Nurturing care in early childhood requires responsive interactions and opportunities to learn. There are few large scale programs in low and middle income countries that support parents’ ability to provide responsive care and activities that help children learn. The Reach Up training program was developed to increase capacity of implementing agencies to deliver effective parenting programs for children up to age 3 years. The program provides a comprehensive training package for trainers, supervisors, and home visitors. Based on the Jamaica Home Visit intervention which has substantial impact evidence, Reach Up has been used in several countries where it has provided evidence of its feasibility and lessons that can guide future implementation.