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Introduction The growing use of Geographic Information Systems (GIS) to link population-level data to health facility data is key for the inclusion of health system environments in analyses of health disparities. However, such approaches commonly focus on just a couple of aspects of the health system environment and only report on the average and independent effect of each dimension. Methods Using GIS to link Demographic and Health Survey data on births (2008-13/14) to Service Availability and Readiness Assessment data on health facili