Objective: To know basic situation of middle and primary schools' health care in Jiangsu province, to provide foundation to improve the level of health care. Methods: Adopting randomized cluster sampling method, 52 districts in 13 cities, to investigate the health work and the preparation of health staffs, equipment, common medicine in all middle and primary schools of every districts (rural school institution were not included). Results: The survey found, among 2235 schools, the distribution of bringing health education into class, organizing student physical examination every year, establishing health files for the students, counting common diseases, developing responding system to public health outbreaks was 94.0%,89.6%,90.1%,78.9%,98.4%. No statistical differences were found among the middle and primary school(P>0.05). 1 681 schools have health care departments, 26.8%of them had "Practice License of Medical Institution", 64.8% of them was fitted with nonprescription drugs for internal use, 23.6% of them was completed with five files of healthy physical examination. There were significantly differences (P<0.01) in comparing middle and primary schools. The Standard-Achieving Rate of school doctor (health care teacher) in primary school was higher than that of middle school(P<0.05). Health care and basic conditions of health care departments of south Jiangsu were better than those of north Jiangsu. Conclusion: Middle and primary schools' health care of Jiangsu province has some experience, basic conditions of health care departments are not so perfect as it were, there are sharp regional differences. Standardization for health care work should be founded, money input should be expanded, greater efforts should be made to bring forth talented people, supervision should be strengthened.