Health is a Global concern to each and every one of us. According to Kenya performance rate of ministry of health, vision (2014-2030), the Country average health system performance of 47 counties stands at 69.72% with Homa-Bay County having 42.69%, the last position in the whole Country. The main cause of this poor performance in Homa- Bay County is not known. Literature has given various suggestions that performance in organizations can be improved through succession planning, job design, work place recognition, dialogue and problem solving among others. How employee communication influence performance has not been established particularly Homa-bay county. Therefore, this study sought to establish the effects of employee communication on performance of public health organizations in Homa-Bay County, Kenya. The study was guided by Systems Theory and Komal and Tahir’s Model of Employee Participation. In a correlational study involving 384 health workers in Homa-bay County. Data was collected through the use of a five point Likert scale, self-administered questionnaires which was tested for both validity and reliability. It was established that employee communication had a positive significant effect on organizational performance (β=.313, p<.05). Based on the objectives and results of the study, the study concluded that improvement on performance of government health organizations is a function of employee communication. The study recommended that management to encourage increased level of employee communication in work related decisions and incorporation of employee views in organizational performance to create employee sense of belonging and ownership of the organization. The study findings may be of help to employee voice managers, human resource managers, county governments, and other researchers or academicians.

Keywords : Communication, Employee Participation, Organizational Performance