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Geographic accessibility of EmOC services was estimated by linking health facility data with data from the Zambian population census.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Few Zambian health facilities provided all basic EmOC signal functions and had qualified health professionals available on a 24\u2010hour basis. Of the 1131 Zambian delivery facilities, 135 (12%) were classified as providing EmOC. Zambia nearly met the UN EmOC density benchmarks nationally, but EmOC facilities and health professionals were unevenly distributed between provinces. Geographic access to EmOC services in rural areas was low; in most provinces, less than 25% of the population lived within 15 km of an EmOC facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A national Health Facility Census with geographic information is a valuable tool for assessing service availability and coverage at national and subnational levels. Simultaneously assessing health worker density and geographic access adds crucial information.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.05.007","type":"journal-article","created":{"date-parts":[[2011,6,25]],"date-time":"2011-06-25T08:01:04Z","timestamp":1308988864000},"page":"174-179","source":"Crossref","is-referenced-by-count":49,"title":["Availability and distribution of, and geographic access to emergency obstetric care in Zambia"],"prefix":"10.1002","volume":"114","author":[{"given":"Sabine","family":"Gabrysch","sequence":"first","affiliation":[]},{"given":"Virginia","family":"Simushi","sequence":"additional","affiliation":[]},{"given":"Oona M.R.","family":"Campbell","sequence":"additional","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2011,6,12]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"UNICEF WHO UNFPA.Guidelines for Monitoring the Availability and Use of Obstetric Services.http:\/\/www.amddprogram.org\/v1\/resources\/UNGuidelinesEN.pdf. 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