GRAM PEMBERDAYAAN MASYARAKAT

HATAN DAN PEMBERDAYAAN MASYARAKAT

No Puskesmas A. Kegiatan Dalam Gedung

A1. Penyuluhan Individu A.2 Penyuluhan Kelompo

Kunjungan Puskesmas

Pengembangan (
KIP / K Program

UKS, Perkesmas
KIP / K Kesling

Lansia , UKK ,
KIP / K P2PM
KIP / K PHBS

KIP / K Gizi
KIP / K KIA

dll )
1 Kebon Pedes 2760 28 28 28 28 28 28
2 Cireunghas 2997 25 35 24 6 20 15
3 gegerbitung 5259 129 102 43 34 32 36
4 Sukaraja 3956 10 50 10 30 10 5
5 Sukalarang 5637 121 126 118 112 114 128
6 Limbangan 2616 44 38 27 18 36 55
7 Karawang 7898 13 53 17 7 84 8
8 Cisaat 8459 16 195 26 8 115 20
9 Kadudampit 2597 12 110 14 8 6 125
10 Selajambe 5374 45 88 40 20 30 20
11 Cibolang 2196 11 13 10 8 9 112
12 Gunungguruh 0 11 148 46 50 211 119
13 Cicantayan 0 70 40 40 30 30 20
14 Caringin 5181 30 33 29 13 26 23
15 Cibadak 7371 39 94 48 25 31 55
16 Sekarwangi 12449 10 4 6 4 8 0
17 Nagrak 6022 0 349 0 0 0 0
18 Girijaya 6353 42 37 43 33 58 68
19 Ciambar 2831 47 72 36 31 16 8
20 Cikidang 4917 49 49 49 49 49 0
21 Cikembar 7340 16 157 50 8 16 23
22 Parungkuda 7196 53 44 68 37 43 72
23 Parakansalak 2693 24 70 28 10 24 96
24 Kalapanunggal 10369 24 21 42 28 28 14
25 Bojonggenteng 0 62 38 67 20 76 15
26 Kabandungan 2469 20 24 20 14 43 20
27 Cidahu 6200 56 30 30 40 30 60
28 Cicurug 7842 12 12 6 8 8 9
 29 Cipari 0 0 0 0 0 0 0
30 Warungkiara 5073 507 37 99 9 7 8
31 Bantargadung 6595 24 525 71 20 45 60
32 Citarik 4890 25 146 83 6 19 88
33 Simpenan 4176 28 70 67 22 34 0
34 Pelabuhanratu 4689 15 42 130 46 63 38
35 Cikakak 4657 35 46 32 37 42 32
36 Cisolok 2760 9 18 123 2 45 50
37 Cijangkar 1962 45 564 2 216 104 0
38 Nyalindung 1649 6 12 17 4 9 0
39 Purabaya 3471 40 30 20 25 35 33
40 Jampang Tengah 3230 29 27 30 25 23 23
41 Lengkong 0 0 0 0 0 0 0
42 Sagaranten 2184 43 42 29 37 32 22
43 Pabuaran 2449 27 27 23 25 23 23
44 Cidolog 221 28 12 11 11 21 11
45 Curugkembar 0 0 0 0 0 0 0
46 Cidadap 767 30 20 15 21 20 35
47 Waluran 2957 20 15 52 10 15 20
48 Jampangkulon 16526 100 100 100 100 100 100
49 Kalibunder 6465 54 55 53 51 55 52
50 Cimanggu 0 0 0 0 0 0 0
51 Surade 8723 51 45 81 43 60 38
52 Buniwangi 7370 368 398 100 22 100 83
53 Cibitung 3221 23 30 52 10 18 22
54 Tamanjaya 998 6 8 8 8 4 8
55 Bangbayang 1522 11 11 11 11 13 19
56 Ciemas 622 5 0 19 0 0 0
57 Ciracap 6930 372 20 103 13 25 58
58 Tegalbuleud 690 5 5 5 5 5 5
JUMLAH 243779 2925 4365 2301 1458 2098 1982
 B. Kegiatan Luar Gedung
A.2 Penyuluhan Kelompok
A.3 Koordinasi
(Kali) & Advokasi (Kali) B.1 Penyuluhan Individu (Jml/Org) B.2 Penyuluhan Kelompok
Besar Penyakit di

Advokasi Kepada
AIDS/REPRODUK

Pengembangan (

Individu melalui

Individu melalui
Program Kesling

UKS, Perkesmas
Program P2PM
Penyuluhan 10

Ka. Puskesmas
ISSUE GLOBAL

Koordinasi dg

Koordinasi dg

Koordinasi dg
Koordinasi dg

Koordinasi dg

kunjungan ke
( NAPZA/ HIV

Program Gizi
Program KIA

Lansia, UKK,
Penyuluhan

Penyuluhan

Penyuluhan
Puskesmas

kunjungan

Posyandu
Program
SI dll)

dll )

Rumah
1 5 1 1 1 1 1 1 10 12
0 6 2 2 2 3 1 1 45 53
4 8 26 54 48 26 28 8 120 116
0 0 1 1 1 1 1 1 0 0
10 11 2 3 2 4 4 0 12 36
3 20 16 12 8 14 16 8 20 80
0 9 2 2 2 2 2 2 49 142
8 0 1 1 1 1 1 1 180 74
0 1 4 4 4 4 20 6 6 4
0 16 2 2 2 2 2 2 80 78
0 9 2 4 3 3 2 3 5 5
8 8 2 2 2 2 2 2 1619 112
10 10 4 4 4 4 4 7 20 20
3 9 6 4 2 8 3 6 15 14
2 2 4 4 4 4 4 2 158 354
0 0 4 6 4 8 6 0 20 10
16 0 4 4 2 4 6 4 107 608
0 0 2 2 2 2 2 2 0 0
1 16 4 4 3 4 3 3 22 12
4 16 2 2 2 2 2 8 379 198
8 8 8 8 8 8 8 2 23 4040
42 80 3 5 4 10 3 8 303 137
10 16 2 2 2 2 12 12 24 20
3 16 2 2 2 2 2 8 14 114
6 10 4 4 4 4 20 4 20 10
3 16 8 8 8 8 8 8 190 80
4 4 2 2 2 2 2 2 167 160
0 3 1 1 2 1 1 3 3 12
 0 0 0 0 0 0 0 0 0 0
3 3 8 9 6 5 5 10 15 36
6 10 4 4 4 4 4 4 6 6
0 4 4 4 4 4 4 4 33 102
0 8 2 2 2 4 2 3 20 206
0 8 2 2 2 2 2 2 128 0
2 5 8 8 8 8 8 16 10 12
0 2 1 1 1 1 1 1 30 89
5 10 11 4 2 8 16 4 6 8
0 12 8 8 8 8 8 11 148 141
1 1 2 2 2 2 2 2 90 128
0 16 5 6 5 2 2 7 54 22
0 0 0 0 0 0 0 0 0 0
7 6 2 2 2 2 2 8 2 4
2 2 4 4 4 4 4 4 61 118
5 8 2 2 2 2 2 2 40 15
0 0 0 0 0 0 0 0 0 0
20 5 2 2 2 2 2 2 0 10
1 8 4 4 4 4 4 4 67 6
0 14 4 4 4 4 4 4 207 134
3 10 3 3 3 3 3 3 26 138
0 0 0 0 0 0 0 0 0 0
8 8 2 2 2 2 2 2 174 126
16 16 10 10 10 10 10 10 354 90
2 16 4 4 4 4 4 8 40 10
2 4 5 5 3 2 2 2 0 6
2 14 7 5 5 6 6 8 29 8
4 4 1 1 1 1 1 1 0 0
4 2 2 2 2 2 2 8 0 10
0 0 2 2 2 2 2 2 10 10
239 495 230 252 225 234 270 246 5161 7936
B.2 Penyuluhan Kelompok (Kali) B.3 Frekwensi Penyuluhan PHBS Semua Tatanan (Kali)

Remaja Sekolah (

PHBS di Tatanan

PHBS di Tatanan

PHBS di Tatanan
Kelompok Anak

Tempat-tempat
SD/SMP/SMA )

Rumah Tangga
Ibu Hamil dll )
Rawan ( Kelas

Wanita (PKK)

Kelompok di
Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan
Penyuluhan
Kelompok

Kelompok

Kelompok

Kelompok
Pengajian

Frekuensi

Frekuensi

Frekuensi
Posyandu
Pemuda

Sekolah
Umum
5 0 1 0 5 1 5 1 0
10 0 0 0 53 0 0 0 0
36 0 0 0 116 2 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 22 3 126 3 3
18 0 0 0 40 20 296 12 30
0 0 2 6 142 22 2 0 4
0 0 0 7 74 8 1 1 1
0 0 0 0 1 0 0 0 0
0 0 0 0 78 0 0 0 0
2 0 0 0 5 0 0 0 12
40 0 2 2 112 0 0 0 0
16 2 0 6 4 6 2 2 20
0 0 0 0 0 3 0 0 2
8 0 0 0 88 8 16 2 2
6 0 0 0 6 0 20 0 4
0 0 0 0 148 0 0 0 0
0 0 0 0 84 0 0 0 0
0 0 20 1 110 2 4 0 1
0 0 0 0 198 2 0 0 0
10 0 1 0 202 10 0 0 3
16 3 10 11 137 16 24 8 24
20 0 4 0 120 0 3 4 1
0 0 0 0 114 0 0 0 0
0 0 0 0 78 8 4 0 8
0 0 0 0 80 3 0 0 3
18 0 0 0 163 11 8 0 4
3 0 1 0 3 4 1 0 1
 0 0 0 0 0 0 0 0 0
7 0 0 1 0 1 1 1 1
1 1 1 0 2 1 1 0 1
20 0 0 0 102 0 0 0 0
0 0 0 0 103 0 6 0 3
0 0 0 0 69 4 0 0 0
4 0 8 0 6 2 4 0 6
8 0 0 0 89 0 0 0 0
4 0 0 0 12 10 9 2 2
0 0 0 0 47 3 20 0 0
2 0 0 1 55 6 14 1 0
22 2 8 0 176 4 22 2 6
0 0 0 0 0 0 0 0 0
4 0 0 4 4 6 2 1 2
14 0 0 0 118 4 2 2 2
10 0 6 2 10 6 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
8 0 3 2 6 4 6 0 4
29 0 14 67 67 0 2 0 0
0 0 0 0 73 1 1 0 1
0 0 0 0 0 0 0 0 0
126 0 4 0 126 2 14 0 2
10 0 10 10 90 8 78 42 8
0 0 2 2 96 12 6 0 0
0 0 0 0 11 4 7 0 2
1 0 0 0 2 0 5 0 0
0 0 0 0 31 0 3 0 0
0 0 4 4 10 8 2 2 2
0 2 0 0 0 0 0 0 0
480 10 101 126 3488 215 717 86 165
Tatanan (Kali) B.4 Penyuluhan Massa (Kali) B.5 Pendataan PHBS di Semua Tatanan

Pendataan PHBS
PHBS di Tatanan

PHBS di Tatanan

Melalui Hiburan

(Rumah Tangga)
Melalui Televisi
Melalui Radio
melalui Tablig
Tempat Kerja

Tangga Sehat
Tangga Yang
Penyuluhan

Penyuluhan

Penyuluhan

Penyuluhan
Penyuluhan

Penyuluhan

Jml Rumah

Jml Rumah

Jml Rumah
Pesantren

Dilakukan
Frekuensi

Frekuensi

(Kantor)

Tangga
Rakyat
Akbar

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 39515 39515 0
0 0 0 0 0 0 14207 13905 7598
2 2 0 0 0 0 0 0 0
0 2 0 0 0 0 8699 8128 3309
1 0 0 0 0 0 0 0 0
1 1 0 0 0 0 14943 1943 469
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 8201 8339 4445
0 12 0 0 0 0 10849 0 25
0 0 0 0 0 0 0 0 0
0 4 0 0 8 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 2 0 0 0 0 0 0
0 0 0 0 0 0 19729 18968 10343
0 0 0 0 2 0 12829 12829 6940
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 9256 9256 5325
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 23390 23390 11278
0 4 0 0 0 0 17506 16312 6669
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 9451 9451 5712
0 2 0 0 0 0 11314 11145 5240
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 18024 18024 7467
 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 17842 0 0
2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5583 5583 2060
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
4 22 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 17232 14069 8010
2 2 0 0 0 0 0 0 0
0 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
1 0 0 0 0 20 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
3 0 0 0 0 0 0 0 0
42 22 0 0 0 0 11620 11620 4912
4 0 0 0 0 0 9043 0 0
0 0 0 0 0 0 11108 0 0
0 2 0 0 0 0 3740 3740 1908
0 0 0 0 0 0 5377 5367 1887
2 2 0 0 0 0 17121 8 10
0 0 0 0 0 0 8413 8413 2624
64 87 2 0 11 20 324992 240005 96231
 C. Pemberdayaan Masyarak
C.1 LAPORAN TRIWULAN( April/Jun

Jml Sekolah Yang

Pendataan PHBS

Pendataan PHBS

Pendataan PHBS
Pendataan PHBS
Yang Dilakukan

Yang Dilakukan
tempat Umum

tempat Umum

tempat Umum

Jml Pesantren

Jml Pesantren

Jml Pesantren

Instansi Sehat
Instansi Yang

Jml Kantor /
Jml Kantor /

Jml Kantor /
Jml Tempat-

Jml Tempat-

Jml Tempat-

Jml Sekolah
Jml Sekolah

Puskesmas
Dilakukan

Dilakukan
Instansi /
Sehat

Sehat

Sehat
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
157 157 90 28 20 72 0 0 0 13 1 13
19 0 0 28 0 18 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 10 2 10
59 0 0 33 11 9 26 0 0 4 4 4
0 0 0 44 44 0 0 0 0 0 0 0
110 0 0 70 70 0 15 0 0 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0
0 0 19 3 5 0 0 0 0 6 0 6
8 5 23 9 2 0 0 0 0 7 6 4
0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 81 0 3 15 0 0 6 0 0
0 0 0 38 8 0 0 0 0 4 0 0
0 0 0 33 9 4 0 0 0 5 1 1
28 0 0 0 0 0 6 0 0 0 0 0
0 0 0 0 0 4 0 0 0 6 6 6
0 0 0 0 0 0 0 0 0 0 0 0
4 0 2 28 0 4 6 0 2 6 3 3
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
57 8 2 54 16 6 10 0 0 23 2 2
9 3 3 25 2 1 2 0 0 8 1 1
0 0 0 0 0 0 0 0 0 0 0 0
5712 169 2 39 39 4 4 4 1 12 12 3
0 0 0 41 26 23 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
213 0 12 61 1 1 15 0 0 213 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
104 0 0 55 0 11 5 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
17 0 8 0 22 0 6 0 0 5 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
40 0 0 56 56 25 40 20 10 29 6 6
0 0 0 2 0 0 0 0 0 0 0 0
0 0 0 22 0 0 0 0 0 12 3 3
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 27 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
99 99 99 37 37 37 6 6 6 11 11 11
239 0 0 34 0 0 34 0 1 0 0 0
0 0 43 2 2 2 2 0 0 20 1 1
22 12 2 17 17 4 3 3 1 4 4 1
47 0 0 21 0 11 1 0 1 3 0 3
326 2 0 44 0 15 0 0 0 2 1 0
110 37 5 26 26 5 0 0 0 8 2 2
7385 492 310 958 413 259 196 36 22 420 68 82
 C. Pemberdayaan Masyarakat
PORAN TRIWULAN( April/Juni/Okt/Des)
Jml Penduduk

Jml RW Siaga
Masyarakat
Jml Tokoh

Jml Tokoh

Jml Tokoh

Jml FSDS
Pemuda

Jml LSM

Jml RW
Agama
Jml KK

Jml RT
33193 10384 10 10 25 0 5 164 43 1
32859 10697 26 0 2 1 5 179 50 10
40098 12231 0 14 35 1 7 198 57 58
0 0 0 0 0 0 0 0 0 0
43580 13197 50 50 50 0 6 208 49 3
32735 9480 214 4 17 6 4 171 43 4
43870 13936 6 6 6 0 6 200 62 7
63429 18390 6 6 6 0 6 0 67 6
0 0 0 0 0 0 0 0 0 0
32045 8129 16 16 16 4 4 143 39 3
37992 11263 148 50 88 12 5 0 50 24
0 0 0 0 0 0 0 0 0 0
0 12987 40 25 25 0 8 293 65 0
0 0 0 0 0 0 0 0 0 0
36793 10134 38 18 9 0 4 0 0 4
73460 20122 12 0 12 0 6 349 100 10
51807 16386 12 12 28 2 6 265 72 2
29690 9168 20 14 8 0 4 168 40 10
40408 11322 24 24 24 2 6 182 53 0
66329 16488 35 40 15 2 12 377 90 25
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 3 6 179 44 3
0 0 0 0 0 0 0 0 0 0
36676 10882 233 5 34 6 5 139 34 1
39825 11314 0 0 0 0 0 6 195 43
0 0 0 0 0 0 0 0 0 0
82342 20491 344 231 47 12 8 276 60 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
54492 15395 0 0 0 0 7 278 60 3
61863 17118 55 0 0 0 5 308 74 2
0 0 0 0 0 0 0 0 0 0
71719 0 0 0 0 0 11 338 113 0
20390 6088 50 36 12 4 36 107 37 4
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
66139 21936 858 649 671 22 11 432 89 3
0 0 0 0 0 0 0 0 0 0
50113 17523 55 55 12 12 12 264 65 12
43066 12865 14 14 14 7 7 145 35 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
20630 6874 6 18 104 0 6 123 27 2
0 0 0 0 0 0 0 0 0 0
44871 13926 339 11 372 0 11 262 68 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
35801 12705 85 10 184 0 5 197 43 2
28147 8915 247 6 237 2 6 152 24 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17744 5470 10 10 10 0 37 135 29 2
49765 17121 422 422 347 1 8 350 72 8
24912 8413 30 50 260 2 4 139 31 4
1406783 411350 3405 1806 2670 101 279 6727 1980 264
Jml Dusun

Jml Desa

Jml Desa Siaga Aktif (Dilihat hasil Jml Posyandu

assesment)
b. Jml Strata

b. Jml Strata

d. Jml Strata
a. Jml Strata

a. Jml Strata

c. Jml Strata
d. Jml Stara
c. Jml Srata
Desa Siaga

Desa Siaga

Desa Siaga

Desa Siaga

Posyandu

Posyandu

Posyandu

Posyandu
Purnama

Purnama
Pratama

Pratama
Mandiri

Mandiri
Madya

Madya
0 5 5 0 0 1 0 1 29 19
9 5 5 0 0 0 0 27 21 5
20 7 7 0 0 0 0 7 17 34
0 0 0 0 0 0 0 0 0 0
0 6 0 3 3 0 0 5 15 32
4 4 0 2 2 0 0 20 23 0
30 6 0 0 6 0 0 5 49 17
0 6 0 6 0 0 0 24 33 17
0 0 0 0 0 0 0 0 0 0
0 4 0 0 1 3 0 12 18 9
0 5 0 0 0 0 0 13 24 13
0 0 0 0 0 0 0 0 0 0
36 8 7 1 0 0 0 6 40 16
0 0 0 0 0 0 0 0 0 0
0 4 3 1 0 0 0 3 24 17
0 6 0 0 2 4 0 4 56 36
0 6 4 4 1 1 0 6 15 53
16 4 1 3 0 0 0 12 3 27
24 6 3 3 0 0 0 17 5 33
90 12 0 10 2 0 0 43 26 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 0 2 4 0 0 12 20 29
0 0 0 0 0 0 0 0 0 0
17 5 4 1 0 0 0 0 31 8
0 31 0 5 1 0 0 20 20 40
0 0 0 0 0 0 0 0 0 0
31 8 0 8 0 0 0 11 18 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
25 7 1 6 0 0 0 25 43 35
15 5 0 0 3 2 0 16 35 18
0 0 0 0 0 0 0 0 0 0
0 13 8 2 1 0 0 29 33 27
20 4 0 4 0 0 0 8 18 8
0 0 0 0 0 0 0 0 0 0
0 7 0 2 3 2 0 0 0 48
87 11 0 1 1 9 0 7 14 67
0 0 0 0 0 0 0 0 0 0
44 12 0 7 5 0 0 13 30 32
35 7 0 6 1 0 0 20 11 28
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 0 0 0 0 0 3 13 23
0 0 0 0 0 0 0 0 0 0
38 11 9 1 0 0 0 5 23 39
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
43 5 0 5 0 0 3 19 9 11
24 6 0 6 0 0 0 15 10 23
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16 3 0 3 0 0 0 9 7 15
40 8 6 2 0 0 0 0 40 19
4 4 0 8 18 6 0 0 0 0
668 253 63 102 54 28 3 417 773 889
Terintegrasi dengan Taman

Jml Kelompok POD

Jml Posyandu yang

Saka Bhakti Husada Karang Taruna Bhakti Husada Kader wisata

Posyandu

di bina
a. Dibina
Saka Bhakti

Saka Bhakti
Kelompok

Kelompok

Kelompok

Kelompok

Kelompok

kelompok
Kelompok

Anggota

Anggota

anggota
Husada

Husada

Husada

Husada

Husada
Karang

Karang

Karang
Taruna

Taruna

Taruna

wisata

wisata
Bhakti

Bhakti

Bhakti
b. Jml
b. Jml

b. Jml
a. Jml

Jml

a. Jml

kader

kader
c. Jml

c. Jml
SBH

Yang

yang
15 0 1 20 1 0 0 0 0 0
40 0 1 24 1 0 0 0 0 0
0 0 1 40 40 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 1 30 1 0 0 0 0 0
10 4 1 20 20 0 0 0 0 0
33 6 1 80 1 0 0 0 0 0
36 6 1 30 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
7 0 2 80 2 2 40 2 0 0
0 50 40 40 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 1 40 30 0 0 0 0 0
0 0 8 50 50 0 0 0 0 0
0 0 1 30 1 1 1 1 0 0
0 2 7 80 0 0 0 0 0 0
36 0 1 10 1 0 0 0 0 0
28 1 1 30 1 0 0 0 0 0
24 6 2 20 2 0 0 0 0 0
17 0 1 20 1 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
40 0 1 40 40 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
14 0 5 40 5 0 0 0 0 0
0 0 2 27 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
8 0 2 55 36 2 55 36 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 1 1 20 0 0 0 0 1 0
0 0 1 20 1 0 0 0 0 0
0 8 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 4 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4 40 4 0 0 0 0 0
18 2 1 20 20 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
65 12 1 50 1 1 10 1 0 0
2 0 1 24 1 0 0 0 0 0
0 0 1 22 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
35 0 5 20 5 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
11 5 4 20 20 0 0 0 0 0
23 0 1 32 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6 4 3 60 0 0 0 0 0 0
43 8 1 20 1 0 0 0 1 5
0 1 2 2 0 0 0 0 0 0
524 122 108 1156 288 10 106 40 3 5
Kader wisata Donor darah Transportasi desa Paraji POSKESDES
donor darah

donor darah
calon donor

a. Jml Paraji
orang

transfortasi

transfortasi

POSKESDES
Orang yang
pembinaan

Paraji yang

Poskesdes
kelompok

desa roda

desa roda

Yang aktif
akses jadi

bermitra
menjadi

yang di

b. Jmh

b. Jmh
wisata

empat

a. Jmh
b. Jml
b. Jml

b. Jml
darah
a. Jml

a. Jml
kader

dua
c. Jml

0 2 30 50 0 0 11 11 4 4
0 5 50 0 10 5 30 30 3 3
0 7 140 0 58 7 38 38 7 7
0 0 0 0 0 0 0 0 0 0
0 6 180 180 30 6 30 30 2 2
0 4 3 4 0 0 8 7 2 2
0 6 0 0 0 1 17 16 4 4
0 6 60 60 0 6 18 18 5 5
0 0 0 0 0 0 44 44 9 1
0 0 0 0 6 3 4 4 3 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 8 8 64 64 6 6
0 0 0 0 0 0 0 0 0 0
0 0 0 0 44 4 17 17 1 1
0 0 0 0 0 0 30 25 0 0
0 0 0 0 12 12 52 52 2 2
0 8 40 40 8 9 64 64 4 4
0 0 0 0 6 2 34 32 6 2
0 0 0 0 24 6 130 130 24 24
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 4 13 13 0 0
0 0 0 0 0 0 0 0 0 0
0 10 100 40 0 10 52 52 6 6
0 0 0 0 0 0 35 35 0 0
0 0 0 0 0 0 0 0 0 0
0 8 96 14 276 17 24 24 8 8
 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 6 2
0 0 0 0 0 0 28 28 3 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 12 1 23 23 2 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 4 43 43 2 2
0 0 0 0 22 11 88 88 8 6
0 0 0 0 0 0 0 0 0 0
0 12 16 16 10 3 43 43 4 4
0 0 0 0 21 14 70 68 7 7
0 2 64 64 18 10 48 48 12 12
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 120 60 12 12 38 38 6 6
0 0 0 0 12 2 41 37 5 5
0 0 0 0 0 0 40 40 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 54 54 54 0 0 30 30 5 5
1 0 0 0 12 6 50 50 12 12
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 15 3 25 25 4 4
1 0 0 0 73 8 37 37 8 8
0 0 0 0 0 0 0 0 0 0
2 136 953 582 691 174 1319 1304 180 162
 C.2 Laporan Bulanan

Persalinan oleh Tenaga

POSKESDES Bumil (K 1) Bumil yang terpasang P4K Kesehatan
Persen (%)

Persen (%)

Persen (%)
POLINDES

Kumulatif

Kumulatif

Kumulatif
Sasaran

Sasaran

Sasaran
Jml

0 47 47 8.22 47 47 8.22 48 48 8.39

0 11 11 0 11 11 0 14 14 0
1 143 211 27.6 143 211 27.6 121 191 25
0 89 173 18 89 173 18 72 147 15.9
2 72 72 8.2 72 72 8.2 72 72 8.2
0 0 0 0 0 0 0 0 0 0
6 163 242 25.79 163 242 25.79 139 206 22.1
0 84 233 17.1 84 233 17.1 103 206 16.5
9 0 0 0 0 0 0 0 0 0
0 91 41 0 102 51 212.87 95 48 198.35
0 0 0 0 0 0 0 0 0 0
0 134 205 27.8 70 70 0 94 142 20.1
0 115 222 28.34 115 222 28.34 133 199 18.73
0 158 400 36.2 170 400 36.2 128 276 26.2
1 135 201 25.7 135 201 25.7 117 178 23.4
0 234 354 24 56 0 0 200 307 21.6
2 181 267 0 181 267 0 139 216 0
4 110 165 27.6 110 110 27.6 86 129 22.6
0 206 310 39.95 206 310 39.95 139 207 27.97
0 218 318 18.8 218 318 18.8 201 304 17.9
0 300 442 26.38 300 442 26.38 285 436 27.24
0 135 273 18.6 135 273 18.6 0 0 0
0 81 227 95.1 124 862 103.7 115 176 21.8
0 83 83 8.8 150 233 24.7 146 229 24.7
2 133 200 27.2 133 200 27.2 119 176 25
4 140 140 30.7 140 140 30.7 125 125 25
0 142 142 8.3 142 142 8.3 106 106 7.5
3 163 163 0 1244 1244 0 162 162 0
 0 0 0 0 0 0 0 0 0 0
0 215 324 18.5 215 324 18.5 165 250 14.9
0 132 186 24.6 132 186 24.6 90 138 19.2
0 193 256 0 176 234 183.25 188 250 191.83
1 176 256 100 176 256 100 176 250 0
5 94 94 7.5 94 94 7.5 86 86 7.2
0 82 82 8.5 82 82 8.5 66 66 7.2
0 120 120 9.2 0 0 0 69 69 5.5
1 75 113 29.2 75 113 29.2 57 86 23.3
0 30 104 17.7 29 65 11.7 42 82 14.6
0 151 228 18.2 151 228 18.2 130 190 16.3
11 193 345 25.96 168 236 17.76 175 279 99.7
0 0 0 0 0 0 0 0 0 0
12 137 214 7.7 17 34 0 125 202 6.8
2 130 846 0 0 0 0 112 616 0
1 32 32 8.51 25 25 6.95 25 25 6.96
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
12 41 97 0 41 97 0 26 52 0
2 150 229 26 150 229 26 112 179 20
0 110 164 28.6 110 164 28.6 84 140 25.6
0 0 0 0 0 0 0 0 0 0
0 144 218 18.8 144 218 18.8 103 162 12.2
1 119 181 25.4 119 181 25.4 97 152 22.3
0 88 88 0 536 536 0 90 90 0
0 146 217 22.22 146 217 22.22 60 85 9.57
0 33 55 24 33 55 24 32 45 20.5
0 41 41 11.76 41 41 11.76 26 26 7.62
0 116 106 0 212 106 0 154 77 0
0 0 0 0 0 0 0 0 0 0
82 6116 9738 980.73 7212 10195 1316.89 5249 7897 1135.46
 Bulin yang ditolong bermitra Bulin yang ditolong bermitra Bulin yang ditolong bermitra Bulin lolos ditolong oleh paraj
Bidan,Paraji, Kader Bidan dan Paraji Bidan dan Kader
Persen (%)

Persen (%)

Persen (%)
Kumulatif

Kumulatif

Kumulatif
Sasaran

Sasaran

Sasaran

Sasaran
48 48 8.39 0 0 0 0 0 0 0
40 315 0 35 256 0 0 0 0 1
0 0 0 52 122 16 0 0 0 0
0 0 0 0 0 0 0 0 0 0
72 72 8.2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
139 206 22.1 0 0 0 0 0 0 0
83 206 16.5 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
40 20 83.48 22 11 45.91 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 4
133 199 18.73 133 199 18.73 71 74 9.8 8
128 276 26.2 128 276 26.2 20 276 26.2 200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
134 211 0 134 211 0 77 77 0 0
86 86 22.6 86 86 22.6 43 43 7.5 1
9 15 2 48 77 10.42 4 5 1 0
0 0 0 0 0 0 0 0 0 0
285 436 27.24 285 436 27.24 285 436 27.24 0
0 0 0 0 0 0 0 0 0 0
116 181 22.8 0 0 0 0 0 0 1
138 217 24.2 59 138 15.4 0 0 0 0
119 176 25 0 0 0 0 0 0 0
125 125 25 125 125 25 125 125 25 10
0 0 0 0 0 0 0 0 0 2
111 111 0 50 50 0 0 0 0 1
 0 0 0 0 0 0 0 0 0 0
165 250 14.9 165 250 14.9 165 250 14.9 0
90 138 19.2 90 138 19.2 90 138 19.2 15
188 250 194.95 188 250 200 188 250 200 10
38 69 0 79 96 10 22 6 3 0
86 86 7.2 0 0 0 0 0 0 2
66 66 7.2 0 0 0 0 0 0 0
78 78 6.2 0 0 0 0 0 0 9
57 86 23.3 0 0 0 0 0 0 1
42 82 14.6 0 0 0 0 0 0 0
71 131 16.3 0 0 0 0 0 0 3
208 208 171.86 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0 0
58 123 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 40
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
26 52 0 26 52 0 26 52 0 3
112 179 20 112 179 20 112 179 20 0
110 164 23.2 110 164 28.6 110 164 28.6 8
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
97 152 22.3 97 152 22.3 97 152 22.3 0
45 45 0 2 2 0 0 0 0 2
60 85 9.57 60 85 9.57 0 0 0 22
0 0 0 32 45 20.5 0 0 0 0
26 26 7.62 0 0 0 0 0 0 3
154 77 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3583 5247 890.84 2118 3400 552.57 1435 2227 404.74 354
 Jml Kematian ibu bulan ini di

Jml Kematian ibu bulan ini di

Jml Kematian bayi di rumah

Jml Kematian bayi bulan ini
Jmh Kematian ibu bulan ini
Bulin lolos ditolong oleh paraji Bulin lolos ditolong oleh lain-

dan perjalanan
lain

perjalanan
rumah
Persen (%)

Persen (%)
Kumulatif

Kumulatif
Sasaran

0 0 0 0 0 0 0 0 0 0
1 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
4 0.3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 2 0
0 0 0 0 0 0 0 0 0 0
7 1 0 0 0 0 0 0 0 0
11 3.87 0 0 0 0 0 0 0 0
0 0.4 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 3 0
2 0.4 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 1 2 0.12 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
7 0.9 6 6 0.8 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 1 1 0.1 0 0 0 1 0
10 1.7 0 0 0 0 0 0 1 0
2 0.2 0 0 0 1 0 0 0 0
0 0 0 0 0 1 0 0 0 0
 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
20 2.8 0 0 0 0 0 0 0 0
12 6.18 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 1 0
2 0.2 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0
9 5.4 0 0 0 0 0 0 0 0
1 0.3 0 0 0 0 0 0 0 0
0 0 0 5 0.9 0 0 0 0 0
4 0.5 0 0 0 0 0 0 0 0
10 0.78 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0
165 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
5 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
13 2.4 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
28 3.35 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0.88 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
318 31.56 10 14 1.92 8 0 0 17 2
 Posyandu D/S
Frekwensi Pelatihan Kader

Jml Kelompok POD Yang

Pembinaan ke Posyandu
Frekwensi Fasilitasi &
Kader Peningkatan strata Posyandu
Desa Siaga

Dibina

(%)
Hasil Kegiatan
a. Jml Kader

Madya Yang
b. Posyandu
a. Posyandu

ke Purnama
c. Jml Kader

Posyandu
Yang Dilatih
Kader Aktif

Naik Strata
Yang Naik

Yang Naik
Purnama
Strata Ke
Bulan Ini

Strata ke
ini

ini
ini
Pratama

Mandiri
Madya
b. Jmh

c.Bulan

Bulan
bulan
0 0 213 253 0 0 0 0 0 91.06
0 0 266 266 0 5 0 0 0 89.59
0 14 290 290 0 7 0 0 0 0
0 0 274 270 0 0 0 0 0 90
0 6 260 260 52 18 0 0 0 0
90 8 200 187 89 46 23 20 0 0
0 0 355 355 71 0 0 0 0 191.42
0 6 370 370 74 74 0 0 0 100
0 0 385 365 0 0 0 0 0 0
0 0 196 196 0 39 0 0 0 163.24
0 0 252 0 0 12 0 0 2 0
0 0 255 255 0 0 0 0 0 180.33
0 12 242 242 0 132 0 0 0 200
0 12 337 337 0 0 0 0 0 0
0 0 232 118 0 0 0 0 0 164
0 4 485 472 0 0 0 0 0 0
0 0 736 736 368 0 0 0 0 185.7
0 0 420 420 10 0 0 0 0 171.6
0 0 274 260 0 3 0 0 0 85.99
0 0 990 990 0 24 0 0 0 0
0 0 506 506 0 4 0 0 0 164.2
2 8 420 397 37 90 0 6 12 177.03
0 0 310 310 0 0 0 2 2 89
0 0 0 0 0 57 0 0 0 180.7
0 0 410 410 0 5 0 0 0 171
0 0 192 192 0 4 0 0 0 90.67
1 0 800 800 80 16 0 0 0 100
1 0 421 384 0 6 0 0 0 68
 0 0 0 0 0 0 0 0 0 0
0 0 425 425 80 2 0 0 0 196.7
0 0 0 0 0 0 0 0 0 0
0 20 255 255 0 51 0 0 0 180
0 0 515 443 0 103 0 0 0 195.89
0 0 349 349 0 0 0 0 0 0
0 0 372 372 0 4 0 0 0 0
0 0 444 444 0 0 0 0 0 84
0 0 170 170 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 163.74
0 0 486 486 0 2 0 0 0 149.33
0 10 477 440 0 88 0 0 0 177.04
0 0 0 0 0 0 0 0 0 0
0 0 375 375 0 4 0 0 0 150
1 0 29 295 0 0 2 2 0 0
0 0 440 440 0 20 0 0 0 185.55
0 0 0 0 0 0 0 0 0 0
0 0 390 390 0 0 0 0 0 1
0 6 0 225 0 6 0 0 0 0
0 0 351 351 0 0 0 0 0 180.42
0 0 345 345 0 4 0 0 0 190.38
0 0 0 0 0 0 0 0 0 0
0 0 630 630 2 2 0 0 0 165
5 0 210 210 0 0 0 0 0 188.27
0 2 576 576 0 14 0 0 0 171.62
0 0 172 172 0 0 0 0 0 182.3
0 0 230 230 0 11 0 0 0 195.5
0 0 157 157 0 0 0 0 0 85
1 8 299 299 0 1 0 0 0 184
0 0 185 185 0 7 0 0 0 0
101 116 17973 17905 863 861 25 30 16 5779.27
 Koordinasi & Advokasi
dengan Kepala Desa

10
13
12
16
10
12
14

1
2
2
0
4
0
0
8
2
6
9
3
8
9
6
0
4
3
1
0
5
Koordinasi & Advokasi
dengan Camat

12

1
2
8
4
1
4
0
2
2
0
2
0
2
2
6
2
0
0
2
1
0
1
0
1
2
1
1
Koordinasi & Advokasi
dengan Dinas Kesehatan

1
2
2
4
2
2
2
0
2
1
0
2
0
0
0
2
0
3
2
2
1
0
3
0
0
2
1
1
Koordinasi & Advokasi
dengan Instansi, Dinas dan
Lintas sektor lainnya,
sebutkan (BKKBD Kec )

12

0
2
1
4
6
3
4
2
3
0
0
0
8
2
4
0
0
0
2
1
0
0
0
2
4
1
1
 0 0 0 0
19 5 4 5
3 2 2 2
7 0 0 5
7 3 3 2
0 0 0 0
8 6 4 2
1 0 0 0
8 0 1 0
0 0 0 0
8 2 2 2
22 2 2 2
0 0 0 0
2 2 2 2
2 2 2 2
10 2 2 2
0 0 0 0
2 1 0 0
6 4 2 0
11 1 3 2
14 2 1 0
0 0 0 0
14 2 2 2
10 2 6 17
0 4 4 2
0 0 0 0
6 1 1 8
3 0 0 0
2 2 2 2
0 0 0 0
325 104 82 121