Kematian Terpilah Kosong

0
PUSKESMAS KANDANGAN
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
Kasus Perinatal Kss Ditangani RUJUKAN Mati
NO & Kematian
Perinatal Di PKM/ PMB
L P JML L P JML L P JML L P JML RS PKDS /KLINIK
rumah
1 BBLR 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0
2 Tetanus neonatorum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 BBL dengan sepsis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Masalah Bendungan ASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Gangguan Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Kasus Neonatal KSS Ditangani RUJUKAN Mati
NO dan Kematian
Neonatal Di PKM/ PMB
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
Jumlah 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kss Ditangani RUJUKAN Mati
Kasus Bayi , dan
NO
Kematian Bayi Di PKM/ PMB
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Saluran Cerna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
Jumlah 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
KSS Ditangani RJK Mati
Kasus Balita dan
NO
Kematian Balita Di PKM/ PMB
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
1 Kecelakaan transpor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Akibat kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit Menular 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
6 Penyakit Tidak Menu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KEPALA PUSKESMAS KANDANGAN
KSS 9
DITANGANI 9
RUJUKAN 1
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
LAPORAN KASUS KEMATIAN TERPILAH
PUSKESMAS JAMBU HILIR
TAHUN 2021
BULAN MARET
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 0 2 2 0 2 2 0 0 0 0 1 1 0 1 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 2 2 0 2 2 0 0 0 0 1 1 0 1 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0
Jumlah 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
5 Diare 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 3 5 8 3 5 8 0 0 0 0 0 0 0 0 0 0
Jumlah 5 8 13 5 8 13 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 4 20 24 4 20 24 0 0 0 0 0 0 0 0 0 0
Jumlah 4 20 24 4 20 24 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KEPALA PUSKESMAS.....................
KSS 39
DITANGANI 40
RUJUKAN 0
MENINGGAL 1
T4 MENINGGAL 1
RUMAH 0
RS 1
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 1
PUSKESMAS GAMBAH
TAHUN 2021
BULAN :JANUARI
Kasus Perinatal 0 - 7 hari
Tempat Kematian
NO & Kematian Kss Ditangani RUJUKAN Mati
L P JML L P JML L P JML L P JML RS
rumah PKDS /KLINIK
1 BBLR 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
Kasus Neonatal 8 - 28 Hari

Tempat Kematian
NO dan Kematian KSS Ditangani RUJUKAN Mati
rumah PKDS /KLINIK
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Kasus Bayi , dan Tempat Kematian
NO Kss Ditangani RUJUKAN Mati
rumah PKDS /KLINIK
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Kasus Balita dan Tempat Kematian
NO KSS Ditangani RJK Mati
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Kasus anak dan Tempat Kematian
remaja Di PKM/ PMB
rumah PKDS /KLINIK
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 2
DITANGANI 2
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS BAYANAN
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 2 3 1 2 3 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 3
DITANGANI 3
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS SUNGAI PINANG
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
Jumlah 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 12 3 15 12 3 15 0 0 0 0 0 0 0 0 0 0
Jumlah 12 3 15 12 3 15 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 13 14 27 13 14 27 0 0 0 0 0 0 0 0 0 0
Jumlah 13 14 27 13 14 27 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 20 23 43 20 23 43 0 0 0 0 0 0 0 0 0 0
Jumlah 20 23 43 20 23 43 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 89
DITANGANI 89
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS BARUH JAYA
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
L P JML L P JML L P JML L P JML RS PKDS KLINI
rumah K
1 BBLR 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 6 0 6 6 0 6 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian PMB /
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
Kematian Bayi Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
Kematian Balita Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 5 0 5 5 0 5 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 5 0 5 5 0 5 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 11
DITANGANI 11
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS BAJAYAU
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 12 9 21 12 9 21 0 0 0 0 0 0 0 0 0 0
Jumlah 12 9 21 12 9 21 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 4 1 5 4 1 5 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 3 3 6 3 3 6 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 5 6 11 5 6 11 0 0 0 0 0 0 0 0 0 0
Jumlah 14 10 24 14 10 24 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 45
DITANGANI 45
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS NEGARA
TAHUN 2021
BULAN :JANUARI
Tempat Kematian
NO & Kematian Kss Ditangani RUJUKAN Mati
rumah PKDS /KLINIK
1 BBLR 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 3 1 4 3 1 4 0 0 0 0 0 0 0 0 0 0

Tempat Kematian
NO dan Kematian KSS Ditangani RUJUKAN Mati
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
NO Kss Ditangani RUJUKAN Mati
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 4
DITANGANI 4
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS PASUNGKAN
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
rumah K
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 2
DITANGANI 2
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS SIMPUR
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 2 3 5 2 3 5 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 3 4 1 3 4 0 0 0 0 0 0 0 0 0 0
Jumlah 3 6 9 3 6 9 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KEPALA PUSKESMAS SIMPUR
KSS 9
DITANGANI 9
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS WASAH
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 2
DITANGANI 2
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS SUNGAI RAYA
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 1
DITANGANI 1
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS BATANG KULUR
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PK
PMB /
Perinatal Di M/
L P JML L P JML L P JML L P JML RS PKD KLINI
rumah K
S
1 BBLR 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian PK
PMB /
Neonatal Di M/
rumah K
S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan PK
NO PMB /
Kematian Bayi Di M/
rumah K
S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan PK
NO PMB /
Kematian Balita Di M/
L P JML L P JML L P JML L P JML RS KLINI
rumah PKD
K
S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan PK
NO PMB /
remaja Di M/
rumah K
S
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 4
DITANGANI 4
RUJUKAN 1
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS PADANG BATUNG
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
rumah K
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 4
DITANGANI 4
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS KALIRING
TAHUN 2021
BULAN :JANUARI
Tempat Kematian
NO & Kematian Kss Ditangani RUJUKAN Mati PMB /
Perinatal Di PKM/
rumah PKDS
K
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 4 0 4 4 0 4 0 0 0 0 0 0 0 0 0 0

Tempat Kematian
NO dan Kematian KSS Ditangani RUJUKAN Mati PMB /
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
NO Kss Ditangani RUJUKAN Mati PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
NO KSS Ditangani RJK Mati PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 4
DITANGANI 4
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS ANGKINANG
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
rumah K
1 BBLR 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 1
DITANGANI 1
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS BAMBAN
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian Di PMB /
Perinatal PKM/
L P JML L P JML L P JML L P JML ruma RS PKDS KLINI
h K
1 BBLR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian Di PMB /
Neonatal PKM/
h K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO Di PMB /
Kematian Bayi PKM/
h K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 3 12 15 3 12 15 0 0 0 0 0 0 0 0 0 0
Jumlah 3 12 15 3 12 15 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO Di PMB /
Kematian Balita PKM/
h K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 9 4 13 9 4 13 0 0 0 0 0 0 0 0 0 0
Jumlah 9 4 13 9 4 13 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO Di PMB /
remaja PKM/
h K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 28
DITANGANI 28
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS TELAGA LANGSAT
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
rumah K
1 BBLR 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 3 0 3 2 0 2 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 3
DITANGANI 2
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS KALUMPANG
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian PMB /
Perinatal Di PKM/
rumah K
1 BBLR 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO PMB /
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KEPALA PUSKESMAS KALUMPANG
KSS 1
DITANGANI 1
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS LOKSADO
TAHUN 2021
BULAN :JANUARI
0 - 7 hari
Tempat Kematian
NO & Kematian
rumah
1 BBLR 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
8 - 28 Hari
Tempat Kematian
NO dan Kematian
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
Tempat Kematian
Kasus Bayi , dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
Tempat Kematian
Kasus Balita dan
NO
rumah
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
Tempat Kematian
Kasus anak dan
NO
remaja Di PKM/ PMB
rumah
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 6
DITANGANI 6
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
PUSKESMAS MALINAU
TAHUN 2021
BULAN :JANUARI
Tempat Kematian
NO & Kematian Kss Ditangani RUJUKAN Mati PMB /
Perinatal Di PKM/
rumah PKDS
K
1 BBLR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Asfiksia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tempat Kematian
NO dan Kematian KSS Ditangani RUJUKAN Mati PMB /
Neonatal Di PKM/
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
NO Kss Ditangani RUJUKAN Mati PMB /
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
rumah K
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 1 2 3 1 2 3 0 0 0 0 0 0 0 0 0 0
Jumlah 2 4 6 2 4 6 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
remaja Di PKM/
rumah K
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 6
DITANGANI 6
RUJUKAN 0
MENINGGAL 0
T4 MENINGGAL 0
RUMAH 0
RS 0
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 0
DINAS KESEHATAN KABUPATEN HULU SUNGAI SELATAN
TAHUN 2021
BULAN :JANUARI
Tempat Kematian
NO & Kematian Kss Ditangani RUJUKAN Mati PKM/
Perinatal Di PMB /
L P JML L P JML L P JML L P JML RS PKD
rumah S
KLINIK
1 BBLR 19 6 25 19 6 25 2 0 2 0 1 1 0 1 0 0
3 Asfiksia 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
4 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BBL BB > 4000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bayi Preterem 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
10 Bayi Posterem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kelainan bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dll (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 31 6 37 30 6 36 2 0 2 0 1 1 0 1 0 0

Tempat Kematian
NO dan Kematian KSS Ditangani RUJUKAN Mati PKM/
Neonatal Di PMB /
L P JML L P JML L P JML L P JML RS PKD KLINIK
rumah S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Trauma Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipotermi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diare 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0 24
5 Pneumoni 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 7
6 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31
7 Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Icterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 3 1 4 3 1 4 0 0 0 0 0 0 0 0 0 0
Jumlah 6 1 7 6 1 7 0 0 0 0 0 0 0 0 0 0
28 - 1 tahun ( 1 - 11 bulan )
NO Kss Ditangani RUJUKAN Mati PKM/
Kematian Bayi Di PMB /
rumah S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ISPA 5 4 9 5 4 9 0 0 0 0 0 0 0 0 0 0
8 Kelainan Syaraf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 DLL (sebutkan) 31 29 58 30 29 59 0 0 0 0 0 0 0 0 0 0
Jumlah 36 33 67 35 33 68 0 0 0 0 0 0 0 0 0 0
1 - 5 Tahun ( 12 - 59 bulan )
NO KSS Ditangani RJK Mati PKM/
Kematian Balita Di PMB /
rumah S
1 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pneumoni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Demam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tifus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DLL (sebutkan) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 - 18 Tahun
NO KSS Ditangani RJK Mati PKM/
remaja Di PMB /
rumah S
3 Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Covid 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DLL (sebutkan) 24 43 67 24 43 67 0 0 0 0 0 0 0 0 0 0
Jumlah 25 44 69 25 44 69 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KSS 180
DITANGANI 180
RUJUKAN 2
MENINGGAL 1
T4 MENINGGAL 1
RUMAH 0
RS 1
PKM/Pkds 0
PMB/KLINIK 0
LAKI-LAKI 0
PEREMPUAN 1

Kematian Terpilah Kosong

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Kasus Neonatal 8 - 28 Hari

Kasus Neonatal 8 - 28 Hari

Kasus Neonatal 8 - 28 Hari

Kasus Neonatal 8 - 28 Hari

Kasus Neonatal 8 - 28 Hari

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