Abstract: Objective To analyze the mortality and health care services of maternal, neonates, infants, and children under the age of 5 in Xi’an from 2010 to 2021, and to provide a reference for the formulation of maternal and child health management measures. Methods Using the relevant data from Xi’an Health Development Statistical Bulletin and Shaanxi Health Development Statistical Bulletin, we analyzed the trend of maternal mortality, neonatal mortality, infant mortality, and mortality of children under the age of 5, the trend of maternal and child health care service indicators, and the correlation between health care service indicators and mortality from 2010 to 2021. Results From 2010 to 2021, the neonatal mortality rate, infant mortality rate, and mortality rate of children under the age of 5 in Xi’an showed a decreasing trend （all P < 0.01）, while the rate of prenatal examination, hospital delivery, and management of children under the age of 7 all showed an increasing trend （all P < 0.01）. The neonatal mortality rate was negatively correlated with the rate of prenatal examination and hospital delivery （both P < 0.01）, and the infant mortality rate and mortality rate of children under the age of 5 were negatively correlated with the hospital delivery rate and the management rate of children under the age of 7 （P < 0.01 or P < 0.05）. Conclusion From 2010 to 2021, the neonatal mortality rate, infant mortality rate, and mortality rate of children under the age of 5 in Xi’an showed a decreasing trend, while the rate of prenatal examination, hospital delivery, and management of children under the age of 7 showed an increasing trend.

Key words: Mortality rate, Health care services, Trend analysis