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Report ID #0072
Status Approved HMO Name Skyda Health LTD
HMO Code HMO-003 State Bauchi
Reporting Month June 2026 LGAs Covered Alkaleri, Misau, Shira Submission Date 14 Jul 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 197 Enrollee Visit Rate (per 1,000) 119.61
B. Visit Type Mix (Facility Level) Total PHC Visits 196 99.49%
Total SHC Visits 1 0.51% C. Visit Type Breakdown OPD/Consultations 123 62.44%
Admissions/Inpatients 0 0% Deliveries 9 4.57%
Emergency 0 0% Other Visits 65 32.99%
A. Service Encounters Total Encounters (Total Services Utilized) 516 B. Access to Care Enrollees Accessing Care (Last 30 Days) 161
% Enrollees Accessing Care 9.78% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 31.33% D. Preventive Care Services Total Preventive Services 16 % Preventive Rate (of Encounters) 3.1% Antenatal Care (ANC) 13 81.25%
Post Natal Care (PNC) 1 6.25% Immunization Services 2 12.5%
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)
123
23.84%
2
Basic Laboratory Tests/Investigations
196
37.98%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
74
14.34%
4
Pharmacy/Drug Prescription
196
37.98%
5
Minor Procedures
40
7.75%
F. Referral & Care Transitions Enrollees Referred 1
Referrals Completed 1 100% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 74
Respiratory Infections 7 Gastrointestinal Diseases 0
Hypertension 21 Diabetes 0
Maternal Conditions 14 Injuries/Trauma 0
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 75
Other NCD Name Number of Encounters
Typhoid, allergies, ear infection, fungal infections, osteoarthritis, pneumonia, skin issues,
75
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) ₦1,822.67 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 21
Total Respondents 22 Enrollee Satisfaction (%) 95.45% Complaints Management Complaints Received 1
Complaints Resolved 1 Complaint Rate (%) 0.06%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 1
Facility Complaints Coverage Rate (%) 8.33%
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 A beneficiary in active labour developed complications requiring an urgent referral to General Hospital Alkaleri. Upon arrival, there was a delay in the patient receiving the required medical attention. The team promptly intervened by contacting the receiving facility to facilitate immediate care. Following the intervention, the issue was resolved, and the patient received the necessary obstetric services. She subsequently had a successful delivery. Both the mother and the newborn are in good condition. Challenges Encountered Some desk officers have a low efficient devices which lead to having difficulty in entering data. Mitigation Measures A device will be provided for them like that of Gombe state.
Certified By Aliyu Bello Abubakar
Submission Date 14 Jul 2026
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