Child maltreatment is a common serious and under reported medical concern which hes become an increasingly important concern for community workers worldwide. They constitute major psychosocial and health problem all over the world. The aim of this study was to study the effect of improving knowledge and performance by educating the caregivers concerning child maltreatment. The total sample included 70 caregivers. They were divided into two groups, group A [40 care givers] working in governmental nursery school. Group B [30 care givers] working in private nursery schools.Questionnaire and observation check lists were designed to fulfill the aim of the study. Health education program was developed and implemented based on assessment of caregiver to improve knowledge and performance concerning child maltreatment. Caregiver's knowledge and perception took an average score. The present study revealed that there was significance difference between the mean scores of knowledge and perception regarding child maltreatment before and after the program. The reaction of governmental caregivers to different situation of child maltreatment. Significant difference was found in all situations except for abuse or neglect and leave disability, while the reaction of caregivers working in the privet school there was significa difference regarding all items in relation before and after implementation of the program except abuse or neglect, leave disability and ride the public transportation. Prevention of child maltreatment requires collaboration of all community workers including all the primary health activities on face with the problem through well established plan highlighting the goal.