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Report #0058

Skyda Health LTD - Gombe | January 2026

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
13
Contracted
Total Visits
130
Visit Rate: 78.79 Per 1,000
Claims Approved
7
100% approval rate
1. Administrative Information
Report ID:
#0058
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Gombe
LGAs Covered:
Balanga, Dukku, Y/Debba
Reporting Month:
January 2026
Submission Date:
17 Jul 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
550 33.33%
Females:
1,100 66.67%
Pregnant Women:
512 31.03%
Under-5 Children:
652 39.52%
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:
4
SHF Accredited:
4 100%
4. Facility Visits
Total Enrollee Visits:
130
B. Visit Type Mix
Total PHC Visits:
123 94.62%
Total SHC Visits:
7 5.38%
C. Visit Type Breakdown
OPD/Consultation:
130 100%
Admissions/Inpatients:
0 0%
Deliveries:
0 0%
Emergency:
0 0%
Other Visits:
0 0%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
342
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
98
% Enrollees Accessing Care:
5.94%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
20.73%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
130
% Total Preventive Services Rate
38.01%
Preventive Service Types
Antenatal Care
0 0%
Post Natal Care:
0 0%
Immunization Services:
0 0%
Family Planning Services:
0 0%
Nutrition/Health Education:
0 0%
Other Preventive Services:
130 100%
E. Most Frequently Used Services
# Service Number % of Total
1 Outpatient Consultations (OPD) 30 8.77%
2 Basic Laboratory Tests/Investigations 82 23.98%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 57 16.67%
4 Pharmacy/Drug Prescription 18 5.26%
5 Immunization Services 5 1.46%
Percentage of Total Encounters (342)
F. Referral & Care Transitions
Enrollees Referred:
7
Referrals Completed:
7 100%
Referrals Denied:
1
Back-Referrals:
0 0%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
62
Respiratory Infections:
0
Gastrointestinal Diseases:
0
Hypertension:
0
Diabetes:
0
Maternal Conditions:
0
Injuries / Trauma:
0
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:
₦940,500.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦2,750.00
Fees for Service (Claims) Management
Claims Submitted:
7
Claims Processed:
7
Claims Approved:
7 100%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦390,614.13
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:
0
Total Respondents:
0
Enrollee Satisfaction (%):
0.00%
Complaints Management
Complaints Received:
0
Complaints Resolved:
0
Complaint Rate (%):
0.00%
Complaints Redressed (%):
0.00%
Complaints Channel Coverage
Facilities with Complaints Channel:
0
Facility Complaints Coverage Rate (%):
0.00%
8. Data Management
PHC Facilities Submitted Data:
9
% PHC Submission:
100.00%
SHF Facilities Submitted Data:
4
% SHF Submission:
100.00%
Daily Data Submission
PHC Facilities Submit Daily Data:
9
% Daily Submission:
100.00%
Challenges Encountered

Low OPD attendance

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