Transitioning to midwifery models of care: global position paper

Overview

This global position paper provides policy-oriented guidance on transitioning health systems towards midwifery models of care to improve outcomes for women and newborns. It addresses persistent challenges in maternal and neonatal mortality, morbidity and stillbirths, as well as inequities in access to high-quality, respectful care. The document defines midwifery models of care and situates them within the broader context of universal health coverage and primary health care, emphasizing their role in delivering person-centred, integrated and rights-based services across the continuum from pre-pregnancy to the postnatal period.

The paper outlines the rationale for adopting these models, highlighting their contribution to improved health outcomes, enhanced experiences of care and more efficient use of health system resources. It presents guiding principles including equity, quality, continuity of care and interdisciplinary collaboration, and examines the roles and competencies of midwives alongside the system-level conditions required for effective implementation. Intended for policy-makers, health system planners and practitioners, it supports the development of context-adapted strategies to strengthen maternal and newborn health services and advance progress towards global health goals.