The call to action is predicated on the view that hearing loss denies individuals access to effective spoken communication, which is fundamental to the human experience. Hearing loss affects individuals, society and the economy, with touchpoints across multiple sectors, including health, education, employment, housing and community. The report provides a platform for policymakers around the world to understand these impacts, as well as the available evidence-based solutions and the current challenges and opportunities to address access to hearing care. Importantly, it provides a range of implementable priority interventions that can be tailored to the country or context.The report is an important outcome of the resolution adopted in 2017 at the 70th World Health Assembly, 2 which recognised both the prevalence and magnitude of effects of unaddressed hearing loss and called for countries to integrate people-centred ear and hearing care within national health plans. Here, we identify the challenges and opportunities to address this, and the need for multistakeholder partnerships that include government and civil society.