This study examined democratic governance and primary health care service recruitment in Nigeria: a case of central senatorial district of Cross River State. The study explored the survey method to collect information from respondents in other to attain the objective of the study, which is to infer whether selective recruitment process affects service delivery at PHC facilities at Cross River central senatorial district. For analysis the study used the four-point Likert scale with the help of SPSS. Outcome of the study indicated, democratic governance has positive influence in primary health care PHC service delivery furthermore, recruitment processes in primary health care does not meets residents’ expectations. while, recruitment of staff has no positive impact on PHC service delivery. Based on these findings, the study recommends that; recruitment process for staff of primary health care institutions be made based on merit, this will improve on health outcomes of resident, thereby enable them to make meaningful political and economic contribution to the nation.