Improving the quality of training and service in obstetrics and gynecology practice starts at the community level [the patient and family, the midwife (MW), the community health worker (CHW)], goes through the higher levels of healthcare providers (doctors, nurses, secondary level healthcare facilities), and escalates to reach the government level. Both MWs and CHWs can play vital role in improving the quality of care provided. Task shifting, where responsibilities and tasks can be shifted from highly trained health workers to less highly trained health workers in order to maximize the efficient use of health workforce resources, needs to be appropriately addressed. Learning objectives: To acknowledge the importance of improving the quality of training and care. To acknowledge the vital role of MWs and CHWs. To acknowledge the importance of “task shifting”.