Based on the concepts and principles presented in this paper, the key features of JHPIEGO's approach to training include:

• Development of competencies (knowledge, attitude and practice) is based on national standards.
• Quality of performance is built into the training process.
• Emphasis of the training is on development of qualified providers, not on the number of clinicians undergoing training
• Training builds competency and confidence because participants know what level of performance is expected, how knowledge and skills will be evaluated, that progression through training is self-paced, and that there are opportunities for practice until mastery is achieved.