KABUPATEN : PASER Lampiran : 2

Bulan : jan Tahun : 2017

Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 8 0.1 4 0.5

2 Batu Butok 39 39 37 6 1 0.0 0 0.0
3 Uko 5 5 4 1 1 0.2 0 0.0
4 Selerong 18 18 17 3 2 0.1 0 0.0
5 Muara lan 53 53 51 8 3 0.1 3 1.0
6 Sekuan Ma 16 16 16 2 2 0.1 0 0.0
7 Binangon 12 12 11 2 0 0.0 0 #DIV/0!
8 Muara Kua 8 8 8 1 0 0.0 0 #DIV/0!
9 Prayon 4 4 4 1 0 0.0 0 #DIV/0!
10 Muara Pay 12 12 12 2 0 0.0 0 #DIV/0!
11 Lusan 9 9 8 1 0 0.0 0 #DIV/0!
12 Long sayo 4 4 4 1 0 0.0 0 #DIV/0!
13 Swan slutu 15 15 14 2 0 0.0 0 #DIV/0!
#DIV/0!
Total 291 291 277 42 17 0.1 7 0.4
Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
1 3 0 0 0 4 0.5 7 0.1 0
0 0 0 0 0 1 1.0 0 0.0 0
0 0 0 0 0 1 1.0 0 0.0 0
0 0 0 0 0 2 1.0 2 0.1 0
0 1 0 0 1 1 0.3 2 0.0 0
0 0 0 0 0 2 1.0 1 0.1 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 0.0 0
#DIV/0! #DIV/0!
1 4 0 0 1 11 0.6 12 0.0 0
 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
0.0 0 0.0 8 0.1 8
0.0 0 0.0 1 0.0 1
0.0 0 0.0 1 0.2 1
0.0 0 0.0 2 0.1 2
0.0 0 0.0 3 0.1 3
0.0 0 0.0 2 0.1 2
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
#DIV/0! #DIV/0! 0
0.0 0 0.0 17 0.1 17
Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33
8 0 8 8 8
1 0 1 1 1
2 1 1 1 2
2 0 2 2 2
3 0 3 3 2
1 0 2 2 -
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 -

17 1 17 15
 PERIODE INPUT DATA

% BULAN TAHUN
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 9 0.1 6 0.7

2 Batu Butok 39 39 37 6 1 0.0 1 1.0
3 Uko 5 5 4 1 0 0.0 0 #DIV/0!
4 Selerong 18 18 17 3 3 0.2 2 0.7
5 Muara lan 53 53 51 8 1 0.0 1 1.0
6 Sekuan Ma 16 16 16 2 2 0.1 0 0.0
7 Binangon 12 12 11 2 1 0.1 1 1.0
8 Muara Kua 8 8 8 1 0 0.0 0 #DIV/0!
9 Prayon 4 4 4 1 0 0.0 0 #DIV/0!
10 Muara Pay 12 12 12 2 0 0.0 0 #DIV/0!
11 Lusan 9 9 8 1 3 0.3 0 0.0
12 Long sayo 4 4 4 1 1 0.3 0 0.0
13 Swan slutu 15 15 14 2 1 0.1 0 0.0
#DIV/0!
Total 291 291 277 42 22 0.1 11 0.5
Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
4 0 0 0 2 3 0.3 4 0.4 0
0 1 0 0 0 0 0.0 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 1 0 0 1 1 0.3 3 1.0 0
0 1 0 0 0 0.0 1 1.0 0
0 0 0 0 0 2 1.0 0 0.0 0
1 0 0 0 0 0 0.0 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 3 1.0 3 1.0 0
0 0 0 0 0 1 1.0 0 0.0 0
0 0 0 0 0 1 1.0 1 1.0 0
#DIV/0! #DIV/0!
5 3 0 0 3 11 0.5 12 0.5 0
 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
0.0 0 0.0 9 82.3 9
0.0 0 0.0 0 51.3 0
0.0 0 0.0 0 60.0 0
0.0 0 0.0 3 72.2 3
0.0 0 0.0 1 79.2 1
0.0 0 0.0 2 87.5 2
0.0 0 0.0 1 41.7 1
0.0 0 0.0 0 100.0 0
0.0 0 0.0 0 175.0 0
0.0 0 0.0 0 25.0 0
0.0 0 0.0 3 66.7 3
0.0 0 0.0 1 125.0 1
0.0 0 0.0 1 60.0 1
#DIV/0!
0.0 0 0.0 21 73.5 21
Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33
9 8 10 10 10
0 0 1 1 1
0 1 0 0 -
3 0 3 3 2
1 1 1 1 1
2 0 1 1 1
1 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
3 3 3 3 3
1 0 1 1 1
1 0 1 1 1

21 13 21 21 20
 PERIODE INPUT DATA

% BULAN TAHUN
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 9 0.1 6 0.7

2 Batu Butok 39 39 37 6 1 0.0 1 1.0
3 Uko 5 5 4 1 0 0.0 0 #DIV/0!
4 Selerong 18 18 17 3 3 0.2 2 0.7
5 Muara lan 53 53 51 8 1 0.0 1 1.0
6 Sekuan Ma 16 16 16 2 2 0.1 0 0.0
7 Binangon 12 12 11 2 1 0.1 1 1.0
8 Muara Kua 8 8 8 1 0 0.0 0 #DIV/0!
9 Prayon 4 4 4 1 0 0.0 0 #DIV/0!
10 Muara Pay 12 12 12 2 0 0.0 0 #DIV/0!
11 Lusan 9 9 8 1 3 0.3 0 0.0
12 Long sayo 4 4 4 1 1 0.3 0 0.0
13 Swan slutu 15 15 14 2 1 0.1 0 0.0
#DIV/0!
Total 291 291 277 42 22 0.1 11 0.5
Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
4 0 0 0 2 3 0.3 4 0.4 0
0 1 0 0 0 0 0.0 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 1 0 0 1 1 0.3 3 1.0 0
0 1 0 0 0 0.0 1 1.0 0
0 0 0 0 0 2 1.0 0 0.0 0
1 0 0 0 0 0 0.0 0 0.0 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 3 1.0 3 1.0 0
0 0 0 0 0 1 1.0 0 0.0 0
0 0 0 0 0 1 1.0 1 1.0 0
#DIV/0! #DIV/0!
5 3 0 0 3 11 0.5 12 0.5 0
 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
0.0 0 0.0 9 82.3 8
0.0 0 0.0 0 51.3 1
0.0 0 0.0 0 60.0 1
0.0 0 0.0 3 72.2 2
0.0 0 0.0 1 79.2 3
0.0 0 0.0 2 87.5 2
0.0 0 0.0 1 41.7 0
0.0 0 0.0 0 100.0 0
0.0 0 0.0 0 175.0 0
0.0 0 0.0 0 25.0 0
0.0 0 0.0 3 66.7 0
0.0 0 0.0 1 125.0 0
0.0 0 0.0 1 60.0 0
#DIV/0! 0
0.0 0 0.0 21 73.5 17
Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33
8 0 8 8 8
1 0 1 1 1
2 1 1 1 2
2 0 2 2 2
3 0 3 3 2
1 0 2 2 -
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 -

17 1 17 15
 PERIODE INPUT DATA

% BULAN TAHUN
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1
KABUPATEN : PASER Lampiran : 2
Bulan : jan Tahun : 2017
Form 2 (Persalinan Dan Nifas)
17 PUSKESMuara Komam
Persalinan Ditolong

BULIN BUFAS BAYI PN

NO. Desa BAYI
RESTI
PN %
FASKES
%

24 25

1 Muara Ko 96 96 91 14 80 83.3 57 59.4

2 Batu Butok 39 39 37 6 18 46.2 6 15.4
3 Uko 5 5 4 1 3 60.0 2 40.0
4 Selerong 18 18 17 3 13 72.2 4 22.2
5 Muara lan 53 53 51 8 43 81.1 28 52.8
6 Sekuan Ma 16 16 16 2 14 87.5 4 25.0
7 Binangon 12 12 11 2 5 41.7 3 25.0
8 Muara Kua 8 8 8 1 8 100.0 3 37.5
9 Prayon 4 4 4 1 4 100.0 2 50.0
10 Muara Pay 12 12 12 2 2 16.7 1 8.3
11 Lusan 9 9 8 1 6 66.7 0 0.0
12 Long sayo 4 4 4 1 5 125.0 1 25.0
13 Swan slutu 15 15 14 2 9 60.0 1 6.7

Total 291 291 277 42 210 72.2 112 38.5

Persalinan Ditolong Nakes (PN) IMD
Persalina
PN DI n Ditolong
NON Non
FASYANKES %
FASYANK Nakes
ES
RS PKM PUSBAN ppolindes KLINIK 27 28 29
31 14 0 0 8 25 26.0 30 31.3 1
3 2 0 1 0 11 28.2 14 35.9 3
0 2 0 0 0 1 20.0 1 20.0 0
0 2 0 0 2 8 44.4 13 72.2 0
14 5 0 3 4 15 28.3 20 37.7 0
2 0 0 0 0 12 75.0 8 50.0 0
2 1 0 0 0 2 16.7 4 33.3 0
0 1 0 0 1 5 62.5 7 87.5 0
1 1 0 0 0 2 50.0 1 25.0 0
0 1 0 0 0 1 8.3 2 16.7 2
0 0 0 0 0 6 66.7 6 66.7 0
0 0 0 0 0 5 125.0 2 50.0 0
1 0 0 0 0 5 33.3 6 40.0 0

54 29 0 4 15 98 33.7 114 39.2 6

 Kunjunga
Komplikasi
Maternal VIT A
Ditangani
%
% % NIFAS KF1
(PK)

30 31 32
1.0 0 0.0 79 82.3 78
7.7 0 0.0 20 51.3 19
0.0 0 0.0 3 60.0 3
0.0 0 0.0 13 72.2 13
0.0 0 0.0 42 79.2 42
0.0 0 0.0 14 87.5 14
0.0 0 0.0 5 41.7 5
0.0 0 0.0 8 100.0 8
0.0 0 0.0 7 175.0 4
16.7 0 0.0 3 25.0 3
0.0 0 0.0 6 66.7 6
0.0 0 0.0 5 125.0 5
0.0 0 0.0 9 60.0 9
0
2.1 0 0.0 214 73.5 209
 Kunjungan Nifas (KF) KUNJUNGAN KN

KF2 KF3 KN 1 % KN 2 % KN 3

33

81.3 76 79.2 72 75.0 77 84.6 77 84.6 75

48.7 19 48.7 11 28.2 19 51.4 19 51.4 13
60.0 3 60.0 4 80.0 3 75.0 3 75.0 4
72.2 13 72.2 9 50.0 13 76.5 13 76.5 12
79.2 37 69.8 24 45.3 43 84.3 42 82.4 33
87.5 11 68.8 12 75.0 13 81.3 13 81.3 10
41.7 4 33.3 3 25.0 4 36.4 4 36.4 4
100.0 7 87.5 7 87.5 8 100.0 8 100.0 7
100.0 4 100.0 5 125.0 4 100.0 5 125.0 5
25.0 3 25.0 1 8.3 3 25.0 3 25.0 2
66.7 6 66.7 4 44.4 6 75.0 6 75.0 6
125.0 4 100.0 2 50.0 4 100.0 4 100.0 4
60.0 8 53.3 4 26.7 9 64.3 8 57.1 8
0 -
71.8 195 67.0 158 54.3 206 74.4 205 74.0 183
 PERIODE INPUT DATA

% BULAN TAHUN

82.4
35.1
100.0
70.6
64.7
62.5
36.4
87.5
125.0
16.7
75.0
100.0
57.1

66.1