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Report #0095

Infinite X2 - Adamawa | August 2026

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
14
Contracted
Total Visits
1,254
Visit Rate: 760.46 Per 1,000
Claims Approved
0
0% approval rate
1. Administrative Information
Report ID:
#0095
HMO:
Infinite X2
HMO Code:
HMO-002
State:
Adamawa
LGAs Covered:
Gombi, Mayo Balewa, Mubi North
Reporting Month:
August 2026
Submission Date:
30 Sep 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
660 40%
Females:
990 60%
Pregnant Women:
577 34.97%
Under-5 Children:
660 40%
Persons with Disabilities:
165 10%
Elderly (60+):
165 10%
Others
83 5.03%
Active Enrollees:
1,649
Gender Distribution
Vulnerable Groups
3. Provider Network
Target PHC Facilities:
9
PHC Accredited:
9 100%
Target SHF:
5
SHF Accredited:
5 100%
4. Facility Visits
Total Enrollee Visits:
1,254
B. Visit Type Mix
Total PHC Visits:
1,254 100%
Total SHC Visits:
0 0%
C. Visit Type Breakdown
OPD/Consultation:
684 54.55%
Admissions/Inpatients:
0 0%
Deliveries:
0 0%
Emergency:
0 0%
Other Visits:
570 45.45%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,264
Total number of service interactions delivered, including multiple services within a single visit
B. Access to Care
Enrollees Accessing Care (Last 30 Days):
1,169
% Enrollees Accessing Care:
70.89%
C. Service Utilization Rate (SUR)
Service Utilization Rate (%):
76.65%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
1,201
% Total Preventive Services Rate
95.02%
Preventive Service Types
Antenatal Care
0 0%
Post Natal Care:
0 0%
Immunization Services:
405 33.72%
Family Planning Services:
0 0%
Nutrition/Health Education:
655 54.54%
Other Preventive Services:
141 11.74%
E. Most Frequently Used Services
# Service Number % of Total
1 Outpatient Consultations (OPD) 546 43.2%
2 Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection) 678 53.64%
3 Immunization Services 309 24.45%
4 Minor Procedures 76 6.01%
Percentage of Total Encounters (1,264)
F. Referral & Care Transitions
Enrollees Referred:
0
Referrals Completed:
0 0%
Referrals Denied:
0
Back-Referrals:
0 0%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
687
Respiratory Infections:
330
Gastrointestinal Diseases:
0
Hypertension:
31
Diabetes:
19
Maternal Conditions:
0
Injuries / Trauma:
119
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
79
Total Other NCDs:
0
6. Finances
Capitation
Total Facilities Paid Capitation:
9 100.00%
Facilities Pending Capitation:
0 0.00%
Total Amount of Capitation Paid:
₦1,155,000.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦913.77
Fees for Service (Claims) Management
Claims Submitted:
0
Claims Processed:
0
Claims Approved:
0 0%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦0.00
Total Amount Paid:
₦0.00
Total Amount Rejected:
₦0.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦0.00
Amount of FFS Spent:
₦0.00
Reserve Fund
Amount of Reserve Fund Received:
₦0.00
Amount of Reserve Fund Spent:
₦0.00
7. Quality Assurance
Total Facilities Assessed:
14
Facilities Meeting QA Standard:
14
QA Compliance Rate (%):
100.00%
Periodic Quality Checks
Facilities with Completed Checks:
14
Total Accredited Facilities:
14
Periodic Check Coverage (%):
100.00%
Enrollee Satisfaction
Satisfied Enrollees:
756
Total Respondents:
234
Enrollee Satisfaction (%):
323.08%
Complaints Management
Complaints Received:
0
Complaints Resolved:
0
Complaint Rate (%):
0.00%
Complaints Redressed (%):
0.00%
Complaints Channel Coverage
Facilities with Complaints Channel:
0
Facility Complaints Coverage Rate (%):
0.00%
8. Data Management
PHC Facilities Submitted Data:
9
% PHC Submission:
100.00%
SHF Facilities Submitted Data:
5
% SHF Submission:
100.00%
Daily Data Submission
PHC Facilities Submit Daily Data:
9
% Daily Submission:
100.00%
10. Corrective Actions

1. Some facilities had challenges with the availability/coordination of programme desk officers.
2. Facility management was engaged to ensure that designated desk officers are available and responsive to programme activities.
3. Issue is being addressed, with improved coordination reported.

Challenges Encountered

1. Inadequate documentation: Some facilities had incomplete or poorly maintained records, making verification and reporting difficult.
2. Limited knowledge of programme procedures: Some facility staff and desk officers required additional orientation on health-insurance processes, documentation, and reporting requirements.
3. Non-availability of designated desk officers: At some facilities, the responsible programme/health-insurance desk officer was not available during monitoring visits.
4. Infrastructure and facility limitations: Some health facilities experienced limitations in infrastructure, equipment, or other resources required for effective service delivery.

Mitigation Measures

1. Conducted sensitization and on-the-spot guidance for facility staff.
2. Engaged facility management and designated desk officers on identified gaps.
3. Recommended training/retraining of relevant personnel.
4. Strengthened documentation and record-keeping practices.

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