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Report ID #0061
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Borno
Reporting Month April 2026 LGAs Covered Bayo, Kaga, Mafa Submission Date 14 May 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 1,258 Enrollee Visit Rate (per 1,000) 762.42
B. Visit Type Mix (Facility Level) Total PHC Visits 1,258 100%
Total SHC Visits 0 0% C. Visit Type Breakdown OPD/Consultations 1,205 95.79%
Admissions/Inpatients 20 1.59% Deliveries 18 1.43%
Emergency 10 0.79% Other Visits 5 0.4%
A. Service Encounters Total Encounters (Total Services Utilized) 1,422 B. Access to Care Enrollees Accessing Care (Last 30 Days) 1,143
% Enrollees Accessing Care 69.27% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 86.18% D. Preventive Care Services Total Preventive Services 739 % Preventive Rate (of Encounters) 51.97% Antenatal Care (ANC) 223 30.18%
Post Natal Care (PNC) 107 14.48% Immunization Services 271 36.67%
Family Planning Services 9 1.22% Nutrition/Health Education 129 17.46%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
1,205
84.74%
2
Basic Laboratory Tests/Investigations
44
3.09%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
1,012
71.17%
4
Pharmacy/Drug Prescription
244
17.16%
5
Immunization Services
279
19.62%
F. Referral & Care Transitions Enrollees Referred 0
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 988
Respiratory Infections 32 Gastrointestinal Diseases 122
Hypertension 29 Diabetes 23
Maternal Conditions 215 Injuries/Trauma 14
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 ₦115,500.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦81.22 per encounter
Claims Management (FFS) Claims Submitted 7
Claims Processed 7 Claims Approved 7 100%
Claims Denied 0 Amount Submitted ₦755,800.00
Amount Paid ₦475,235.00 Amount Rejected ₦280,565.00
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 739
Total Respondents 739 Enrollee Satisfaction (%) 100.00% Complaints Management Complaints Received 4
Complaints Resolved 4 Complaint Rate (%) 0.24%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 13
Facility Complaints Coverage Rate (%) 100.00%
PHC Facilities Submitted Data 9
% PHC Submission 100.00% SHF Facilities Submitted Data 2
% SHF Submission 50.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Corrective Actions Minimal number of professional personnel in the PHCC e.g Nurses Challenges Encountered There is a security threats along major access roads to Southern Borno arising from insurgent activities. Mitigation Measures As a mitigation measure, movement to one of the affected Local Government Areas in Borno State (Bayo LGA) is now being routed through Gombe State to ensure safety and continuity of access.
Certified By Isa Bukar
Submission Date 14 May 2026
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