Jumlah Jumlah

KK Dlm Jiwa Dlm SASARAN

DESA/ NEGERI/ Jumlah
NO POSYANDU Wilayah Wilayah
KELURAHAN Kader
Posyand Posyand
u u

Menyus
Hamil

Nifas
Ibu

Ibu

Ibu

ui
1 2 3 4 5 6 7 8 9
NANIA Mawar I 236 761 5 3 2 23
Anggrek 151 615 5 3 2 18
Mawar II 254 1115 5 4 1 17
Melati II 219 1025 5 3 2 19
Waiheru Perumnas 230 1150 5 2 3 29
Waiheru Memosa I 184 596 5 2 0 18
Memosa II 113 449 5 2 0 21
Memosa III 104 417 5 0 0 5
Melati I 136 825 5 3 3 25
Waiheru Teratai I 151 665 5 3 1 22
Teratai II 202 1072 5 2 2 24
Mandiri 153 553 5 3 2 15
Kenanga 299 897 5 4 3 20
Melati III 210 675 5 2 0 19
SASARAN KESEHATAN IBU & ANAK

Kunj. Ibu Hamil Kunj. Ibu Nifas Kunj. Ibu Menyusui

Pasang
an Usia
Subur
Balita
Bayi

PSY PKM DPS/BPM PSY PKM DPS/BPM PSY PKM

10 11 12 13 14 15 16 17 18 19 20

21 56 193 0 7 0 0 2 0 18 15
16 55 97 0 7 0 0 2 0 9 11
18 52 103 0 6 0 0 1 0 12 12
17 49 147 0 7 0 0 2 0 13 10
31 28 162 0 7 0 0 3 0 22 8
12 75 151 0 5 0 0 0 0 13 9
20 58 113 0 7 0 0 0 0 14 7
13 16 107 0 5 0 0 0 0 13 8
25 45 120 0 7 0 0 3 0 19 10
16 29 193 0 8 0 0 1 0 12 8
27 30 112 0 7 0 0 2 0 17 11
19 31 97 0 8 0 0 2 0 18 12
22 58 53 0 7 0 0 3 0 16 15
12 35 115 0 8 0 0 0 0 12 9
 PROGRAM POKOK

GIZI
∑

us

us
j. Ibu Menyusui Penimbangan Bayi Penimbangan Balita

St

St
at

at
DPS/BPM PSY PKM DPS/BPM Naik PSY PKM DPS/BPM Naik
21 22 23 24 25 26 27 28 29 30

0 42 21 15 0 7 54 19 0 7
0 29 9 11 0 7 43 18 0 25
0 31 14 12 0 9 36 20 0 11
0 32 13 10 0 10 20 19 0 8
0 40 25 9 0 13 23 10 0 5
0 27 13 10 0 5 37 9 0 5
0 28 14 7 0 5 30 8 0 3
0 26 13 7 0 7 13 11 0 5
0 39 23 10 0 23 34 12 0 14
0 29 12 8 0 10 24 10 0 22
0 37 20 9 0 9 35 9 0 18
0 40 19 7 0 15 24 9 0 4
0 41 22 7 0 15 38 13 0 23
0 29 12 9 0 5 23 10 0 17
 IMUNISASI KB
D/S N/D ∑

Bayi Balita
PSY PKM DPS/BPM PSY PKM DPS/BPM PSY
31 32 33 34 35 36 37 38 39 40

97,4% 18,7% 9 2 0 2 0 0 13 0
73,3% 61.50% 8 1 0 2 0 0 11 0
74,3% 40% 4 5 0 7 0 0 16 0
50% 54,5% 7 5 0 4 0 0 16 0
81,3% 37,5% 11 2 0 6 0 0 18 0
57,5% 20% 11 3 0 2 0 0 16 0
56,4% 18,2% 10 2 0 3 0 0 15 0
89,6% 46,15% 7 0 0 3 0 0 10 0
81.40% 64,9% 11 3 0 0 0 0 14 0
80% 88,8% 7 3 0 2 0 0 12 0
96,5% 49,2% 11 3 0 2 0 0 16 0
86% 44,2% 10 0 0 0 0 0 10 0
75% 63.30% 7 2 0 0 0 0 9 0
74,5% 62,8% 7 3 0 2 0 0 12 0
 PROGRAM TAMBAHAN DANA SEHAT

Tanaman Obat Keluarga

PENCEG

Bina Keluarga Lansia

Bina Keluarga Balita
AHAN &

Kepengurusan
PENANG
KB GULANG

PAUD
∑ AN ∑
DIARE

Kegiatan
PKM DPS/BPM
41 42 43 44 45 46 47 48 49 50

1 0 1 0 0 √ √ ─ √ 0
0 0 0 0 0 ─ √ ─ ─ 0
0 0 0 0 0 ─ ─ ─ ─ 0
1 0 1 0 0 ─ √ ─ ─ 0
1 3 4 0 0 ─ ─ ─ ─ 0
0 0 0 0 0 ─ ─ ─ ─ 0
0 0 0 0 0 ─ ─ ─ ─ 0
0 0 0 0 0 ─ ─ ─ ─ 0
2 3 5 0 0 ─ ─ ─ ─ 0
0 1 1 0 0 ─ ─ ─ ─ 0
0 2 2 0 0 ─ ─ ─ √ 0
0 2 2 0 0 ─ ─ ─ ─ 0
0 1 1 0 0 ─ ─ ─ ─ 0
1 0 1 0 0 ─ √ ─ ─ 0
DANA SEHAT

IURAN
STRATA PETUGAS DARBIN
Organisasi/LSM
Wajib

Lain

51 52 53 54 55

0 0 0 MADYA NENSI SIAILA

0 0 0 MADYA ARMAWATI
0 0 0 MADYA KAROLINA LIPTIAY
0 0 0 MADYA NURLAILA WAHAB
0 0 0 MADYA ARLENI TETELEPTA
0 0 0 MADYA ROSLINA LASARIMA
0 0 0 MADYA MISRI KELIOBAS
0 0 0 MADYA LUKMAN AKA
0 0 0 MADYA KALA TUASIKAL
0 0 0 MADYA HABIBI NASELA
0 0 0 MADYA FATIMA PATIIHA
0 0 0 MADYA EKA SATRIA SONATA
0 0 0 MADYA RATFA SOPLESTUNY
0 0 0 MADYA KELIBIA HATALA