ObjectiveTo understand current status of healthcareassociated infection(HAI) management in township hospitals in a city, analyze the existing problems, and put forward the preliminary improvement measures. MethodsA questionnaire survey was adopted to investigate HAI management in 276 township hospitals in a city.Results201(72.83%), 274 (99.28%), and 166(60.14%) hospitals established HAI management committee, HAI management department, and HAI management group respectively. 128 (46.38%) hospitals carried out HAIrelated monitoring; 39 (14.13%) hospitals carried out point surveillance survey; 68 (24.64%) hospitals carried out monitoring of hand hygiene compliance; 254 (92.03%) hospitals carried out training on HAI knowledge; 181 (65.58%), 162 (58.70%), and 137 (49.64%) hospitals established occupational protection system, disposal process after occupational exposure, and educational guidance respectively.ConclusionThere are many problems in HAI management in township hospitals in this city, such as imperfect organization, shortage of personnel, imperfect system, poor implementation of disinfection and sterilization, and no monitoring system, HAI management work in township hospitals needs to be further strengthened.