IDEAS home Printed from https://ideas.repec.org/a/bhx/ojhrlj/v10y2025i4p1-24id2896.html
   My bibliography  Save this article

The Mediating Effect of Work Engagement on the Relationship Between Work Environment and Employee Quality Service Delivery in Rural Public Health Facilities

Author

Listed:
  • Protasia Prosper
  • Dr. Chacha Matoka (PhD)
  • Dr. Charles Cleophace Ngirwa (PhD)

Abstract

Purpose: This study investigates the mediating effect of work engagement in the relationship between the work environment and employee quality service delivery in rural public health facilities in Tanzania. It specifically examines how factors such as equipment availability, workplace safety, staff housing, workspace, and manageable workloads influence service delivery through employee engagement. Methodology: This study adopted a positivist research philosophy with a deductive approach to test hypothesized relationships. A cross-sectional survey design was employed, using self-administered structured questionnaires to collect data from 285 healthcare professionals across 63 health centers and dispensaries in the Mtwara region. Respondents were selected through multistage sampling techniques. Data were analyzed using IBM SPSS version 25 and Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS 3. Findings: The results show that the work environment has a significant positive effect on both work engagement and employee service quality. Additionally, work engagement significantly mediates the relationship between work environment and service quality. This suggests that when healthcare workers experience better work conditions, they are more engaged and subsequently deliver higher quality services Unique Contribution to Theory, Policy and Practice: The study offers theoretical insights by applying the Job Demands-Resources (JD-R) theory, Social Exchange Theory (SET) and SERVQUAL model in a rural healthcare context. It provides practical recommendations for policymakers and health administrators to improve rural healthcare service delivery by investing in supportive work environments and engagement strategies. These findings are relevant for other underserved regions aiming to enhance public sector performance through human resource interventions.

Suggested Citation

  • Protasia Prosper & Dr. Chacha Matoka (PhD) & Dr. Charles Cleophace Ngirwa (PhD), 2025. "The Mediating Effect of Work Engagement on the Relationship Between Work Environment and Employee Quality Service Delivery in Rural Public Health Facilities," Human Resource and Leadership Journal, CARI Journals Limited, vol. 10(4), pages 1-24.
    • Handle: RePEc:bhx:ojhrlj:v:10:y:2025:i:4:p:1-24:id:2896
    as

    Download full text from publisher

    File URL: https://carijournals.org/journals/index.php/HRLJ/article/view/2896
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bhx:ojhrlj:v:10:y:2025:i:4:p:1-24:id:2896. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chief Editor (email available below). General contact details of provider: https://www.carijournals.org/journals/index.php/HRLJ/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.