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Report ID #0018
Status Approved HMO Name Skyda Health LTD
HMO Code HMO-003 State Taraba
Reporting Month November 2025 LGAs Covered Gashaka, Jalingo, Takum Submission Date 03 Feb 2026
Submitted By Fauziyya Ibrahim
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 580 35.15%
Females Enrolled 1,070 64.85% Active Enrollees 1,650 Vulnerable Groups Pregnant Women 504 30.55%
Under-5 Children 660 40% Persons with Disabilities 162 9.82%
Elderly (60+) 162 9.82% Others (incl. IDPs) 162 9.82%
Primary Health Care (PHC) Target PHC Facilities 9
PHC Accredited 9 100% Secondary Health Facilities (SHF) Target SHF 3
SHF Accredited 3 100% Total Contracted Facilities 12
A. Summary Active Enrollees 1,650
Total Enrollee Visits 432 Enrollee Visit Rate (per 1,000) 261.82
B. Visit Type Mix (Facility Level) Total PHC Visits 420 97.22%
Total SHC Visits 12 2.78% C. Visit Type Breakdown OPD/Consultations 267 61.81%
Admissions/Inpatients 29 6.71% Deliveries 8 1.85%
Emergency 15 3.47% Other Visits 113 26.16%
A. Service Encounters Total Encounters (Total Services Utilized) 1,032 B. Access to Care Enrollees Accessing Care (Last 30 Days) 296
% Enrollees Accessing Care 17.94% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 62.55% D. Preventive Care Services Total Preventive Services 188 % Preventive Rate (of Encounters) 18.22% Antenatal Care (ANC) 28 14.89%
Post Natal Care (PNC) 0 0% Immunization Services 160 85.11%
Family Planning Services 0 0% Nutrition/Health Education 0 0%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
267
25.87%
2
Basic Laboratory Tests/Investigations
186
18.02%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
234
22.67%
4
Pharmacy/Drug Prescription
116
11.24%
5
Hospital Admission (Basic Inpatient Care)
8
0.78%
F. Referral & Care Transitions Enrollees Referred 2
Referrals Completed 2 100% Referrals Denied 0
Back-Referrals 2 100% G. Disease Burden Among Enrollees Malaria 298
Respiratory Infections 6 Gastrointestinal Diseases 8
Hypertension 3 Diabetes 0
Maternal Conditions 6 Injuries/Trauma 10
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 74
Other NCD Name Number of Encounters
Typhoid
66
Skin Issues
3
Ear infections
3
Fungal infections
2
Capitation Facilities Paid Capitation 9 75%
Facilities Pending Capitation 0 0% Total Capitation Paid ₦940,500.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦911.34 per encounter
Claims Management (FFS) Claims Submitted 0
Claims Processed 0 Claims Approved 0 0%
Claims Denied 0 Amount Submitted ₦0.00
Amount Paid ₦0.00 Amount Rejected ₦0.00
Fee-For-Service (FFS) FFS Received ₦716,666.67
FFS Spent ₦0.00 Reserve Fund Reserve Fund Received ₦107,500.00
Reserve Fund Spent ₦0.00
Total Facilities Assessed 12
Facilities Meeting QA Standard 12 QA Compliance Rate 100.00% Periodic Quality Checks Facilities with Completed Checks 12
Total Accredited Facilities 12 Periodic Check Coverage 100.00% Enrollee Satisfaction Satisfied Enrollees 198
Total Respondents 208 Enrollee Satisfaction (%) 95.19% Complaints Management Complaints Received 198
Complaints Resolved 198 Complaint Rate (%) 12.00%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 12
Facility Complaints Coverage Rate (%) 100.00%
PHC Facilities Submitted Data 9
% PHC Submission 100.00% SHF Facilities Submitted Data 3
% SHF Submission 100.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Challenges Encountered Difficulty in communication due to poor network in some terrain (Bete PHCC, Mayo Selbe PHCC, Garbabi PHCC) Mitigation Measures The adhoc staff and Ward Development Committee in Garbabi community conducted targeted outreach sensitization to reassure beneficiaries and encourage consistent facility
Certified By Abdurrahman Mahmud Sulaiman
Submission Date 03 Feb 2026
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