International Journal in Management and Social Science Volume 11 Issue 1, January 2023 ISSN: 2321-1784 Impact Factor: 6.319 Journal Homepage: http://ijmr.net.in, Email: irjmss@gmail.com Double-Blind Peer Reviewed Refereed Open Access International Journal 39 International Journal in Management and Social Science http://ijmr.net.in, Email: irjmss@gmail.com ENHANCES EMPLOYEE PERFORMANCE BASED ON LEADERSHIP FACTORS, INTERNAL MONITORING AND EMPLOYEE COMMITMENT ON SOUTH NIAS DISTRICT Tiur Nihati Laia 1 , Ermi Girsang 2 , Sri Lestari Ramadhani Nasution 3 Program Study Master Of Public Health, Medical School Universitas Prima Indonesia, Medan, North Sumatera, Indonesia ABSTRACT The purpose of this study was to determine and analyze the Factors Analysis of Leadership, Internal Control, and Employee Commitment that Affect the Performance of South Nias District Health Office Employees. The population in this study were all company employees in the South Nias District Health Office. Based on the saturated sample method, 56 employees were found as samples. The data analysis technique uses the Partial Least Square (PLS) approach. PLS is a component- or variant-based Structural Equation Model (SEM).The results of the analysis show that leadership on employee performance has a negative effect with an original sample value of -0.094, but the influence of the two variables is considered insignificant because the statistical T value is smaller than the T-table (0.669<1.67) or it can be said that the hypothesis is rejected. Internal Monitoring of Employee Performance Has a Positive Influence with an Original Sample Value of 0.247 But the Effect of the Two Variables Is Considered Not Significant Because The T Statistical Value Is Smaller Than The T-Table (1.551 <1.67) Or It Can Be Said The Hypothesis Is Rejected. Employee Commitment To Employee Performance Has A Positive Influence With The Original Sample Value Of 2.896 But The Influence Of The Two Variables Is Considered Significant Because The Statistical T Value Is Smaller Than T-Table (2,896> 1.67) Or It Can Be Said The Hypothesis Is Accepted Keywords: Leadership; Internal monitoring; Employee commitment; and performance. INTRODUCTION. Human resource issues are still in the spotlight for government agencies to survive in the era of globalization. The achievement of organizational goals is influenced by the performance of the employees themselves. Employee performance in an agency is one of the factors expected to be able to support the achievement of the agency's goals (Akbar, 2018). Employees who have poor performance will become a burden to the agency in developing and maintaining the viability of the agency. Several previous studies have shown that performance is part of survival for agencies. Performance can be influenced by internal factors, such as employee performance which influences service quality. Unfulfilled needs, desires, and expectations, as well as a poor work environment, can reduce motivation which results in weak employee performance. In carrying