Objective: Understanding the differences in health and healthcare utilization among different regions with various economic development in China, so as to provide references for improving he alth inequalities related to economic development. Methods: Decomposing the health and healthcare utilization among different income groups. Results: Inequalities in health and healthcare utilization are captured, whereas the gaps among groups are enlarging over time in terms of low birth weight newborns and healthcare utilization. Conclusion: In order to promote the equality in newborns, more attention should be paid to high income regions. In order to improve the equality in healthcare utilization, more attention should be drawn to low income regions and rural areas