ABSTRACT The study focused on the examining the relationship between employee commitments and job performance among the government health workers in Nyamagana District hospital in Mwanza. Both primary and secondary data collection methods were employed. Quantitative data was entered into Microsoft Excel, thoroughly cleaned, and then transferred to Statistical Package for Social Science (SPSS) for analysis. The qualitative information was analyzed through content and thematic analysis and findings produced in this report. From the survey, it is evident that there exists a direct relationship or link between job performance and commitment and vice versa; and, these are caused by both personal and external causes. The personal causes includes such issues like negligence, lack of seriousness and indiscipline to work ethics while the external causes constitutes mostly managerial, institutional and policies challenges. Other results indicate widespread lack of quality facilities and equipments at the hospital for execution of daily hospital facilities. These, in turn, have had an impact on the general staff working spirit. Further more, the results indicate that employees were dissatisfied by the working environment at the hospital and this has lowered their service delivery. The levels of dissatisfaction increases as you move down the chain with the lower cadre workers being most dissatisfied. Despite, the low level of dissatisfaction, staffs are willing and equally able to perform their tasks. Interestingly, service seekers are also not satisfied with the workings and commitment of the health workers. Majority of the patients xv interviewed acknowledged this factor by identifying poor reception and remuneration systems as possible causes. Commitment is generally lacking among many staffs. In order to improve on job performance and commitment among health workers in Nyamagana district hospital a holistic approach need to be taken to address both the personal and external causes. These would help in tackling the institutional, structural and policies issues. It should go hand in hand with; involving the staffs in planning, decision making and executions, provision of training and education on specialized areas and provision of incentives among others