Most of these who did not take OCV feared side results pronounced by others. Some interpreted side results as western malevolence. Though > 80% discussants stated not understanding period of coverage, some who did not vaccinate, suggested that in preference to rely upon OCV that could lose efficiency, collective action will be taken programmers change programming physical and economic atmosphere programmers avoid cholera. Due programmers incomplete suggestions, particular person choice making was complex, rooted in theories of disease causation, perceived susceptibility, circulating narratives, colonial past, and observable outcomes of vaccination. To increase coverage, future OCV campaigns may benefit from better verbal exchange on eligibility and susceptibility, expected side results, mechanism of action, and period of protection. Governmental improvements in programming bodily and economic environment may augment confidence in OCV and other public health interventions among residents in Lusaka compounds.