By the mid 1980s the Foundation had forged links with the World Health Organization, and the priority at this stage was to demonstrate the viability and feasibility of using fluoridated milk as a dental public health measure. Through this collaboration the first community based milk fluoridation scheme was implemented in Bulgaria in 1988,and this 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 and several years later in 1999 milk fluoridation was introduced in Peru, although it ceased in 2004 because of the increased use of fluoridated salt. In Thailand however, a programme introduced in 2000, has rapidly expanded and, more recently in the Republic of Macedonia milk fluoridation was introduced in 2009.

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.