Schistosoma haematobium infection occurs worldwide with the largest cases seen in developing countries and in the resource poor environments of sub-Saharan Africa. There is a global and regional variation in its prevalence and most of the infections are acquired during childhood and persist through adulthood. Childhood infections have been linked to contact with contaminated water which leads to urogenital diseases such as renal failure, bladder calcification and ureteric obstruction which contribute significantly to morbidity and mortality. A study on the use of urinary symptoms, signs and urinalysis in the diagnosis of S. haematobium infection might aid in providing prompt and rapid intervention that will limit early childhood infection. This study aimed to determine the usefulness of urinary symptoms, signs and urinalysis by reagent strips in detecting S.haematobium infection in public primary school children in Ohaukwu Local Government Area (LGA) of Ebonyi State. The study also aimed to determine the sensitivity and specificity of combination of urinary symptoms, and urinalysis in diagnosis of S. haematobium infection as well as prevalence and intensity of S. haematobium infection by urine microscopy.