Android) in South Africa, followed by a version in the United States of America in 2018 (hearScreen USA, American Academy of Audiology, Reston, USA). These digits-in-noise tests present recorded digit triplets (for example, 4–2–7) in background speech-shaped noise to determine the signal-to-noise ratio where a person can identify 50% of triplets correctly. Digitsin-noise tests have previously proven to be effective as national self-screening tests using landline telephone and on internet platforms. 9 Highly correlated with puretone audiometry, digits-in-noise tests’ sensitivity and specificity are up to 90% and can be completed in three minutes. 10 The World Health Organization recently adopted this approach for the hear-WHO app (iOS and Android) released on World Hearing Day 2019. This app has a new version of the digits-in-noise test and uses antiphasic digit stimuli that make the app sensitive to a range of hearing losses including sensorineural, conductive and asymmetrical losses. 11 In addition to offering a self-test for consumers, this test version could also improve digits-in-noise tests used for school 11 and other community-based screening programmes. Since the test is language-dependent, it requires development and validation in different languages for widespread global uptake.