ICM is governed by an International Council, the decision making body of the organisation, which sets strategic direction for ICM at each Triennial Council Meeting. The Council elects a President, Vice president and a Treasurer to work closely with the Secretary General to achieve the strategic directions approved by Council and prioritised by the Board. Board members are appointed by Council as described in the ICM Constitution (Article 17). The Board oversees the ICM secretariat in the implementation of the strategic directions, liaison with global and regional partners, support of ICM Midwives Associations, and oversight of project development and management.
In June 2011 ICM Council approved new by-laws, which had been reviewed and updated by the Board following a decision by Council to amend the Constitution and By-laws to clarify governance issues and better reflect the composition of the new Board. A new Constitution was ratified in 2009.
There are 108 Midwives Associations in 95 Countries in membership of the ICM representing approximately 300,000 midwives.
Council: 2 Members from each Midwives Associations plus Board
Board: 9 members from 4 Regions; Africa (2), Americas (2), Asia-Pacific (2), Europe (3)
The Board includes an Executive Committee: President, Vice-President, and Treasurer, the Secretary General is a non-voting member. The ICM Board is appointed by the Council, and consists of representatives from each region of the Confederation. Members are appointed for a three year period.
Management: In 2013 the staff at ICM Headquarters in The Hague includes:
- Secretary General
- Senior Technical Midwifery Adviser
- Two Technical Midwife Advisers
- Communications and IT Manager
- Project Coordinator
- Membership Coordinator
- Administrative Assistant
The ICM/UNFPA Investing In Midwives programme is staffed by an ICM Senior International Midwife Advisor and three Regional Midwife Advisors.