Internet connection for the instructors was home or office Wi-Fi or cellular network on their personal or work computers, tablets, or phones. The devices connected securely to our institution’s network through Vidyo©. The CHNs used an established Wi-Fi connection at the clinic campus in Guatemala freely available to employees. The Internet at the clinic costs 5,300 Guatemalan Quetzales or approximately 700 USD per month for connection speeds of 6 mbps, which is paid by the Guatemalan agricultural company. This Internet connection is used for maintaining electronic medical records at the clinic and data downloads for multiple ongoing research studies. There were no additional costs to our program for the use of the clinic Internet. No evaluation of specific bandwidth usage was done for this assessment.