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Researchers world over have concentrated their efforts on challenges affecting the public health sector. Many of their findings show that these problems include high vacancy rates and attrition. They highlight that these results from poor conditions of work and funding. This is the same case in Kenya. The purpose of this study was to investigate the role of performance management system on service delivery. It was to specifically examine the role of performance target setting on service delivery in public hospitals in Kenya. The study was conducted at Kakamega county General Hospital, Kenya. The researcher adopted a descriptive case study design. Three hundred (300) permanent health workers were targeted. Stratified random sampling technique was used to categorize the population into respective stratum consisting of Doctors, Nurses, and Clinical Officers, Laboratory Technologists /Technicians, dentists and Pharmacists. Simple random sampling and purposive sampling techniques were employed to pick the respondents who participated in the study. A closed-ended questionnaire was the main instrument used to collect data. Instrument Validity and reliability was found through SPSS to be to be 0.82 and 0.97 respectively. Data collected was analyzed using (SPSS). SPSS provided both qualitative and quantitative analysis. From qualitative analysis frequencies and percentages were obtained. Quantitative analysis provided correlation and regression coefficients. This assisted in identification of the significant level of the relationship. From the study 49.2% of the respondents agreed with statements on service provided.31.4% were undecided while 19.4% disagreed. This implied that services delivery at the hospital were not quality as expected. However correlation results reveal that performance target setting has a strong significance positive relationship at r=0.544, p=0.000 hence p<0.005 with service delivery.
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