Background: Hearing loss affects not only the individual, the entire family and society generally. Infants and children require access to detailed sound for auditory learning. Aim: Recognize family's adjustment for their children with hearing impairment. Design: A descriptive analytical research was used. Setting: “Hearing and Speech Institute" at Embaba district . Sample: Convenient sample of (60) child with hearing impairment . Tools for data collection: Data were collected through the following tools “Family's adjustment questionnaire for children with hearing impairment " it consists of fourth parts; Socio-demographic characteristics for family caregiver , Family caregivers' knowledge, reported practices, and An adjustment scale to assess family caregivers' adjustment toward caring of the children with hearing impairment . Results: the study revealed that, most of family caregivers are female and mothers as a caregiver, and have acceptable score level of knowledge, and most of practices (98.3%) have done . Moreover, most of practices (98.3%) have done by caregivers. Besides, the majority of caregivers (98.3%) have high adjustment . Conclusion: there was negative significant correlation between knowledge and practice; there was positive non-significant correlation between knowledge and adjustment, and there was almost no correlation between practice and adjustment. There was non-significant correlation between education level for caregiver and practice, adjustment, and knowledge. Recommendation: Continuous supervision for maternal and neonatal care by the Ministry of Health and Population, and Periodic Hearing Screening for Early Identification should be done for children before 6 months of age.