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women than in non-Indigenous pregnant women in four countries (Australia, Canada, New Zealand and the USA) with similar histories of colonialism. These findings have implications for prenatal care services and the monitoring of Indigenous women in industrialised countries. FUNDING Canadian Institute of Health Research and the Women's and Children's Health Research Institute. BACKGROUND Preventive therapy for tuberculosis reduces the risk of disease in people who have been infected but who are not sick. Countries with a high bur