Ensuring equalization of public service is the responsibility and duty of a government. Basic public health service is directly related to livelihood，and there is serious un-equalization phenomenon in basic public health service in West Fujian Old Revolutionary Areas because of the causes such as urban and rural dual structure，imperfection of public finance supply and financial transfer payment system，imbalance of economic development between regions and between urban and rural areas and so on. As a result，China should eliminate urban and rural separation，perfect public service system under the leading of governments，accomplish financial transfer payment system，raise regional economic development level，push forward medical and healthy system reform to mitigate the un-equalization between regions and between urban and rural areas and accelerate the public health service equalization progress in Old Revolutionary Areas.