May 5th is the International Day of the Midwife. This year’s theme, “Midwives: A Vital Climate Solution,” acknowledges the role that midwives play by delivering environmentally sustainable health services, adapting health systems to climate change, and as first responders when climate-related disasters occur.  Empowering a resilient health workforce with midwives as first contacts for maternal health care can improve universal health coverage through reductions in environmental impact, as well as more efficient, less costly health systems, and stronger local economies.