Objective To analyse and compare children's health service utilization among different types of families in rural areas and provide related reference evidences improving children's health service system. Method Sampling survey for 2 220 households from 14 counties of 5 provinces received structural questionnaires to children's parents. Results The proportions of children's health examination and consultation among all kinds of families were less than 30%.It was relatively well in three generations family compared with two generation family and skipped generation family.27.8% and 25.9% of three generations families conducted health examination and consultation for their children over the past year. Conclusion Health education is improved to children's parents in rural areas and health services is provided to children from different types of families.