Report #0046 — Skyda Health LTD | December 2025
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| Report ID | #0046 |
Status | Approved |
| HMO Name | Skyda Health LTD |
HMO Code | HMO-003 |
| State | Bauchi |
Reporting Month | December 2025 |
| LGAs Covered | Alkaleri, Misau, Shira |
| Submission Date | 03 Feb 2026 |
Submitted By | Aliyu Sobbar |
| Target Enrollees | 1,650 |
Total Enrolled | 1,650 100% |
| Males Enrolled | 610 36.97% |
Females Enrolled | 1,040 63.03% |
| Active Enrollees | 1,650 |
| |
| Vulnerable Groups |
| Pregnant Women | 507 30.73% |
Under-5 Children | 661 40.06% |
| 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 | 608 |
| Enrollee Visit Rate (per 1,000) | 368.48 |
| |
| B. Visit Type Mix (Facility Level) |
| Total PHC Visits | 569 93.59% |
Total SHC Visits | 39 6.41% |
| C. Visit Type Breakdown |
| OPD/Consultations | 348 57.24% |
Admissions/Inpatients | 34 5.59% |
| Deliveries | 17 2.8% |
Emergency | 12 1.97% |
| Other Visits | 197 32.4% |
| |
| A. Service Encounters |
| Total Encounters (Total Services Utilized) | 1,109 |
| B. Access to Care |
| Enrollees Accessing Care (Last 30 Days) | 246 |
% Enrollees Accessing Care | 14.91% |
| C. Service Utilization Rate (SUR) |
| Service Utilization Rate (%) | 67.21% |
| D. Preventive Care Services |
| Total Preventive Services | 217 |
% Preventive Rate (of Encounters) | 19.57% |
| Antenatal Care (ANC) | 37 17.05% |
Post Natal Care (PNC) | 0 0% |
| Immunization Services | 180 82.95% |
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) |
318 |
28.67% |
| 2 |
Basic Laboratory Tests/Investigations |
259 |
23.35% |
| 3 |
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) |
312 |
28.13% |
| 4 |
Pharmacy/Drug Prescription |
236 |
21.28% |
| 5 |
Hospital Admission (Basic Inpatient Care) |
34 |
3.07% |
|
| F. Referral & Care Transitions |
| Enrollees Referred | 5 |
Referrals Completed | 4 80% |
| Referrals Denied | 1 |
Back-Referrals | 3 60% |
| G. Disease Burden Among Enrollees |
| Malaria | 352 |
Respiratory Infections | 24 |
| Gastrointestinal Diseases | 13 |
Hypertension | 11 |
| Diabetes | 1 |
Maternal Conditions | 1 |
| Injuries/Trauma | 167 |
Mental & Behavioral | 0 |
| Other Communicable Diseases | 29 |
Total Other NCDs | 473 |
| Other NCD Name | Number of Encounters |
|---|
| Typhoid |
229 |
| Skin issues |
13 |
| Cough and Catther |
231 |
|
| 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) | ₦848.06 per encounter |
| |
| Claims Management (FFS) |
| Claims Submitted | 4 |
Claims Processed | 4 |
| Claims Approved | 3 75% |
Claims Denied | 1 |
| Amount Submitted | ₦467,000.00 |
Amount Paid | ₦467,000.00 |
| Amount Rejected | ₦48,900.00 |
| |
| Fee-For-Service (FFS) |
| FFS Received | ₦716,666.67 |
FFS Spent | ₦467,000.00 |
| 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 | 48 |
Total Respondents | 67 |
| Enrollee Satisfaction (%) | 71.64% |
| |
| Complaints Management |
| Complaints Received | 152 |
Complaints Resolved | 143 |
| Complaint Rate (%) | 9.21% |
Complaints Redressed (%) | 94.08% |
| 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 | Some facilities refer some cases that are not of secondary type |
| Mitigation Measures | Facilities were enlightened on what a Primary and Secondary case is all about |
| Certified By | Aliyu Sobbar |
Submission Date | 03 Feb 2026 |
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