Abstract: To analyze the existing problems in the budget performance management and evaluation of maternal and child health institutions (hereinafter referred to as MCH institutions), and to provide the basis for further strengthening the budget performance evaluation of MCH institutions in China and building a comprehensive, whole-process and full-coverage budget performance management system. The management system established by MCH institutions at all levels was analyzed, especially the achievements obtained in the comprehensive budget performance evaluation management system, and many problems existed in the actual assessment process were found, and management suggestions were put forward based on the actual work. Striving to establish scientific, fair and reasonable performance assessment system and methods, and effectively promoting the economic and social benefits of maternal and child health care institutions. The performance evaluation and management system of MCH institutions should be standardized and a long-term mechanism should be formed to provide reference for MCH institutions at all levels to carry out performance management in the future.