Gwenny Nshama2025-07-142025-07-142025-05-19https://hdl.handle.net/20.500.12311/2857THESISThe study examined the impact of procurement practices on organizational performance: a case study of National Medical Stores. It specifically focused on; establishing the relationship between procurement planning and organizational performance in the study context, evaluating the relationship between supplier selection and organizational performance in the study context, and examining the relationship between contract management and organizational performance in the study context. The study was carried out using a cross sectional survey research design where both quantitative and qualitative research approaches were also used. The data was collected using questionnaires and interviews during the data collection, both purposive and simple random sampling methods were used. A sample size of 52 respondents who are management and employees from the study context was also used in the study. The study findings revealed a strong positive relationship between procurement practices and organizational performance at NMS. Procurement planning showed a significant correlation with organizational performance (r = .636**, p < .05), highlighting its role in strategic resource allocation, cost efficiency, and minimizing operational delays. Supplier selection demonstrated the highest positive correlation (r = .674**, p < .05), emphasizing the importance of rigorous selection criteria in enhancing supply chain efficiency, reducing risks, and improving service delivery. Additionally, contract management had a significant correlation (r = .605**, p < .05), underscoring the need for clear contract terms, compliance monitoring, and risk-sharing mechanisms to optimize resource utilization and overall operational efficiency. Finally, the study recommended the need for enhancing procurement planning for strategic resource allocation and cost efficiency, adopting a rigorous supplier selection framework to ensure quality and reliability, and improving contract management through clear terms and compliance monitoring. Additionally, continuous training in procurement management is essential for staff capacity building, while integrating advanced digital tools will streamline processes, enhance transparency, and optimize operational efficiency at NMS.enThesis