The Manthan Project worked to improve the quality of the 21-day skilled birth attendant (SBA) training through the provision of a training coordinator for quality assurance and compared this to a four-phase capsular training model as an alternative SBA training approach. Capsular training was based on existing evidence showing that a phased capsular approach, which allows for a “spacing effect” (i.e., repeated training over spaced intervals), is more effective than the traditional single-bolus approach for competency-based training. This brief examines the study and its results.