The purpose of this study was to assess the factors for employee’s engagement for effective performance in Public hospitals in Tanzania JKCI as a case. The research adopted a case study design with a population of 310 employees of JKCI, 80 employees were taken as sample size to the total population. Questionnaires were used to collect data after which the collected data were analysed using descriptive statistics to allow conclusion to be drawn. The research findings indicated that, factors for employee engagement contribute to organization performance mainly training and development, rewards, communication and leadership style. These factors are likely to minimize employee turnover rate when they are well managed. It was established that, employees at JKCI are highly engaged as the Institute since it was established they have only one employee who quitted because of salary. Training is the most thing JKCI consider the most to have number of qualified personnel to offer cardiovascular training in Tanzania. It was recommended that, Public hospitals should allow its employee to make inputs in decision making in the organization. Otherwise if there is a lack of communication flow in the organization between top management and employees, poor decision making and lack of employee empowerments, this would greatly affect the organization performance, employee empowerment, effective strategy formulation and monetary rewards which encourage employees should be effectively enhanced. For employee engagement to be sustainable, it should be incorporated in organizations policy such Human resource policy as well as strategic plan. Having frustrated employees, can affect the goal and objective of the health facility and as a result, the welfare of the employees must be considered at all times. The study offers significant recommendations to government, public and private sector on how to promote employee’s engagement in their organizations for effective performance. The study recommend that the management of the hospitals should also pay much emphasis to employee engagement as a management tool that can be used to enhance job satisfaction and improving employee welfare in the hospital. It also recommends that another study undertaken on the same but on different sector, or in public health sector to come up with affirmations regards to factors affecting employee’s engagements and organizational performance. In addition, other forms of employee engagement mechanisms should also be researched on in the future study since the variables used in the study as types of employee engagement practices may not be the only ones
