The research aimed to examine the direct impact of Employees mental health (EMH) on work productivity (WP) at the Governmental hospitals in Qalyubia Governorate, and explore whether presenteeism (PRE) and absenteeism (ABS) play a mediating role in this relationship. The research began with a literature review of EMH, PRE, ABS, and WP, followed by developing a conceptual framework and formulating seven main hypotheses. A field study was then conducted using a sample of 374 medical and nursing staff at the Governmental hospitals in Qalyubia Governorate. Collected data were analyzed using partial least square structural equation model (PLS-SEM) using Smart PLS V.4 Software. The findings of the study imply that EMH has a statistically significant positive direct impact on WP. Moreover, statistical results also revealed that both PRE and ABS play a mediating role in the relationship between EMH and WP at the Governmental hospitals in Qalyubia Governorate