On the Front Lines Inspiring Community COVID-19 Vaccinations in Zambia
How one doctor’s commitment is changing local behavior towards COVID-19 vaccinations
Dr. Adrian Moyo, or Doc Moyo as he is affectionately known, is a Zambian medical doctor and public health leader who recently embarked on a mission to encourage his colleagues, family members, and community to get vaccinated against COVID-19.
Through his efforts, Doc Moyo has persuaded more than 300 people to visit a health facility to receive a COVID-19 vaccination.
The decision to get vaccinated himself was easy.
While working in a hospital in Botswana in the late 1990s during the height of the HIV epidemic, Doc Moyo’s experiences profoundly impacted his personal and professional life. He worked in the emergency and advanced trauma unit, and often performed surgeries on people who were living with HIV.
During one such surgery, he accidentally cut himself with a scalpel. He immediately enrolled in post-exposure prophylaxis (PEP) treatment, which is medication that prevents HIV infection after one has been exposed. “You can imagine the fear and stress that I experienced during that time,” he recalled.
“After completing the PEP treatment, I tested HIV negative. That was a huge relief,” says Doc Moyo. “PEP worked and literally saved my life. That reinforced my belief in the power of science and medication. If there is something that can be done to prevent a situation, then do it. Give yourself a fighting chance.”
Serving as the regional director of the Copperbelt Province for the USAID Supporting an AIDS Free Era (SAFE) Project, Doc Moyo noticed that a large number of people were choosing not to get the COVID-19 vaccine, despite the best efforts of the Zambian Ministry of Health (MOH).
“Worse still, the infection rate was rapidly increasing” during the third wave in Zambia, which coincided with the local winter months of June-August, Doc Moyo said. “And so was the number of COVID-19 related deaths. Tragically, within the USAID SAFE project, we lost a number of staff members to COVID-19. These were valuable and intelligent members of society who were making a positive impact in the fight against HIV. Something had to be done.”
Many people he spoke with were hesitant to get vaccinated because of inaccurate COVID-19 vaccine information they had seen on social media and heard in their communities.
“Word of mouth is a powerful tool for the truth as well as [for] misinformation. I took it upon myself to share my positive experience of getting vaccinated to anyone and everyone I met,” he explained.
Doc Moyo began his crusade in his own home by convincing his wife and three children to get vaccinated. He then took his message to his family WhatsApp group, where he successfully convinced his brother, sister, and their families to get vaccinated as well. He didn’t stop there.
He spoke at his church about the benefits of the COVID-19 vaccine and even convinced the reverend of his local parish to get vaccinated. The pastor, in turn, went on to convince others to get vaccinated and has now joined SAFE’s Faith and Community Initiative, which aims to train and sensitize religious and traditional leaders on HIV prevention and treatment so that they can positively influence the people that they lead.
Doc Moyo’s position as a medical doctor and trusted community member was key to his ability to educate and influence others.
“But that was the easy part,” said Doc Moyo. “Interestingly, convincing colleagues within the health sector to get vaccinated was actually more difficult. To achieve that, I had to draw from my 27 years of treating HIV.”
Doc Moyo used his colleagues’ experiences working with polio and tuberculosis to convince them to get vaccinated. Once he reminded his colleagues how high child mortality was before polio and TB vaccines were introduced to Zambia, they also recognized the importance of getting vaccinated for COVID-19.
Doc Moyo shared this message with the USAID SAFE project staff (900 full-time employees and 1,200 volunteers working with USAID implementing partner, John Snow Inc.) through an online COVID-19 vaccination campaign called “Why I Am Vaccinated.” The campaign featured USAID SAFE’s frontline health workers sharing the reasons why they got vaccinated. Doc Moyo’s message inspired and continues to encourage many USAID SAFE staff to get vaccinated for COVID-19.
As a member of USAID SAFE’s senior management team, Doc Moyo ensured the project’s staff were transported to health facilities to get vaccinated during office hours — eliminating the challenge of having to leave work to get the COVID-19 vaccine. “Being a leader means showing concern for those you lead. That is the only way we will defeat COVID-19, if we are all concerned for each other’s wellbeing,” said Doc Moyo.
The USAID SAFE project has supported the Zambia Ministry of Health’s efforts to fight the COVID-19 pandemic by setting up handwashing stations and procuring COVID-19 infection prevention and control equipment for over 300 public health facilities in the Central, Copperbelt, and Northwestern provinces of Zambia.
USAID SAFE also supported procuring equipment and training for laboratory staff at Ndola Teaching Hospital and Arthur Davidson Children’s Hospital, which continue to be instrumental in COVID-19 testing, diagnosis, and treatment. Integrating COVID-19 prevention messages into USAID SAFE’s ongoing community radio programs that they conduct collaboratively with selected District Health Teams remains a key priority.
As of Jan. 3, Zambia had received 4.7 million doses of COVID-19 vaccines of which 2.2 million were donated by the U.S. Government.
About the Authors
Oumar Mulenga Sylla, is the Project Communications Specialist for the USAID Supporting an AIDS Free Era (SAFE) Project. Chando Mapoma is the Senior Development Outreach and Communications Officer at USAID’s Mission in Zambia.
