PEMBINAAN DAN PENGEMBANGAN USAHA KESEHATAN SEKOLAH

TK/RA,SD/MI, SMP/MTs, SMA/SMK/MA : ....................................................

KECAMATAN : ....................................................
KABUPATEN / KOTA : ....................................................
TAHUN : ....................................................
TAR WAKTU PELAKSANAAN
NO KEGIATAN SASARAN GET FREK LOKASI PELAKS PENJAB DANA 7 8 9 1 1 1 1 2 3 4 5 6
(Rp) 0 1 2
1 Penyusunan Program Tim Pelaks UKS 100 % 1x/Th Sekolah Guru UKS Kep. Sek 25 =
2 Rapat Rutin Tim Pelaks UKS 100 % 1x/Bln Sekolah Kep. Sek Kep. Sek 10 = = = = = = = = = = = =
3 Konsultasi ke TP. UKS Kecamatan Tim Pelaks UKS 100 % 2x/Th Kecamatan Kep. Sek Kep. Sek 20 = =
4 Penataan Ruang UKS Ruang UKS 100 % 1x/Bln Ruang UKS Guru UKS Guru UKS 50 = = = = = = = = = = = =
5 Pembenahan administrasi dan data UKS Ruang UKS 100 % 1x/Th Ruang UKS Kader Guru UKS =
6 TRIAS UKS
A. PENDIDIKAN KESEHATAN
1. Pelatihan Kader Kader 100 % 1x/Th Kecamatan TP. UKS Kec Katua TP 100 =
2. Pelatihan Guru Guru UKS 100 % 1x/Th Kecamatan TP. UKS Kec Ketua TP 25 =
3. Penyuluhan Siswa, Masy 100 % 1x/Bln Sek, Masy Kader Guru UKS 5 = = = = = = = = = = = =
4. Pengukuran TB,BB,LILA Siswa 100 % 2x/Th Sekolah Kader Guru UKS 15 = =
5. Pengukuran ketajaman mata Siswa 100 % 2x/Th Sekolah Kader Guru UKS 5 = =
6. Pemeriksaan rurtin Siswa 100 % 1x/Mg Kelas Kader Guru Kls 5 = = = = = = = = = = = =
7. Lomba Kebersihan Kelas Ruang kelas 100 % 1x/Bln Kelas Guru UKS Kep. Sek 5 = = = = = = = = = = = =
8. Jum’at bersih Sekolah, masy 1x/Mg Sek, Masy Kader Guru UKS 5 = = = = = = = = = = = =
B. PELAYANAN KESEHATAN
1. Penjaringan Kelas I 100 % 1x/Th Sekolah Puskesmas Pusk. 5 =
2. Pelayanan kesehatan Siswa 100 % /Hari Sekolah Kader Guru UKS 10 = = = = = = = = = = = =
3. P3K dan P3P Siswa 100 % /Hari Sekolah Kader Guru UKS 15 = = = = = = = = = = = =
4. Imunisasi Siswa 100 % 1x/Th Sekolah Puskesmas Puskes 5 =
5. Konsultasi Kesehatan Siswa 100 % /Hari Sekolah Guru UKS Guru UKS 5 = = = = = = = = = = = =
6. Tes Kesegaran Jasmani Siswa 100 % 2x/Th Sekolah Guru Guru 5 = =
7. Pemeriksaan berkala Siswa, Guru 100 % 2x/Th Sekolah Puskesmas Puskes 5 = =
8. Pemberian Obat Cacing Siswa 100 % 2x/Th Sekolah Guru UKS Guru UKS 100 = =
9. Pemberian Tabelet Fe Siswa, Guru 100 % /Hari Sekolah Guru UKS Guru UKS 25 = = = = = = = = = = = =
10. Rujukan Siswa 100 % /Hari Puskesmas Guru UKS Guru UKS 10 = = = = = = = = = = = =
C. PEMB. LINGK SEKOLAH SEHAT
1. Kerja Bakti Sekolah, Mary 100 % 1x/Mg Sek, Masy Kader Guru UKS 25 = = = = = = = = = = = =
2. Kantin sekolah Sekolah 100 % 1x/Bln Sekolah Kader Guru UKS 50 = = = = = = = = = = = =
3. Pemeliharaan KM / WC Sekolah 100 % /Hari Sekolah Kader Guru UKS 25 = = = = = = = = = = = =
4. Kegiatan 3 M Sekolah+500M 100 % 1x/Mg Sek, Masy Kader Guru UKS 15 = = = = = = = = = = = =
7 Pencatatan dan Pelaporan Tim Pelaks. 100 % 2x/Th Sekolah Gutu UKS Guru UKS 5 = =
UKS