This report documents experiences and lessons related to training and scaling-up the midwifery workforce. These lessons were shared at the First International Forum on Midwifery in the Community (Tunisia, 2006).

This guidance note is designed for countries seeking to scale up midwifery services, especially at the community level. It is part of a UNFPA-ICM (International Confederation of Midwives) Joint Initiative to support the call for a Decade of Action for Human Resources for Health made at World Health Assembly in 2006.

This note outlines in detail the action required by policy-makers and programme managers to effect change at country level and scale up midwifery capacity, specifically in poor and hard-to-reach areas.

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