TY - JOUR AB - Purpose Zika virus (ZIKV) statistics in Honduras are the highest among countries in Central America. National risk communication strategies have primarily focused on vector control and are integrated into existing approaches for Dengue and Chikungunya. Given the new evidence on ZIKV, there is a need to revamp risk communication strategies so that they are informed by dynamic listening methods such as knowledge, attitudes, and practices. The paper aims to discuss this issue.Design/methodology/approach A cross-sectional survey was administered to 604 respondents in 21 designated Honduran communities using a two-stage, 30-cluster sampling method.Findings Almost eight out of ten Hondurans knew that Zika can be transmitted by the bite of a mosquito; however, only 2 and 0.1 percent, respectively, were aware that Zika can be spread by sexual intercourse and from a pregnant woman to her fetus. In total, four out of ten Hondurans knew that there is a causal relationship between Zika and microcephaly in newborns, and three out of ten knew that there is an association between Zika and Guillian-Barré syndrome. Overall, 50 percent of respondents said that they did not have enough information about the disease.Social implications The findings of this study clearly identify information priority gaps that need to be urgently addressed by national stakeholders involved in public health activities to protect the most vulnerable population against Zika disease and its complications.Originality/value This study is the first of its kind in Central America to inform any national risk communication strategy since the inception of the ZIKV response, particularly among at risk populations. VL - 22 IS - 2 SN - 2059-4631 DO - 10.1108/IJHG-11-2016-0053 UR - https://doi.org/10.1108/IJHG-11-2016-0053 AU - Rosales Alfonso AU - Yepes-Mayorga Adriana AU - Arias Alejandro AU - Franz Fabiano AU - Thomas Joanne AU - Huddle Jamo AU - Soto Ramón Jeremías AU - Haynes Maya AU - Prado Monica AU - Cherian Dennis PY - 2017 Y1 - 2017/01/01 TI - A cross-sectional survey on ZIKV in Honduras: Implications for governance and risk communication approaches T2 - International Journal of Health Governance PB - Emerald Publishing Limited SP - 83 EP - 92 Y2 - 2024/04/16 ER -