Cross-sectional descriptive study was carried out in 12 villages of the island is the Island District 4 Co, Ly Son, Phu Quoc and Can Gio. The research results show that: The health care mothers and children, reproductive health/family planning in the island commune was difficult as: Percentage of abortions relatively high proportion pregnant women vitamin a and iron is low, multiple births are not standard weight, some cases of stillbirth, many island commune not reach 100 percent of children under 1 year of age at birth vaccinated!...that is the challenge requires that the authors need to have specific measures to further improve the quality of care for maternal and child health, reproductive health/planning family.