Abstract:
Objective We assessed whether geographic distance and
difference in altitude between home to health facility and
household socioeconomic status were associated with
utilisation of maternal and child health services in rural
Ethiopia.
Design Household and health facility surveys were
conducted from December 2018 to February 2019.
Setting Forty-six districts in the Ethiopian regions:
Amhara, Oromia, Tigray and Southern Nations,
Nationalities, and Peoples.
Participants A total of 11 877 women aged 13–49
years and 5786 children aged 2–59 months were
included.
Outcome measures The outcomes were four or
more antenatal care visits, facility delivery, full child
immunisation and utilisation of health services for sick
children. A multilevel analysis was carried out with
adjustments for potential confounding factors
