<p>Bacteriuria among pregnant women in East Africa presents a significant public health challenge, with prevalence varying widely across countries due to factors like healthcare access, diagnostic capabilities, and socio-economic conditions. Despite advances in public health, inconsistent diagnostic practices and laboratory quality remain significant barriers. This study aims to examine geographic and temporal trends in bacteriuria prevalence among pregnant women in East Africa, assess the impact of Sustainable Development Goals (SDGs)-era diagnostic practices, and explore the role of laboratory quality in addressing regional disparities, ultimately guiding improvements in maternal health and diagnostic standards.</p>