Setting
This observational cohort study recruited women attending antenatal care
at five major hospitals in urban and peri-urban areas of central Uganda
between 13th June 2018 and 31stOctober 2019. Three are public facilities managed by the Uganda Ministry
of Health, and two are private-not-for-profit hospitals managed by the
Uganda Catholic Medical Services Bureau. Uganda is a low-income country
in East Africa with an annual GDP of $643 per capita ($1.76 per
day).12 Whilst great progress has been made in recent
decades, the maternal mortality rate remains high (368 per 100,000 live
births), as does the perinatal mortality rate (42 per 1,000
births).13,14