Hearing is one of the greatest form of communication among living being. Other different form of communications are signs and writing. In the developed world hearing loss has been on the rise due to modernization of the communities all over the planet. This involves heavy industries, airplanes and occupations that produces a lot of noise. This study has shown the magnitude of hearing problems in adult and also associated factors in a particular group. The study has been conducted at referral consultant hospital serving about 8regions of the country. This is analytical cross-sectional study; conducted from Sept 2024 to December 2024. The total number of the study participants was 118 whereby the leading age group to be affected with hearing loss among adults is the age between 50yrs to 59yrs by 23.7% followed by age 30yrs to 39yrs and above 60years by 21.2%.Widowed were leading by 29.7% among the marital status that had highest problem with hearing loss followed by singles 27.1% .Also employees and fishing participants were found to have marked hearing loss compared to other cadres by 22%.The prevalence of hearing loss in adult is found to be 26.3%.Among those diagnosed, mixed hearing loss was the most common type, affecting 14.4% of participants, followed by sensorineural hearing loss at 6.8% and conductive hearing loss at 5.1%. In terms of severity, 10.2% of participants were found to have profound hearing loss, representing the most severe cases. Mild hearing loss was reported in 5.1%, while moderate and severe cases were 4.2% and 6.8%, respectively. These findings indicate delayed detection of the adult hearing loss and highlight the need for early screening, occupational noise control and ototoxic medication monitoring.