Hearing loss in infants and children is associated when improperly treated with impaired verbal and nonverbal communication behavioral problems, the decreased psychological well-being, as well as low educational attainment. Hearing loss can be classified as mild whenever the hearing deficit is between 20 to 40 decibels, moderate, severe, or even profound. This module focuses on congenital hearing impairment and not on late onset, acquired hearing problems, nor progressive hearing loss. The prevalence of a permanent congenital hearing loss is about one to three per 1000 infants. It is associated if intervention is not early enough with developmental delays in terms of language, reading abilities, psychological well-being, cognitive skills and poor adaptive skills. Historically, in 1965, the Babbidge Report in the US first suggested that it could be beneficial to implement a nationwide universal in newborn hearing screening program. Yet, new technological advances in the 80's made new hearing aids affordable, and also the benefit of universal screening program of greater interest to the population. Thereafter, it was only in 1993 that the National Institute of Health, first recommended to start a universal newborn hearing screening test in the US population that was later on confirmed in 1994 by the Joint US Committee on infant hearing. Screening of hearing problems at the early stage of life can be done either universally in newborns or in a targeted manner, during which only high risk newborn are screened. A clear risk factors is identified in about 50% of newborns. And among them, we can mention congenital infections, cranio-facial abnormalities, a family history of hereditary childhood hearing problems, stay of more than two days in intensive neonatal care units, or familial syndromes which are accompanied by hearing problems. Universal newborn hearing screening is a screening test that is about detecting moderate to severe hearing loss in newborns. And if early intervention are possible, this lead to a better development of verbal and nonverbal communication skills in infants, and also a better educational achievement during life, a better occupation position and subsequent health in adulthood. The screening test is composed of two non-invasive physiological measures which are objective. The first one is automatised otoacoustic emissions, and the second one is automatised auditory brainstem responses. The test can be conducted in sleeping newborns in less than five minutes by trained technicians who do not need to be a geologist. The screening program is usually organized in two steps. There is first, a screening test, which should be completed by one month of age. If the test fails, this should be followed by a confirmatory test that allows a diagnostic confirmation by the age of three months, and in the early intervention, can be initiated before six months of age. The characteristics of these two stage screening tests are, to have a sensitivity of over 90% and a specificity of over 95%. The number needed to screen to detect one case of a child with permanent hearing impairment is about one in 800. The early intervention is trans-disciplinary. It should be composed first of several specialized consultations by geneticist, by pediatric otolaryngolosit, and a pediatric ophthalmologist. Second, there should be an educational program that should accompany the child throughout its development, and the child should be regularly followed up by a trans-disciplinary team, ideally composed of a pediatrician, A language speech pathologist, and a audiologist, as well as an educator specialized in dealing with hearing problems. The evaluation of a screening program can be made using several indicators. The first one being the participation rate at screening, the overall participation rates, the referral rates, the age at which the screening test is completed, the age at which the confirmatory test is completed, and finally, the age at which the early intervention begins. The screening program may be associated with some adverse effects, in particular, anxiety in the family whenever the screening test is negative until there is a confirmation that there is no permanent hearing problem. And another complication may be, for instance, after cochlear implants, bacterial meningitis. In conclusion, the early detection of permanent hearing loss in children accompanied by early intervention may substantially decrease the burden for the child and for the family, and may substantially improve the communication skills of the children, the psychological and cognitive skills, the psychological well-being, the adaptive skills, the educational achievement, as well as the overall health at adulthood.