Abstract

In decentralization era, the skill of nurse personnels, particularly who work in health centers, both the midwife and nursing skills, or program management is not enough, whereas the demand that nurses provide accessible, affordable and quality or professionally services. This study aimed to determine the utilization effectiveness of nurse personnels in health centers, nurses and midwifes, on health decentralization in East Java. It was a descriptive study with a cross sectional design conducted in Tuban, Lumajang, Mojokerlo, Magetan, Malang, and Madiun. The samples were 121 respondents composed of 66 midwives and 55 nurses municipality, during April to September 2005. The data were collected by indepth interview, questionnaires, observations, FGD and secondary data. Data were analyzed descriptively. Results showed that nurse utilizing effectiveness in health centers were still low that for nurses was 46.33% and midwife 56.72%, respectly. For nurses, culturally honest, direct compensation, socio and physic about environmental services significantly influenced the effectiveness utilization, and for midwifes are cultural honest, creativity and also reward as recognition. The time activities for nurses and midwives was mostly carried out in health centers and the nurse activities were recording, examining and serving patients whereas the midwives activities were recording, preparation and home cares. The work time ineffective utilization of nurses was 32.90% and midwives was 43.09%. Nurse personnel activities in health centers were not optimal yet, so it should develop reward system and compensation in order to improve the nurse and midwife commitment and motivation. Key words: effectiveness, utilization, nursing personnels