• Abstract: A descriptive-cross section study design was carried out through the period from 1st September 2016 to 15th August 2017 to evaluate school health services for primary schools students provided by primary health care centers at Al-Hindiya district in Holy Karbala. Non Probability Purposive sample of (160) subjects included in the present study. The sample of the study is divided into three categories which include: (6) directors of primary health care centers, (6) school health services providers and (148) consumers (school principals). Data were collected through the use of an evaluation tool and an interview technique. It is comprised of (3) parts. The overall items included in this questionnaire are (76) items. A pilot study conducted to determine the reliability of the questionnaire, while the validity is obtained by distribution of the questionnaire through a panel of (14) experts. Statistical Package for Social Sciences (SPSS) version (24) used for the analysis of the data through using the descriptive statistical data analysis approach (mean of scores, percentage, frequencies, and graphical presentation of data; and inferential statistics approach which include analysis of variance (ANOVA) procedure and deductive statistics include, Fisher s exact, Pearson s correlation and Chi square test. The finding of the study showed that most of the primary health care centers (66.6%) have no an integrated school health team, none of them have computerized system to document their records, an ambulance in the primary health care centers is not available, some school health coordinators lack performance in terms of follow-up of school health activities. There is no equipped place or room to provide emergency care and first aid services at school. Some school principals were dissatisfied with the follow up of workers health and finally the evaluation of overall