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Report #0046

Skyda Health LTD - Bauchi | December 2025

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
12
Contracted
Total Visits
608
Visit Rate: 368.48 Per 1,000
Claims Approved
3
75% approval rate
1. Administrative Information
Report ID:
#0046
HMO:
Skyda Health LTD
HMO Code:
HMO-003
State:
Bauchi
LGAs Covered:
Alkaleri, Misau, Shira
Reporting Month:
December 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:
608
B. Visit Type Mix
Total PHC Visits:
569 93.59%
Total SHC Visits:
39 6.41%
C. Visit Type Breakdown
OPD/Consultation:
348 57.24%
Admissions/Inpatients:
34 5.59%
Deliveries:
17 2.8%
Emergency:
12 1.97%
Other Visits:
197 32.4%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,109
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
246
% Enrollees Accessing Care:
14.91%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
67.21%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
217
% Total Preventive Services Rate
19.57%
Preventive Service Types
Antenatal Care
37 17.05%
Post Natal Care:
0 0%
Immunization Services:
180 82.95%
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) 318 28.67%
2 Basic Laboratory Tests/Investigations 259 23.35%
3 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 312 28.13%
4 Pharmacy/Drug Prescription 236 21.28%
5 Hospital Admission (Basic Inpatient Care) 34 3.07%
Percentage of Total Encounters (1,109)
F. Referral & Care Transitions
Enrollees Referred:
5
Referrals Completed:
4 80%
Referrals Denied:
1
Back-Referrals:
3 60%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
352
Respiratory Infections:
24
Gastrointestinal Diseases:
13
Hypertension:
11
Diabetes:
1
Maternal Conditions:
1
Injuries / Trauma:
167
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
29
Other Non-Communicable Diseases
Disease Name Number of Encounters
Typhoid 229
Skin issues 13
Cough and Catther 231
Total Other NCDs:
473
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:
₦848.06
Fees for Service (Claims) Management
Claims Submitted:
4
Claims Processed:
4
Claims Approved:
3 75%
Claims Denied/Rejected:
1
Total Amount Submitted:
₦467,000.00
Total Amount Paid:
₦467,000.00
Total Amount Rejected:
₦48,900.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦716,666.67
Amount of FFS Spent:
₦467,000.00
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:
67
Enrollee Satisfaction (%):
71.64%
Complaints Management
Complaints Received:
152
Complaints Resolved:
143
Complaint Rate (%):
9.21%
Complaints Redressed (%):
94.08%
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

Some facilities refer some cases that are not of secondary type

Mitigation Measures

Facilities were enlightened on what a Primary and Secondary case is all about

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