The objective of this study was to analyse the physical accessibility of emergency neonatal care (EmNeC) services at the national and subnational levels in Ethiopia. Findings suggest that the physical access to EmNeC services in Ethiopia is well below the universal health coverage expectations stated by the United Nations. Increasing the availability of EmNeC to health facilities where routine delivery services currently are taking place would significantly increase physical access. Our results reinforce the need to revise service allocations across administrative regions and consider improving disadvantaged areas in future health service planning.




  1. Tamirat KS, Tessema ZT, Kebede FB. Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia. BMC Health Serv Res 2020;20:691

  2. Tarekegn SM, Lieberman LS, Giedraitis V. Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian demographic and health survey. BMC Pregnancy Childbirth 2014;14:161.

  3. Onarheim KH, Taddesse M, Norheim OF, et al. . Towards universal health coverage for reproductive health services in Ethiopia: two policy recommendations. Int J Equity Health 2015;14:86.


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