Background: Hearing impairment in school-aged children is especially essential because it is at this age that the basis for education, mental, and language development is built. The current study attempts to quantify the burden of hearing impairment among school children in Sambalpur, Odisha, both rural and urban. Methods: In addition to clinical evaluation, pure tone audiometry at speech frequency was performed on 5500 pupils in Burla, Sambalpur, and Hirakud to screen out cases of deafness. Attempts were made to delve into the numerous circumstances that contributed to their deafness. In addition, other information such as the respondents' parents' socioeconomic position, social adequacy, history of the current and past disease, and so on was gathered.