Increasing maternal mortality ratio and also gaps of the maternal health services scope among community health centers, assumed related to the performance of midwife clinics who is affected by the environment in which working (community health centers). This cross sectional study with quantitative and qualitative approaches aims to determine the relationship between Quality of Work Life (QWL) components with the midwives clinics performance in maternal health services. The study is implemented in 11 community health centers in working area Bintan Regency in February - March 2013. Data are collected by using questionnaires with 67 respondents and interview with 10 informants. Based on the study results, only 35.8% midwives clinics having performance scores above average, some community health center having component QWL scores below average. There is a relationship between employee engagement (p value = 0.005) and sense ofpride to the institution (p value = 0.039) with midwives clinics performance in maternal health services.