Several factors influence the inclusion of children with mild to severe hearing loss at mainstreamed school environments and their overall academic outcomes. Questionnaire and focus group interview will be used to gain better understanding of teachers’ knowledge, perception, confidence, challenges and barriers in educating children with hearing loss (CWHL) who have speech and language difficulties. Teachers may have not received any training to work with CWHL and may have low confidence in teaching this population. This highlight the need to have a comprehensive support system for teachers and CWHL in order to manage the gap in teachers’ knowledge and promote successful inclusion for children.