Work Engagement: The Key Driver in Transforming Organizational Commitment into Enhanced Work Performance among Midwives - A Structural Equation Modelling Approach

Background Midwives are at the heart of maternal and child health. However, their performance is significantly influenced by their organizational commitment and work engagement. Aim This study investigated the mediating effect of work engagement in the relationship between organizational commitment and work performance among midwives. Method Using an analytical cross-sectional design, data were collected from 254 midwives using validated scales measuring organizational commitment, work engagement, and work performance. Data analysis was conducted using SPSS Statistics and AMOS. Results Most participants were female (96.9%) and aged 30–39 years (54.3%). Organizational commitment was positively correlated with work engagement ( r  = 0.125, p  < 0.05) and work performance ( r  = 0.166, p  < 0.05). Work engagement also showed a strong positive correlation with work performance ( r  = 0.662, p  < 0.05). Mediation analysis confirmed that work engagement fully mediates the relationship between organizational commitment and work performance (β = 0.078, SE  = 0.061, p  < 0.001). Conclusion The results of the study highlight the vital role of work engagement as a positive and significant mediator between organizational commitment and work performance among midwives. Investing in strategies that boost midwives’ commitment and engagement is essential for strengthening maternal healthcare quality and workforce sustainability.