The objective of this research is to assess the factors affecting procurement performance in selected government hospitals renovation in the case of family planning by choice project. The study adopts explanatory research design. The research used is quantitative approach and primary data is collected randomly from 109 respondents through questionnaire. The questionnaire data is analyzed through SPSS 20.0 statistical packages. This the result of the study indicated the characteristics of the project; project procurement procedure; project owner related factor; contractor related factor and client related factors has a significant role in procurement performance in selected government hospitals renovation project. But the significance of renovation size and contractors progress payment has found to have less impact on procurement performance. The paper recommended that family planning by choice project should work in collaboration with project practitioners involved in procurement related activities and policy makers to take proactive measures to improve construction procurement performance in local governments in terms of cost, quality and timeliness, which will improve service delivery to all project beneficiaries.