Sivil Toplum Kuruluşları (STK), toplumsal hizmetlerin sunumuna yön veren, kanun koyma, uygulama ve denetleme süreçlerinde etkili rol oynayabilen toplumsal örgütlenmelerdir. STK’ların planlama, uygulama ve denetleme süreçlerindeki etkililiğinin değerlendirilmesi bu çalışmanın temel amacını oluşturmaktadır. Çalışmanın evrenini İzmir ilinde görev yapan sağlık yöneticileri oluşturmaktadır. Toplam 105 sağlık yöneticisi çalışmaya dahil olmuştur. Veri toplama yöntemi olarak alan araştırması ve anket tekniği uygulanmıştır. Çalışma kapsamında sağlık yöneticilerinin cinsiyet, görev ve üyesi oldukları STK türüne göre verdikleri yanıtlar arasında anlamlı bir farklılık tespit edilmemiştir. STK faaliyetlerinin etkililiği boyutları arasında pozitif yönde yüksek düzeyde anlamlı ilişki tespit edilmiştir. Gerçekleştirilen regresyon analizine göre STK faaliyetlerinin yeterliliğini, STK faaliyetlerinin etkinliği boyutlarından sadece temel işlevlerin etkililiği boyutunun etkilediği tespit edilmiştir. Sonuç olarak, STK’lar demokratik toplumların temel göstergelerinden biri olan STK’ların yeterli ve etkili bir şekilde çalışmaları gerekmektedir.

Backround: Non-governmental organizations (NGO) are social organizations that guide the presentation of social services and play an effective role on legislative, implementation and controlling processes. There are NGOs related to health services such as professional rights and sustainability, quality of service delivery, follow-up and feasibility of technological developments. There are different practices in the scope of the effects of NGOs to the social structure among countries. Additionally, there are differences between developed and developing countries. These differences may be from the value that governments give to NGOs and their place in society There are a number of NGOs developed for different purposes in Turkey as well. However, NGOs are carrying out activities, which are beneficial for society; it is possible to say that there are aspects that need improvement in Turkey. Many NGOs have aimed to provide services for the benefit of society. It is very important that NGOs evaluate the effectiveness of the services that they are offering. The evaluation of these activities can also provide realistic results by obtaining the views of healthcare managers. Because healthcare managers can be directly affect to the decisions taken by the administrations in planning, implementation and supervision stages. The main aim of this study is evaluation of the effectiveness of NGOs in planning, implementation and controlling processes. Methods: The present study aimed to assess the perceptions of healthcare managers on adequacy of NGOs. The universe of the study is composed of the health managers working in İzmir province. 105 health managers were involved in the study.  Questionnaire was developed to collect data and conducted on the internet. Data was obtained by administrating a structured-questionnaire consisting two parts.  The main part of the survey was developed to assess the perceptions of healthcare managers on adequacy of NGOs. The items were rated on a five-point scale (5= strongly agree; 4=agree; 3=neither; 2=disagree; 1=strongly disagree). The last part inquired demographic questions. After scanning process, questionnaires which are eligible to be included in the analysis, were computerized. Statistical program was used for data analysis. Exploratory factor analysis was applied in the study to measure construct validity. The reliability (Cronbach's alpha) of the data which were intended for overall effectiveness of NGOs data set, and each effectiveness of NGOs subscale items were tested.  Correlation analysis was conducted in order to determine the direction and strength of the relationships among the effectiveness of NGOs. Finally, stepwise regression analysis was conducted to determine the effects of independent variables on the dependent variable. Statistically, p value which was equal or less than 0,05 was accepted to be significant. Results: The obtained data were analyzed with the statistical analysis program and the findings were interpreted. As a result, explanatory factor analysis and internal reliability analyses were conducted to the scale. For the effectiveness of NGOs data set, Kaiser-Meyer-Olkin illustration value realized as 0.93, 19 variables are formed under two factors and explained 83,33% of the variance. These factors are named as basic functions; and secondary functions. The reliability tests were conducted on data for internal consistency. The general Cronbach’s alpha is found 0.98 for effectiveness of NGOs data sets, over the recommended value of 0.70 for reliability analysis. In the study there is no significant difference was found between the answers given by the health managers according to the gender, job and type of NGOs. In order to analyze the relationship among dimensions of effectiveness of NGOs, correlation coefficient values were calculated. There was a significant positive correlation between the dimensions of effectiveness of NGOs. Regression analysis is applied to determine the importance of independent variables on dependent variables. It is found out that R square value in regression analyses is in the sufficient level for the researches made in social sciences. The regression analysis aims to determine the relative importance of effectiveness of NGOs dimensions on adequacy of NGOs. Using the stepwise method, it was found that the overall model explains 0.32 of the variation in effectiveness of NGOs  (p<0.001 R2 = 0.32). The Beta coefficients are calculated and according to the regression analysis performed, it has determined that only basic functions has a significant effect on adequacy of NGOs. Conclusions: NGOs, one of the main indicators of democratic societies, need to work adequately and effectively. According to results, to ensure NGOs’ activities sufficiently should focus on basic function of NGOs rather than secondary functions. First of all employees wanted to ensure physiological and safety needs. Improvements to be made in the effectiveness of basic functions will also enhance the adequacy of NGO activities. This study takes a micro stand by focusing on the views of healthcare managers on the effectiveness of NGOs. It is limited by the region and it can be carried out in country wide.