Two cross-sectional studies were conducted in Ninh Binh province during 1999-2003 year period, concerning with the health care services. Results showed that improvements were reported in terms of the accessibility to health service, especially to the health service at communal level, but the richest group trended to get more to health insurance, while the poorest group trend to increase the use of commune health station. Buying the medicaments from drug store for selftreatment still was the common choice.