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

Report #0048

Skyda Health LTD - Taraba | January 2026

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
12
Contracted
Total Visits
1,012
Visit Rate: 613.33 Per 1,000
Claims Approved
2
100% approval rate
1. Administrative Information
Report ID:
#0048
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Taraba
LGAs Covered:
Gashaka, Jalingo, Takum
Reporting Month:
January 2026
Submission Date:
12 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:
1,012
B. Visit Type Mix
Total PHC Visits:
998 98.62%
Total SHC Visits:
14 1.38%
C. Visit Type Breakdown
OPD/Consultation:
689 68.08%
Admissions/Inpatients:
37 3.66%
Deliveries:
18 1.78%
Emergency:
27 2.67%
Other Visits:
241 23.81%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,347
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
253
% Enrollees Accessing Care:
15.33%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
81.64%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
206
% Total Preventive Services Rate
15.29%
Preventive Service Types
Antenatal Care
114 55.34%
Post Natal Care:
25 12.14%
Immunization Services:
67 32.52%
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) 689 51.15%
2 Basic Laboratory Tests/Investigations 347 25.76%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 234 17.37%
4 Pharmacy/Drug Prescription 312 23.16%
5 Immunization Services 67 4.97%
Percentage of Total Encounters (1,347)
F. Referral & Care Transitions
Enrollees Referred:
4
Referrals Completed:
3 75%
Referrals Denied:
1
Back-Referrals:
3 75%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
582
Respiratory Infections:
23
Gastrointestinal Diseases:
24
Hypertension:
24
Diabetes:
11
Maternal Conditions:
12
Injuries / Trauma:
27
Mental & Behavioral Conditions:
3
Other Communicable Diseases:
0
Other Non-Communicable Diseases
Disease Name Number of Encounters
Typhoid 189
Allergies 58
Skin Issues 25
Fungal Infections 32
Total Other NCDs:
304
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:
₦698.22
Fees for Service (Claims) Management
Claims Submitted:
2
Claims Processed:
2
Claims Approved:
2 100%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦267,800.00
Total Amount Paid:
₦267,800.00
Total Amount Rejected:
₦0.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦716,666.67
Amount of FFS Spent:
₦267,800.00
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:
143
Total Respondents:
169
Enrollee Satisfaction (%):
84.62%
Complaints Management
Complaints Received:
189
Complaints Resolved:
167
Complaint Rate (%):
11.45%
Complaints Redressed (%):
88.36%
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%
10. Corrective Actions

Issues with the Network in some Areas

Challenges Encountered

Issues with the Network in some Areas

Mitigation Measures

Physical visits to those areas to verify

Back to Reports List