The Health Systems Trust (HST), a non-governmental organisation (NGO), implemented a community-based intervention project that fits into the INP focus areas in two provinces (KwaZulu-Natal and the Eastern Cape) in 2003. Community-based growth monitoring, particularly in deep rural areas, was implemented in the catchment areas of 10 clinics per district. Each community-based growth monitoring site was linked to a clinic. The community-based growth monitoring was performed by project volunteers who received training in growth monitoring and the community-based component of the Integrated Management of Childhood Illness (IMCI). 4 A fiveday training workshop on the community-based component of the IMCI was provided by a private consultant at the beginning of the project. In 2007 a training workshop was conducted by maternal and child health (MCH) trainers from the Department of Health for newly appointed volunteers in one of the districts. Informal training took place on an ad hoc basis and was presented by HST project facilitators, and in some cases by clinic staff. The project volunteers were supervised and supported by community-based organisations (CBOs) in collaboration with nursing staff at the local clinics. The project volunteers received a monthly stipend, which was paid by the