Export Report #0078 - HMO Monthly Reports

1. Administrative Information
Report ID	#0078	Status	Approved
HMO Name	Skyda Health LTD	HMO Code	HMO-003
State	Bauchi	Reporting Month	January 2026
LGAs Covered	Alkaleri, Misau, Shira
Submission Date	18 Jul 2026	Submitted By	Aliyu Bello, State Coordinator

2. Enrollment and Coverage
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%

3. Provider Network
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

4. Facility Visits
A. Summary
Active Enrollees	1,647	Total Enrollee Visits	500
Enrollee Visit Rate (per 1,000)	303.58
B. Visit Type Mix (Facility Level)
Total PHC Visits	492 98.4%	Total SHC Visits	8 1.6%
C. Visit Type Breakdown
OPD/Consultations	303 60.6%	Admissions/Inpatients	40 8%
Deliveries	23 4.6%	Emergency	0 0%
Other Visits	134 26.8%

5. Service Utilization

A. Service Encounters

Total Encounters (Total Services Utilized)

1,457

B. Access to Care

Enrollees Accessing Care (Last 30 Days)

397

% Enrollees Accessing Care

24.1%

C. Service Utilization Rate (SUR)

Service Utilization Rate (%)

88.46%

D. Preventive Care Services

Total Preventive Services

134

% Preventive Rate (of Encounters)

9.2%

Antenatal Care (ANC)

39 29.1%

Post Natal Care (PNC)

75 55.97%

Immunization Services

20 14.93%

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)	303	20.8%
2	Basic Laboratory Tests/Investigations	238	16.33%
3	Maternal Health Services	114	7.82%
4	Immunization Services	20	1.37%
5	Hospital Admission (Basic Inpatient Care)	40	2.75%

F. Referral & Care Transitions

Enrollees Referred

8

Referrals Completed

5 62.5%

Referrals Denied

1

Back-Referrals

0 0%

G. Disease Burden Among Enrollees

Malaria

99

Respiratory Infections

3

Gastrointestinal Diseases

0

Hypertension

8

Diabetes

0

Maternal Conditions

0

Injuries/Trauma

0

Mental & Behavioral

0

Other Communicable Diseases

0

Total Other NCDs

124

Other NCD Name	Number of Encounters
Typhoid	28
Pneumonia	3
Minor procedures	93

6. Finances
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)	₦645.50 per encounter
Claims Management (FFS)
Claims Submitted	8	Claims Processed	8
Claims Approved	5 62.5%	Claims Denied	3
Amount Submitted	₦123,500.00	Amount Paid	₦97,310.00
Amount Rejected	₦26,190.00
Fee-For-Service (FFS)
FFS Received	₦0.00	FFS Spent	₦0.00
Reserve Fund
Reserve Fund Received	₦0.00	Reserve Fund Spent	₦0.00

7. Quality Assurance
Total Facilities Assessed	12	Facilities Meeting QA Standard	12
QA Compliance Rate	100.00%
Periodic Quality Checks
Facilities with Completed Checks	0	Total Accredited Facilities	12
Periodic Check Coverage	0.00%
Enrollee Satisfaction
Satisfied Enrollees	0	Total Respondents	0
Enrollee Satisfaction (%)	%
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%

8. Data Management
PHC Facilities Submitted Data	9	% PHC Submission	100.00%
SHF Facilities Submitted Data	1	% SHF Submission	33.33%
Daily Data Submission
PHC Facilities Submit Daily Data	9	% Daily Submission	100.00%

12. Certification & Attestation
Certified By	Aliyu Bello Abubakar	Submission Date	18 Jul 2026

Report #0078 — Skyda Health LTD | January 2026