Management of internally generated funds in public hospitals: a case stud y of the cape coast metropolitan hospital cape coast, central region of Ghana

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Ghana in recent times is facing severe challenges on healthcare funding by the government. This is worrying as a rising country where poverty level among the populations is high. It is vital that the state must show commitment in reversing this development by resourcing the public hospitals adequately to carry on its mandate. The purpose of this study was to assess the management of internally generated fund in a public hospital in Ghana. Cape Coast Metropolitan Hospital in the Central Region of Ghana was purposively selected for the study. The study employed the quantitative approach by designing closed-ended questionnaires to solicit appropriate numerical data necessary to address the study objectives. In carrying out the study to address the problems or challenges associated with management of internally generated fund, a total of fifty-six (56) respondents were drawn from a total population of sixty-five (65), the entire staff of the Cape Coast Metropolitan Hospital who were directly or indirectly involved in the revenue administration and mobilization as at Jul y, 2020 (Cape Coast Metropolitan Hospital Report, 2019). The study adds to the bod y of existing knowledge on internally generated fund (IGF).The key findings from the study indicate that, IGF is the most reliable source of funds to Public Hospitals in Ghana. However, in ranking the sources of IGF, out-patient department (OPD) services, consultation, and laboratory services respectively are the top three services that raise enough IGF to Cape Coast Metropolitan Hospital. The study recommends that the hospitals should be encouraged to increase IGF by being innovative in creating other unique services for the high-class clients who can afford to spend as extra source of finance. In addition, funds must be spend prudently and supervisory procedures must be in place to address inefficiency of the hospital systems.
A Thesis submitted to the Department of Accounting and Finance College of Humanities and Social Sciences in partial fulfilment of the requirements for the degree of master of science in accounting and finance