Public View: You are viewing an approved report. Login to submit your own reports.

Report #0045

Skyda Health LTD - Bauchi | November 2025

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
12
Contracted
Total Visits
548
Visit Rate: 332.12 Per 1,000
Claims Approved
2
33.33% approval rate
1. Administrative Information
Report ID:
#0045
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Bauchi
LGAs Covered:
Alkaleri, Misau, Shira
Reporting Month:
November 2025
Submission Date:
03 Feb 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
610 36.97%
Females:
1,040 63.03%
Pregnant Women:
507 30.73%
Under-5 Children:
661 40.06%
Persons with Disabilities:
162 9.82%
Elderly (60+):
162 9.82%
Others
162 9.82%
Active Enrollees:
1,650
Gender Distribution
Vulnerable Groups
3. Provider Network
Target PHC Facilities:
9
PHC Accredited:
9 100%
Target SHF:
3
SHF Accredited:
3 100%
4. Facility Visits
Total Enrollee Visits:
548
B. Visit Type Mix
Total PHC Visits:
542 98.91%
Total SHC Visits:
6 1.09%
C. Visit Type Breakdown
OPD/Consultation:
356 64.96%
Admissions/Inpatients:
38 6.93%
Deliveries:
12 2.19%
Emergency:
16 2.92%
Other Visits:
126 22.99%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,044
Total number of service interactions delivered, including multiple services within a single visit
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%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
208
% Total Preventive Services Rate
19.92%
Preventive Service Types
Antenatal Care
20 9.62%
Post Natal Care:
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
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%
Percentage of Total Encounters (1,044)
F. Referral & Care Transitions
Enrollees Referred:
8
Referrals Completed:
6 75%
Referrals Denied:
2
Back-Referrals:
6 75%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
590
Respiratory Infections:
16
Gastrointestinal Diseases:
18
Hypertension:
3
Diabetes:
0
Maternal Conditions:
0
Injuries / Trauma:
127
Mental & Behavioral Conditions:
3
Other Communicable Diseases:
56
Other Non-Communicable Diseases
Disease Name Number of Encounters
Typhoid 156
Ear Infections 25
Allergies 1
Skin Issues 24
Fungal Infections 11
Total Other NCDs:
217
6. Finances
Capitation
Total Facilities Paid Capitation:
9 100.00%
Facilities Pending Capitation:
0 0.00%
Total Amount of Capitation Paid:
₦940,500.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦900.86
Fees for Service (Claims) Management
Claims Submitted:
6
Claims Processed:
2
Claims Approved:
2 33.33%
Claims Denied/Rejected:
2
Total Amount Submitted:
₦137,500.00
Total Amount Paid:
₦137,500.00
Total Amount Rejected:
₦48,500.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦716,666.67
Amount of FFS Spent:
₦137,500.00
Reserve Fund
Amount of Reserve Fund Received:
₦107,500.00
Amount of 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:
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%
8. Data Management
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

Back to Reports List