The effectiveness of internal control systems in risk management: a study of health Institutions in Northern Region

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The concept of internal control is just as relevant to government organization as it is to profit seeking organizations, Inadequate internal control systems can hinder both management and employees' responsibilities and place them in a position where they may be tempted to engage in questionable activities and accounting practices, or could subject individuals to unwarranted accusations of such activities. This study was designed to evaluate the effects of internal control systems in risk management in Ghana Health Service, Tamale. A questionnaire was used to collect data regarding internal control systems currently in place in Ghana Health Service. The findings revealed that there were internal controls in Ghana Health Service; however they are not operating effectively. The study also found out that the internal audit unit lacked personnel and that was affecting its roles of monitoring compliance of internal control policies. In order to improve on the effectiveness of the controls it is recommended that more personnel be employed to improve the staffing situation. Also government should give separate funding to the internal audit unit.  
A thesis submitted to the Department of Accounting and Finance Kwame Nkrumah University of Science and Technology In partial fulfillment of the requirement for the degree of Master of Business Administration (Accounting), 2008