Juggling mid-level managerial responsibilities and clinical service provision has been highlighted as challenging in other settings in sub-Saharan Africa.
Today, those aides spread the blame on cable TV and only former mid-level officials take responsibility.
Egypt, in the throes of a convoluted post-revolt transition, is bracing itself for renewed street violence when a Cairo court announces its verdict on January 26 in the case against 73 people, including nine mid-level security officials, accused of responsibility for the death a year ago of 74 soccer fans in a politically charged brawl in the Suez Canal city of Port Said.
While responsible for running or coordinating activities related to HIV or TB control, these mid-level managers also had clinical responsibilities and treated patients as part of their routine activities at individual health centers and hospitals.
While it may be difficult for the MOH to assume Care Group supervision responsibilities if scarce mid-level human resources are required, prospects may be better if these responsibilities are tasked to under-utilized lower level human resources, such as the assistant nurses.
A source close to the administration said that "no more high-ranking people will move" any time soon, though some mid-level employees may change jobs as responsibilities are sorted out.
The monitor's filings include this stunning assertion: "Currently, there are approximately 80 high-ranking or mid-level current city employees with significant responsibilities who are directly implicated in illegal employment practices".
Task shifting was also said to decrease the waiting time to see the clinician when low-and mid-level health care providers are taking additional responsibilities and share the tasks of the physician".
This ethics case provides the focus of a discussion about managerial ethics issues as they affect mid-level officials (in this instance, school principals), caught between legal responsibilities and responsibilities to religious authorities and boards of directors.
But as the Fortune Thousand have become larger and more global over the last three decades, advertising responsibility has been pushed down to mid-level employees who often have neither the authority nor experience to risk identifying new pathways for advertising value.
We remain intrigued by a patient-centered medical home model of team-based care in which - instead of physicians - mid-level providers, including nurse practitioners and physician's assistants, assume greater responsibility for the provision of primary prevention services [ 16].
