Effect of Talent Management Practices on Quality Service Delivery in Rural Public Health Facilities in Tanzania: The Mediating Role of Work Engagement.

Prosper, Protasia (2025) Effect of Talent Management Practices on Quality Service Delivery in Rural Public Health Facilities in Tanzania: The Mediating Role of Work Engagement. Doctoral thesis, The Open University of Tanzania.

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Abstract

This study determines the effect of talent management practices on quality service delivery in rural public health facilities in Tanzania, with a focus on the mediating role of work engagement. The practices examined include training and development, compensation, succession planning, and work environment. Guided by Social Exchange Theory (SET), Job Demands-Resources (JD-R) theory, and the SERVQUAL model, this study employed a positivist paradigm and a deductive approach. A cross-sectional survey design was used to collect data from 285 respondents using self-administered questionnaires; data were analysed with IBM SPSS 25 and PLS-SEM with SmartPLS 3 software. Findings indicate that training and development, compensation, and work environment have statistically significant positive effects on quality service delivery, while the effect of succession planning is statistically insignificant. Work engagement partially mediates the relationships between training and development and compensation with quality service delivery, fully mediates the effect of succession planning, but does not mediate the work environment. The study concludes that fostering work engagement through effective talent management is essential for improving service quality in rural public health facilities. It recommends prioritizing employee training, fair compensation, and a supportive work environment while enhancing succession planning through engagement-driven strategies for long-term sustainability. These findings suggest that public health policymakers and managers should strengthen talent management efforts to promote sustainable quality service delivery in rural healthcare settings. Keywords: Talent Management, Training and Development, Compensation, Succession Planning, Work environment Work engagement, Quality Service Delivery.

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