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Report #0021

Skyda Health LTD - Taraba | December 2025

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
12
Contracted
Total Visits
437
Visit Rate: 264.85 Per 1,000
Claims Approved
1
100% approval rate
1. Administrative Information
Report ID:
#0021
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Taraba
LGAs Covered:
Gashaka, Jalingo, Takum
Reporting Month:
December 2025
Submission Date:
03 Feb 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
580 35.15%
Females:
1,070 64.85%
Pregnant Women:
504 30.55%
Under-5 Children:
660 40%
Persons with Disabilities:
162 9.82%
Elderly (60+):
162 9.82%
Others
162 9.82%
Active Enrollees:
1,650
Gender Distribution
Vulnerable Groups
3. Provider Network
Target PHC Facilities:
9
PHC Accredited:
9 100%
Target SHF:
3
SHF Accredited:
3 100%
4. Facility Visits
Total Enrollee Visits:
437
B. Visit Type Mix
Total PHC Visits:
435 99.54%
Total SHC Visits:
2 0.46%
C. Visit Type Breakdown
OPD/Consultation:
399 91.3%
Admissions/Inpatients:
34 7.78%
Deliveries:
4 0.92%
Emergency:
0 0%
Other Visits:
0 0%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,123
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
241
% Enrollees Accessing Care:
14.61%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
68.06%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
112
% Total Preventive Services Rate
9.97%
Preventive Service Types
Antenatal Care
0 0%
Post Natal Care:
0 0%
Immunization Services:
97 86.61%
Family Planning Services:
15 13.39%
Nutrition/Health Education:
0 0%
Other Preventive Services:
0 0%
E. Most Frequently Used Services
# Service Number % of Total
1 Outpatient Consultations (OPD) 399 35.53%
2 Basic Laboratory Tests/Investigations 219 19.5%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 230 20.48%
4 Pharmacy/Drug Prescription 217 19.32%
5 Hospital Admission (Basic Inpatient Care) 34 3.03%
Percentage of Total Encounters (1,123)
F. Referral & Care Transitions
Enrollees Referred:
2
Referrals Completed:
2 100%
Referrals Denied:
0
Back-Referrals:
2 100%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
383
Respiratory Infections:
35
Gastrointestinal Diseases:
43
Hypertension:
26
Diabetes:
0
Maternal Conditions:
4
Injuries / Trauma:
10
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
0
Other Non-Communicable Diseases
Disease Name Number of Encounters
Typhoid 247
Ear Infections 34
Depressive Disorders 15
Cough and Catther 120
Chest Issue 22
Total Other NCDs:
438
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:
₦837.49
Fees for Service (Claims) Management
Claims Submitted:
1
Claims Processed:
1
Claims Approved:
1 100%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦86,400.00
Total Amount Paid:
₦86,400.00
Total Amount Rejected:
₦0.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦716,666.67
Amount of FFS Spent:
₦86,400.00
Reserve Fund
Amount of Reserve Fund Received:
₦107,500.00
Amount of Reserve Fund Spent:
₦0.00
7. Quality Assurance
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:
270
Total Respondents:
270
Enrollee Satisfaction (%):
100.00%
Complaints Management
Complaints Received:
165
Complaints Resolved:
165
Complaint Rate (%):
10.00%
Complaints Redressed (%):
100.00%
Complaints Channel Coverage
Facilities with Complaints Channel:
12
Facility Complaints Coverage Rate (%):
100.00%
8. Data Management
PHC Facilities Submitted Data:
9
% PHC Submission:
100.00%
SHF Facilities Submitted Data:
3
% SHF Submission:
100.00%
Daily Data Submission
PHC Facilities Submit Daily Data:
9
% Daily Submission:
100.00%
Challenges Encountered

Poor health seeking behavior and service uptake among pregnant women, Aged and PWSN at Wuro Sembe PHCC.

Incomplete documentation in beneficiary folders.

Mitigation Measures

The Ward Development Committee and Facility In charge organized community targeted sensitization with community heads and religious leaders to improve access to care among beneficiaries.

The facility incharge addressed health workers on the issue of adhering to documentation during facility visits. The adhoc also worked with the facility data entry clerk ensuring complete documentation in the folders.

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