Compared to the general community, adults who had a speech impairment as a child typically achieve lower levels of education, have greater literacy problems, experience significant social problems and discrimination, and have decreased occupational opportunities. The social and economic cost of untreated speech impairment for individuals, schools and society is large. This landmark study will identify strengths and limitations in the health and education sectors regarding appropriate and holistic services for children with speech impairment combining identified prevalence, severity and impact data.