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and vaccine carriers drew calls for “the Ministry of Health and the Ghana Health Service to adopt steps to increase the availability of vaccine logistics across districts within the country.” This comes to suggest that government needs to adopt necessary measures to ensure the supply of required capacity and the number of CCE and related accessories in districts with gaps.

The health facilities, it noted, observed strict adherence to safety and hygiene protocols, a phenomenon largely attributed to the operators' deeper understanding of the risks, coupled with, in some instances, rst-hand experience of the horrors of being infected. Most vaccination facilities o ered discrete waiting spaces for vaccine recipients to rest and be monitored for any immediate negative e ects. Hand hygiene amenities like alcohol-based sanitizers were also readily available.

Teachers and health professionals were given priority by the NDVP for the immunization exercise because of their susceptibility to contracting the virus. Despite this high vaccination rate, 1 in 10 medical profession- als and 13.5 percent of teachers who had not received the immunizations stated concerns about side e ects, a lack of knowledge about the safety and adverse e ects of the vaccines, and doubts about their e cacy as justi cations.

On account of the above, SEND recommended that the Ghana Health Service organize NDVP refresher training for its employees. Inasmuch as monitoring results indicate compliance was generally good, such a move would improve the NDVP guideline compliance rate. Health Directorates are encouraged to sustain the vaccine promotion e orts/campaigns to contribute to the attainment of the country’s herd immunity target with an emphasis on assuaging concerns over possible side e ects and safety, which featured prominently.

Furthermore, building on the concern of respondents for the well-being of their close associates, it was recommended that the COVID-19 vaccination communication messages “should focus on the protection of family members and friends from the disease and possible deaths and less on mandates restricting access to services and