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Using a SWOT Analysis
Instead of using the Force Field Analysis,
Mrs. Alvarez and the team could have used the SWOT analysis to determine the
forces that promote or hinder the health center's achievement of its mission.
The difference between the Force Field Analysis and the SWOT analysis is in
the classification of "driving" and "restraining" forces into "internal" and
"external" ones. The team could have analyzed the health center's strengths
and weaknesses, and the external environment's opportunities and threats, as
in the following chart. In this case, the first step consists of organizing
the forces that resulted from the brainstorming session along the two variables
(internal and external) as either positive or negative. The next step would then
be the generation of alternatives, as can be seen in the chart below.
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INTERNAL |
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Strengths
- willingness of staff to change
- good location of health center
- perception of quality of services
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Weaknesses
- staff lack of motivation
- small building
- paperwork and bureaucracy
- cultural differences with users
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E
X
T
E
R
N
A
L |
Opportunities
- support of local government
- high felt need of users
- little competition
- internationally funded projects
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SO Alternatives
- training of staff in interactive techniques of quality improvement
- coordination with other providers to cover all user needs
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WO Alternatives
- remodeling of facility with local government funds and international help
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Threats
- low income of users
- bad roads
- low salaries
- lack of budget
- paradigms of providers
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ST Alternatives
- cost recovery of drugs and lab supplies with user fees
- payment of incentives to staff based on performance
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WT Alternatives
- review of procedures for decreasing costs and waiting times and increasing
perceived quality
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Case Study
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