Abstract
The conditions of camp-based refugees expose them to rapid spread of infectious diseases. Thus, this study examined camp-based refugees’ adherence to the COVID-19 protocols at the peak and post-peak of the pandemic in Ghana. The data for the analysis were collected between 29th July and 6th August 2021 in two camps in Ghana. It covered 763 refugees aged 15 years and above. Logistic regression was used to examine the predictors of low adherence at the peak and post-peak. Adherence to the protocols was high at the peak but declined substantially at the post-peak. At the peak, loss of livelihood was the only challenge significantly associated with low adherence. However, at the post-peak, inability to access nose/face masks, poverty, and loss of livelihood were significantly associated with low adherence. The findings suggest that preventive measures to curb infectious diseases in camps should not only focus on the peak but also on the post-peak.
Similar content being viewed by others
Data Availability
Data upon which this paper draws is available with the permission of the Ghana Refugee Board.
References
Aberese-Ako, M., Immurana, M., Dalaba, M. A., Anumu, F. E., Ofosu, A., & Gyapong, M. (2022). The socio-economic and health effects of COVID-19 among rural and urban-slum dwellers in Ghana: A mixed methods approach. PLoS One, 17(7), e0271551.
Adam, D. (2022). The pandemic’s true death toll: Millions more than official counts. Nature, 601(7893), 312–315.
Agbozo, F., & Jahn, A. (2021). COVID-19 in Ghana: Challenges and countermeasures for maternal health service delivery in public health facilities. Reproductive Health, 18(1), 1–5.
Alio, M., Alrihawi, S., Milner, J., Noor, A., Wazefadost, N., & Zigashane, P. (2020). By refugees, for refugees: Refugee leadership during COVID-19, and beyond. International Journal of Refugee Law, 32(2), 370–373.
Altare, C., Kahi, V., Ngwa, M., Goldsmith, A., Hering, H., Burton, A., & Spiegel, P. (2019). Infectious disease epidemics in refugee camps: A retrospective analysis of UNHCR data (2009–2017). Journal of Global Health Reports, 3(e2019064), 18.
Amoako Johnson, F. (2022). Spatiotemporal clustering and correlates of childhood stunting in Ghana: Analysis of the fixed and nonlinear associative effects of socio-demographic and socio-ecological factors. PLoS One, 17(2), e0263726.
Amoako Johnson, F., Abu, M., & Utazi, C. E. (2019). Geospatial correlates of early marriage and union formation in Ghana. PLoS One, 14(10), e0223296.
Apanga, P. A., & Kumbeni, M. T. (2021). Adherence to COVID-19 preventive measures and associated factors among pregnant women in Ghana. Tropical Medicine & International Health, 26(6), 656–663.
Asante, L. A., & Mills, R. O. (2020). Exploring the socio-economic impact of COVID-19 pandemic in marketplaces in urban Ghana. Africa Spectrum, 55(2), 170–181.
Agblorti, S. K. M., & Grant, M. (2021). Revisiting the host–refugee environmental conflict debate: perspectives from Ghana’s refugee camps. Canadian Journal of African Studies/Revue canadienne des études africaines, 55(1), 141–159.
Baker, I., Marzouqa, N., Yaghi, B. N., Adawi, S. O., Yousef, S., Sabooh, T. N., Salhab, N. M., Khrishi, H. M., Qabaja, Y., & Riad, A. (2021). The impact of information sources on COVID-19-related knowledge, attitudes, and practices (KAP) among university students: A nationwide cross-sectional study. International Journal of Environmental Research and Public Health, 18(23), 12462.
Barari, S., Caria, S., Davola, A., Falco, P., Fetzer, T., Fiorin, S., Hensel, L., Ivchenko, A., Jachimowicz, J., & King, G. (2020). Evaluating COVID-19 public health messaging in Italy: Self-reported compliance and growing mental health concerns. MedRxiv. Available: https://research-information.bris.ac.uk/en/datasets/replication-data-forevaluating-covid-19-public-health-messaging-. Accessed 6 May 2022.
Barron, G. C., Laryea-Adjei, G., Vike-Freiberga, V., Abubakar, I., Dakkak, H., Devakumar, D., Johnsson, A., Karabey, S., Labonté, R., & Legido-Quigley, H. (2022). Safeguarding people living in vulnerable conditions in the COVID-19 era through universal health coverage and social protection. The Lancet Public Health, 7(1), e86–e92.
Bastani, P., Hakimzadeh, S. M., & Bahrami, M. A. (2021). Designing a conceptual framework for misinformation on social media: A qualitative study on COVID-19. BMC Research Notes, 14(1), 1–6.
Bergh, A., & Bjørnskov, C. (2011). Historical trust levels predict the current size of the welfare state. Kyklos, 64(1), 1–19.
Betts, A., Easton-Calabria, E., & Pincock, K. (2021). Localising public health: Refugee-led organisations as first and last responders in COVID-19. World Development, 139, 105311.
Bok, S., Martin, D. E., Acosta, E., Lee, M., & Shum, J. (2021). Validation of the COVID-19 transmission misinformation scale and conditional indirect negative effects on wearing a mask in public. International Journal of Environmental Research and Public Health, 18(21), 11319.
Bonful, H. A., Addo-Lartey, A., Aheto, J. M., Ganle, J. K., Sarfo, B., & Aryeetey, R. (2020). Limiting spread of COVID-19 in Ghana: Compliance audit of selected transportation stations in the Greater Accra region of Ghana. PLoS One, 15(9), e0238971.
Braam, D. H., Srinivasan, S., Church, L., Sheikh, Z., Jephcott, F. L., & Bukachi, S. (2021). Lockdowns, lives and livelihoods: The impact of COVID-19 and public health responses to conflict affected populations-A remote qualitative study in Baidoa and Mogadishu, Somalia. Conflict and Health, 15(1), 1–11.
Brell, C., Dustmann, C., & Preston, I. (2020). The labor market integration of refugee migrants in high-income countries. Journal of Economic Perspectives, 34(1), 94–121.
Brown, S. (2021). The impact of COVID-19 on development assistance. International Journal, 76(1), 42–54.
Bukuluki, P., Mwenyango, H., Katongole, S. P., Sidhva, D., & Palattiyil, G. (2020). The socio-economic and psychosocial impact of Covid-19 pandemic on urban refugees in Uganda. Social Sciences & Humanities Open, 2(1), 100045.
Clark, C., Davila, A., Regis, M., & Kraus, S. (2020). Predictors of COVID-19 voluntary compliance behaviors: An international investigation. Global Transitions, 2, 76–82.
Coffie, A. (2020). Refugees and Migrants-A Blind Spot in Ghana's Covid-19 Response?'. Kujenga Amani. Available: https://kujenga-amani.ssrc.org/2020/07/02/refugees-and-migrants-a-blind-spot-in-ghanas-covid-19-response/. Accessed 7 May 2022.
Cohen, A. K., Hoyt, L. T., & Dull, B. (2020). A descriptive study of COVID-19–related experiences and perspectives of a national sample of college students in spring 2020. Journal of Adolescent Health, 67(3), 369–375.
Coroiu, A., Moran, C., Campbell, T., & Geller, A. C. (2020). Barriers and facilitators of adherence to social distancing recommendations during COVID-19 among a large international sample of adults. PLoS One, 15(10), e0239795. https://doi.org/10.1371/journal.pone.0239795
Cucinotta, D., & Vanelli, M. (2020). WHO declares COVID-19 a pandemic. Acta Biomedica, 91(1), 157–160. https://doi.org/10.23750/abm.v91i1.9397
Dako-Gyeke, M., & Adu, E. (2017). Challenges and coping strategies of refugees: exploring residual Liberian refugees’ experiences in Ghana. Qualitative Social Work, 16(1), 96–112.
Dany, C. (2021). Solidarity Through Localization? Humanitarian Responses to the COVID-19 Pandemic. Frontiers in Political Science, 124. Available: https://www.frontiersin.org/articles/10.3389/fpos.2021.695654/full. Accessed 7 May 2022.
De Bruijn, B. (2009). The living conditions and well-being of refugees. Available: https://mpra.ub.unimuenchen.de/19208/1/MPRA_paper_19208.pdf. Accessed 7 May 2022.
Demirtaş-Madran, H. A. (2021). Accepting restrictions and compliance with recommended preventive behaviours for COVID-19: a discussion based on the key approaches and current research on fear appeals. Frontiers in Psychology, 12. Available: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.558437/full. Accessed 6 May 2022.
Ditekemena, J. D., Nkamba, D. M., Muhindo, H. M., Siewe, J. N. F., Luhata, C., Van den Bergh, R., Kitoto, A. T., Van Damme, W., Muyembe, J. J., & Colebunders, R. (2021). Factors associated with adherence to COVID-19 prevention measures in the Democratic Republic of the Congo (DRC): results of an online survey. British Medical Journal Open, 11(1), e043356.
Ghana Health Service. (2022). COVID-19: Ghana’s outbreak response management updates 2022. https://www.ghs.gov.gh/covid19/dashboardm.php. Accessed 5 Dec 2022
Ghana Refugee Board. (2022). Progress Report. Retrieved 06 May 2022 from https://www.grb.gov.gh/
Schreiber-Gregory, D., Jackson, H., & Bader, K. (2018). Logistic and linear regression assumptions: Violation recognition and control. Proceedings of Midwest SAS User Group 2018 conference, Indiana, AA-091. Available: https://www.lexjansen.com/scsug/2018/Shreiber-Gregory-SCSUG2018-Assumption-Violations.pdf. Accessed: 6 May 2022.
Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2021). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction, 19(5), 1875–1888.
Heiby, E. M., Lukens, C. L., & Frank, M. R. (2005). The health compliance model-II. The Behavior Analyst Today, 6(1), 27.
Hills, S., & Eraso, Y. (2021). Factors associated with non-adherence to social distancing rules during the COVID-19 pandemic: A logistic regression analysis. BMC Public Health, 21(1), 1–25.
Hu, Y., & Plonsky, L. (2021). Statistical assumptions in L2 research: a systematic review. Second Language Research, 37(1), 171–184.
Huang, L., Zhang, X., Zhang, X., Wei, Z., Zhang, L., Xu, J., Liang, P., Xu, Y., Zhang, C., & Xu, A. (2020). Rapid asymptomatic transmission of COVID-19 during the incubation period demonstrating strong infectivity in a cluster of youngsters aged 16–23 years outside Wuhan and characteristics of young patients with COVID-19: a prospective contact-tracing study. Journal of Infection, 80(6), e1–e13. https://doi.org/10.1016/j.jinf.2020.03.006
Iddi, S., Obiri-Yeboah, D., Aboh, I. K., Quansah, R., Owusu, S. A., Enyan, N. I. E., Kodom, R. V., Nsabimana, E., Jansen, S., & Ekumah, B. (2021). Coping strategies adapted by Ghanaians during the COVID-19 crisis and lockdown: a population-based study. PLoS One, 16(6), e0253800.
Kanligi, D. A., Boah, M., & Adokiya, M. N. (2022). Predictors of knowledge and adherence to COVID-19 safety protocols among nurses at health facilities in Tamale Metropolis of Northern Ghana. PLoS One, 17(9), e0274049.
Kenny, D. A., & Judd, C. M. (1986). Consequences of violating the independence assumption in analysis of variance. Psychological Bulletin, 99(3), 422.
Kleitman, S., Fullerton, D. J., Zhang, L. M., Blanchard, M. D., Lee, J., Stankov, L., & Thompson, V. (2021). To comply or not comply? A latent profile analysis of behaviours and attitudes during the COVID-19 pandemic. PLoS ONE, 16(7), e0255268.
Larkin, H. D. (2022). Global COVID-19 death toll may be triple the reported deaths. JAMA, 327(15), 1438–1438.
Lebni, J. Y., Enayat, H., Irandoost, S. F., & Dehghan, A. A. (2022). Exploring the Challenges of Afghan Refugee Women Facing COVID-19: A Qualitative Study in Iran. Frontiers in Public Health, 10. Available: https://www.frontiersin.org/articles/10.3389/fpubh.2022.838965/full. Accessed 6 Dec 2022
Lee, M., Kang, B.-A., & You, M. (2021). Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health, 21(1), 1–10.
Leitner, S., Gula, B., Jannach, D., Krieg-Holz, U., & Wall, F. (2021). Understanding the dynamics emerging from infodemics: A call to action for interdisciplinary research. SN Business & Economics, 1(1), 1–18.
Lupieri, S. (2021). Refugee health during the covid-19 pandemic: a review of global policy responses. Risk Management and Healthcare Policy, 14, 1373.
Mahase, E. (2020). Covid-19: WHO declares pandemic because of “alarming levels” of spread, severity, and inaction. BMJ, 368(March), m1036.
Malik, Y. S., Sircar, S., Bhat, S., Sharun, K., Dhama, K., Dadar, M., Tiwari, R., & Chaicumpa, W. (2020). Emerging novel coronavirus (2019-nCoV)-current scenario, evolutionary perspective based on genome analysis and recent developments. The Veterinary Quarterly, 40(1), 68–76. https://doi.org/10.1080/01652176.2020.1727993
Manirambona, E., Uwizeyimana, T., Uwiringiyimana, E., & Reddy, H. (2021). Impact of the COVID-19 pandemic on the food rations of refugees in Rwanda. International Journal for Equity in Health, 20(1), 1–4.
Masters, N. B., Shih, S.-F., Bukoff, A., Akel, K. B., Kobayashi, L. C., Miller, A. L., Harapan, H., Lu, Y., & Wagner, A. L. (2020). Social distancing in response to the novel coronavirus (COVID-19) in the United States. PLoS One, 15(9), e0239025.
Mbunge, E., Fashoto, S., Akinnuwesi, B., Gurajena, C., & Metfula, A. (2020). Challenges of Social distancing and self-isolation during COVID-19 pandemic in Africa: A Critical Review. Available at SSRN 3740202. Available: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3740202. Accessed 8 May 2022.
Morang’a, C. M., Ngoi, J. M., Gyamfi, J., Amuzu, D. S., Nuertey, B. D., Soglo, P. M., Appiah, V., Asante, I. A., Owusu-Oduro, P., & Armoo, S. (2022). Genetic diversity of SARS-CoV-2 infections in Ghana from 2020–2021. Nature Communications, 13(1), 1–11.
Mukumbang, F. C., Ambe, A. N., & Adebiyi, B. O. (2020). Unspoken inequality: how COVID-19 has exacerbated existing vulnerabilities of asylum-seekers, refugees, and undocumented migrants in South Africa. International Journal for Equity in Health, 19(1), 141.
Naeem, S. B., Bhatti, R., & Khan, A. (2021). An exploration of how fake news is taking over social media and putting public health at risk. Health Information & Libraries Journal, 38(2), 143–149.
Odikro, M. A., Kenu, E., Malm, K. L., Asiedu-Bekoe, F., Noora, C. L., Frimpong, J., Calys-Tagoe, B., & Koram, K. A. (2020). Epidemiology of COVID-19 outbreak in Ghana, 2020. Ghana Medical Journal, 54(4s), 5–15.
Ofori, A. A., Osarfo, J., Agbeno, E. K., Manu, D. O., & Amoah, E. (2021). Psychological impact of COVID-19 on health workers in Ghana: A multicentre, cross-sectional study. SAGE Open Medicine, 9, 20503121211000920.
Oti-Boadi, M., Malm, E., Dey, N. E. Y., & Oppong, S. (2022). Fear of COVID-19: Psychological distress and coping among university students in Ghana. Current Psychology, 41, 8260–8270.
Owusu, M., Sylverken, A. A., Ankrah, S. T., El-Duah, P., Ayisi-Boateng, N. K., Yeboah, R., Gorman, R., Asamoah, J., Binger, T., & Acheampong, G. (2020). Epidemiological profile of SARS-CoV-2 among selected regions in Ghana: A cross-sectional retrospective study. PLoS One, 15(12), e0243711.
Pang, J., Wang, M. X., Ang, I. Y. H., Tan, S. H. X., Lewis, R. F., Chen, J. I., Gutierrez, R. A., Gwee, S. X. W., Chua, P. E. Y., Yang, Q., Ng, X. Y., Yap, R. K., Tan, H. Y., Teo, Y. Y., Tan, C. C., Cook, A. R., Yap, J. C., & Hsu, L. Y. (2020). Potential rapid diagnostics, vaccine and therapeutics for 2019 Novel Coronavirus (2019-nCoV): a systematic review. Journal of Clinical Medicine, 9(3). https://doi.org/10.3390/jcm9030623
Park, C. L., Russell, B. S., Fendrich, M., Finkelstein-Fox, L., Hutchison, M., & Becker, J. (2020). Americans’ COVID-19 stress, coping, and adherence to CDC guidelines. Journal of General Internal Medicine, 35(8), 2296–2303.
Peprah, V., Buor, D., & Forkuor, D. (2019). Characteristics of informal sector activities and challenges faced by women in Kumasi Metropolis, Ghana. Cogent Social Sciences, 5(1), 1656383.
Pett, M. A., Lackey, N. R., & Sullivan, J. J. (2003). Making sense of factor analysis: The use of factor analysis for instrument development in health care research. Memphis: Sage.
Powell-Jackson, T., King, J. J., Makungu, C., Spieker, N., Woodd, S., Risha, P., & Goodman, C. (2020). Infection prevention and control compliance in Tanzanian outpatient facilities: a cross-sectional study with implications for the control of COVID-19. The Lancet Global Health, 8(6), e780–e789.
Rafieifar, M., Naseh, M., Potocky, M., Zajicek-Farber, M. L., Kim, W., Padilla, B., Reina Ortiz, M., & Lopez, J. A. (2021). Impacts of COVID-19 on refugees and immigrants in the United States: a call for action. International Social Work, 64(5), 771–776.
Robinson, A. L. (2016). Internal borders: ethnic-based market segmentation in Malawi. World Development, 87, 371–384.
Robinson, A. L. (2020). Ethnic diversity, segregation and ethnocentric trust in Africa. British Journal of Political Science, 50(1), 217–239.
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335.
Rubin, G. J., Amlôt, R., Page, L., & Wessely, S. (2009). Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ, 339. Available: https://www.bmj.com/content/339/bmj.b2651. Accessed 6 May 2022.
Salami, B., Mogale, S., Ojo, F., Kariwo, M., Thompson, J., Okeke-Ihejirika, P., & Yohani, S. (2021). Health of African refugee children outside Africa: a scoping review. Journal of Pediatric Nursing, 61, 199–206.
Saltelli, A. (2007). Composite indicators between analysis and advocacy. Social Indicators Research, 81, 65–77.
Setbon, M., & Raude, J. (2010). Factors in vaccination intention against the pandemic influenza A/H1N1. European Journal of Public Health, 20(5), 490–494.
Shannon, K., Hast, M., Azman, A. S., Legros, D., McKay, H., & Lessler, J. (2019). Cholera prevention and control in refugee settings: Successes and continued challenges. PLoS Neglected Tropical Diseases, 13(6), e0007347.
Shewasinad Yehualashet, S., Asefa, K. K., Mekonnen, A. G., Gemeda, B. N., Shiferaw, W. S., Aynalem, Y. A., Bilchut, A. H., Derseh, B. T., Mekuria, A. D., & Mekonnen, W. N. (2021). Predictors of adherence to COVID-19 prevention measure among communities in North Shoa Zone, Ethiopia based on health belief model: a cross-sectional study. PLoS One, 16(1), e0246006.
Simonsen, L., & Viboud, C. (2021). Mortality: a comprehensive look at the COVID-19 pandemic death toll. eLife, 10, e71974.
Singh, A., & Masuku, M. (2014). Sampling techniques and determination of sample size in applied statistics research: An overview. . International Journal of Economics, Commerce and Management, II(11). http://ijecm.co.uk/. Accessed 6 May 2022
Six, F., De Vadder, S., Glavina, M., Verhoest, K., & Pepermans, K. (2021). What drives compliance with COVID‐19 measures over time? Explaining changing impacts with Goal Framing Theory. Regulation & Governance. Available: https://onlinelibrary.wiley.com/doi/full/10.1111/rego.12440. Accessed 9 May 2022.
Suppawittaya, P., Yiemphat, P., & Yasri, P. (2020). Effects of social distancing, self-quarantine and self-isolation during the COVID-19 pandemic on people’s well-being, and how to cope with it. International Journal of Science and Healthcare Research, 5(2), 12–20.
United Nations High Commissioner for Refugees. (2001). Refugee children in Africa. https://www.unhcr.org/statistics/STATISTICS/3b9378e42d.pdf. Accessed 15 May 2022
Uslaner, E. M. (2011). Trust, diversity, and segregation in the United States and the United Kingdom. Comparative Sociology, 10(2), 221–247.
Valenti, G. D., & Faraci, P. (2021). Identifying predictive factors in compliance with the COVID-19 containment measures: A mediation analysis. Psychology Research and Behavior Management, 14, 1325.
van Loenhout, J. A. F., Vanderplanken, K., Scheen, B., Van den Broucke, S., & Aujoulat, I. (2021). Determinants of adherence to COVID-19 measures among the Belgian population: an application of the protection motivation theory. Archives of Public Health, 79(1), 1–15.
Wagner, S. M., Tabaklar, T., & Seifert, L. (2022). HumOSCM for pandemic response. The International Journal of Logistics Management. Available: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1816403. Accessed 10 Dec 2022.
Wang, H., Paulson, K. R., Pease, S. A., Watson, S., Comfort, H., Zheng, P., Aravkin, A. Y., Bisignano, C., Barber, R. M., & Alam, T. (2022). Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality. The Lancet. Available: https://pubmed.ncbi.nlm.nih.gov/35279232/. Accessed 10 Dec 2022.
Weinstein, N. D., & Klein, W. M. (1995). Resistance of personal risk perceptions to debiasing interventions. Health Psychology, 4(2), 132–140.
World Health Organization. (2020). Transmission of SARS-CoV-2: implications for infection prevention precautions: scientific brief, 09 July 2020. Available: https://reliefweb.int/report/world/transmission-sars-cov-2-implicationsinfection-prevention-precautions-scientific-brief?gad_source=1&gclid=CjwKCAiA9ourBhAVEiwA3L5RFh23aGsdgoWRMxGfvb1K7g_HdiJRBpE798n2WDt7PCzkXeeRNcXUxoCAuwQAvD_BwE. Accessed 6 May 2022.
World Health Organization. (2022). WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/. Accessed 5 Dec 2022
Wright, L., & Fancourt, D. (2021). Do predictors of adherence to pandemic guidelines change over time? A panel study of 22,000 UK adults during the COVID-19 pandemic. Preventive Medicine, 153, 106713.
Yamane, T. (1967). Statistics. Harper and Row.
Yeboah, A. S., Takyi, S. A., Amponsah, O., & Anaafo, D. (2020). Assessing the practicality of the COVID-19 social distancing guidelines to the urban poor in the Ghanaian context. Social Sciences & Humanities Open, 2(1), 100087.
Zenbaba, D., Sahiledengle, B., Takele, A., Tekalegn, Y., Yassin, A., Tura, B., Abdulkadir, A., Tesa, E., Tasew, A., & Ganfure, G. (2021). Compliance towards infection prevention measures among health professionals in public hospitals, southeast Ethiopia: a cross-sectional study with implications of COVID-19 prevention. Tropical Medicine and Health, 49(1), 1–11.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics Approval
Ethical approval for the study was sort and obtained from the University of Cape Coast Institutional Review Board (approval number UCC/IRB/CHLS2021/20). Permission was also sort from the Ghana Refugee Board before the conduct of the study.
Consent to Participate
Informed consent, explaining the objectives of the study and its relevance and assuring respondents of anonymity and confidentiality, was sort before interviews were conducted. Informed consent was sort from parents/guardians where selected respondents were below 18 years of age. Participants were also informed about voluntariness prior to data collection. Participants were notified that aborting participation would not result in any demerits to them.
Conflict of Interest
The authors declare no competing interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Sakyi, B., Agblorti, S.K.M. & Johnson, F.A. Camp-Based Refugees’ Adherence to the COVID-19 Protocols at the Peak and Post-Peak of the Pandemic in Two Camps in Ghana. Int. Migration & Integration (2023). https://doi.org/10.1007/s12134-023-01106-9
Accepted:
Published:
DOI: https://doi.org/10.1007/s12134-023-01106-9