A National Programme for The Prevention and Rehabilitation of Hearing Impairment should be developed and implemented by the National Government, to be assisted by local or international NGOs. This could be part of a National Plan on Disability or a Mother-Child Programme. This model could be adapted for both local and or district programmes.

They should identify the main causes of hearing impairment to be tackled with the specific strategies and technical procedures to be applied.

A Primary Ear and Hearing Care should be set up as a component of existing Primary Health Care services, together with provision or strengthening of ear care and audiological and rehabilitative services at secondary and tertiary levels.

The programme elements could consist of Primary prevention, Screening and Detection, Services, Training, and Monitoring and Evaluation.

This is a Call to Action to all Policy makers!