Abstract: Objective To investigate the situation of menopause health care in Hunan province.Methods Through the questionnaire, the general situation of the institutions and the comprehensive service abilities of menopause in 81 municipal and county level women and children's health care institutions (WCHCIs) were s collected and analyzed.Results (1) Ten (83. 34%) of the 12 municipal WCHCIs surveyed are operating menopausal clinics, while 23 (33. 33%) of 46 county WCHCI are operating menopausal clinics. There was difference between the different level institution (P<00.5). (2) Most of the municipal and county level WCHCIs were lack of standardized outpatient registration of menopause clinics, file management, file management and follow-up.Conclusion The comprehensive service of menopause in the municipal and county level WCHCIs needs to be further improved. It is imperative to establish a network of menopausal services at the municipal and county levels, centered on provincial women and children's health care hospitals.