Insights into Child Abuse Reporting: Knowledge, Perceptions, and Practices of Pediatricians in the Western Province of Saudi Arabia

Background: Pediatricians are pivotal in recognizing and responding to child abuse. However, there is limited evidence regarding their preparedness in the Western Province of Saudi Arabia. This study evaluated pediatricians’ knowledge, perceptions, professional experience, and reporting practices related to child abuse. Materials and Methods: A cross-sectional survey was conducted among pediatricians (n=117) working in hospitals and clinics across Jeddah, Makkah, Madinah, and Taif. A structured, expert-reviewed questionnaire assessed knowledge, perception, professional experience, and reporting practices. Descriptive statistics and Chi-square/Fisher’s exact tests were applied. Results: Most pediatricians (59.8%) demonstrated good knowledge, while 35.9% had fair knowledge and 4.3% poor knowledge. Perceptions were less favorable: only 15.4% reported good perception, while 49.6% showed poor perception. Professional experience was generally good (53.8%), but only 35.9% demonstrated good reporting practices. Male pediatricians reported better reporting (p=0.004). Regional differences in perception were also significant (p=0.002). Conclusion: While pediatricians displayed good knowledge and adequate professional experience, their perceptions and reporting practices remain suboptimal. Training programs tailored to regional challenges—emphasizing legal frameworks, reporting protocols, and cultural sensitivities—are urgently needed to standardize responses and strengthen child protection outcomes.