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Employees’ engagement in organizational
decision-making shows that each employee is a different person, not just a
component of a mechanism. Employees’
commitment to decision-making has not been very effective in public
institutions because of management's reluctance to share power, non-liberal
information sharing, a crisis of confidence, and a lack of preparedness on the
part of workers' representations. This study aims to examine employee
involvement in decision-making on health facilities’ performance in the Asunafo
South District of the Ahafo Region of Ghana. The study used a descriptive
quantitative cross-sectional survey design, and multi-stage sampling was used
to select the study respondents. 396 employees who met the study inclusion
criteria were recruited to take part in this study. Stata version 17.0 was used
to analyze the collected data. Descriptive statistics were used to provide the
frequencies, measurement of the central tendency (mean), and percentage.
Inferential statistics were also used in this study to perform reliability
analysis, Pearson correlation, and multiple regression analysis. Employees'
level of engagement in the decision-making process in the various health
facilities was low. In this study, employees’ engagement in decision-making did
not show any statistically significant (0.2%) relationship with health
facilities' performance. Most of the factors listed are obstacles that affect
employees' engagement in the decision-making process. Many of the various items
on employee engagement also influence the performance of health facilities.
There was low employee engagement in decision-making in this study. The study
also found no significant effect of employee engagement on health facilities’
performance.