The primary purpose of every health sector is to provide and deliver quality healthcare services to its customers (patients). However effective delivery of these services cannot be achieved without effective employee engagement of health professionals. Constant pressure from the external and internal environment has posed more threats and opportunities on the HRM, in administering its practices and policies in the hospitals. This has brought about high disengagement of health workers. The objective of this paper was to examine the external factors influencing human resource management practices on employee engagement, and to examine the internal factors influencing human resource management practices on employee engagement. The sample size was 140 and systematic sampling technique was used. It was found out that; political, economic, social, technological factors influencing human resource practices had an impact on employee engagement. It was recommended that management must implement Work Behaviour Strategy (WBS) in the organization in order for employees to manage with the change associated with both the external and internal factors.
