Professional Documents
Culture Documents
Bulan SEPTEMBER
Puskesmas : TENTANG
NAMA JLH SASARAN
STIKER P4K PENOLONG PERSALINAN TEMPAT PERSALINAN
NO PUSKESMAS RILL
BUMIL BULIN PERSEDIAAN PENGELUARAN SISA JLH PERSALINAN TENKES DT DTT RUMAH POLINDES PKM RSU LAIN''
1 Tentang 36 4 0 0 0 4 3 0 0 1 0 2 1 0
2 Golo Bore 9 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 8 2 0 0 0 2 0 2 0 2 0 0 0 0
4 Golo Rua 18 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 5 2 0 0 0 2 2 0 0 0 1 1 0 0
6 Golo Keli 5 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 12 3 0 0 0 3 0 3 0 3 0 0 0 0
8 Wae Buka 14 3 0 0 0 3 3 0 0 0 2 0 1 0
9 Ndoso 8 3 0 0 0 3 3 0 0 0 2 0 1 0
10 Momol 15 2 0 0 0 2 2 0 0 0 1 1 0 0
11 Waning 8 1 0 0 0 1 1 0 0 0 1 0 0 0
12 Pateng Lesu 4 2 0 0 0 2 2 0 0 0 2 0 0 0
13 Tehong 14 1 0 0 0 1 1 0 0 0 1 0 0 0
14 Raka 11 3 0 0 0 3 1 0 2 2 1 0 0 0
15 Kasong 9 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 176 26 0 0 0 26 18 5 2 8 11 4 3 0
TRANSPORT YANG DIGUNAKAN
1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0
N
Penanganan
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
LAPORAN PELAYANAN KESEHATAN JIWA IBU HAMIL, BERSALIN DAN NIFAS
PUSKESMAS : TENTANG
BULAN/TAHUN : SEPTEMBER 2015
JUMLAH JUMLAH YANG DISKRINING JUMLAH YANG TERDETEKSI JUMLAH YANG DIKONSELING JUMLAH YANG DITERAPI JUMLAH YANG DIRUJUK
NO DESA/KELURAHAN
BUMIL BULIN BUFAS BUMIL BULIN BUFAS BUMIL BULIN BUFAS BUMIL BULIN BUFAS BUMIL BULIN BUFAS BUMIL BULIN BUFAS
1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Kepala Puskesmas
JAKOBUS NENTU
NIP. 19740908 199903 1 005
DATA SASARAN PROGRAM KESEHATAN ANAK
TAHUN 2015
Bulan SEPTEMBER
KABUPATEN/KOTA : Manggarai Barat
DATA SASARAN
Ssasaran bayi Ssasaran balita Sasaran Remaja S siswa
No Desa S Penduduk (0-11 bulan) (12-59 bulan) S Snak Pra Sekolah 10-14 Tahun 15-<18 Tahun Kelas 1 Kelas 1 Kelas 1
TK/RA
L P L P L P L P SD/MI SMP/MTs SMA/MA/SMK
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Tentang 2849 18 19 25 32 20 157 149 110 87 0 65 447 413
2 Golo Bore 1254 14 13 26 31 25 29 49 17 24 0 80 0 0
3 Pong Narang 1105 13 15 21 26 25 16 24 31 42 0 40 0 0
4 Golo Rua 1595 15 14 31 36 20 22 12 24 24 0 77 0 0
5 Golo Poleng 1489 8 7 28 24 19 12 17 19 27 0 48 66 0
6 Golo Keli 1000 7 9 20 23 21 18 9 18 11 0 14 0 0
7 Lumut 1539 21 21 39 45 23 20 41 20 18 0 66 0 0
8 Wae Buka 1079 6 8 18 22 20 20 23 20 5 0 0 0 0
9 Ndoso 1464 11 12 29 42 15 90 94 61 49 0 61 0 0
10 Momol 944 7 5 45 28 32 62 66 32 25 0 46 41 34
11 Waning 1537 13 14 62 60 24 42 41 62 58 0 51 98 0
12 Pateng Lesu 787 5 7 25 29 22 42 41 62 58 0 41 0 0
13 Tehong 1492 11 9 52 52 21 40 43 53 35 0 64 0 0
14 Raka 1614 13 10 21 31 19 22 15 13 2 0 48 42 0
15 Kasong 949 10 8 31 36 30 4 3 2 4 0 53 0 0
Puskesmas 20697 172 171 473 517 336 596 627 544 469 0 754 694 447
S sekolah
Kelas 1 Kelas 1 Kelas 1
TK/RA
SD/MI SMP/MTs SMA/MA/SMK
15 16 17 18
0 3 1 1
0 1 0 0
0 1 0 0
0 2 0 0
0 1 1 0
0 1 0 0
0 2 0 0
0 0 0 0
0 2 0 0
0 1 1 1
0 1 1 0
0 1 0 0
0 2 0 0
0 1 1 0
0 1 0 0
0 20 5 2
DATA SARANA PROGRAM KESEHATAN ANAK
TAHUN 2015
Bulan : SEPTEMBER 2015
SMP/MTs SMA/MA/SMK
S Cakupan S Cakupan
Absolut (%) Absolut (%)
14 15 16 17
1 1
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
1 1
1 0
0 0
0 0
1 0
0 0
5 0 2 0
DATA SUMBER DAYA MANUSIA PROGRAM KESEHATAN ANAK
TAHUN 2015
Bulan : SEPTEMBER
Puskesmas DATA SUMBER DAYA MANUSIA
S Tenaga Puskesmas terlatih S Tenaga Puskesmas latihter S Puskesmas S Tenaga Puskesmas latihter
1 Tentang 1 1 0 1 1 0 0 0 0 0 0 0
2 Golo Bore 0 1 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Poleng 0 0 0 0 1 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 1 2 0 1 2 0 0 0 0 0 0 0
S Tenaga S Tenaga terlatih
Puskesmas Tata Laksana kasus
terlatih KtA
PKPR Puskesmas
Dokter/ Perawat/
Dokter/ Bidan
Gigi
15 16 17
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
LAPORAN PENCAPAIAN INDIKATOR PROGRAM KESEHATAN ANAK
TAHUN 2015
Bulan : SEPTEMBER
Puskesmas DATA CAKUPAN PROGRAM
CAKUPAN KN
Cakupan Neonatus komplikasi Cakupan kunjungan Bayi Cakupan Pelayanan
yang ditangani Anak Balita
KN 1 KN Lengkap
No Desa
Bulan Bulan S Bulan Bulan S Bulan Bulan S Bulan Bulan S Bulan Bulan
Lalu ini Absolut Cakupan Lalu ini Absolut Cakupan Lalu ini Absolut Cakupan Lalu ini Absolut Cakupan Lalu ini
1 2 3 4 5 6 7 8 9 10 11
33 94 0 0
17 84 0 0
18 75 0 0
13 96 0 0
10 67 0 0
12 59 0 0
18 126 0 0
9 54 0 0
13 94 0 0
13 85 0 0
29 149 0 0
17 66 0 0
21 124 0 0
14 75 0 0
13 85 0 0
250 1333 0 0
LAPORAN PENCAPAIAN INDIKATOR PROGRAM KESEHATAN ANAK
TAHUN 2015
Bulan SEPTEMBER
Puskesmas DATA CAKUPAN PROGRAM
S Siswa yang diperiksa melalui penjaringan kesehatan S Sekolah yang melaksanakan Penjaringan Kesehatan S Sekolah yang melaksanakan Pe
Kelas 1 Kelas 1
SMP/MTs SMA/MA/SMK
S Cakupan S Cakupan
Absolut % Absolut %
30 31 32 33
1 1
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
1 1
1 0
0 0
0 0
1 0
0 0
5 0 2 0
LAPORAN PENCAPAIAN INDIKATOR PROGRAM KESEHATAN ANAK
TAHUN 2015
BulanSEPTEMBER
Puskesmas DATA CAKUPAN PROGRAM
JENIS KEKERASAN
No Desa
S Kekerasan Seksual S Kekerasan Fisik S Kekerasan Emosion S Kekerasan Penelantaran S Kekerasan Trafiking
0-11bl 1-4th 5-9th 10-14th 15-18th 0-11bl 1-4th 5-9th 10-14th 15-18th 0-11bl 1-4th 5-9th 10-14th 15-18th 0-11bl 1-4th 5-9th 10-14th 15-18th 0-11bl 1-4th 5-9th
1 2 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56
1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S S
S LAPAS/ LAPAS/
SLB RUTAN RUTAN
S Kekerasan Trafiking yang ANAK yang
dibina yang dibina
10-14th 15-18th dibina
57 58 59 60 61
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Puskesmas KEMATIAN DAN PENYEBABNYA
Kematian Neonatal Sebab Kematian Neonatal Sebab Kematian Bayi Sebab Kematian Anak Balita
S S
Kematian Kematian
No Desa
S S S Tetanus Kelainan Bayi Bayi
Lahir Kematian Kematian BBLR Asfiksia Neo Sepsis Konge Ikterus Lain- 29hari-11 Pneu Diare Kelainan Tetanus Kelainan Lain- 12-59 bln ISPA Diare Malaria
mati 0-6 hari 7-28 hari naturum enital lain bln monia kong saraf Lain
enital
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
1 Tentang 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
ebab Kematian Anak Balita
24 25 26
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
FORMAT KESEHATAN ANAK (TAMBAHAN)
Puskesmas : Tentang
Bulan/Tahun SEPTEMBER
Mengetahui
Kepala Puskesmas Tentang Pengelola Program KIA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0