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Programme Overview

Total Reports
69
2 HMOs, 6 States
Total Enrollees
9,900
Target: 9,900 (100% coverage)
Active Enrollees
9,896
100% of total enrolled
Gender Distribution
35.9% / 64.1%
Male / Female ratio
Contracted Facilities
79
Total across all states
PHC Facilities
54
100% of target (54)
SHF Facilities
25
100% of target (25)
Last 30 Days Access
3,623
Enrollees accessing care

Service Utilization

Total Visits
46,195
Visit Rate: 4666.2 Per 1,000
Total Encounters
68,538
Service encounters
OPD
32,001
Outpatient consultations
Admissions
4,714
Inpatient admissions
Emergency
2,659
Emergency cases
Deliveries
968
Total deliveries
Antenatal Care
9,903
Antenatal Care Services
Postnatal Care
2,142
Postnatal CareServices
Immunizations
9,361
Immunization Services
Family Planning
1,010
FP Services
Service Utilization Rate (SUR)
692.58%
Total Encounters ÷ Active Enrollees × 100
Access to Care Rate
36.61%
Enrollees accessing care in last 30 days

Most Frequently Used Services

Top Services Across All Reports
Services aggregated from all HMO monthly reports. Total service encounters: 68,538

Preventive Care Services

Total Preventive Services:
31,237
% Total Preventive Services Rate:
45.58%
Preventive Service Types
Antenatal Care (ANC):
9,903 31.7%
Post Natal Care (PNC):
2,142 6.86%
Immunization Services:
9,361 29.97%
Family Planning Services:
1,010 3.23%
Nutrition/Health Education:
6,011 19.24%
Other Preventive Services:
2,810 9%
Preventive Service Types Distribution

Vulnerable Groups Coverage

Pregnant Women
3,865
39%
Under-5 Children
3,590
36.3%
PWDs
800
8.1%
Elderly (60+)
847
8.6%
Others
802
8.1%

Financial Performance

Capitation Paid
₦70.21M
To 79 facilities
Claims Submitted
133
₦8.83M value
Claims Approved
63
47.4% approval rate
Claims Paid
₦4.35M
Total FFS payments
Claims Denied
13
₦0.83M rejected
FFS Received
₦7.88M
Fee-for-service funds
FFS Spent
₦1.94M
FFS expenditure
Reserve Funds
₦1.18M
Spent: ₦0.18M
Capitation Pending
₦0.00M
9 facilities pending
Facilities Paid
54
Received capitation
Claims Processed
73
Processing rate: 54.9%
Reserve Balance
₦1.00M
Available reserves
Capitation to Utilization Ratio
₦1,024.35
Per encounter

Disease Burden Analysis

Malaria
29,454
Cases treated
Respiratory
3,701
Cases treated
Gastrointestinal
2,142
Cases treated
Hypertension
2,074
Cases managed
Diabetes
885
Cases managed
Maternal Conditions
6,443
Cases treated
Injuries
3,231
Cases treated
Mental Health
598
Cases managed

Quality Assurance & Patient Satisfaction

QA Compliance Rate
100%
63 of 63 assessed
Satisfaction Rate
142%
32,524 of 22,904 respondents
Complaints
1,861
Total complaints received
Resolution Rate
89.4%
1,666 of 1,863 resolved
Periodic Check Coverage
1.00%
63 of 63 facilities
Complaint Rate
2%
Complaints per enrollees
Complaints Channels
30
Facilities with complaint channels

Referral Management

Total Referrals
261
Enrollees referred
Approved Referrals
216
82.8% completion rate
Denied Referrals
17
Referrals denied
Back Referrals
64
Returned to PHC

Data Submission Compliance

PHC Data Submission
97.6%
606 of 621 PHCs
SHF Data Submission
54.4%
156 of 287 SHFs
Daily Reports Submitted
572
Daily reporting compliance

Mortality Statistics

Total Deaths
1
All causes
Maternal
0
Maternal deaths
Neonatal
0
0-28 days
Infant
0
Under 1 year
Under-5
0
Under 5 years

Visual Analytics

Enrollees by State
HMOs by Enrollees
Enrollment Trends (Last 12 Months)
Vulnerable Groups
Service Utilization
Disease Burden
Service Utilization Trends (Last 12 Months)
Financial Overview

Detailed Performance Tables

State-wise Performance
State Enrollees Males Females Reports
Adamawa 1,650 660 990 11
Bauchi 1,650 610 1,040 12
Borno 1,650 675 975 12
Gombe 1,650 550 1,100 11
Taraba 1,650 580 1,070 11
Yobe 1,650 484 1,166 12
HMO Performance
HMO Enrollees Visits Reports
Infinite X2 4,950 33,522 35
Skyda Health LTD 4,950 12,673 34
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