RENCANA PELAKSANAAN KEGIATAN (RPK)

UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
A PROGRAM IBU
1 Pendataan Sasaran Terpadu
- Transport petugas 2 Org x3 Ds x 2 Kali 12 100,000 1,200,000 600,000 - - - - 600,000 - - - - - - 1,200,000
2 Pertemuan Kelas Ibu hamil -
- Transport Petugas 2 Org x 4 Pos x 3 Ds x 7 Kali 168 100,000 16,800,000 2,400,000 2,400,000 2,400,000 - - 2,400,000 2,400,000 2,400,000 2,400,000 - - - 16,800,000
- Bannner 1 x 2 Meter x 3 Ds 6 50,000 300,000 300,000 300,000
- Konsumsi 15 Org x 4 Pos x 3 Ds x 7 kali 1260 33,000 41,580,000 5,940,000 5,940,000 5,940,000 - - 5,940,000 5,940,000 5,940,000 5,940,000 - - - 41,580,000
Pertemuan P4K (Program Perencanaan
3
Persalinan dan Pencegahan Komplikasi )
- Transport Petugas 3 Org x 3 Ds x 1 Kali 9 100,000 900,000 - - 300,000 - - 300,000 - 300,000 - - - - 900,000
- Bannner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000
- Konsumsi 30 Org x 3 Ds x 1 Kali 9 465,000 4,185,000 - - 1,395,000 - - 1,395,000 1,395,000 4,185,000
4 Pelaksaan Otopsi Verbal -
- Transport Petugas 2 Org x 3 Ds x 1 Kali 6 100,000 600,000 - - - - - - 600,000 - - - - - 600,000
5 Orientasi E Kohort
- Bannner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
- Konsumsi 15 Org x 1 Kali 15 46,500 697,500 - 697,500 - - - - - - - - - - 697,500

6 Koordinasi Validasi Kohort Tingkat

Puskesmas
- Bannner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000
- Konsumsi 15 Org x 4 Kali 60 46,500 2,790,000 - - 697,500 - - 697,500 - - 697,500 - - 697,500 2,790,000

7 Penyeliaan Fasilitatif Pustu Dan Bidan Desa

- Transport Petugas 5 Org x 4 Pos x 2 Kali 40 100,000 4,000,000 - 2,000,000 - - - - - - 2,000,000 - - - 4,000,000
Penyeliaan Fasilitatif KIA Pada Puskesmas
8
Dan PMB
- Transport Petugas 5 Org x 3 Pos x 2 Kali 30 100,000 3,000,000 - - 1,500,000 - - - - - - 1,500,000 - - 3,000,000
TOTAL 76,352,500 9,240,000 11,137,500 12,432,500 - - 11,332,500 8,940,000 10,035,000 11,037,500 1,500,000 - 697,500 76,352,500
B PROGRAM ANAK
1 Pemantauan Kesehatan Neonatus
- Transport petugas 1 Org x 5 Kasus x 3 Ds x 11 165 100,000 16,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 - 16,500,000
2 Pemantauan Kesehatan Bayi di Posyandu
- Transport petugas 1 Org x 30 Posy.x 2 Kali 60 100,000 6,000,000 3,000,000 - - - - - 3,000,000 - - - - - 6,000,000
3 Pelaksanaan Kelas Ibu Balita
- Transport petugas 2 Org x 6 Posy. x 8 Kali 96 100,000 9,600,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 - - - - 9,600,000
- Konsumsi 20 Org x 6 Posy. x 8 Kali 960 13,500 12,960,000 1,620,000 1,620,000 1,620,000 1,620,000 1,620,000 1,620,000 1,620,000 1,620,000 - - - - 12,960,000
- Baner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
4 Pelaksanaan Kelas Ibu Balita Resti
- Konsumsi 25 Org x 2 Kali 50 33,000 1,650,000 - 825,000 - - - - 825,000 - - - - - 1,650,000
5 Pertemuan Guru PAUD
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - 1,395,000 - - - - - - - - - - 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
6 Pelaksanaan DDTK Ke Posyandu
- Transport petugas 2 Org x 30 Posy.x 1 Kali 60 100,000 6,000,000 - - - - - - 6,000,000 - - - - - 6,000,000
7 Pelaksanaan DDTK ke PAUD
- Transport petugas 2 Org x 14 x 1 28 100,000 2,800,000 - - - - - - 2,800,000 - - - - - 2,800,000
8 Pelacakan Kematian Bayi/ Otopsi Verbal
- Transport petugas 2 Org x 6 Kasus x 1 Kali 12 100,000 1,200,000 - - - - 1,200,000 - - - - - 1,200,000
TOTAL 58,305,000 7,420,000 6,640,000 4,320,000 4,320,000 4,320,000 5,520,000 16,945,000 4,320,000 1,500,000 1,500,000 1,500,000 - 58,305,000
C PROGRAM GIZI
1 Pendataan Gizi Buruk
Halaman 1
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
- Transport petugas 2 Org x 3 Ds 6 100,000 600,000 300,000 - - - - 300,000 - - - - - - 600,000
2 .Pelacakan Gizi Buruk
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
3 .Pendampingan Balita Gizi buruk
- Transport petugas 2 Org x 6 Balita x 11 Kali 132 100,000 13,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 - 13,200,000
4 Pembinaan Posyandu
- Transport pertugas 5 Org x 30 Posy 150 100,000 15,000,000 2,500,000 2,500,000 - 2,500,000 - 2,500,000 - 2,500,000 - 2,500,000 - - 15,000,000
5 Refresing Kader Posyandu
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - - - - - - - - - - 1,395,000 - 1,395,000
6 Survey ASI Eksklusif
- Transport petugas 1 Org x 30 Posy. 30 100,000 3,000,000 - 1,000,000 1,000,000 1,000,000 - - - - - - - - 3,000,000
7 Survey Kadarsi
- Transport petugas 1 Org x 3 Kali 3 100,000 300,000 300,000 300,000
8 Survey Monotoring Garam
- Transport petugas 1 Org x 3 Ds 3 100,000 300,000 - - - - - - - - 300,000 - - - 300,000
9 PSG dan Bulan Timbang
- Transport petugas 1 Org x 30 Posy. 30 100,000 3,000,000 - - - - - - - 3,000,000 - - - - 3,000,000
10 Pertemuan Sosialisasi ASI Eksklusif
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 1,395,000 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - 100,000 - - - - - - - 100,000
TOTAL 44,890,000 4,600,000 5,300,000 2,800,000 5,300,000 3,295,000 4,600,000 1,800,000 7,300,000 2,400,000 4,300,000 3,195,000 - 44,890,000
D PROGRAM KEL. BERENCANA
1
Penyuluhan KB Di Posyandu/Posbindu PTM
- Transport Petugas 1 Org x 3 Ds x 6 Kali 18 100,000 1,800,000 300,000 - 300,000 - 300,000 - 300,000 - 300,000 - 300,000 - 1,800,000
2 Pertemuan Sosialisasi Caten
- Transport Petugas 1 Org x 3 Ds x 6 Kali 18 100,000 1,800,000 300,000 - 300,000 - 300,000 - 300,000 - 300,000 - 300,000 - 1,800,000
TOTAL 3,600,000 600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 3,600,000
E KESPRO
Monev Pembinaan Prokes di
1
SMP/MTS/SMK
- Transport petugas 2 Org x 6 Sekolah x 3 Kali 36 100,000 3,600,000 1,200,000 - - - - 1,200,000 - - - - 1,200,000 - 3,600,000
Penguatan UKS/M (Pertemuan Guru UKS
2 Dalam Pembinaan Tiwisada Kerjasama
Dengan Linsek, Korwil & Kecamatan)
- Konsumsi 20 Org x 1 Kali 20 46,500 930,000 - - - - - 930,000 - - - - - - 930,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - 100,000 - - - - - - 100,000
3 Pembinaan KKR
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 - - - - - - 1,395,000 - - - 1,395,000 - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - - 100,000 - - - - - 100,000
- Penggandaan 1 Rim 1343 500 671,500 - - - - - - 671,500 - - - - - 671,500
4 Penjaringan Siswa SMP / MTS
- Transport petugas 5 Org x 6 SMP x 1 Kali 30 100,000 3,000,000 3,000,000 - - - - - - - - - - - 3,000,000
5 Pembinaan POSREM
- Transport petugas 2 Org x 3 Pos x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
6 Pembinaan Protokol Kesehatan di Sekolah
- Transport petugas 2 Org x 11 Sekolah Dasar 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000
7 Kunjungan KIE Reproduksi Kelas 6
- Transport petugas 1 Org x 11 Sekolah Dasar 11 100,000 1,100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 - 1,100,000
Pembinaan Pendidikan Kesehatan
Reproduksi Remaja dan Pendampingan
Evaluasi Kepatuhan TTD Rematri Halaman 2
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Pembinaan Pendidikan Kesehatan
Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Reproduksi Remaja dan Pendampingan Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
Evaluasi Kepatuhan TTD Rematri
- Transport petugas 1 Org x 6 Sekoalah x 5 Kali 30 100,000 3,000,000 - 600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 3,000,000
TOTAL 24,091,500 5,100,000 900,000 900,000 900,000 900,000 3,130,000 3,066,500 900,000 900,000 900,000 3,495,000 - 24,091,500
F POSBINDU
Deteksi Dini Faktor Resiko di Posbindu
1
PTM
- Transport petugas 3 Org x 3 Posbind. x 11 Kali 99 100,000 9,900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 - 9,900,000

2 Deteksi Dini Kanker Servik dengan IVA Tes

- Transport petugas 2 Org x 3 Ds x 6 Kali 36 100,000 3,600,000 600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 3,600,000
TOTAL 13,500,000 1,500,000 900,000 1,500,000 900,000 1,500,000 900,000 1,500,000 900,000 1,500,000 900,000 1,500,000 - 13,500,000
G LANSIA
1 Deteksi Dini Faktor Resiko di Posyandu
Lansia
- Transport petugas 3 Org x 4 Posy. X 11 Kali 132 100,000 13,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 - 13,200,000

2 Pendampingan Lansia Resiko Tinggi

Dengan Penyakit Penyerta
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
TOTAL 19,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 - 19,800,000
H DEMAM BERDARAH DENGUE
1 Refresing DBD pada Kader Jumantik
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 1,395,000 - - - - - - 1,395,000 - - - - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
2 Pembinaan Kader Jumantik
- Konsumsi 30 Org x 4 Kali 120 46,500 5,580,000 - 1,395,000 - - 1,395,000 - - 1,395,000 - - 1,395,000 - 5,580,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
Pemeriksaan Jentik Berkala Oleh Kader
3
Jumantik
- Transport kader 12 Org x 3 Ds x 4 Hari 144 100,000 14,400,000 3,600,000 - - 3,600,000 - - 3,600,000 - - 3,600,000 - - 14,400,000
4 Pemeriksaan Jentik Berkala Petugas
- Transport petugas 5 Org x 3 Ds x 4 Kali 60 100,000 6,000,000 - 1,500,000 - - 1,500,000 - - 1,500,000 - - 1,500,000 - 6,000,000
5 Pelacakan penderita DBD
- Transport petugas 2 Org x 3 Ds x 10 Kali 60 100,000 6,000,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - - 6,000,000
TOTAL 34,970,000 5,695,000 3,595,000 600,000 4,200,000 3,495,000 600,000 4,200,000 4,890,000 600,000 4,200,000 2,895,000 - 34,970,000
I PENANGANAN COVID - 19
1 Traccing Kasus Konfirmasi Covid 19
- Transport petugas 2 Org x 110 Kasus 220 100,000 22,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 - 22,000,000
2 Pemantauan Kontak Erat Terkonfirmasi
- Transport petugas 2 Org x 110 Kasus 220 100,000 22,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 - 22,000,000
3 Pengambilan Sampel Swab
- Transport petugas 2 Org x 50 Kasus 100 100,000 10,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 - - 10,000,000
Pendampingan Rujukan Penderita
4
Konfirmasi Covid - 19
- Transport petugas 2 Org x 40 Kasus 80 100,000 8,000,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 - - 8,000,000
5 Pengiriman Sampel Swab
- Transport petugas 2 Org x 40 Kasus 80 100,000 8,000,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 - - 8,000,000
6 Insentif Jasa Pemantauan Kasus Kontak
- Transport petugas 3 Org x 200 Kasus 600 15,000 9,000,000 750,000 1,125,000 750,000 750,000 750,000 750,000 750,000 1,125,000 750,000 750,000 750,000 - 9,000,000
7 Honor Traccer 6 Org x 12 Bulan 72 325,000 23,400,000 2,925,000 1,950,000 1,950,000 1,950,000 1,950,000 1,950,000 1,950,000 2,925,000 1,950,000 1,950,000 1,950,000 23,400,000
8 Honor Surveilen / Pengolah Data 1 Org x 12 Bulan 12 1,000,000 12,000,000 1,000,000 1,500,000 1,000,000 1,000,000 1,000,000 1,000,000 1,500,000 1,000,000 1,000,000 1,000,000 1,000,000 12,000,000
TOTAL 114,400,000 11,275,000 11,175,000 10,300,000 10,300,000 10,300,000 10,300,000 10,800,000 11,650,000 10,300,000 10,300,000 7,700,000 - 114,400,000
Halaman 3
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
J KUSTA
1 Pemeriksaan Kontak
- Transport petugas 2 Org x 6 Kali 12 100,000 1,200,000 200,000 - 200,000 - 200,000 - 200,000 - 200,000 - 200,000 - 1,200,000
2 Pemeriksaan Kusta Pada A S
- Transport petugas 2 Org x 16 Sekolah 32 100,000 3,200,000 - - - - - - - 3,200,000 - - - - 3,200,000
TOTAL 4,400,000 200,000 - 200,000 - 200,000 - 200,000 3,200,000 200,000 - 200,000 - 4,400,000
K JIWA
Sosialisasi Penceg.dan Pengendalian
1
Peny.Keswa
- Konsumsi 30 Org x 3 Ds x 1 Kali 90 46,500 4,185,000 - 4,185,000 - - - - - - - - - - 4,185,000
- Transport petugas 2 Org x 3 Ds 6 100,000 600,000 - 600,000 - - - - - - - - - - 600,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
2 Pendampingan Pasien Jiwa
- Transport petugas 2 Org x 3 Ds x 10 Kali 60 100,000 6,000,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - - 6,000,000
3 Penemuan Kasus Jiwa Baru
- Transport petugas 1 Org x 3 Ds x 10 Kali 30 100,000 3,000,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 - - 3,000,000
TOTAL 13,885,000 900,000 5,785,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 - - 13,885,000
L TUBERKULOSIS PARU
1 Sosialisasi TB Paru Pada Masyarakat
- Transport petugas 2 Org x 3 Ds x 2 Kali 12 100,000 1,200,000 - 600,000 - - - - 600,000 - - - - - 1,200,000
- Konsumsi 30 Org x 3 Ds x 2 Kali 180 46,500 8,370,000 - 4,185,000 - - - - 4,185,000 - - - - - 8,370,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
2 Pemeriksaan Kontak Penderita TB Paru
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
3 Pelacakan Kasus TB Paru Mangkir
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
4 Pendampingan Pasien TBC
- Transport petugas 2 Org x 12 Kasus x 2 Kali 48 100,000 4,800,000 2,400,000 - - - - - - 2,400,000 - - - - 4,800,000
5 Deteksi Dini Kasus TBC Pada Ibu Hamil
- Transport petugas 1 Org x 10 Kali 10 100,000 1,000,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 - - 1,000,000
6 Pengiriman Chroscek BTA Sputum
- Transport petugas 1 Org x 4 Kali 4 100,000 400,000 100,000 - - - 100,000 - - 100,000 - - 100,000 - 400,000
TOTAL 29,070,000 3,800,000 6,185,000 1,300,000 1,300,000 1,400,000 1,300,000 6,085,000 3,800,000 1,300,000 1,300,000 1,300,000 - 29,070,000
M KECACINGAN
1 Pemberian Obat Cacing ke TK
- Transport petugas 2 Org x 14 TK x 2 Kali 56 100,000 5,600,000 2,800,000 - - - - - 2,800,000 - - - - - 5,600,000
2 Pemberian Obat Cacing ke Sekolah
- Transport petugas 2 Org x 11 SD x 2 Kali 44 100,000 4,400,000 2,200,000 - - - - - 2,200,000 - - - - - 4,400,000
3 Pemberian Obat Cacing ke Posyandu
- Transport petugas 2 Org x 30 Posy. x 2 Kali 120 100,000 12,000,000 6,000,000 - - - - - 6,000,000 - - - - - 12,000,000
4 Pendataan Sasaran Kecacingan
- Transport petugas 2 Org x 3 Ds 6 100,000 600,000 300,000 - - - - - 300,000 - - - - - 600,000
5 Konsultasi Program kecacingan Ke Dinkes
- Transport petugas 1 Org x 2 Kali 2 100,000 200,000 - 100,000 100,000 200,000
TOTAL 22,800,000 11,300,000 100,000 - - - - 11,300,000 100,000 - - - - 22,800,000
N IMUNISASI
1 Koordinasi Program Berkaitan Logistik
- Trasnportasi petugas 1 Org x 12 Kali 12 100,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000

2 Pelaksanaan Imunisasi Pentavalen di

Posyandu
- Transport petugas 3 Org x 30 Pos x 6 Kali 360 100,000 36,000,000 - 6,000,000 6,000,000 6,000,000 6,000,000 6,000,000 6,000,000 36,000,000
Halaman 4
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
3 Sweeping Imunisasi Bayi DO
- Transport petugas 2 Org x 30 Posy. x 6 Kali 360 100,000 36,000,000 6,000,000 - 6,000,000 - 6,000,000 - 6,000,000 - 6,000,000 - 6,000,000 - 36,000,000
4 Pertemuan Sosialisasi BIAS
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - - - - - - 1,395,000 - - - - - 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - - 100,000 - - - - - 100,000
5 Pelaksanaan BIAS Pada Siswa SD/MI
- Transport petugas 1 Org x 2 Kali 2 100,000 200,000 - - - - - - - 100,000 - - 100,000 - 200,000
6 Pelaksanaan BIAS
- Transport petugas 4 Org x 11 SD x 2 Kali 88 100,000 8,800,000 - - - - - - - 4,400,000 - - 4,400,000 - 8,800,000
7 Pelacakan kasus KIPI
- Transport petugas 3 Org x 3 Ds x 11 Kali 99 100,000 9,900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 - 9,900,000
Rapat Koordinasi Lintas Program
8
Pencapaian Imunisasi
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 - - - 1,395,000 - - - - - 1,395,000 - - 2,790,000
TOTAL 96,385,000 7,000,000 7,000,000 7,000,000 8,395,000 7,000,000 7,000,000 8,495,000 11,500,000 7,000,000 8,395,000 17,500,000 100,000 96,385,000
O PROGRAM HIV
1 Penyuluhan HIV/AIDS Anak sekolah
- Transport petugas 2 Org x 5 SMP x 2 Kali 20 100,000 2,000,000 1,000,000 - - - - - - 1,000,000 - - - - 2,000,000
- Penggandaan 2974 Lembar 2864 500 1,432,000 1,432,000 - - - - - - - - - - - 1,432,000
2 Monev Tukang Cukur dan Salon
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
3 Pembinaan Kader Bidik HIV
- Konsumsi 30 Org x 3 Kali 90 46,500 4,185,000 - - 1,395,000 - - - 1,395,000 - - - 1,395,000 - 4,185,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000
4 Refresing Pemulasaraan Jenazah HIV
- Konsumsi 20 Org x 3 Ds x 2 Kali 120 46,500 5,580,000 2,790,000 - - - - - 2,790,000 - - - - - 5,580,000
- Banner 1 x 6 Meter 6 50,000 300,000 300,000 - - - - - - - - - - - 300,000
- Transport petugas 2 Org x 3 Ds x 2 Kali 12 100,000 1,200,000 600,000 - - - - - 600,000 - - - - - 1,200,000
5 Pelacakan Kasus Kontak
- Transport petugas 2 Org x 8 Kasus x 6 Kali 96 100,000 9,600,000 1,600,000 - 1,600,000 - 1,600,000 - 1,600,000 - 1,600,000 - 1,600,000 - 9,600,000
6 Pendampingan Pemantauan Minum ARV
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
TOTAL 37,597,000 8,922,000 1,200,000 4,295,000 1,200,000 2,800,000 1,200,000 7,585,000 2,200,000 2,800,000 1,200,000 4,195,000 - 37,597,000
P PROGRAM PHN / PIS - PK
1 Survey KS (Intervensi Awal)
- Transport petugas 10 Org x 3 Ds x 5 Hari 150 100,000 15,000,000 - 3,000,000 - 3,000,000 - 3,000,000 - 3,000,000 - 3,000,000 - - 15,000,000
2 Intervensi Lanjut
- Transport petugas 10 Org x 3 Ds x 3 Hari 90 100,000 9,000,000 - - - 3,000,000 - 3,000,000 3,000,000 - - - - - 9,000,000
- Pengadaan Blanko 4547 Lembar 4547 500 2,273,500 - - - 2,273,500 - - - - - - - - 2,273,500
3 Kunjungan KK rawan
- Transport petugas 4 Org x 3 Ds x 6 Kali 72 100,000 7,200,000 - 1,200,000 - 1,200,000 - 1,200,000 - 1,200,000 1,200,000 1,200,000 - - 7,200,000
4 Kunjungan Kelompok Rawan
- Transport petugas 3 Org x 3 Ds x 6 Kali 54 100,000 5,400,000 900,000 - 900,000 - 900,000 - 900,000 - 900,000 - 900,000 - 5,400,000
5 Konsultasi Program ke Dinas Kesehatan
- Transport petugas PNS 1 Org x 1 Kali 1 100,000 100,000 - - - 100,000 - - - - - - - - 100,000
TOTAL 38,973,500 900,000 4,200,000 900,000 9,573,500 900,000 7,200,000 3,900,000 4,200,000 2,100,000 4,200,000 900,000 - 38,973,500
Q PROGRAM KESLING
1 Inspeksi Sanitasi TTU
- Transport petugas 2 Org x 11 Kali 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000

2 Pengawasan Keamanan Pangan Jajanan

Anak Sekolah
Halaman 5
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
2 Pengawasan Keamanan Pangan Jajanan
Anak Sekolah
- Transport petugas 2 Org x 11 Kali 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000

3 Inspeksi sanitasi Tempat Pengelolaan

Makanan
- Transport petugas 2 Org x 11 Kali 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000

4 Pertemuan Pembinaan Tempat Pengelolaan

Makanan
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - - - - - - - - - 1,395,000 - - 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - - - - - 100,000 - - 100,000
5 Inspeksi Kesehatan Lingkungan Rumah
- Transport petugas 2 Org x 11 Kali 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000
6 Pertemuan Pembinaan Kader Kesling
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 - - 1,395,000 - - - 1,395,000 - - - - - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000

7 Pemeriksaan Sanitasi Sarana Kualitas Air

Bersih di Masyarakat
- Transport pengambilan sampel 1 Org x 11 Kali 11 100,000 1,100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 - 1,100,000
- Transport pengiriman sampel 1 Org x 11 Kali 11 100,000 1,100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 - 1,100,000
8 Pemeriksaan sample IPAL
- Transport pengambilan sampel 1 Org x 2 Kali 2 100,000 200,000 100,000 - - - - - 100,000 - - - - - 200,000
- Transport pengiriman sampel 1 Org x 2 Kali 2 100,000 200,000 100,000 - - - - - 100,000 - - - - - 200,000
Kunjungan rumah tindak lanjut klinik
9
Sanitasi
- Transport petugas 2 Org x 11 Kali 22 100,000 2,200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - 2,200,000
10 Intervensi Pasien Yang Ditindak Lanjuti
- Transport petugas 1 Org x 11 Kali 11 100,000 1,100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 - 1,100,000
11 Forum Desa Sehat
- Konsumsi 30 Org x 3 Kali 90 46,500 4,185,000 - - - - - 1,395,000 1,395,000 1,395,000 - - - - 4,185,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - 100,000 - - - - - - 100,000
12 Forum Kecamatan Sehat
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - - - - - - - - 1,395,000 - - - 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - - - - 100,000 - - - 100,000
TOTAL 24,865,000 1,500,000 1,300,000 2,795,000 1,300,000 1,300,000 2,795,000 4,290,000 2,695,000 2,795,000 2,795,000 1,300,000 - 24,865,000
R UPAYA KESEHATAN OLAHRAGA
Pembinaan Dan Pemeriksaan Kesehatan
1
Berkala Pada Pekerja Informal di Pos UKK
- Transport petugas 3 Org x 2 Ds x 6 Kali 36 100,000 3,600,000 - 600,000 - 600,000 - 600,000 - 600,000 - 600,000 600,000 - 3,600,000
- Konsumsi 20 Org x 2 Ds x 6 Kali 240 46,500 11,160,000 - 1,860,000 - 1,860,000 - 1,860,000 - 1,860,000 - 1,860,000 1,860,000 - 11,160,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
Koordinasi Pemeriksaan Kesehatan Berkala
2 Pada Pekerja Formal/Kantor Desa,
Puskesmas
- Transport petugas 2 Org x 3 Ds 6 100,000 600,000 100,000 - 100,000 - 100,000 - 100,000 - 100,000 - 100,000 - 600,000
Pembinaan Dan Pemeriksaan Kesehatan
3 Berkala Pada Pekerja Formal
( Kantor Desa )
- Transport petugas 3 Org x 3 Ds x 2 Kali 18 100,000 1,800,000 900,000 - - - - 900,000 - - - - - - 1,800,000
- Konsumsi 20 Org x 3 Ds 60 46,500 2,790,000 1,395,000 - - - - 1,395,000 - - - - - - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
TOTAL 20,150,000 2,495,000 2,560,000 100,000 2,460,000 100,000 4,755,000 100,000 2,460,000 100,000 2,460,000 2,560,000 - 20,150,000
S KESEHATAN OLAHRAGA
Halaman 6
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
1 Pemeriksaan Kebugaran Pada Pegawai
- Konsumsi 55 Org x 1 Kali 55 33,000 1,815,000 1,815,000 - - - - - - - - - - - 1,815,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
2 Pembinaan Pada Kelompok Olahraga
- Transport petugas 2 Org x 10 Kali 20 100,000 2,000,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 - - 2,000,000
3 Pengukuran Kebugaran Sekolah
- Transport petugas 3 Org x 16 SD 48 100,000 4,800,000 480,000 480,000 480,000 480,000 480,000 480,000 480,000 480,000 480,000 480,000 - - 4,800,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
4 Kegiatan Senam Rutin Jum'at Pagi
- Konsumsi 25 Org x 11 Kali 275 13,500 3,712,500 337,500 337,500 337,500 337,500 337,500 337,500 337,500 337,500 337,500 337,500 337,500 - 3,712,500
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
5 Pengukuran Kebugaran CJH
- Transport petugas 2 Org x 1 Kali 2 100,000 200,000 - - 200,000 - - - - - - - - - 200,000
6 Konsultasi Program
- Transport petugas 1 Org x 2 Kali 2 100,000 200,000 100,000 - - - - - 100,000 - - - - - 200,000
TOTAL 13,027,500 3,232,500 1,017,500 1,217,500 1,017,500 1,017,500 1,017,500 1,117,500 1,017,500 1,017,500 1,017,500 337,500 - 13,027,500
T PROMOSI KESEHATAN
Pertemuan Lintas Sektor Advoksasi
1
Masyarakat Peduli Kesehatan Kecamatan
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - 1,395,000 - - - - - - - - - - 1,395,000
- Transport petugas 3 Org x 1 Kali 3 100,000 300,000 - 300,000 - - - - - - - - - - 300,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000

2 Pembentukan Forum Germas Tingkat

Kecamatan
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - 1,395,000 - - - - - - - - - - 1,395,000
- Transport petugas 3 Org x 1 Kali 3 100,000 300,000 - 300,000 - - - - - - - - - - 300,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000

3 Pertemuan Lintas Sektor Advoksasi Masy

Peduli Kesehatan Desa
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - 1,395,000 - - - - - - - - - - 1,395,000
- Transport petugas 3 Org x 1 Kali 3 100,000 300,000 - 300,000 - - - - - - - - - - 300,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
4 Pembinaan Forum Germas Tk. Desa
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - 1,395,000 - - - - - - - - - - 1,395,000
- Transport petugas 3 Org x 1 Kali 3 100,000 300,000 - 300,000 - - - - - - - - - - 300,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
5 Pertemuan Rutin Kader Posyandu di Desa
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
6 Pembinaan Desa Siaga
- Transport petugas 30 Org x 3 Ds 90 46,500 4,185,000 - - 4,185,000 - - - - - - - - - 4,185,000
- Konsumsi 3 Org x 3 Ds x 1 Kali 9 100,000 900,000 - - 900,000 - - - - - - - - - 900,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000
7 MMD
- Transport petugas 30 Org x 3 Ds 90 46,500 4,185,000 - - 1,395,000 - 1,395,000 1,395,000 - - - - - - 4,185,000
- Konsumsi 3 Org x 3 Ds x 1 Kali 9 100,000 900,000 - - 300,000 - 300,000 300,000 - - - - - - 900,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - 100,000 - - - - - - - - - 100,000

8 Pertemuan Koordinasi Kader Posyandu di

Puskesmas
- Konsumsi 30 Org x 10 Kali 300 46,500 13,950,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 - - 13,950,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
9 Pelatihan EMO DEMO
Halaman 7
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 - 1,395,000 - - - - - - 1,395,000 - - - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 - 100,000 - - - - - - - - - - 100,000
10 Pelatihan KPP
- Konsumsi 30 Org x 1 Kali 30 46,500 1,395,000 - - - - - 1,395,000 - - - - - - 1,395,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - - - 100,000 - - - - - - 100,000

11 Pertemuan Pembudayaan GERMAS Pada

Tatanan Kluster Aktifitas Fisik (SBH)
- Konsumsi 15 Org x 6 Kali x 2 Kali 180 13,500 2,430,000 405,000 - 405,000 - 405,000 - 405,000 - 405,000 - 405,000 - 2,430,000
- Banner 1 x 2 Meter 2 50,000 100,000 100,000 - - - - - - - - - - - 100,000
12 Survey PHBS Tatanan Pendidikan
- Transport petugas 2 Org x 21 Sekolah x 1 Kali 42 100,000 4,200,000 - - - - - - - - 4,200,000 - - - 4,200,000
13 Survey PHBS Ponpes
- Transport petugas 2 Org x 5 Ponpes x 4 Kali 40 100,000 4,000,000 1,000,000 - - 1,000,000 - - 1,000,000 - - 1,000,000 - - 4,000,000
14 Pembinaan POKESTREN/PONTREN
- Konsumsi 15 Org x 5 Ponpes 45 46,500 2,092,500 209,250 209,250 209,250 209,250 209,250 209,250 209,250 209,250 209,250 209,250 - - 2,092,500
- Transport petugas 3 Org x 11 Kali 33 100,000 3,300,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 - - 3,300,000
15 Siaran Keliling GERMAS
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
TOTAL 65,307,500 4,739,250 11,809,250 10,519,250 4,134,250 5,234,250 6,324,250 4,539,250 3,134,250 9,134,250 4,134,250 1,605,000 - 65,307,500
U USAHA KESEHATAN SEKOLAH
Pertemuan Koordinasi Guru UKS SD Untuk
1
Penguatan UKS
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 1,395,000 - - - - - - - - - 1,395,000 - 2,790,000
2 Penjaringan Anak Sekolah / Skrining SD
- Transport petugas 5 Org x 11 SD x 1 Kali 55 100,000 5,500,000 - - - - - - - - 5,500,000 - - - 5,500,000
3 Pelatihan Kader Tiwisada
- Konsumsi 30 Org x 2 Kali 60 46,500 2,790,000 - - - 1,395,000 - - - 1,395,000 - - - - 2,790,000
- Banner 1 x 2 Meter 2 50,000 100,000 - - - 100,000 - - - - - - - - 100,000
- ATK 1 Paket 1 1,009,250 1,009,250 - - - 1,009,250 - - - - - - - - 1,009,250
- Fotocopy 500 Lembar 500 500 250,000 - - - 250,000 - - - - - - - - 250,000
TOTAL 12,439,250 1,395,000 - - 2,754,250 - - - 1,395,000 5,500,000 - 1,395,000 - 12,439,250
V GIGI DAN MULUT
1 Kunjungan Kesgilut TK/RA/PAUD
- Transport petugas 2 Org x 14 TK 28 100,000 2,800,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 - - 2,800,000
2 Kunjungan Kesgilut ke Posyandu
- Transport petugas 2 Org x 4 Posy. x 10 Kali 80 100,000 8,000,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 - - 8,000,000
3 Kunjungan Kesgilut ke Kelas Ibu Hamil
- Transport petugas 2 Org x 3 Ds x 11 Kali 66 100,000 6,600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 - 6,600,000
TOTAL 17,400,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 600,000 - 17,400,000
W TENAGA KONTRAK
1 Bantuan Operasional Keuangan 1 Orang x 12 Bulan 12 1,900,000 22,800,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 3,800,000 - 22,800,000
2 Kesehatan Lingkungan 1 Orang x 12 Bulan 12 1,900,000 22,800,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 3,800,000 - 22,800,000
TOTAL 45,600,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 3,800,000 7,600,000 - 45,600,000
X FUNGSI MANAGEMEN
1 Pertemuan Minlok Rutin
- Konsumsi 55 Org x 12 Bulan 660 46,500 30,690,000 2,557,500 2,557,500 2,557,500 2,557,500 2,557,500 2,557,500 5,115,000 2,557,500 2,557,500 2,557,500 2,557,500 - 30,690,000
2 Pertemuan Koordinasi Penyampaian Kinerja
- Konsumsi 30 Org x 12 Bulan 360 46,500 16,740,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 1,395,000 2,790,000 1,395,000 1,395,000 1,395,000 1,395,000 - 16,740,000
TOTAL 47,430,000 3,952,500 3,952,500 3,952,500 3,952,500 3,952,500 3,952,500 7,905,000 3,952,500 3,952,500 3,952,500 3,952,500 - 47,430,000

TOTAL 907,580,750 103,046,250 92,036,750 73,911,750 70,187,000 56,494,250 80,106,750 111,548,250 87,829,250 72,916,750 61,234,250 66,130,000 797,500 907,580,750
Halaman 8
 RENCANA PELAKSANAAN KEGIATAN (RPK)
UPT PUSKESMAS TAMBAKBOYO TAHUN 2022

Cost / Waktu Pelaksanaan (Bulan)

No Kegiatan Rincian Vol. Jumlah Biaya TOTAL
Unit Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember

Mengetahui Pengelola BOK

Kepala UPT Puskesmas Tambakboyo

PURWANTO,Amd.Kep
dr.FITRI SAHYUNIARTI NIP : 19820802 200801 1 016
NIP : 19870618 201412 2 001

Halaman 9