There was an average of 5.5 learners present per lecture. Responses from the learners were overall positive, especially regarding lecture content with 98% or greater agreement with each positive statement (Table 1). The technology questions regarding ease of use and convenience were also strongly positive with at least 98% agreement. The ability to hear the instructor (94.5% agreement) was greater than the ability to see the instructor (87.3% agreement), likely due to greater signal strength required for video compared to audio delivery. Statements related to the connection to the instructor were agreed upon 100% of the time except when asked if the lecture via telehealth was as good as in person (94.5% agreement). The amount of time to connect to the system was most frequently 5–10 min but took up to 15 min. Three lectures were rescheduled due to a lack of Internet connection at the site in Guatemala; two were done later in the same day and one was rescheduled to a different day. Overall, the CHNs were extremely satisfied with the lecture delivery via telehealth as well as the direct teaching.