{
  "abstract": "Noise-induced hearing loss (NIHL) remains a serious occupational risk in industrial settings with constant high noise exposure. Although Hearing Conservation Programmes (HCPs) are widely implemented, their effectiveness is limited by funding shortages, poor training and low compliance. This systematic review examines factors that facilitate or hinder HCP implementation, variations in program outcomes and the influence of employee attitudes, behavior and regulatory compliance. Methodological quality was assessed using the Effective Public Health Practices Project (EPHPP) tool, and risk of bias in non-randomized studies was evaluated with Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-I).We searched PubMed, Web of Science, Scopus and Cochrane for English-language studies on industrial HCPs published between 2000 and 2024. Eligible designs included randomised or non-randomised trials, observational studies and mixed methods. Data extraction was guided by a standardised form capturing programme components such as training, monitoring, compliance strategies, participant characteristics and outcome indicators, which included hearing protection device usage, NIHL incidence and compliance.Nine studies from various industries met the criteria. Key facilitators included management commitment, worker involvement and tailored interventions that improved compliance and reduced NIHL. Common barriers were inconsistent training, discomfort with protective equipment and gaps between programme goals and workplace conditions. The findings also highlighted that consistent regulatory compliance and a supportive organisational culture play a critical role in the successful implementation of HCPs.Effective HCPs require context-specific designs addressing workplace barriers and enhancing facilitators. Future research should prioritise longitudinal studies to evaluate long-term sustainability and impact.",
  "authors": [
    {
      "affiliations": [
        "Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia"
      ],
      "name": "Hanis Syazwani Ab Fatah"
    },
    {
      "affiliations": [
        "Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia",
        "Workplace Health and Safety Solutions Hub (WHaSSH), Faculty of Medicine, University Technology MARA, Sungai Buloh, Selangor, Malaysia"
      ],
      "name": "Siti Munira Yasin"
    },
    {
      "affiliations": [
        "Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia"
      ],
      "name": "Kamarulzaman Muzaini"
    },
    {
      "affiliations": [
        "School of Mathematical Sciences, College of Computing, Informatics, and Mathematics, Universiti Teknologi MARA Perak, Tapah, Perak, Malaysia"
      ],
      "name": "Mohammad Nasir Abdullah"
    }
  ],
  "title": "Facilitators and barriers to implementing Hearing Conservation Programmes in industrial workplaces: a systematic review",
  "uid": "b5027ead-2024-5ba8-ac8f-902b9be017df"
}