A Thesis Submitted to SOPAM in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science in Human Resources Management (MSc HRM) of Mzumbe UniversityThe study focused on examining the factors influencing employee retention in health sector, a case study of Geita District Hospital. The specific objectives of the study was to examine retention strategies available at Geita District Hospital, to examine factors influencing employee’s retention at Geita District Hospital, to determine the rate of retention at Geita District Hospital and to investigate the challenges facing Geita District Hospital in retaining its staff. A sample size of 60 respondents was used to obtain enough information for the study. Interview and Questionnaire were used to analyse both Qualitative and Quantitative data by using thematic technique and presented in direct quotations with respect to research objectives and through tabular forms, with frequencies and percentages respectively. The data were coded and analysed through Statistical Package for Social Sciences (SPSS version 16.0) computer programs. The study found that good working conditions at GDH have been influencing employee retention, whereby there are enough of working equipment’s, job security, job scheduling variations which facilitate a healthier balance between work and personal obligations, employee’s suggestions and grievances are considered, also there are staff houses. Employees are compensated and satisfied with overtime allowance, leave allowance, health insurance, and the retirement benefits such as Pension, Provident Fund, and Gratuity. Also majority of employees are satisfied with the training and development opportunities available at GDH, whereby training opportunity is available for any employee, employees get regular training programs, the trainings are relevant to their work, and the tracings have been improving their work performance. GDH retain its employees to a great extent since they have high rate of retention. Hence, the study recommends that the government should provide enough funds for Geita District Hospital, so that the hospital can improve the working condition by its own funds, instead of depending funds from donors which is unreliable; the government should improve the compensation package for doctor and nurses, so as to retain these employees for long period of time, since there are other hospitals which provide more competitive packages.