The Influence of Employee Training on Service Delivery in Public Hospitals: A Case of Kaloleni Health Centre, Arusha Region, Tanzania

Abstract

Effective governance in public health institutions depends on leadership strategies that prioritise human capital development and continuous capacity building. This study examined the influence of employee training on service delivery at Kaloleni Health Centre (KHC) in Arusha Region, Tanzania. Guided by Kurt Lewin’s Change Theory, the study adopted a mixed-methods descriptive research design and collected data from 150 employees selected through simple random sampling from a population of 240. Quantitative data were analysed using SPSS version 22, where findings showed that employee training significantly improves service delivery (p < 0.05). In particular, 68% of respondents reported improved competencies in ICT utilisation, financial reporting, and records management. Binary logistic regression revealed that key predictors of improved service delivery included level and type of education (Exp(β) = 12.776, p = 0.002) and training on emerging health challenges (Exp(β) = 13.837, p = 0.007). The model explained 83.1% of the variance in service delivery (Nagelkerke R² = 0.831). Qualitative findings further established that governance-supported training enhances professionalism, adaptability, accountability, and organisational responsiveness. The study recommends institutionalising governance-aligned training frameworks to strengthen efficiency, equity, and accountability in Tanzania’s public health sector.