EUROPEAN HEALTH INFORMATION GATEWAY
  • Professionally active midwives, total number (Line chart)
Data set notes
European database on human and technical resources for health (HlthRes-DB)

HlthRes-DB provides a wide range of statistics on human and technical resources for health and offers data on non-monetary health care resources collected through the joint work of the Statistical Office of the European Union (Eurostat), the Organisation for Economic Co-operation and Development (OECD) and WHO/Europe. It contains nearly 200 indicators on human and technical resources for health.

Human resources indicators: Indicators include the number and density of a wide range of health personnel (such as physicians, nurses, midwives, dentists, pharmacists and health care assistants), according to three different concepts (those practising, professionally active and licensed to practice). Information on employment in hospitals and numbers of medical and other graduates is also available.

Technical resources data: Data include the number and density of hospitals and hospital beds, stratified by ownership of facility (public, non-profit-making private and for-profit private), in addition to the number of beds for long-term care.

HlthRes-DB also contains indicators on the availability of the following medical equipment: computed tomography (CT) scanners, magnetic resonance imaging (MRI) units, positron emission tomography (PET) scanners, gamma cameras, digital subtraction angiography units, mammographs, radiation therapy equipment and lithotriptors.

Coverage: HlthRes-DB contains data from the 53 Member States in the WHO European Region. To be updated yearly, usually in late summer, it is currently available in English and Russian.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-database-on-human-and-technical-resources-for-health-hlthres-db
Indicator notes
Professionally active midwives, total number
Indicator code: mid.prof

Professionally active midwives include practising and other (non-practising) midwives for whom their education is a prerequisite for the execution of the job.
Inclusion
- Midwifery professionals (ISCO-08 code: 2222) and midwifery associate professionals (ISCO-08 code: 3222)
- Midwives providing services directly to patients
- Midwives working in administration, management, research and in other posts excluding direct contact with patients
Exclusion
- Midwives who hold a post / job under which midwifery education is not required
- Unemployed midwives and retired midwives
- Midwives working abroad
Note: The number should be at the end of the calendar year.
Country notes
Albania
Data not available.
Armenia
Source of data: Republican Research and Information Health Centre and the National Statistic Service of the Republic of Armenia, Report form of the Ministry of Health of the Republic of Armenia ? 17 “Health employment”, http://healthinfo.am/Statistical%20Report.htm, Statistical book, Armenia, English version (zip) 2009.
Reference period: 31 December.
Deviation from the definition: Data on midwifery professionals (ISCO-08 code: 2222) and midwifery associate professionals (ISCO-08 code: 3222) are missing.
Austria
Data not available.
Azerbaijan
Data not available.
Belarus
Source of data: National Statistics Committee of Belarus http://belstat.gov.by/; National Archives of the Republic of Belarus http://narb.by/
Reporting period: 31 December.
Note: The division into sub-professional level of midwives and midwifery (i.e. associate and professional level) does not exist in the Republic of Belarus.
Belgium
Source of data: Institut National d'Assurance Maladie Invalidite.
Coverage: Includes the number of midwives and number of nurses-midwives (combined degree) registered at INAMI.
Deviation from definition: Covers only midwives with a registration at INAMI (self-employed activity). However, the majority of midwives are working as salaried midwives in hospitals. These are not included in the figures, hence the ‘deviation’ indication.
Bosnia and Herzegovina
Source: Public Health Institute of FB&H - Annual report health personnel with university degree by specialization and sex in FB&H Public Health Institute of Republica Srpska - Annual report health personnel with university degree by specialization and sex in Republica Srpska
Bulgaria
Source of data: Bulgarian Association of Health Professionals in Nursing, Register.
Reference period: 31st December
Coverage: According to the national legislation all midwifes (ISCO-08 code: 2222) who are professionally active in Bulgaria have to be included in the Register at the Bulgarian Association of Health Professionals in Nursing.
Croatia
Data not available.
Cyprus
Source of data: Public Sector: Nursing Services of the Ministry of Health, Private Sector: Inspectors of Private Medical Institutions (Ministry of Health)
Reference period: 31st December of the reference year.
Estimation method: Actual data
Break in time series: Data available from 2013 onwards.
Deviation from the definition: The number of midwives of the public sector are also included in the number of nurses, since they are employed with the status of nursing officers. In Cyprus, all the midwives activated in the Public sector are nurses owning the extra qualification of midwifery and they hold the position of nursing officer. Hence, they have also been included in the number of nurses. No such deviation for the private sector, however it has been assumed that in the Private Sector, there are no midwives holding administrative positions. All midwives have been considered as practising midwives.
Czechia
Data not available.
Denmark
Source of data: Statens Serum Institut, Labour Register for Health Personnel.
Reference period: 31st December.
Coverage: Midwives whose status in the Central Personnel Register is active, i.e. in the country (not dead or abroad); connected to HP1, HP2 or HP3 as either a) employed, b) employed, being on leave or c) employed, receiving sickness benefit.
Estonia
Data not available.
Finland
Source of data: THL Health Personnel Statistics; National Institute for Health and Welfare. The data for 2000 and 2005onwards are based on the Employment Register kept by Statistics Finland.
Reference period: Data refer to information for the whole year.
France
Source of data:
- Up to 2009: Ministere de la Sante et des Sports - Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES), Sous-direction de l'Observation de la Sante et de l'Assurance maladie, Bureau des Professions de sante, Repertoire ADELI.
- Since 2010: ASIP- RPPS (Repertoire Partage des Professionnels de Sante). http://esante.gouv.fr/espace-cps/editeurs/le-rpps.
Reference period: 31st December.
Coverage:
- Data refer to metropolitan France and D.O.M. (overseas departments).
- The data represent all active midwives, including those working in the administration, etc.
Break in time series: In 2010, there is a break in the serie, because of the change in the data source (ADELI before 2010, RPPS since 2010).
Georgia
Health statistics do not contain data on professionally active midwives.
Germany

Due to a current revision and recalculation of the entire time, series data are not available at the moment.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st December.
Hungary
Data not available.
Iceland
Source of data: Directorate of Health.
Reference period: 31st December.
Coverage:
- Midwives: 18 months of university education after completion of a nursing degree.
- Figures refer to midwives within hospitals, healthcare centres and nursing homes.
- The peak in 2001 is due to “change of source and methodology”.
- Year 2011. The peak cannot be explained fully but the figure for 2011 should be considered as an estimate. The Directorate of Health that supplies the data uses data from the Association of Midwives and in 2012 a special work was conducted on its behalf on the number of midwives and hence the figure for 2012 is considered right.
Ireland
Source of data: Health Service Executive.
Reference period: Data refer to end of 2011 (Jan 2012 for 2 maternity units).
Coverage:
- Data cover both the public and private sectors as well as self-employed community midwives.
- Data include midwives working in administration and management and exclude student midwives.
Deviation from the definition: Data refer to Full-Time Equivalents.
Israel
Source of data: The data are based on the Midwives License Registry maintained by the Nursing Division and the Health Information Division in the Ministry of Health, for which the demographic information is periodically updated from the Population Registry at the Ministry of Interior.
Reference period: End of the year.
Coverage: Data are for licensed midwives under age 65. The number of midwives is not included in the number of nurses.
Note: The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Italy
Source of data: ISTAT, Labour Force Survey. http://www.istat.it/it/archivio/8263.
Reference period: Annual average.
Coverage: Sample survey.
Estimation method: Estimation from the sample survey. Data are affected by the statistical error due to the sample design.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Latvia
Source of data:
- Since 2005: Health Inspectorate of Latvia; Medical Persons' Register.
- 2004 and earlier: Medical Professional Education Centre; Register of Health Care Persons.
Reference period: 31 December. Break in series:
- 2005: Change in data source.
- 2009: 23% decrease in the number of professionally active midwifes in 2008 vs. 2009 could be explained by the restructuring of health care services, i.e., number of hospitals with midwifery section was reduced.
Lithuania
Source of data: Health Information Centre of Institute of Hygiene, data of entire annual survey of health establishments. Report “Health Statistics of Lithuania”, available from http://sic.hi.lt/html/en/hsl.htm.
Reference period: 31st December.
Coverage: The number of midwives at the end of the year includes all active midwives working in health care, public health, health administration, health education and research institutions (public or private), including health care institutions under other ministries than the Ministry of Health. The number of midwives excludes: midwives working outside the country; midwives on the retired list and not practising or unemployed; midwives working outside health services, e.g. employed in industry, etc. Break in series: 1991 - up to 1990 the number of midwives includes number of feldshers-midwives (mostly working in rural health centres), in 1991 most of the feldshers-midwives became nurses.
Luxembourg
Source of data: Direction de la Sante - Service des statistiques. Register of doctors and health professionals.
Reference period: 31st December.
Malta
Data not available.
Montenegro
Source of data: The source for all data submitted is the Institute of Public Health. Some additional information can be found in Health Statistical Yearbooks available at http://www.ijzcg.me/
Reference period: December 31st.
Coverage: Only data from the public sector.
Deviation from the definition: Data for practicing midwives and professionally active midwives cannot be split at the moment.
Netherlands
Source of data: Data for professionally active and licensed midwives based on BIG register (register of (para)medical professions) and SSB database (micro-integrated database of Statistics Netherlands with data from the municipal register, tax register, social security, business register).
Reference period: The last Friday before Christmas.
Coverage:
- Data refer to midwives who: are licensed to practice; live and work in the Netherlands; for employees: are active in a health- or social care sector or a health-care related sector; or for self-employed midwives: are economically active (this criterion is plausible given the duration of their education and training, in addition to the fact that it can be compared to the number of practising midwives; licensing regulations passed in 2009 and effective in 2014 require that they have been practising – not necessarily fulltime – in the past five years).
- List of NACE codes used for health- or social care and healthcare related sectors: NACE v1: 851, 853, 2441, 2442, 331, 5146, 5231, 5232, 5248.2 (opticians), 6022 (part of transport for healthcare), 6602.3, 6602.4 (pension funds part for healthcare occupations), 6603 (part of health insurance funds and companies), 7310.3 (medical and pharmacological research and development), 745 (temporary work companies; very important for nurses, caring personnel and physiotherapists), 7522 (Ministry of Defense, including military hospital), 7523.2 (part of medical personnel for prisons, including prison hospital), 753 (compulsory health care insurance, operations for exceptional medical expenses act), 8022, 8030, 9304, 9305.
- NACE v2: 86, 87, 88, 212, 266, 325, 4646, 4773, 4774, 4778.2, 4932, 6530.3, 6530.9, 6512, 7211.2 + 7219.3 (R&D for health, medical products or pharmaceutical processes), 782, (8412 will be included when NACE v2 is available in SSB; Regulation of the activities of providing health care, education, cultural services and other social services, excluding social security), 8422, 8423.2, 843, 8532, 854, 9313, 9609.
Norway
Source of data: Statistics Norway; Statistics on health-care personnel. Administrative registers. See http://www.ssb.no/hesospers_en/.
Reference period: 3rd week of November.
Coverage: The figures provided cover all professionally active midwives in all industries.
Poland
Source of data: Ministry of Health, Ministry of Interior, Ministry of National Defence.
Reference period: 31st December.
Coverage:
- Practising midwives.
- Since 2004, midwives with universities, units of state or local self-government administration or the National Health Fund as the primary workplace are included.
Portugal
Source of data: Statistics Portugal and the Council of Nurses.
Coverage:
- Data for midwives in Portugal refer to nurses specialised in Maternal Health and Obstetrics.
- Maternal Health and Obstetrics is currently a nursing specialty. Data revised for 2012
Republic of Moldova
Source of data: Ministry of Health of the Republic of Moldova, National Centre for Health Management, Annual statistical report N17 “On staff and cadres of health institutions”. http://cnms.md/areas/statistics/anyar/.
Reference period: Data as of December 31.
Coverage: Data exclude Transnistria.
Deviation from the definition: Foreign midwives are not included.
Romania
Source of data: National Institute of Statistics, Activity of Sanitary Units – annual survey performed by NIS.
Reference period: data as of 31st December. The number of professionally active midwives includes practising midwives and nurses with specialized education (upper secondary ISCED level 3 and post-secondary non-tertiary ISCED level 4 ) working most of the time in obstetrics and gynecology departments and practising midwives with university degree (tertiary education, ISCED level 5). The number of professionally active midwives includes also midwives working in administration, management, research and in other posts excluding direct contact with patients. For the years 2009-2013 data for practising midwives are the same as professionally active midwives beacuse in this period weren’t midwives working in administration, management, research and in other posts excluding direct contact with patients.
Russian Federation
Source of data: Annual reporting forms ?17 «Information about the medical and pharmaceutical personnel", Ministry of Health of the Russian Federation.
Reference period: 31 December.
Coverage: Includes only data for medical institutions of the Ministry of Health. Data from institutions of other ministries and private sector are not included.
San Marino
Data not available.
Serbia
Source of data: Institute of Public Health of Serbia, National register on health care human resources. Data as of December 31. http://www.batut.org.rs/.
Coverage: Data for Kosovo-Metohija province are not included in the coverage of data for the Republic of Serbia. Data from health institutions under other ministries (military services, prisons, social services) than the Ministry of Health are not included. Data from private health sector are not included.
Slovakia
Source of data: National Health Information Center.
- There is no register of nurses and midwives in the Slovak Republic. The data come from “The Annual report on structure and number of health professionals and health care workers in the Slovak Republic”; therefore, only data on professionally active midwives are provided.
Reference period: 31st December.
Break in time series: The increase in the number of professionally active midwives in 2002 is due to change in methodology of statistical finding in accordance with Act No 156 / 2002 (due to change of classification of midwife category).
Note: There is no distinction between professional and associate professional midwives in the Slovak Republic. All midwives are reported in the category professional midwives.
Slovenia
Source of data: National Institute of Public Health, Slovenia; National Health Care Providers Database.
Reference period: 31st December.
Coverage:
- Professionally active midwives include practising professionals working in the health care sector and professionals working at HP4, 6.1, 6.3-6.9 and HP7 providers.
- The National Health Care Providers Database is a registry with total (100 %) coverage of health workers.
Spain
Data not available. Professionally active midwives are included in the number of professionally active nurses at 3 digit level of the National Occupations Classification (CNO-11), the Spanish equivalence of ISCO-08, in the Economically Active Population Survey. (Data based on Economically Active Population Survey and referring to CNO-11 codes at 4-digit level are not available.)
Sweden
Source of data: National Board of Health and Welfare, National Planning Support (NPS) register.
Reference period: 1st November.
Coverage:
- In addition to the NACE-codes used to identify practicing midwives the NACE-codes: 75.1 - Public authorities 80.3 - Higher education establishments are used to identify professional active midwives.
- 100 per cent coverage.
Switzerland
Data not available.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health –Skopje. Report for health staff in health sector (3-00-60)..
Reference period: 31st December.
Note: Starting from 2008, midwifery education becomes university-level education (instead of secondary school level).
Turkey
Source of data:
- From 2000 onwards: General Directorate for Health Services, Ministry of Health.
- Up to 1999: Health Statistics Yearbook - Ministry of Health.
Coverage:
- Total number of midwives in the MoH, university, and private sectors.
- Since 2010, data also include midwives in the "Other" Sector (other public establishments and local administrations). MoND-affiliated facilities are not included until 2011.
- Unemployed and retired midwives, midwives working abroad and students who have not yet graduated from school are not included.
- The small number of midwives working in administration is included.
- A quantitative increase was noted in the employment of midwives in 2006-2007 period.
Break in time series:
- MoND-affiliated facilities are included since 2012.
Turkmenistan
Source of data: Report from of the Ministry of Health and Medical Industry of Turkmenistan. ? 17 “Health employment”
Reference period: 31 December.
Coverage: Includes data from institutions under the Ministry of Health and Medical Industry of Turkmenistan, data from other Ministries or sectors not included.
Break in time series:
- 2004: A 58% decrease in the number of professionally active midwives is a consequence of the state programme Health on re-organization of the health institutions with the purpose of rational use of human resources for health in the country.
Ukraine
Source of data: Centre of Health Statistics, Ministry of Health, Report form ? 17 “Health employment” of the Ministry of Health, other agencies and private entities.
Reference period: 31 December.
Deviation from the definition: data on foreign midwives are not included.
Break in time series: 2009, before 2009 data included only health professionals working in the institutions reporting to the Ministry of Health, starting from 2009 data coverage is complete.
United Kingdom
Data not available.
Uzbekistan
Source of data: Institute of Health and Medical Statistics, the Ministry of Health of the Republic of Uzbekistan, reporting form 15-SSV “Report on Health personnel by categories”.
Reference period: 31 December.
Coverage: data include personnel working within the system of the Ministry of Health only.