Export Report #0064 - HMO Monthly Reports

1. Administrative Information
Report ID	#0064	Status	Approved
HMO Name	Skyda Health LTD	HMO Code	HMO-003
State	Gombe	Reporting Month	April 2026
LGAs Covered	Balanga, Dukku, Y/Debba
Submission Date	15 Jul 2026	Submitted By	Maspara Dan (Assistant coordinator, Gombe State)

2. Enrollment and Coverage
Target Enrollees	1,650	Total Enrolled	1,650 100%
Males Enrolled	550 33.33%	Females Enrolled	1,100 66.67%
Active Enrollees	1,650
Vulnerable Groups
Pregnant Women	512 31.03%	Under-5 Children	652 39.52%
Persons with Disabilities	162 9.82%	Elderly (60+)	162 9.82%
Others (incl. IDPs)	162 9.82%

3. Provider Network
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

4. Facility Visits
A. Summary
Active Enrollees	1,650	Total Enrollee Visits	268
Enrollee Visit Rate (per 1,000)	162.42
B. Visit Type Mix (Facility Level)
Total PHC Visits	264 98.51%	Total SHC Visits	4 1.49%
C. Visit Type Breakdown
OPD/Consultations	268 100%	Admissions/Inpatients	0 0%
Deliveries	0 0%	Emergency	0 0%
Other Visits	0 0%

5. Service Utilization

A. Service Encounters

Total Encounters (Total Services Utilized)

333

B. Access to Care

Enrollees Accessing Care (Last 30 Days)

268

% Enrollees Accessing Care

16.24%

C. Service Utilization Rate (SUR)

Service Utilization Rate (%)

20.18%

D. Preventive Care Services

Total Preventive Services

113

% Preventive Rate (of Encounters)

33.93%

Antenatal Care (ANC)

0 0%

Post Natal Care (PNC)

0 0%

Immunization Services

40 35.4%

Family Planning Services

0 0%

Nutrition/Health Education

0 0%

Other Preventive Services

73 64.6%

E. Most Frequently Used Services

#	Service	Number	% of Total Encounters
1	Outpatient Consultations (OPD)	179	53.75%
2	Basic Laboratory Tests/Investigations	15	4.5%
3	Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)	67	20.12%
4	Pharmacy/Drug Prescription	22	6.61%
5	Immunization Services	40	12.01%

F. Referral & Care Transitions

Enrollees Referred

4

Referrals Completed

4 100%

Referrals Denied

0

Back-Referrals

0 0%

G. Disease Burden Among Enrollees

Malaria

97

Respiratory Infections

0

Gastrointestinal Diseases

0

Hypertension

2

Diabetes

0

Maternal Conditions

0

Injuries/Trauma

0

Mental & Behavioral

0

Other Communicable Diseases

0

Total Other NCDs

0

6. Finances
Capitation
Facilities Paid Capitation	9 69.23%	Facilities Pending Capitation	0 0%
Total Capitation Paid	₦940,500.00	Total Capitation Pending	₦0.00
Capitation-to-Utilization Ratio (CUR)	₦2,824.32 per encounter
Claims Management (FFS)
Claims Submitted	3	Claims Processed	0
Claims Approved	0 0%	Claims Denied	0
Amount Submitted	₦120,681.38	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

7. Quality Assurance
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	0	Total Respondents	0
Enrollee Satisfaction (%)	%
Complaints Management
Complaints Received	0	Complaints Resolved	0
Complaint Rate (%)	0.00%	Complaints Redressed (%)	%
Complaints Channel Coverage
Facilities with Complaints Channel	0	Facility Complaints Coverage Rate (%)	0.00%

8. Data Management
PHC Facilities Submitted Data	9	% PHC Submission	100.00%
SHF Facilities Submitted Data	4	% SHF Submission	100.00%
Daily Data Submission
PHC Facilities Submit Daily Data	9	% Daily Submission	100.00%

10–11. Corrective Actions, Challenges & Mitigation
Challenges Encountered	Low OPD turnout.

12. Certification & Attestation
Certified By	Maspara Dan	Submission Date	15 Jul 2026

Report #0064 — Skyda Health LTD | April 2026