The role of Savings and Internal Lending Communities (SILCs) in improving community-level household wealth, financial preparedness for birth, and utilization of reproductive health services in rural Zambia: a secondary analysis

Table 5 Interaction effect of community groups and timepoint on utilization of maternity waiting homes, delivery at a health facility, and delivery with skilled provider

	Utilization of MWHs	Most recent delivery at HF	Most recent delivery with SP
Community group	AOR (95% CI)	AOR (95% CI)	AOR (95% CI)
1 = neither MWH nor SILC	1.03 (0.48–2.19)	0.84 (0.47–1.49)	1.03 (0.58–1.83)
2 = only MWH	1.26 (0.50–3.12)	0.61 (0.28–1.32)	1.02 (0.51–2.02)
3 = both MWH and SILC	Ref	Ref	Ref
Time point
Baseline	Ref	Ref	Ref
Endline	3.35 (1.92–5.85)	3.35 (2.39–4.69) ***	5.75 (3.32–9.95) ***
Community group X time point^a
1 = neither MWH nor SILC X End Line	0.35 (0.18–0.71) **	0.50 (0.32–0.78) **	0.34 (0.17–0.66) **
2 = only MWH X End Line	0.65 (0.32–1.31)	0.64 (0.39–1.04)	0.33 (0.17–0.64) **
3 = both MWH and SILC X End line	Ref	Ref	Ref

All adjusted logistic regression models controlled for age, marital status, gravida, parity, education, wealth (quintiles), community group, and timepoint. Please refer to Table 1 for more details on these variables. All analysis were clustered at the community level
AOR Adjusted odds ratio, CI Confidence interval, MWH Maternity waiting homes, SILC Savings and internal lending communities, HF Health facilities, SP Skilled provider
**p < 0.01; ***p < 0.001; ^a z test for equality comparing CG1 and CG2 showed insignificant results for utilization of MWHs, most recent delivery at HF, but significant for most recent delivery with SP (z: − 2.18)

ISSN: 1471-2458