Midwife Salary

In South Africa, the midwifery profession plays an integral role in the healthcare system. Midwives are responsible for providing prenatal, postnatal, and delivery care to pregnant women and newborns, as well as educating them on proper health practices. If you’re considering a career in midwifery, one of the essential factors to consider is the salary. In this article, we’ll delve into the world of midwifery in South Africa and explore the various factors that influence midwife salary in the country.

Understanding the Midwifery Profession in South Africa

Before diving into midwife salaries in South Africa, it’s crucial to understand the role of a midwife. A midwife is a healthcare professional who specialises in the care of women and newborns during pregnancy, childbirth, and postpartum. Midwives are licensed and regulated healthcare professionals who work in hospitals, clinics, birthing centres, and in-home settings throughout the country.

The role of a midwife

Midwives are responsible for ensuring safe and healthy childbirth experiences for mothers and their newborns. They provide a range of services such as prenatal care, childbirth assistance, postnatal care, and infant care education. They also provide emotional support and counselling to mothers before, during, and after childbirth. Midwives aim to create a nurturing and sustainable environment for mothers and newborns, while also fostering a family-centred approach to care.

Qualifications and training required

To become a midwife in South Africa, you need to complete a three or four-year degree in midwifery that is accredited by the South African Nursing Council. The program includes courses in anatomy and physiology, neonatal care, breastfeeding, contraception, and health education. You also have to complete a minimum of 1,000 hours of practical experience before graduation. After graduation, midwives have to complete a year of community service as required by law.

Registration and licensing process

All midwives in South Africa must be registered and licensed with the South African Nursing Council. This process involves submitting an application, providing proof of qualification, and passing a national licensing exam. Midwives must also maintain their registration by completing continuing education credits and renewing their license annually.

Factors Influencing Midwife Salaries in South Africa

Several factors affect midwife salaries in South Africa, and it’s crucial to understand them to make informed career decisions.

Experience and Seniority

The number of years of experience and seniority within a healthcare organization directly impacts midwife salaries. Generally, more experienced midwives receive higher salaries as they have proven themselves and gathered more specialized experience. Seniority is often linked to experience, but it can also be a result of promotions or recognition of exceptional performance. Midwives who have been in the field for a long time and have held leadership positions can negotiate higher salaries.

For instance, a midwife who has worked for over 10 years in a hospital and has risen to become the head of the maternity department is likely to earn more than a midwife who has been in the field for five years and works as a junior staff.

Location and Cost of Living

The location of employment greatly influences midwife salaries. Urban centres like Cape Town and Johannesburg typically pay higher salaries than rural areas because the cost of living is higher. However, remote areas with limited access to midwives tend to pay higher starting salaries to attract new midwives to the regions.

For instance, a midwife working in a rural hospital in Limpopo may receive a higher salary than a midwife working in a private hospital in Johannesburg. This is because the rural hospital wants to attract and retain skilled midwives to provide quality maternal and child health services to the community.

Public vs. Private Sector

The type of employer also affects midwife salaries. Public healthcare organizations typically offer lower salaries than private healthcare organizations, as public healthcare is primarily funded by the government. However, midwives may consider public-sector employment for job security, stability, and opportunities for growth.

For example, a midwife working in a public hospital may have access to training programs and professional development opportunities that are not available in private hospitals. Additionally, midwives in the public sector enjoy job security, as the government is the employer, and they are entitled to benefits such as pension schemes and medical aid.

Specializations and Additional Qualifications

Midwives with specializations and additional qualifications command higher salaries than those without. Additional qualifications may include courses in neonatal resuscitation, breastfeeding support, and maternal mental health. Specializations may include critical care, antenatal care, and neonatal intensive care. It is recommended that midwives engage in continuous education and training to improve their specializations and remain competitive in the job market.

For instance, a midwife who has completed a course in neonatal resuscitation is better equipped to handle emergencies during birth, and this makes them more valuable to their employer. Similarly, a midwife who has specialized in critical care can work in the neonatal intensive care unit, and this increases their chances of earning a higher salary.

In conclusion, midwife salaries in South Africa are influenced by several factors, including experience, location, type of employer, and additional qualifications. Midwives should consider these factors when making career decisions and strive to improve their skills and knowledge through continuous education and training.

Average Midwife Salaries in South Africa

According to PayScale, the average midwife salary in South Africa is R222,630 per year. This salary varies depending on several factors such as location, experience, and employer type.

Entry-level midwife salaries

Entry-level midwives in South Africa earn an average salary of R130,000 per year. This salary tends to rise with additional experience and further qualifications.

Being an entry-level midwife in South Africa can be a challenging yet rewarding experience. Midwives in this role are responsible for providing support to mothers during pregnancy, childbirth, and postpartum. They also provide education and guidance on infant care and breastfeeding.

Midwives in this role work closely with obstetricians and gynecologists to ensure that mothers and newborns receive the best possible care. They also work in collaboration with other healthcare professionals such as nurses and pediatricians.

Mid-career midwife salaries

Mid-career midwives with five to ten years of experience earn an average salary of R260,000 per year.

Midwives in this stage of their career have gained significant experience in the field. They have likely worked in a variety of settings, such as hospitals, clinics, and private practices. They may also have completed additional training and qualifications, such as a Master’s degree in Midwifery.

Mid-career midwives are often responsible for mentoring and supervising entry-level midwives. They may also be involved in research and policy development related to maternal and infant health.

Senior-level midwife salaries

Senior-level midwives, with more than ten years of experience, earn an average salary of R360,000 per year. Midwives in leadership roles, such as head of department or unit manager, may earn higher salaries.

Senior-level midwives have a wealth of experience and knowledge in the field. They may have worked in a variety of roles, such as clinical midwife specialist, educator, or researcher. They may also have contributed to the development of national or international guidelines related to midwifery practice.

Senior-level midwives are often responsible for overseeing the delivery of midwifery services in their organization or region. They may also be involved in advocacy and policy development related to maternal and infant health on a national or international level.

Overall, midwifery is a rewarding and fulfilling career in South Africa. Midwives play a critical role in ensuring the health and wellbeing of mothers and newborns. With experience and further qualifications, midwives can advance their careers and earn higher salaries.

» Find out more: Unveil the Exciting Earnings of Ophthalmologists!

About Arcadia Finance

Acquiring a loan is made easier and more efficient with Arcadia Finance. Our platform allows you to submit a complimentary application and receive loan offers from up to 10 lenders. We guarantee the credibility and adherence to regulations of all our lending partners accredited by the National Credit Regulator of South Africa.

Comparing Midwife Salaries Across South African Provinces

Midwifery is a noble profession, and midwives play a critical role in ensuring safe childbirth and maternal health. In South Africa, midwife salaries vary across the nine provinces, and several factors influence the salary range, such as location, availability of healthcare organisations and facilities, and the cost of living.

Let’s take a closer look at the salaries of midwives in some of the provinces:

Gauteng Province

Gauteng province, which includes the cities of Johannesburg and Pretoria, is the economic hub of South Africa and offers the highest salaries for midwives in the country. Midwives in Gauteng earn an average salary of R359,057 per year. Gauteng has a high demand for healthcare services due to its large population and urbanisation, which translates into more job opportunities and higher salaries for healthcare professionals.

Western Cape Province

The Western Cape province is known for its scenic beauty, diverse culture, and excellent healthcare services. Midwives in the Western Cape province earn an average salary of R291,356 per year. The Western Cape is one of the most popular provinces for healthcare professionals, with well-funded public and private healthcare organisations. The province also has a high standard of living, which reflects in the salaries of healthcare professionals.

KwaZulu-Natal Province

KwaZulu-Natal province is located in the eastern part of South Africa and is known for its rich Zulu culture and beautiful beaches. Midwives in KwaZulu-Natal province earn an average salary of R255,515 per year. Salaries tend to be lower in rural areas and higher in urban centres such as Durban. KwaZulu-Natal has a diverse population, and midwives in this province work in various settings, including hospitals, clinics, and community health centres.

Eastern Cape Province

The Eastern Cape province is located in the southeastern part of South Africa and is known for its rugged coastline, wildlife reserves, and cultural heritage. The Eastern Cape offers the lowest average salary for midwives in South Africa. Midwives in this region earn an average salary of R182,579 per year, partly due to the limited availability of healthcare facilities and rural areas. However, midwives in the Eastern Cape play a crucial role in providing healthcare services to underserved populations and improving maternal health outcomes.

It’s essential to note that midwife salaries are affected by various factors, such as experience, qualifications, and job responsibilities. Midwives with advanced qualifications and experience in specialised areas such as neonatal care or obstetrics may earn higher salaries than their counterparts.


In conclusion, midwifery is a fulfilling and vital healthcare profession with many career opportunities in South Africa. While it may not be the highest-paying profession, midwifery offers job stability, flexibility, and the chance to provide high-quality healthcare services to mothers and newborns. If you’re considering a career in midwifery, be sure to consider your geographical location, years of experience, type of employer, and additional qualifications to make informed decisions about your salary expectations.

How much do you need?
*Representative example: Estimated repayments of a loan of R30,000 over 36 months at a maximum interest rate including fees of 27,5% APR would be R1,232.82 per month.

Loan amount R100 - R250,000. Repayment terms can range from 3 - 72 months. Minimum APR is 5% and maximum APR is 60%.