Dr. Pandora Hardtman serves as Chief Nursing & Midwifery Officer of JHPIEGO. She has gained 20 plus years of nurse-midwifery experience working in the USA, Caribbean, South East Asia, the Middle East and Africa in varying capacities assisting women and families on 4 continents. When not traveling and in the US, she continues to serve in socioeconomically and culturally diverse practices in metropolitan areas. As an elected member of the International Confederation of Midwives Board Representing North America's/ Caribbean, she continues to mix global health administrative, advocacy and clinical duties, and is known for encouraging nurse-midwives to “push for change past the perineum”.