The study examined the use of Assistive Technologies (AT) among pupils with hearing and visual impairment in selected primary schools in Zanzibar. The study involved 127 respondents. Data was collected using questionnaires, focus group discussions, and observation. Findings indicated that primary schools in Zanzibar had access to hearing aids, sign language interpreters, braille, and speech recognition software. However, the utilization of these technologies posed challenges for most pupils. While pupils with impairments perceived the positive impact of assistive technologies in learning and performance, they encountered several obstacles, including shortage of devices, insufficient training for both teachers and pupils, lack of qualified teachers for instructing pupils in their use, communication issues with hearing-impaired pupils, negative attitudes toward Assistive Technology, and inadequate quality of available devices. The study recommends that the government allocate substantial funds for the procurement and maintenance of assistive technologies and establish support systems and resource centers to enhance effective utilization of assistive technologies in primary schools. This will ultimately promote inclusivity and improve educational experiences of pupils with hearing and visual impairments in Zanzibar.