1. Barrier Analysis for Zika Prevention
Anna Yu
Vivian Chan, Rural Research Assistant
Identify barriers in using family planning
methods to prevent Zika in Nejapa,
Managua, Nicaragua.
Purpose
Significance
Significant Barriers:
Outcomes
• Community Health Workers and staff
developed interventions to reduce
these barriers.
• Lesson plans on Zika prevention were
created for future community groups.
Evaluation
I would like to thank Vivian Chan, my
preceptor, Dr. Laura Parajon, the co-
director of AMOS, and all the members of
the research team.
Acknowledgements
Females:
• Access to products/services
• Perceived positive and
negative consequences
• Perceived severity
• Perceived social norms
• Policy
Males:
• Perceived self-efficacy
• Perceived positive and
negative consequences
• Perceived social norms
• Perceived divine will
Methodology
Barrier Analysis model
1. Develop the Survey:
Female Doer: A sexually active female who has
received a contraceptive injection in the past year.
Female Non-Doer: A sexually active female who
hasn’t received a contraceptive injection in the past
year.
Male Doer: A sexually active male who has used a
condom at least once in the past 5 sexual
encounters .
Male Non-Doer: A sexually active male who hasn’t
used a condom at least once in the past 5 sexual
encounters.
Develop survey questions from the Determinants:
1. Perceived self-efficacy
2. Perceived social norms
3. Perceived positive and negative consequences
4. Access to products/services
5. Perceived susceptibility
6. Perceived severity
7. Perceived action efficacy
8. Perceived divine will
9. Policy and laws
10. Cues/reminders to do the behavior
2. Collect Field Data:
Surveyed 50 Female Doers, 43 Female Non-doers
42 Male Doers , 52 Male Non-Doers
3. Analyze the Data
Identify significant differences in data between
Doers and Non-Doers
• World Health Organization declared Zika
virus a Public Health Emergency of
International Concern in February 2016
• Zika can cause microcephaly and serious
neurological disorders in infants.
• Nicaragua: In September 2016
• Identified 1,800 cases of Zika
• 986 cases were pregnant women