Report #0045 — Skyda Health LTD | November 2025
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| Report ID | #0045 |
Status | Approved |
| HMO Name | Skyda Health LTD |
HMO Code | HMO-003 |
| State | Bauchi |
Reporting Month | November 2025 |
| LGAs Covered | Alkaleri, Misau, Shira |
| Submission Date | 03 Feb 2026 |
Submitted By | Aliyu Sobbar |
| Target Enrollees | 1,650 |
Total Enrolled | 1,650 100% |
| Males Enrolled | 610 36.97% |
Females Enrolled | 1,040 63.03% |
| Active Enrollees | 1,650 |
| |
| Vulnerable Groups |
| Pregnant Women | 507 30.73% |
Under-5 Children | 661 40.06% |
| Persons with Disabilities | 162 9.82% |
Elderly (60+) | 162 9.82% |
| Others (incl. IDPs) | 162 9.82% |
| |
| Primary Health Care (PHC) |
| Target PHC Facilities | 9 |
PHC Accredited | 9 100% |
| Secondary Health Facilities (SHF) |
| Target SHF | 3 |
SHF Accredited | 3 100% |
| Total Contracted Facilities | 12 |
| |
| A. Summary |
| Active Enrollees | 1,650 |
Total Enrollee Visits | 548 |
| Enrollee Visit Rate (per 1,000) | 332.12 |
| |
| B. Visit Type Mix (Facility Level) |
| Total PHC Visits | 542 98.91% |
Total SHC Visits | 6 1.09% |
| C. Visit Type Breakdown |
| OPD/Consultations | 356 64.96% |
Admissions/Inpatients | 38 6.93% |
| Deliveries | 12 2.19% |
Emergency | 16 2.92% |
| Other Visits | 126 22.99% |
| |
| A. Service Encounters |
| Total Encounters (Total Services Utilized) | 1,044 |
| B. Access to Care |
| Enrollees Accessing Care (Last 30 Days) | 233 |
% Enrollees Accessing Care | 14.12% |
| C. Service Utilization Rate (SUR) |
| Service Utilization Rate (%) | 63.27% |
| D. Preventive Care Services |
| Total Preventive Services | 208 |
% Preventive Rate (of Encounters) | 19.92% |
| Antenatal Care (ANC) | 20 9.62% |
Post Natal Care (PNC) | 0 0% |
| Immunization Services | 188 90.38% |
Family Planning Services | 0 0% |
| Nutrition/Health Education | 0 0% |
Other Preventive Services | 0 0% |
| E. Most Frequently Used Services |
| # | Service | Number | % of Total Encounters |
|---|
| 1 |
Outpatient Consultations (OPD) |
346 |
33.14% |
| 2 |
Basic Laboratory Tests/Investigations |
324 |
31.03% |
| 3 |
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) |
339 |
32.47% |
| 4 |
Pharmacy/Drug Prescription |
335 |
32.09% |
| 5 |
Hospital Admission (Basic Inpatient Care) |
38 |
3.64% |
|
| F. Referral & Care Transitions |
| Enrollees Referred | 8 |
Referrals Completed | 6 75% |
| Referrals Denied | 2 |
Back-Referrals | 6 75% |
| G. Disease Burden Among Enrollees |
| Malaria | 590 |
Respiratory Infections | 16 |
| Gastrointestinal Diseases | 18 |
Hypertension | 3 |
| Diabetes | 0 |
Maternal Conditions | 0 |
| Injuries/Trauma | 127 |
Mental & Behavioral | 3 |
| Other Communicable Diseases | 56 |
Total Other NCDs | 217 |
| Other NCD Name | Number of Encounters |
|---|
| Typhoid |
156 |
| Ear Infections |
25 |
| Allergies |
1 |
| Skin Issues |
24 |
| Fungal Infections |
11 |
|
| Capitation |
| Facilities Paid Capitation | 9 75% |
Facilities Pending Capitation | 0 0% |
| Total Capitation Paid | ₦940,500.00 |
Total Capitation Pending | ₦0.00 |
| Capitation-to-Utilization Ratio (CUR) | ₦900.86 per encounter |
| |
| Claims Management (FFS) |
| Claims Submitted | 6 |
Claims Processed | 2 |
| Claims Approved | 2 33.33% |
Claims Denied | 2 |
| Amount Submitted | ₦137,500.00 |
Amount Paid | ₦137,500.00 |
| Amount Rejected | ₦48,500.00 |
| |
| Fee-For-Service (FFS) |
| FFS Received | ₦716,666.67 |
FFS Spent | ₦137,500.00 |
| Reserve Fund |
| Reserve Fund Received | ₦107,500.00 |
Reserve Fund Spent | ₦0.00 |
| 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 | 48 |
Total Respondents | 56 |
| Enrollee Satisfaction (%) | 85.71% |
| |
| Complaints Management |
| Complaints Received | 112 |
Complaints Resolved | 97 |
| Complaint Rate (%) | 6.79% |
Complaints Redressed (%) | 86.61% |
| Complaints Channel Coverage |
| Facilities with Complaints Channel | 12 |
Facility Complaints Coverage Rate (%) | 100.00% |
| 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 | Minimal understanding of the program by the enrollee |
| Mitigation Measures | Awareness campagn to enlighten the enrollees on the program |
| Certified By | Aliyu Sobbar |
Submission Date | 03 Feb 2026 |
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