Salary structure and employee performance in public health facilities in Rwampara District. A cross-sectional study.

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Background The study aimed to investigate the relationship between salary structure and employee performance in public health facilities in Rwampara District. Methodology The study employed a descriptive, correlational, and cross-sectional mixed-methods design to examine the relationship between remuneration and employee performance in public health facilities in Rwampara District. A sample of 113 respondents was selected from 160 health workers using purposive and stratified sampling techniques. Data were collected using questionnaires, interviews, and documentary review guides. Reliability and validity were confirmed using Cronbach’s alpha (0.8) and Content Validity Index (0.85). Quantitative data were analyzed using SPSS, Pearson correlation, and regression, while qualitative data were analyzed thematically. Results The study achieved a response rate of 88.5% with 100 out of 113 respondents participating. Males constituted 52%, while females were 48%. Most respondents were aged 26–35 years (34%) and 36–45 years (29%). Regarding education, the majority held diplomas (44%), followed by bachelor’s degrees (30%) and certificates (18%). Quantitative findings showed dissatisfaction with salary fairness (Mean=2.71), allowances (Mean=2.45), overtime compensation (Mean=2.38), and non-monetary benefits (Mean=2.30), although timely salary payment was highly rated (Mean=4.32). Employee performance was generally good, with high scores for punctuality (Mean=4.20), professionalism (Mean=4.05), and teamwork (Mean=3.90). Correlation analysis revealed a strong positive relationship between salary structure and employee performance (r=0.678, p<0.01). Qualitative themes included timely salary payment, inadequate remuneration, poor allowances, weak non-monetary rewards, workload challenges, teamwork, and moderate employee motivation and retention. Conclusion Salary structure has a significant and positive influence on employee performance. Recommendation The government and district authorities should review and standardize salary structures to ensure fairness, equity, and alignment with job responsibilities across all health worker cadres.

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