Background: Autonomy lntegrited Health Services (posyandu mandiri) that was caracteristic oplimalitation posyandu work still few amount in Indonesia. Whereas work optimum posyandu help intense in descent rate mortality maternal and neonatal in Indonesia. Because that problems be needed a certaine exemine about develop effort a (posyandu) become (posyandu mandiri). This research aim to exemine (posyandu madya and pumama) develop become (posyandu mandiri) in Lumajang regency. Methods: Research kind is applied with sample withdrawal method as (if) purposive. Unit analysis was posyandu. Research location is Lumajang regency (sample area posyandu in East Java) with time implementation 8 month. Data analysis as (if) descriptive. Research variable are posyandu forming process, posyandu power source, adequate supply health functionary, fund source, means-infrastucture, activity, information system, building, and flash past sector coopertion. Results: Showed that since existence "Gerbang Mas" program, change many occur posyandu of workin Lumajang regency. That change was posyandu forming have to based on leave decision letter. Posyandu builder toconsist some element district-house of village-village. Amount cadre and manager have established. Limitied is health center community (puskesmas) employee because (posyandu) amount increase. Income and cost estimate region (APBD) like to incite fund for made (posyandu) to be mandiri and qualified. 30% means-infrastucture to increase from latter. (Posyandu) open schedule once month. Activity average has standard appropriate, except healthy fund average was still low. Building more guided and more be continued. Addition activity and information system carefully already, but still be needed follow up from flash past sector cooperation is happened.