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Correspondence to: Joyce Namale-Matovu, MUJHU Research collaboration, P. O. Box 23491, Kampala, Uganda, jmatovu@mujhu.org. Authorship contributions: JNM: took the lead in writing of the manuscript and is accountable for ensuring that questions related to any part of the work were appropriately resolved. LBM, DMM, JN, DV, EN, JB, DBM, MOA, MN, DW and PM: made substantial contributions to the conception and design of the study. They were involved in drafting the manuscript and revising it critically for important intellectual content. RS and DK: were involved in drafting the manuscript and revising it critically for important intellectual content. All authors: approved the final manuscript version submitted.

Overcoming staffing challenges when implementing a birth defects surveillance system: a Ugandan experience