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Report ID #0054
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Borno
Reporting Month February 2026 LGAs Covered Bayo, Kaga, Mafa Submission Date 11 Mar 2026
Submitted By Isa Bukar
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 675 40.91%
Females Enrolled 975 59.09% Active Enrollees 1,650 Vulnerable Groups Pregnant Women 1,012 61.33%
Under-5 Children 510 30.91% Persons with Disabilities 10 0.61%
Elderly (60+) 10 0.61% Others (incl. IDPs) 108 6.55%
Primary Health Care (PHC) Target PHC Facilities 9
PHC Accredited 9 100% Secondary Health Facilities (SHF) Target SHF 4
SHF Accredited 4 100% Total Contracted Facilities 13
A. Summary Active Enrollees 1,650
Total Enrollee Visits 1,114 Enrollee Visit Rate (per 1,000) 675.15
B. Visit Type Mix (Facility Level) Total PHC Visits 1,114 100%
Total SHC Visits 0 0% C. Visit Type Breakdown OPD/Consultations 986 88.51%
Admissions/Inpatients 69 6.19% Deliveries 8 0.72%
Emergency 51 4.58% Other Visits 0 0%
A. Service Encounters Total Encounters (Total Services Utilized) 1,120 B. Access to Care Enrollees Accessing Care (Last 30 Days) 879
% Enrollees Accessing Care 53.27% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 67.88% D. Preventive Care Services Total Preventive Services 685 % Preventive Rate (of Encounters) 61.16% Antenatal Care (ANC) 137 20%
Post Natal Care (PNC) 83 12.12% Immunization Services 226 32.99%
Family Planning Services 42 6.13% Nutrition/Health Education 197 28.76%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
486
43.39%
2
Basic Laboratory Tests/Investigations
41
3.66%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
302
26.96%
4
Immunization Services
226
20.18%
5
Hospital Admission (Basic Inpatient Care)
69
6.16%
F. Referral & Care Transitions Enrollees Referred 0
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 486
Respiratory Infections 6 Gastrointestinal Diseases 44
Hypertension 19 Diabetes 6
Maternal Conditions 203 Injuries/Trauma 6
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 0
Capitation Facilities Paid Capitation 9 69.23%
Facilities Pending Capitation 0 0% Total Capitation Paid ₦1,155,000.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦1,031.25 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 ₦0.00
FFS Spent ₦0.00 Reserve Fund Reserve Fund Received ₦0.00
Reserve Fund Spent ₦0.00
Total Facilities Assessed 9
Facilities Meeting QA Standard 9 QA Compliance Rate 100.00% Periodic Quality Checks Facilities with Completed Checks 9
Total Accredited Facilities 9 Periodic Check Coverage 100.00% Enrollee Satisfaction Satisfied Enrollees 1,114
Total Respondents 486 Enrollee Satisfaction (%) 229.22% Complaints Management Complaints Received 6
Complaints Resolved 6 Complaint Rate (%) 0.36%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 6
Facility Complaints Coverage Rate (%) 46.15%
PHC Facilities Submitted Data 9
% PHC Submission 100.00% SHF Facilities Submitted Data 0
% SHF Submission 0.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Corrective Actions The issue identified relates to a directive from the Borno State Contributory Healthcare Management Agency requiring the Primary Health Care Centre (PHCC) to develop a comprehensive business plan. In addition, the CTSHIP programme is to be harmonised with the state-owned health insurance programme. However, the ongoing harmonization process is causing delays in the procurement of essential medical consumables needed for service delivery. Challenges Encountered The Primary Health Care Centre (PHCC) is experiencing a shortage of professional personnel required for effective service delivery. Additionally, there is the requirement to develop a comprehensive business plan as directed by the Borno State Contributory Healthcare Management Agency. Mitigation Measures The PHCC were advised to develop the required business plan and continue procuring medical consumables through existing vendors while discussions are ongoing with the Executive Secretary.
Certified By Isa Bukar
Submission Date 11 Mar 2026
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