This research work concentrates upon Effective Internal Control System as a Means of Fraud Prevention and Detection in Hospital Management.  It will also review the usefulness of internal control in the prevention and detection of fraud and irregularities in business organizations like Hospital.  Chapter one deals with the background of the study, statement of the study, objective of the study, research questions, significance of the study, scope of the study, as well as the limitation of the study.  Chapter two entails the literature review on the internal control system, audit supervision and control, internal control that should be put in place in internal audit, weakness of internal control system, qualification of an internal auditor, types and essentials of internal control and limitation of internal control.  Chapter three is the research methodology which contains the source of data collection, population of the study, sample of the study, design of the study, validation of instrument, reliability of instrument, instrument for data collection and method of data analysis.  The chapter four deals with the presentation and analysis of data, while chapter five contains summary of findings, conclusion and recommendations.
Chapter One - Introduction
1.1    Background of the study                         
1.2    Statement of problem                            
1.3     Objective of the study                             
1.4    Research Question                        
1.5    Significance of the study                         
1.6    Scope of the Study                        
1.7    Limitation of the Study                        
1.8    Brief History of Aluta Hospital                
1.9    Definition of Terms                        

Chapter Two - Literature Review                             
2.1    Introduction                                
2.2    Internal Control System                    
2.3    Audit Supervision and Control                
2.4    Internal Controls that should be put in Place in Internal Audit    
2.5    Weakness of Internal Control System            
2.6    Qualification of an Internal Auditor                    
2.7    Types and Essential of Internal Control                
2.8    Limitation of Internal Control                        
2.9    Summary of Literature Reviewed                
2.10    Nature of Fraud                                
2.11    Purpose of Fraud Investigation                    
2.12    Duties to Prevent and Control Fraud (The Role of Auditor)    
Chapter Three - Research methodology
3.1    Introduction                                
3.2    Research design                         
3.3    Population of the Study                    
3.4    Sample Size                                 
3.5    Sources of Data Collection                        
3.6    Validity of the Instrument                        
3.7    Reliability of the Instrument                        
3.8    Method of Data Collection                    
3.9    Method of Data Analysis                    
Chapter Four - Data Analysis and Presentation     
4.1    Introduction                            
4.2    Questionnaire Administered                    
Chapter Five - Summary Conclusion and Recommendations
5.1    Introduction                                
5.2    Summary of the Study                            
5.3    Conclusion                                 
5.4    Recommendation                                
5.5    Suggestions for Further Studies                    
1.1    Background of the Study
No economic entity can progress when there is fraud in the operations of its management. Fraudulent activities in business organizations are traceable to lapses in the internal control system operating in their respective department. Internal control is an essential function of management that deals with measurement and correction of the performance of the subordinate with a view to achieving organizational goals with maximum efficiency and at minimum cost. Internal audit is an independent, objective assurance and consulting activity designed to add value and improve an organizations operations.
 Millichamp (2000) said that the use of criminal deception to obtain an unjust or illegal advantage is known as fraud. There could be fraudulent manipulation of figures in accounting information and forgoing of cheque and other document and using ones approval more than once, which is not done by the auditor but by the employees of the organization. Effective internal control system can be said to exist hand in hand with fraud as the controlling tool in a business in regards to fraudulent act. A weak internal control system could be a fertile channel for fraud perpetration in any organization. The importance of solid internal control system in manage of an organization cannot therefore be over emphasized.

1.2    Statement of the Problem
A good quality internal control services will make positive contribution to the hospital management. Some of the problems that actually hinder internal control are problems of incompetent persons that are engaged by the organization, poor management and uncooperative attitude of non-audit staff due to ignorance of internal control objectives. That is lack of skill in the discharge of duties

1.3    Objectives of the Study
Many public organizations of different sizes have seen the need of internal control as the means for fraud prevention and detection in hospital management for ensuring effective working and internal control system.
 Some of the objectives of the study includes;
•    To check the internal audit work of the department of hospital management.
•    To renew the function of internal control generally in the hospital management
•    To detect and prevent fraud and irregularities in Aluta Hospital, Oleh
•    To determine the degree of reliance placed on internal control report and corrective measures taken in the past.

1.4    Research Questions
1.    What is the control measure your hospital put in place to prevent fraudulent practices?
2.    How does your hospital guide against fraudulent practices?
3.    To what extent does management actually rely on internal control in hospital management?
4.    What factor limits internal control function in fraud detection and prevention in hospital management.
5.    What do you understand as internal control?

1.5    Significance of the Study
This research work will be of great significance to benefit a lot of persons which have been having problems with internal control system and its accounting meaning in general. It will enable management of hospitals and other business organizations to detect and prevent fraud among the employees.
    The study will also serve as a guide line to students and researchers who may which to carry out research work in this area in the future.

1.6    Scope of the Study
This research study is mainly on the effective internal control system as a means of fraud prevention and detection in hospital management with special reference to Aluta Hospital, Oleh in Isoko South Local Government area delta state.
This research will be on descriptive research therefore, hypothesis testing will not be required.

1.7    Brief History of Aluta Hospital
Aluta Hospital was established in the year 1993. The owner was Doctor Aluta, the Hospital was later approved and commissioned by the Delta State Government on July 1996.
This hospital was owned and directed by Doctor Aluta.  It is a private hospital which is located at Oleh/Emede expressway in Isoko South Local Government Area, Delta State.

1.8    Definition of Terms
•    Fraud: it is a deliberate act and may require specific procedures in order to detect. It involves the use of deception to obtain an unjust or illegal financial advantage
•    Internal Control: this is a whole system of control, financial or otherwise established by management in other to carry on the business of the enterprise in an orderly and efficient manner ensure adherence to management policies, safeguard the asset and secure as far as possible the completeness and accuracy of the records.
•    Internal audit: this is an independent, objective assurance and consulting activity designed to add value and improve an organizations operations.
•    Auditing: it is independent examination of books of account and record of the company with a view to expressing an opinion on the true and fairness of financial statement by an auditor.
•    Control: this is the monitoring of activities to ensure their conformity to laid down plans and procedure.


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