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Newborn hearing screening(NHS)programs are essential to identify hearing loss early in life and to improve outcomes in children.In Saudi Arabia,the national NHS program has been operational since 2016;however,few studies have evaluated its status,and none have covered all provinces across the country.This cross-sectional retrospective study provides an overview of the program's status across all provinces,focusing on screening coverage rates,referral/fail rates,and follow-up procedures.In 2021,199,034 newborns were screened,with a coverage rate of 92.6％and an overall referral/fail rate of 1.87％.These performance measures provide a foundation for future progress and improvements.This study highlights the importance of ongoing efforts to enhance the program's effectiveness and sustainability.