Examining the Effect of Employee Commitment on Organizational Performance in Public Health Service Delivery: Evidence from Accra, Ghana

Abstract

The study examined the effect of employee commitment on organizational performance in public health service delivery in Accra, Ghana, against the backdrop of persistent resource constraints and service delivery challenges within the public health sector. Anchored in organizational commitment theory, the study adopted a quantitative research design to assess how affective, continuance, and normative commitment influenced key performance indicators, including service efficiency, quality of care, employee productivity, adherence to protocols, and patient satisfaction. Data were collected from 65 employees in five selected public health institutions using structured questionnaires. A stratified random sampling technique was employed to ensure representation across employee categories and facility types. Data analysis employed descriptive statistics and inferential techniques to determine the strength and direction of relationships between employee commitment and organizational performance. The findings revealed that higher levels of employee commitment were significantly associated with improved organizational performance, particularly in terms of service efficiency, teamwork, accountability, and quality of care delivery. In addition, the study found that supportive leadership practices and access to professional development opportunities significantly strengthened employee commitment, thereby indirectly enhancing organizational performance outcomes. The study concluded that employee commitment constitutes a critical driver of effective public health service delivery and organizational effectiveness. Consequently, the study provides empirical evidence to inform policy and managerial decisions, emphasizing the need for targeted human resource strategies, leadership development, and capacity-building initiatives to strengthen employee commitment and achieve sustainable improvements in public health service delivery in Ghana.