Table 2

Thematic changes over time

ThemeRound 1Round 2Round 3Round 4Round 5
Trust and satisfactionNegative*NegativeLessLessLess
Governance actorsComplex†ComplexComplexComplexComplex
Response planning and implementationVery inadequate‡InadequateInadequateInadequateInadequate
Reliance on social media for COVID-19 informationConsistentConsistentConsistentConsistentConsistent
Public adherence§ and vaccine acceptanceLowIncreasedIncreasedIncreasedLow¶
  • *Strongly negative in government-controlled area (GCA).

  • †High complexity of actors in opposition-controlled area (OCA) and high fragmentation in Autonomous Administration-controlled area (AACA).

  • ‡Lack of transparency in GCA in all rounds.

  • §Increased adherence reported but fluctuated between COVID-19 waves.

  • ¶Considerable pressure to take the vaccine was reported in OCA.