CONCLUSION
WEDDINGS
Assessing the factors associated with COVID-19 prevention behaviors adherence in a rural Zambian population has revealed generally strong understanding of COVID-19 symptoms, spread, and high-risk activities with some knowledge and skills gaps that suggest the need for additional targeted messaging. The findings suggest that performance of prevention behaviors is driven by personal and social factors, that the different factors can motivate or demotivate adherence, and that behaviors are also affected by epidemic severity and its associated media coverage. Additionally, our findings highlight specific high-risk settings where perceived community-wide adherence is lowest: informal, non-institutional settings without clear community leaders, including funerals, weddings, and football games. Based on the responses about motivators and demotivators to adherence, specific interventions can be designed to target those settings where the potential for rapid spread of COVID-19 is greatest.