Performance Management System and Employee Performance in the Health Sector in Uganda: A Case of Ruhoko Health Centre Iv in Ibanda District

Abstract

This study examined the effect of performance appraisal on employee performance at Ruhoko Health Centre IV in Ibanda District, Uganda. The study was guided by the objective of assessing how appraisal practices influence employee performance in the health sector. A descriptive cross-sectional research design was adopted, involving 60 respondents comprising health workers and management staff. Data were collected using structured questionnaires and interviews and analyzed using descriptive statistics, correlation, and regression analysis. Findings revealed that performance appraisal significantly influences employee performance through feedback provision, accountability enhancement, and motivation. However, concerns were raised regarding fairness, transparency, and consistency of appraisal processes. Correlation analysis indicated a strong positive relationship between appraisal and employee performance (r = 0.586, p < 0.01). Regression results confirmed that appraisal significantly predicts employee performance (β = 0.287, t = 3.92, p < 0.01), explaining a significant proportion of variation in performance outcomes. The study concluded that effective appraisal systems enhance employee performance in health facilities, although improvements in fairness and transparency are necessary. It recommends strengthening appraisal systems through clear performance standards, regular feedback, and capacity building for supervisors.