Abstract:OBJECTIVE To understand the current situation of the capacity of reproductive health consultation services in community health service institutions in Heilongjiang Province, and to provide suggestions for improving the accessibility and effectiveness of reproductive health consultation services in Heilongjiang Province in a targeted manner. METHODS A random sampling method was used to select 7 municipalities in Heilongjiang Province from July to September 2020, and 2 community health service institutions were randomly selected in each municipality to conduct a questionnaire survey on medical personnel related to reproductive health services. RESULTS Statistical analysis of the 301 valid questionnaires showed that the highest to lowest correct knowledge of reproductive health services were knowledge of health promotion (28.2%), family planning/eugenics (27.6%) and sexually transmitted diseases (18.3%). The training rate for reproductive health counselling services among the survey respondents was 26.6%. The top 3 reproductive health counselling services available were contraceptive and birth control counselling (93.4%), pregnancy and puerperal care counselling (92.4%) and eugenic counselling (91.4%). The mean score for conceptualization of counselling competency was 30.79±13.62, the mean score for practical counselling competency was 48.99±19.00, and the mean score for the total score was 79.78±31.72. The t-test and one-way ANOVA were used to find that competence in reproductive health counselling was associated with age, job position, whether one was qualified as a junior/senior reproductive health consultant, and whether one had received training in reproductive health counselling services. Further multiple linear regression analysis revealed that the latter two variables were the main influencing factors on the self-assessment score of counselling competence (P<0.05). The top 3 job support desired by the survey respondents were coordination of relevant departments by hospital leaders (94.0%), provision of relevant teaching and counselling materials (92.7%), and introduction of standards for the construction of reproductive health counselling services (92.4%). CONCLUSION The reproductive health service knowledge of personnel in community health service institutions in Heilongjiang Province was weak, and the ability to conceptualize counselling and the practical operation of counselling needed to be improved. It needed to strengthen the training of relevant personnel in grassroots community health service institutions, promote the professionalization and specialization of reproductive health counselling services, and enhance the level of supply of reproductive health counselling services.