Urinary tract infection is the second most common kind of infection; it is a great load on both humanitarian and economic level.Objectives: identifying risk factors, health seeking behavior, and knowledge of urinary tract infections (UTIs) among the selected group to use it to tailor a health education message.Patients and methods : Hospital based cross sectional study at TBRI’s out-patient clinic. A sample of 223 patients (133 males and 90 females) were chosen on 3 random days per week, then a subsample of 64 patients were chosen for knowledge assessment by selecting every third patient. They were interviewed using a structured questionnaire, and analyzed in comparison to urine analysis results and patients’ hospital recordsResults: the most common presenting symptoms were dysuria, frequency, loin pain, sense on incomplete voiding and pelvic pain (55%, 44%, 42%, 35% and 26% respectively). With dysuria being the most common symptom among those above the age of 20 while nocturia is the most common among those under 20 year, when tested as indicators for infection dysuria appeared to be the most sensitive symptoms 57%, while pelvic pain was the most specific at 71%.Testing for knowledge revealed that 44 % of cases scored below 1, while 34% scored above 1 with a max of 3 right answers out of 9.Based on the those results a frame for a health education message was set.Conclusion: Although the studied cases sought medical advice mainly from medical sources there are still major gaps in their knowledge regarding UTI causes and symptoms, this calls not only for a health education message addressing those gaps, but it also highlighted two important needs, a need for training of the health care team on effective patient communication on one hand and standardization of urological terms used in the patient record to facilitate follow up