<p>The overall pooled prevalence of bacteriuria among pregnant women in East Africa was 16.79% (95% CI: 11.11–22.47), with significant heterogeneity (I² = 94.98%) across studies. Geographic variation was observed, with Tanzania having the highest prevalence at 28.00% (95% CI: 23.56–32.44), followed by Ethiopia at 17.59% (95% CI: 12.30–22.87), Sudan at 14.70% (95% CI: 10.17–19.23), and Uganda at 3.75% (95% CI: 2.21–5.59). Temporal trends showed an increase in prevalence from 12.21% (95% CI: 8.05–16.37) before the SDG period to 18.31% (95% CI: 11.03–25.60) during the SDG period, with higher heterogeneity observed post-2015 (I² = 95.53%).</p>