Hearing loss is a prevalent yet often undiagnosed condition in low-income populations, where access to traditional screening and treatment services is limited. This qualitative study explored the cost-effectiveness and implementation dynamics of community-based hearing screening programs in resource-constrained settings. Through interviews and focus groups with community health workers, program implementers, policymakers, and participants, the study identified key benefits such as early detection, improved accessibility, and increased community awareness. Challenges including follow-up care gaps, staffing and training limitations, and equipment maintenance issues were also highlighted. Stakeholders emphasized the importance of strengthening referral systems, training local workers, and integrating screening into existing community services to enhance program sustainability. Findings suggest that community-based screening offers a viable and cost-effective approach to reducing the burden of hearing loss in underserved populations, with potential long-term social and economic benefits.