<p>Shaking young children can contribute to morbidity and mortality. However, little is known about the epidemiology of shaking outside of high-income countries. This study aimed to determine the prevalence of reported shaking across Pakistan, and whether certain child, parental, and household characteristics were associated with shaking. Representative samples of households with children between 12 and 23 months from four provinces in Pakistan from the Multiple Indicator Cluster Surveys from 2017 to 2020 were used. A total of 13,062 households were available across the provinces. Reported shaking was based on a yes/no response by an adult caregiver in the household to a question as to whether the child had been shaken in the last month. Binary logistic regression was used to identify what child, parental, and household characteristics were independently associated with reported shaking, and to determine the best-fitting models, with and without the inclusion of paternal variables. The prevalence of reported shaking varied across provinces from 17.9% (Baluchistan) to 43.2% (Khyber Pakhtunkhwa). Child exposure to other types of physical punishment was the only significant factor associated with reported shaking across all regression models, although mothers’ condoning of at least some intimate partner violence (IPV) remained in each provincial model. Three of four paternal characteristics remained in the final model for shaking, but only one characteristic, fathers’ condoning of at least some IPV, demonstrated a significant independent relationship. The strong association with other types of physical punishment suggests that factors determining use of other such types may overlap with shaking and should be investigated further.</p>