Table 2.

Interview findings mapped onto the Theoretical Domains Framework

Domain	Findings
Knowledge	Participants were aware of COVID-19 and knew its symptoms, how it is transmitted, how it can be diagnosed, and how it can be prevented. Participants were less knowledgeable about COVID-19 vaccines and wanted more information on this topic. Misconceptions about the COVID-19 vaccine existed.
Emotion	Fear of COVID-19 infectiousness and lethality motivated risk mitigation strategy adoption. A lack of knowledge regarding COVID-19 testing procedures resulted in fear of testing. Stigmatization of individuals with COVID-19 decreased over time.
Environmental Context and Resources	Adaptations to the physical spaces and activities in refugee settlements facilitated social distancing. Lack of supplies limited the ability to sanitize hands and disinfect surfaces. The provision of masks, supplies required for home handwashing stations and soap facilitated masking and hand washing practices. High-density housing and communal living practices made social distancing and isolating at home challenging. Basic survival needs limited the ability to stay at home to avoid crowded places and quarantine.
Goals	Individuals adopted COVID-19 risk mitigation strategies to protect themselves and their family from COVID-19. COVID-19 vaccination was thought to facilitate return to income generating activities.
Beliefs about consequences	The perception of risk of contracting severe disease associated with not following prevention measures depended on COVID-19 prevalence and beliefs surrounding COVID-19 vaccine effectiveness. Low risk perception was associated with decreased adoption of prevention measures.
Social influences	Most participants reported making their own decisions about whether or not to accept the COVID-19 vaccine. In some cases, participants accepted COVID-19 vaccination following encouragement from health workers or family members.
Reinforcement	COVID-19 prevention guidelines were reinforced formally and informally through social pressure, punitive action for non-adherence and by making adherence a requirement to access vital services.

*Based on Cane et al.[27]