Purpose: Analysis and description of the characters of child pedestrian road traffic injury in three cities of Beijing, Shanghai and Guangzhou from 2000 to 20004. Method: Descriptive analysis of all traffic accidents relating to child pedestrian road traffic injury having been put on record by Traffic Management Bureau of Ministry of Public Security, Office of Public Security and Traffic Management of Bureau of Public Security of Beijing Municipality, Traffic and Criminal Police Headquarters of Shanghai Municipality and Traffic Police Detachment of Guangzhou Municipality. Result: The quantity of child age 15 and under pedestrian road traffic injury has tended to stability and appeared a trend of slow decline from 2000 to 2004. Over 80% of child pedestrian road traffic injuries happened in sunny day and over 90% of child pedestrian road traffic injuries happened at straight road. The main injury part causing the death of child pedestrian is head injury. Conclusion: Protection of child pedestrian, a vulnerable group, should be strengthened, interventions including crowd health education and publicity should be further developed.