PURPOSE:
This narrative review examines the crucial role midwives play in delivering maternal, neonatal, sexual, and reproductive health and rights (SRHR) services in humanitarian settings. Using Bangladesh’s response to the Rohingya refugee crisis as a case study, this review aims to demonstrate how midwifery-led models can help health systems respond to diverse needs for maternal, neonatal, and SRHR services in crises and provide guidance to adopt in other humanitarian contexts.

DISCUSSION:
The midwifery-led model in the Rohingya response illustrates a holistic, woman-centered approach to providing maternal and SRHR care. In 2017, over half a million Rohingya people fled to Cox’s Bazar, Bangladesh, facing urgent needs for maternal and SRHR services. Responding to the huge need for safe delivery and SRHR services, around 100 diploma-trained midwives were deployed by August 2018 across 34 camps through a coordinated effort by the Government of Bangladesh, UNFPA, and humanitarian partners. This model uniquely combines professional clinical care with culturally sensitive engagement, addressing barriers related to gender, language, and mobility. Midwives provided a variety of care, including delivery, antenatal and postnatal care, abortion and postabortion care, and GBV responses.

EVIDENCE WHERE RELEVANT:
The midwifery response in Cox's Bazar results in increased facility delivery, use of modern contraceptive methods, and gender-based violence case management (UNFPA, 2021). The establishment of a midwifery-led birth center serves as another success story, with 267 births occurring in 2022. Women reported choosing this center because of the respectful care provided by kind and skilled midwives, along with high-quality services.

KEY MESSAGE:
Midwives are frontline core actors in humanitarian crises. Bangladesh's Rohingya response affirms that where midwives are well-resourced, trained, and integrated into community-based health systems, they can deliver lifesaving SRHR care with clinical excellence, cultural sensitivity, and dignity. The model is a reproducible framework for enhancing midwifery care in other humanitarian settings. Spanish - SRHR (including three-minute presentation competition)