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Report ID #0021
Status Approved HMO Name Skyda Health LTD
HMO Code HMO-003 State Taraba
Reporting Month December 2025 LGAs Covered Gashaka, Jalingo, Takum Submission Date 03 Feb 2026
Submitted By Abdurrahman Mahmud Sulaiman
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 437 Enrollee Visit Rate (per 1,000) 264.85
B. Visit Type Mix (Facility Level) Total PHC Visits 435 99.54%
Total SHC Visits 2 0.46% C. Visit Type Breakdown OPD/Consultations 399 91.3%
Admissions/Inpatients 34 7.78% Deliveries 4 0.92%
Emergency 0 0% Other Visits 0 0%
A. Service Encounters Total Encounters (Total Services Utilized) 1,123 B. Access to Care Enrollees Accessing Care (Last 30 Days) 241
% Enrollees Accessing Care 14.61% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 68.06% D. Preventive Care Services Total Preventive Services 112 % Preventive Rate (of Encounters) 9.97% Antenatal Care (ANC) 0 0%
Post Natal Care (PNC) 0 0% Immunization Services 97 86.61%
Family Planning Services 15 13.39% Nutrition/Health Education 0 0%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
399
35.53%
2
Basic Laboratory Tests/Investigations
219
19.5%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
230
20.48%
4
Pharmacy/Drug Prescription
217
19.32%
5
Hospital Admission (Basic Inpatient Care)
34
3.03%
F. Referral & Care Transitions Enrollees Referred 2
Referrals Completed 2 100% Referrals Denied 0
Back-Referrals 2 100% G. Disease Burden Among Enrollees Malaria 383
Respiratory Infections 35 Gastrointestinal Diseases 43
Hypertension 26 Diabetes 0
Maternal Conditions 4 Injuries/Trauma 10
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 438
Other NCD Name Number of Encounters
Typhoid
247
Ear Infections
34
Depressive Disorders
15
Cough and Catther
120
Chest Issue
22
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) ₦837.49 per encounter
Claims Management (FFS) Claims Submitted 1
Claims Processed 1 Claims Approved 1 100%
Claims Denied 0 Amount Submitted ₦86,400.00
Amount Paid ₦86,400.00 Amount Rejected ₦0.00
Fee-For-Service (FFS) FFS Received ₦716,666.67
FFS Spent ₦86,400.00 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 270
Total Respondents 270 Enrollee Satisfaction (%) 100.00% Complaints Management Complaints Received 165
Complaints Resolved 165 Complaint Rate (%) 10.00%
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 Poor health seeking behavior and service uptake among pregnant women, Aged and PWSN at Wuro Sembe PHCC. Mitigation Measures The Ward Development Committee and Facility In charge organized community targeted sensitization with community heads and religious leaders to improve access to care among beneficiaries.
Certified By Abdulrahman Mahmud Sulaiman
Submission Date 03 Feb 2026
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