“It depends how one understands it:” a qualitative study on differential uptake of oral cholera vaccine in three compounds in Lusaka, Zambia

Table 5 Health Belief Model Construct

HBM Construct	Major Data themes	0 Dose	2 Doses
Perceived Susceptibility	Cholera can strike anyone, anywhere being airborne and waterborne	+	++
Perceived Susceptibility	I can protect myself against cholera	++
Perceived severity	Cholera is a killer disease	++	++
Perceived severity	Cholera is fast	++	++
Perceived benefits	Less sick persons after the first OCV round	+	++
	OCV seems safe	+	++
	There are absolutely no side effects		+
Perceived barriers	Cholera is air & water borne, can OCV work?	+
	Vaccine is not serious, for children	+
	No statistical evidence on OCV safety	+
	There are mild side effects among vaccinated	++
	Absent during campaign	++
	Lack information on OCV to decide	+
	The vaccination post was out of doses	+
	The queues were long	++	+
	I avoid drugs in general	+
	Taste is (said to be) bad	++	+
	Taste makes you want to vomit	++	+
	Overcome barrier: You get used to the taste		+
	Overcome barrier: Medicine is not supposed to taste good		+
Cues to action	Social influence (family, neighbors)	+
	Requests Home visits, door to door campaign	+
	Requests Longer campaigns (number of days)	+	+
Self-efficacy	I may be absent during the campaign hours	+
Self-efficacy	No need for OCV if following WASH recommendations.	+

+ Consistent and ++ very consistent with datum
0 D: Participants who took no OCV doses2D: Partcipants who took both OCV doses

ISSN: 1471-2334