This paper analyzes the health status，health needs and provision of health services among the middle-aged and elderly people from 12 counties of 5 provinces in mid-western China based on the data from a survey“Family Health Care Program”，an Sino-Japanese technical cooperation project undertaken by National Health and Family Planning Commission．Results show that health status was not well and different significantly across the provinces，and there are great health needs．The main health providers are health and family planning agencies，and health status are significantly correlated with health services including health education，health check and health consultation．The results have important policy implications which are discussed at the end of the paper．