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blood glucose levels. ISRCTN99601810 (23 October 2020, retrospectively registered). ISRCTN99601810 (23 October 2020, retrospectively registered). Preconception care is the provision of biomedical, behavioural, and social health interventions provided to women and couples before conception. However, in Ethiopia, little is known and practised to support preconception care. Therefore, this study aimed to assess women's knowledge and utilisation of preconception care and its associated factors in Ethiopia using systematic review and meta-analysis