Export Report #0081 - HMO Monthly Reports

1. Administrative Information
Report ID	#0081	Status	Approved
HMO Name	Skyda Health LTD	HMO Code	HMO-003
State	Bauchi	Reporting Month	March 2026
LGAs Covered	Alkaleri, Misau, Shira
Submission Date	18 Jul 2026	Submitted By	Aliyu Bello, State Coordinator

2. Enrollment and Coverage
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%

3. Provider Network
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

4. Facility Visits
A. Summary
Active Enrollees	1,647	Total Enrollee Visits	394
Enrollee Visit Rate (per 1,000)	239.22
B. Visit Type Mix (Facility Level)
Total PHC Visits	391 99.24%	Total SHC Visits	3 0.76%
C. Visit Type Breakdown
OPD/Consultations	243 61.68%	Admissions/Inpatients	28 7.11%
Deliveries	16 4.06%	Emergency	0 0%
Other Visits	107 27.16%

5. Service Utilization

A. Service Encounters

Total Encounters (Total Services Utilized)

985

B. Access to Care

Enrollees Accessing Care (Last 30 Days)

346

% Enrollees Accessing Care

21.01%

C. Service Utilization Rate (SUR)

Service Utilization Rate (%)

59.81%

D. Preventive Care Services

Total Preventive Services

107

% Preventive Rate (of Encounters)

10.86%

Antenatal Care (ANC)

66 61.68%

Post Natal Care (PNC)

25 23.36%

Immunization Services

16 14.95%

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)	243	24.67%
2	Basic Laboratory Tests/Investigations	84	8.53%
3	Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)	55	5.58%
4	Maternal Health Services	91	9.24%

F. Referral & Care Transitions

Enrollees Referred

15

Referrals Completed

12 80%

Referrals Denied

0

Back-Referrals

0 0%

G. Disease Burden Among Enrollees

Malaria

55

Respiratory Infections

0

Gastrointestinal Diseases

0

Hypertension

12

Diabetes

0

Maternal Conditions

0

Injuries/Trauma

0

Mental & Behavioral

0

Other Communicable Diseases

0

Total Other NCDs

46

Other NCD Name	Number of Encounters
Typhoid	26
Minor procedures	20

6. Finances
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)	₦954.82 per encounter
Claims Management (FFS)
Claims Submitted	12	Claims Processed	12
Claims Approved	10 83.33%	Claims Denied	2
Amount Submitted	₦310,250.00	Amount Paid	₦272,500.00
Amount Rejected	₦37,750.00
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	12	Facilities Meeting QA Standard	42
QA Compliance Rate	350.00%
Periodic Quality Checks
Facilities with Completed Checks	12	Total Accredited Facilities	12
Periodic Check Coverage	100.00%
Enrollee Satisfaction
Satisfied Enrollees	21	Total Respondents	24
Enrollee Satisfaction (%)	87.50%
Complaints Management
Complaints Received	3	Complaints Resolved	3
Complaint Rate (%)	0.18%	Complaints Redressed (%)	100.00%
Complaints Channel Coverage
Facilities with Complaints Channel	1	Facility Complaints Coverage Rate (%)	8.33%

8. Data Management
PHC Facilities Submitted Data	9	% PHC Submission	100.00%
SHF Facilities Submitted Data	2	% SHF Submission	66.67%
Daily Data Submission
PHC Facilities Submit Daily Data	9	% Daily Submission	100.00%

12. Certification & Attestation
Certified By	Aliyu Bello Abubakar	Submission Date	18 Jul 2026

Report #0081 — Skyda Health LTD | March 2026