There have been serious efforts over the past several decades to review effective interventions for improving pregnancy and childbirth outcomes. A clear consensus has emerged from these analyse that providing skilled care at every birth is an essential component of interventions to reduce maternal and perinatal morbidity and mortality. Without availability of a health provider with specific midwifery skills and competencies, particularly lifesaving skills, international goals for maternal and newborn health cannot be reached.rnThis toolkit includes 9 modules. It focuses specifically on strengthening the central role and function of the professional midwife in the provision of quality care during pregnancy and childbirth and in other reproductive and sexual health services.