Average Midwife Salary in South Africa (2024)

The average Midwife Salary in South Africa is R22,200 per month. An entry-level Midwife earns a salary range of R20,450, a mid-career level earns a salary range of R21,500 and a senior/experienced level earns R24,200 per month.

Average Midwife Salary in South Africa

Job Title Approximate Monthly Salary (ZAR)
Entry-Level Midwife 20,450
Mid-Career Midwife 21,500
Experienced Midwife 24,200


Types of Midwives and Salary in South Africa Per Month

Type of Midwives Approximate Monthly Salary (ZAR)
Professional Nurse Midwives 21,500
Independent Midwives 19,500

In South Africa, there are different types of midwives, each with varying levels of education and responsibilities. The types of midwives and their functions in South Africa are outlined below.

Types of Midwives and their Functions in South Africa

1. Professional Nurse Midwife

Provides antenatal care, assists during childbirth, and offers postnatal care. They can work in hospitals, clinics, or private practices.

2. Advanced Midwife and Neonatal Nurse Practitioner

Specializes in high-risk pregnancies and neonatal care, often working in collaboration with obstetricians. They may provide care in both hospital and community settings.

3. Community Midwife

Focuses on community-based care, providing maternal and child health services. They often work in clinics, homes, or community health centres.

4. Obstetric Sonographer

Specializes in using ultrasound technology to monitor fetal development and assess the health of both the mother and baby during pregnancy.

5. Independent Midwife

Works independently and may provide homebirth services, emphasizing a more personalized approach to childbirth. They often build close relationships with clients.

Factors Affecting Midwife Salary in South Africa

Several factors can influence the salary of midwives in South Africa. These factors can vary from one midwife to another and can include:

1. Experience

The level of experience a midwife has can significantly impact their salary. Midwives with several years of experience and a proven track record may command higher salaries than those who are just starting their careers.

2. Geographic Location

The cost of living and demand for midwives can vary by region. Midwives working in urban areas, particularly in private healthcare institutions, may earn more than those in rural or underserved areas.

3. Type of Employment

Midwives can work in various settings, including public hospitals, private hospitals, clinics, birthing centres, and as independent practitioners. The type of employment can affect their salary. Private-sector midwives may earn more than those in public healthcare.

4. Additional Certifications and Specializations

Midwives who have pursued further education and obtained additional certifications or specializations, such as lactation consulting or neonatal resuscitation, may command higher salaries.

5. Caseload

Independent midwives or those in private practice often earn fees based on the number of clients they serve. A higher caseload can lead to increased earnings.

6. Union Membership

Membership in midwifery or nursing unions can influence salary negotiations and benefits.

7. Shift Differentials

Midwives who work non-standard hours, such as night shifts or weekends, may receive additional pay in the form of shift differentials.

8. Negotiation Skills

A midwife’s ability to negotiate their salary during the hiring process or annual performance reviews can also affect their earnings.

9. Economic Conditions

General economic conditions in the country can impact salaries in the healthcare sector. Economic fluctuations, inflation, and government funding for healthcare can influence midwife salaries.

How to Become a Midwife in South Africa

Becoming a midwife in South Africa involves specific educational and professional steps. Here’s an overview of the process:

1. Educational Requirements

Before pursuing a career in midwifery, you must have a National Senior Certificate (Matric) with the appropriate subjects, typically including Mathematics or Mathematical Literacy, Physical Science, and Life Sciences.

The first step is to become a qualified nurse. This requires enrolling in a nursing program at an accredited nursing school or university. You can choose from various programs, including a four-year nursing degree or a three-year diploma in nursing.

2. Nursing Council Registration

After completing your nursing program, you must register with the South African Nursing Council (SANC) as a Professional Nurse.

3. Gain Nursing Experience

As a registered nurse, you’ll need to gain some experience in general nursing. The amount of required experience can vary, but typically, you should work as a registered nurse for at least a year before pursuing midwifery.

4. Midwifery Training

Enroll in a midwifery program or course recognized by the SANC. This program will provide you with the specialized knowledge and skills needed to become a midwife.

5. Complete Midwifery Training

Midwifery training typically takes about a year to complete, and it includes both theoretical and practical components. During this training, you will learn about prenatal care, childbirth, postnatal care, and newborn care.

6. Obtain Midwifery Registration

After completing your midwifery training program, you must register with the SANC as a Midwife. You may need to pass an examination or meet other requirements to become a registered midwife.

7. Continuing Education and Professional Development

Like in many healthcare professions, it’s important to engage in continuous learning and professional development to stay updated with the latest practices and technologies in midwifery.

8. Professional Licensing and Certification

To practice as a midwife in South Africa, you need to renew your nursing and midwifery licenses regularly. This usually involves completing a specified number of continuing education credits.

9. Apply for Jobs or Set Up a Practice

With your midwifery qualifications, you can seek employment in hospitals, clinics, or birthing centres, or choose to establish your private midwifery practice.

10. Join Professional Organizations

Consider joining professional organizations like the South African Nursing Council (SANC) and the South African Society of Midwives (SASM) to network with other midwives and stay informed about industry trends and best practices.



The average Midwife Salary in South Africa is R22,200 per month. In South Africa, becoming a midwife involves a structured path that begins with obtaining a Matric qualification and enrolling in a nursing program. After becoming a registered nurse, gaining experience, and completing a recognized midwifery training program, individuals can register as midwives with the South African Nursing Council (SANC).

Continuing education, professional development, and license renewals are essential for a successful midwifery career. The specific requirements may evolve, so aspiring midwives should regularly consult SANC and relevant organizations for the latest information to ensure they meet the current standards for practice in South Africa.