Franka Cadée is President of the International Confederation of Midwives (ICM), the global voice of over 1 million midwives globally from 143 Members Associations. She has held this position since 2017 and previously served on the ICM Board as treasurer (2002 to 2008). She currently represents the Health Care Professional Associations on the executive board of the Partnership for Maternal, Child and Newborn Health. Franka Cadée is an expert on sexual and reproductive health in general and midwifery in particular, with over 30 years of strategy and policy development, advocacy, leadership, research and project management experience. She is known to many for her doctoral research into twinning, a cross-cultural reciprocal process for strengthening the agency of midwives. With her anthropological and midwifery background plus personal experience of living and working across a range of differently resourced countries, she is well aware of the realities of the field and a strong proponent of a human rights-based approach to health care.