Early identi cation and access to quality habilitative services designed for children with hearing loss is the key to developing language and communication skills commensurate with the children’s cognitive abilities. Early identi cation will provide the opportunity for improved outcomes for thousands of children with hearing loss. The aims of this study is to review the role of parents knowledge and health care access to the identi cation of children with hearing impairment. The study design was cross-sectional, with the sample were 45 parents of children at SLB – B Karnnamanohara Yogyakarta at the nursery-child and play group. Interviewer administered a questionnaire to the parents, for evaluations of their knowledge about deaf children and health care access. After obtained the data from the each variable, then test with chi-square statistic. The signi cant result shown at parental knowledge (p=0,028) and health care access (p= 0,02). This means that there were signi cant differences between parental knowledge about speech and language development and health care access to early detection of deafness in children. The conclusion are parents knowledge and health care access in uenced to the identi cation of children with hearing impairment.