Under the apartheid regime there was no national framework for development in South Africa. Now, for the first time in South Africa, the government of national unity has provided a framework for development. This is a people-centered development strategy that calls for intersectoral collaboration and a vision for community involvement. Within this framework, the Department of Health has developed an integrated nutrition program with a health-based component and a community-based aspect. There is now a movement towards community-based program and nutrition surveillance. Although it is still early, there are some lessons that can be learned from these programs: growth monitoring can be used to promote community-based surveillance and to provide information upon which the communities can act; training, supervision, and information dissemination is essential, and it is also important to identify indicators to monitor success; building on existing infrastructure and capabilities within communities and linking up with NGOs and other organizations who have long-standing relationships with the communities is essential; identifying and capitalizing on indigenous resources and capabilities within countries is important; and there has to be political commitment.
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