Students with hearing impairment (HI) face challenges in learning including accessing educational information electronically. This study sought to assess assistive technology tools and existing e-learning user interface for students with HI in Vocational Education and Training Authority (VETA) institutions in Tanzania. The study is guided by three objectives: First, it assesses the current e-learning user interface for students with HI. Second, it identifies hearing impairment assistive tools used and finally it suggests suitable measures for addressing the situation. The study involved 89 participants obtained using purposive sampling and simple random sampling. Data were collected using questionnaires and semi-structured interviews. The qualitative data were then subjected to thematic analysis. Findings revealed challenges associated with poor communication with others, poverty from parents/guardian, unfavourable physical environment and shortage of hearing aids tools and special needs teachers. Similarly, findings from different usability factors such as effectiveness, easiness of use, and accessibility showed that the participants were not completely satisfied with the current e-learning user interface system and assistive technology tools. Therefore, the study recommends the development of a better e-learning user interface with integrated assistive technology for students with HI to enhance their participations in learning.