Abstract: Objective To analyze the current situation of health care in nursery institutions in Guiyang City,and to provide reference for the improvement of health care policies in urban and rural nursery institutions.Methods the report of health care of nursery institutions in 2019 filled in by nursery institutions in each district(city,county). Statistical analysis was used to analyze the 2019 annual reports of health care for kindergartens completed by kindergartens in districts(cities and counties) were analyzed.Results The overall prevalence of low weight,growth retardation,wasting,moderate obesity,moderate anaemia,poor vision,and dental caries in nursery institutions in Guiyang city were 1.13%,1.56%,0.84%,1.13%,0.53%,4.43% and 16.20%,respectively. Among them,the proportion of children with poor vision,dental caries and moderate or severe obesity in nursery institutions in urban areas was higher than in rural areas. The prevalence of low weight,late growth,moderate or severe anaemia in nursery institutions in rural areas was lower than in urban areas. The difference was statistically significant(P<0.05).Conclusion Great attention should be paid to the nutrition status of children in rural areas. Good living habits and healthy behaviour of children in nursery institutions in urban areas should be cultivated in order to promote their physical and mental health development.