Zafar, N., Naeem, M., Zehra, A., & Khalid, M.2021-07-192021-07-192020Zafar, N., Naeem, M., Zehra, A., & Khalid, M. (2020). Ten years data of child abuse and neglect cases managed at the first hospital based child protection unit in Pakistan. Asia Pacific Journal of Psychiatric Child Health, 3, 30-36.http://www.apjpch.com/pdfs/2043bVf144554.pdfhttp://hdl.handle.net/11212/5178Background: Managing child abuse and neglect cases is extremely difficult in low-income countries, with daunting challenges in health, social welfare, education, and legal systems. PAHCHAAN initiated Child Protection Unit (CPU) at Children Hospital Lahore, Pakistan is the first hospital-based Child Protection Unit in South Asia. Although it could not be replicated, it has managed to sustain for 10 years. Aims: The study presents ten years of data from CPU expressing case distribution for gender, age, abuse type, and perpetrator. It also explores gender and age as risk factors. Methods: Retrospective data were collected through an intake and follow-up forms of 1654 confirmed CAN cases during the 10-year period from 2009-2018. Results: 70.5% of all cases suffered from severe neglect and 66.1% of the total cases reported immediate family as perpetrators. Chisquare results show a significant relationship χ2(4, N=1654) =26.25, p<.001 between gender of the child and type of abuse the child suffered, indicating a higher frequency of male victims for neglect and physical abuse whereas a higher frequency of female child sexual abuse victimization. Conclusion: There is only one CPU in Pakistan and due to severe human resource and financial constraints only the most severe cases of CAN are reported. Child Abuse and Neglect is a grossly under-reported and unrecognized common problem which needs urgent attention.en-USresearchInternational ResourcesPakistanchild protection unitchild abusemultidisciplinary responseArticle