This qualitative facility-based cross-sectional study aimed to characterize the roles and challenges faced by midwives in delivering maternal health services in Addis Ababa. Conducted from September 1, 2023, to January 30, 2024, the study involved 15 midwives working across five hospitals and ten health centers. Data were transcribed and analyzed using Atlas.ti version 23. Findings revealed significant challenges, including high stress levels in 80% of participants, with 70% expressing a lack of confidence in specific skills such as emergency care and postpartum support. Key themes identified include the types of maternal services provided, the psychological impact of workplace dynamics, and the necessity for enhanced training programs. This study underscores the urgent need for targeted interventions to support midwives, thereby improving maternal and newborn care quality in public health facilities

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systematic review and content analysis. Human

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Resources for Health. 2019; 17(1): 1–16. Available at:

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https://doi.org/10.1186/s12960-018-0341-5.

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UNICEF and WHO. The role of midwives and nurses in

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protecting, promoting and supporting breastfeeding.

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Global Breast Feeding Collective. 2021; pp. 1–4.

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https://apps.who.int/iris/handle/10665/343555#:~:text=

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essed: 21 May 2022].

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Nursing and Midwifery Council. Standards of Proficiency for

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Midwives’, Nursing and Midwifery Council.

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November2019; Pp. 10–50. November2019; Pp. 10–50.

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www.nmc.org.ukStandardsofproficiencyformidwives1

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Available at:

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www.nmc.org.ukStandardsofproficiencyformidwives1.

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De Bernis L, Sherratt DR , AbouZahr C and Van Lerberghe W.

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Skilled attendants for pregnancy, childbirth and

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postnatal care. British Medical Bulletin. 2003; 67: 39–

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Available at: https://doi.org/10.1093/bmb/ldg017.

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Walsh D and Steen M. The role of the midwife: time for a

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review. RCM midwives: the official journal of the Royal

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College of Midwives. 2007; 10(7): 320–323.

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Klein S, Miller S and Thomson F. A Book for Midwives: Care

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for pregnancy, birth, and women’s health. 2010.

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Papadakis GZ, Sadowksi SM, Karantanas AH, and Millo C.

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Complementary role of 18F-FDG and 68GaDOTATATE PET/CT in the surveillance of patients

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with von Hippel-Lindau syndrome. Hellenic Society of

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Gastroenterology. HHS Public Access, Physiology &

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behavior. 2020; 176(1): 139–148. DOI:

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https://doi.org/10.20524/aog.2020.0465

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Moller AB, Welsh J, Gross MM, Petzold M, Ayebare

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E, Chipeta E, Hounkpatin H, Kandeya B, Mwilike

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B, Sognonvi A and Hanson C. Assessment of midwifery

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care providers intrapartum care competencies, in four

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sub ‑ Saharan countries : a mixed ‑ method study

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protocol. Reproductive Health. 2021; 18(50): 1–9.

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Available at: https://doi.org/10.1186/s12978-021-

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FMoH Ethiopia. National Guideline for Family Planning

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Services in Ethiopia. National Guideline for Family

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Planning Services in Ethiopia. July 2019; Pp. 1–65.

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FMoH Ethiopia. National Guideline for Family Planning

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Services In Ethiopia Third Edition. July 2020. Pp. 1–74.

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Mudokwenyu C. Newly qualified midwives’ knowledge and

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perceptions of the International Confederation of

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Midwives and its core competences in Zimbabwe.

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African Journal of Midwifery and Women’s Health.

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