As the ranks of managers bloat, less money may be going to service delivery in some health districts as about half of districts report they do not have the managers, money or control to do their jobs properly. This is according to a study recently conducted by the Pretoria-based Foundation for Professional Development (FPD), which provides on-going training to health workers and technical assistance to some districts. As part of the research, FPD surveyed about 240 senior managers from almost half of the country’s health districts to find out what has gone wrong with district health care….more