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Job Satisfaction Among Midwives in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Jembere Tesfaye Deressa1, Haweni Adugna Negeri1, Teshome Oljira Gurmessa2

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Summary

Midwives in low and middle-income countries report low job satisfaction. This systematic review and meta-analysis highlights an urgent need for interventions to improve their work environment and overall well-being.

Keywords:
Job satisfactionlow-income countrylower middle-income countrymidwivesprofessional satisfaction

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Area of Science:

  • Healthcare Professionals
  • Global Health
  • Occupational Health

Background:

  • Job satisfaction is crucial for healthcare professionals.
  • Understanding midwives' job satisfaction in low and middle-income countries (LMICs) is vital for healthcare systems.
  • Positive job features contribute to overall employee satisfaction.

Purpose of the Study:

  • To assess the job satisfaction level of midwives in low and middle-income countries.
  • To provide a pooled estimate of job satisfaction among this demographic.

Main Methods:

  • A systematic review and meta-analysis adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Inclusion of observational studies reporting on midwife job satisfaction in LMICs.
  • Quantitative data analysis using STATA, with heterogeneity assessed by I-squared statistics and a random-effects model.

Main Results:

  • Fifteen studies, analyzing data from 1760 articles, were included in the meta-analysis.
  • The pooled job satisfaction level for midwives in LMICs was found to be 61.0% (95% CI: 51.3, 70.7).

Conclusions:

  • The overall job satisfaction among midwives in LMICs is low.
  • Findings underscore the need for healthcare systems and managers to address factors contributing to low midwife satisfaction.
  • This meta-analysis provides critical data for targeted interventions to improve midwives' job satisfaction.