In Pakistan, doctors are not mandatory reporters of suspected child abuse. That one fact changes everything. Children get treated, but many never return for follow-up. FIRs are avoided. The abuse goes undocumented. Dr. Kishwar Enam, Lecturer and President of Child Protection Services at AKU, explains why hospitals need structured child protection systems, not just good intentions. From hospital protocols and training to working with the Child Protection Authority, this is how care, safety, and a