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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


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


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


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


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


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


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11A Review of the Oral Health Agenda 2008 - 2012

Accessibility

GOAL

- Pro

vide

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rvic

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latio

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KEY

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KS

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TEGI

ES

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VES

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HIE

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ENTS

201

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MAR

KS

1.

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ave s

uffic

ient

m

anpo

wer

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eet

the o

ral h

ealth

ne

eds o

f the

po

pula

tion.

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opria

te re

crui

tmen

t &

depl

oym

ent o

f loc

al &

fo

reig

n m

anpo

wer

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al Sp

ecia

lists

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ists

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ntal

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ses

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sts/

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Depa

rtmen

t. Un

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ctiv

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ught

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rwar

d.

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ques

t for

mor

e pos

ts in

all

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pro

gres

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et ra

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rimar

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tist :

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ion

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se : 0

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year

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atio

n

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n

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ral h

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obde

ll et

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013)

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men

tal t

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cess

of

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lan

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’. Co

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ions

mus

t also

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ontr

ibut

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rivat

e sec

tor a

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ow

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ent t

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ic or

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mm

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tions

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t be

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urse

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aysia

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, facil

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se

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al

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atio

nal D

enta

l Ce

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istin

g Den

tal

Clin

ics in

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kuro

ng, S

unga

i Ha

nchi

ng, S

unga

i Ass

am an

d Be

lait

are t

o be

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nded

with

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crea

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ities

by 2

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nal D

enta

l Cen

tre

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nt cu

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n Fe

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ry 2

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w d

enta

l sur

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m

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al C

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oper

atio

nal o

n 31

st O

ctob

er

2011

. -

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s out

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nt se

rvice

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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.


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

).


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.


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.


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.


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.


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.



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.



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’.


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.



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.



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.



-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

.



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



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.



•‘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



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

.



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

.


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

.



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

.



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


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

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.

AC

HIE

VEM

ENTS

, CH

ALL

ENG

ES,

CO

NC

LUSI

ON

, REC

OM

MEN

DAT

ION

S


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



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.



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.



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.



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.



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’.



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

executive summary - ministry of health documents/dentalinformation...november 2013 executive summary...

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