2026 comparison

Midwife vs Speech Therapist salary in South Africa

Compare salary, demand, difficulty, and long-term growth to choose the right career path.

Quick answer

Midwife vs Speech Therapist in South Africa

Higher paying career
Speech Therapist
Monthly difference
R13 000
Easier to enter
Midwife
Better long-term
Midwife

Winner summary

Winner for salary
Speech Therapist (+R13 000/month)
Easier entry
Midwife
Best long-term
Midwife
Verdict

Choose Midwife if your goal is higher income and long-term growth.

Choose Midwife if your goal is faster entry and lower barriers.

Career overview

Midwife

Demand: 8/10

Salary guide
Requirements

Diploma in Midwifery or Advanced Midwifery (post-nursing).

  • Registered Nurse
  • Midwifery qualification
  • SANC registration
Salary
EntryR18 000
MidR38 000
SeniorR55 000
Top 20%R80 000

Speech Therapist

Demand: 6/10

Salary guide
Requirements

BSc Speech-Language Pathology + HPCSA.

  • BSc Speech Pathology
  • HPCSA
  • Community service
Salary
EntryR22 000
MidR45 000
SeniorR68 000
Top 20%R100 000

Salary breakdown

Entry
MidwifeR18 000
Speech TherapistR22 000
Mid
MidwifeR38 000
Speech TherapistR45 000
Senior
MidwifeR55 000
Speech TherapistR68 000
Top 20%
MidwifeR80 000
Speech TherapistR100 000

Demand and difficulty

Demand

Midwife (8/10)8/10
Speech Therapist (6/10)6/10

Difficulty

Midwife (7/10)7/10
Speech Therapist (7/10)7/10
Salary difference
+R13 000/month

The salary gap at senior level is about R13 000 per month. Speech Therapist earns more due to higher demand and stronger salary growth at senior level.

See full Speech Therapist salary in South Africa

Key questions

Which pays more in South Africa?

Speech Therapist pays more, with senior salaries around R68 000 per month compared to R55 000 for Midwife.

Which is easier to enter?

Midwife is easier to enter due to lower difficulty and more accessible requirements.

Which is better long-term?

Midwife offers stronger long-term potential based on higher salary ceilings and demand.

Detailed comparison

When comparing Midwife vs Speech Therapist in South Africa, the senior-level salary difference is R13 000 per month.

Midwife is better for quicker entry into the workforce. Midwife is better for long-term earnings and career growth.

Skills and requirements

Midwife

Core skills
  • Maternal careHigh
  • Emergency responseHigh
  • Patient supportHigh

Speech Therapist

Core skills
  • Diagnostic assessmentHigh
  • Therapy techniquesHigh
  • EmpathyHigh

Side by side

Maternal care
Midwife needs this
Less central
Emergency response
Midwife needs this
Less central
Patient support
Midwife needs this
Less central
Diagnostic assessment
Less central
Speech Therapist needs this
Therapy techniques
Less central
Speech Therapist needs this
Empathy
Less central
Speech Therapist needs this

Career progression

Midwife

Junior MidwifeR22 000
MidwifeR38 000
Senior MidwifeR55 000
Midwifery SpecialistR80 000

Speech Therapist

Community Service TherapistR25 000
Speech TherapistR45 000
Senior TherapistR68 000
Private PracticeR100 000

Related insights

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