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Item Workforce diversity towards employee perfomance in relation to devolved healthcare to county government, a case study at Kapsabet District Hospital, Nandi County Kenya(Kenyatta University, 2014-01) Angote, Dennis; Peterson WarutereIn today’s increasingly rapid changing health care environment, many countries have changed drastically to accommodate the increasing diverse work force in most of its health facilities. The diversity of the work force in Kenya has been taking an ever increasing trend in the past couple of years. This study aims at exploring on how cultural workforce diversity in terms of Ethnicity, gender, age, and education background affects the employee performance in the Nandi county Health facilities, and at bridging that gap and argued that the future success of any organization depends on the effectiveness and ability to manage a diverse skills and talent that can bring new ideas and values to the employee performance. Different mixtures of talents of diverse cultural backgrounds, genders, ages, and lifestyles within an organization make it to respond to business opportunities more rapidly and creatively and improve on the quality of health services provided to the population. Questionnaires were used to obtain information about the population and were developed to address a specific objective, research questions of the study. Interviews were used to administer oral administration of a questionnaire. This included face-to-face encounter with respondents which developed a good rapport with the respondent. Questionnaires were used to collect data which was administered to the sample population. The questions were structured in both as open and close ended. The open-ended questions enabled the respondent to clarify issues further to provide an in-depth finding for this study. The reliability of the questionnaire was analyzed using the Statistical Package for Social Science (SPSS) software. Descriptive statistics such as mean, Mode, and median were used to present various characteristics for data sets after the descriptive analysis. Data presentation was done using tables, pie chart and graphs to present the results on various variables of the study and its finding on workforce diversity in health care organizations. The results indicated that only two variables, gender and education background, were significant in explaining the variance in employee performance at the organization when different work force work together. While surprisingly, age diversity does not influence and affect the performance of employees at work place. There was no significant relationship between age group and employee performance, based on the results, there was almost negligible relationship between age group and employee performance. There is no influence of age diversity on performance. The question on the effects of devolved health care services to the county level generated a lot of different opinions from the respondents. But what came out clearly is that the employee performance was poor due to victimization and interference by the politicians, low morale and increased ethnicity. Poor strategic policies on employing individual from diverse region lead to ethnicity affecting on the performance of the employees. Conclusion and recommendation to devolving healthcare to county levels, there should be well developed strategic plans in place to enhance employee performance and promote employing persons from different counties to enhance work diversity in health care systems. To improve quality health services to the population the health care facility should adopt workforce diversity to improve on the performance of the employees.