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Community Health Workers in Zambia: Incentive Design and Management SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Community Health Workers in Zambia: Incentive Design and Management


This case examines the various considerations relevant to selecting and compensating workers in a context where their work involves a pro-social component. This is relevant to not only health care in Zambia, but to NGO and public sector workers who are both motivated by the mission of their positions and the remuneration. Zambia was facing a healthcare human resource crisis with less than half of the healthcare workers needed to meet health needs. Yet, it was simultaneously burdened by high incidence of diseases such as HIV/AIDS, TB, malaria, malnutrition, and respiratory and diarrheal diseases. The Zambian Ministry of Health (MoH) realized that in the short term, it would be impossible to train the number of doctors and nurses needed to fill this gap. Thus, they were considering incorporating the primarily volunteer community health worker (CHW) force into salaried health workers of the MoH. Given the high level of personal commitment and dedication combined with the proper education and skill needed to be an effective community health worker, the MoH was struggling to identify the best strategy to recruit and retain motivated and capable CHWs.

Authors :: Nava Ashraf, Natalie Kindred

Topics :: Organizational Development

Tags :: Emerging markets, Health, Motivating people, Talent management, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Community Health Workers in Zambia: Incentive Design and Management" written by Nava Ashraf, Natalie Kindred includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Moh Zambia facing as an external strategic factors. Some of the topics covered in Community Health Workers in Zambia: Incentive Design and Management case study are - Strategic Management Strategies, Emerging markets, Health, Motivating people, Talent management and Organizational Development.


Some of the macro environment factors that can be used to understand the Community Health Workers in Zambia: Incentive Design and Management casestudy better are - – central banks are concerned over increasing inflation, competitive advantages are harder to sustain because of technology dispersion, digital marketing is dominated by two big players Facebook and Google, increasing household debt because of falling income levels, there is backlash against globalization, geopolitical disruptions, increasing inequality as vast percentage of new income is going to the top 1%, cloud computing is disrupting traditional business models, supply chains are disrupted by pandemic , etc



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Introduction to SWOT Analysis of Community Health Workers in Zambia: Incentive Design and Management


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Community Health Workers in Zambia: Incentive Design and Management case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Moh Zambia, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Moh Zambia operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Community Health Workers in Zambia: Incentive Design and Management can be done for the following purposes –
1. Strategic planning using facts provided in Community Health Workers in Zambia: Incentive Design and Management case study
2. Improving business portfolio management of Moh Zambia
3. Assessing feasibility of the new initiative in Organizational Development field.
4. Making a Organizational Development topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Moh Zambia




Strengths Community Health Workers in Zambia: Incentive Design and Management | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Moh Zambia in Community Health Workers in Zambia: Incentive Design and Management Harvard Business Review case study are -

Superior customer experience

– The customer experience strategy of Moh Zambia in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Successful track record of launching new products

– Moh Zambia has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Moh Zambia has effective processes in place that helps in exploring new product needs, doing quick pilot testing, and then launching the products quickly using its extensive distribution network.

Cross disciplinary teams

– Horizontal connected teams at the Moh Zambia are driving operational speed, building greater agility, and keeping the organization nimble to compete with new competitors. It helps are organization to ideate new ideas, and execute them swiftly in the marketplace.

Digital Transformation in Organizational Development segment

- digital transformation varies from industry to industry. For Moh Zambia digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Moh Zambia has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.

Organizational Resilience of Moh Zambia

– The covid-19 pandemic has put organizational resilience at the centre of everthing that Moh Zambia does. Organizational resilience comprises - Financial Resilience, Operational Resilience, Technological Resilience, Organizational Resilience, Business Model Resilience, and Reputation Resilience.

Operational resilience

– The operational resilience strategy in the Community Health Workers in Zambia: Incentive Design and Management Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Low bargaining power of suppliers

– Suppliers of Moh Zambia in the sector have low bargaining power. Community Health Workers in Zambia: Incentive Design and Management has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Moh Zambia to manage not only supply disruptions but also source products at highly competitive prices.

Ability to recruit top talent

– Moh Zambia is one of the leading recruiters in the industry. Managers in the Community Health Workers in Zambia: Incentive Design and Management are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Diverse revenue streams

– Moh Zambia is present in almost all the verticals within the industry. This has provided firm in Community Health Workers in Zambia: Incentive Design and Management case study a diverse revenue stream that has helped it to survive disruptions such as global pandemic in Covid-19, financial disruption of 2008, and supply chain disruption of 2021.

Strong track record of project management

– Moh Zambia is known for sticking to its project targets. This enables the firm to manage – time, project costs, and have sustainable margins on the projects.

Highly skilled collaborators

– Moh Zambia has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Community Health Workers in Zambia: Incentive Design and Management HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Innovation driven organization

– Moh Zambia is one of the most innovative firm in sector. Manager in Community Health Workers in Zambia: Incentive Design and Management Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.






Weaknesses Community Health Workers in Zambia: Incentive Design and Management | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Community Health Workers in Zambia: Incentive Design and Management are -

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Community Health Workers in Zambia: Incentive Design and Management, it seems that the employees of Moh Zambia don’t have comprehensive understanding of the firm’s strategy. This is reflected in number of promotional campaigns over the last few years that had mixed messaging and competing priorities. Some of the strategic activities and services promoted in the promotional campaigns were not consistent with the organization’s strategy.

Aligning sales with marketing

– It come across in the case study Community Health Workers in Zambia: Incentive Design and Management that the firm needs to have more collaboration between its sales team and marketing team. Sales professionals in the industry have deep experience in developing customer relationships. Marketing department in the case Community Health Workers in Zambia: Incentive Design and Management can leverage the sales team experience to cultivate customer relationships as Moh Zambia is planning to shift buying processes online.

Low market penetration in new markets

– Outside its home market of Moh Zambia, firm in the HBR case study Community Health Workers in Zambia: Incentive Design and Management needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Need for greater diversity

– Moh Zambia has taken concrete steps on diversity, equity, and inclusion. But the efforts so far has resulted in limited success. It needs to expand the recruitment and selection process to hire more people from the minorities and underprivileged background.

Workers concerns about automation

– As automation is fast increasing in the segment, Moh Zambia needs to come up with a strategy to reduce the workers concern regarding automation. Without a clear strategy, it could lead to disruption and uncertainty within the organization.

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Community Health Workers in Zambia: Incentive Design and Management HBR case study still accounts for major business revenue. This dependence on star products in has resulted into insufficient focus on developing new products, even though Moh Zambia has relatively successful track record of launching new products.

Slow to strategic competitive environment developments

– As Community Health Workers in Zambia: Incentive Design and Management HBR case study mentions - Moh Zambia takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.

Products dominated business model

– Even though Moh Zambia has some of the most successful products in the industry, this business model has made each new product launch extremely critical for continuous financial growth of the organization. firm in the HBR case study - Community Health Workers in Zambia: Incentive Design and Management should strive to include more intangible value offerings along with its core products and services.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Community Health Workers in Zambia: Incentive Design and Management, in the dynamic environment Moh Zambia has struggled to respond to the nimble upstart competition. Moh Zambia has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

No frontier risks strategy

– After analyzing the HBR case study Community Health Workers in Zambia: Incentive Design and Management, it seems that company is thinking about the frontier risks that can impact Organizational Development strategy. But it has very little resources allocation to manage the risks emerging from events such as natural disasters, climate change, melting of permafrost, tacking the rise of artificial intelligence, opportunities and threats emerging from commercialization of space etc.

Interest costs

– Compare to the competition, Moh Zambia has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.




Opportunities Community Health Workers in Zambia: Incentive Design and Management | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Community Health Workers in Zambia: Incentive Design and Management are -

Low interest rates

– Even though inflation is raising its head in most developed economies, Moh Zambia can still utilize the low interest rates to borrow money for capital investment. Secondly it can also use the increase of government spending in infrastructure projects to get new business.

Better consumer reach

– The expansion of the 5G network will help Moh Zambia to increase its market reach. Moh Zambia will be able to reach out to new customers. Secondly 5G will also provide technology framework to build new tools and products that can help more immersive consumer experience and faster consumer journey.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Moh Zambia in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Organizational Development segment, and it will provide faster access to the consumers.

Using analytics as competitive advantage

– Moh Zambia has spent a significant amount of money and effort to integrate analytics and machine learning into its operations in the sector. This continuous investment in analytics has enabled, as illustrated in the Harvard case study Community Health Workers in Zambia: Incentive Design and Management - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Moh Zambia to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Increase in government spending

– As the United States and other governments are increasing social spending and infrastructure spending to build economies post Covid-19, Moh Zambia can use these opportunities to build new business models that can help the communities that Moh Zambia operates in. Secondly it can use opportunities from government spending in Organizational Development sector.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Moh Zambia is facing challenges because of the dominance of functional experts in the organization. Community Health Workers in Zambia: Incentive Design and Management case study suggests that firm can utilize new technology to build more coordinated teams and streamline operations and communications using tools such as CAD, Zoom, etc.

Loyalty marketing

– Moh Zambia has focused on building a highly responsive customer relationship management platform. This platform is built on in-house data and driven by analytics and artificial intelligence. The customer analytics can help the organization to fine tune its loyalty marketing efforts, increase the wallet share of the organization, reduce wastage on mainstream advertising spending, build better pricing strategies using personalization, etc.

Creating value in data economy

– The success of analytics program of Moh Zambia has opened avenues for new revenue streams for the organization in the industry. This can help Moh Zambia to build a more holistic ecosystem as suggested in the Community Health Workers in Zambia: Incentive Design and Management case study. Moh Zambia can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Reconfiguring business model

– The expansion of digital payment system, the bringing down of international transactions costs using Bitcoin and other blockchain based currencies, etc can help Moh Zambia to reconfigure its entire business model. For example it can used blockchain based technologies to reduce piracy of its products in the big markets such as China. Secondly it can use the popularity of e-commerce in various developing markets to build a Direct to Customer business model rather than the current Channel Heavy distribution network.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Moh Zambia can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, Community Health Workers in Zambia: Incentive Design and Management, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Learning at scale

– Online learning technologies has now opened space for Moh Zambia to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

Developing new processes and practices

– Moh Zambia can develop new processes and procedures in Organizational Development industry using technology such as automation using artificial intelligence, real time transportation and products tracking, 3D modeling for concept development and new products pilot testing etc.

Leveraging digital technologies

– Moh Zambia can leverage digital technologies such as artificial intelligence and machine learning to automate the production process, customer analytics to get better insights into consumer behavior, realtime digital dashboards to get better sales tracking, logistics and transportation, product tracking, etc.




Threats Community Health Workers in Zambia: Incentive Design and Management External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Community Health Workers in Zambia: Incentive Design and Management are -

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. Moh Zambia will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Moh Zambia needs to understand the core reasons impacting the Organizational Development industry. This will help it in building a better workplace.

Increasing wage structure of Moh Zambia

– Post Covid-19 there is a sharp increase in the wages especially in the jobs that require interaction with people. The increasing wages can put downward pressure on the margins of Moh Zambia.

Technology acceleration in Forth Industrial Revolution

– Moh Zambia has witnessed rapid integration of technology during Covid-19 in the Organizational Development industry. As one of the leading players in the industry, Moh Zambia needs to keep up with the evolution of technology in the Organizational Development sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.

Aging population

– As the populations of most advanced economies are aging, it will lead to high social security costs, higher savings among population, and lower demand for goods and services in the economy. The household savings in US, France, UK, Germany, and Japan are growing faster than predicted because of uncertainty caused by pandemic.

New competition

– After the dotcom bust of 2001, financial crisis of 2008-09, the business formation in US economy had declined. But in 2020 alone, there are more than 1.5 million new business applications in United States. This can lead to greater competition for Moh Zambia in the Organizational Development sector and impact the bottomline of the organization.

High dependence on third party suppliers

– Moh Zambia high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Moh Zambia in the Organizational Development industry. The Organizational Development industry is already at various protected from local competition in China, with the rise of trade war the protection levels may go up. This presents a clear threat of current business model in Chinese market.

Consumer confidence and its impact on Moh Zambia demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Easy access to finance

– Easy access to finance in Organizational Development field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Moh Zambia can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

Stagnating economy with rate increase

– Moh Zambia can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

Shortening product life cycle

– it is one of the major threat that Moh Zambia is facing in Organizational Development sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Community Health Workers in Zambia: Incentive Design and Management, Moh Zambia may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Organizational Development .




Weighted SWOT Analysis of Community Health Workers in Zambia: Incentive Design and Management Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Community Health Workers in Zambia: Incentive Design and Management needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Community Health Workers in Zambia: Incentive Design and Management is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Community Health Workers in Zambia: Incentive Design and Management is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Community Health Workers in Zambia: Incentive Design and Management is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Moh Zambia needs to make to build a sustainable competitive advantage.



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