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Report ID #0056
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Borno
Reporting Month March 2026 LGAs Covered Bayo, Kaga, Mafa Submission Date 09 Apr 2026
Submitted By Isa Bukar
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 675 40.91%
Females Enrolled 975 59.09% Active Enrollees 1,650 Vulnerable Groups Pregnant Women 1,012 61.33%
Under-5 Children 510 30.91% Persons with Disabilities 10 0.61%
Elderly (60+) 10 0.61% Others (incl. IDPs) 108 6.55%
Primary Health Care (PHC) Target PHC Facilities 9
PHC Accredited 9 100% Secondary Health Facilities (SHF) Target SHF 4
SHF Accredited 4 100% Total Contracted Facilities 13
A. Summary Active Enrollees 1,650
Total Enrollee Visits 1,123 Enrollee Visit Rate (per 1,000) 680.61
B. Visit Type Mix (Facility Level) Total PHC Visits 1,122 99.91%
Total SHC Visits 1 0.09% C. Visit Type Breakdown OPD/Consultations 1,034 92.07%
Admissions/Inpatients 26 2.32% Deliveries 11 0.98%
Emergency 16 1.42% Other Visits 36 3.21%
A. Service Encounters Total Encounters (Total Services Utilized) 1,354 B. Access to Care Enrollees Accessing Care (Last 30 Days) 1,008
% Enrollees Accessing Care 61.09% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 82.06% D. Preventive Care Services Total Preventive Services 682 % Preventive Rate (of Encounters) 50.37% Antenatal Care (ANC) 228 33.43%
Post Natal Care (PNC) 52 7.62% Immunization Services 202 29.62%
Family Planning Services 12 1.76% Nutrition/Health Education 188 27.57%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
1,034
76.37%
2
Basic Laboratory Tests/Investigations
37
2.73%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
806
59.53%
4
Pharmacy/Drug Prescription
207
15.29%
5
Immunization Services
202
14.92%
F. Referral & Care Transitions Enrollees Referred 1
Referrals Completed 1 100% Referrals Denied 0
Back-Referrals 1 100% G. Disease Burden Among Enrollees Malaria 936
Respiratory Infections 21 Gastrointestinal Diseases 107
Hypertension 32 Diabetes 19
Maternal Conditions 210 Injuries/Trauma 23
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 0
Capitation Facilities Paid Capitation 9 69.23%
Facilities Pending Capitation 0 0% Total Capitation Paid ₦1,155,000.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦853.03 per encounter
Claims Management (FFS) Claims Submitted 0
Claims Processed 0 Claims Approved 0 0%
Claims Denied 0 Amount Submitted ₦0.00
Amount Paid ₦0.00 Amount Rejected ₦0.00
Fee-For-Service (FFS) FFS Received ₦0.00
FFS Spent ₦0.00 Reserve Fund Reserve Fund Received ₦0.00
Reserve Fund Spent ₦0.00
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 1,034
Total Respondents 1,034 Enrollee Satisfaction (%) 100.00% Complaints Management Complaints Received 9
Complaints Resolved 9 Complaint Rate (%) 0.55%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 9
Facility Complaints Coverage Rate (%) 69.23%
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%
Corrective Actions Across most facilities, vulnerable individuals who are yet to be enrolled are seeking healthcare services due to increased awareness and the rising demand for healthcare. Challenges Encountered Increased awareness leads to overcrowding in facilities, including visits by non-enrolled individuals seeking care. Mitigation Measures Educate communities on enrollment procedures, and eligibility criteria.
Certified By Isa Bukar
Submission Date 09 Apr 2026
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