Logic Model

Puerto Rico Zika Response Logic Model
OUTCOMES

Purpose: To assess the delivery and effects of interventions intended to protect pregnant women from Zika virus infections and the
birth defects that Zika virus can cause in their babies.

INPUTS

Community-level interventions

Individual actions for Pregnant Women

Fundamental
resources needed to
meet project goals

PRDOH

ACTIVITIES
Draws on resources to
support project goals

OUTPUTS
Delivered serves or
products resulting
from activities

Zika Education (WIC)

Educated pregnant
women

Zika Prevention Kits

Equipped pregnant
women

Communication with
•
Clinicians
•
Laboratories
•
News media
•
Social media

Clear protocols and
communications that
support actions to
prevent or respond to
Zika virus infections.

ORS/IRS of homes
and larviciding
around home

Fewer mosquitoes inside
and around the homes of
pregnant women

CDC
CDC Foundation
Clinicians
Laboratories
Media
Vector control
service
providers

Outreach staff in
PRDOH, CDC,
Environmental
Health
CDC Foundation,
Gates, RTI
Vector staff
Partnerships
with
• Municipalities
• Communitybased
organizations

Communications
Campaigns

Educated and mobilized
community members
regarding PPB’s

Strategic plan for
outreach
•
Outreach by MRC
volunteers
•
Outreach Pilot in 3
communities with
few Zika cases

Educated and mobilized
volunteers at different
levels of community and
in different sectors of
society

Community engagement
around vector control
activities in the
community (Train the
trainers with churches,
etc.)

• Community support
for VCA’s
• Educated and
mobilized community
leaders and members
regarding VCAs

*Personal protection behaviors (PPB’s) = using repellent, wearing clothing, sleeping under bed net, removing
accumulated water, using condoms or abstaining from sexual intercourse, or installing/repairing window or door
screens.
*Vector control activities (VCA’s)=cleaning up communities (source reduction), using larvicides, and spraying
insecticides: aerial, indoor, and outdoor

Short Term

Changes resulting from activities and outputs

Pregnant women
know how to
protect themselves
from Zika infection

Intermediate

Pregnant women
have what is
needed to protect
themselves

Pregnant
women intend
to perform
personal
protection
behaviors

Pregnant women
know the signs &
symptoms of Zika
virus infection
Doctor knows how
to get Zika tests of
pregnant women
and how to care for
them

Pregnant
women request
vector control
strategies

Pregnant women
report initiation
of personal
protection
behaviors

Pregnant women
schedule vector
control service

Pregnant women
understand the risks
and benefits of
offered vector
control services
Campaign messages reach
community.
Everyone is aware of threat and
knowledgeable of steps to take
to prevent Zika infections

Everyone is
motivated
to
participate
in Zika
prevention

Everyone
reports
taking
action
and/or
encouraging
others to
take action
for Zika
prevention

Long Term
Pregnant
women report
sustained
performance of
personal
protection
behaviors
through birth
of baby
Pregnant
women report
receipt of
vector control
service (and
reports
satisfaction
with service)
Pregnant
women report
feeling that the
community is
taking action to
prevent Zika

Community volunteers in multiple sectors (education, housing, economic development, recreation, faith, and health
care) take action for preventing Zika
Community
leaders know VCA
options and
engage
communities with
options

•
•
•
•

Community leaders
and members
discuss and decide
which VCA options
are best for their
community

Community
leaders and
members
implement VCAs
in their
community

Community
leaders and
members
evaluate effects
of VCAs in their
community

Reduced
incidence of Zika
virus infections
among pregnant
women and
reduced incidence
of Zika-caused
birth defects

Reduced
incidence of Zika
virus-associated
Guillian-Barre
Syndrome

Reduced
incidence of
Chikungunya and
Dengue infections

Communities
have
systematic and
sustainable
VCAs

Confidence that if everyone does their part (works together), Puerto Rico can be protected from Zika
Belief that the government and the community wants to protect them
Trust in government (PRDOH, CDC, municipalities
Community understands their role in preventing Zika virus transmission and how their actions can help protect people in the community,
especially pregnant women and their babies