The aim of this research was to analyze midwives’ job satisfaction and intention to leave in
developing regions of Ethiopia.
A facility-based cross-sectional study was conducted amongst 107 midwives in four developing
regions of Ethiopia. All midwives who were working in 26 health facilities participated in the
study. A structured self-administered questionnaire, and in depth key informant interview guides,
were used to collect data. Job satisfaction was measured by nine dimensions and intention to
leave their current position was measured using three questions.
More than two-thirds (67%) of the midwives were female, with a mean age of 26.1 (sd ± 4.2)
years old. Less than half (45%) of the midwives were satisfied with their job, less than half
(42%) were satisfied with ‘work environment’ and less than half (45%) were satisfied with
‘relationship with management’ and ‘job requirements’. Relatively better satisfaction rates were
reported regarding ‘professional status’, of which more than half (56%) of midwives were
satisfied, followed by more than half (54%) of midwives being satisfied with ‘staff interaction’.
Almost two-fifths (39%) of midwives intended to leave their current position.
Job dissatisfaction and intention to leave rates amongst midwives in developing regions in
Ethiopia are a source of concern. The majority of midwives were most dissatisfied with their
working environment and issues related to payment. Their intention to leave their current position was inversely influenced by job satisfaction. The introduction of both financial and
nonfinancial mechanisms could improve midwives’ job satisfaction, and improve retention rates
within the profession.
Keywords: Midwives; Job satisfaction; Job retention; developing regions Ethiopia
Dr.Yeshitila Hailu is a Chief Public Health Specialist with more than 28 years both clinical &
Public health experiences at various institutions-both governmental and non-governmental
From 1993 to 2003, he worked at various health institutions including health centers, General
hospital and medical centers both at public and private health facilities.
From September 2003 to February 2012, he worked for Red Cross of Ethiopia at various
positions including deputy director of National Blood Bank, Health and Care Program
Department Manager as well as Deputy Secretary General for programs. While working for Red
Cross, he has received quite a number of certificates and awards from different institutions
including IFRC,ICRC,WHO,CDC-Atlanta, UNFPA, AABB, Various Red Cross National
societies, Universities(AAU, Maker ere university, London school of Medicine) up on
completion of short term trainings and making panel presentations in Africa and in the west.
Moreover, He attended quite a number of international meetings, conferences, trainings and
colloquium in Beijing, South Africa, Kenya, Tanzania, Egypt, Italy, Germany, USA, Canada,
Chile, Netherlands, Sweden, and Finland.
After an intensive course in Ontario, corn well town, Canada in 2008, he is one of the heath team
members for the global FACT (Field assessment coordination team) under the IFRC roaster for
any global mission.
He had also received a partial fellowship award of to attend the XXXIst International Congress
of the ISBT, held in Berlin, Germany, June 26 – July 1, 2010, after applying for a Dr. Harold
Gun son Fellowship .He had given and facilitated a number of health related trainings to health
professionals, volunteers, journalists and his own staff.
He was also owner and General Manager of Tarma Ber Health and Social Services consultancy
firm from 2009-2010. Moreover, he was editor in chief