In the summers of 2014 and 2015, a general lack of lactation knowledge and support was identified within our program. As a result, team members from our institution provided in-person breastfeeding training to the CHNs while present in Guatemala as baseline education. Following the 2015 program, both the CHNs and the instructors wanted to continue the breastfeeding educational program. However, as in many rural health-center locations in LMICs, a great deal of time and resources are needed to send instructors to the local site for in-person trainings. As many rural health centers reach communities outside of main cities and common thoroughfares, travel to these sites frequently involves extended time and costs, limiting teaching faculty to a few longer trips and limiting teaching to short periods of intense training. From our organization, it costs approximately 3000 USD to send one faculty member to Guatemala for 2 weeks, which includes airfare, room and board, and local transportation but does not even include faculty salary, which varies considerably. In the initial years of program development and implementation, our institution would spend around 50,000 USD annually to send faculty members to our rural site, which quickly became a financial limitation. For programs using local faculty, instructors can provide sustained regular contact with CHNs allowing for interactive discussions over time, including case reviews related to the teaching. For distance programs and partnerships such as ours, however, regular training of CHNs creates the need for a more innovative and cost-effective education delivery method using information and communication technology such as telehealth.