A landmark global study reveals a severe staffing crisis in maternal healthcare. Nearly two out of every five midwives worldwide intend to leave the profession.
The first-of-its-kind systematic review found the pooled prevalence of turnover intention stands at 39%. Researchers warn this poses a significant challenge to global health and the safety of mothers and newborns.
The analysis of 27 studies identified key factors: burnout, job dissatisfaction, heavy workloads, and a lack of recognition and autonomy. The COVID-19 pandemic further exacerbated these pressures.
Rates vary sharply by region and income. Europe has a lower intention-to-leave rate at 27.7%. In contrast, low- and middle-income countries face rates of 52.6%, nearly double the 33.8% seen in high-income nations.
The authors call this a "moral imperative" requiring urgent policy reform. Solutions must focus on improving working conditions, strengthening leadership, and elevating the status of midwifery to ensure the health of future generations.