakeholders.
3. Education and Training: Developing education and training to achieve a sufficient and appropriately skilled workforce and to increase the oral health services workforce diversity, capacity, flexibility and expertise, including the utilisation of ‘non-dentist providers’.
4. Allocation of Funding for Oral Health Services: Provide oral health services that are cost-effective and efficient and of the highest quality.
A REVIEW OF THE ORAL HEALTH AGENDA 2008-2012
A Working Committee was established by the Department of Dental Services to review and evaluate the Oral Health Agenda 2008–2012 in September 2012 and to come up with the appropriate recommendations for future Oral Health Plan for Brunei Darussalam. The members of the Working Committee are listed in the Annex of this Review and consist mostly of the members of the original team who were tasked to plan this Agenda in 2008.
This Review is an evaluation of the Oral Health Agenda 2008–2012 and covers the following 3 areas:
1. The achievements of the various strategic objectives under the above 4 key result areas of the
Oral Health Agenda 2008–2012.
2. Challenges and constraints encountered.
3. Recommendations for future actions and considerations to be included in the next National Oral
Health Plan.
Overview
A Review of the Oral Health Agenda 2008 - 2012 7
The review covered the period dating from August 2008 when the Agenda was launched up till the end of August 2012. The evaluation examines the many strategies, initiatives and activities that were implemented during the 5-year period from 2008–2012 and determine their achievements as measured against the various strategic objectives that were originally set in the Oral Health Agenda 2008–2012.
After examination of the relevant data and information, the achievements of the various strategic objectives under the 4 key result areas were reported by the respective members who were responsible for the achievements in their respective key result area. After verification of these reports and substantial deliberations, the working committee endorsed the achievements and noted the under- and non-achievements in these key areas.
The challenges and constraints that contributed to the under- and non-achievements were discussed at length and most of these difficulties were noted and appreciated. With these contributory factors in mind and the ‘lessons learned’ from the Oral Health Agenda 2008-2012, various recommendations were proposed by the Committee to be considered in the strategic plan for the next National Oral Health Plan.
Overview
To have sufficient manpower to meet the oral health needs of the population
To increase the number of physical structures to increase accessibility to Oral Health Care services for the public
To increase the accessibility of Oral Health Care services and information to the public
To enhance the oral health services to make it more customer - friendly
To have good and reliable transportation facilities
ACCES
SIBILITY
10 A Review of the Oral Health Agenda 2008 - 2012
Accessibility
GOAL
- Pro
vide
ora
l hea
lth se
rvic
es th
at is
eas
ily a
cces
sibl
e to
the
popu
latio
n N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To h
ave s
uffic
ient
m
anpo
wer
to m
eet
the o
ral h
ealth
ne
eds o
f the
po
pula
tion.
Appr
opria
te re
crui
tmen
t &
depl
oym
ent o
f loc
al &
fo
reig
n m
anpo
wer
: •
Dent
al Sp
ecia
lists
•
Dent
ists
•De
ntal
Nur
ses
•De
ntal
The
rapi
sts/
Hy
gien
ists
•De
ntal
Tec
hnol
ogist
s •
Dent
al T
echn
ician
s •
Dent
al Su
rger
y As
sista
nts
•Ad
min
istra
tive &
Su
ppor
t Sta
ff
Fill
all v
acan
t pos
ts.
Not a
ll va
cant
pos
t fill
ed as
va
canc
ies c
hang
ed an
nual
ly in
20
08-2
012
depe
ndin
g on
prom
otio
n, re
tirem
ent,
end
of
cont
ract
/ser
vice
, left
serv
ice an
d ne
w p
osts
give
n.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. T
his o
bjec
tive i
s with
in
the c
ontro
l of t
he
Depa
rtmen
t. Un
real
istic
obje
ctiv
e not
to b
e bro
ught
fo
rwar
d.
Re
ques
t for
mor
e pos
ts in
all
cate
gorie
s.
- In
pro
gres
s.
Targ
et ra
tio
(i) P
rimar
y Car
e Gov
ernm
ent
Den
tist :
Pop
ulat
ion
1 : 2
,800
(ii
) Nur
se : 0
–16
year
s P
opul
atio
n
1
: 800
(ii
i)Nu
rse :
Prim
ary
scho
olch
ildre
n
1
: 500
(iv
)De
ntist
: Hyg
ieni
st
1 : 1
(v
)De
ntist
: The
rapi
st
1 : 1
(vi)
Dent
ist : T
echn
ician
2 : 3
Curr
ent r
atio
(i)
Dent
ist : P
opul
atio
n
1
: 11
,564
(ii
)Nur
se : 0
–16
year
s Pop
ulat
ion
1 :
1,14
9 (iii)
Nurs
e : P
rimar
y sc
hool
child
ren
1 :
791
(iv) D
entis
t : H
ygie
nist
2
5 : 1
(v)
Dent
ist : T
hera
pist
1
5 : 1
(vi)
Dent
ist : T
echn
ician
2
: 1
Faile
d to
achi
eve o
bjec
tive i
n 20
12. N
eed
to im
prov
e and
st
reng
then
Hum
an R
esou
rce
Man
agem
ent w
ithin
the
Depa
rtmen
t prio
r to
setti
ng
achi
evab
le an
d re
alist
ic ta
rget
ratio
s. As
stat
ed in
Gl
obal
goal
s of o
ral h
ealth
20
20 (H
obde
ll et
al, 2
013)
: ‘F
unda
men
tal t
o th
e suc
cess
of
any p
lan
is a c
lear
un
ders
tand
ing o
f wha
t re
sour
ces a
re al
read
y av
aila
ble o
r mig
ht b
ecom
e av
aila
ble o
nce t
he p
lan
has
been
adop
ted
offic
ially
’. Co
nsid
erat
ions
mus
t also
be
give
n to
the c
ontr
ibut
ion
by
the p
rivat
e sec
tor a
nd h
ow
they
can
com
plem
ent t
he
publ
ic or
al h
ealth
serv
ices.
Reco
mm
enda
tions
mus
t be
(vii)
Dent
ist : D
enta
l Sur
gery
Ass
istan
t
2 : 3
(v
iii) N
urse
: Den
tal S
urge
ry
Ass
istan
t
1 : 1
(vii)
Dent
ist : D
enta
l Sur
gery
Ass
istan
t
2
: 2.
6 (viii
) Nur
se : D
enta
l Sur
gery
A
ssist
ant
98
: 0
mad
e by t
he re
leva
nt
auth
oriti
es to
mak
e it e
asie
r an
d m
ore a
ttrac
tive f
or
patie
nts t
o go
to p
rivat
e pr
actic
e. M
alay
sian
Dent
al
Asso
ciatio
n pr
ovid
es a
Fee
sche
dule
guid
e for
Priv
ate
sect
or in
Mal
aysia
.
2.
To in
crea
se th
e nu
mbe
r of p
hysic
al
stru
ctur
es e.
g.
build
ings
, facil
ities
an
d de
ntal
chai
rs,
to in
crea
se
acce
ssib
ility
to O
ral
Heal
th C
are
serv
ices f
or th
e pu
blic.
Upgr
ade a
nd in
crea
se
exist
ing p
hysic
al
stru
ctur
es an
d fa
ciliti
es.
Pres
ent N
atio
nal D
enta
l Ce
ntre
and
4 ex
istin
g Den
tal
Clin
ics in
Seng
kuro
ng, S
unga
i Ha
nchi
ng, S
unga
i Ass
am an
d Be
lait
are t
o be
expa
nded
with
in
crea
sed
facil
ities
by 2
012.
Natio
nal D
enta
l Cen
tre
-7
outp
atie
nt cu
bicle
s/su
rger
ies
oper
atio
nal i
n Fe
brua
ry 2
010.
-
1 ne
w d
enta
l sur
gery
(Roo
m
24) f
or P
erio
dont
al C
linic
oper
atio
nal o
n 31
st O
ctob
er
2011
. -
Child
ren’
s out
patie
nt se
rvice
s du
ring s
choo
l hol
iday
s in
Bloc
k C
star
ted
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atio
n sin
ce M
arch
20
10.
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kuro
ng
-2
addi
tiona
l den
tal c
hairs
in
Augu
st 2
009.
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ai H
anch
ing
-1
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tiona
l den
tal c
hair
in
Dece
mbe
r 201
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ai A
ssam
-
1 ad
ditio
nal d
enta
l cha
ir in
June
20
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B Ho
spita
l, Bel
ait
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atie
nt d
enta
l sur
gery
in
Feb
ruar
y 201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
11A Review of the Oral Health Agenda 2008 - 2012
Accessibility
GOAL
- Pro
vide
ora
l hea
lth se
rvic
es th
at is
eas
ily a
cces
sibl
e to
the
popu
latio
n N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To h
ave s
uffic
ient
m
anpo
wer
to m
eet
the o
ral h
ealth
ne
eds o
f the
po
pula
tion.
Appr
opria
te re
crui
tmen
t &
depl
oym
ent o
f loc
al &
fo
reig
n m
anpo
wer
: •
Dent
al Sp
ecia
lists
•
Dent
ists
•De
ntal
Nur
ses
•De
ntal
The
rapi
sts/
Hy
gien
ists
•De
ntal
Tec
hnol
ogist
s •
Dent
al T
echn
ician
s •
Dent
al Su
rger
y As
sista
nts
•Ad
min
istra
tive &
Su
ppor
t Sta
ff
Fill
all v
acan
t pos
ts.
Not a
ll va
cant
pos
t fill
ed as
va
canc
ies c
hang
ed an
nual
ly in
20
08-2
012
depe
ndin
g on
prom
otio
n, re
tirem
ent,
end
of
cont
ract
/ser
vice
, left
serv
ice an
d ne
w p
osts
give
n.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. T
his o
bjec
tive i
s with
in
the c
ontro
l of t
he
Depa
rtmen
t. Un
real
istic
obje
ctiv
e not
to b
e bro
ught
fo
rwar
d.
Re
ques
t for
mor
e pos
ts in
all
cate
gorie
s.
- In
pro
gres
s.
Targ
et ra
tio
(i) P
rimar
y Car
e Gov
ernm
ent
Den
tist :
Pop
ulat
ion
1 : 2
,800
(ii
) Nur
se : 0
–16
year
s P
opul
atio
n
1
: 800
(ii
i)Nu
rse :
Prim
ary
scho
olch
ildre
n
1
: 500
(iv
)De
ntist
: Hyg
ieni
st
1 : 1
(v
)De
ntist
: The
rapi
st
1 : 1
(vi)
Dent
ist : T
echn
ician
2 : 3
Curr
ent r
atio
(i)
Dent
ist : P
opul
atio
n
1
: 11
,564
(ii
)Nur
se : 0
– 16
year
s Pop
ulat
ion
1 :
1,14
9 (iii)
Nurs
e : P
rimar
y sc
hool
child
ren
1 :
791
(iv) D
entis
t : H
ygie
nist
2
5 : 1
(v)
Dent
ist : T
hera
pist
1
5 : 1
(vi)
Dent
ist : T
echn
ician
2
: 1
Faile
d to
achi
eve o
bjec
tive i
n 20
12. N
eed
to im
prov
e and
st
reng
then
Hum
an R
esou
rce
Man
agem
ent w
ithin
the
Depa
rtmen
t prio
r to
setti
ng
achi
evab
le an
d re
alist
ic ta
rget
ratio
s. As
stat
ed in
Gl
obal
goal
s of o
ral h
ealth
20
20 (H
obde
ll et
al, 2
013)
: ‘F
unda
men
tal t
o th
e suc
cess
of
any p
lan
is a c
lear
un
ders
tand
ing o
f wha
t re
sour
ces a
re al
read
y av
aila
ble o
r mig
ht b
ecom
e av
aila
ble o
nce t
he p
lan
has
been
adop
ted
offic
ially
’. Co
nsid
erat
ions
mus
t also
be
give
n to
the c
ontr
ibut
ion
by
the p
rivat
e sec
tor a
nd h
ow
they
can
com
plem
ent t
he
publ
ic or
al h
ealth
serv
ices.
Reco
mm
enda
tions
mus
t be
(vii)
Dent
ist : D
enta
l Sur
gery
Ass
istan
t
2 : 3
(v
iii) N
urse
: Den
tal S
urge
ry
Ass
istan
t
1 : 1
(vii)
Dent
ist : D
enta
l Sur
gery
Ass
istan
t
2
: 2.
6 (viii
) Nur
se : D
enta
l Sur
gery
A
ssist
ant
98
: 0
mad
e by t
he re
leva
nt
auth
oriti
es to
mak
e it e
asie
r an
d m
ore a
ttrac
tive f
or
patie
nts t
o go
to p
rivat
e pr
actic
e. M
alay
sian
Dent
al
Asso
ciatio
n pr
ovid
es a
Fee
sche
dule
guid
e for
Priv
ate
sect
or in
Mal
aysia
.
2.
To in
crea
se th
e nu
mbe
r of p
hysic
al
stru
ctur
es e.
g.
build
ings
, facil
ities
an
d de
ntal
chai
rs,
to in
crea
se
acce
ssib
ility
to O
ral
Heal
th C
are
serv
ices f
or th
e pu
blic.
Upgr
ade a
nd in
crea
se
exist
ing p
hysic
al
stru
ctur
es an
d fa
ciliti
es.
Pres
ent N
atio
nal D
enta
l Ce
ntre
and
4 ex
istin
g Den
tal
Clin
ics in
Seng
kuro
ng, S
unga
i Ha
nchi
ng, S
unga
i Ass
am an
d Be
lait
are t
o be
expa
nded
with
in
crea
sed
facil
ities
by 2
012.
Natio
nal D
enta
l Cen
tre
-7
outp
atie
nt cu
bicle
s/su
rger
ies
oper
atio
nal i
n Fe
brua
ry 2
010.
-
1 ne
w d
enta
l sur
gery
(Roo
m
24) f
or P
erio
dont
al C
linic
oper
atio
nal o
n 31
st O
ctob
er
2011
. -
Child
ren’
s out
patie
nt se
rvice
s du
ring s
choo
l hol
iday
s in
Bloc
k C
star
ted
oper
atio
n sin
ce M
arch
20
10.
Seng
kuro
ng
-2
addi
tiona
l den
tal c
hairs
in
Augu
st 2
009.
Sung
ai H
anch
ing
-1
addi
tiona
l den
tal c
hair
in
Dece
mbe
r 201
0.
Sung
ai A
ssam
-
1 ad
ditio
nal d
enta
l cha
ir in
June
20
08.
SS
B Ho
spita
l, Bel
ait
-1
new
in-p
atie
nt d
enta
l sur
gery
in
Feb
ruar
y 201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
12 A Review of the Oral Health Agenda 2008 - 2012
Accessibility
Seria
HC
-2
addi
tiona
l den
tal c
hairs
in
Sept
embe
r 201
2.
PM
MPH
AMB
Hosp
ital, T
uton
g -
Reno
vatio
n of
2 n
ew d
enta
l su
rger
ies f
or D
enta
l Spe
cialis
ts,
oper
atio
nal i
n Ap
ril 2
012.
Bu
ild n
ew p
hysic
al
stru
ctur
es w
ith n
ew
facil
ities
.
5 ne
w D
enta
l Clin
ics in
Sg.
Lian
g, M
uara
, Rim
ba, B
unut
an
d La
mba
k, an
d a n
ew
Natio
nal D
enta
l Cen
tre a
re to
be
bui
lt w
ith n
ew fa
ciliti
es b
y 20
12.
Sung
ai L
iang
-
Oper
atio
nal
in
Janu
ary
2009
w
ith 3
den
tal s
urge
ries.
Mua
ra
-Op
erat
iona
l in
Mar
ch 2
010
with
3
dent
al su
rger
ies.
Bu
nut
-Su
rau
conv
erte
d in
to 1
den
tal
surg
ery
in M
ay 2
010
for D
enta
l Nu
rse
and
Part
-tim
e An
tena
tal
Serv
ices.
Rim
ba, G
adon
g A
-De
laye
d co
mpl
etio
n.
Oper
atio
nal i
n Ju
ly 2
013
with
5
dent
al su
rger
ies.
Lam
bak
-Exp
ecte
d co
mpl
etio
n in
201
5 w
ith 1
2 de
ntal
surg
erie
s.
New
NDC
-A
ppro
ved
for
RKN
10 (
2012
-20
17).
Site
to b
e con
firm
ed.
In p
rogr
ess.
Othe
r Pro
jects
:- Pa
edod
ontic
Un
it in
Sp
ecia
list
Bloc
k 2,
RI
PAS
Hosp
ital
-3 d
enta
l sur
gerie
s (2
Dent
al Sp
ecia
lists
and
1 De
ntal
The
rapi
st).
Oper
atio
nal o
n 16
Apr
il 20
12.
CD
C Ki
aron
g -1
den
tal s
urge
ry fo
r Pa
edod
ontic
The
rapi
st.
Oper
atio
nal o
n 2
July
201
2.
Lam
unin
, Tut
ong
-2
dent
al su
rger
ies f
or 1
De
ntist
and
1 De
ntal
Nur
se.
Oper
atio
nal o
n 2
Febr
uary
20
12.
Peng
kala
n Ba
tu
-3
dent
al su
rger
ies f
or 1
De
ntist
, 1 D
enta
l The
rapi
st
and
1 De
ntal
Nur
se.
Oper
atio
nal o
n 10
July
20
12.
Sung
ai K
ebun
-3
den
tal s
urge
ries f
or 1
De
ntist
, 1 D
enta
l The
rapi
st
and
1 De
ntal
Nur
se b
y 20
15.
Gu
idel
ines
for p
rimar
y &
seco
ndar
y sch
ools
to h
ave
stat
ic/m
obile
den
tal
clini
cs.
To p
repa
re G
uide
lines
in 2
008.
Dr
afts
of G
uide
lines
on se
tting
up
Stat
ic De
ntal
Clin
ic &
Guid
elin
es
on M
obile
Den
tal S
quad
hav
e be
en d
raw
n by
Dr P
aulin
a in
2008
.
Obje
ctiv
e ach
ieve
d in
200
8.
Dr Sy
lvia
na h
as ed
ited
the
Guid
elin
es an
d in
clude
d th
is in
the W
orki
ng P
aper
on
Setti
ng u
p M
obile
Den
tal U
nit
(Str
ateg
ies t
o im
prov
e Sc
hool
Den
tal S
ervi
ces)
-pr
esen
ted
to M
OH E
xecu
tive
Com
mitt
ee in
June
201
3.
Id
entif
y sch
ools
by 2
010.
Sc
hool
s w
ith p
opul
atio
n of
les
s th
an 5
00 id
entif
ied
in 2
012.
Ob
ject
ive a
chie
ved
in 2
012.
Rend
er al
l non
-fu
nctio
ning
scho
ol d
enta
l cli
nics
func
tioni
ng.
50%
and
85%
of n
on-
func
tioni
ng sc
hool
den
tal
clini
cs to
be f
unct
ioni
ng b
y 20
08 an
d 20
12 re
spec
tivel
y.
Need
to d
eter
min
e whi
ch sc
hool
s w
ill st
ill h
ave s
tatic
den
tal c
hairs
. Or
igin
ally
, 58
stat
ic de
ntal
clin
ics
in 2
008.
This
objec
tive i
s sup
erse
ded
by in
crea
sing a
cces
sibili
ty to
He
alth
Cen
tres
.
Incr
ease
num
ber o
f M
obile
Den
tal S
quad
s (M
DS) t
o cov
er sc
hool
s (3
oper
ator
s per
squa
d).
5 ne
w s
quad
s to
be
set u
p by
20
12.
11 M
DS i
n 20
08.
Curr
ently
, no
ch
ange
in n
umbe
r of M
DS.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. I
nsuf
ficie
nt st
aff f
or
MDS
des
pite
incr
ease
in
recr
uitm
ent o
f Den
tal
Hygi
enist
/The
rapi
st (m
ost
DHT
wor
ks in
Hea
lth C
entre
s an
d no
t with
MDS
).
13A Review of the Oral Health Agenda 2008 - 2012
Accessibility
Seria
HC
-2
addi
tiona
l den
tal c
hairs
in
Sept
embe
r 201
2.
PM
MPH
AMB
Hosp
ital, T
uton
g -
Reno
vatio
n of
2 n
ew d
enta
l su
rger
ies f
or D
enta
l Spe
cialis
ts,
oper
atio
nal i
n Ap
ril 2
012.
Bu
ild n
ew p
hysic
al
stru
ctur
es w
ith n
ew
facil
ities
.
5 ne
w D
enta
l Clin
ics in
Sg.
Lian
g, M
uara
, Rim
ba, B
unut
an
d La
mba
k, an
d a n
ew
Natio
nal D
enta
l Cen
tre a
re to
be
bui
lt w
ith n
ew fa
ciliti
es b
y 20
12.
Sung
ai L
iang
-
Oper
atio
nal
in
Janu
ary
2009
w
ith 3
den
tal s
urge
ries.
Mua
ra
-Op
erat
iona
l in
Mar
ch 2
010
with
3
dent
al su
rger
ies.
Bu
nut
-Su
rau
conv
erte
d in
to 1
den
tal
surg
ery
in M
ay 2
010
for D
enta
l Nu
rse
and
Part
-tim
e An
tena
tal
Serv
ices.
Rim
ba, G
adon
g A
-De
laye
d co
mpl
etio
n.
Oper
atio
nal i
n Ju
ly 2
013
with
5
dent
al su
rger
ies.
Lam
bak
-Exp
ecte
d co
mpl
etio
n in
201
5 w
ith 1
2 de
ntal
surg
erie
s.
New
NDC
-A
ppro
ved
for
RKN
10 (
2012
-20
17).
Site
to b
e con
firm
ed.
In p
rogr
ess.
Othe
r Pro
jects
:- Pa
edod
ontic
Un
it in
Sp
ecia
list
Bloc
k 2,
RI
PAS
Hosp
ital
-3 d
enta
l sur
gerie
s (2
Dent
al Sp
ecia
lists
and
1 De
ntal
The
rapi
st).
Oper
atio
nal o
n 16
Apr
il 20
12.
CD
C Ki
aron
g -1
den
tal s
urge
ry fo
r Pa
edod
ontic
The
rapi
st.
Oper
atio
nal o
n 2
July
201
2.
Lam
unin
, Tut
ong
-2
dent
al su
rger
ies f
or 1
De
ntist
and
1 De
ntal
Nur
se.
Oper
atio
nal o
n 2
Febr
uary
20
12.
Peng
kala
n Ba
tu
-3
dent
al su
rger
ies f
or 1
De
ntist
, 1 D
enta
l The
rapi
st
and
1 De
ntal
Nur
se.
Oper
atio
nal o
n 10
July
20
12.
Sung
ai K
ebun
-3
den
tal s
urge
ries f
or 1
De
ntist
, 1 D
enta
l The
rapi
st
and
1 De
ntal
Nur
se b
y 20
15.
Gu
idel
ines
for p
rimar
y &
seco
ndar
y sch
ools
to h
ave
stat
ic/m
obile
den
tal
clini
cs.
To p
repa
re G
uide
lines
in 2
008.
Dr
afts
of G
uide
lines
on se
tting
up
Stat
ic De
ntal
Clin
ic &
Guid
elin
es
on M
obile
Den
tal S
quad
hav
e be
en d
raw
n by
Dr P
aulin
a in
2008
.
Obje
ctiv
e ach
ieve
d in
200
8.
Dr Sy
lvia
na h
as ed
ited
the
Guid
elin
es an
d in
clude
d th
is in
the W
orki
ng P
aper
on
Setti
ng u
p M
obile
Den
tal U
nit
(Str
ateg
ies t
o im
prov
e Sc
hool
Den
tal S
ervi
ces)
-pr
esen
ted
to M
OH E
xecu
tive
Com
mitt
ee in
June
201
3.
Id
entif
y sch
ools
by 2
010.
Sc
hool
s w
ith p
opul
atio
n of
les
s th
an 5
00 id
entif
ied
in 2
012.
Ob
ject
ive a
chie
ved
in 2
012.
Rend
er al
l non
-fu
nctio
ning
scho
ol d
enta
l cli
nics
func
tioni
ng.
50%
and
85%
of n
on-
func
tioni
ng sc
hool
den
tal
clini
cs to
be f
unct
ioni
ng b
y 20
08 an
d 20
12 re
spec
tivel
y.
Need
to d
eter
min
e whi
ch sc
hool
s w
ill st
ill h
ave s
tatic
den
tal c
hairs
. Or
igin
ally
, 58
stat
ic de
ntal
clin
ics
in 2
008.
This
objec
tive i
s sup
erse
ded
by in
crea
sing a
cces
sibili
ty to
He
alth
Cen
tres
.
Incr
ease
num
ber o
f M
obile
Den
tal S
quad
s (M
DS) t
o cov
er sc
hool
s (3
oper
ator
s per
squa
d).
5 ne
w s
quad
s to
be
set u
p by
20
12.
11 M
DS i
n 20
08.
Curr
ently
, no
ch
ange
in n
umbe
r of M
DS.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. I
nsuf
ficie
nt st
aff f
or
MDS
des
pite
incr
ease
in
recr
uitm
ent o
f Den
tal
Hygi
enist
/The
rapi
st (m
ost
DHT
wor
ks in
Hea
lth C
entre
s an
d no
t with
MDS
).
14 A Review of the Oral Health Agenda 2008 - 2012
Accessibility
To fu
lly eq
uip
the m
obile
sq
uad
team
s.
Each
team
shou
ld b
e ful
ly
equi
pped
with
bas
ic m
obile
eq
uipm
ent b
y 201
2.
•Ad
ditio
nal p
orta
ble e
quip
men
t fo
r MDS
alre
ady o
rder
ed in
'Sp
ecia
l Exp
endi
ture
' 201
2.
•Pr
oper
stor
age c
ases
alre
ady
orde
red
for a
ll M
DS.
•M
ost o
f the
equi
pmen
t alre
ady
arriv
ed, w
aitin
g for
del
iver
y by
Febr
uary
201
3.
In p
rogr
ess.
Need
to d
o a
stud
y on
the c
ost-
effe
ctiv
enes
s and
effic
ienc
y of
del
iver
ing o
ral h
ealth
care
se
rvice
s to
scho
olch
ildre
n th
roug
h st
atic
clini
cs in
sc
hool
s & co
mm
unity
hea
lth
cent
res &
hos
pita
ls an
d th
roug
h M
obile
Den
tal
Squa
d. T
he fi
ndin
gs w
ill
dete
rmin
e whi
ch st
rate
gies
sh
ould
be p
riorit
ised.
Repl
ace
old
facil
ities
&
equi
pmen
t.
22 n
ew d
enta
l ch
airs
to
be
inst
alle
d in
200
8 - 2
009.
•
10 Adec
dent
al c
hairs
inst
alle
d in
200
8–20
09.
•12
Belmont
dent
al
chai
rs
inst
alle
d in
200
8–20
10.
Obje
ctiv
e ach
ieve
d in
201
0.
Stre
ngth
en
mai
nten
ance
of
facil
ities
& eq
uipm
ent.
Cont
ract
for p
reve
ntiv
e m
aint
enan
ce to
be d
one i
n 20
08 an
d re
new
ed ev
ery 2
ye
ars.
•Pr
even
tive M
aint
enan
ce
Cont
ract
with
Med
ix Su
pplie
rs
from
200
8 en
ds in
Feb
ruar
y 20
12.
•Ne
w co
ntra
ct w
ith M
edix
Su
pplie
rs fo
r 3 ye
ars i
n 20
12.
Obje
ctiv
e ach
ieve
d in
200
8.
Enha
nce p
rocu
rem
ent o
f eq
uipm
ent.
Form
a De
ntal
Pro
cure
men
t Co
mm
ittee
with
guid
elin
es o
n pr
ocur
emen
t in
2008
.
•Pr
ocur
emen
t uni
t hea
ded
by
Assis
tant
Supp
ly O
ffice
r, Ha
ji Ab
d Ha
mid
Om
ar in
201
0.
•Pr
ocur
emen
t com
mitt
ee
(Eva
luat
ion)
set u
p in
June
20
12, c
haire
d by
CEO
whi
ch
conv
enes
ever
y wee
k.
Obje
ctiv
e ach
ieve
d in
201
2.
Stre
ngth
en m
aint
enan
ce
of p
hysic
al st
ruct
ures
e.g.
build
ings
.
The E
stat
e Man
agem
ent U
nit
of th
e Den
tal D
epar
tmen
t to
man
age a
ll m
aint
enan
ce of
ph
ysica
l str
uctu
res f
rom
200
8 on
war
ds.
Peng
iran
Shah
rin P
engi
ran
Haji
Moh
d Sa
lleh,
Tra
desm
an fr
om
Esta
te M
anag
emen
t, M
inist
ry o
f He
alth
, sec
onde
d to
Den
tal
Depa
rtmen
t on
1st Ju
ly 2
011.
Obje
ctiv
e ach
ieve
d in
201
1.
Iden
tify s
uita
ble
com
mer
cial v
enue
s to s
et
up D
enta
l Clin
ics.
To d
ecid
e, if
any,
com
mer
cial
venu
es ar
e sui
tabl
e to s
et u
p De
ntal
Clin
ics b
y 200
9.
Diffi
cult
to su
stai
n. T
his o
bjec
tive
is su
pers
eded
by i
ncre
asin
g ac
cess
ibili
ty to
Hea
lth C
entr
es.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
3.
To h
ave g
ood
& re
liabl
e tr
ansp
orta
tion
facil
ities
.
Dent
al D
epar
tmen
t to
have
its o
wn
land
tr
ansp
ort v
ehicl
es &
dr
iver
s OR
to h
ave t
he
vehi
cles &
driv
ers
supp
lied
by a
priv
ate
com
pany
on
a veh
icle
leas
ing c
ontr
act.
To h
ave 5
land
tran
spor
t ve
hicle
s by 2
012
& di
strib
uted
to
: (i)
Brun
ei-M
uara
Dist
rict:
2 ve
hicle
s. (ii
)1
vehi
cle ea
ch in
Tut
ong,
Bela
it &
Tem
buro
ng
Dist
ricts
.
Only
1 P
ajer
o &
Driv
er as
signe
d fo
r Dep
artm
ent i
n 20
11, b
ased
in
Natio
nal D
enta
l Cen
tre.
Curr
ently
, 1
tran
spor
t veh
icle i
s bei
ng u
sed
to tr
ansp
ort v
isitin
g Den
tal
Spec
ialis
ts to
Bel
ait a
nd T
uton
g Di
stric
ts.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
4.
To in
crea
se th
e ac
cess
ibili
ty of
Ora
l He
alth
care
serv
ices
& in
form
atio
n to
th
e pub
lic.
Mak
e Ora
l Hea
lth C
are
serv
ices a
vaila
ble o
n Fr
iday
s.
To st
art O
utpa
tient
’s Cl
inic
on
Frid
ays i
n Na
tiona
l Den
tal
Cent
re af
ter a
n au
dit i
n 20
09.
Not f
easib
le w
ith th
e exi
stin
g st
aff.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
Iden
tify w
hich
Den
tal
Clin
ics ca
n ha
ve
Outp
atie
nt’s
Clin
ic on
Fr
iday
s.
To id
entif
y sui
tabl
e Den
tal
Clin
ics to
hav
e Out
patie
nt’s
Clin
ic on
Frid
ays b
y 200
9.
Intr
oduc
e den
tal
spec
ialis
ed se
rvice
s in
the
Dist
ricts
.
To in
itiat
e var
ious
den
tal
spec
ialis
ed se
rvice
s in
thos
e Di
stric
ts w
ithou
t the
se
serv
ices b
y 200
9 e.g
. Ora
l Su
rger
y, Pe
riodo
ntics
, Pa
edod
ontic
s etc
.
Tuto
ng
-Or
thod
ontic
s: Pa
rt-ti
me o
nce a
w
eek s
ince
201
0. F
ull-t
ime
serv
ice ef
fect
ive s
ince
Apr
il 20
12.
-Or
al Su
rger
y: P
art-t
ime o
nce a
m
onth
. -
Paed
odon
tics:
Part
-tim
e 3 ti
mes
a m
onth
sinc
e 201
0. D
enta
l
Obje
ctiv
e ach
ieve
d in
201
2.
15A Review of the Oral Health Agenda 2008 - 2012
Accessibility
To fu
lly eq
uip
the m
obile
sq
uad
team
s.
Each
team
shou
ld b
e ful
ly
equi
pped
with
bas
ic m
obile
eq
uipm
ent b
y 201
2.
•Ad
ditio
nal p
orta
ble e
quip
men
t fo
r MDS
alre
ady o
rder
ed in
'Sp
ecia
l Exp
endi
ture
' 201
2.
•Pr
oper
stor
age c
ases
alre
ady
orde
red
for a
ll M
DS.
•M
ost o
f the
equi
pmen
t alre
ady
arriv
ed, w
aitin
g for
del
iver
y by
Febr
uary
201
3.
In p
rogr
ess.
Need
to d
o a
stud
y on
the c
ost-
effe
ctiv
enes
s and
effic
ienc
y of
del
iver
ing o
ral h
ealth
care
se
rvice
s to
scho
olch
ildre
n th
roug
h st
atic
clini
cs in
sc
hool
s & co
mm
unity
hea
lth
cent
res &
hos
pita
ls an
d th
roug
h M
obile
Den
tal
Squa
d. T
he fi
ndin
gs w
ill
dete
rmin
e whi
ch st
rate
gies
sh
ould
be p
riorit
ised.
Repl
ace
old
facil
ities
&
equi
pmen
t.
22 n
ew d
enta
l ch
airs
to
be
inst
alle
d in
200
8 - 2
009.
•
10 Adec
dent
al c
hairs
inst
alle
d in
200
8–20
09.
•12
Belmont
dent
al
chai
rs
inst
alle
d in
200
8–20
10.
Obje
ctiv
e ach
ieve
d in
201
0.
Stre
ngth
en
mai
nten
ance
of
facil
ities
& eq
uipm
ent.
Cont
ract
for p
reve
ntiv
e m
aint
enan
ce to
be d
one i
n 20
08 an
d re
new
ed ev
ery 2
ye
ars.
•Pr
even
tive M
aint
enan
ce
Cont
ract
with
Med
ix Su
pplie
rs
from
200
8 en
ds in
Feb
ruar
y 20
12.
•Ne
w co
ntra
ct w
ith M
edix
Su
pplie
rs fo
r 3 ye
ars i
n 20
12.
Obje
ctiv
e ach
ieve
d in
200
8.
Enha
nce p
rocu
rem
ent o
f eq
uipm
ent.
Form
a De
ntal
Pro
cure
men
t Co
mm
ittee
with
guid
elin
es o
n pr
ocur
emen
t in
2008
.
•Pr
ocur
emen
t uni
t hea
ded
by
Assis
tant
Supp
ly O
ffice
r, Ha
ji Ab
d Ha
mid
Om
ar in
201
0.
•Pr
ocur
emen
t com
mitt
ee
(Eva
luat
ion)
set u
p in
June
20
12, c
haire
d by
CEO
whi
ch
conv
enes
ever
y wee
k.
Obje
ctiv
e ach
ieve
d in
201
2.
Stre
ngth
en m
aint
enan
ce
of p
hysic
al st
ruct
ures
e.g.
build
ings
.
The E
stat
e Man
agem
ent U
nit
of th
e Den
tal D
epar
tmen
t to
man
age a
ll m
aint
enan
ce of
ph
ysica
l str
uctu
res f
rom
200
8 on
war
ds.
Peng
iran
Shah
rin P
engi
ran
Haji
Moh
d Sa
lleh,
Tra
desm
an fr
om
Esta
te M
anag
emen
t, M
inist
ry o
f He
alth
, sec
onde
d to
Den
tal
Depa
rtmen
t on
1st Ju
ly 2
011.
Obje
ctiv
e ach
ieve
d in
201
1.
Iden
tify s
uita
ble
com
mer
cial v
enue
s to s
et
up D
enta
l Clin
ics.
To d
ecid
e, if
any,
com
mer
cial
venu
es ar
e sui
tabl
e to s
et u
p De
ntal
Clin
ics b
y 200
9.
Diffi
cult
to su
stai
n. T
his o
bjec
tive
is su
pers
eded
by i
ncre
asin
g ac
cess
ibili
ty to
Hea
lth C
entr
es.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
3.
To h
ave g
ood
& re
liabl
e tr
ansp
orta
tion
facil
ities
.
Dent
al D
epar
tmen
t to
have
its o
wn
land
tr
ansp
ort v
ehicl
es &
dr
iver
s OR
to h
ave t
he
vehi
cles &
driv
ers
supp
lied
by a
priv
ate
com
pany
on
a veh
icle
leas
ing c
ontr
act.
To h
ave 5
land
tran
spor
t ve
hicle
s by 2
012
& di
strib
uted
to
: (i)
Brun
ei-M
uara
Dist
rict:
2 ve
hicle
s. (ii
)1
vehi
cle ea
ch in
Tut
ong,
Bela
it &
Tem
buro
ng
Dist
ricts
.
Only
1 P
ajer
o &
Driv
er as
signe
d fo
r Dep
artm
ent i
n 20
11, b
ased
in
Natio
nal D
enta
l Cen
tre.
Curr
ently
, 1
tran
spor
t veh
icle i
s bei
ng u
sed
to tr
ansp
ort v
isitin
g Den
tal
Spec
ialis
ts to
Bel
ait a
nd T
uton
g Di
stric
ts.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
4.
To in
crea
se th
e ac
cess
ibili
ty of
Ora
l He
alth
care
serv
ices
& in
form
atio
n to
th
e pub
lic.
Mak
e Ora
l Hea
lth C
are
serv
ices a
vaila
ble o
n Fr
iday
s.
To st
art O
utpa
tient
’s Cl
inic
on
Frid
ays i
n Na
tiona
l Den
tal
Cent
re af
ter a
n au
dit i
n 20
09.
Not f
easib
le w
ith th
e exi
stin
g st
aff.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
Iden
tify w
hich
Den
tal
Clin
ics ca
n ha
ve
Outp
atie
nt’s
Clin
ic on
Fr
iday
s.
To id
entif
y sui
tabl
e Den
tal
Clin
ics to
hav
e Out
patie
nt’s
Clin
ic on
Frid
ays b
y 200
9.
Intr
oduc
e den
tal
spec
ialis
ed se
rvice
s in
the
Dist
ricts
.
To in
itiat
e var
ious
den
tal
spec
ialis
ed se
rvice
s in
thos
e Di
stric
ts w
ithou
t the
se
serv
ices b
y 200
9 e.g
. Ora
l Su
rger
y, Pe
riodo
ntics
, Pa
edod
ontic
s etc
.
Tuto
ng
-Or
thod
ontic
s: Pa
rt-ti
me o
nce a
w
eek s
ince
201
0. F
ull-t
ime
serv
ice ef
fect
ive s
ince
Apr
il 20
12.
-Or
al Su
rger
y: P
art-t
ime o
nce a
m
onth
. -
Paed
odon
tics:
Part
-tim
e 3 ti
mes
a m
onth
sinc
e 201
0. D
enta
l
Obje
ctiv
e ach
ieve
d in
201
2.
16 A Review of the Oral Health Agenda 2008 - 2012
Accessibility
Ther
apist
onc
e a w
eek s
ince
20
10.
Be
lait
-Ora
l Sur
gery
: Ful
l-tim
e in
Suri
Seri
Bega
wan
Hos
pita
l sin
ce
2009
. -O
rtho
dont
ics: F
ull-t
ime i
n Se
ria
since
200
9.
-Pae
dodo
ntics
: Ful
l-tim
e in
Suri
Seri
Bega
wan
Hos
pita
l sin
ce
2010
. -P
erio
dont
ics: P
art-t
ime o
nce a
w
eek s
ince
201
0.
-Pro
stho
dont
ics: P
art-t
ime o
nce
a wee
k sin
ce 2
011.
-E
ndod
ontic
s: Pa
rt-ti
me t
wice
a m
onth
sinc
e Sep
tem
ber 2
012.
Tem
buro
ng
-Or
al Su
rger
y: P
art-t
ime e
very
6
wee
ks si
nce J
anua
ry 2
011.
Redu
ce th
e tim
e per
iod
for p
atie
nts t
o ha
ve th
eir
dent
ures
don
e.
To im
plem
ent a
suita
ble
wor
king
arra
ngem
ent
betw
een
the c
linica
l &
tech
nica
l sta
ff to
redu
ce th
e tim
e per
iod
for f
abric
atio
n of
de
ntur
es &
to re
duce
the
wai
ting t
ime f
or n
ew d
entu
re
patie
nts i
n 20
08.
•Cu
rren
tly, p
erio
d be
twee
n ea
ch
stag
e of d
entu
re fa
brica
tion
is 2
wee
ks (m
ay b
e lon
ger w
hen
Dent
ist/D
enta
l Tec
hnici
an go
es
away
on
leav
e), b
ut fo
r sim
ple
dent
ures
, cer
tain
stag
es ca
n be
sk
ippe
d.
•Den
ture
wai
ting l
ist in
Nat
iona
l De
ntal
Cen
tre h
as re
duce
d fro
m
~18
mon
ths (
2008
) to
~7
mon
ths (
2012
) with
co
mpu
teris
ed sy
stem
of
Dent
ure w
aitin
g list
log a
nd
incr
easin
g num
ber o
f Den
tists
In p
rogr
ess.
in N
atio
nal D
enta
l Cen
tre.
All
perip
hera
l Den
tal C
linics
hav
e al
so st
arte
d a c
omm
on d
entu
re
wai
ting l
ist sy
stem
.
5.
To en
hanc
e the
ora
l he
alth
serv
ices t
o m
ake i
t mor
e cu
stom
er-fr
iend
ly.
Enha
nce t
he en
viro
nmen
t &
atm
osph
ere o
f the
tr
eatm
ent c
entr
es to
m
ake i
t mor
e con
duciv
e to
the p
ublic
& le
ss
thre
aten
ing.
To m
ake t
he d
ecor
&
surr
ound
ings
of a
ll th
e tr
eatm
ent c
entr
es m
ore
appe
alin
g to
the p
ublic
by
2009
.
•Den
tal S
urge
ries i
n Na
tiona
l De
ntal
Cen
tre re
pain
ted
in
2009
& 2
011.
•G
lass
par
titio
n in
stal
led
in
Cubi
cle in
Upp
er F
loor
, Blo
ck A
, in
201
0.
•Vin
yl F
loor
ing i
n Up
per F
loor
, Bl
ock B
, inst
alle
d in
201
1. •R
olle
r blin
ds fo
r win
dow
s in
all
room
s exc
ept d
enta
l sur
gerie
s in
201
1.
•Ora
l Hea
lth P
rom
otio
n ba
nner
s pl
aced
in w
aitin
g are
a, Na
tiona
l De
ntal
Cen
tre in
201
1.
•Lan
dsca
ping
Pro
ject
in N
atio
nal
Dent
al C
entre
in 2
012.
In p
rogr
ess.
Trai
ning
for a
ll st
aff
mem
bers
espe
cially
fron
t-lin
e wor
kers
in p
ublic
re
latio
nshi
p &
com
mun
icatio
n sk
ills.
All f
ront
-line
wor
kers
to
rece
ive t
he b
asic
trai
ning
by
2009
.
•Cus
tom
er C
are w
orks
hop
held
on
24t
h &
26th
June
201
0 at
Civ
il Se
rvice
s Ins
titut
e, Ri
mba
, Ga
dong
; 30
part
icipa
nts
cons
isted
of D
enta
l Nur
ses,
Dent
al T
echn
ician
s, De
ntal
Su
rger
y Ass
istan
ts an
d Re
cept
ioni
sts;
Spea
kers
from
Co
unse
lling
Uni
t, M
inist
ry o
f He
alth
. •1
0 De
ntal
Spec
ialis
ts &
Den
tists
ha
ve at
tend
ed C
omm
unica
tion
Skill
s wor
ksho
p co
nduc
ted
by
MoH
in 2
011
& 20
12.
Obje
ctiv
e ach
ieve
d in
201
2.
17A Review of the Oral Health Agenda 2008 - 2012
Accessibility
Ther
apist
onc
e a w
eek s
ince
20
10.
Be
lait
-Ora
l Sur
gery
: Ful
l-tim
e in
Suri
Seri
Bega
wan
Hos
pita
l sin
ce
2009
. -O
rtho
dont
ics: F
ull-t
ime i
n Se
ria
since
200
9.
-Pae
dodo
ntics
: Ful
l-tim
e in
Suri
Seri
Bega
wan
Hos
pita
l sin
ce
2010
. -P
erio
dont
ics: P
art-t
ime o
nce a
w
eek s
ince
201
0.
-Pro
stho
dont
ics: P
art-t
ime o
nce
a wee
k sin
ce 2
011.
-E
ndod
ontic
s: Pa
rt-ti
me t
wice
a m
onth
sinc
e Sep
tem
ber 2
012.
Tem
buro
ng
-Or
al Su
rger
y: P
art-t
ime e
very
6
wee
ks si
nce J
anua
ry 2
011.
Redu
ce th
e tim
e per
iod
for p
atie
nts t
o ha
ve th
eir
dent
ures
don
e.
To im
plem
ent a
suita
ble
wor
king
arra
ngem
ent
betw
een
the c
linica
l &
tech
nica
l sta
ff to
redu
ce th
e tim
e per
iod
for f
abric
atio
n of
de
ntur
es &
to re
duce
the
wai
ting t
ime f
or n
ew d
entu
re
patie
nts i
n 20
08.
•Cu
rren
tly, p
erio
d be
twee
n ea
ch
stag
e of d
entu
re fa
brica
tion
is 2
wee
ks (m
ay b
e lon
ger w
hen
Dent
ist/D
enta
l Tec
hnici
an go
es
away
on
leav
e), b
ut fo
r sim
ple
dent
ures
, cer
tain
stag
es ca
n be
sk
ippe
d.
•Den
ture
wai
ting l
ist in
Nat
iona
l De
ntal
Cen
tre h
as re
duce
d fro
m
~18
mon
ths (
2008
) to
~7
mon
ths (
2012
) with
co
mpu
teris
ed sy
stem
of
Dent
ure w
aitin
g list
log a
nd
incr
easin
g num
ber o
f Den
tists
In p
rogr
ess.
in N
atio
nal D
enta
l Cen
tre.
All
perip
hera
l Den
tal C
linics
hav
e al
so st
arte
d a c
omm
on d
entu
re
wai
ting l
ist sy
stem
.
5.
To en
hanc
e the
ora
l he
alth
serv
ices t
o m
ake i
t mor
e cu
stom
er-fr
iend
ly.
Enha
nce t
he en
viro
nmen
t &
atm
osph
ere o
f the
tr
eatm
ent c
entr
es to
m
ake i
t mor
e con
duciv
e to
the p
ublic
& le
ss
thre
aten
ing.
To m
ake t
he d
ecor
&
surr
ound
ings
of a
ll th
e tr
eatm
ent c
entr
es m
ore
appe
alin
g to
the p
ublic
by
2009
.
•Den
tal S
urge
ries i
n Na
tiona
l De
ntal
Cen
tre re
pain
ted
in
2009
& 2
011.
•G
lass
par
titio
n in
stal
led
in
Cubi
cle in
Upp
er F
loor
, Blo
ck A
, in
201
0.
•Vin
yl F
loor
ing i
n Up
per F
loor
, Bl
ock B
, inst
alle
d in
201
1. •R
olle
r blin
ds fo
r win
dow
s in
all
room
s exc
ept d
enta
l sur
gerie
s in
201
1.
•Ora
l Hea
lth P
rom
otio
n ba
nner
s pl
aced
in w
aitin
g are
a, Na
tiona
l De
ntal
Cen
tre in
201
1.
•Lan
dsca
ping
Pro
ject
in N
atio
nal
Dent
al C
entre
in 2
012.
In p
rogr
ess.
Trai
ning
for a
ll st
aff
mem
bers
espe
cially
fron
t-lin
e wor
kers
in p
ublic
re
latio
nshi
p &
com
mun
icatio
n sk
ills.
All f
ront
-line
wor
kers
to
rece
ive t
he b
asic
trai
ning
by
2009
.
•Cus
tom
er C
are w
orks
hop
held
on
24t
h &
26th
June
201
0 at
Civ
il Se
rvice
s Ins
titut
e, Ri
mba
, Ga
dong
; 30
part
icipa
nts
cons
isted
of D
enta
l Nur
ses,
Dent
al T
echn
ician
s, De
ntal
Su
rger
y Ass
istan
ts an
d Re
cept
ioni
sts;
Spea
kers
from
Co
unse
lling
Uni
t, M
inist
ry o
f He
alth
. •1
0 De
ntal
Spec
ialis
ts &
Den
tists
ha
ve at
tend
ed C
omm
unica
tion
Skill
s wor
ksho
p co
nduc
ted
by
MoH
in 2
011
& 20
12.
Obje
ctiv
e ach
ieve
d in
201
2.
18 A Review of the Oral Health Agenda 2008 - 2012
Accessibility
All o
ther
staf
f mem
bers
by
2012
.
Cust
omer
care
wor
ksho
p is
plan
ned
in 2
013
for a
ll st
aff.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
Acce
ss to
info
rmat
ion.
Docu
men
ting d
enta
l cha
rges
, Pr
imar
y Ora
l Car
e Gui
delin
es
and
Guid
elin
es fo
r pat
ient
s by
2008
.
•Prim
ary O
ral C
are G
uide
lines
po
ster
for P
atie
nts &
Den
tists
di
strib
uted
in 2
009.
•N
ew b
anne
rs of
all
Units
/Ser
vice
s mad
e for
Wor
ld
Oral
Hea
lth D
ay 2
011
(12
Sept
embe
r 201
1).
•Soc
ial M
edia
: Fac
eboo
k &
Twitt
er p
age f
or D
epar
tmen
t la
unch
ed o
n W
orld
Ora
l Hea
lth
Day 2
011
(12
Sept
embe
r 20
11).
Obje
ctiv
e ach
ieve
d in
201
1.
Impl
ant g
uide
lines
and
Pros
thod
ontic
s gui
delin
es fo
r VI
Ps b
y 200
9.
Impl
ant a
nd P
rost
hodo
ntics
gu
idel
ines
not
don
e.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
All o
ther
staf
f mem
bers
by
2012
.
Cust
omer
care
wor
ksho
p is
plan
ned
in 2
013
for a
ll st
aff.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
Acce
ss to
info
rmat
ion.
Docu
men
ting d
enta
l cha
rges
, Pr
imar
y Ora
l Car
e Gui
delin
es
and
Guid
elin
es fo
r pat
ient
s by
2008
.
•Prim
ary O
ral C
are G
uide
lines
po
ster
for P
atie
nts &
Den
tists
di
strib
uted
in 2
009.
•N
ew b
anne
rs of
all
Units
/Ser
vice
s mad
e for
Wor
ld
Oral
Hea
lth D
ay 2
011
(12
Sept
embe
r 201
1).
•Soc
ial M
edia
: Fac
eboo
k &
Twitt
er p
age f
or D
epar
tmen
t la
unch
ed o
n W
orld
Ora
l Hea
lth
Day 2
011
(12
Sept
embe
r 20
11).
Obje
ctiv
e ach
ieve
d in
201
1.
Impl
ant g
uide
lines
and
Pros
thod
ontic
s gui
delin
es fo
r VI
Ps b
y 200
9.
Impl
ant a
nd P
rost
hodo
ntics
gu
idel
ines
not
don
e.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
PROM
OTIO
N AN
D PR
EVEN
TION
To apply dental sealants to all indicated Primary 2 children
To provide effective fluoridation of all public water supplies at an optimal level 0.5 to 0.7 ppm in Brunei Darussalam
To establish an Oral Health Surveillance and Research Unit (OHSRU) to collect and set up an oral health database and to process, analyse and disseminate relevant oral health and other data.
To strengthen the Oral Health infrastructure to adapt a more preventive and promotive approach when providing Oral Health services and to integrate Oral Health into General Health Programmes.
To implement daily fluoride toothbrushing (DFTB) Programme in Primary Schools and Religious (Ugama) Schools
To implement ‘Rolling Toothpast’ (RTP) Programme for 8 Months old babies onwards to 5 year olds
To strengthen the Oral Health Promotion Division with appropriate term of reference
To enchance the function of the fluoride unit
To implement public education and skill development programmes to archieve improve oral health knowledge altitudes and behaviours of all resident in Brunei Darussalam
GOAL
NO
.1- R
educ
e th
e pr
eval
ence
of d
enta
l car
ies a
nd p
erio
dont
al d
isea
se in
the
popu
latio
n N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To p
rovi
de ef
fect
ive
fluor
idat
ion
of al
l pu
blic
wat
er
supp
lies a
t an
optim
al le
vel o
f 0.5
to
0.7
ppm
in
Brun
ei D
arus
sala
m.
To in
crea
se th
e num
ber o
f w
ater
fluo
ridat
ion
plan
ts.
95%
of p
opul
atio
n in
Bru
nei
Daru
ssal
am to
rece
ive
fluor
idat
ed w
ater
in 2
012.
All p
ublic
wat
er su
pplie
s are
flu
orid
ated
. Alm
ost 1
00%
of
popu
latio
n of
Bru
nei D
arus
sala
m
rece
ive f
luor
idat
ed w
ater
.
Exce
ed th
e obj
ectiv
e for
20
12.
To en
sure
that
the
fluor
ide i
n th
e pub
lic
wat
er su
pplie
s is
cons
isten
tly ke
pt at
the
optim
al le
vel t
hrou
gh
mai
ntai
ning
clos
e co
llabo
ratio
n w
ith th
e De
partm
ent o
f Wat
er
Serv
ices,
Depa
rtm
ent o
f Pu
blic
Wor
ks.
Hold
regu
lar m
eetin
gs &
di
alog
ue se
ssio
ns w
ith th
e st
aff o
f the
Dep
artm
ent o
f W
ater
Serv
ices,
Depa
rtm
ent o
f Pu
blic
Wor
ks, t
hrou
ghou
t 20
08–2
012.
Last
mee
ting w
ith th
e De
partm
ent o
f Wat
er Se
rvice
s w
as in
201
0.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. N
eed
to en
hanc
e ef
forts
to co
llabo
rate
with
th
e Dep
artm
ent o
f Wat
er
Serv
ices t
o en
sure
that
the
fluor
ide i
n th
e pub
lic w
ater
su
pplie
s is c
onsis
tent
ly ke
pt
at th
e opt
imal
leve
l.
2.
To ap
ply f
luor
ide
varn
ish to
all
Prim
ary 1
Sc
hool
child
ren,
tw
ice a
year
.
To in
crea
se th
e num
ber o
f Pr
imar
y Sch
ools
cove
red
by th
e Sch
ool D
enta
l Se
rvice
s (SD
S).
30%
of P
rimar
y sch
ools
cove
red
in 2
008.
No u
p-to
-dat
e dat
a rec
eive
d on
th
e num
ber o
f Prim
ary 1
Sc
hool
child
ren
rece
ivin
g flu
orid
e va
rnish
in 2
008,
200
9 an
d 20
12.
Ther
efor
e. un
able
to d
eter
min
e th
e num
ber a
nd p
erce
ntag
e of
Prim
ary 1
Scho
olch
ildre
n w
ho
rece
ived
fluo
ride v
arni
sh.
Need
to en
hanc
e col
lect
ion
of
data
to d
eter
min
e cov
erag
e of
prim
ary s
choo
ls by
SDS
and
the n
umbe
r and
pe
rcen
tage
of P
rimar
y 1
Scho
olch
ildre
n re
ceiv
ing
fluor
ide v
arni
sh.
Need
to en
sure
cont
inuo
us
supp
ly o
f flu
orid
e var
nish
as
the s
uppl
y was
not
rec
eive
d in
201
0 an
d 20
11.
50%
of P
rimar
y sch
ools
cove
red
in 2
010.
80
% o
f Prim
ary s
choo
ls co
vere
d in
201
2.
80%
of P
rimar
y 1
scho
olch
ildre
n to
rece
ive
fluor
ide v
arni
sh b
y 201
2.
21A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
GOAL
NO
.1- R
educ
e th
e pr
eval
ence
of d
enta
l car
ies a
nd p
erio
dont
al d
isea
se in
the
popu
latio
n N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To p
rovi
de ef
fect
ive
fluor
idat
ion
of al
l pu
blic
wat
er
supp
lies a
t an
optim
al le
vel o
f 0.5
to
0.7
ppm
in
Brun
ei D
arus
sala
m.
To in
crea
se th
e num
ber o
f w
ater
fluo
ridat
ion
plan
ts.
95%
of p
opul
atio
n in
Bru
nei
Daru
ssal
am to
rece
ive
fluor
idat
ed w
ater
in 2
012.
All p
ublic
wat
er su
pplie
s are
flu
orid
ated
. Alm
ost 1
00%
of
popu
latio
n of
Bru
nei D
arus
sala
m
rece
ive f
luor
idat
ed w
ater
.
Exce
ed th
e obj
ectiv
e for
20
12.
To en
sure
that
the
fluor
ide i
n th
e pub
lic
wat
er su
pplie
s is
cons
isten
tly ke
pt at
the
optim
al le
vel t
hrou
gh
mai
ntai
ning
clos
e co
llabo
ratio
n w
ith th
e De
partm
ent o
f Wat
er
Serv
ices,
Depa
rtm
ent o
f Pu
blic
Wor
ks.
Hold
regu
lar m
eetin
gs &
di
alog
ue se
ssio
ns w
ith th
e st
aff o
f the
Dep
artm
ent o
f W
ater
Serv
ices,
Depa
rtm
ent o
f Pu
blic
Wor
ks, t
hrou
ghou
t 20
08–2
012.
Last
mee
ting w
ith th
e De
partm
ent o
f Wat
er Se
rvice
s w
as in
201
0.
Faile
d to
achi
eve o
bjec
tive i
n 20
12. N
eed
to en
hanc
e ef
forts
to co
llabo
rate
with
th
e Dep
artm
ent o
f Wat
er
Serv
ices t
o en
sure
that
the
fluor
ide i
n th
e pub
lic w
ater
su
pplie
s is c
onsis
tent
ly ke
pt
at th
e opt
imal
leve
l.
2.
To ap
ply f
luor
ide
varn
ish to
all
Prim
ary 1
Sc
hool
child
ren,
tw
ice a
year
.
To in
crea
se th
e num
ber o
f Pr
imar
y Sch
ools
cove
red
by th
e Sch
ool D
enta
l Se
rvice
s (SD
S).
30%
of P
rimar
y sch
ools
cove
red
in 2
008.
No u
p-to
-dat
e dat
a rec
eive
d on
th
e num
ber o
f Prim
ary 1
Sc
hool
child
ren
rece
ivin
g flu
orid
e va
rnish
in 2
008,
200
9 an
d 20
12.
Ther
efor
e. un
able
to d
eter
min
e th
e num
ber a
nd p
erce
ntag
e of
Prim
ary 1
Scho
olch
ildre
n w
ho
rece
ived
fluo
ride v
arni
sh.
Need
to en
hanc
e col
lect
ion
of
data
to d
eter
min
e cov
erag
e of
prim
ary s
choo
ls by
SDS
and
the n
umbe
r and
pe
rcen
tage
of P
rimar
y 1
Scho
olch
ildre
n re
ceiv
ing
fluor
ide v
arni
sh.
Need
to en
sure
cont
inuo
us
supp
ly o
f flu
orid
e var
nish
as
the s
uppl
y was
not
rec
eive
d in
201
0 an
d 20
11.
50%
of P
rimar
y sch
ools
cove
red
in 2
010.
80
% o
f Prim
ary s
choo
ls co
vere
d in
201
2.
80%
of P
rimar
y 1
scho
olch
ildre
n to
rece
ive
fluor
ide v
arni
sh b
y 201
2.
22 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention 3.
To
appl
y den
tal
seal
ants
to al
l in
dica
ted
Prim
ary 2
Sc
hool
child
ren.
To in
crea
se th
e num
ber o
f Pr
imar
y Sch
ools
cove
red
by th
e Sch
ool D
enta
l Se
rvice
s (SD
S).
30%
of P
rimar
y sch
ools
cove
red
in 2
008.
No u
p-to
-dat
e dat
a rec
eive
d on
th
e cov
erag
e of p
rimar
y sch
ools
by SD
S fro
m 2
008
to 2
012
and
also
num
ber o
f Prim
ary 2
Sc
hool
child
ren
rece
ivin
g den
tal
seal
ants
. The
refo
re, u
nabl
e to
dete
rmin
e the
num
ber a
nd
perc
enta
ge of
Prim
ary 2
Sc
hool
child
ren
rece
ivin
g den
tal
seal
ants
.
Need
to en
hanc
e col
lect
ion
of
data
to d
eter
min
e cov
erag
e of
Prim
ary S
choo
ls by
SDS
and
the n
umbe
r and
pe
rcen
tage
of P
rimar
y 2
Scho
olch
ildre
n re
ceiv
ing
dent
al se
alan
ts.
Dent
al N
urse
s in
the S
choo
l De
ntal
Serv
ices w
ere n
ot
adeq
uate
ly eq
uipp
ed to
carr
y ou
t res
in se
alan
ts p
rope
rly.
Dent
al se
alan
ts ar
e mor
e te
chni
cally
dem
andi
ng b
ut
they
are m
ore e
ffect
ive t
han
glas
s ion
omer
seal
ants
if
prop
erly
don
e.
50%
of P
rimar
y sch
ools
cove
red
in 2
010.
80%
of P
rimar
y sch
ools
cove
red
in 2
012.
50%
of P
rimar
y 2
scho
olch
ildre
n to
rece
ive
dent
al se
alan
ts b
y 201
2.
4.
To im
plem
ent d
aily
flu
orid
e to
othb
rush
ing
(DFT
B) p
rogr
amm
e in
Prim
ary S
choo
ls an
d Re
ligio
us
(Uga
ma)
Scho
ols.
To co
nduc
t Ora
l Hea
lth
sem
inar
s and
wor
ksho
ps
for t
each
ers i
n co
njun
ctio
n w
ith th
is pr
ogra
mm
e.
In 2
008,
for t
he te
ache
rs in
: (i)
Four
pilo
t Prim
ary S
choo
ls.
(ii)I
n 10
% o
f Rel
igio
us
Scho
ols.
(i) Se
min
ar d
one f
or th
e 4
p
ilot P
rimar
y Sch
ools
in
2
008.
(ii
) Sem
inar
don
e for
26%
of
R
elig
ious
Scho
ols i
n 20
09.
(i) O
bjec
tive a
chie
ved
in
2
008.
(ii
) Obj
ectiv
e ach
ieve
d fo
r
2
008–
2009
.
In 2
010,
for t
he te
ache
rs in
: (i)
Ano
ther
20
Prim
ary
S
choo
ls.
(ii) 4
0% o
f Rel
igio
us Sc
hool
s.
(i)Se
min
ar co
nduc
ted
for 2
3 Pr
imar
y Sch
ools
in B
rune
i I
and
IIA in
201
0 (a
bout
20%
of
Prim
ary S
choo
ls).
(ii)S
emin
ar w
as gi
ven
to 5
7% o
f Re
ligio
us Sc
hool
s in
2010
.
(i)Ob
ject
ive a
chie
ved
in
2010
. (ii
)Exc
eed
objec
tive f
or
2010
.
In 2
012,
for t
he te
ache
rs in
: (i)
Ano
ther
40
Prim
ary
Sc
hool
s.
(i)2
Prim
ary S
choo
ls fro
m
Brun
ei II
B an
d 1
Prim
ary
(i)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
(ii
) 90%
of R
elig
ious
Scho
ols.
Scho
ol fr
om B
rune
i III
wer
e vi
sited
twice
in 2
011
and
2012
(Tot
al n
umbe
r of n
ew
Prim
ary S
choo
ls co
vere
d by
20
12=
3).
(ii)S
emin
ar w
as gi
ven
to 1
00%
of
Relig
ious
Scho
ols i
n al
l di
stric
ts in
201
2.
(ii)
Exce
ed o
bjec
tive f
or
2012
.
To so
urce
for a
dequ
ate &
co
ntin
ual f
undi
ng to
su
stai
n th
e pro
gram
me.
Requ
est f
or sp
ecia
l bud
get i
n 20
08 p
rior t
o th
e sta
rt of
the
pilo
t pro
ject &
agai
n in
200
9.
No co
nsist
ent b
udge
t was
al
loca
ted
for t
he d
aily
fluo
ride
toot
hbru
shin
g pro
gram
me i
n Pr
imar
y and
Rel
igio
us Sc
hool
s fro
m 2
008–
2012
.
Faile
d to
achi
eve b
udge
t ob
ject
ive f
or D
FTB
prog
ram
me 2
008–
2012
.
Requ
est f
or re
curr
ent b
udge
t an
nual
ly fo
r thi
s pro
gram
me
by 2
010.
Re
ques
t for
recu
rren
t bud
get
in 2
011
& 20
12 o
r sou
rce f
or
alte
rnat
ive m
etho
d of
fund
ing
for t
his p
rogr
amm
e.
To la
unch
the d
aily
flu
orid
e too
thbr
ushi
ng
prog
ram
me i
n Pr
imar
y an
d Re
ligio
us Sc
hool
s.
In 2
008,
to la
unch
: (i)
The p
ilot p
rojec
t in
four
Pr
imar
y Sch
ools.
(ii)
In 1
0% o
f Rel
igio
us
Scho
ols.
(i)Th
e pilo
t pro
ject w
as ca
rrie
d ou
t in
4 pi
lot P
rimar
y Sch
ools
in 2
008.
(ii
)In
2008
–200
9, th
e DFT
B pr
ogra
mm
e lau
nche
d in
26%
of
Rel
igio
us Sc
hool
s.
(i)Ob
ject
ive a
chie
ved
in
2008
. (ii
)Ob
ject
ive a
chie
ved
for
2008
–200
9.
In 2
010,
to la
unch
the
prog
ram
me:
(i)
In an
othe
r 20
Prim
ary
Scho
ols.
(ii
)In
40%
of R
elig
ious
Sc
hool
s.
(i)In
201
0, th
e DFT
B pr
ogra
mm
e la
unch
ed in
23
Prim
ary
Scho
ols.
(ii)5
7% o
f Rel
igio
us Sc
hool
s in
201
0.
(i)Ob
ject
ive a
chie
ved
in
2010
. (ii
)Ex
ceed
obj
ectiv
e for
20
10.
23A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
3.
To ap
ply d
enta
l se
alan
ts to
all
indi
cate
d Pr
imar
y 2
Scho
olch
ildre
n.
To in
crea
se th
e num
ber o
f Pr
imar
y Sch
ools
cove
red
by th
e Sch
ool D
enta
l Se
rvice
s (SD
S).
30%
of P
rimar
y sch
ools
cove
red
in 2
008.
No u
p-to
-dat
e dat
a rec
eive
d on
th
e cov
erag
e of p
rimar
y sch
ools
by SD
S fro
m 2
008
to 2
012
and
also
num
ber o
f Prim
ary 2
Sc
hool
child
ren
rece
ivin
g den
tal
seal
ants
. The
refo
re, u
nabl
e to
dete
rmin
e the
num
ber a
nd
perc
enta
ge of
Prim
ary 2
Sc
hool
child
ren
rece
ivin
g den
tal
seal
ants
.
Need
to en
hanc
e col
lect
ion
of
data
to d
eter
min
e cov
erag
e of
Prim
ary S
choo
ls by
SDS
and
the n
umbe
r and
pe
rcen
tage
of P
rimar
y 2
Scho
olch
ildre
n re
ceiv
ing
dent
al se
alan
ts.
Dent
al N
urse
s in
the S
choo
l De
ntal
Serv
ices w
ere n
ot
adeq
uate
ly eq
uipp
ed to
carr
y ou
t res
in se
alan
ts p
rope
rly.
Dent
al se
alan
ts ar
e mor
e te
chni
cally
dem
andi
ng b
ut
they
are m
ore e
ffect
ive t
han
glas
s ion
omer
seal
ants
if
prop
erly
don
e.
50%
of P
rimar
y sch
ools
cove
red
in 2
010.
80%
of P
rimar
y sch
ools
cove
red
in 2
012.
50%
of P
rimar
y 2
scho
olch
ildre
n to
rece
ive
dent
al se
alan
ts b
y 201
2.
4.
To im
plem
ent d
aily
flu
orid
e to
othb
rush
ing
(DFT
B) p
rogr
amm
e in
Prim
ary S
choo
ls an
d Re
ligio
us
(Uga
ma)
Scho
ols.
To co
nduc
t Ora
l Hea
lth
sem
inar
s and
wor
ksho
ps
for t
each
ers i
n co
njun
ctio
n w
ith th
is pr
ogra
mm
e.
In 2
008,
for t
he te
ache
rs in
: (i)
Four
pilo
t Prim
ary S
choo
ls.
(ii)I
n 10
% o
f Rel
igio
us
Scho
ols.
(i) Se
min
ar d
one f
or th
e 4
p
ilot P
rimar
y Sch
ools
in
2
008.
(ii
) Sem
inar
don
e for
26%
of
R
elig
ious
Scho
ols i
n 20
09.
(i) O
bjec
tive a
chie
ved
in
2
008.
(ii
) Obj
ectiv
e ach
ieve
d fo
r
2
008–
2009
.
In 2
010,
for t
he te
ache
rs in
: (i)
Ano
ther
20
Prim
ary
S
choo
ls.
(ii) 4
0% o
f Rel
igio
us Sc
hool
s.
(i)Se
min
ar co
nduc
ted
for 2
3 Pr
imar
y Sch
ools
in B
rune
i I
and
IIA in
201
0 (a
bout
20%
of
Prim
ary S
choo
ls).
(ii)S
emin
ar w
as gi
ven
to 5
7% o
f Re
ligio
us Sc
hool
s in
2010
.
(i)Ob
ject
ive a
chie
ved
in
2010
. (ii
)Exc
eed
objec
tive f
or
2010
.
In 2
012,
for t
he te
ache
rs in
: (i)
Ano
ther
40
Prim
ary
Sc
hool
s.
(i)2
Prim
ary S
choo
ls fro
m
Brun
ei II
B an
d 1
Prim
ary
(i)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
(ii
) 90%
of R
elig
ious
Scho
ols.
Scho
ol fr
om B
rune
i III
wer
e vi
sited
twice
in 2
011
and
2012
(Tot
al n
umbe
r of n
ew
Prim
ary S
choo
ls co
vere
d by
20
12=
3).
(ii)S
emin
ar w
as gi
ven
to 1
00%
of
Relig
ious
Scho
ols i
n al
l di
stric
ts in
201
2.
(ii)
Exce
ed o
bjec
tive f
or
2012
.
To so
urce
for a
dequ
ate &
co
ntin
ual f
undi
ng to
su
stai
n th
e pro
gram
me.
Requ
est f
or sp
ecia
l bud
get i
n 20
08 p
rior t
o th
e sta
rt of
the
pilo
t pro
ject &
agai
n in
200
9.
No co
nsist
ent b
udge
t was
al
loca
ted
for t
he d
aily
fluo
ride
toot
hbru
shin
g pro
gram
me i
n Pr
imar
y and
Rel
igio
us Sc
hool
s fro
m 2
008–
2012
.
Faile
d to
achi
eve b
udge
t ob
ject
ive f
or D
FTB
prog
ram
me 2
008–
2012
.
Requ
est f
or re
curr
ent b
udge
t an
nual
ly fo
r thi
s pro
gram
me
by 2
010.
Re
ques
t for
recu
rren
t bud
get
in 2
011
& 20
12 o
r sou
rce f
or
alte
rnat
ive m
etho
d of
fund
ing
for t
his p
rogr
amm
e.
To la
unch
the d
aily
flu
orid
e too
thbr
ushi
ng
prog
ram
me i
n Pr
imar
y an
d Re
ligio
us Sc
hool
s.
In 2
008,
to la
unch
: (i)
The p
ilot p
rojec
t in
four
Pr
imar
y Sch
ools.
(ii)
In 1
0% o
f Rel
igio
us
Scho
ols.
(i)Th
e pilo
t pro
ject w
as ca
rrie
d ou
t in
4 pi
lot P
rimar
y Sch
ools
in 2
008.
(ii
)In
2008
–200
9, th
e DFT
B pr
ogra
mm
e lau
nche
d in
26%
of
Rel
igio
us Sc
hool
s.
(i)Ob
ject
ive a
chie
ved
in
2008
. (ii
)Ob
ject
ive a
chie
ved
for
2008
–200
9.
In 2
010,
to la
unch
the
prog
ram
me:
(i)
In an
othe
r 20
Prim
ary
Scho
ols.
(ii
)In
40%
of R
elig
ious
Sc
hool
s.
(i)In
201
0, th
e DFT
B pr
ogra
mm
e la
unch
ed in
23
Prim
ary
Scho
ols.
(ii)5
7% o
f Rel
igio
us Sc
hool
s in
201
0.
(i)Ob
ject
ive a
chie
ved
in
2010
. (ii
)Ex
ceed
obj
ectiv
e for
20
10.
24 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
In 2
012,
to la
unch
the
prog
ram
me:
(i)
In an
othe
r 40
Prim
ary
Scho
ols.
(ii)
In 9
0% o
f Rel
igio
us
Scho
ols.
(i)DF
TB p
rogr
amm
e lau
nche
d in
3 n
ew P
rimar
y Sch
ools
in
2012
. (ii
)79
% o
f Rel
igio
us Sc
hool
s w
ere i
nvol
ved
in 2
012.
(i)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
(ii
)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
5.
To
impl
emen
t ‘R
ollin
g too
thpa
ste’
(RTP
) pro
gram
me
for 8
mon
ths o
ld
babi
es o
nwar
ds to
5
year
old
s.
To la
unch
pro
gram
me i
n co
llabo
ratio
n w
ith M
othe
r an
d Ch
ild H
ealth
(MCH
) Cl
inics
& in
volv
e pos
t-na
tal/
nurs
ing m
othe
rs.
To la
unch
pro
gram
me i
n co
llabo
ratio
n w
ith M
othe
r and
Ch
ild H
ealth
(MCH
) clin
ics in
: (i)
200
8:
•Ki
aron
g •
Bunu
t •
Mat
a-M
ata
•La
mba
k Kan
an
Star
ted
as a
pilo
t pro
ject
in th
ree
Mot
her a
nd C
hild
Hea
lth (M
CH)
clini
cs in
200
9:
•Ki
aron
g •
Seng
kuro
ng
•M
ata-
Mat
a
Obje
ctiv
e ach
ieve
d in
200
9.
(ii)
2010
: •
Sung
ai H
anch
ing
•Se
ngku
rong
•
Sera
sa
Prog
ram
me c
hang
ed to
Tod
dler
-Fl
uorid
e Var
nish
Rol
ling-
Toot
hpas
te P
rogr
amm
e (TF
RTP)
an
d co
nduc
ted
in al
l Chi
ld H
ealth
Cl
inics
in B
rune
i-Mua
ra i.e
. Se
ngku
rong
, Kia
rong
, Rim
ba
(Gad
ong)
, Lam
bak K
anan
, An
gger
ek D
esa (
Bera
kas A
), M
uara
, Sun
gai B
esar
, Sub
ok,
Mat
a-M
ata,
Sung
ai H
anch
ing,
Sung
ai A
ssam
, Sun
gai K
ebun
and
Bunu
t.
Exce
ed th
e obj
ectiv
e for
20
10.
(iii)
2012
: •
Perp
inda
han
Rim
ba
•La
mun
in
•Te
lisai
•
Sung
ai L
iang
Todd
ler-
Fluo
ride V
arni
sh
Rolli
ng-T
ooth
past
e Pro
gram
me
(TFR
TP) c
ondu
cted
in al
l Bru
nei-
Mua
ra C
hild
Hea
lth C
linics
, La
mun
in an
d Te
lisai
Clin
ics in
Tu
tong
.
Exce
ed th
e obj
ectiv
e for
20
12.
6.
To en
hanc
e the
fu
nctio
ns of
the
Fluo
ride U
nit.
To m
onito
r all
fluor
ide
prog
ram
mes
in B
rune
i Da
russ
alam
as gi
ven
in
key t
asks
1, 2
, 4 &
5, i.
e.:
the u
se o
f flu
orid
e in:
•
Publ
ic w
ater
supp
lies.
•Fl
uorid
e var
nish
. •
Fluo
ride t
ooth
past
e. •
Othe
r sys
tem
ic an
d to
pica
l veh
icles
of
fluor
ide.
In 2
008
(or w
hene
ver t
he
fluor
ide p
rogr
amm
es h
ave
been
impl
emen
ted)
.
•On
-goi
ng m
onito
ring o
f all
prog
ram
mes
invo
lvin
g the
use
of
fluo
ride.
•Th
e Ora
l Hea
lth P
rom
otio
n Di
visio
n ha
s tak
en o
ver t
he
func
tions
of th
e Flu
orid
e Uni
t sin
ce 1
st Ja
nuar
y 201
1 w
hen
the
form
er H
ead
of th
e Flu
orid
e Un
it w
as se
cond
ed to
the
Heal
th P
rom
otio
n Ce
ntre
. •
All t
he p
rogr
amm
es in
volv
ing
the u
se o
f flu
orid
e hav
e not
be
en co
nsist
ently
mon
itore
d.
Obje
ctiv
e ach
ieve
d in
200
8.
Need
to en
hanc
e the
m
onito
ring o
f all
prog
ram
mes
invo
lvin
g the
us
e of f
luor
ide i
nclu
ding
the
esta
blish
men
t of a
Stan
dard
of
Ope
ratin
g Pro
cedu
re fo
r th
is m
onito
ring a
nd a
repo
rtin
g sys
tem
to in
form
on
the p
roce
ss, s
tatu
s, ac
hiev
emen
ts an
d ou
tcom
es
of th
ese p
rogr
amm
es.
To se
t up
Fluo
ride
Reso
urce
Cen
tre.
By 2
009.
To
dat
e, th
e Cen
tre h
as n
ot b
een
set u
p.
Faile
d to
achi
eve o
bjec
tive i
n 20
09. P
ropo
sed
for t
he
Cent
re to
be i
ncor
pora
ted
into
the R
esou
rce C
entr
e of
the H
ealth
Pro
mot
ion
Cent
re.
To
advi
se &
regu
late
on
all f
luor
ide p
rodu
cts e
.g.
fluor
ide t
ooth
past
e, im
port
ed in
to B
rune
i Da
russ
alam
.
By 2
012.
Fo
llow
-up
disc
ussio
n w
ith th
e De
partm
ent o
f Pha
rmac
y on
mon
itorin
g the
qua
lity &
safe
ty of
flu
orid
e too
thpa
ste i
mpo
rted
into
th
e cou
ntry
as co
vere
d un
der t
he
‘ASE
AN C
osm
etic
Act’
in 2
011.
Ho
wev
er, A
SEAN
Cos
met
ic Or
der
does
not
regu
late
the e
ffect
ive
fluor
ide a
nti-c
arie
s effi
cacy
in
toot
hpas
te, b
ut on
ly re
gula
te
safe
ty u
sage
of fl
uorid
e in
toot
hpas
te.
In p
rogr
ess.
Need
to w
ork
with
the D
epar
tmen
t of
Phar
mac
y to i
nclu
de th
e ef
ficac
y of f
luor
ide
toot
hpas
te an
d no
t jus
t the
sa
fety
aspe
ct o
f flu
orid
e to
othp
aste
und
er th
e pr
ovisi
ons o
f the
‘ASE
AN
Cosm
etic
Orde
r’.
25A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
In 2
012,
to la
unch
the
prog
ram
me:
(i)
In an
othe
r 40
Prim
ary
Scho
ols.
(ii)
In 9
0% o
f Rel
igio
us
Scho
ols.
(i)DF
TB p
rogr
amm
e lau
nche
d in
3 n
ew P
rimar
y Sch
ools
in
2012
. (ii
)79
% o
f Rel
igio
us Sc
hool
s w
ere i
nvol
ved
in 2
012.
(i)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
(ii
)Fa
iled
to ac
hiev
e ob
ject
ive i
n 20
12.
5.
To
impl
emen
t ‘R
ollin
g too
thpa
ste’
(RTP
) pro
gram
me
for 8
mon
ths o
ld
babi
es o
nwar
ds to
5
year
old
s.
To la
unch
pro
gram
me i
n co
llabo
ratio
n w
ith M
othe
r an
d Ch
ild H
ealth
(MCH
) Cl
inics
& in
volv
e pos
t-na
tal/
nurs
ing m
othe
rs.
To la
unch
pro
gram
me i
n co
llabo
ratio
n w
ith M
othe
r and
Ch
ild H
ealth
(MCH
) clin
ics in
: (i)
200
8:
•Ki
aron
g •
Bunu
t •
Mat
a-M
ata
•La
mba
k Kan
an
Star
ted
as a
pilo
t pro
ject
in th
ree
Mot
her a
nd C
hild
Hea
lth (M
CH)
clini
cs in
200
9:
•Ki
aron
g •
Seng
kuro
ng
•M
ata-
Mat
a
Obje
ctiv
e ach
ieve
d in
200
9.
(ii)
2010
: •
Sung
ai H
anch
ing
•Se
ngku
rong
•
Sera
sa
Prog
ram
me c
hang
ed to
Tod
dler
-Fl
uorid
e Var
nish
Rol
ling-
Toot
hpas
te P
rogr
amm
e (TF
RTP)
an
d co
nduc
ted
in al
l Chi
ld H
ealth
Cl
inics
in B
rune
i-Mua
ra i.e
. Se
ngku
rong
, Kia
rong
, Rim
ba
(Gad
ong)
, Lam
bak K
anan
, An
gger
ek D
esa (
Bera
kas A
), M
uara
, Sun
gai B
esar
, Sub
ok,
Mat
a-M
ata,
Sung
ai H
anch
ing,
Sung
ai A
ssam
, Sun
gai K
ebun
and
Bunu
t.
Exce
ed th
e obj
ectiv
e for
20
10.
(iii)
2012
: •
Perp
inda
han
Rim
ba
•La
mun
in
•Te
lisai
•
Sung
ai L
iang
Todd
ler-
Fluo
ride V
arni
sh
Rolli
ng-T
ooth
past
e Pro
gram
me
(TFR
TP) c
ondu
cted
in al
l Bru
nei-
Mua
ra C
hild
Hea
lth C
linics
, La
mun
in an
d Te
lisai
Clin
ics in
Tu
tong
.
Exce
ed th
e obj
ectiv
e for
20
12.
6.
To en
hanc
e the
fu
nctio
ns of
the
Fluo
ride U
nit.
To m
onito
r all
fluor
ide
prog
ram
mes
in B
rune
i Da
russ
alam
as gi
ven
in
key t
asks
1, 2
, 4 &
5, i.
e.:
the u
se o
f flu
orid
e in:
•
Publ
ic w
ater
supp
lies.
•Fl
uorid
e var
nish
. •
Fluo
ride t
ooth
past
e. •
Othe
r sys
tem
ic an
d to
pica
l veh
icles
of
fluor
ide.
In 2
008
(or w
hene
ver t
he
fluor
ide p
rogr
amm
es h
ave
been
impl
emen
ted)
.
•On
-goi
ng m
onito
ring o
f all
prog
ram
mes
invo
lvin
g the
use
of
fluo
ride.
•Th
e Ora
l Hea
lth P
rom
otio
n Di
visio
n ha
s tak
en o
ver t
he
func
tions
of th
e Flu
orid
e Uni
t sin
ce 1
st Ja
nuar
y 201
1 w
hen
the
form
er H
ead
of th
e Flu
orid
e Un
it w
as se
cond
ed to
the
Heal
th P
rom
otio
n Ce
ntre
. •
All t
he p
rogr
amm
es in
volv
ing
the u
se o
f flu
orid
e hav
e not
be
en co
nsist
ently
mon
itore
d.
Obje
ctiv
e ach
ieve
d in
200
8.
Need
to en
hanc
e the
m
onito
ring o
f all
prog
ram
mes
invo
lvin
g the
us
e of f
luor
ide i
nclu
ding
the
esta
blish
men
t of a
Stan
dard
of
Ope
ratin
g Pro
cedu
re fo
r th
is m
onito
ring a
nd a
repo
rtin
g sys
tem
to in
form
on
the p
roce
ss, s
tatu
s, ac
hiev
emen
ts an
d ou
tcom
es
of th
ese p
rogr
amm
es.
To se
t up
Fluo
ride
Reso
urce
Cen
tre.
By 2
009.
To
dat
e, th
e Cen
tre h
as n
ot b
een
set u
p.
Faile
d to
achi
eve o
bjec
tive i
n 20
09. P
ropo
sed
for t
he
Cent
re to
be i
ncor
pora
ted
into
the R
esou
rce C
entr
e of
the H
ealth
Pro
mot
ion
Cent
re.
To
advi
se &
regu
late
on
all f
luor
ide p
rodu
cts e
.g.
fluor
ide t
ooth
past
e, im
port
ed in
to B
rune
i Da
russ
alam
.
By 2
012.
Fo
llow
-up
disc
ussio
n w
ith th
e De
partm
ent o
f Pha
rmac
y on
mon
itorin
g the
qua
lity &
safe
ty of
flu
orid
e too
thpa
ste i
mpo
rted
into
th
e cou
ntry
as co
vere
d un
der t
he
‘ASE
AN C
osm
etic
Act’
in 2
011.
Ho
wev
er, A
SEAN
Cos
met
ic Or
der
does
not
regu
late
the e
ffect
ive
fluor
ide a
nti-c
arie
s effi
cacy
in
toot
hpas
te, b
ut on
ly re
gula
te
safe
ty u
sage
of fl
uorid
e in
toot
hpas
te.
In p
rogr
ess.
Need
to w
ork
with
the D
epar
tmen
t of
Phar
mac
y to i
nclu
de th
e ef
ficac
y of f
luor
ide
toot
hpas
te an
d no
t jus
t the
sa
fety
aspe
ct o
f flu
orid
e to
othp
aste
und
er th
e pr
ovisi
ons o
f the
‘ASE
AN
Cosm
etic
Orde
r’.
26 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention GO
AL N
O.2
- Str
engt
hen
the
oral
hea
lth p
rom
otio
n di
visi
on to
ove
rsee
all
oral
hea
lth p
rom
otio
n ac
tiviti
es
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
stre
ngth
en th
e Or
al H
ealth
Pr
omot
ion
Divi
sion
with
appr
opria
te
term
s of r
efer
ence
.
To en
hanc
e the
func
tions
of
the O
ral H
ealth
Pr
omot
ion
(OHP
) Di
visio
n.
HU
MAN
CAP
ITAL
D
EVEL
OPM
ENT
To in
crea
se th
e fun
ctio
ns &
re
spon
sibili
ties o
f the
Ora
l He
alth
Pro
mot
ion
Divi
sion
by
2008
. (i)
To en
sure
clar
ity o
f rol
es,
resp
onsib
ilitie
s and
fu
nctio
ns of
OHP
staf
f:
•To
esta
blish
and
enha
nce
clear
line
s of a
utho
rity f
or
OHP
staf
f. •
To en
hanc
e and
impr
ove
effic
acy o
f OHP
wor
k with
ap
prop
riate
term
s of
refe
renc
e.
•
Clea
r lin
es of
auth
ority
ac
hiev
ed.
•En
hanc
ed an
d im
prov
ed
effic
acy o
f OHP
with
ap
prop
riate
term
s of r
efer
ence
ac
hiev
ed.
Obje
ctiv
e ach
ieve
d in
200
8.
How
ever
, lack
of t
ime a
nd
man
pow
er (D
enta
l Nur
ses/
Th
erap
ists a
nd O
HP of
ficer
s)
to ru
n pr
ogra
mm
es, d
o ad
min
istra
tion,
co
ordi
natio
n, ev
alua
tion
and
mon
itorin
g.
(ii
)Re
crui
tmen
t of n
ew O
HP
trai
ned
staf
f: •
Dent
al O
ffice
rs.
•De
ntal
The
rapi
sts.
•De
ntal
Surg
ery A
ssist
ants
. •
OHP
trai
ned
non-
clini
cal
staf
f i.e.
cler
ks, IT
, pr
oduc
tion,
stat
istici
an.
•Cu
rren
tly, 1
loca
l Act
ing D
enta
l Sp
ecia
list w
ith M
aste
rs in
Co
mm
unity
Den
tistr
y in
char
ge
of O
HP, 1
loca
l Den
tal O
ffice
r w
ith M
aste
rs in
Den
tal P
ublic
He
alth
, 1 d
aily
pai
d ex
patri
ate
full-
time D
enta
l Offi
cer,
2 ex
patr
iate
Den
tal O
ffice
rs
coor
dina
te O
HP p
rogr
amm
es in
Tu
tong
and
Bela
it, 1
Act
ing
Dent
al N
ursin
g Offi
cer,
1 Se
nior
De
ntal
Nur
se, 3
Den
tal N
urse
s an
d 1
Open
Vot
e Cle
rk.
In p
rogr
ess.
Need
a de
dica
ted
team
of
prof
essio
nal, a
uxili
ary a
nd
supp
ort s
taff
to d
esig
n an
d pr
oduc
e Hea
lth P
rom
otio
n m
ater
ials,
and
a ful
l tim
e Re
sear
ch O
ffice
r to
mon
itor
and
eval
uate
all O
HP
prog
ram
mes
, initi
ativ
es an
d ac
tiviti
es.
•Al
l OHP
Den
tal O
ffice
rs an
d De
ntal
Nur
ses a
re p
art-t
ime
doin
g at l
east
2 d
ays c
linica
l w
ork a
nd 3
day
s OHP
exce
pt fo
r 1
daily
pai
d fu
ll-tim
e Den
tal
Offic
er.
(ii
i)Tr
aini
ng o
f ‘exi
stin
g’ OH
P de
ntal
staf
f: •
Trai
ning
of D
enta
l Of
ficer
s for
OHP
. •
Tra
inin
g of D
enta
l Th
erap
ists f
or O
HP
(sou
rcin
g out
for
curr
iculu
m fr
om O
HP
Hong
Kon
g).
•Tr
aini
ng o
f Den
tal
Surg
ery A
ssist
ants
for
OHP-
oral
hea
lth
educ
ator
s (so
urcin
g fro
m
King
s' Co
llege
Lon
don,
Ne
w Z
eala
nd, A
ustr
alia
, Sw
eden
, Sin
gapo
re).
•
Dent
al O
ffice
r: On
the j
ob
trai
ning
, CM
E le
ctur
es, C
NE
lect
ures
and
thro
ugh
disc
ussio
ns.
•Co
mm
unica
ted
with
OHP
Hon
g Ko
ng b
ut co
uld
not o
btai
n OH
P tr
aini
ng cu
rricu
lum
for D
enta
l Th
erap
ists.
•
Disc
usse
d De
ntal
Edu
cato
r co
urse
for D
enta
l Sur
gery
As
sista
nts w
ith K
ing's
Col
lege
Lo
ndon
, but
coul
d no
t pro
ceed
.
In p
rogr
ess.
Need
to d
evelo
p an
d es
tabl
ish a
syst
emic
capa
city b
uild
ing
prog
ram
me t
o de
velo
p th
e kn
owle
dge,
skill
s and
co
mpe
tenc
ies i
n pu
blic
heal
th, h
ealth
pro
mot
ion,
he
alth
lite
racy
and
rela
ted
area
s, fo
r den
tal p
erso
nnel
w
ho ar
e inv
olve
d in
Den
tal
Publ
ic He
alth
and
Oral
He
alth
Pro
mot
ion.
(iv)C
ontin
uing
educ
atio
n:
Mee
tings
/lec
ture
s/
sem
inar
s/bo
oks/
artic
les
pres
enta
tion
by m
embe
rs.
Cond
ucte
d m
eetin
gs, F
DI
conv
entio
n, se
min
ars,
disc
ussio
ns
for O
ral H
ealth
Pro
mot
ion
staf
f, pr
esen
tatio
n nu
rsin
g "Po
t-Pou
ri"
by A
ctin
g Nur
sing O
ffice
rs.
In p
rogr
ess.
Cont
inuo
us
Prof
essio
nal D
evel
opm
ent
(CPD
) sho
uld
be p
art o
f the
ca
pacit
y bui
ldin
g pr
ogra
mm
e for
thos
e in
volv
ed in
Den
tal P
ublic
He
alth
and
Oral
Hea
lth
Prom
otio
n.
27A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
GOAL
NO
.2- S
tren
gthe
n th
e or
al h
ealth
pro
mot
ion
divi
sion
to o
vers
ee a
ll or
al h
ealth
pro
mot
ion
activ
ities
N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To st
reng
then
the
Oral
Hea
lth
Prom
otio
n Di
visio
n w
ith ap
prop
riate
te
rms o
f ref
eren
ce.
To en
hanc
e the
func
tions
of
the O
ral H
ealth
Pr
omot
ion
(OHP
) Di
visio
n.
HU
MAN
CAP
ITAL
D
EVEL
OPM
ENT
To in
crea
se th
e fun
ctio
ns &
re
spon
sibili
ties o
f the
Ora
l He
alth
Pro
mot
ion
Divi
sion
by
2008
. (i)
To en
sure
clar
ity o
f rol
es,
resp
onsib
ilitie
s and
fu
nctio
ns of
OHP
staf
f:
•To
esta
blish
and
enha
nce
clear
line
s of a
utho
rity f
or
OHP
staf
f. •
To en
hanc
e and
impr
ove
effic
acy o
f OHP
wor
k with
ap
prop
riate
term
s of
refe
renc
e.
•
Clea
r lin
es of
auth
ority
ac
hiev
ed.
•En
hanc
ed an
d im
prov
ed
effic
acy o
f OHP
with
ap
prop
riate
term
s of r
efer
ence
ac
hiev
ed.
Obje
ctiv
e ach
ieve
d in
200
8.
How
ever
, lack
of t
ime a
nd
man
pow
er (D
enta
l Nur
ses/
Th
erap
ists a
nd O
HP of
ficer
s)
to ru
n pr
ogra
mm
es, d
o ad
min
istra
tion,
co
ordi
natio
n, ev
alua
tion
and
mon
itorin
g.
(ii
)Re
crui
tmen
t of n
ew O
HP
trai
ned
staf
f: •
Dent
al O
ffice
rs.
•De
ntal
The
rapi
sts.
•De
ntal
Surg
ery A
ssist
ants
. •
OHP
trai
ned
non-
clini
cal
staf
f i.e.
cler
ks, IT
, pr
oduc
tion,
stat
istici
an.
•Cu
rren
tly, 1
loca
l Act
ing D
enta
l Sp
ecia
list w
ith M
aste
rs in
Co
mm
unity
Den
tistr
y in
char
ge
of O
HP, 1
loca
l Den
tal O
ffice
r w
ith M
aste
rs in
Den
tal P
ublic
He
alth
, 1 d
aily
pai
d ex
patri
ate
full-
time D
enta
l Offi
cer,
2 ex
patr
iate
Den
tal O
ffice
rs
coor
dina
te O
HP p
rogr
amm
es in
Tu
tong
and
Bela
it, 1
Act
ing
Dent
al N
ursin
g Offi
cer,
1 Se
nior
De
ntal
Nur
se, 3
Den
tal N
urse
s an
d 1
Open
Vot
e Cle
rk.
In p
rogr
ess.
Need
a de
dica
ted
team
of
prof
essio
nal, a
uxili
ary a
nd
supp
ort s
taff
to d
esig
n an
d pr
oduc
e Hea
lth P
rom
otio
n m
ater
ials,
and
a ful
l tim
e Re
sear
ch O
ffice
r to
mon
itor
and
eval
uate
all O
HP
prog
ram
mes
, initi
ativ
es an
d ac
tiviti
es.
•Al
l OHP
Den
tal O
ffice
rs an
d De
ntal
Nur
ses a
re p
art-t
ime
doin
g at l
east
2 d
ays c
linica
l w
ork a
nd 3
day
s OHP
exce
pt fo
r 1
daily
pai
d fu
ll-tim
e Den
tal
Offic
er.
(ii
i)Tr
aini
ng o
f ‘exi
stin
g’ OH
P de
ntal
staf
f: •
Trai
ning
of D
enta
l Of
ficer
s for
OHP
. •
Tra
inin
g of D
enta
l Th
erap
ists f
or O
HP
(sou
rcin
g out
for
curr
iculu
m fr
om O
HP
Hong
Kon
g).
•Tr
aini
ng o
f Den
tal
Surg
ery A
ssist
ants
for
OHP-
oral
hea
lth
educ
ator
s (so
urcin
g fro
m
King
s' Co
llege
Lon
don,
Ne
w Z
eala
nd, A
ustr
alia
, Sw
eden
, Sin
gapo
re).
•
Dent
al O
ffice
r: On
the j
ob
trai
ning
, CM
E le
ctur
es, C
NE
lect
ures
and
thro
ugh
disc
ussio
ns.
•Co
mm
unica
ted
with
OHP
Hon
g Ko
ng b
ut co
uld
not o
btai
n OH
P tr
aini
ng cu
rricu
lum
for D
enta
l Th
erap
ists.
•
Disc
usse
d De
ntal
Edu
cato
r co
urse
for D
enta
l Sur
gery
As
sista
nts w
ith K
ing's
Col
lege
Lo
ndon
, but
coul
d no
t pro
ceed
.
In p
rogr
ess.
Need
to d
evelo
p an
d es
tabl
ish a
syst
emic
capa
city b
uild
ing
prog
ram
me t
o de
velo
p th
e kn
owle
dge,
skill
s and
co
mpe
tenc
ies i
n pu
blic
heal
th, h
ealth
pro
mot
ion,
he
alth
lite
racy
and
rela
ted
area
s, fo
r den
tal p
erso
nnel
w
ho ar
e inv
olve
d in
Den
tal
Publ
ic He
alth
and
Oral
He
alth
Pro
mot
ion.
(iv)C
ontin
uing
educ
atio
n:
Mee
tings
/lec
ture
s/
sem
inar
s/bo
oks/
artic
les
pres
enta
tion
by m
embe
rs.
Cond
ucte
d m
eetin
gs, F
DI
conv
entio
n, se
min
ars,
disc
ussio
ns
for O
ral H
ealth
Pro
mot
ion
staf
f, pr
esen
tatio
n nu
rsin
g "Po
t-Pou
ri"
by A
ctin
g Nur
sing O
ffice
rs.
In p
rogr
ess.
Cont
inuo
us
Prof
essio
nal D
evel
opm
ent
(CPD
) sho
uld
be p
art o
f the
ca
pacit
y bui
ldin
g pr
ogra
mm
e for
thos
e in
volv
ed in
Den
tal P
ublic
He
alth
and
Oral
Hea
lth
Prom
otio
n.
28 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
REO
RGAN
ISIN
G/
REST
RUCT
URI
NG
OF
OH
P D
EPAR
TMEN
T To
inte
grat
e with
the H
ealth
Pr
omot
ion
Divi
sion
in th
e M
inist
ry o
f Hea
lth &
esta
blish
lo
cal a
nd st
atew
ide O
ral
Heal
th n
etw
orks
/coa
litio
n to
pr
omot
e Ora
l Hea
lth fr
om
2010
to 2
012.
(i)
Colla
bora
te w
ith th
e MOH
: •
Join
t wor
king
with
Hea
lth
Prom
otio
n -I
nteg
ratio
n of
mes
sage
s w
ith co
mm
on ri
sk/
heal
th fa
ctor
s. -H
old
cam
paig
ns w
ith
com
mon
them
es,
mes
sage
s: su
gar,
plaq
ue, c
arie
s, pe
riodo
ntiti
s, di
abet
es,
obes
ity, s
mok
ing,
perio
dont
itis,
hear
t di
seas
e, hy
perte
nsio
n,
lung
canc
er, s
trok
e. •
Join
t wor
king
with
RIP
AS
hosp
ital
-Ref
erra
l Den
tal D
iabe
tic
Clin
ic.
•
No cl
ear-c
ut in
tegr
atio
n of
Ora
l He
alth
Pro
mot
ion
into
Hea
lth
Prom
otio
n Di
visio
n an
d st
ate
wid
e net
wor
k and
coal
ition
s. Ho
wev
er, O
HP h
ave w
orke
d w
ith H
ealth
Pro
mot
ion
Cent
re
(HPC
) inc
orpo
ratin
g Ora
l He
alth
in H
PC p
rogr
amm
es
such
as M
ukim
Siha
t, Bl
uepr
int,
Maj
lis Il
mu,
Car
eer E
xhib
ition
, Ha
ri Pe
rkhi
dmat
an A
wam
. •
No es
tabl
ished
offi
cial
colla
bora
tion
with
RIP
AS
Hosp
ital f
or re
ferr
als o
f dia
betic
pa
tient
s to
Dent
al C
linics
for
Oral
Hea
lth M
anag
emen
t.
•Nee
d to
pro
mot
e OH
by
usin
g an
inte
grat
ed
appr
oach
to ad
dres
s Non
-Co
mm
unica
ble D
iseas
es
(NCD
s) th
roug
h a ‘
com
mon
ris
ks ap
proa
ch’.
•The
mos
t cos
t-effe
ctiv
e w
ay to
do
this
is to
in
tegr
ate O
HP in
to H
PC.
This
stra
tegy
is u
rgen
t es
pecia
lly af
ter t
he U
N re
solu
tions
on
NCDs
in
whi
ch o
ral d
iseas
es ar
e co
nsid
ered
as N
CDs.
•How
ever
, thi
s nee
ds to
be
just
ified
to th
e MoH
Ex
ecut
ive C
omm
ittee
ta
king
into
acco
unt t
he
ram
ifica
tions
of b
udge
t, hu
man
and
othe
r cap
ital,
juris
dict
ion
of &
ac
coun
tabi
lity f
or or
al
heal
th.
•Nee
d to
inclu
de o
ral
man
agem
ent i
nto
the
clini
cal p
roto
col f
or h
olist
ic m
anag
emen
t of d
iabe
tic
patie
nts.
•All
the a
bove
wer
e NOT
ac
hiev
ed in
the O
HA 2
008-
2012
.
(ii)
Colla
bora
te w
ith
RTB/
MOH
: •
Join
t wor
king
with
RTB
-P
rodu
ctio
n of
ora
l he
alth
tele
visio
n pr
omos
, doc
umen
tary
, ra
mpa
i pag
i, for
ums,
radi
o pr
omos
.
•Jo
int w
orki
ng w
ith
RTB/
Heal
th p
rom
otio
n -P
rodu
ctio
n of
gene
ral
heal
th, c
omm
on ri
sk/
heal
th fa
ctor
s, TV
pr
omos
, doc
umen
tarie
s, ra
dio
prom
os.
•Jo
int w
orki
ng w
ith R
TB fo
r pr
oduc
tion
of T
V pr
omos
, ra
mpa
i pag
i, rad
io p
rom
os an
d or
gani
sing d
enta
l son
g co
mpe
titio
n.
•
Colla
bora
tion
with
RTB
and
HPC
for j
oint
com
mon
risk
m
essa
ges i
n TV
and
radi
o pr
omos
(Wan
ita Si
hat d
an
Angg
un).
•Va
rious
OHP
med
ia
cam
paig
ns h
ave b
een
carr
ied
out b
ut th
e ef
fect
iven
ess o
f the
se
cam
paig
ns h
as n
ot b
een
dete
rmin
ed in
term
s of
beha
viou
r cha
nge a
nd O
ral
heal
th ou
tcom
e. •
Heal
th ca
mpa
igns
&
com
mun
icatio
ns to
pr
omot
e ora
l hea
lth sh
ould
be
inte
grat
ed in
to ge
nera
l he
alth
pro
mot
ion.
•
OHP
shou
ld n
ot b
e don
e in
isola
tion.
(iii)
Colla
bora
te w
ith W
HO/
FDI/
ASEA
N Co
mm
ittee
for
Regu
latio
n of
fluo
ride i
n to
othp
aste
- low
and
inef
fect
ive f
luor
ide
cont
ent,
toxi
c sub
stan
ce
(saf
ety)
: •
To h
ave c
onsu
ltatio
n w
ith
the r
elev
ant a
utho
ritie
s-
cons
ulta
nts f
rom
WHO
, FD
I, AS
EAN
Com
mitt
ee.
-To
asse
ss cu
rren
t sit
uatio
ns an
d pr
oble
ms.
-Fl
uorid
e con
tent
in m
any o
f the
to
othp
aste
s sol
d in
the m
arke
t is
belo
w th
e effe
ctiv
e lev
el o
f an
ti-ca
ries e
ffica
cy 1
,450
ppm
(fr
om re
sults
of F
luor
ide t
estin
g of
toot
hpas
tes f
rom
Bru
nei
mar
ket i
n AC
TA A
mst
erda
m
WHO
colla
bora
ting C
entre
).
-No
pro
toco
l was
es
tabl
ished
to h
ave a
sy
stem
ic ch
eck o
n th
e flu
orid
e lev
el in
the
fluor
ide t
ooth
past
e tha
t are
im
port
ed in
to B
rune
i and
a re
port
ing f
orm
at to
repo
rt th
is to
the r
elev
ant
auth
oriti
es.
29A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
REO
RGAN
ISIN
G/
REST
RUCT
URI
NG
OF
OH
P D
EPAR
TMEN
T To
inte
grat
e with
the H
ealth
Pr
omot
ion
Divi
sion
in th
e M
inist
ry o
f Hea
lth &
esta
blish
lo
cal a
nd st
atew
ide O
ral
Heal
th n
etw
orks
/coa
litio
n to
pr
omot
e Ora
l Hea
lth fr
om
2010
to 2
012.
(i)
Colla
bora
te w
ith th
e MOH
: •
Join
t wor
king
with
Hea
lth
Prom
otio
n -I
nteg
ratio
n of
mes
sage
s w
ith co
mm
on ri
sk/
heal
th fa
ctor
s. -H
old
cam
paig
ns w
ith
com
mon
them
es,
mes
sage
s: su
gar,
plaq
ue, c
arie
s, pe
riodo
ntiti
s, di
abet
es,
obes
ity, s
mok
ing,
perio
dont
itis,
hear
t di
seas
e, hy
perte
nsio
n,
lung
canc
er, s
trok
e. •
Join
t wor
king
with
RIP
AS
hosp
ital
-Ref
erra
l Den
tal D
iabe
tic
Clin
ic.
•
No cl
ear-c
ut in
tegr
atio
n of
Ora
l He
alth
Pro
mot
ion
into
Hea
lth
Prom
otio
n Di
visio
n an
d st
ate
wid
e net
wor
k and
coal
ition
s. Ho
wev
er, O
HP h
ave w
orke
d w
ith H
ealth
Pro
mot
ion
Cent
re
(HPC
) inc
orpo
ratin
g Ora
l He
alth
in H
PC p
rogr
amm
es
such
as M
ukim
Siha
t, Bl
uepr
int,
Maj
lis Il
mu,
Car
eer E
xhib
ition
, Ha
ri Pe
rkhi
dmat
an A
wam
. •
No es
tabl
ished
offi
cial
colla
bora
tion
with
RIP
AS
Hosp
ital f
or re
ferr
als o
f dia
betic
pa
tient
s to
Dent
al C
linics
for
Oral
Hea
lth M
anag
emen
t.
•Nee
d to
pro
mot
e OH
by
usin
g an
inte
grat
ed
appr
oach
to ad
dres
s Non
-Co
mm
unica
ble D
iseas
es
(NCD
s) th
roug
h a ‘
com
mon
ris
ks ap
proa
ch’.
•The
mos
t cos
t-effe
ctiv
e w
ay to
do
this
is to
in
tegr
ate O
HP in
to H
PC.
This
stra
tegy
is u
rgen
t es
pecia
lly af
ter t
he U
N re
solu
tions
on
NCDs
in
whi
ch o
ral d
iseas
es ar
e co
nsid
ered
as N
CDs.
•How
ever
, thi
s nee
ds to
be
just
ified
to th
e MoH
Ex
ecut
ive C
omm
ittee
ta
king
into
acco
unt t
he
ram
ifica
tions
of b
udge
t, hu
man
and
othe
r cap
ital,
juris
dict
ion
of &
ac
coun
tabi
lity f
or or
al
heal
th.
•Nee
d to
inclu
de o
ral
man
agem
ent i
nto
the
clini
cal p
roto
col f
or h
olist
ic m
anag
emen
t of d
iabe
tic
patie
nts.
•All
the a
bove
wer
e NOT
ac
hiev
ed in
the O
HA 2
008-
2012
.
(ii)
Colla
bora
te w
ith
RTB/
MOH
: •
Join
t wor
king
with
RTB
-P
rodu
ctio
n of
ora
l he
alth
tele
visio
n pr
omos
, doc
umen
tary
, ra
mpa
i pag
i, for
ums,
radi
o pr
omos
.
•Jo
int w
orki
ng w
ith
RTB/
Heal
th p
rom
otio
n -P
rodu
ctio
n of
gene
ral
heal
th, c
omm
on ri
sk/
heal
th fa
ctor
s, TV
pr
omos
, doc
umen
tarie
s, ra
dio
prom
os.
•Jo
int w
orki
ng w
ith R
TB fo
r pr
oduc
tion
of T
V pr
omos
, ra
mpa
i pag
i, rad
io p
rom
os an
d or
gani
sing d
enta
l son
g co
mpe
titio
n.
•
Colla
bora
tion
with
RTB
and
HPC
for j
oint
com
mon
risk
m
essa
ges i
n TV
and
radi
o pr
omos
(Wan
ita Si
hat d
an
Angg
un).
•Va
rious
OHP
med
ia
cam
paig
ns h
ave b
een
carr
ied
out b
ut th
e ef
fect
iven
ess o
f the
se
cam
paig
ns h
as n
ot b
een
dete
rmin
ed in
term
s of
beha
viou
r cha
nge a
nd O
ral
heal
th ou
tcom
e. •
Heal
th ca
mpa
igns
&
com
mun
icatio
ns to
pr
omot
e ora
l hea
lth sh
ould
be
inte
grat
ed in
to ge
nera
l he
alth
pro
mot
ion.
•
OHP
shou
ld n
ot b
e don
e in
isola
tion.
(iii)
Colla
bora
te w
ith W
HO/
FDI/
ASEA
N Co
mm
ittee
for
Regu
latio
n of
fluo
ride i
n to
othp
aste
- low
and
inef
fect
ive f
luor
ide
cont
ent,
toxi
c sub
stan
ce
(saf
ety)
: •
To h
ave c
onsu
ltatio
n w
ith
the r
elev
ant a
utho
ritie
s-
cons
ulta
nts f
rom
WHO
, FD
I, AS
EAN
Com
mitt
ee.
-To
asse
ss cu
rren
t sit
uatio
ns an
d pr
oble
ms.
-Fl
uorid
e con
tent
in m
any o
f the
to
othp
aste
s sol
d in
the m
arke
t is
belo
w th
e effe
ctiv
e lev
el o
f an
ti-ca
ries e
ffica
cy 1
,450
ppm
(fr
om re
sults
of F
luor
ide t
estin
g of
toot
hpas
tes f
rom
Bru
nei
mar
ket i
n AC
TA A
mst
erda
m
WHO
colla
bora
ting C
entre
).
-No
pro
toco
l was
es
tabl
ished
to h
ave a
sy
stem
ic ch
eck o
n th
e flu
orid
e lev
el in
the
fluor
ide t
ooth
past
e tha
t are
im
port
ed in
to B
rune
i and
a re
port
ing f
orm
at to
repo
rt th
is to
the r
elev
ant
auth
oriti
es.
30 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
-To
form
ulat
e act
ion
plan
s reg
ardi
ng p
ost
mar
ket s
urve
illan
ce,
impo
rt co
ntro
l, leg
al
actio
ns.
-T
o co
llabo
rate
with
M
OH, P
harm
acy
Depa
rtmen
t and
oth
er
rele
vant
agen
cies a
t lo
cal l
evel
for p
ost
mar
ket s
urve
illan
ce,
impo
rt co
ntro
l and
lega
l ac
tions
.
-Pl
an to
visit
and
be as
siste
d by
Si
ngap
ore H
ealth
Scie
nce
Agen
cy re
gard
ing f
luor
ide
test
ing t
rain
ing o
f Scie
ntifi
c Of
ficer
s fro
m M
OH an
d co
ntro
l of
fluo
ride c
onte
nt in
to
othp
aste
s sol
d in
the B
rune
i m
arke
t. -
Colla
bora
te w
ith P
harm
acy-
AS
EAN
Scie
ntifi
c/Co
smet
ic Or
der:
to re
gula
te fl
uorid
e in
toot
hpas
tes t
o ef
fect
ive l
evel
of
anti-
carie
s effi
cacy
1,4
50 p
pm
acco
rdin
g to
WHO
/FDI
/IAD
R re
solu
tion
durin
g ‘Ef
fect
ive U
se
of F
luor
ide i
n As
ia’ in
Phu
ket i
n M
arch
201
1.
-No
visit
to Si
ngap
ore o
r as
sista
nce s
ough
t fro
m th
e Si
ngap
ore H
ealth
Scie
nce
Agen
cy.
-No
firm
actio
n ta
ken
on
this.
Nee
d to
enha
nce
colla
bora
tion
with
the
Depa
rtmen
t of
Phar
mac
eutic
al Se
rvice
s on
this
mat
ter.
(iv)C
olla
bora
te w
ith
com
mer
cial s
take
hold
ers:
•To
hav
e dia
logu
e ses
sions
an
d Or
al H
ealth
pr
esen
tatio
ns w
ith
com
mer
cial s
take
hold
ers.
•
To co
llabo
rate
with
re
leva
nt au
thor
ities
for
initi
atio
n an
d im
plem
enta
tion
of
redu
ctio
n of
suga
r co
nten
t in
impo
rted
food
s an
d be
vera
ges.
•
One d
ialo
gue s
essio
n an
d or
al
heal
th p
rese
ntat
ion
with
co
mm
ercia
l sta
keho
lder
s in
2008
. How
ever
, it w
as ad
vise
d by
Pro
fess
or B
linkh
orn
not t
o pr
iorit
ise co
mm
ercia
l st
akeh
olde
rs fo
r the
mom
ent i
n or
der n
ot to
crea
te an
incr
ease
in
out
patie
nts d
eman
d.
•Re
duct
ion
of su
gar
cons
umpt
ion
initi
ativ
e is
inco
rpor
ated
into
MOH
/HPC
BL
UEPR
INT
invo
lvin
g st
akeh
olde
rs su
ch as
Min
istry
of
Indu
stry
and
Prim
ary
Reso
urce
s, De
partm
ent o
f Foo
d Sa
fety
& M
inist
ry of
Edu
catio
n.
Need
to h
ave a
n in
tegr
ated
ap
proa
ch to
pro
mot
e hea
lth
thro
ugh
redu
cing s
ugar
co
nsum
ptio
n on
a po
pula
tion
basis
.
GOAL
NO
.3- T
arge
t pop
ulat
ions
that
are
at r
isks
to o
ral d
isea
ses &
to u
tilis
e pr
oven
inte
rven
tions
N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To im
plem
ent p
ublic
ed
ucat
ion
& sk
ill
deve
lopm
ent
prog
ram
mes
to
achi
eve i
mpr
oved
Ora
l He
alth
know
ledg
e, at
titud
es &
beh
avio
urs
of al
l res
iden
ts in
Br
unei
Dar
ussa
lam
.
Thes
e pro
gram
mes
to
cove
r:
i.Pr
imar
y Sc
hool
child
ren.
ii.
Seco
ndar
y Sc
hool
child
ren.
iii
.An
tena
tal &
youn
g m
othe
rs.
iv.
Com
mun
ity &
Scho
ol
Heal
th N
urse
s in
cludi
ng T
rain
ees.
v.Te
ache
rs in
cludi
ng
Trai
nees
. vi
.Cl
ient
s of D
enta
l De
partm
ent
inclu
ding
Civ
il Se
rvice
empl
oyee
s-
90%
. vi
i.Ca
regi
vers
of
child
ren
with
spec
ial
need
s. vi
ii.Ca
regi
vers
of t
he
elde
rly &
adul
ts w
ith
spec
ial n
eeds
.
In 2
012,
thes
e pro
gram
mes
to
cove
r the
se p
opul
atio
n su
b-gr
oups
by:
i.
90
%
ii. 6
0 %
iii
. 70
%
iv. 1
00 %
v.
60
%
vi.
90 %
vi
i. 20
%
viii.
20
%
i.
Oral
Hea
lth P
rom
otio
n di
visio
n co
vere
d 27
Prim
ary
Scho
ols i
n th
e yea
r 201
1 (~
30%
) ii.
OHP
depa
rtm
ent h
as
cond
ucte
d De
ntal
Hea
lth ta
lk
for 1
Seco
ndar
y Sch
ool i
n 20
11 an
d 1
Seco
ndar
y Sc
hool
in 2
012.
iii
.32
.5 %
cove
rage
in 2
010.
iv.
Firs
t sem
inar
give
n on
3rd
-4th
De
c 200
8. Se
cond
sem
inar
fo
r pos
t-bas
ic He
alth
Nur
ses
give
n in
Feb
ruar
y 200
9. In
De
cem
ber 2
010,
OHP
se
min
ar gi
ven
to n
ursin
g st
uden
ts fr
om U
BD.
v.In
Janu
ary a
nd F
ebru
ary
2009
, sem
inar
s wer
e giv
en
to th
e 1st
batc
h of
UBD
te
ache
r tra
inee
s. Se
min
ar
was
give
n to
the 1
st b
atch
of
trai
nees
from
KUP
U in
M
arch
200
9. 2
4 Pr
imar
y Sc
hool
teac
hers
wer
e giv
en
talk
s in
2010
, 4 P
rimar
y Sc
hool
s in
2011
and
6 Pr
imar
y Sch
ools
in 2
012.
vi
.70
% ac
hiev
ed. D
aily
OHP
ta
lks w
ere g
iven
to ci
vil
i.
2012
targ
et n
ot
achi
eved
. ii.
2012
targ
et n
ot
achi
eved
.
iii.
2012
targ
et n
ot
achi
eved
. iv
.20
12 ta
rget
not
ac
hiev
ed.
v.20
12 ta
rget
not
ac
hiev
ed.
vi.
2012
targ
et n
ot
achi
eved
.
31A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
-To
form
ulat
e act
ion
plan
s reg
ardi
ng p
ost
mar
ket s
urve
illan
ce,
impo
rt co
ntro
l, leg
al
actio
ns.
-T
o co
llabo
rate
with
M
OH, P
harm
acy
Depa
rtmen
t and
oth
er
rele
vant
agen
cies a
t lo
cal l
evel
for p
ost
mar
ket s
urve
illan
ce,
impo
rt co
ntro
l and
lega
l ac
tions
.
-Pl
an to
visit
and
be as
siste
d by
Si
ngap
ore H
ealth
Scie
nce
Agen
cy re
gard
ing f
luor
ide
test
ing t
rain
ing o
f Scie
ntifi
c Of
ficer
s fro
m M
OH an
d co
ntro
l of
fluo
ride c
onte
nt in
to
othp
aste
s sol
d in
the B
rune
i m
arke
t. -
Colla
bora
te w
ith P
harm
acy-
AS
EAN
Scie
ntifi
c/Co
smet
ic Or
der:
to re
gula
te fl
uorid
e in
toot
hpas
tes t
o ef
fect
ive l
evel
of
anti-
carie
s effi
cacy
1,4
50 p
pm
acco
rdin
g to
WHO
/FDI
/IAD
R re
solu
tion
durin
g ‘Ef
fect
ive U
se
of F
luor
ide i
n As
ia’ in
Phu
ket i
n M
arch
201
1.
-No
visit
to Si
ngap
ore o
r as
sista
nce s
ough
t fro
m th
e Si
ngap
ore H
ealth
Scie
nce
Agen
cy.
-No
firm
actio
n ta
ken
on
this.
Nee
d to
enha
nce
colla
bora
tion
with
the
Depa
rtmen
t of
Phar
mac
eutic
al Se
rvice
s on
this
mat
ter.
(iv)C
olla
bora
te w
ith
com
mer
cial s
take
hold
ers:
•To
hav
e dia
logu
e ses
sions
an
d Or
al H
ealth
pr
esen
tatio
ns w
ith
com
mer
cial s
take
hold
ers.
•
To co
llabo
rate
with
re
leva
nt au
thor
ities
for
initi
atio
n an
d im
plem
enta
tion
of
redu
ctio
n of
suga
r co
nten
t in
impo
rted
food
s an
d be
vera
ges.
•
One d
ialo
gue s
essio
n an
d or
al
heal
th p
rese
ntat
ion
with
co
mm
ercia
l sta
keho
lder
s in
2008
. How
ever
, it w
as ad
vise
d by
Pro
fess
or B
linkh
orn
not t
o pr
iorit
ise co
mm
ercia
l st
akeh
olde
rs fo
r the
mom
ent i
n or
der n
ot to
crea
te an
incr
ease
in
out
patie
nts d
eman
d.
•Re
duct
ion
of su
gar
cons
umpt
ion
initi
ativ
e is
inco
rpor
ated
into
MOH
/HPC
BL
UEPR
INT
invo
lvin
g st
akeh
olde
rs su
ch as
Min
istry
of
Indu
stry
and
Prim
ary
Reso
urce
s, De
partm
ent o
f Foo
d Sa
fety
& M
inist
ry of
Edu
catio
n.
Need
to h
ave a
n in
tegr
ated
ap
proa
ch to
pro
mot
e hea
lth
thro
ugh
redu
cing s
ugar
co
nsum
ptio
n on
a po
pula
tion
basis
.
GOAL
NO
.3- T
arge
t pop
ulat
ions
that
are
at r
isks
to o
ral d
isea
ses &
to u
tilis
e pr
oven
inte
rven
tions
N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To im
plem
ent p
ublic
ed
ucat
ion
& sk
ill
deve
lopm
ent
prog
ram
mes
to
achi
eve i
mpr
oved
Ora
l He
alth
know
ledg
e, at
titud
es &
beh
avio
urs
of al
l res
iden
ts in
Br
unei
Dar
ussa
lam
.
Thes
e pro
gram
mes
to
cove
r:
i.Pr
imar
y Sc
hool
child
ren.
ii.
Seco
ndar
y Sc
hool
child
ren.
iii
.An
tena
tal &
youn
g m
othe
rs.
iv.
Com
mun
ity &
Scho
ol
Heal
th N
urse
s in
cludi
ng T
rain
ees.
v.Te
ache
rs in
cludi
ng
Trai
nees
. vi
.Cl
ient
s of D
enta
l De
partm
ent
inclu
ding
Civ
il Se
rvice
empl
oyee
s-
90%
. vi
i.Ca
regi
vers
of
child
ren
with
spec
ial
need
s. vi
ii.Ca
regi
vers
of t
he
elde
rly &
adul
ts w
ith
spec
ial n
eeds
.
In 2
012,
thes
e pro
gram
mes
to
cove
r the
se p
opul
atio
n su
b-gr
oups
by:
i.
90
%
ii. 6
0 %
iii
. 70
%
iv. 1
00 %
v.
60
%
vi.
90 %
vi
i. 20
%
viii.
20
%
i.
Oral
Hea
lth P
rom
otio
n di
visio
n co
vere
d 27
Prim
ary
Scho
ols i
n th
e yea
r 201
1 (~
30%
) ii.
OHP
depa
rtm
ent h
as
cond
ucte
d De
ntal
Hea
lth ta
lk
for 1
Seco
ndar
y Sch
ool i
n 20
11 an
d 1
Seco
ndar
y Sc
hool
in 2
012.
iii
.32
.5 %
cove
rage
in 2
010.
iv.
Firs
t sem
inar
give
n on
3rd
-4th
De
c 200
8. Se
cond
sem
inar
fo
r pos
t-bas
ic He
alth
Nur
ses
give
n in
Feb
ruar
y 200
9. In
De
cem
ber 2
010,
OHP
se
min
ar gi
ven
to n
ursin
g st
uden
ts fr
om U
BD.
v.In
Janu
ary a
nd F
ebru
ary
2009
, sem
inar
s wer
e giv
en
to th
e 1st
batc
h of
UBD
te
ache
r tra
inee
s. Se
min
ar
was
give
n to
the 1
st b
atch
of
trai
nees
from
KUP
U in
M
arch
200
9. 2
4 Pr
imar
y Sc
hool
teac
hers
wer
e giv
en
talk
s in
2010
, 4 P
rimar
y Sc
hool
s in
2011
and
6 Pr
imar
y Sch
ools
in 2
012.
vi
.70
% ac
hiev
ed. D
aily
OHP
ta
lks w
ere g
iven
to ci
vil
i.
2012
targ
et n
ot
achi
eved
. ii.
2012
targ
et n
ot
achi
eved
.
iii.
2012
targ
et n
ot
achi
eved
. iv
.20
12 ta
rget
not
ac
hiev
ed.
v.20
12 ta
rget
not
ac
hiev
ed.
vi.
2012
targ
et n
ot
achi
eved
.
32 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
serv
ants
dur
ing t
he
Inte
grat
ed H
ealth
Scre
enin
g. vi
i.10
0% ac
hiev
ed.
vi
ii.20
% ac
hiev
ed. O
HP ta
lks
wer
e giv
en to
care
give
rs of
ad
ult w
ith sp
ecia
l nee
ds in
Pu
sat E
hsan
and
Pusa
t Ba
hagi
a. No
OHP
talk
was
gi
ven
to ca
regi
vers
of
elde
rly.
vii.
Only
to cl
ient
s atte
ndin
g th
e CDC
. vi
ii.OH
P ne
eds t
o be
in
tegr
ated
into
co
mm
unity
hea
lth
prom
otio
n pr
ogra
mm
es
for t
he el
derly
. •
Need
to co
me u
p w
ith
appr
opria
te st
rate
gies
to
incr
ease
the c
over
age o
f th
e var
ious
targ
et
popu
latio
ns to
empo
wer
an
d en
able
them
to
incr
ease
cont
rol o
ver t
he
dete
rmin
ants
of h
ealth
/ or
al h
ealth
. •
To en
hanc
e the
ef
fect
iven
ess o
f the
se
stra
tegi
es b
y app
lyin
g the
co
ncep
ts of
socia
l m
arke
ting a
nd h
ealth
lit
erac
y.
To p
rom
ote o
ral h
ealth
co
llabo
ratio
n/co
aliti
ons/
pa
rtne
rshi
ps/n
etw
orki
ng
with
the v
ario
us
stak
ehol
ders
.
By 2
008,
to o
rgan
ise
sem
inar
s/w
orks
hops
for t
he
vario
us st
akeh
olde
rs &
de
cisio
n-/p
olicy
-mak
ers t
o di
scus
s var
ious
issu
es &
pr
oble
ms,
shar
e bes
t pr
actic
es &
iden
tify
educ
atio
n ne
eds f
or th
e fo
llow
ing A
utho
ritie
s:
-Ed
ucat
ion.
-
Med
ical &
Hea
lth.
•In
Mar
ch 2
009,
fluo
ride
sem
inar
was
org
anise
d fo
r te
ache
rs fr
om M
inist
ry of
Ed
ucat
ion
and
Min
istry
of
Relig
ious
Affa
irs, M
edica
l and
He
alth
staf
f, Wat
er
Depa
rtmen
t sta
ff an
d re
pres
enta
tives
from
vario
us
med
ia b
y Pro
f. Van
Pal
enst
ien
from
Nijm
egan
Uni
vers
ity,
Neth
erla
nd.
Obje
ctiv
e ach
ieve
d in
200
9.
Need
to co
ntin
uous
ly
enha
nce a
nd st
reng
then
the
wor
king
rela
tions
hip
with
re
leva
nt st
akeh
olde
rs an
d pa
rtne
rs.
-W
ater
wor
ks.
-Va
rious
Med
ia an
d pr
ivat
e co
mpa
ny.
-M
inist
ry o
f Rel
igio
us
Affa
irs (F
riday
Serm
on).
•In
Nov
embe
r 201
1, th
e De
partm
ent o
f Den
tal S
ervi
ces
coop
erat
e with
the M
inist
ry o
f Re
ligio
us A
ffairs
to p
rodu
ce a
text
on
Siw
ak (t
ooth
brus
hing
) fo
r Frid
ay Se
rmon
(Khu
tbah
Ju
maa
t).
By
201
0, to
furth
er en
hanc
e th
e col
labo
ratio
n w
ith th
e va
rious
stak
ehol
ders
e.g.
orga
nise
sem
inar
s and
let
the s
take
hold
ers c
laim
ow
ners
hip
of th
ese O
H Ed
ucat
iona
l Pro
gram
mes
. To
inclu
de m
ore
stak
ehol
ders
inclu
ding
NGO
s &
volu
ntar
y org
anisa
tions
e.g
. KAC
A, SM
ARTE
R.
•On
11t
h Sep
tem
ber 2
009,
a He
alth
Pro
mot
ion
Sem
inar
w
as p
rese
nted
by P
rofe
ssor
Ri
char
d W
att f
or va
rious
st
akeh
olde
rs su
ch as
De
partm
ent o
f Hea
lth an
d M
edica
l Ser
vice
s, Ar
med
Fo
rces
, Bru
nei S
hell,
and
priv
ate p
ract
ition
ers.
•Pa
edod
ontic
Uni
t pro
vide
s ho
me v
isit f
or h
ome b
ound
sp
ecia
l nee
ds ch
ildre
n sin
ce
2009
.
Faile
d to
achi
eve o
wne
rshi
p of
OH
educ
atio
nal
prog
ram
mes
obj
ectiv
e in
2010
.
By 2
012,
to co
ntin
ue to
su
ppor
t the
exist
ing
stak
ehol
ders
& b
ecom
e mor
e of
a fa
cilita
tor t
o as
sist t
hem
in
thei
r var
ious
OH
Educ
atio
n Pr
ogra
mm
es. T
o in
itiat
e col
labo
ratio
n w
ith
new
stak
ehol
ders
e.g.
Elde
rly
Hom
es, N
ursin
g Hom
es et
c.
Not p
lann
ed.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
To d
evel
op a
syst
em th
at
prov
ides
the s
take
hold
ers
with
rele
vant
ora
l hea
lth
info
rmat
ion
& pr
actic
es.
By 2
008,
to en
hanc
e the
oral
he
alth
infra
stru
ctur
e in
term
s of p
rovi
ding
educ
atio
n to
the c
omm
unity
on
vario
us
oral
hea
lth to
pics
.
•Or
al h
ealth
educ
atio
n ta
lks
cond
ucte
d by
the O
HP
Divi
sion
for s
choo
lchild
ren,
an
tena
tal m
othe
rs,
Obje
ctiv
e ach
ieve
d in
200
8.
Need
to en
hanc
e the
m
onito
ring a
nd ev
alua
tion
of
all O
HP p
rogr
amm
es,
initi
ativ
es an
d ac
tiviti
es to
33A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
serv
ants
dur
ing t
he
Inte
grat
ed H
ealth
Scre
enin
g. vi
i.10
0% ac
hiev
ed.
vi
ii.20
% ac
hiev
ed. O
HP ta
lks
wer
e giv
en to
care
give
rs of
ad
ult w
ith sp
ecia
l nee
ds in
Pu
sat E
hsan
and
Pusa
t Ba
hagi
a. No
OHP
talk
was
gi
ven
to ca
regi
vers
of
elde
rly.
vii.
Only
to cl
ient
s atte
ndin
g th
e CDC
. vi
ii.OH
P ne
eds t
o be
in
tegr
ated
into
co
mm
unity
hea
lth
prom
otio
n pr
ogra
mm
es
for t
he el
derly
. •
Need
to co
me u
p w
ith
appr
opria
te st
rate
gies
to
incr
ease
the c
over
age o
f th
e var
ious
targ
et
popu
latio
ns to
empo
wer
an
d en
able
them
to
incr
ease
cont
rol o
ver t
he
dete
rmin
ants
of h
ealth
/ or
al h
ealth
. •
To en
hanc
e the
ef
fect
iven
ess o
f the
se
stra
tegi
es b
y app
lyin
g the
co
ncep
ts of
socia
l m
arke
ting a
nd h
ealth
lit
erac
y.
To p
rom
ote o
ral h
ealth
co
llabo
ratio
n/co
aliti
ons/
pa
rtne
rshi
ps/n
etw
orki
ng
with
the v
ario
us
stak
ehol
ders
.
By 2
008,
to o
rgan
ise
sem
inar
s/w
orks
hops
for t
he
vario
us st
akeh
olde
rs &
de
cisio
n-/p
olicy
-mak
ers t
o di
scus
s var
ious
issu
es &
pr
oble
ms,
shar
e bes
t pr
actic
es &
iden
tify
educ
atio
n ne
eds f
or th
e fo
llow
ing A
utho
ritie
s:
-Ed
ucat
ion.
-
Med
ical &
Hea
lth.
•In
Mar
ch 2
009,
fluo
ride
sem
inar
was
org
anise
d fo
r te
ache
rs fr
om M
inist
ry of
Ed
ucat
ion
and
Min
istry
of
Relig
ious
Affa
irs, M
edica
l and
He
alth
staf
f, Wat
er
Depa
rtmen
t sta
ff an
d re
pres
enta
tives
from
vario
us
med
ia b
y Pro
f. Van
Pal
enst
ien
from
Nijm
egan
Uni
vers
ity,
Neth
erla
nd.
Obje
ctiv
e ach
ieve
d in
200
9.
Need
to co
ntin
uous
ly
enha
nce a
nd st
reng
then
the
wor
king
rela
tions
hip
with
re
leva
nt st
akeh
olde
rs an
d pa
rtne
rs.
-W
ater
wor
ks.
-Va
rious
Med
ia an
d pr
ivat
e co
mpa
ny.
-M
inist
ry o
f Rel
igio
us
Affa
irs (F
riday
Serm
on).
•In
Nov
embe
r 201
1, th
e De
partm
ent o
f Den
tal S
ervi
ces
coop
erat
e with
the M
inist
ry o
f Re
ligio
us A
ffairs
to p
rodu
ce a
text
on
Siw
ak (t
ooth
brus
hing
) fo
r Frid
ay Se
rmon
(Khu
tbah
Ju
maa
t).
By
201
0, to
furth
er en
hanc
e th
e col
labo
ratio
n w
ith th
e va
rious
stak
ehol
ders
e.g.
orga
nise
sem
inar
s and
let
the s
take
hold
ers c
laim
ow
ners
hip
of th
ese O
H Ed
ucat
iona
l Pro
gram
mes
. To
inclu
de m
ore
stak
ehol
ders
inclu
ding
NGO
s &
volu
ntar
y org
anisa
tions
e.g
. KAC
A, SM
ARTE
R.
•On
11t
h Sep
tem
ber 2
009,
a He
alth
Pro
mot
ion
Sem
inar
w
as p
rese
nted
by P
rofe
ssor
Ri
char
d W
att f
or va
rious
st
akeh
olde
rs su
ch as
De
partm
ent o
f Hea
lth an
d M
edica
l Ser
vice
s, Ar
med
Fo
rces
, Bru
nei S
hell,
and
priv
ate p
ract
ition
ers.
•Pa
edod
ontic
Uni
t pro
vide
s ho
me v
isit f
or h
ome b
ound
sp
ecia
l nee
ds ch
ildre
n sin
ce
2009
.
Faile
d to
achi
eve o
wne
rshi
p of
OH
educ
atio
nal
prog
ram
mes
obj
ectiv
e in
2010
.
By 2
012,
to co
ntin
ue to
su
ppor
t the
exist
ing
stak
ehol
ders
& b
ecom
e mor
e of
a fa
cilita
tor t
o as
sist t
hem
in
thei
r var
ious
OH
Educ
atio
n Pr
ogra
mm
es. T
o in
itiat
e col
labo
ratio
n w
ith
new
stak
ehol
ders
e.g.
Elde
rly
Hom
es, N
ursin
g Hom
es et
c.
Not p
lann
ed.
Faile
d to
achi
eve o
bjec
tive i
n 20
12.
To d
evel
op a
syst
em th
at
prov
ides
the s
take
hold
ers
with
rele
vant
ora
l hea
lth
info
rmat
ion
& pr
actic
es.
By 2
008,
to en
hanc
e the
oral
he
alth
infra
stru
ctur
e in
term
s of p
rovi
ding
educ
atio
n to
the c
omm
unity
on
vario
us
oral
hea
lth to
pics
.
•Or
al h
ealth
educ
atio
n ta
lks
cond
ucte
d by
the O
HP
Divi
sion
for s
choo
lchild
ren,
an
tena
tal m
othe
rs,
Obje
ctiv
e ach
ieve
d in
200
8.
Need
to en
hanc
e the
m
onito
ring a
nd ev
alua
tion
of
all O
HP p
rogr
amm
es,
initi
ativ
es an
d ac
tiviti
es to
34 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
Com
mon
fear
s/
misc
once
ptio
ns o
n:
-Or
al H
ealth
& T
reat
men
t. -
Fluo
ride.
-Ea
rly ch
ildho
od ca
ries
prev
entio
n.
-Or
al h
ygie
ne (s
elf-c
are)
. -
Mat
erna
l Ora
l Hea
lth.
-Go
od d
ieta
ry h
abits
. To
the f
ollo
win
g gro
ups:
-Sc
hool
child
ren.
-An
tena
tal &
youn
g m
othe
rs.
-M
CH &
Scho
ol H
ealth
Nu
rses
. -
Teac
hers
.
Com
mun
ity H
ealth
and
Scho
ol
Heal
th N
urse
s and
teac
hers
ar
e on-
goin
g. •
Achi
eved
in 2
008
thro
ugh
:- 1.
OHP
pam
phle
ts.
2.OH
P st
icker
s for
child
ren.
dete
rmin
e the
ir ef
fect
iven
ess
in te
rms o
f kno
wle
dge,
attit
udes
and
beha
viou
r ch
ange
and
oral
hea
lth an
d re
late
d ou
tcom
es.
By 2
010,
to fu
rther
enha
nce
the o
ral h
ealth
infra
stru
ctur
e to
pro
vide
OH
Educ
atio
n by
de
velo
ping
& d
istrib
utin
g co
mpr
ehen
sive a
nd
appr
opria
te O
H ed
ucat
iona
l m
ater
ials
that
incr
ease
OH
awar
enes
s to
the t
arge
t po
pula
tions
& p
rovi
ders
: -
To in
clude
mor
e OH
topi
cs
e.g. t
obac
co ce
ssat
ion,
ora
l ca
ncer
risk
redu
ctio
n &
inju
ries p
reve
ntio
n.
-To
inclu
de m
ore t
arge
t gr
oups
e.g.
care
give
rs of
ch
ildre
n, ad
ults
& el
derly
w
ith sp
ecia
l nee
ds e.
g. nu
rsin
g aid
es, d
omes
tic
help
ers.
Achi
eved
in 2
010
by:
1.Di
ssem
inat
ion
of
com
preh
ensiv
e OHP
in
stru
ctio
ns th
roug
h OH
P bo
okle
ts an
d co
unse
ling o
f an
tena
tal m
othe
rs, p
aren
ts
in to
ddle
rs p
rogr
amm
e, an
d te
ache
rs in
Prim
ary S
choo
ls.
2.OH
P TV
pro
mos
:- i.
Diet
ary H
abits
– Sto
p
Bo
ttle F
eedi
ng an
d sw
eet
snac
ks.
ii. O
ral H
ygie
ne E
duca
tion-
Too
thbr
ushi
ng.
3.14
new
OHP
ban
ners
. 4.
OHP
pam
phle
ts.
5.OH
P po
ster
s. 6.
OHP
stick
ers f
or ch
ildre
n.
Obje
ctiv
e ach
ieve
d in
201
0.
By
201
2, to
cont
inua
lly
enha
nce t
he o
ral h
ealth
in
frast
ruct
ure t
o pr
ovid
e OH
Educ
atio
n by
inte
grat
ing o
ral
heal
th in
to o
ngoi
ng p
ublic
he
alth
pro
gram
mes
usin
g the
‘co
mm
on ri
sk fa
ctor
’ ap
proa
ch:
-To
revi
se &
upd
ate O
H ed
ucat
iona
l mat
eria
ls &
impl
emen
t bes
t pra
ctice
s in
OH
Educ
atio
n.
-To
asse
ss ef
fect
iven
ess o
f OH
Edu
catio
n in
terv
entio
ns to
all t
he
targ
et gr
oups
.
•10
OHP
song
s com
pose
d by
lo
cal c
ompo
sers
and
sung
by
Prim
ary S
choo
l stu
dent
s th
roug
h Na
tiona
l OHP
song
co
mpe
titio
n fo
r all
Prim
ary
Scho
ols.
•Pr
oduc
tion
of vi
deo C
Ds of
the
OHP
song
s is i
n pr
ogre
ss. T
o be
use
d fo
r dist
ribut
ion
to
publ
ic, sc
hool
s, OH
P ex
hibi
tions
and
func
tions
to
raise
ora
l hea
lth aw
aren
ess.
•Ne
w O
HP b
anne
rs w
ith
upda
ted
info
rmat
ion
and
pres
enta
tion.
Pam
phle
ts
info
rmat
ion
revi
sed
and
upda
ted.
•
On-g
oing
mon
itorin
g and
ev
alua
tion
of al
l OHP
pr
ogra
mm
es.
Obje
ctiv
e ach
ieve
d in
201
2.
To co
nduc
t ora
l hea
lth
cam
paig
ns an
d ex
plor
es
oppo
rtun
ities
to b
uild
up
on ex
istin
g cam
paig
ns
to co
mm
unica
te th
e im
port
ance
of o
ral h
ealth
, sig
ns &
sym
ptom
s of o
ral
dise
ases
& w
ays o
f re
ducin
g risk
s e.g.
•
Oral
hea
lth ca
mpa
igns
in
scho
ols.
•‘K
empe
n Ca
ra H
idup
Si
hat’.
By 2
008,
to co
nduc
t mor
e OH
cam
paig
ns an
d st
reng
then
ex
istin
g OH
cam
paig
ns t
o va
rious
sect
ors o
f the
co
mm
unity
by m
akin
g the
se
cam
paig
ns m
ore a
ttrac
tive
and
rele
vant
to th
e co
mm
unity
.
•Or
al h
ealth
cam
paig
ns in
Sc
hool
s. •
'Kem
pen
Cara
Hid
up Si
hat'.
•
Angk
at P
rogr
amm
e in
Kam
pong
Pin
tu M
alim
- No
vem
ber 2
008.
•
'Muk
im Si
hat'
at P
TE K
atok
- 29
th O
ctob
er 2
011.
•
‘Muz
akar
ah' w
ith co
mm
unity
le
ader
s & te
ache
rs.
•Ex
hibi
tion
Boot
h at
'Maj
lis
Ilmu'
- 17t
h to
24th
May
201
1 at
IC
C.
Obje
ctiv
e ach
ieve
d in
200
8.
35A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
Com
mon
fear
s/
misc
once
ptio
ns o
n:
-Or
al H
ealth
& T
reat
men
t. -
Fluo
ride.
-Ea
rly ch
ildho
od ca
ries
prev
entio
n.
-Or
al h
ygie
ne (s
elf-c
are)
. -
Mat
erna
l Ora
l Hea
lth.
-Go
od d
ieta
ry h
abits
. To
the f
ollo
win
g gro
ups:
-Sc
hool
child
ren.
-An
tena
tal &
youn
g m
othe
rs.
-M
CH &
Scho
ol H
ealth
Nu
rses
. -
Teac
hers
.
Com
mun
ity H
ealth
and
Scho
ol
Heal
th N
urse
s and
teac
hers
ar
e on-
goin
g. •
Achi
eved
in 2
008
thro
ugh
:- 1.
OHP
pam
phle
ts.
2.OH
P st
icker
s for
child
ren.
dete
rmin
e the
ir ef
fect
iven
ess
in te
rms o
f kno
wle
dge,
attit
udes
and
beha
viou
r ch
ange
and
oral
hea
lth an
d re
late
d ou
tcom
es.
By 2
010,
to fu
rther
enha
nce
the o
ral h
ealth
infra
stru
ctur
e to
pro
vide
OH
Educ
atio
n by
de
velo
ping
& d
istrib
utin
g co
mpr
ehen
sive a
nd
appr
opria
te O
H ed
ucat
iona
l m
ater
ials
that
incr
ease
OH
awar
enes
s to
the t
arge
t po
pula
tions
& p
rovi
ders
: -
To in
clude
mor
e OH
topi
cs
e.g. t
obac
co ce
ssat
ion,
ora
l ca
ncer
risk
redu
ctio
n &
inju
ries p
reve
ntio
n.
-To
inclu
de m
ore t
arge
t gr
oups
e.g.
care
give
rs of
ch
ildre
n, ad
ults
& el
derly
w
ith sp
ecia
l nee
ds e.
g. nu
rsin
g aid
es, d
omes
tic
help
ers.
Achi
eved
in 2
010
by:
1.Di
ssem
inat
ion
of
com
preh
ensiv
e OHP
in
stru
ctio
ns th
roug
h OH
P bo
okle
ts an
d co
unse
ling o
f an
tena
tal m
othe
rs, p
aren
ts
in to
ddle
rs p
rogr
amm
e, an
d te
ache
rs in
Prim
ary S
choo
ls.
2.OH
P TV
pro
mos
:- i.
Diet
ary H
abits
– Sto
p
Bo
ttle F
eedi
ng an
d sw
eet
snac
ks.
ii. O
ral H
ygie
ne E
duca
tion-
Too
thbr
ushi
ng.
3.14
new
OHP
ban
ners
. 4.
OHP
pam
phle
ts.
5.OH
P po
ster
s. 6.
OHP
stick
ers f
or ch
ildre
n.
Obje
ctiv
e ach
ieve
d in
201
0.
By
201
2, to
cont
inua
lly
enha
nce t
he o
ral h
ealth
in
frast
ruct
ure t
o pr
ovid
e OH
Educ
atio
n by
inte
grat
ing o
ral
heal
th in
to o
ngoi
ng p
ublic
he
alth
pro
gram
mes
usin
g the
‘co
mm
on ri
sk fa
ctor
’ ap
proa
ch:
-To
revi
se &
upd
ate O
H ed
ucat
iona
l mat
eria
ls &
impl
emen
t bes
t pra
ctice
s in
OH
Educ
atio
n.
-To
asse
ss ef
fect
iven
ess o
f OH
Edu
catio
n in
terv
entio
ns to
all t
he
targ
et gr
oups
.
•10
OHP
song
s com
pose
d by
lo
cal c
ompo
sers
and
sung
by
Prim
ary S
choo
l stu
dent
s th
roug
h Na
tiona
l OHP
song
co
mpe
titio
n fo
r all
Prim
ary
Scho
ols.
•Pr
oduc
tion
of vi
deo C
Ds of
the
OHP
song
s is i
n pr
ogre
ss. T
o be
use
d fo
r dist
ribut
ion
to
publ
ic, sc
hool
s, OH
P ex
hibi
tions
and
func
tions
to
raise
ora
l hea
lth aw
aren
ess.
•Ne
w O
HP b
anne
rs w
ith
upda
ted
info
rmat
ion
and
pres
enta
tion.
Pam
phle
ts
info
rmat
ion
revi
sed
and
upda
ted.
•
On-g
oing
mon
itorin
g and
ev
alua
tion
of al
l OHP
pr
ogra
mm
es.
Obje
ctiv
e ach
ieve
d in
201
2.
To co
nduc
t ora
l hea
lth
cam
paig
ns an
d ex
plor
es
oppo
rtun
ities
to b
uild
up
on ex
istin
g cam
paig
ns
to co
mm
unica
te th
e im
port
ance
of o
ral h
ealth
, sig
ns &
sym
ptom
s of o
ral
dise
ases
& w
ays o
f re
ducin
g risk
s e.g.
•
Oral
hea
lth ca
mpa
igns
in
scho
ols.
•‘K
empe
n Ca
ra H
idup
Si
hat’.
By 2
008,
to co
nduc
t mor
e OH
cam
paig
ns an
d st
reng
then
ex
istin
g OH
cam
paig
ns t
o va
rious
sect
ors o
f the
co
mm
unity
by m
akin
g the
se
cam
paig
ns m
ore a
ttrac
tive
and
rele
vant
to th
e co
mm
unity
.
•Or
al h
ealth
cam
paig
ns in
Sc
hool
s. •
'Kem
pen
Cara
Hid
up Si
hat'.
•
Angk
at P
rogr
amm
e in
Kam
pong
Pin
tu M
alim
- No
vem
ber 2
008.
•
'Muk
im Si
hat'
at P
TE K
atok
- 29
th O
ctob
er 2
011.
•
‘Muz
akar
ah' w
ith co
mm
unity
le
ader
s & te
ache
rs.
•Ex
hibi
tion
Boot
h at
'Maj
lis
Ilmu'
- 17t
h to
24th
May
201
1 at
IC
C.
Obje
ctiv
e ach
ieve
d in
200
8.
36 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
•‘M
uzak
arah
’ with
com
mun
ity le
ader
s &
tea
cher
s. •
‘Muk
im Si
hat’.
•
Vario
us O
H pr
ogra
mm
es
th
roug
h th
e med
ia.
•Var
ious
pub
lic h
ealth
cam
paig
ns.
•Us
e of t
he H
ealth
Zon
e.
•Va
rious
Ora
l Hea
lth
prog
ram
mes
thro
ugh
the
med
ia.
•Va
rious
Ora
l Hea
lth
Cam
paig
ns, 'P
esta
Kon
vo U
BD'
inclu
de E
xhib
ition
s &
Scre
enin
g- 2
0th S
epte
mbe
r 20
11.
•W
orld
Ora
l Hea
lth D
ay- 1
2th
Sept
embe
r 201
1.
•Us
e of t
he H
ealth
Zon
e-
Laun
chin
g of H
ealth
Pr
omot
ion
Blue
prin
t 201
1.
•Ex
hibi
tion
boot
h at
'Har
i Pe
rkhi
dmat
an A
wam
' at I
CC-
29th
Sept
embe
r 201
1.
By
201
0, to
lobb
y for
a hi
gh
prof
ile p
erso
nnel
to b
e the
‘C
ham
pion
’ for O
H ca
mpa
igns
and
lobb
y the
au
thor
ities
to d
edica
te a
spec
ial d
ay as
‘Ora
l Hea
lth
Day’
with
offi
cial f
unct
ions
an
d in
tens
e act
iviti
es to
pr
omot
e ora
l hea
lth
invo
lvin
g all
staf
f mem
bers
in
the D
epar
tmen
t of D
enta
l Se
rvice
s.
Wor
ld O
ral H
ealth
Day
:-
•201
0 in
conj
unct
ion
with
M
OH/F
DI co
nfer
ence
, la
unch
ing o
f DFT
B pr
ogra
mm
e. •2
011
Laun
chin
g by M
inist
er o
f He
alth
, ope
n da
y in
NDC,
M
OH/F
DI, N
atio
nal D
enta
l So
ng co
mpe
titio
n (A
pril
2012
).
Obje
ctiv
e ach
ieve
d in
201
0.
By 2
012,
to en
hanc
e the
pr
ofile
of ‘O
ral H
ealth
Day
’ &
furt
her i
nten
sify i
ts ac
tiviti
es
and
scop
e to
reac
h m
ore
sect
ors o
f the
pop
ulat
ion.
Natio
nal D
enta
l son
g co
mpe
titio
n in
prim
ary s
choo
ls of
Bru
nei D
arus
sala
m. A
Na
tiona
l Den
tal S
ong
Com
petit
ion
was
cond
ucte
d as
pa
rt o
f the
Wor
ld O
ral H
ealth
Da
y Cel
ebra
tion
2011
.
Obje
ctiv
e ach
ieve
d in
201
2.
GOAL
NO
.4-
Re-o
rien
tate
ora
l hea
lth se
rvic
es to
war
ds p
rom
otio
n &
pre
vent
ion
rath
er th
an c
once
ntra
ting
on
trea
ting
the
cons
eque
nces
of o
ral d
isea
ses
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
stre
ngth
en th
e ora
l he
alth
infra
stru
ctur
e to
adop
t a m
ore
prev
entiv
e &
prom
otiv
e app
roac
h w
hen
prov
idin
g ora
l he
alth
serv
ices &
to
inte
grat
e ora
l hea
lth
into
gene
ral h
ealth
pr
ogra
mm
es.
To fo
rmul
ate &
im
plem
ent t
rain
ing
prog
ram
mes
to m
otiv
ate
the o
ral h
ealth
wor
kfor
ce
to im
prov
e the
oral
hea
lth
of th
eir c
lient
s thr
ough
th
e use
of p
rove
n pr
even
tive m
easu
res.
To p
rovi
de ap
prop
riate
tr
aini
ng p
rogr
amm
es in
Ora
l He
alth
pro
mot
ion
& pr
even
tion
for t
he o
ral
heal
th w
orkf
orce
in 2
008.
•In
June
200
9, a
curr
iculu
m
entit
led
“Sm
iles f
or L
ife” w
as
form
ulat
ed. A
pilo
t pr
esen
tatio
n to
med
ical a
nd
heal
th st
aff i
n Te
mbu
rong
di
stric
t was
don
e, w
ith
favo
urab
le re
sults
. •
To p
rese
nt th
e cur
ricul
um fo
r ap
prov
al fr
om ad
min
istra
tive
auth
oriti
es, a
s per
co
nsul
tatio
ns w
ith P
rofe
ssor
W
att o
n 11
th - 1
3th S
epte
mbe
r 20
09.
Faile
d to
achi
eve o
bjec
tive i
n 20
08. T
his p
rogr
amm
e di
scon
tinue
d du
e to
limite
d m
anpo
wer
and
facil
ities
.
To ed
ucat
e Min
istry
of
Heal
th p
olicy
- & d
ecisi
on-
mak
ers o
n th
e nee
ds &
be
nefit
s to
inte
grat
e ora
l he
alth
into
gene
ral h
ealth
pr
ogra
mm
es &
to
impl
emen
t app
ropr
iate
pr
ogra
mm
es fo
r in
tegr
atio
n.
To in
tegr
ate o
ral h
ealth
into
al
l gen
eral
hea
lth
prog
ram
mes
by 2
012.
•Fr
om 2
007-
2011
, Den
tal
Depa
rtmen
t was
invi
ted
to b
e in
volv
ed in
the I
nteg
rate
d He
alth
Scre
enin
g (IH
S)
prog
ram
me f
or C
ivil
Serv
ices
Staf
f for
the s
cree
ning
of t
heir
oral
hea
lth st
atus
. •
Sinc
e 201
0, D
enta
l De
partm
ent w
as al
so in
vite
d to
be i
nvol
ved
in h
ealth
ex
hibi
tions
and
heal
th
scre
enin
gs in
even
ts
orga
nise
d by
Min
istry
of
Heal
th an
d ot
her a
genc
ies
such
as d
urin
g the
Lau
nchi
ng
of th
e Hea
lth P
rom
otio
n
•Ne
ed to
rese
arch
&
advo
cate
for t
he
appr
opria
te h
ealth
pol
icy
and/
or en
hanc
e exi
stin
g po
licy t
o in
tegr
ate o
ral
heal
th in
to ge
nera
l hea
lth
prog
ram
mes
in th
e sch
ool
envi
ronm
ent t
hrou
gh th
e He
alth
Pro
mot
ing S
choo
ls Un
it in
MoE
. •
The I
HS p
rogr
amm
e for
civ
il se
rvice
empl
oyee
s en
ded
on 3
0th J
uly 2
011.
Th
e OH
data
colle
cted
ne
eds t
o be
anal
ysed
and
stra
tegi
es fo
rmul
ated
to
37A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
•‘M
uzak
arah
’ with
com
mun
ity le
ader
s &
tea
cher
s. •
‘Muk
im Si
hat’.
•
Vario
us O
H pr
ogra
mm
es
th
roug
h th
e med
ia.
•Var
ious
pub
lic h
ealth
cam
paig
ns.
•Us
e of t
he H
ealth
Zon
e.
•Va
rious
Ora
l Hea
lth
prog
ram
mes
thro
ugh
the
med
ia.
•Va
rious
Ora
l Hea
lth
Cam
paig
ns, 'P
esta
Kon
vo U
BD'
inclu
de E
xhib
ition
s &
Scre
enin
g- 2
0th S
epte
mbe
r 20
11.
•W
orld
Ora
l Hea
lth D
ay- 1
2th
Sept
embe
r 201
1.
•Us
e of t
he H
ealth
Zon
e-
Laun
chin
g of H
ealth
Pr
omot
ion
Blue
prin
t 201
1.
•Ex
hibi
tion
boot
h at
'Har
i Pe
rkhi
dmat
an A
wam
' at I
CC-
29th
Sept
embe
r 201
1.
By
201
0, to
lobb
y for
a hi
gh
prof
ile p
erso
nnel
to b
e the
‘C
ham
pion
’ for O
H ca
mpa
igns
and
lobb
y the
au
thor
ities
to d
edica
te a
spec
ial d
ay as
‘Ora
l Hea
lth
Day’
with
offi
cial f
unct
ions
an
d in
tens
e act
iviti
es to
pr
omot
e ora
l hea
lth
invo
lvin
g all
staf
f mem
bers
in
the D
epar
tmen
t of D
enta
l Se
rvice
s.
Wor
ld O
ral H
ealth
Day
:-
•201
0 in
conj
unct
ion
with
M
OH/F
DI co
nfer
ence
, la
unch
ing o
f DFT
B pr
ogra
mm
e. •2
011
Laun
chin
g by M
inist
er o
f He
alth
, ope
n da
y in
NDC,
M
OH/F
DI, N
atio
nal D
enta
l So
ng co
mpe
titio
n (A
pril
2012
).
Obje
ctiv
e ach
ieve
d in
201
0.
By 2
012,
to en
hanc
e the
pr
ofile
of ‘O
ral H
ealth
Day
’ &
furt
her i
nten
sify i
ts ac
tiviti
es
and
scop
e to
reac
h m
ore
sect
ors o
f the
pop
ulat
ion.
Natio
nal D
enta
l son
g co
mpe
titio
n in
prim
ary s
choo
ls of
Bru
nei D
arus
sala
m. A
Na
tiona
l Den
tal S
ong
Com
petit
ion
was
cond
ucte
d as
pa
rt o
f the
Wor
ld O
ral H
ealth
Da
y Cel
ebra
tion
2011
.
Obje
ctiv
e ach
ieve
d in
201
2.
GOAL
NO
.4-
Re-o
rien
tate
ora
l hea
lth se
rvic
es to
war
ds p
rom
otio
n &
pre
vent
ion
rath
er th
an c
once
ntra
ting
on
trea
ting
the
cons
eque
nces
of o
ral d
isea
ses
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
stre
ngth
en th
e ora
l he
alth
infra
stru
ctur
e to
adop
t a m
ore
prev
entiv
e &
prom
otiv
e app
roac
h w
hen
prov
idin
g ora
l he
alth
serv
ices &
to
inte
grat
e ora
l hea
lth
into
gene
ral h
ealth
pr
ogra
mm
es.
To fo
rmul
ate &
im
plem
ent t
rain
ing
prog
ram
mes
to m
otiv
ate
the o
ral h
ealth
wor
kfor
ce
to im
prov
e the
oral
hea
lth
of th
eir c
lient
s thr
ough
th
e use
of p
rove
n pr
even
tive m
easu
res.
To p
rovi
de ap
prop
riate
tr
aini
ng p
rogr
amm
es in
Ora
l He
alth
pro
mot
ion
& pr
even
tion
for t
he o
ral
heal
th w
orkf
orce
in 2
008.
•In
June
200
9, a
curr
iculu
m
entit
led
“Sm
iles f
or L
ife” w
as
form
ulat
ed. A
pilo
t pr
esen
tatio
n to
med
ical a
nd
heal
th st
aff i
n Te
mbu
rong
di
stric
t was
don
e, w
ith
favo
urab
le re
sults
. •
To p
rese
nt th
e cur
ricul
um fo
r ap
prov
al fr
om ad
min
istra
tive
auth
oriti
es, a
s per
co
nsul
tatio
ns w
ith P
rofe
ssor
W
att o
n 11
th - 1
3th S
epte
mbe
r 20
09.
Faile
d to
achi
eve o
bjec
tive i
n 20
08. T
his p
rogr
amm
e di
scon
tinue
d du
e to
limite
d m
anpo
wer
and
facil
ities
.
To ed
ucat
e Min
istry
of
Heal
th p
olicy
- & d
ecisi
on-
mak
ers o
n th
e nee
ds &
be
nefit
s to
inte
grat
e ora
l he
alth
into
gene
ral h
ealth
pr
ogra
mm
es &
to
impl
emen
t app
ropr
iate
pr
ogra
mm
es fo
r in
tegr
atio
n.
To in
tegr
ate o
ral h
ealth
into
al
l gen
eral
hea
lth
prog
ram
mes
by 2
012.
•Fr
om 2
007-
2011
, Den
tal
Depa
rtmen
t was
invi
ted
to b
e in
volv
ed in
the I
nteg
rate
d He
alth
Scre
enin
g (IH
S)
prog
ram
me f
or C
ivil
Serv
ices
Staf
f for
the s
cree
ning
of t
heir
oral
hea
lth st
atus
. •
Sinc
e 201
0, D
enta
l De
partm
ent w
as al
so in
vite
d to
be i
nvol
ved
in h
ealth
ex
hibi
tions
and
heal
th
scre
enin
gs in
even
ts
orga
nise
d by
Min
istry
of
Heal
th an
d ot
her a
genc
ies
such
as d
urin
g the
Lau
nchi
ng
of th
e Hea
lth P
rom
otio
n
•Ne
ed to
rese
arch
&
advo
cate
for t
he
appr
opria
te h
ealth
pol
icy
and/
or en
hanc
e exi
stin
g po
licy t
o in
tegr
ate o
ral
heal
th in
to ge
nera
l hea
lth
prog
ram
mes
in th
e sch
ool
envi
ronm
ent t
hrou
gh th
e He
alth
Pro
mot
ing S
choo
ls Un
it in
MoE
. •
The I
HS p
rogr
amm
e for
civ
il se
rvice
empl
oyee
s en
ded
on 3
0th J
uly 2
011.
Th
e OH
data
colle
cted
ne
eds t
o be
anal
ysed
and
stra
tegi
es fo
rmul
ated
to
38 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
Blue
prin
t, M
inist
ry o
f Hea
lth
care
er ca
rniv
al, ‘M
ukim
Siha
t’ pr
ogra
mm
e and
Civ
il Se
rvice
s Da
y Cel
ebra
tion
(Har
i Pe
rkhi
dmat
an A
wam
).
addr
ess t
he h
igh
prev
alen
ce o
f ora
l dise
ases
am
ongs
t the
civi
l ser
vice
em
ploy
ees.
To d
evel
op a
syst
em to
id
entif
y tho
se p
opul
atio
ns
who
are m
ost a
t risk
for
oral
dise
ases
& d
evel
op
prog
ram
mes
for t
hem
to
have
bet
ter a
cces
s to
oral
he
alth
serv
ices.
To ta
rget
ora
l hea
lth se
rvice
s at
pop
ulat
ions
who
are a
t ris
k for
ora
l dise
ases
by
2010
.
A pi
lot p
roje
ct ca
lled
“Rec
all,
Follo
w-u
p, A
ppra
isal a
nd
Prev
entio
n (R
AAP)
” was
la
unch
ed in
PIH
M H
ospi
tal,
Tem
buro
ng, in
volv
ing t
he
resid
ent D
enta
l Hyg
ieni
st fo
r fo
llow
ing u
p ca
ses t
o co
mpl
etio
n an
d pr
ovid
ing
prev
entiv
e rec
all v
isits
cu
stom
ised
to ea
ch ca
se on
a 3-
an
d 6-
mon
thly
bas
is. T
his
serv
es as
a fo
unda
tion
pilo
t st
udy f
or es
tabl
ishin
g pr
even
tive c
linics
man
ned
by
Dent
al H
ygie
nist
in ea
ch
prim
ary h
ealth
facil
ity. P
roje
ct
disb
ande
d du
e to
relo
catio
n of
th
e Den
tal H
ygie
nist
afte
r thr
ee
mon
ths o
f com
men
cem
ent o
f th
e pro
ject
.
Faile
d to
achi
eve o
bjec
tive i
n 20
10. P
riorit
y nee
ds to
be
give
n to
set u
p ‘P
reve
ntiv
e De
ntal
Clin
ics’ t
o man
age t
he
oral
hea
lth o
f pat
ient
s usin
g a ‘
risk a
sses
smen
t str
ateg
y’ in
stea
d of
just
trea
ting t
he
cons
eque
nces
of o
ral
dise
ases
.
GOAL
NO
.5- E
stab
lish
an o
ral h
ealth
surv
eilla
nce
& r
esea
rch
unit
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
esta
blish
an O
ral
Heal
th Su
rvei
llanc
e &
Rese
arch
Uni
t (O
HSRU
) to c
olle
ct &
se
t up
an o
ral h
ealth
da
taba
se &
to p
roce
ss,
anal
yse &
diss
emin
ate
rele
vant
ora
l hea
lth
and
othe
r dat
a.
To d
eter
min
e the
fu
nctio
ns &
scop
e of t
he
Oral
Hea
lth Su
rvei
llanc
e &
Rese
arch
Uni
t (OH
SRU)
an
d to
inco
rpor
ate i
t int
o th
e ora
l hea
lth
info
rmat
ion
syst
em.
The O
ral H
ealth
Surv
eilla
nce
& Re
sear
ch U
nit (
OHSR
U) to
fu
nctio
n ad
equa
tely
by 2
008.
Oral
Hea
lth Su
rvei
llanc
e & R
esea
rch
Unit
(OHS
RU) w
as es
tabl
ished
in Ja
nuar
y 200
8,
with
a te
mpo
rary
offi
ce at
the S
g. Ha
nchi
ng
Dent
al C
linic.
In O
ctob
er 2
008,
OHS
RU
mov
ed to
a fla
t pre
mise
man
aged
by
Min
istry
of H
ealth
in K
iaro
ng.
Obje
ctiv
e ach
ieve
d in
200
8.
The O
ral H
ealth
Surv
eilla
nce
& Re
sear
ch U
nit (
OHSR
U) to
be
inco
rpor
ated
into
the o
ral
heal
th in
form
atio
n sy
stem
&
link u
p to
e-He
alth
dat
abas
e by
201
2.
A co
mpu
teris
ed d
ata s
tora
ge an
d co
llect
ion
syst
em, t
he B
rune
i Hea
lth
Info
rmat
ion
Man
agem
ent S
yste
m
(Bru
HIM
S) st
arte
d in
PM
MPH
AMB
Hosp
ital, T
uton
g, in
201
2. E
xpec
ted
to b
e la
unch
ed in
Bel
ait i
n 20
13, fo
llow
ed b
y Br
unei
-Mua
ra d
istric
t.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
To im
plem
ent a
syst
em to
co
llect
dat
a on
oral
hea
lth
stat
us fo
r chi
ldre
n, ad
ults
&
elde
rly.
For c
hild
ren,
by 2
008.
Com
plet
ed in
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
Fo
r the
adul
ts &
elde
rly, b
y 20
10.
Com
plet
ed in
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
To
pla
n &
cond
uct a
nat
iona
l or
al h
ealth
surv
ey fr
om 2
008
to 2
009.
A Na
tiona
l Ora
l Hea
lth Su
rvey
is p
lann
ed
to b
e car
ried
out i
n 20
14. T
he w
orki
ng
pape
r has
bee
n su
bmitt
ed to
the D
irect
or-
Gene
ral o
f Med
ical S
ervi
ces o
n 26
/11/
2011
. Mem
oran
dum
to SU
T’s o
ffice
ha
s bee
n su
bmitt
ed o
n 18
/1/2
012
& 16
/5/2
012
(rev
iew
bud
get).
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
39A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
Blue
prin
t, M
inist
ry o
f Hea
lth
care
er ca
rniv
al, ‘M
ukim
Siha
t’ pr
ogra
mm
e and
Civ
il Se
rvice
s Da
y Cel
ebra
tion
(Har
i Pe
rkhi
dmat
an A
wam
).
addr
ess t
he h
igh
prev
alen
ce o
f ora
l dise
ases
am
ongs
t the
civi
l ser
vice
em
ploy
ees.
To d
evel
op a
syst
em to
id
entif
y tho
se p
opul
atio
ns
who
are m
ost a
t risk
for
oral
dise
ases
& d
evel
op
prog
ram
mes
for t
hem
to
have
bet
ter a
cces
s to
oral
he
alth
serv
ices.
To ta
rget
ora
l hea
lth se
rvice
s at
pop
ulat
ions
who
are a
t ris
k for
ora
l dise
ases
by
2010
.
A pi
lot p
roje
ct ca
lled
“Rec
all,
Follo
w-u
p, A
ppra
isal a
nd
Prev
entio
n (R
AAP)
” was
la
unch
ed in
PIH
M H
ospi
tal,
Tem
buro
ng, in
volv
ing t
he
resid
ent D
enta
l Hyg
ieni
st fo
r fo
llow
ing u
p ca
ses t
o co
mpl
etio
n an
d pr
ovid
ing
prev
entiv
e rec
all v
isits
cu
stom
ised
to ea
ch ca
se on
a 3-
an
d 6-
mon
thly
bas
is. T
his
serv
es as
a fo
unda
tion
pilo
t st
udy f
or es
tabl
ishin
g pr
even
tive c
linics
man
ned
by
Dent
al H
ygie
nist
in ea
ch
prim
ary h
ealth
facil
ity. P
roje
ct
disb
ande
d du
e to
relo
catio
n of
th
e Den
tal H
ygie
nist
afte
r thr
ee
mon
ths o
f com
men
cem
ent o
f th
e pro
ject
.
Faile
d to
achi
eve o
bjec
tive i
n 20
10. P
riorit
y nee
ds to
be
give
n to
set u
p ‘P
reve
ntiv
e De
ntal
Clin
ics’ t
o man
age t
he
oral
hea
lth o
f pat
ient
s usin
g a ‘
risk a
sses
smen
t str
ateg
y’ in
stea
d of
just
trea
ting t
he
cons
eque
nces
of o
ral
dise
ases
.
GOAL
NO
.5- E
stab
lish
an o
ral h
ealth
surv
eilla
nce
& r
esea
rch
unit
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
esta
blish
an O
ral
Heal
th Su
rvei
llanc
e &
Rese
arch
Uni
t (O
HSRU
) to c
olle
ct &
se
t up
an o
ral h
ealth
da
taba
se &
to p
roce
ss,
anal
yse &
diss
emin
ate
rele
vant
ora
l hea
lth
and
othe
r dat
a.
To d
eter
min
e the
fu
nctio
ns &
scop
e of t
he
Oral
Hea
lth Su
rvei
llanc
e &
Rese
arch
Uni
t (OH
SRU)
an
d to
inco
rpor
ate i
t int
o th
e ora
l hea
lth
info
rmat
ion
syst
em.
The O
ral H
ealth
Surv
eilla
nce
& Re
sear
ch U
nit (
OHSR
U) to
fu
nctio
n ad
equa
tely
by 2
008.
Oral
Hea
lth Su
rvei
llanc
e & R
esea
rch
Unit
(OHS
RU) w
as es
tabl
ished
in Ja
nuar
y 200
8,
with
a te
mpo
rary
offi
ce at
the S
g. Ha
nchi
ng
Dent
al C
linic.
In O
ctob
er 2
008,
OHS
RU
mov
ed to
a fla
t pre
mise
man
aged
by
Min
istry
of H
ealth
in K
iaro
ng.
Obje
ctiv
e ach
ieve
d in
200
8.
The O
ral H
ealth
Surv
eilla
nce
& Re
sear
ch U
nit (
OHSR
U) to
be
inco
rpor
ated
into
the o
ral
heal
th in
form
atio
n sy
stem
&
link u
p to
e-He
alth
dat
abas
e by
201
2.
A co
mpu
teris
ed d
ata s
tora
ge an
d co
llect
ion
syst
em, t
he B
rune
i Hea
lth
Info
rmat
ion
Man
agem
ent S
yste
m
(Bru
HIM
S) st
arte
d in
PM
MPH
AMB
Hosp
ital, T
uton
g, in
201
2. E
xpec
ted
to b
e la
unch
ed in
Bel
ait i
n 20
13, fo
llow
ed b
y Br
unei
-Mua
ra d
istric
t.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
To im
plem
ent a
syst
em to
co
llect
dat
a on
oral
hea
lth
stat
us fo
r chi
ldre
n, ad
ults
&
elde
rly.
For c
hild
ren,
by 2
008.
Com
plet
ed in
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
Fo
r the
adul
ts &
elde
rly, b
y 20
10.
Com
plet
ed in
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
To
pla
n &
cond
uct a
nat
iona
l or
al h
ealth
surv
ey fr
om 2
008
to 2
009.
A Na
tiona
l Ora
l Hea
lth Su
rvey
is p
lann
ed
to b
e car
ried
out i
n 20
14. T
he w
orki
ng
pape
r has
bee
n su
bmitt
ed to
the D
irect
or-
Gene
ral o
f Med
ical S
ervi
ces o
n 26
/11/
2011
. Mem
oran
dum
to SU
T’s o
ffice
ha
s bee
n su
bmitt
ed o
n 18
/1/2
012
& 16
/5/2
012
(rev
iew
bud
get).
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
40 A Review of the Oral Health Agenda 2008 - 2012
Promotion and Prevention
To en
hanc
e the
pre
sent
sy
stem
of c
olle
ctin
g dat
a on
the o
ral h
ealth
co
vera
ge fo
r sc
hool
child
ren
& th
e po
pula
tion
& th
e ut
ilisa
tion
of th
e ora
l he
alth
serv
ices.
By 2
008.
In
201
0, a
new
Ret
urns
Form
s for
mat
was
in
trod
uced
, whi
ch is
mor
e com
preh
ensiv
e th
an p
revi
ous R
etur
ns fo
rmat
.
Obje
ctiv
e ach
ieve
d in
201
0.
To en
hanc
e the
pre
sent
sy
stem
of c
olle
ctin
g dat
a on
the t
rain
ing,
utili
satio
n, d
eplo
ymen
t &
dist
ribut
ion
of th
e ora
l he
alth
wor
kfor
ce.
By 2
008.
In
201
0, a
new
Ret
urns
Form
s for
mat
was
in
trod
uced
, whi
ch is
mor
e com
preh
ensiv
e th
an p
revi
ous R
etur
ns fo
rmat
.
Obje
ctiv
e ach
ieve
d in
201
0.
To d
ecid
e on
the n
atio
nal
min
imum
dat
aset
for o
ral
heal
th &
usin
g var
ious
or
al h
ealth
indi
cato
rs to
sh
ow th
e effe
ctiv
enes
s &
impa
ct o
f var
ious
in
terv
entio
n st
rate
gies
.
By 2
008.
St
ill in
pro
gres
s (re
late
d w
ith N
atio
nal
Oral
Hea
lth Su
rvey
).
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
To ex
pand
the o
ral h
ealth
su
rvei
llanc
e sys
tem
to
prov
ide m
ore
com
preh
ensiv
e & ti
mel
y da
ta.
To co
llect
, pro
cess
& an
alys
e da
ta fo
r mid
-term
revi
ew of
Or
al H
ealth
Age
nda b
y 201
0.
Repo
rts b
y eac
h co
ordi
nato
r for
each
key
resu
lt ar
ea ar
e com
pile
d st
artin
g Se
ptem
ber 2
012.
Obje
ctiv
e ach
ieve
d in
201
2.
To re
view
impa
ct o
f Ora
l He
alth
Age
nda b
y 201
2.
To
stre
ngth
en th
e re
sear
ch co
mpo
nent
of
the O
ral H
ealth
Su
rvei
llanc
e & R
esea
rch
Unit
(OHS
RU).
By 2
012.
Th
e Bas
ic Sp
ecia
lty T
rain
ing t
rain
ees a
re
requ
ired
to co
nduc
t an
audi
t as p
art o
f th
eir r
otat
ion
with
the R
esea
rch
and
Deve
lopm
ent D
ivisi
on.
Obje
ctiv
e ach
ieve
d in
201
2.
To en
hanc
e the
pre
sent
sy
stem
of c
olle
ctin
g dat
a on
the o
ral h
ealth
co
vera
ge fo
r sc
hool
child
ren
& th
e po
pula
tion
& th
e ut
ilisa
tion
of th
e ora
l he
alth
serv
ices.
By 2
008.
In
201
0, a
new
Ret
urns
Form
s for
mat
was
in
trod
uced
, whi
ch is
mor
e com
preh
ensiv
e th
an p
revi
ous R
etur
ns fo
rmat
.
Obje
ctiv
e ach
ieve
d in
201
0.
To en
hanc
e the
pre
sent
sy
stem
of c
olle
ctin
g dat
a on
the t
rain
ing,
utili
satio
n, d
eplo
ymen
t &
dist
ribut
ion
of th
e ora
l he
alth
wor
kfor
ce.
By 2
008.
In
201
0, a
new
Ret
urns
Form
s for
mat
was
in
trod
uced
, whi
ch is
mor
e com
preh
ensiv
e th
an p
revi
ous R
etur
ns fo
rmat
.
Obje
ctiv
e ach
ieve
d in
201
0.
To d
ecid
e on
the n
atio
nal
min
imum
dat
aset
for o
ral
heal
th &
usin
g var
ious
or
al h
ealth
indi
cato
rs to
sh
ow th
e effe
ctiv
enes
s &
impa
ct o
f var
ious
in
terv
entio
n st
rate
gies
.
By 2
008.
St
ill in
pro
gres
s (re
late
d w
ith N
atio
nal
Oral
Hea
lth Su
rvey
).
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
To ex
pand
the o
ral h
ealth
su
rvei
llanc
e sys
tem
to
prov
ide m
ore
com
preh
ensiv
e & ti
mel
y da
ta.
To co
llect
, pro
cess
& an
alys
e da
ta fo
r mid
-term
revi
ew of
Or
al H
ealth
Age
nda b
y 201
0.
Repo
rts b
y eac
h co
ordi
nato
r for
each
key
resu
lt ar
ea ar
e com
pile
d st
artin
g Se
ptem
ber 2
012.
Obje
ctiv
e ach
ieve
d in
201
2.
To re
view
impa
ct o
f Ora
l He
alth
Age
nda b
y 201
2.
To
stre
ngth
en th
e re
sear
ch co
mpo
nent
of
the O
ral H
ealth
Su
rvei
llanc
e & R
esea
rch
Unit
(OHS
RU).
By 2
012.
Th
e Bas
ic Sp
ecia
lty T
rain
ing t
rain
ees a
re
requ
ired
to co
nduc
t an
audi
t as p
art o
f th
eir r
otat
ion
with
the R
esea
rch
and
Deve
lopm
ent D
ivisi
on.
Obje
ctiv
e ach
ieve
d in
201
2.
EDU
CAT
ION
AN
D T
RA
ININ
G
To train and produce sufficient Oral Health Human Capital that is competent and knowledge
GOAL
- Pro
vide
exc
elle
nce
in o
ral h
ealth
car
e N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To tr
ain
and
prod
uce
suffi
cient
Ora
l Hea
lth
Hum
an C
apita
l tha
t is
com
pete
nt &
kn
owle
dgea
ble.
Send
loca
l sch
olar
s to
repu
tabl
e ins
titut
ions
ov
erse
as to
stud
y De
ntist
ry &
rela
ted
field
s:
•De
ntist
ry.
•De
ntal
Tec
hnol
ogy.
•Ad
min
istra
tion/
M
anag
emen
t/re
late
d fie
lds.
To se
t up
Unit
coor
dina
ting
Educ
atio
n an
d Tr
aini
ng.
•De
ntal
Hyg
iene
and
Ther
apy
Trai
ning
Uni
t has
bee
n se
t up
in
2008
. •
A tr
aini
ng co
mm
ittee
for
prof
essio
nal d
evel
opm
ent (
in-
serv
ice tr
aini
ng, in
-hou
se
trai
ning
) has
bee
n se
t up
in
early
201
1, w
hich
disc
uss a
nd
mon
itor s
taff
appl
icatio
ns fo
r fu
rthe
r tra
inin
g or c
ours
e. •
Basic
Spec
ialty
Tra
inin
g for
De
ntal
Offi
cers
is ru
n cu
rren
tly
by D
r Haj
ah M
awar
ti, D
enta
l Te
chni
cian
trai
ning
is u
nder
Ha
jah
Zura
idah
, and
Den
tal
Surg
ery A
ssist
ant t
rain
ing i
s un
der R
osla
n.
Obje
ctiv
e ach
ieve
d in
200
8.
To p
rovi
de in
form
atio
n to
th
e Min
istry
of E
duca
tion
on
Dent
al H
uman
Res
ourc
es
need
s yea
rly.
No ac
tion
take
n. Fa
iled
to ac
hiev
e obj
ectiv
e in
201
2.
Dent
al ro
adsh
ow fo
r O- a
nd
A-Le
vel s
tude
nts i
n al
l di
stric
ts.
•De
ntal
Dep
artm
ent h
as
part
icipa
ted
in a
‘Car
eer i
n De
ntist
ry’ e
xhib
ition
/tal
ks in
: -H
ealth
Pro
mot
ion
Cent
re
-Mak
tab
Sain
s PSB
S -M
akta
b Du
li PM
MPH
AMB
-Pen
gira
n An
ak P
uter
i Ra
shid
ah Sa
'adat
ul B
olki
ah
On-g
oing
.
43A Review of the Oral Health Agenda 2008 - 2012
Education and Training
GOAL
- Pro
vide
exc
elle
nce
in o
ral h
ealth
car
e N
O
KEY
TAS
KS
STRA
TEGI
ES
OBJ
ECTI
VES
2012
AC
HIE
VEM
ENTS
201
2 RE
MAR
KS
1.
To tr
ain
and
prod
uce
suffi
cient
Ora
l Hea
lth
Hum
an C
apita
l tha
t is
com
pete
nt &
kn
owle
dgea
ble.
Send
loca
l sch
olar
s to
repu
tabl
e ins
titut
ions
ov
erse
as to
stud
y De
ntist
ry &
rela
ted
field
s:
•De
ntist
ry.
•De
ntal
Tec
hnol
ogy.
•Ad
min
istra
tion/
M
anag
emen
t/re
late
d fie
lds.
To se
t up
Unit
coor
dina
ting
Educ
atio
n an
d Tr
aini
ng.
•De
ntal
Hyg
iene
and
Ther
apy
Trai
ning
Uni
t has
bee
n se
t up
in
2008
. •
A tr
aini
ng co
mm
ittee
for
prof
essio
nal d
evel
opm
ent (
in-
serv
ice tr
aini
ng, in
-hou
se
trai
ning
) has
bee
n se
t up
in
early
201
1, w
hich
disc
uss a
nd
mon
itor s
taff
appl
icatio
ns fo
r fu
rthe
r tra
inin
g or c
ours
e. •
Basic
Spec
ialty
Tra
inin
g for
De
ntal
Offi
cers
is ru
n cu
rren
tly
by D
r Haj
ah M
awar
ti, D
enta
l Te
chni
cian
trai
ning
is u
nder
Ha
jah
Zura
idah
, and
Den
tal
Surg
ery A
ssist
ant t
rain
ing i
s un
der R
osla
n.
Obje
ctiv
e ach
ieve
d in
200
8.
To p
rovi
de in
form
atio
n to
th
e Min
istry
of E
duca
tion
on
Dent
al H
uman
Res
ourc
es
need
s yea
rly.
No ac
tion
take
n. Fa
iled
to ac
hiev
e obj
ectiv
e in
201
2.
Dent
al ro
adsh
ow fo
r O- a
nd
A-Le
vel s
tude
nts i
n al
l di
stric
ts.
•De
ntal
Dep
artm
ent h
as
part
icipa
ted
in a
‘Car
eer i
n De
ntist
ry’ e
xhib
ition
/tal
ks in
: -H
ealth
Pro
mot
ion
Cent
re
-Mak
tab
Sain
s PSB
S -M
akta
b Du
li PM
MPH
AMB
-Pen
gira
n An
ak P
uter
i Ra
shid
ah Sa
'adat
ul B
olki
ah
On-g
oing
.
44 A Review of the Oral Health Agenda 2008 - 2012
Education and Training
Inst
itute
of H
ealth
Scie
nces
, Un
iver
siti B
rune
i Dar
ussa
lam
-J
erud
ong I
nter
natio
nal S
choo
l •
Natio
nal D
enta
l Cen
tre r
ecei
ves
regu
lar ‘
O’ le
vel &
‘A’ le
vel
stud
ents
visit
& w
ork
atta
chm
ent r
eque
sted
via t
he
Med
ical E
duca
tion
Cent
re,
RIPA
S Hos
pita
l.
Incr
ease
inta
ke o
f Tra
inee
De
ntal
The
rapi
sts a
nd
Hygi
enist
s int
o th
e loc
al
Dent
al T
rain
ing C
entr
e (D
iplo
ma i
n De
ntal
Hy
gien
e and
The
rapy
w
ith K
ing’s
Col
lege
, Un
ited
King
dom
).
Ensu
re re
crui
tmen
t of D
enta
l Hy
gien
e and
The
rapy
tr
aine
es.
•In
Mar
ch 2
006,
a 3-
year
Di
plom
a in
Dent
al H
ygie
ne an
d Th
erap
y cou
rse c
omm
ence
d w
ith th
e int
ake o
f Coh
ort 1
: 8
trai
nees
. •
Coho
rt 2
recr
uite
d in
Janu
ary
2008
: 6 tr
aine
es.
•Co
hort
3 re
crui
ted
in Ju
ne
2010
: 9 tr
aine
es.
•In
201
2, re
crui
tmen
t of c
ohor
t 4:
12
trai
nees
is cu
rren
tly b
eing
ad
vert
ised.
•
In 2
011,
a 1-
year
conv
ersio
n co
urse
to D
iplo
ma i
n De
ntal
Hy
gien
e and
The
rapy
co
mm
ence
d fo
r Den
tal N
urse
; fir
st in
take
of 7
Den
tal N
urse
s co
mpl
eted
cour
se in
201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
Man
age r
ecru
itmen
t and
ad
vert
isem
ent w
ith th
e De
partm
ent o
f Pub
lic Se
rvice
Co
mm
issio
n (S
PA).
Recr
uitm
ent d
one b
y the
De
partm
ent o
f Pub
lic Se
rvice
Co
mm
issio
n, w
here
by th
e De
partm
ent o
f Den
tal S
ervi
ces
info
rm th
e Min
istry
of H
ealth
, and
th
en to
the D
epar
tmen
t of P
ublic
Se
rvice
Com
miss
ion;
not
dire
ctly
.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
Incr
ease
inta
ke o
f Tra
inee
De
ntal
Surg
ery A
ssist
ants
to
be t
rain
ed u
nder
the
loca
l Den
tal S
urge
ry
Assis
tant
Tra
inin
g Pr
ogra
mm
e.
Inta
ke o
f 3rd
coho
rt fo
r De
ntal
Surg
ery A
ssist
ant
cour
se.
17 3
rd co
hort
trai
nees
will
co
mpl
ete t
heir
cour
se in
mid
-20
13.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
To tr
ain
Dent
al Su
rger
y As
sista
nt to
be O
ral H
ealth
Ed
ucat
ors i
n co
llabo
ratio
n w
ith K
ing’s
Col
lege
Lon
don.
This
was
disc
usse
d w
ith K
ing’s
Co
llege
Lon
don
cons
ulta
nts’
but
the p
ropo
sal w
as n
ot at
tract
ive
for t
he D
enta
l Sur
gery
Ass
istan
t as
the c
ours
e onl
y aw
ards
a ce
rtifi
cate
. The
refo
re, p
ropo
sal
was
reje
cted
by t
he D
enta
l Su
rger
y Ass
istan
t tra
inin
g co
mm
ittee
.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
Send
serv
ing p
erso
nnel
fo
r in-
serv
ice tr
aini
ng in
va
rious
den
tal s
pecia
lty &
re
late
d fie
lds
com
plim
enta
ry to
De
ntist
ry, w
ith p
riorit
y to
Dent
al P
ublic
Hea
lth
Trai
ning
.
To p
riorit
ise in
Den
tal P
ublic
He
alth
trai
ning
: Ide
ntify
and
proc
ess a
pplic
atio
n fo
r De
ntist
s to
purs
ue in
Den
tal
Publ
ic He
alth
.
In 2
010,
3 D
entis
ts gr
adua
ted
with
Mas
ters
in D
enta
l Pub
lic
Heal
th.
Obje
ctiv
e ach
ieve
d in
201
0.
Curr
ently
, Den
tists
with
po
stgr
adua
te q
ualif
icatio
n in
DPH
are n
ot re
cogn
ised
as Sp
ecia
lists
. Hen
ce, lo
cal
Dent
ists w
ill n
ot b
e at
trac
ted
to p
ursu
e DPH
w
hich
is vi
tal f
or th
e pr
omot
ion
of o
ral h
ealth
&
qual
ity o
f life
of th
e po
pula
tion
of B
rune
i. Ac
tions
mus
t be t
aken
by
the r
elev
ant a
utho
ritie
s as
how
DPH
can
be re
cogn
ised
as a
spec
ialit
y. M
any
coun
tries
hav
e alre
ady
reco
gnise
d DP
H as
a sp
ecia
lty in
Den
tistr
y jus
t lik
e the
oth
er cl
inica
l sp
ecia
lties
.
45A Review of the Oral Health Agenda 2008 - 2012
Education and Training
Inst
itute
of H
ealth
Scie
nces
, Un
iver
siti B
rune
i Dar
ussa
lam
-J
erud
ong I
nter
natio
nal S
choo
l •
Natio
nal D
enta
l Cen
tre r
ecei
ves
regu
lar ‘
O’ le
vel &
‘A’ le
vel
stud
ents
visit
& w
ork
atta
chm
ent r
eque
sted
via t
he
Med
ical E
duca
tion
Cent
re,
RIPA
S Hos
pita
l.
Incr
ease
inta
ke o
f Tra
inee
De
ntal
The
rapi
sts a
nd
Hygi
enist
s int
o th
e loc
al
Dent
al T
rain
ing C
entr
e (D
iplo
ma i
n De
ntal
Hy
gien
e and
The
rapy
w
ith K
ing’s
Col
lege
, Un
ited
King
dom
).
Ensu
re re
crui
tmen
t of D
enta
l Hy
gien
e and
The
rapy
tr
aine
es.
•In
Mar
ch 2
006,
a 3-
year
Di
plom
a in
Dent
al H
ygie
ne an
d Th
erap
y cou
rse c
omm
ence
d w
ith th
e int
ake o
f Coh
ort 1
: 8
trai
nees
. •
Coho
rt 2
recr
uite
d in
Janu
ary
2008
: 6 tr
aine
es.
•Co
hort
3 re
crui
ted
in Ju
ne
2010
: 9 tr
aine
es.
•In
201
2, re
crui
tmen
t of c
ohor
t 4:
12
trai
nees
is cu
rren
tly b
eing
ad
vert
ised.
•
In 2
011,
a 1-
year
conv
ersio
n co
urse
to D
iplo
ma i
n De
ntal
Hy
gien
e and
The
rapy
co
mm
ence
d fo
r Den
tal N
urse
; fir
st in
take
of 7
Den
tal N
urse
s co
mpl
eted
cour
se in
201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
Man
age r
ecru
itmen
t and
ad
vert
isem
ent w
ith th
e De
partm
ent o
f Pub
lic Se
rvice
Co
mm
issio
n (S
PA).
Recr
uitm
ent d
one b
y the
De
partm
ent o
f Pub
lic Se
rvice
Co
mm
issio
n, w
here
by th
e De
partm
ent o
f Den
tal S
ervi
ces
info
rm th
e Min
istry
of H
ealth
, and
th
en to
the D
epar
tmen
t of P
ublic
Se
rvice
Com
miss
ion;
not
dire
ctly
.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
Incr
ease
inta
ke o
f Tra
inee
De
ntal
Surg
ery A
ssist
ants
to
be t
rain
ed u
nder
the
loca
l Den
tal S
urge
ry
Assis
tant
Tra
inin
g Pr
ogra
mm
e.
Inta
ke o
f 3rd
coho
rt fo
r De
ntal
Surg
ery A
ssist
ant
cour
se.
17 3
rd co
hort
trai
nees
will
co
mpl
ete t
heir
cour
se in
mid
-20
13.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
To tr
ain
Dent
al Su
rger
y As
sista
nt to
be O
ral H
ealth
Ed
ucat
ors i
n co
llabo
ratio
n w
ith K
ing’s
Col
lege
Lon
don.
This
was
disc
usse
d w
ith K
ing’s
Co
llege
Lon
don
cons
ulta
nts’
but
the p
ropo
sal w
as n
ot at
tract
ive
for t
he D
enta
l Sur
gery
Ass
istan
t as
the c
ours
e onl
y aw
ards
a ce
rtifi
cate
. The
refo
re, p
ropo
sal
was
reje
cted
by t
he D
enta
l Su
rger
y Ass
istan
t tra
inin
g co
mm
ittee
.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
Send
serv
ing p
erso
nnel
fo
r in-
serv
ice tr
aini
ng in
va
rious
den
tal s
pecia
lty &
re
late
d fie
lds
com
plim
enta
ry to
De
ntist
ry, w
ith p
riorit
y to
Dent
al P
ublic
Hea
lth
Trai
ning
.
To p
riorit
ise in
Den
tal P
ublic
He
alth
trai
ning
: Ide
ntify
and
proc
ess a
pplic
atio
n fo
r De
ntist
s to
purs
ue in
Den
tal
Publ
ic He
alth
.
In 2
010,
3 D
entis
ts gr
adua
ted
with
Mas
ters
in D
enta
l Pub
lic
Heal
th.
Obje
ctiv
e ach
ieve
d in
201
0.
Curr
ently
, Den
tists
with
po
stgr
adua
te q
ualif
icatio
n in
DPH
are n
ot re
cogn
ised
as Sp
ecia
lists
. Hen
ce, lo
cal
Dent
ists w
ill n
ot b
e at
trac
ted
to p
ursu
e DPH
w
hich
is vi
tal f
or th
e pr
omot
ion
of o
ral h
ealth
&
qual
ity o
f life
of th
e po
pula
tion
of B
rune
i. Ac
tions
mus
t be t
aken
by
the r
elev
ant a
utho
ritie
s as
how
DPH
can
be re
cogn
ised
as a
spec
ialit
y. M
any
coun
tries
hav
e alre
ady
reco
gnise
d DP
H as
a sp
ecia
lty in
Den
tistr
y jus
t lik
e the
oth
er cl
inica
l sp
ecia
lties
.
46 A Review of the Oral Health Agenda 2008 - 2012
Education and Training
To tr
ain
Dent
al N
urse
to
beco
me D
enta
l Hyg
ieni
st an
d Th
erap
ist tu
tors
: Ide
ntify
an
d pr
oces
s app
licat
ion
for
Nurs
es to
pur
sue t
utor
s tr
aini
ng at
Kin
g’s C
olle
ge
Lond
on.
6 De
ntal
Nur
ses w
ere s
elec
ted
to
unde
rgo
a one
-yea
r con
vers
ion
cour
se th
at in
clude
d a t
each
ing
mod
ule (
9 m
onth
s at K
ing’s
Co
llege
Lon
don
and
3 m
onth
s lo
cal t
rain
ing)
from
Nov
embe
r 20
09 to
Oct
ober
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
Dent
al T
echn
ician
to
spec
ialis
e in:
Or
thod
ontic
s, Co
balt
Chro
me
dent
ure f
ram
ewor
k, Ba
sic
trai
ning
in D
enta
l Te
chno
logy
.
•1
Seni
or D
enta
l Tec
hnol
ogist
at
tend
ed 6
mon
ths c
eram
ic co
urse
in U
nite
d Ki
ngdo
m an
d 1
com
plet
ed H
ighe
r Nat
iona
l Di
plom
a in
Dent
al T
echn
olog
y, Sc
otla
nd (C
obal
t Chr
ome)
in
2010
. •
1 De
ntal
Tec
hnici
an w
ent f
or
cour
se in
Mas
ters
in D
enta
l Te
chno
logy
in N
ew Z
eala
nd an
d 4
Dent
al T
echn
ician
trai
nees
w
ent f
or 3
-yea
rs H
ighe
r Na
tiona
l Dip
lom
a cou
rse i
n Un
ited
King
dom
in 2
011.
•
2 co
mpl
eted
Dip
lom
a in
Dent
al
Tech
nolo
gy, M
alay
sia; 1
co
mpl
eted
Hig
her N
atio
nal
Dipl
oma i
n De
ntal
Tec
hnol
ogy,
Scot
land
(Cer
amic)
; and
3
Dent
al T
echn
ician
s sen
t for
Di
plom
a in
Dent
al T
echn
olog
y, M
alay
sia in
201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
Dent
al st
aff (
Dent
al Su
rger
y As
sista
nt an
d De
ntal
Nur
se)
to p
ursu
e Den
tal H
ygie
ne
and
Ther
apy d
egre
e cou
rse.
1 De
ntal
Nur
se co
mpl
eted
Den
tal
Hygi
enist
and
Ther
apist
deg
ree
cour
se in
Uni
vers
ity o
f Ota
go in
20
10.
Obje
ctiv
e ach
ieve
d in
201
0.
To tr
ain
Dent
al Su
rger
y As
sista
nt to
do
Radi
ogra
phy
trai
ning
exte
rnal
ly.
Refre
sher
cour
se w
ith
radi
ogra
phy u
nit.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
To tr
ain
Dent
al N
urse
to
beco
me D
enta
l Hyg
ieni
st an
d Th
erap
ist tu
tors
: Ide
ntify
an
d pr
oces
s app
licat
ion
for
Nurs
es to
pur
sue t
utor
s tr
aini
ng at
Kin
g’s C
olle
ge
Lond
on.
6 De
ntal
Nur
ses w
ere s
elec
ted
to
unde
rgo
a one
-yea
r con
vers
ion
cour
se th
at in
clude
d a t
each
ing
mod
ule (
9 m
onth
s at K
ing’s
Co
llege
Lon
don
and
3 m
onth
s lo
cal t
rain
ing)
from
Nov
embe
r 20
09 to
Oct
ober
201
0.
Obje
ctiv
e ach
ieve
d in
201
0.
Dent
al T
echn
ician
to
spec
ialis
e in:
Or
thod
ontic
s, Co
balt
Chro
me
dent
ure f
ram
ewor
k, Ba
sic
trai
ning
in D
enta
l Te
chno
logy
.
•1
Seni
or D
enta
l Tec
hnol
ogist
at
tend
ed 6
mon
ths c
eram
ic co
urse
in U
nite
d Ki
ngdo
m an
d 1
com
plet
ed H
ighe
r Nat
iona
l Di
plom
a in
Dent
al T
echn
olog
y, Sc
otla
nd (C
obal
t Chr
ome)
in
2010
. •
1 De
ntal
Tec
hnici
an w
ent f
or
cour
se in
Mas
ters
in D
enta
l Te
chno
logy
in N
ew Z
eala
nd an
d 4
Dent
al T
echn
ician
trai
nees
w
ent f
or 3
-yea
rs H
ighe
r Na
tiona
l Dip
lom
a cou
rse i
n Un
ited
King
dom
in 2
011.
•
2 co
mpl
eted
Dip
lom
a in
Dent
al
Tech
nolo
gy, M
alay
sia; 1
co
mpl
eted
Hig
her N
atio
nal
Dipl
oma i
n De
ntal
Tec
hnol
ogy,
Scot
land
(Cer
amic)
; and
3
Dent
al T
echn
ician
s sen
t for
Di
plom
a in
Dent
al T
echn
olog
y, M
alay
sia in
201
2.
Obje
ctiv
e ach
ieve
d in
201
2.
Dent
al st
aff (
Dent
al Su
rger
y As
sista
nt an
d De
ntal
Nur
se)
to p
ursu
e Den
tal H
ygie
ne
and
Ther
apy d
egre
e cou
rse.
1 De
ntal
Nur
se co
mpl
eted
Den
tal
Hygi
enist
and
Ther
apist
deg
ree
cour
se in
Uni
vers
ity o
f Ota
go in
20
10.
Obje
ctiv
e ach
ieve
d in
201
0.
To tr
ain
Dent
al Su
rger
y As
sista
nt to
do
Radi
ogra
phy
trai
ning
exte
rnal
ly.
Refre
sher
cour
se w
ith
radi
ogra
phy u
nit.
Faile
d to
achi
eve o
bjec
tive
in 2
012.
ALL
OC
ATIO
N O
F FU
ND
S
To ensure adequate resources are allocated to the Oral Health Services
To explore alternative sources / methods of funding Oral Health Care
GOAL
- Pro
vide
ora
l hea
lth se
rvic
es th
at is
cost
-effe
ctiv
e an
d ef
ficie
nt
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
ensu
re ad
equa
te
reso
urce
s are
al
loca
ted
to th
e Ora
l He
alth
Serv
ices
espe
cially
: •
Oral
Hea
lth
Prom
otio
n &
Dise
ase P
reve
ntio
n Pr
ogra
mm
es
•Pr
imar
y Ora
l Car
e Se
rvice
s •
Educ
atio
n &
Trai
ning
inclu
ding
De
ntal
Tra
inin
g Ce
ntre
& C
PD U
nit
•Sp
ecia
lised
Den
tal
Serv
ices
•Or
al H
ealth
Su
rvei
llanc
e &
Rese
arch
Uni
t
To in
crea
se th
e ann
ual
budg
et o
f the
Den
tal
Depa
rtmen
t sub
stan
tially
in
cludi
ng:
•Sp
ecia
l exp
endi
ture
. •
Recu
rren
t exp
endi
ture
. •
Man
pow
er.
To in
crea
se th
e:
(i) O
ral P
rom
otio
n &
Dise
ase
Pr
even
tion
budg
et b
y:
• 4
0% in
200
8 •
40%
in 2
010
• 1
00%
in 2
012
This
objec
tives
are n
ot ap
plica
ble.
As o
f 200
9, b
udge
ts p
ropo
sals
wer
e poo
led
toge
ther
und
er o
ne
depa
rtm
enta
l vot
e.
(ii)
Prim
ary O
ral C
are S
ervi
ces
bu
dget
by:
•
30%
in 2
008
• 5
0% in
201
0 •
80%
in 2
012
(iii)
Spec
ialis
ed D
enta
l Ser
vice
s
b
udge
t by:
•
20%
in 2
008
• 1
0% in
201
0 •
10%
in 2
012
To re
ques
t for
: (i)
Den
tal T
rain
ing C
entr
e:
•$ 2
.6 m
illio
n in
200
8 •
$ 50K
annu
ally
from
201
0 to
201
2 (ii
) IT
, inte
rnet
& li
brar
y fac
ilitie
s: •
$ 50
K an
nual
ly fr
om 2
008
to 2
012
(iii)
Oral
Hea
lth Su
rvei
llanc
e &
Rese
arch
Uni
t: •
$ 20K
in 2
008
•$ 4
5K in
201
0 •
$ 90K
in 2
012
49A Review of the Oral Health Agenda 2008 - 2012
Allocation of Funds
GOAL
- Pro
vide
ora
l hea
lth se
rvic
es th
at is
cost
-effe
ctiv
e an
d ef
ficie
nt
NO
K
EY T
ASK
S ST
RATE
GIES
O
BJEC
TIVE
S 20
12
ACH
IEVE
MEN
TS 2
012
REM
ARK
S 1.
To
ensu
re ad
equa
te
reso
urce
s are
al
loca
ted
to th
e Ora
l He
alth
Serv
ices
espe
cially
: •
Oral
Hea
lth
Prom
otio
n &
Dise
ase P
reve
ntio
n Pr
ogra
mm
es
•Pr
imar
y Ora
l Car
e Se
rvice
s •
Educ
atio
n &
Trai
ning
inclu
ding
De
ntal
Tra
inin
g Ce
ntre
& C
PD U
nit
•Sp
ecia
lised
Den
tal
Serv
ices
•Or
al H
ealth
Su
rvei
llanc
e &
Rese
arch
Uni
t
To in
crea
se th
e ann
ual
budg
et o
f the
Den
tal
Depa
rtmen
t sub
stan
tially
in
cludi
ng:
•Sp
ecia
l exp
endi
ture
. •
Recu
rren
t exp
endi
ture
. •
Man
pow
er.
To in
crea
se th
e:
(i) O
ral P
rom
otio
n &
Dise
ase
Pr
even
tion
budg
et b
y:
• 4
0% in
200
8 •
40%
in 2
010
• 1
00%
in 2
012
This
objec
tives
are n
ot ap
plica
ble.
As o
f 200
9, b
udge
ts p
ropo
sals
wer
e poo
led
toge
ther
und
er o
ne
depa
rtm
enta
l vot
e.
(ii)
Prim
ary O
ral C
are S
ervi
ces
bu
dget
by:
•
30%
in 2
008
• 5
0% in
201
0 •
80%
in 2
012
(iii)
Spec
ialis
ed D
enta
l Ser
vice
s
b
udge
t by:
•
20%
in 2
008
• 1
0% in
201
0 •
10%
in 2
012
To re
ques
t for
: (i)
Den
tal T
rain
ing C
entr
e:
•$ 2
.6 m
illio
n in
200
8 •
$ 50K
annu
ally
from
201
0 to
201
2 (ii
) IT
, inte
rnet
& li
brar
y fac
ilitie
s: •
$ 50
K an
nual
ly fr
om 2
008
to 2
012
(iii)
Oral
Hea
lth Su
rvei
llanc
e &
Rese
arch
Uni
t: •
$ 20K
in 2
008
•$ 4
5K in
201
0 •
$ 90K
in 2
012
50 A Review of the Oral Health Agenda 2008 - 2012
Allocation of Funds
(iv) C
ontin
uing
Pro
fess
iona
l
De
velo
pmen
t Uni
t: •
$ 10K
in 2
008
•$ 2
0K in
201
0 •
$ 40K
in 2
012
2.
To ex
plor
e alte
rnat
ive
sour
ces/
met
hods
of
fund
ing O
ral H
ealth
Ca
re.
To fo
rmul
ate v
ario
us
alte
rnat
ives
of f
undi
ng O
ral
Heal
th C
are t
hrou
gh
colla
bora
tion/
part
ners
hip
with
rele
vant
Gov
ernm
ent &
No
n-Go
vern
men
t Or
gani
satio
ns.
To ex
plor
e the
feas
ibili
ty o
f: (i)
Offe
ring c
erta
in sp
ecia
lised
de
ntal
serv
ices a
s rev
enue
ge
nera
ting s
ervi
ces e
.g.
Rest
orat
ive &
Cos
met
ic De
ntist
ry li
ke im
plan
ts,
vene
ers,
crow
ns &
brid
ges,
teet
h w
hite
ning
etc,
inclu
ding
th
e sup
port
ing d
enta
l la
bora
tory
serv
ices,
by 2
009.
Sche
me o
f cha
rges
und
ergo
ing
revi
sion
and
awai
ting a
ppro
val.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(ii)R
entin
g ful
ly eq
uipp
ed D
enta
l Cl
inics
from
priv
ate
com
pani
es/ o
rgan
isatio
ns as
ad
ditio
nal f
acili
ties f
or th
e De
ntal
Dep
artm
ent t
o de
liver
Or
al H
ealth
Car
e Ser
vice
s to
the
com
mun
ity b
y 201
0.
Curr
ently
, with
the r
enov
atio
ns o
f De
ntal
Clin
ics an
d op
enin
g of
heal
th ce
ntre
s with
den
tal c
linic
redu
ces t
he n
eed
for s
uch
mea
sure
s.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(iii)A
rran
ging
for a
subs
idy s
chem
e w
ith th
e Priv
ate D
enta
l pr
actit
ione
rs w
here
by p
riorit
y cli
ents
may
be r
efer
red
to th
em
for o
ral h
ealth
care
by 2
011.
Curr
ently
, no s
ubsid
y sch
eme i
s m
ade.
How
ever
, thi
s doe
s not
hi
nder
outs
ourc
ing c
erta
in
serv
ices t
o Pr
ivat
e Clin
ics.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(iv)P
rivat
ising
cert
ain
serv
ices o
f th
e Den
tal D
epar
tmen
t e.g.
De
ntal
Lab
orat
ory S
ervi
ces,
Pros
thod
ontic
, Res
tora
tive a
nd
Orth
odon
tic Se
rvice
s.
Not f
easib
le to
priv
atise
cert
ain
dent
al se
rvice
s at p
rese
nt.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(iv) C
ontin
uing
Pro
fess
iona
l
De
velo
pmen
t Uni
t: •
$ 10K
in 2
008
•$ 2
0K in
201
0 •
$ 40K
in 2
012
2.
To ex
plor
e alte
rnat
ive
sour
ces/
met
hods
of
fund
ing O
ral H
ealth
Ca
re.
To fo
rmul
ate v
ario
us
alte
rnat
ives
of f
undi
ng O
ral
Heal
th C
are t
hrou
gh
colla
bora
tion/
part
ners
hip
with
rele
vant
Gov
ernm
ent &
No
n-Go
vern
men
t Or
gani
satio
ns.
To ex
plor
e the
feas
ibili
ty o
f: (i)
Offe
ring c
erta
in sp
ecia
lised
de
ntal
serv
ices a
s rev
enue
ge
nera
ting s
ervi
ces e
.g.
Rest
orat
ive &
Cos
met
ic De
ntist
ry li
ke im
plan
ts,
vene
ers,
crow
ns &
brid
ges,
teet
h w
hite
ning
etc,
inclu
ding
th
e sup
port
ing d
enta
l la
bora
tory
serv
ices,
by 2
009.
Sche
me o
f cha
rges
und
ergo
ing
revi
sion
and
awai
ting a
ppro
val.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(ii)R
entin
g ful
ly eq
uipp
ed D
enta
l Cl
inics
from
priv
ate
com
pani
es/ o
rgan
isatio
ns as
ad
ditio
nal f
acili
ties f
or th
e De
ntal
Dep
artm
ent t
o de
liver
Or
al H
ealth
Car
e Ser
vice
s to
the
com
mun
ity b
y 201
0.
Curr
ently
, with
the r
enov
atio
ns o
f De
ntal
Clin
ics an
d op
enin
g of
heal
th ce
ntre
s with
den
tal c
linic
redu
ces t
he n
eed
for s
uch
mea
sure
s.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(iii)A
rran
ging
for a
subs
idy s
chem
e w
ith th
e Priv
ate D
enta
l pr
actit
ione
rs w
here
by p
riorit
y cli
ents
may
be r
efer
red
to th
em
for o
ral h
ealth
care
by 2
011.
Curr
ently
, no s
ubsid
y sch
eme i
s m
ade.
How
ever
, thi
s doe
s not
hi
nder
outs
ourc
ing c
erta
in
serv
ices t
o Pr
ivat
e Clin
ics.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
(iv)P
rivat
ising
cert
ain
serv
ices o
f th
e Den
tal D
epar
tmen
t e.g.
De
ntal
Lab
orat
ory S
ervi
ces,
Pros
thod
ontic
, Res
tora
tive a
nd
Orth
odon
tic Se
rvice
s.
Not f
easib
le to
priv
atise
cert
ain
dent
al se
rvice
s at p
rese
nt.
Faile
d to
achi
eve
obje
ctiv
e in
2012
.
AC
HIE
VEM
ENTS
, CH
ALL
ENG
ES,
CO
NC
LUSI
ON
, REC
OM
MEN
DAT
ION
S
53A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
NOTABLE ACHIEVEMENTS OF THE ORAL HEALTH AGENDA 2008 - 2012
1. Oral Health Outcome• *Based on the School Dental Services data 2008 - 2012 released by the Research and
Development Division of the Department of Dental Services, there is a decrease in the percentage of caries-free deciduous teeth among 6-year-old schoolchildren from 2008 to 2012 whereby only 17.7% of schoolchildren are caries-free in 2012 compared to 22.9% caries-free schoolchildren in 2008 (Table 2). However, when compared to the data from the 1999 National Oral Health Survey which showed that only about 11% of the 6-year-olds were caries-free, the 2012 data still showed an improvement but is significantly short of the Oral Health Agenda 2008–2012 Oral Health impact goal 2012 of 50% of 6-year-olds to be caries-free.
• **On the other hand, the School Dental Services data from 2008–2012 showed that the mean DMFT (Decayed, Missing, Filled Permanent Teeth) among 12-year-old schoolchildren was 0.7 as opposed to the data from the previous National Oral Health Survey in 1999 which reported that the DMFT score for 12-year-olds was 4.8. The 2012 data has also well exceeded the Oral Health Agenda 2008 - 2012 Oral Health impact goal 2012 for mean DMFT in 12-year-olds to be 2 or less.
Table 1. Oral Health Impact Goals
Oral Health Impacts Indicators Goals Oral Health Outcomes
2010 2012 2012
Percentage of 6-year-olds with caries- 30% 50% 17.7% *free mouths (DMFT= 0 and dmft= 0)
Percentage of 6-year-olds with caries- 80% 90% 49.8%free permanent teeth (DMFT= 0)
Mean DMFT in12-year-olds 3 or less 2 or less 0.7 **
Percentage of 15-year-olds with healthy 50% 75% No dataperiodontium
54 A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
Table 2. School Dental Services Data 2008- 2012
Oral Health Status OH Impact 2008 2009 2010 2011 2012Goals 2012
Percentage of 6-year-olds with caries-free mouths 50% 22.9% 16.0% 22.0% 16.4% 17.7%(DMFT= 0 and dmft= 0) Percentage of 6-year-olds with caries-free permanent teeth 90% 63.3% 58.3% 48.8% 60.2% 49.8%(DMFT= 0) Mean DMFT in 12-year-olds 2 or less 1.4 1.3 0.8 0.7 0.7
Comments:
The above significant discrepancies in the data must be analysed with caution because of the following factors:
i) The 1999 National Oral Health Survey examined children aged 5–6 years and 12–15 years from schools which were randomly selected from a sampling frame which consisted of all the schools in Brunei Darussalam, i.e. a truly random sample which was more likely to be a true representative of the caries status of children in these age groups. On the other hand, the School Dental Services only used data collected from the children in schools where oral health services were provided. This is more probably a biased sample because children receiving regular oral health intervention would more likely have better caries status but would not necessarily be a true representative of the total school population of the same ages.
ii) The 1999 National Oral Health Survey used only 4 examiners who were properly trained and calibrated prior to the start of the survey. Furthermore, they were trained to follow strictly the diagnostic criteria as given by the World Health Organization. This most probably resulted in the collection of data that were consistent, reliable and valid. However, the School Dental Services data were collected by about 44 School Dental Nurses who were not trained or calibrated in their examination and diagnosis of the children. Furthermore, no firm diagnostic criteria were provided to these Dental Nurses. Most of them used a clinical approach to diagnose caries which can be more subjective than objective depending on their years of clinical experience and competency. This very likely led to the collection of data that were inconsistent, less reliable and less valid.
55A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
Hence, it is strongly advocated that another National Oral Health Survey be conducted soon to truly reflect the oral health status of the children and adults in Brunei Darussalam. The data collected will be more representative of the population of the country and can be compared to other countries if the diagnostic criteria used follow the standards of WHO or other reputable organisations.
2. Physical infrastructure Physical infrastructure changes with installation of 1 new dental surgery in National
Dental Centre, 5 additional dental chairs in existing hospitals/health centres, and 3 new Dental Clinics in health centres/clinics were undertaken to improve accessibility. Ambiance alterations were done to make the National Dental Centre more appealing and customer-friendly.
3. Dental Manpower• The increase in the number of Dentists in specialist care services (9 Dental Specialists
and 20 Senior Dental Officers) has optimised accessibility to specialist care services in all districts.
• With the addition of 21 Dental Hygienist and Therapist into the dental workforce, some of the simple dental treatments for adults are now taken over by these dental care professionals, supplementing the role of the Dentists.
4. Oral Health Promotion Programme • Collaboration of oral health programme with other stakeholders were undertaken
to strengthen Oral Health Promotion Division to achieve the goals of the Oral Health Agenda. However, more steps and measures need to be undertaken in this direction to have a wider reach.
• Inter-ministerial collaboration was strengthened with the implementation of numerous Oral Health programmes such as Daily Fluoride Toothbrushing (DFTB) and Toddler-Fluoride Varnish Rolling-Toothpaste Programme (TFRTP).
5. Community Water Fluoridation Programme Almost 100% of our Brunei population currently receives fluoridated water, which is the
most cost-effective and efficient population strategy in caries prevention.
6. Establishment of the Research and Development Division The establishment of Research and Development Division provided a platform for the
Department of Dental services to ensure evidence-based data collection to help in the planning of dental services in Negara Brunei Darussalam. However, this division faced many challenges and need to enhance its human and competency capacity.
56 A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
CHALLENGES & CONSTRAINTS
1. Relating to Dental Human Capital Capacity• Filling of vacant senior posts depends on confirmation of ‘Acting’ officers and staff by the
Ministry of Health and Department of Public Service Commission. Thirty-four officers and staff are holding acting senior posts for 1–3 years.
• The total number of Primary Oral Care Dentists fluctuates as new local dental graduates join Basic Specialty Training after serving 2 years in Primary Oral Care Services. After 3 years of Basic Specialty Training, most will pursue Advanced Specialty Training. These results in a consistently insufficient number of Primary Oral Care Dentists as there are fewer incentives for local officers to remain as Primary Oral Care Dentists as they do not have a structured career development pathway.
• Lack of specific manpower such as graphic designer, skilled IT personnel, researcher and statistician for the Oral Health Promotion and Research & Development Divisions to work more efficiently and productively.
• With the increase in Oral Health Promotion programmes, the current manpower (Dentists and Dental Nurses/Therapists) is unable to cope with the increasing clinical workload in order to meet the goal of providing an optimal oral health services coverage for the population. A decision has to be made as to how to optimise the use of the current professional and complementary dental human capital and the level of priority to be accorded to oral health promotion and disease prevention as opposed to clinical interventions.
• The number of Dental Technicians pursuing Advanced Specialty Training does not correspond to the increase in the number of Dental Specialists. Currently, Dental Technicians need to finish the prosthetic and orthodontic cases requested by both the Dental Specialists and Primary Oral Care Dentists.
• Dental Nurses/Therapists are not provided with Dental Surgery Assistants due to insufficient number of Dental Surgery Assistants. This compromise quality and productivity of the Dental Nurses/Therapists.
2. Relating to recruitment, retention and career prospects of various dental personnel• Retention and recruitment is challenging mainly due to unattractive scheme of service
and poor career pathway for Dental Technicians and Dental Surgery Assistants; competitive entry requirements for local students to enter overseas Dental Schools; and limited facilities in the National Dental Centre to train Dental Hygiene and Therapy trainees.
• Recruitment of Dental Hygienist and Therapist trainees is based on availability of posts and processing of paperwork by the Department of Public Service Commission, which makes it difficult to ascertain the start of the Dental Hygiene and Therapy programme.
• Only a small number pursue postgraduate studies in Dental Public Health/Community Dentistry because the new Scheme of Service for Dentists is unattractive to Public Health Dentists who are not recognised as Dental Specialists after obtaining their Masters/Postgraduate qualification in Dental Public Health.
57A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
3. Relating to Infrastructure• The decision to expand and upgrade existing Dental Clinics and to build new physical
structures (new Dental Clinics) depend on other departments within the Ministry of Health (Estate Department, Health Services and Hospital Services). The number, location and size of dental surgeries/rooms depend on budget and space allocated for Dental Services.
• The condition of most static and non-static Dental Clinics in Primary Schools is unsatisfactory, non-conducive and do not adhere to health and safety standards. Ministry of Education and school authorities need to play a more supportive role in the school oral health programmes by providing favourable conditions for the dental staff to operate in and to take over the ownership of relevant oral health programmes, e.g. Daily Fluoride Toothbrushing (DFTB).
• Space constraint to have new dental laboratory equipments and addition of work benches to accommodate Dental Technicians. Currently, the Dental Laboratory building and its set-up is not in line with Health, Safety and Environment (HSE) requirements.
4. Relating to Training and capacity building• Inadequate budget for proper training of Dental Hygienists and Therapists – often the
dental materials and consumable items are lacking for training.• To date, the training are still unable to accommodate a yearly intake of 10 trainees as
there is still lack of phantom heads and clinical chairs for the training.
5. Relating to collaboration with various stakeholders Initiation of some of the oral health programmes are difficult due to lack of inter-sectoral
collaboration with various departments/ministries in the early stages of policy- and decision-making, and programme planning.
6. Relating to budget allocation for Oral Health Services Budget usage for each unit/division could not be retrieved due to the pooling of the budget
together under one vote since 2009.
58 A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
CONCLUSION
This Oral Health Agenda 2008 - 2012 is a comprehensive document that outlines the strategic framework and plan of action that the Department of Dental Services has taken over the last 5 years. The findings of the review found that target strategies and action of plan have largely been met: Of 115 strategies planned, 42% were successfully completed; 38% were in its various stages of progression; while only 20% were not implemented (Appendix 3).
Enhancing human resources, dental infrastructure and specialist dental services delivery in all districts have been achieved. With the arrival of more trained Dental Officers and Specialists, dental services in various specialties are easily accessible to the population in all districts. This key task in optimising accessibility has achieved a remarkable 77% completion and has several associated key tasks in progression.
Oral health promotion is the key to achieving prevention. The findings of the review found that 94% of the strategies planned in this key area have been successfully completed. Increased coverage of Primary Schools through mobile dental squad, various school-based preventive programmes, water fluoridation, and collaborations with government and non-government organisations are the collective achievement. The establishment of the Research and Development Division is another achievement for the Department of Dental Services. It was established to collect a National Minimum Dataset for Oral Health accurately and consistently so as to better ensure that the oral health and related information that are collected, analysed, disseminated and reported are valid, reliable and of a high quality.
Dental Hygienists and Therapists recruitment training was launched in Brunei in collaboration with King’s College London to train more Dental Hygienist and Therapist locally. On the other hand, local training for the Dental Surgery Assistants and advanced training for Dentists and Dental Technicians in various specialties are an on-going strategy to produce competent dental human resource. Career road shows around the country were also undertaken to attract students towards dentistry and its allied fields.
Oral Health Agenda 2008 - 2012 has revealed the substantial contributions that the oral health promotion and prevention of oral diseases programmes and initiatives have towards promoting the oral health of the population, especially the children. With the right policies and a proper goal-orientated strategic planning, implementation, monitoring and evaluation and with the appropriate monetary, physical and human capacity and competency in place, oral health promotion and the prevention of oral diseases will continue to enhance the oral health of the population and contribute significantly to good systemic health and quality of life. Not only will this enable us to achieve the oral health goals of WHO but it will also be in line with the Ministry of Health’s Vision 2035 of ‘Together Towards a Healthy Nation’ and WAWASAN BRUNEI 2035 Goal No. 2 of ‘Enhancing the Quality of Life’.
59A Review of the Oral Health Agenda 2008 - 2012
Achievements, Challenges, Conclusion and Recommendations
RECOMMENDATIONS
1. Disseminate this ‘Review of Oral Health Agenda 2008 - 2012’ to all officers & relevant staff to inform them on the achievements and challenges faced by the Department and the focal persons in each key task. Strategies and goals should be a collaborative effort made by all officers and staff within the Department.
2. A Memorandum of Understanding is needed between the Ministry of Health and Ministry of Education to ensure continued and enhanced cooperation and responsibility from schools to improve School Dental Services and oral health promotion programmes conducted in schools.
3. Another National Oral Health Survey need to be urgently conducted since the last one was carried out 14 years ago. The data collected can be used to analyse the oral health status and disease trends of the population and its impact on the quality of life of the people taking into account the various determinants of health. Such information is indispensable for the proper planning of various oral health programmes and interventions that would be effective to address the various oral health problems and issues that the community faced. These will greatly assist in the formulation of more feasible and relevant strategies with achievable objectives which should be incorporated into the next Oral Health Agenda. With such scientific data, we can then compare our findings with that of other countries in the region and globally. It will also allow us to benchmark some of our services and standards to the ‘gold standard’ as practised in the more reputable countries in ASEAN and the world and allow us to use an evidence-based approach to move towards this standard.
4. The challenges of recruitment and retention of the dental workforce may be overcome by a more attractive scheme of service, better career development and effective succession planning.
ACKNOWLEDGEMENTSMinistry of Health
Brunei Darussalam
Printing Department
Prime Minister’s Office
Brunei Darussalam
COMMITTEE MEMBERS
Dr. Haji Amirul Rizan bin Haji Mohamed (Head)
Dr. Kok Ei Chuen
Dr. Hajah Samsiah binti Haji Md Said
Dr. Mary Cheong
Dr. James Lee
Dr. Sylviana binti Haji Moris
Dr. Paulina Lim
Dr. Md Fadzillah bin Abdullah
Dr. Jaison Thomas
Hajah Zuraidah binti Haji Abdul Wahab
Huzaimah binti Haji Mat Don
Hajah Sarinah binti Haji Tengah
Lai Moi Ling
Syahamsudin bin Haji Ali
Roslan Jalanee bin Haji Zainal Abidin
Haji Mazlan bin Haji Ahmad
60
Acknowledgements