Public View: You are viewing an approved report. Login to submit your own reports.

Report #0017

Skyda Health LTD - Gombe | October 2025

Approved
Back to List View Data
Total Enrolled
1,478
89.58% of target
Facilities
13
Contracted
Total Visits
648
Visit Rate: 438.43 Per 1,000
Claims Approved
2
66.67% approval rate
1. Administrative Information
Report ID:
#0017
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Gombe
LGAs Covered:
Balanga, Dukku, Y/Debba
Reporting Month:
October 2025
Submission Date:
03 Feb 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,478 89.58%
Males:
487 32.95%
Females:
991 67.05%
Pregnant Women:
446 30.18%
Under-5 Children:
573 38.77%
Persons with Disabilities:
158 10.69%
Elderly (60+):
160 10.83%
Others
147 9.95%
Active Enrollees:
1,478
Gender Distribution
Vulnerable Groups
3. Provider Network
Target PHC Facilities:
9
PHC Accredited:
9 100%
Target SHF:
4
SHF Accredited:
4 100%
4. Facility Visits
Total Enrollee Visits:
648
B. Visit Type Mix
Total PHC Visits:
648 100%
Total SHC Visits:
0 0%
C. Visit Type Breakdown
OPD/Consultation:
564 87.04%
Admissions/Inpatients:
21 3.24%
Deliveries:
14 2.16%
Emergency:
49 7.56%
Other Visits:
0 0%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,128
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
243
% Enrollees Accessing Care:
16.44%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
76.32%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
88
% Total Preventive Services Rate
7.80%
Preventive Service Types
Antenatal Care
67 76.14%
Post Natal Care:
21 23.86%
Immunization Services:
0 0%
Family Planning Services:
0 0%
Nutrition/Health Education:
0 0%
Other Preventive Services:
0 0%
E. Most Frequently Used Services
# Service Number % of Total
1 Outpatient Consultations (OPD) 564 50%
2 Basic Laboratory Tests/Investigations 224 19.86%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 184 16.31%
4 Pharmacy/Drug Prescription 211 18.71%
5 Hospital Admission (Basic Inpatient Care) 21 1.86%
Percentage of Total Encounters (1,128)
F. Referral & Care Transitions
Enrollees Referred:
10
Referrals Completed:
9 90%
Referrals Denied:
1
Back-Referrals:
7 70%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
467
Respiratory Infections:
28
Gastrointestinal Diseases:
11
Hypertension:
2
Diabetes:
0
Maternal Conditions:
14
Injuries / Trauma:
27
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
12
Other Non-Communicable Diseases
Disease Name Number of Encounters
Typhoid 197
Skin Issues 12
Ear Infections 17
Total Other NCDs:
226
6. Finances
Capitation
Total Facilities Paid Capitation:
9 100.00%
Facilities Pending Capitation:
0 0.00%
Total Amount of Capitation Paid:
₦940,500.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦833.78
Fees for Service (Claims) Management
Claims Submitted:
3
Claims Processed:
2
Claims Approved:
2 66.67%
Claims Denied/Rejected:
1
Total Amount Submitted:
₦295,888.00
Total Amount Paid:
₦295,888.00
Total Amount Rejected:
₦137,500.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦716,666.67
Amount of FFS Spent:
₦295,888.00
Reserve Fund
Amount of Reserve Fund Received:
₦107,500.00
Amount of 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:
124
Total Respondents:
136
Enrollee Satisfaction (%):
91.18%
Complaints Management
Complaints Received:
167
Complaints Resolved:
139
Complaint Rate (%):
11.30%
Complaints Redressed (%):
83.23%
Complaints Channel Coverage
Facilities with Complaints Channel:
13
Facility Complaints Coverage Rate (%):
100.00%
8. Data Management
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%
Challenges Encountered

-Low OPD attendance
-NIN registration issue

Mitigation Measures

-Low OPD: A sensitization was carried out through engaging with the traditional rulers, WDCs, facility in-charge, and also town criers.

-NIN registration issue: The instability of the network brought a setback in the NIN registration process, but we got help when we engaged the NIMC office, which enabled us to complete the enrollment.

Back to Reports List