en Neonatal Neonatal Scoping Review Article <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Newborn hearing screening (NHS) programs are essential public health initiatives aimed at early detection of neonatal deafness, thereby reducing long-term developmental delays. However, resource limitations, including insufficient infrastructure, workforce shortages, and financial constraints, significantly hinder program effectiveness. This scoping review investigates the key challenges and strategies implemented across various global newborn hearing screening programs.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods:</b> A systematic scoping review approach was employed, following established field review methodologies. Studies were retrieved from PubMed/Medline, Cochrane Library, Embase, INAHTA, Google Scholar, and regional academic databases using targeted search strategies tailored to each platform&rsquo;s protocol. Articles published between 2000/01/01 and 2024/01/30 were selected. Eligibility criteria and selection processes were defined to ensure comprehensiveness and study quality. Data extraction was conducted via a structured Excel 2013 form, systematically compiling general and specific study details. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results:</b> Improving newborn hearing screening programs requires strategic collaboration between decision-makers, healthcare providers, and researchers. Effective planning demands: Expert-driven policy frameworks incorporating scientific recommendations; optimal resource allocation through pilot assessments and real-world evaluations; and strengthened monitoring mechanisms, ensuring high program efficiency. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="font-style:normal"> Addressing structural and operational challenges through strategic policy frameworks and resource optimization can substantially enhance newborn hearing screening programs. Scalable interventions&mdash;such as expanded telehealth solutions, AI-driven diagnostics, and universal screening implementation&mdash;have the potential to increase early detection rates and improve healthcare outcomes for infants with hearing impairments and their families.</span></span></span></span></span></span></span></span> Newborn Screening, Hearing, Challenges, Strategies, Early Detection 254 261 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8533-2&slc_lang=en&sid=1 Ehsan Moradi-Joo ehsanmoradijoo@yahoo.com 200319475328460097055 200319475328460097055 No Department of Public Health, School of Health, Abadan University of Medical Sciences, Abadan, Iran Somayeh Noori Hekmat snhekmat@gmail.com 200319475328460097056 200319475328460097056 No School of Management and Medical Informatics, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Hoda Ghobeishipour hodaaa.gh99@gmail.com 200319475328460097057 200319475328460097057 No Department of Management Sciences and Health Economics, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran Hoda Hamedpour hodaaa.gh99@gmail.com 200319475328460097058 200319475328460097058 No Department of Nursing-Midwifery, Islamic Azad University of Ahvaz, Iran Mohsen Davarpanah davarpanah.m@ajums.ac.ir 200319475328460097059 200319475328460097059 No Bostan School of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Mohsen Barouni mohsenbarooni@gmail.com 200319475328460097060 200319475328460097060 Yes School of Management and Medical Informatics, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Saeid Mahmoudian saeid.mahmoudian@gmail.com 200319475328460097061 200319475328460097061 No ENT and Head & Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Iran