Cross-sectional descriptive study was carried out in 12 villages of the island is the Island District four is Co To, Ly Son, Phu Quoc and Can Gio. The research results show that: The CHS islands not have enough room to serve the basic reproductive health care. Medical facilities are lacking compared to the standard list of the Ministry of Health, more degraded equipment unusable. Some island commune lacks doctors and staff working in health care mothers and children, family planning...So, the next time the health sector need to pay attention and invest more for health care facilities in the island commune, district of the island.