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Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A)


The Global Health Initiative (GHI) is a tripartite collaboration among Northwestern University, non-profit donors, and commercial diagnostics companies. GHI attempts to bridge the gap between the market for sophisticated medical diagnostics equipment in wealthy nations and the need for point-of-care diagnostics in resource limited settings. In 2006 GHI narrowed its focus to HIV diagnostics for underserved nations. The case examines the accuracy-access tradeoff related to the roll-out of infant HIV diagnostics in Tanzania. Tanzania has a prevalent HIV/AIDS problem, particularly in children. As of 2007, Tanzania had an estimated 140,000 children infected with HIV. Existing lab-based diagnostic equipment was either inaccurate for use in infants or required highly skilled health workers. Tanzania's limited infrastructure also forced healthcare providers to choose between providing advanced care to a minority of the population and offering minimal care to the majority with poor access. A Kellogg MBA student research team performed more than thirty in-country interviews to collect data on stakeholder perceptions of three infant test concepts: the strip test, the squeeze test, and the filter paper test. Across the three tests, access decreased as accuracy increased-rural labs could not find or afford health workers skilled enough to conduct the test. In general, interviewees closely affiliated with the government preferred accuracy over access. In contrast, private health facilities had to follow fewer regulations and preferred access over accuracy. The case focuses on the decisions facing Kara Palamountain, the executive director of GHI, in her roll-out recommendations for infant HIV tests in Tanzania. It examines key factors of working in a developing country, including the need to operate in the absence of sufficient market research, balance the competing agendas of different stakeholders, and mitigate external risks such as major international funding drying up.

Authors :: Kara Palamountain, Sachin Waikar, Andrea Hanson, Katherine Nelson

Topics :: Leadership & Managing People

Tags :: Emerging markets, Entrepreneurship, Health, Marketing, Product development, Strategy, Technology, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A)" written by Kara Palamountain, Sachin Waikar, Andrea Hanson, Katherine Nelson includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Diagnostics Hiv facing as an external strategic factors. Some of the topics covered in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) case study are - Strategic Management Strategies, Emerging markets, Entrepreneurship, Health, Marketing, Product development, Strategy, Technology and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) casestudy better are - – customer relationship management is fast transforming because of increasing concerns over data privacy, increasing energy prices, competitive advantages are harder to sustain because of technology dispersion, banking and financial system is disrupted by Bitcoin and other crypto currencies, increasing inequality as vast percentage of new income is going to the top 1%, increasing household debt because of falling income levels, wage bills are increasing, there is increasing trade war between United States & China, increasing government debt because of Covid-19 spendings, etc



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Introduction to SWOT Analysis of Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A)


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Diagnostics Hiv, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Diagnostics Hiv 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) can be done for the following purposes –
1. Strategic planning using facts provided in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) case study
2. Improving business portfolio management of Diagnostics Hiv
3. Assessing feasibility of the new initiative in Leadership & Managing People field.
4. Making a Leadership & Managing People topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Diagnostics Hiv




Strengths Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Diagnostics Hiv in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) Harvard Business Review case study are -

Training and development

– Diagnostics Hiv has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) Harvard Business Review case study by analyzing – employees retention, in-house promotion, loyalty, new venture initiation, lack of conflict, and high level of both employees and customer engagement.

Strong track record of project management

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

Effective Research and Development (R&D)

– Diagnostics Hiv has innovation driven culture where significant part of the revenues are spent on the research and development activities. This has resulted in, as mentioned in case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Diverse revenue streams

– Diagnostics Hiv is present in almost all the verticals within the industry. This has provided firm in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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.

Analytics focus

– Diagnostics Hiv is putting a lot of focus on utilizing the power of analytics in business decision making. This has put it among the leading players in the industry. The technology infrastructure suggested by Kara Palamountain, Sachin Waikar, Andrea Hanson, Katherine Nelson can also help it to harness the power of analytics for – marketing optimization, demand forecasting, customer relationship management, inventory management, information sharing across the value chain etc.

Organizational Resilience of Diagnostics Hiv

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

Ability to recruit top talent

– Diagnostics Hiv is one of the leading recruiters in the industry. Managers in the Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Ability to lead change in Leadership & Managing People field

– Diagnostics Hiv is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled Diagnostics Hiv in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Superior customer experience

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

Learning organization

- Diagnostics Hiv is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at Diagnostics Hiv is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Successful track record of launching new products

– Diagnostics Hiv has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Diagnostics Hiv 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.

Digital Transformation in Leadership & Managing People segment

- digital transformation varies from industry to industry. For Diagnostics Hiv digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Diagnostics Hiv 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.






Weaknesses Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) are -

Aligning sales with marketing

– It come across in the case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) can leverage the sales team experience to cultivate customer relationships as Diagnostics Hiv is planning to shift buying processes online.

High cash cycle compare to competitors

Diagnostics Hiv has a high cash cycle compare to other players in the industry. It needs to shorten the cash cycle by 12% to be more competitive in the marketplace, reduce inventory costs, and be more profitable.

Lack of clear differentiation of Diagnostics Hiv products

– To increase the profitability and margins on the products, Diagnostics Hiv needs to provide more differentiated products than what it is currently offering in the marketplace.

Skills based hiring

– The stress on hiring functional specialists at Diagnostics Hiv has created an environment where the organization is dominated by functional specialists rather than management generalist. This has resulted into product oriented approach rather than marketing oriented approach or consumers oriented approach.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A), it seems that the employees of Diagnostics Hiv 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.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Diagnostics Hiv is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Slow decision making process

– As mentioned earlier in the report, Diagnostics Hiv has a very deliberative decision making approach. This approach has resulted in prudent decisions, but it has also resulted in missing opportunities in the industry over the last five years. Diagnostics Hiv even though has strong showing on digital transformation primary two stages, it has struggled to capitalize the power of digital transformation in marketing efforts and new venture efforts.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A), is just above the industry average. Diagnostics Hiv needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

Capital Spending Reduction

– Even during the low interest decade, Diagnostics Hiv has not been able to do capital spending to the tune of the competition. This has resulted into fewer innovations and company facing stiff competition from both existing competitors and new entrants who are disrupting the industry using digital technology.

Products dominated business model

– Even though Diagnostics Hiv 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 - Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A), in the dynamic environment Diagnostics Hiv has struggled to respond to the nimble upstart competition. Diagnostics Hiv has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.




Opportunities Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) | 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) are -

Better consumer reach

– The expansion of the 5G network will help Diagnostics Hiv to increase its market reach. Diagnostics Hiv 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.

Finding new ways to collaborate

– Covid-19 has not only transformed business models of companies in Leadership & Managing People industry, but it has also influenced the consumer preferences. Diagnostics Hiv can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Low interest rates

– Even though inflation is raising its head in most developed economies, Diagnostics Hiv 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.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Diagnostics Hiv 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, Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A), to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Identify volunteer opportunities

– Covid-19 has impacted working population in two ways – it has led to people soul searching about their professional choices, resulting in mass resignation. Secondly it has encouraged people to do things that they are passionate about. This has opened opportunities for businesses to build volunteer oriented socially driven projects. Diagnostics Hiv can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Building a culture of innovation

– managers at Diagnostics Hiv can make experimentation a productive activity and build a culture of innovation using approaches such as – mining transaction data, A/B testing of websites and selling platforms, engaging potential customers over various needs, and building on small ideas in the Leadership & Managing People segment.

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 Diagnostics Hiv 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.

Using analytics as competitive advantage

– Diagnostics Hiv 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Diagnostics Hiv to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Loyalty marketing

– Diagnostics Hiv 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.

Developing new processes and practices

– Diagnostics Hiv can develop new processes and procedures in Leadership & Managing People 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.

Buying journey improvements

– Diagnostics Hiv can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) suggest that firm can provide automated chats to help consumers solve their own problems, provide online suggestions to get maximum out of the products and services, and help consumers to build a community where they can interact with each other to develop new features and uses.

Reforming the budgeting process

- By establishing new metrics that will be used to evaluate both existing and potential projects Diagnostics Hiv can not only reduce the costs of the project but also help it in integrating the projects with other processes within the organization.

Manufacturing automation

– Diagnostics Hiv can use the latest technology developments to improve its manufacturing and designing process in Leadership & Managing People segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.




Threats Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) are -

Increasing wage structure of Diagnostics Hiv

– 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 Diagnostics Hiv.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A), Diagnostics Hiv may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Leadership & Managing People .

Consumer confidence and its impact on Diagnostics Hiv 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.

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 Diagnostics Hiv in the Leadership & Managing People sector and impact the bottomline of the organization.

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents Diagnostics Hiv with greater competitive threats in the near to medium future. Secondly it will also put downward pressure on pricing throughout the sector.

High dependence on third party suppliers

– Diagnostics Hiv 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.

Environmental challenges

– Diagnostics Hiv needs to have a robust strategy against the disruptions arising from climate change and energy requirements. EU has identified it as key priority area and spending 30% of its 880 billion Euros European post Covid-19 recovery funds on green technology. Diagnostics Hiv can take advantage of this fund but it will also bring new competitors in the Leadership & Managing People industry.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of Diagnostics Hiv.

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. Diagnostics Hiv needs to understand the core reasons impacting the Leadership & Managing People industry. This will help it in building a better workplace.

Stagnating economy with rate increase

– Diagnostics Hiv 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.

Regulatory challenges

– Diagnostics Hiv needs to prepare for regulatory challenges as consumer protection groups and other pressure groups are vigorously advocating for more regulations on big business - to reduce inequality, to create a level playing field, to product data privacy and consumer privacy, to reduce the influence of big money on democratic institutions, etc. This can lead to significant changes in the Leadership & Managing People industry regulations.

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.




Weighted SWOT Analysis of Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Balancing Access with Accuracy for Infant HIV Diagnostics in Tanzania (A) 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 Diagnostics Hiv needs to make to build a sustainable competitive advantage.



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