Abstract
Organizational development has become an essential strategy for improving the effectiveness, efficiency, and sustainability of healthcare institutions in today's complex and demanding environment. This study examined how organisational growth affected general hospitals' performance, paying special attention to team building, training, performance management systems, and incremental change management. Data was gathered from both medical and non-medical workers using a standardised questionnaire as part of a cross-sectional descriptive survey methodology. Descriptive statistics and basic regression analysis were used to evaluate the data, and Cronbach's alpha coefficients were used to verify the instrument's reliability. All of these results satisfied acceptable criteria. The results indicated that organizational development significantly enhances hospital performance. Training was shown to improve employee productivity, while effective change management processes contributed to greater organizational efficiency. Performance management systems positively influenced the quality of service delivery, and team building promoted collaboration, thereby enhancing overall organizational effectiveness. These findings highlight the critical role of structured organizational development practices in strengthening healthcare service delivery. The study concludes that sustained improvements in hospital performance depend on intentional investment in organizational development initiatives. Accordingly, it is recommended that hospital management institutionalise continuous training programmes, reinforce performance management systems, foster teamwork, and implement proactive change management strategies.