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Report ID #0057
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Adamawa
Reporting Month March 2026 LGAs Covered Gombi, Mayo Balewa, Mubi North Submission Date 30 Jul 2026
Submitted By Habibu Abdulrahman Girei State Coordinator
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 660 40%
Females Enrolled 990 60% Active Enrollees 1,650 Vulnerable Groups Pregnant Women 578 35.03%
Under-5 Children 660 40% Persons with Disabilities 164 9.94%
Elderly (60+) 165 10% Others (incl. IDPs) 83 5.03%
Primary Health Care (PHC) Target PHC Facilities 9
PHC Accredited 9 100% Secondary Health Facilities (SHF) Target SHF 5
SHF Accredited 5 100% Total Contracted Facilities 14
A. Summary Active Enrollees 1,650
Total Enrollee Visits 1,153 Enrollee Visit Rate (per 1,000) 698.79
B. Visit Type Mix (Facility Level) Total PHC Visits 1,147 99.48%
Total SHC Visits 6 0.52% C. Visit Type Breakdown OPD/Consultations 600 52.04%
Admissions/Inpatients 100 8.67% Deliveries 8 0.69%
Emergency 200 17.35% Other Visits 245 21.25%
A. Service Encounters Total Encounters (Total Services Utilized) 1,526 B. Access to Care Enrollees Accessing Care (Last 30 Days) 1,153
% Enrollees Accessing Care 69.88% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 92.48% D. Preventive Care Services Total Preventive Services 353 % Preventive Rate (of Encounters) 23.13% Antenatal Care (ANC) 50 14.16%
Post Natal Care (PNC) 50 14.16% Immunization Services 53 15.01%
Family Planning Services 0 0% Nutrition/Health Education 100 28.33%
Other Preventive Services 100 28.33% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
600
39.32%
2
Basic Laboratory Tests/Investigations
53
3.47%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
200
13.11%
4
Pharmacy/Drug Prescription
100
6.55%
5
Immunization Services
200
13.11%
F. Referral & Care Transitions Enrollees Referred 6
Referrals Completed 6 100% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 100
Respiratory Infections 50 Gastrointestinal Diseases 0
Hypertension 50 Diabetes 0
Maternal Conditions 20 Injuries/Trauma 105
Mental & Behavioral 54 Other Communicable Diseases 0
Total Other NCDs 0
Capitation Facilities Paid Capitation 1,155,000 8250000%
Facilities Pending Capitation 0 0% Total Capitation Paid ₦0.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦0.00 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 14
Facilities Meeting QA Standard 14 QA Compliance Rate 100.00% Periodic Quality Checks Facilities with Completed Checks 14
Total Accredited Facilities 14 Periodic Check Coverage 100.00% Enrollee Satisfaction Satisfied Enrollees 1,153
Total Respondents 500 Enrollee Satisfaction (%) 230.60% Complaints Management Complaints Received 5
Complaints Resolved 5 Complaint Rate (%) 0.30%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 14
Facility Complaints Coverage Rate (%) 100.00%
PHC Facilities Submitted Data 9
% PHC Submission 100.00% SHF Facilities Submitted Data 5
% SHF Submission 100.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Total Deaths 1 Maternal Deaths 0 Neonatal Deaths 0
Infant Deaths 0 Under-5 Deaths 0
Corrective Actions We regret to report the loss of beneficiary Joseph Nugorikoba, aged 70, due to acute watery diarrhea at Jereng PHCC. The facility requested a code at 2:27pm, and we responded with the code at 2:30pm. Sadly, he passed away before transfer to the secondary facility could occur. Challenges Encountered Security
Certified By Habibu Abdulrahman Girei
Submission Date 30 Jul 2026
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