This study examined auditory functionality and early use of speech in a group of paediatric cochlear implant users. Parents of 33 implanted children from the Universiti Kebangsaan Malaysia Cochlear Implant Program were interviewed using the Meaningful Auditory Integration Scale (MAIS) and the Meaningful Use of Speech Scale (MUSS). In general, higher MAIS scores post-implantation were significantly associated with higher MUSS scores suggesting that those with better functional hearing with the implant were also better in using spontaneous speech to communicate. Multiple regression analyses showed that several time factors significantly correlated with the MAIS scores post-implantation but not with the MUSS.