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 Chief Executive 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, Statuts Administratifs, Reglamentos internos 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 130 Midwives Associations in 112 Countries in membership of the ICM representing approximately 500,000 midwives.
Council: 2 Members from each Midwives Associations plus Board
Board: 10 members from 4 Regions; Africa (2), Americas (2), Asia-Pacific (3), Europe (3)
The Board includes an Executive Committee: President, Vice-President, and Treasurer, the Chief Executive 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 2017 the staff at ICM Headquarters in The Hague includes:
- Chief Executive
- Senior Technical Midwifery Adviser
- Three Technical Midwife Advisers
- Communications and IT Manager
- Project Coordinator
- Project Officer
- Advocacy and Operations Manager
- Membership Coordinator
- Council Administrator
- Administrative Assistant