Purpose: The purpose of the study was to establish the relationship between perceptions of distributive justice and employee commitment in health sector non-governmental organizations in Kenya.Methodology: The study adopted descriptive and correlational research designs with a statistical sample of 195 employees responsible for key result areas in 17 health sector Non-Governmental Organizations. Justice perceptions were measured using Colquitt’s four construct model comprising of distributive, procedural, interpersonal and informational justice while organizational commitment was measured through Meyer’s three component model comprising of affective, continuance and normative commitment. Inferential statistics comprising of correlation, multiple linear regression models and ANOVA analysis were applied `to establish the relationship between the independent and dependent variables. Qualitative data was analyzed through the use of questionnaires.Results: Based on the results of the Pearson correlation, the study concluded that there is a significant relationship between perceptions of distributive justice and employee commitment in health sector non-governmental organizations in Kenya.Unique contribution to theory, practice and policy: The study recommends that health NGO organizations promote organizational commitment by designing employment terms that are internally commensurate with employee’s efforts and externally competitive.