Abstract:

This study examines the impact of organizational culture, particularly innovation and adaptability, on employee productivity in primary healthcare facilities (PHCs) in Northern Nigeria. Using quantitative research design, data were collected from 400 healthcare workers across 30 primary healthcare facilities and analyzed using regression techniques. The Ordinary Least Square (OLS) regression results reveal that innovation (β = 0.4892, p < 0.001) and adaptability (β = 0.2948, p < 0.001) both significantly enhance employee productivity, explaining 81.2% of the variance (R² = 0.812). The findings align with Dynamic Capabilities Theory, emphasizing that organizations fostering creativity and flexibility achieve superior workforce efficiency. Empirical evidence supports prior studies demonstrating that innovative-driven workplaces encourage knowledge-sharing and engagement, while adaptability ensures effective response to technological and policy changes. The study highlights the need for structured HRM policies, leadership strategies, and continuous professional development programs to cultivate an environment conducive to innovation and adaptability. Healthcare policymakers should prioritize incentivizing creative problem-solving, implementing structured change management programs, and enhancing digital transformation efforts to optimize employee efficiency. By fostering a culture that values innovation and embraces change, healthcare organizations can improve service delivery, workforce resilience, and overall performance. Future research should explore sector-specific variations in these relationships for broader generalizability.

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