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This research is conducted to analyze speech therapy service design strategy by using value chain and TOWS. The approach utilized in this research is a qualitative descriptive approach. The speech therapy facility addition is analyzed by collecting primary data through observation and interview, and also secondary data through literature and reference reviews. The result of this research shows that speech therapy habilitation service facility addition is required in Rumah Sehat Terpadu Hospital due to substantial need and the absence of similar service in surrounding areas, besides the necessity to improve human resource quality of disability community, so that an independent disability society, which is in parallel with the purpose of the hospital establishment can be manifested.