The first phase of the project identified and engaged participants to set priorities and resolve community environmental health problems. This process involved participation by local government representatives, local health and education authorities, community-based social organizations, nongovernmental organizations (NGOs) operating in the project areas, and representative private enterprises. These organizations formed CIMSAs in the 2 project sites. The primary purpose of a CIMSA is to provide community members with an opportunity to be heard and participate in the community decision-making process.