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Report #0054

Infinite X2 - Borno | February 2026

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
13
Contracted
Total Visits
1,114
Visit Rate: 675.15 Per 1,000
Claims Approved
0
0% approval rate
1. Administrative Information
Report ID:
#0054
HMO:
Infinite X2
HMO Code:
HMO-002
State:
Borno
LGAs Covered:
Bayo, Kaga, Mafa
Reporting Month:
February 2026
Submission Date:
11 Mar 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
675 40.91%
Females:
975 59.09%
Pregnant Women:
1,012 61.33%
Under-5 Children:
510 30.91%
Persons with Disabilities:
10 0.61%
Elderly (60+):
10 0.61%
Others
108 6.55%
Active Enrollees:
1,650
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:
1,114
B. Visit Type Mix
Total PHC Visits:
1,114 100%
Total SHC Visits:
0 0%
C. Visit Type Breakdown
OPD/Consultation:
986 88.51%
Admissions/Inpatients:
69 6.19%
Deliveries:
8 0.72%
Emergency:
51 4.58%
Other Visits:
0 0%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,120
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
879
% Enrollees Accessing Care:
53.27%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
67.88%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
685
% Total Preventive Services Rate
61.16%
Preventive Service Types
Antenatal Care
137 20%
Post Natal Care:
83 12.12%
Immunization Services:
226 32.99%
Family Planning Services:
42 6.13%
Nutrition/Health Education:
197 28.76%
Other Preventive Services:
0 0%
E. Most Frequently Used Services
# Service Number % of Total
1 Outpatient Consultations (OPD) 486 43.39%
2 Basic Laboratory Tests/Investigations 41 3.66%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 302 26.96%
4 Immunization Services 226 20.18%
5 Hospital Admission (Basic Inpatient Care) 69 6.16%
Percentage of Total Encounters (1,120)
F. Referral & Care Transitions
Enrollees Referred:
0
Referrals Completed:
0 0%
Referrals Denied:
0
Back-Referrals:
0 0%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
486
Respiratory Infections:
6
Gastrointestinal Diseases:
44
Hypertension:
19
Diabetes:
6
Maternal Conditions:
203
Injuries / Trauma:
6
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
0
Total Other NCDs:
0
6. Finances
Capitation
Total Facilities Paid Capitation:
9 100.00%
Facilities Pending Capitation:
0 0.00%
Total Amount of Capitation Paid:
₦1,155,000.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦1,031.25
Fees for Service (Claims) Management
Claims Submitted:
0
Claims Processed:
0
Claims Approved:
0 0%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦0.00
Total Amount Paid:
₦0.00
Total Amount Rejected:
₦0.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦0.00
Amount of FFS Spent:
₦0.00
Reserve Fund
Amount of Reserve Fund Received:
₦0.00
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:
1,114
Total Respondents:
486
Enrollee Satisfaction (%):
229.22%
Complaints Management
Complaints Received:
6
Complaints Resolved:
6
Complaint Rate (%):
0.36%
Complaints Redressed (%):
100.00%
Complaints Channel Coverage
Facilities with Complaints Channel:
6
Facility Complaints Coverage Rate (%):
46.15%
8. Data Management
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%
10. Corrective Actions

The issue identified relates to a directive from the Borno State Contributory Healthcare Management Agency requiring the Primary Health Care Centre (PHCC) to develop a comprehensive business plan. In addition, the CTSHIP programme is to be harmonised with the state-owned health insurance programme. However, the ongoing harmonization process is causing delays in the procurement of essential medical consumables needed for service delivery.

Challenges Encountered

The Primary Health Care Centre (PHCC) is experiencing a shortage of professional personnel required for effective service delivery. Additionally, there is the requirement to develop a comprehensive business plan as directed by the Borno State Contributory Healthcare Management Agency.

Mitigation Measures

The PHCC were advised to develop the required business plan and continue procuring medical consumables through existing vendors while discussions are ongoing with the Executive Secretary.

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