Jakisa, Mike2026-01-232026-01-232025-11-10Jakisa, M. (2025). Human resource management practices and health worker performance in Zombo district, Uganda (Unpublished graduate dissertation). Muni university, Arua, Ugandahttps://dir.muni.ac.ug/handle/20.500.12260/879A thesis submitted to the department of business administration and management, faculty of management science in fulfillment of the requirements leading to the award of a master’s degree in business administration (management) of Muni UniversityThe purpose of the study was to examine the relationship between Human Resource Management (HRM) practices and health worker performance in Zombo District, Uganda, focusing on how challenges such as inadequate training, poor supervision, and insufficient reward mechanisms hinder optimal performance. Guided by the Resource-Based View and Human Capital theories, it assessed the influence of HRM practices on health worker performance indicators, including productivity, job satisfaction, service delivery efficiency, and timeliness. Methodologically, a cross-sectional survey design was employed. Quantitative data were collected from 215 health workers using structured questionnaires, while qualitative insights were obtained from 11 key stakeholders through interviews. Data was analyzed using statistical correlation analysis using SPSS examined the relationships between HRM practices and health worker performance, while thematic analysis of qualitative data identified recurring themes regarding motivation and performance. Findings revealed significant positive correlations between performance management practices (r = 0.724, p < 0.01), training practices (r = 0.668, p < 0.01), and rewards management practices (r = 0.671, p < 0.01) and health worker performance. Qualitative findings emphasized the importance of regular capacity building, clear goal-setting, and recognition systems in fostering motivation and performance. The study was limited to Zombo District and employed a cross-sectional design, which restricts the ability to infer causality. Additionally, the relatively small qualitative sample may not fully capture all perspectives on HRM challenges in the district. Research Contributions: The findings provide actionable insights for policymakers and practitioners aiming to strengthen rural health systems through strategic HRM interventions. Enhancing performance management, training, and rewards systems can substantially improve health worker performance and overall health service delivery. The study also highlights the need for coordinated efforts between local and central governments to support sustainable HRM reforms.enHuman resource management practicesHealth worker performanceZombo districtUganda