The EU and USA and some SEA countries having enough physicians, do not need to share doctor’s duties/competencies, however, countries with lack of qualified doctors such as Sub-Saharan Africa (apart of RSA) and some places in rural Latin America need midwifes to assist with complicated births including caesarean section. (1-3) The aim of this short communication is to present competencies of midwives and nurses in various parts of the world, where Tropic team members are providing care to patients.