By the mid 1980s the Foundation had forged links with the World Health Organization. By this stage the priority was to demonstrate the viability and feasibility of using fluoridated milk as a dental public health measure, and through this collaboration the first community based milk fluoridation scheme was introduced in 1988, in Bulgaria. The implementation of this scheme provided valuable experience and encouraged others to pursue similar initiatives in a number of countries. During the early 1990s the international milk fluoridation programme began to take shape; projects were implemented in the Russian Federation, China, Chile and the United Kingdom. More recently schemes have also been established in Peru and Thailand.

Within each country the aim has been to establish a demonstration or pilot scheme to provide a model for the implementation of further projects in other parts of that country or region. This has been achieved in a number of schemes and there are plans under consideration for further development in each of the countries involved. The Foundation is also keen to achieve expansion through the implementation of new schemes in other countries, and would welcome enquiries from potential collaborators. Further details of scheme development can be found on this site.