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- + Savings and capital build-up among the organized
poor.
|
- - Economically
disadvantaged majority
|
- + NPF’s present social
franchising technology is the
result of the DOH and years of learning lessons from "foreign experts"
in evolving a delivery system of medicines to the poor. The
franchise package includes revolving stock, monitoring, computerized
accounting systems and training programs.
- + Government people are experienced in tri-partite
program
implementation, so are relatively easier to work with, reasonable,
transparent and accountable in joint programs.
- + PEF committed to support the project’s
institutional and client
development, and willing to provide leverage for AFON to
advance.
|
- - Local DOH-BFAD and
RHUs are not so aware / convinced of the NPF being a serious national
government health program.
|
- + Elongated seacoast (marine
resources) to
the west, and the Madya-as Mountain range (forest resources) to the
east.
- + Not along the typhoon path, not vulnerable to
natural disasters
|
- - More than half of land
area not suitable for agriculture because of the steep slope and
serious erosion problem
- - Denuded forests
- - Dwindling marine resources due to illegal fishing
and over-fishing
|
- + People organizations and
processes. Network
of primary coops, people organizations, self-help groups, coalitions
and alliances in the province with well-established by-laws, policies
and systems. Many potential owning
organizations that can manage and operate a Health Plus Outlet retail
franchise.
- + Area coverage, dispersal and years in existence.
AFON is
present in all the eighteen municipalities so there is no
need to establish a new group to reach out to far-flung
places. Most of these organizations have existed for over a
decade. AFON has almost twenty years of experience working as
a network with heterogeneous interests but finding ways to work as one.
- + Economic structures and processes. Multi-purpose
coops are
a significant economic force in some municipalities operating a credit
union, consumers’ store, cable TV and other services.
- + Enabling laws and enforcement of laws. The Law on
Generic Drugs and
the Botika ng Barangay (BnB) law promote generics and the
establishment of community pharmacy outlets that will make medicines
affordable and accessible to the poor. DOH-BFAD
monitors distribution of drugs, maintains standards.
- + Governance. Existence of Provincial Development
Council, Municipal
Development Council where AFON is represented; existence of Barangay
Development Councils, but not in all barangays +
|
- - Devolved health
department has cut down resources for public health services including
hospital care, free medicines, and other health services.
- - Problematic financial sustainability of AFON
secretariat
operations; some NGO and PO organizations are
oriented more towards advocacy rather than economics
|
- + Resourceful and influential
AFON executive
director. He works late hours, constantly looks for solutions
to problems along the way, and thinks about future
possibilities. + General competence and professionalism of AFON
affiliates in managing
service-oriented businesses particularly in running successful
cooperatives
- + Presence of personnel in barangay RHUs: doctors,
barangay health
workers (BHW) and barangay nutrition scholars (BNS)
|
- - Half the population of
Antique live below the poverty line;
- - Provincial health status indicators below national
average;
prevalence of preventable diseases;
- - Some of AFON people organizations are not
business-oriented/enterprising, more inclined to advocacy work;
- - BHWs and BNS who will be tapped as HPO operators
have limited
backgrounds in selling, recording or preparing financial statements.
- - Some medical personnel are also into the
pharmaceuticals business and
views HPOs as competitors.
|
- + AFON and their member
organizations on the ground
have harmonious relationships with the LGU’s established through the
years either as professional partners or as personal friends.
- + Tradition of "cooperativism" – a profitable
business owned, operated
and serving its members. Major businesses are operated by
cooperatives – consumers’ store, credit coops, cable TV, etc.
- + "Captured market" – AFON has many individual
members who can
patronize Health Plus outlets
|
- - "Branded is better
than generics" mentality among the general populace and some RHU
personnel.
- - Negative attitude of people to Botika ng Barangay
(BnB); failure of
original government program so that many regard HPOs as no different
from the BnBs of some years back.
|
- + Paved highways, roads and
bridges connecting all
Antique municipalities to Iloilo in the south and Aklan in the north;
affordable fares – bus, jeeps, tricycles and V-Hires; available public
transportation
- + Electricity available in all the municipalities
- + Buildings (RHU) and coop offices that can offer
space for the Health
Plus Outlet
|
- - Rough farm to market
roads, barangay roads
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