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Report ID #0065
Status Approved HMO Name Skyda Health LTD
HMO Code HMO-003 State Bauchi
Reporting Month April 2026 LGAs Covered Alkaleri, Misau, Shira Submission Date 02 Jun 2026
Submitted By Aliyu Bello, State Coordinator
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 610 36.97%
Females Enrolled 1,040 63.03% Active Enrollees 1,647 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 1,647
Total Enrollee Visits 542 Enrollee Visit Rate (per 1,000) 329.08
B. Visit Type Mix (Facility Level) Total PHC Visits 542 100%
Total SHC Visits 0 0% C. Visit Type Breakdown OPD/Consultations 311 57.38%
Admissions/Inpatients 44 8.12% Deliveries 35 6.46%
Emergency 0 0% Other Visits 152 28.04%
A. Service Encounters Total Encounters (Total Services Utilized) 1,419 B. Access to Care Enrollees Accessing Care (Last 30 Days) 542
% Enrollees Accessing Care 32.91% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 86.16% D. Preventive Care Services Total Preventive Services 311 % Preventive Rate (of Encounters) 21.92% Antenatal Care (ANC) 82 26.37%
Post Natal Care (PNC) 51 16.4% Immunization Services 152 48.87%
Family Planning Services 26 8.36% Nutrition/Health Education 0 0%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
311
21.92%
2
Maternal Health Services
133
9.37%
3
Immunization Services
152
10.71%
4
Hospital Admission (Basic Inpatient Care)
44
3.1%
F. Referral & Care Transitions Enrollees Referred 0
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 389
Respiratory Infections 11 Gastrointestinal Diseases 32
Hypertension 23 Diabetes 0
Maternal Conditions 36 Injuries/Trauma 58
Mental & Behavioral 0 Other Communicable Diseases 32
Total Other NCDs 0
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) ₦662.79 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 12
Facilities Meeting QA Standard 15 QA Compliance Rate 125.00% Periodic Quality Checks Facilities with Completed Checks 12
Total Accredited Facilities 12 Periodic Check Coverage 100.00% Enrollee Satisfaction Satisfied Enrollees 41
Total Respondents 49 Enrollee Satisfaction (%) 83.67% Complaints Management Complaints Received 3
Complaints Resolved 3 Complaint Rate (%) 0.18%
Complaints Redressed (%) 100.00% Complaints Channel Coverage Facilities with Complaints Channel 2
Facility Complaints Coverage Rate (%) 16.67%
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 General Hospital Misau made a transition and is now Federal Medical Center Misau, dut to that , referrals are temporarily being directed to Town PHCC Kofar Sarki pending further arrangements.
Certified By Aliyu Bello
Submission Date 02 Jun 2026
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