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The public sector performance can be judged through the ability to deliver expected service to residents within the community. The purpose of this study was to examine the influence of leadership style and employee-perceived service quality on perceived public health sector performance. Also, the study sought to understand whether procurement practices mediate the effect of leadership style on perceived service quality. A cross-sectional survey of 380 public health sector employees was conducted in Mashonaland central Province in Zimbabwe between September and October 2022. Structural equation modelling (SEM) in AMOS Version 25 was employed to test research hypotheses. The study established that both leadership style and perceived service quality influence public health sector performance. The study further concluded that procurement practices partially mediate the influence of leadership style on perceived service quality. Also, the study established that employee-perceived service quality partially mediate the influence of procurement practices on perceived public health sector performance. Finally, the study found out that employee-perceived service quality partially mediate the influence of leadership style on perceived public health sector performance. [ABSTRACT FROM AUTHOR]