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Report ID #0068
Status Approved HMO Name Skyda Health LTD
HMO Code HMO-003 State Bauchi
Reporting Month May 2026 LGAs Covered Alkaleri, Misau, Shira Submission Date 16 Jun 2026
Submitted By Aliyu Bello, State Coordinator
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 610 36.97%
Females Enrolled 1,040 63.03% Active Enrollees 1,647 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 1,647
Total Enrollee Visits 195 Enrollee Visit Rate (per 1,000) 118.4
B. Visit Type Mix (Facility Level) Total PHC Visits 195 100%
Total SHC Visits 0 0% C. Visit Type Breakdown OPD/Consultations 141 72.31%
Admissions/Inpatients 0 0% Deliveries 7 3.59%
Emergency 0 0% Other Visits 47 24.1%
A. Service Encounters Total Encounters (Total Services Utilized) 510 B. Access to Care Enrollees Accessing Care (Last 30 Days) 158
% Enrollees Accessing Care 9.59% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 30.97% D. Preventive Care Services Total Preventive Services 30 % Preventive Rate (of Encounters) 5.88% Antenatal Care (ANC) 23 76.67%
Post Natal Care (PNC) 5 16.67% Immunization Services 2 6.67%
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)
141
27.65%
2
Basic Laboratory Tests/Investigations
120
23.53%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
67
13.14%
4
Pharmacy/Drug Prescription
195
38.24%
5
Maternal Health Services
28
5.49%
F. Referral & Care Transitions Enrollees Referred 4
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 57
Respiratory Infections 11 Gastrointestinal Diseases 0
Hypertension 25 Diabetes 0
Maternal Conditions 0 Injuries/Trauma 0
Mental & Behavioral 0 Other Communicable Diseases 4
Total Other NCDs 61
Other NCD Name Number of Encounters
Typhoid, allergies, ear infection, pneumonia
61
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) ₦1,844.12 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 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 9
Total Respondents 11 Enrollee Satisfaction (%) 81.82% Complaints Management Complaints Received 2
Complaints Resolved 2 Complaint Rate (%) 0.12%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 9
Facility Complaints Coverage Rate (%) 75.00%
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 Referral Linkage Assessment: Currently, the designated referral facility for Yelwan Duguri PHCC is Specialist Hospital Alkaleri, located cin Alkaleri LGA which is a bit far from the town. However, a Cottage Hospital situated within Yelwan Duguri town is geographically closer to the PHCC and may provide a more accessible referral option for patients. Discussions are ongoing to assess the hospital's capacity, infrastructure, and compliance with the requirements for designation as a secondary healthcare facility. Subject to a satisfactory assessment, the Cottage Hospital may be incorporated into the referral network of Yelwan Duguri PHCC to improve access to secondary healthcare services and strengthen the referral system.
Certified By Aliyu Bello
Submission Date 16 Jun 2026
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