18-19th Dec, 2012 Acknowledgement The East Africa Dental Project



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Ministry of Environment and Mineral Resources

REPORT ON EAST AFRICA (KENYA, TANZANIA, UGANDA) DENTAL AMALGAM PHASE DOWN INCEPTION WORKSHOP



Kenya Institute of Education, Nairobi

18-19th Dec, 2012

Acknowledgement

The East Africa Dental Project aims to promote the WHO-UNEP phase down approach of dental amalgam in three selected countries in East Africa, Kenya, Tanzania and Uganda. This project is an activity of the Mercury in Products Partnership area of the Global Mercury Partnership (GMP). The GMP in Products aims to reduce global mercury demand related to use in products and promote its alternatives. It will provide technical support to countries to improve management of use and anthropogenic release of mercury and is listed as one of the activities under the UNEP mercury project MC/4030-09-04. In addition, this project was approved and is being funded by the government of Norway ODA for 2012. In Kenya, it is executed by the Ministry of Environment and Mineral Resources jointly with the Ministry of Medical Services.

The Ministry wants to thank all the partners and stakeholders involved in this effort



ACRONYMS

BMP Best Management Practices

CPDS Continuous Professional Development Sessions

EADP East Africa Dental Project

ESM Environmentally Sound Management

FDI World Dental Federation

GIC Glass Ionomer Cement

IADR International Association of Dental Research

INC5 5th Session of the Intergovernmental Negotiating Committee

KDA Kenya Dental Association

MEMR Ministry of Environment and Mineral Resources

MOPHs Ministry of Public Health and Sanitation

MOMs Ministry of Medical services

MPDB Medical Practioners and Dentists Board(MPDB)

TOT Trainer of Trainers

WHO World Health Organization


Contents PAGE


Contents PAGE 4

1.Opening session 6

2. Situational analysis: 9

2.1 KENYA 9

2.2 UGANDA 10

2.3 TANZANIA: 11

3. EADAP Project Overview: Mercury negotiations and partnerships; project objectives, components, expected output 12

3.1 Project Overview 13

3.2 Project components 13

3.3 Expected project Outputs 14

3.4 WHO policies on oral health and dental restoration 15

3.5 Pilot project in East Africa. 17

4. iLima Organization, Cecilia Ng’ang’a 17

4.1 Dental Amalgam and its Alternatives, Trade and Waste Management Practices, Dr. Benina Kisumbi 18

4.2 Results of waste management survey 19

4.3 Results of trade survey 20

5. Mercury waste in dental practices in Kenya, Tanzania and Uganda 22

5.1 Questions and answer session 23

6. Selection of Pilot Dental Facilities, Pam Clark, International Association of Dental Manufacturers 23

6.1 Clinic Selection for Amalgam Separator for Project 24

6.2 Question and Answer session: 25

7. Training of Dental Personnel on BMP/ESM of Waste Amalgam and its Alternatives 25

7.2 FDI Curriculum on dental amalgam BMP, prevention and alternative materials. 26

7.3 Question and Answer Session 27

19TH DECEMBER 2012, 2nd Day 28

Morning Session 28

1. Awareness Raising on Materials Developed by the University of Copenhagen- WHO Collaborating Centre for Oral Health, Poul Erik Petersen. 28

2. Case Studies Demonstrating Phase Down Approach, Desiree Narvaez, UNEP Chemicals. (on behalf of Michal Bender) 33

2.1 Question and Answer Session 35

3. EADAP Management: Roles and Responsibilities of Project Partners and national project coordinators, Desiree Narvaez, UNEP Chemicals. 36

3.1 iLima 36

3.2 National Project coordinators 37

3.3 IDM and FDI 37

3.4 NATIONAL DENTAL ASSOCIATIONS AND NGOs 38

3.5 WHO 38

3.6 UNEP and WHO 38

3.7 Question and Answer Session: 39

4. Action planning by country. Kenya, Tanzania, Uganda. 39

4.1 Kenyan Action Plan 40

4.2 Uganda- Action Plan Dr Margaret Wandera 43

4.3 Tanzania Action Plan- Prof Kahabuka 46

5. Closing session 49



18TH DECEMBER 2012, KENYA INSTITUTE OF EDUCATION

Background

The Ministry of Environment and Mineral Resources of Kenya and the Division of Technology and Economics of UNEP DTI have signed a memorandum of understanding to implement a project entitled “Promoting the ‘phase down’ approach of dental amalgam in developing countries”

The project aims to promote the WHO-UNEP phase down approach of dental amalgam in three selected countries in East Africa, Kenya, Tanzania and Uganda. This project is an activity of the Mercury in Products Partnership area of the Global Mercury Partnership (GMP). The GMP in Products aims to reduce global mercury demand related to use in products and promote its alternatives. This project contributes to UNEP Programme of Work (POW) by providing technical support to countries to improve management of use and anthropogenic release of mercury and is listed as one of the activities under the UNEP mercury project MC/4030-09-04. In addition, this project was approved and is being funded by the government of Norway ODA for 2012.

The inception workshop was held at the Kenya Institute of Education in Nairobi Kenya on 18-19th December, 2012



Attendance:

A total of 49 participants attended the meeting from Tanzania, Uganda, Kenya, United Nations Environment Program (UNEP), World Health Organization (WHO), World Dental Federation (FDI),,and International Association of Dental Manufacturers (IDM) . The full list of participants is in Annex 1.


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