INTRODUCTION:
human resource management (HRM) interventions are critical to improving health care worker (HCW) performance and strengthening health system effectiveness.¹–² however, gaps in the implementation of key HRM practices continue to affect service delivery in many district health systems. this study examined the contribution of HRM interventions, with specific focus on continuous capacity building and performance appraisal, to the performance of health care workers in buyende district.¹,³–⁴

METHODS:
a cross-sectional research design employing both quantitative and qualitative approaches was adopted. data were collected from 80 randomly selected direct and indirect health care workers, achieving a response rate of 78.8%, as well as six key informants. primary data were collected using structured questionnaires and interview guides. data analysis involved descriptive statistics, correlation analysis, and regression analysis to establish relationships between HRM interventions and health worker performance and to test the study hypotheses.³–⁵

RESULTS:
regression analysis revealed that HRM interventions significantly influenced health worker performance (F = 66.574, p = 0.000). continuous capacity building demonstrated a stronger effect on performance (β = 0.583) compared to performance appraisal (β = 0.336), indicating that training and professional development were more influential in improving employee output.³–⁵ however, both quantitative findings and key informant interviews identified implementation gaps, including limited access to training due to inadequate funding, time constraints, weak strategic planning, and misalignment of training programs with staff needs. performance appraisals, though regularly conducted, were often delayed and their recommendations rarely implemented.³,⁵

CONCLUSIONS:
HRM interventions significantly influence health worker performance in buyende district, with continuous capacity building having a greater impact than performance appraisal. addressing implementation gaps is essential to maximizing the benefits of these interventions and strengthening workforce performance.¹,³–⁵