The Midwifery Programme Guidance has been developed by UNFPA in collaboration with ICM for country offices, programme managers, partner agencies, and midwifery managers in Ministries of Health, to assist them in developing, ‘scaling up’ and/or strengthening midwifery programmes at the national level. It explains key midwifery concepts, outlines a step by step approach on how to strengthen midwifery Education, Regulation and Association, engage stakeholders, undertake effective policy advocacy and fund raising and references key available resources to do so.