While not assessed in our small pilot evaluation, there are likely to be significant economic, environmental, and personal benefits to such a program. We believe that increased education will improve the work of the nurses within the community since the lectures were targeted to improve CHN identification of common illnesses, determination of referral needs, and education of families for home treatments and health maintenance. Additional economic benefits include reduced travel of university faculty to the site, including lost work (clinical or teaching) time and travel and accommodation costs. A concept of planetary health linking human health, flourishing civilizations and the environment, described in the Lancet commission on planetary health (28), must be considered in our global health work to ensure the health of the environment as well as populations. This is especially true as the people most hurt by climate change are likely to be the communities we are working to help. Using telehealth to provide education allows for reduced carbon emissions related to travel, and if used on a large scale could have a positive effect on the environment. Additionally, this program evaluation started as Zika virus concerns were raised resulting in reduction in travel to endemic locations, including our site where Zika transmission is reported. The ability to deliver education remotely has far reaching benefits from direct costs to planetary health to personal health.