Public sector reform in South African urban hospitals is crucial for enhancing health worker service delivery. A mixed-methods approach, including interviews with stakeholders, quantitative data analysis of hospital records, and qualitative observations. Urban hospitals experienced a 20% increase in operational efficiency after implementing targeted training programmes for healthcare workers. Public sector reforms that include targeted training and performance incentives are essential for better service delivery in urban hospitals. Introduce regular health worker training, implement structured performance evaluation systems, and allocate sufficient resources to support these initiatives.