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d at conferences and published in peer-reviewed journals. CRD42020189535. CRD42020189535. 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. Household and health facility surveys were conducted from December 2018 to February 2019. Forty-six districts in the Ethiopian regions Amhara, Oromia, Tigray and Southern Nations, Nationalities, and Peoples. A total of 11 877 wo