PUSKESMAS WAIKNUIT

REKAPITULASI HASIL PENIMBANGAN F III / GIZI

BULAN : JUNI 2022

JML JUMLAH JUMLAH BALITA YANG ADA (S) JMLH BALITA YG TERDAFTAR DAN PUNYA KMS (K)
NO DESA DESA POSYANDU KADER 0 - 5 BLN TTL 6-11 BLN 12 - 23 BLN TTL 24 - 59 BLN TTL TOTAL 0 - 5 BLN 6 - 11 BLN 12 - 23 BLN 24 - 59 BLN TOTAL
PNDDK TTL TTL
ADA LPR ADA LPR ADA LPR L P L P L P L P L P L P L P L P L P L P

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 21 22 23 24 25 26 27 28 29 30 31 32 33 34
1 KATAKEJA 1338 1 1 4 4 24 24 2 5 7 1 2 8 1 9 25 21 46 36 29 65 2 5 1 2 8 1 25 21 36 29 65

2 TUBUK RAJAN 590 1 1 1 1 6 6 - 2 2 2 1 2 7 9 17 15 32 21 25 46 - 2 2 1 2 7 17 15 21 25 46

3 ILEKIMOK 1612 1 1 5 5 25 25 6 3 9 4 7 7 10 28 30 20 50 47 40 87 6 3 4 7 7 10 30 20 47 40 87

4 NUBAATALOJO 375 1 1 2 2 6 6 2 2 4 2 1 2 3 8 8 6 14 14 12 26 2 2 2 1 2 3 8 6 14 12 26

5 NUBAHAERAKA 270 1 1 2 2 6 6 - 3 3 1 2 2 3 8 5 5 10 8 13 21 - 3 1 2 2 3 5 5 8 13 21

6 LEBAATA 182 1 1 1 1 6 6 - - - 1 - 1 - - 4 7 11 6 7 13 - - 1 - 1 - 4 7 6 7 13

7 DORIPEWUT 511 1 1 1 1 6 6 1 1 2 - 1 3 1 3 8 6 14 12 9 21 1 1 - 1 3 1 8 6 12 9 21

8 ATAKORE 706 1 1 2 2 6 6 2 2 4 2 - 1 1 3 9 6 15 14 9 23 2 2 2 - 1 1 9 6 14 9 23

9 LEREK 650 1 1 2 2 12 12 4 1 5 2 2 1 3 5 8 18 26 15 24 39 4 1 2 2 2 3 8 18 16 24 39

10 DULIR 361 1 1 2 2 12 12 2 - 2 2 3 - 4 5 11 4 15 15 11 26 2 - 2 3 - 4 11 4 15 11 26

11 ILEKERBAU 336 1 1 1 1 6 6 1 3 3 - 1 1 3 2 4 3 7 6 10 16 1 3 - 1 1 3 4 3 6 10 16

12 NOGODONI 188 1 1 1 1 6 6 - - - - 1 1 2 3 3 3 6 4 6 10 - - 1 1 1 2 3 3 5 6 10

13 LUSILAME 419 1 1 1 1 6 6 2 1 3 1 1 2 2 4 10 11 21 15 15 30 2 1 1 1 2 2 10 11 15 15 30

14 LEWOGROMA 183 1 1 1 1 6 6 1 2 3 - 3 - 1 1 4 6 10 5 12 17 1 2 - 3 - 1 4 6 5 12 17

15 NUBABOLI 172 1 1 1 1 6 6 - 3 3 1 1 2 - 2 3 3 6 6 7 13 - 3 1 1 2 - 3 3 6 7 13

PUSKESMAS 7,893 15 15 27 27 139 139 23 28 51 19 26 33 41 119 149 134 283 224 229 453 23 28 19 26 33 41 149 134 224 229 453

Watugolok,04 Juli 2022

Penanggung Jawab Program Gizi

ARNOLDUS DAO, A. Md.Gz

NIP.19741205 200012 1 004
No Desa Posyandu S Tgl Kegiatan
1 Watena 15 14 - 01- 2020 17 5 25 25 45 45

2 Sinar Damai 24 11 - 01- 2020 26 ,7 5 5 5 15

1 Katakeja 57
3 Kasalolon 20 13 - 01- 2020 24 ,8 3 9 1 13 13 24

4 Titehena 12 11 - 01- 2020 16 9 7 9 8 7 3 9 4 47 134 134

2 Tubukrajaan 25 5 Griang sare 42 05 - 01- 2021 45 10 11 12 10 33 69 69

6 Ama Sayang I 15 07 - 01- 2020 15 11 17 12 6 15 50 50 88

7 Kasih Ibu
19 09 - 01- 2020 22 12
6 6 12 12 16

3 Ilekimok 35 8 Sedang Mekar

28 10 - 01- 2020 30 ,13
15 13 11 8 47 47 102

9 Ina Sayang
15 11 - 01- 2020 16 ,14 13 13 102

10 Ama Sayang II
4 12 - 01- 2020 6 245 477 493
11 Baoraja 9 08 - 01- 2020 7 3 5 13
4 Nuba Atalojo 12
12 Inakari 19 09 - 01- 2020 20 9 7 17

13 Waewejak 14 08 - 01- 2020 14 11 15

5 Nubahaeraka 10
14 Lewokurang 2 08 - 01- 2020 2 6 12

6 Lebaata 8 15 Nubanolo 17 09 - 01- 2020 18 12 6 57

7 Dori Pewut 13 16 Lewaji 28 13 - 01- 2020 27 35

8 Atakore 12 17 Nubakore 22 10 - 01- 2020 25
18 Sinar Mauraja I 15 09 - 01- 2020 23
9 Lerek 10
19 Sinar Mauraja II 21 09 - 01- 2020 20
20 Sinar Hobal I 10 10 - 01- 2020 14
10 Dulir 16
21 Sinar Hobal II 6 12 - 01- 2020 10
11 Ilekerbau 11 22 Gelekat Lewo 17 13 - 01- 2020 22
12 Nogodoni 9 23 Pai Hode 11 09 - 01- 2020 15
13 Lusilame 15 24 Balagego 30 11 - 01- 2020 30
14 Lewogroma 4 25 watotena 15 09 - 01- 2020 16
15 Nubaboli 8 26 Selunuba 15 13 - 01- 2020 13
245 445 493
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JMLH BALITA YG DI TIMBANG ( D ) JUMLAH BALITA YANG NAIK BB BLN INI (N)
NO DESA 0 - 5 BLN TTL 6 - 11 BLN 12 - 23 BLN TTL 24 - 59 BLN TTL TOTAL TOTAL 0 - 5 BLN 6 - 11 BLN 12 - 23 BLN 24 - 59 BLN TOTAL
TOTAL
L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27
1 KATAKEJA 2 5 7 1 2 8 1 9 25 21 46 36 29 65 5 1 2 6 1 13 14 20 22 42

2 TUBUK RAJAN - 2 2 2 1 1 6 10 12 14 26 15 23 38 - - 1 1 1 2 4 5 6 8 14

3 ILEKIMOK 6 3 9 4 7 7 10 28 30 20 50 47 40 87 3 2 4 5 4 3 15 14 26 24 50

4 NUBAATALOJO 2 - 2 2 1 1 3 7 10 7 17 15 11 26 2 - 1 1 - 1 4 5 7 7 14

5 NUBAHAERAKA - 3 3 1 1 2 2 5 5 4 9 8 10 18 - 1 1 - 2 1 3 2 6 4 10

6 LEBAATA - - - 1 - 1 - 2 4 7 11 6 7 13 - - 1 - 1 - 4 6 6 6 12

7 DORIPEWUT 1 1 2 1 1 3 - 3 8 6 14 13 8 21 1 - 1 1 2 - 6 1 10 2 12

8 ATAKORE 2 1 3 1 - 2 1 3 8 6 14 13 8 21 2 - - - - - 5 2 7 2 9

9 LEREK 4 1 5 2 2 1 2 5 8 18 26 15 23 38 - 1 - 1 - 2 6 5 6 9 15

10 DULIR 2 - 2 2 1 - 5 4 11 4 15 15 10 25 2 - 1 1 - 2 6 2 9 5 14

11 ILEKERBAU 1 3 4 - 1 1 3 2 4 3 7 6 10 16 - - - - - 1 - - - 1 1

12 NOGODONI - - - - - 1 2 3 2 4 6 3 6 9 - - - - - 1 3 2 3 3 6

13 LUSILAME 2 1 3 1 - 3 2 4 9 11 20 15 14 29 - 1 - - 1 - 3 3 4 4 8

14 LEWOGROMA 1 2 3 - 2 - 1 3 4 5 9 5 10 15 1 1 - - - - 2 1 3 2 5

15 NUBABOLI - 3 3 1 1 2 - 2 3 3 6 6 7 13 - 1 - - - - 1 1 1 2 3

PUSKESMAS 23 25 48 19 20 33 38 110 143 133 276 218 216 434 11 12 11 12 17 14 75 63 114 101 215
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

JMLH BALITA YG DI TIDAK NAIK B B BULAN INI ( T ) JMLH BALITA YG 2 KALI TIDAK NAIK B B ( 2T )
NO DESA
0 - 5 BLN 6 - 11 BLN 12 - 23 BLN 24 - 59 BLN TOTAL TOTAL 0 - 5 BLN 6 - 11 BLN 12 - 23 BLN 24 - 59 BLN TOTAL
TOTAL
L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 10 11 13 14 15 16 17 18 19 3 21 22 23 24 26 27
1 KATAKEJA - - - - 2 - 12 7 14 7 21 - - - - 2 2 3 3 5 5 10
2 TUBUK RAJAN - 2 1 - - 4 8 9 9 15 24 - - - - - - - - - - -
3 ILEKIMOK - - - 2 3 5 13 4 16 11 27 - - - - - - 1 2 1 2 3
4 NUBAATALOJO - - - - - - - - - - - - - - - 1 1 1 - 2 1 3
5 NUBAHAERAKA - 1 - 1 - 1 2 2 2 5 7 - - - - - - 1 - 1 - 1
6 LEBAATA - - - - - - 1 3 1 3 4 - - - - - - - 1 - 1 1
7 DORIPEWUT - 1 - - 1 - 2 5 3 6 9 - - - - 1 - - 3 1 3 4
8 ATAKORE - 1 1 - - 1 4 4 5 6 11 - - - - - 1 3 1 3 2 5
9 LEREK - - - - - - - - - - - - - - 1 1 - - 2 1 3 4
10 DULIR - - 1 - - 3 5 2 6 5 11 - - - - - 1 2 - 2 1 3
11 ILEKERBAU - 2 - 1 1 2 3 3 4 8 12 - 1 - - 1 1 1 - 2 2 4
12 NOGODONI - - - 1 1 1 3 - 4 2 6 - - - - 1 1 - - 1 1 2
13 LUSILAME - - 1 1 - 1 4 7 5 9 14 - - 1 - - - 1 2 2 2 4
14 LEWOGROMA - - - - - - - - - - - - - - - - - - 1 - 1 1
15 NUBABOLI - 2 1 1 2 2 3 1 6 6 12 - - - - - - 2 1 2 1 3

PUSKESMAS - 9 5 7 10 20 60 47 75 83 158 - 1 1 1 7 7 15 16 23 25 48
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

JUMLAH BALITA YANG TIDAK HADIR BLN INI (O) JUMLAH BALITA BARU BULAN INI (B) JUMLAH BALITA DENGAN BGM (BGM)
NO DESA 0-5 6 - 11 12 - 23 24 - 59 TOTAL 0-5 6 - 11 12 - 23 24 - 59 TOTAL 0-5 6 - 11 12 - 23 24 - 59 TOTAL
TTL TTL TTL
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KATAKEJA 2 - - - - - - - 2 - 2 2 - - - - - - - 2 - 2 - - - - - - - 1 - 1 1
2 TUBUK RAJAN - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - 1 1

3 ILEKIMOK 2 - - - - 2 2 2 4 4 8 2 - - - - - - - 2 - 2 - - - - - - 1 1 1 1 2

4 NUBAATALOJO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 NUBAHAERAKA 1 - - - - - - - 1 1 - 1 - - - - - - - 1 1 - - - - - - - - - - -

6 LEBAATA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

7 DORIPEWUT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8 ATAKORE - - 1 - - - - - 1 - 1 - - - - - - - - - - - - - - - - - - - - - -
9 LEREK 3 - 1 - - - - - 4 - 4 3 - - - - - - - 3 - - - - - - - - - - - - -

10 DULIR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

11 ILEKERBAU - 1 - - - - 1 - 1 1 2 - - - - - - - - 1 - 1 - - - - - - - - - - -
12 NOGODONI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

13 LUSILAME - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

14 LEWOGROMA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
15 NUBABOLI - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - 1 - 1

PUSKESMAS 7 2 2 - - 2 3 2 12 6 18 7 1 - - - - - - 7 1 8 - - - - - - 2 3 2 3 5
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

STATUS GIZI BB/U

JUMLAH BALITA GIZI LEBIH JUMLAH BALITA GIZI BAIK JUMLAH BALITA GIZI KURANG JUMLAH BALITA GIZI BURUK
NO DESA
0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL
TTL TTL TTL TTL
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

1 KATAKEJA - - - - - - - - - - 2 5 1 2 5 1 18 16 26 24 50 - - - - 3 - 6 4 9 4 13 - - - - - - 1 1 1 1 2

2 TUBUK RAJAN - - - - - - - - - - - - 2 2 1 1 6 10 10 13 10 23 - - - - - - 2 3 2 3 5 - - - - - - - 1 - 1 1

3 ILEKIMOK - - - - - - - - - - 6 2 4 6 7 10 26 20 43 38 81 - - - 1 - - 3 - 3 1 4 - 1 - - - - 1 1 1 2 3

4 NUBAATALOJO - - - - - - - - - - - 2 2 2 1 1 3 7 4 12 10 22 - - - - 1 - 1 2 2 2 4 - - - - - - - - - - -

5 NUBAHAERAKA - - - - - - - - - - - - 2 - 1 2 2 5 3 7 8 15 - 1 - - - - - 1 - 2 2 - - 1 - - - - - 1 - 1

6 LEBAATA - - 1 - - - - - 1 - 1 - - - - - - 4 6 4 6 10 - - - - - - - - - - - - - - - - - - - - - -

7 DORIPEWUT - - - - - - - - - - - 1 1 - - 3 - 5 4 9 5 14 - - 1 - - - 3 2 4 2 6 - - - - - - - - - - -

8 ATAKORE - - - - - - - - - - - 2 1 - - - - 9 4 11 5 16 - - 2 - - 1 - 1 2 2 4 - - - - - - - 1 - 1 1

9 LEREK 1 - - - - - - - - - - 4 - - 1 - - 2 4 6 5 11 - - - - - 1 - - - 1 1 - - - - - - - - - - -

10 DULIR 2 - 1 - - - - 1 1 1 2 2 - 1 1 - 4 11 3 14 8 22 - - - - - - 1 - 1 - 1 - - - - - - - - - - -

11 ILEKERBAU - - - - - - - - - - - 1 3 - 1 1 3 4 3 6 10 16 - - - - - - - - - - - - - - - - - - - - - -

12 NOGODONI - - - - - - - - - - - - - - 1 - 2 1 3 1 6 7 - - - - - - 2 - 2 - 2 - - - - - - - - - - -

13 LUSILAME - - - - - - - - - - - 2 1 1 - 3 2 7 7 13 10 23 - - - - - - 2 4 2 4 6 - - - - - - - - - - -

14 LEWOGROMA - 1 - - - - - - - 1 1 - - - 1 - 1 4 5 4 7 11 - - - - - - - - - - - - - - - - - - - - - -

15 NUBABOLI - - - - - - - - - - - - 3 1 1 1 - - 2 2 6 8 - - - - 1 - 2 1 3 1 4 - - - - - - 1 - 1 - 1

PUSKESMAS 3 1 2 - - - - 1 5 2 7 22 22 12 17 24 34 113 94 171 167 338 - 1 3 1 5 2 22 18 30 22 52 - 1 1 - - - 3 3 4 4 8

 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

POSYANDU CAKUPAN PENCAPAIAN

JML
NO DESA D GIZI LEBIH GIZI BAIK GIZI KURANG GIZI BRK GL/D GB/D GKRG/D GBRK/D
ADA LPR
PDDK L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 KATAKEJA 1338 4 4 36 29 65 - - - 26 24 50 9 4 13 1 1 2 - - - 72.2 82.8 76.9 25.0 13.8 20.0 2.8 3.4 3.1

2 TUBUK RAJAN 590 1 1 15 23 38 - - - 13 10 23 2 3 5 - 1 1 - - - 86.7 43.5 60.5 13.3 13.0 13.2 - 4.3 2.6

3 ILEKIMOK 1612 5 5 47 40 87 - - - 43 38 81 3 1 4 1 2 3 - - - 91.5 95.0 93.1 6.4 2.5 4.6 2.1 5.0 3.4

4 NUBAATALOJO 375 2 2 15 11 26 - - - 12 10 22 2 2 4 - - - - - - 80.0 90.9 84.6 13.3 18.2 15.4 - - -

5 NUBAHAERAKA 270 2 2 8 10 18 - - - 7 8 15 - 2 2 1 - 1 - - - 87.5 80.0 83.3 - 20.0 11.1 12.5 - 5.6

6 LEBAATA 182 1 1 6 7 13 1 - 1 4 6 10 - - - - - - 16.7 - 7.7 66.7 85.7 76.9 - - - - - -

7 DORIPEWUT 511 1 1 13 8 21 - - - 9 5 14 4 2 6 - - - - - - 69.2 62.5 66.7 30.8 25.0 28.6 - - -

8 ATAKORE 706 2 2 13 8 21 - - - 11 5 16 2 2 4 - 1 1 - - - 84.6 62.5 76.2 15.4 25.0 19.0 - 12.5 4.8

9 LEREK 650 2 2 15 23 38 - - - 6 5 11 - 1 1 - - - - - - 40.0 21.7 28.9 - 4.3 2.6 - - -

10 DULIR 361 2 2 15 10 25 1 1 2 14 8 22 1 - 1 - - - 6.7 10.0 8.0 93.3 80.0 88.0 6.7 - 4.0 - - -

11 ILEKERBAU 336 1 1 6 10 16 - - - 6 10 16 - - - - - - - - - 100.0 100.0 100.0 - - - - - -

12 NOGODONI 188 1 1 3 6 9 - - - 1 6 7 2 - 2 - - - - - - 33.3 100.0 77.8 66.7 - 22.2 - - -

13 LUSILAME 419 1 1 15 14 29 - - - 13 10 23 2 4 6 - - - - - - 86.7 71.4 79.3 13.3 28.6 20.7 - - -

14 LEWOGROMA 183 1 1 5 10 15 - 1 1 4 7 11 - - - - - - - 10.0 6.7 80.0 70.0 73.3 - - - - - -

15 NUBABOLI 172 1 1 6 7 13 - - - 2 6 8 3 1 4 1 - 1 - - - 33.3 85.7 61.5 50.0 14.3 30.8 16.7 - 7.7

PUSKESMAS 7893 27 27 218 216 434 5 2 7 171 167 338 30 22 52 4 4 8 2.3 0.9 1.6 78.4 77.3 77.9 13.8 10.2 12.0 1.8 1.9 1.8
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

STATUS GIZI TB/BB

GEMUK NORMAL KURUS KURUS SEKALI
NO DESA
0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL
TTL TTL TTL TTL
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

1 KATAKEJA - - - - - - - - - - - 3 3 3 2 5 4 18 12 29 21 50 - - - - 2 2 6 2 8 4 12 - - - - 1 - - 2 1 2 3

2 TUBUK RAJAN - - - - - - - - - - - - 2 2 1 1 6 12 13 15 22 37 - - - - - - - 1 - 1 1 - - - - - - - - - - -

3 ILEKIMOK - - - - - - - - - - - 6 2 4 5 5 10 23 7 38 24 62 - 1 - 2 2 - 6 3 8 6 14 - - - - - - 1 - 1 - 1

4 NUBAATALOJO - - - - - - - - - - - 2 2 1 1 1 3 6 4 10 10 20 - - - - 1 - - - 1 - 1 - - - - - - - - - - -

5 NUBAHAERAKA - - - - - - - - - - - - 3 1 1 2 2 5 4 8 10 18 - - - - - - - - - - - - - - - - - - - - -

6 LEBAATA - - - - - - - - - - - - - 1 - 1 - 4 6 6 6 12 - - - - - - - 1 - 1 1 - - - - - - - - - - -

7 DORIPEWUT - - - 1 - - - - - 1 1 1 1 1 - 2 - 5 4 9 5 14 - - - - 1 - 3 2 4 2 6 - - - - - - - - - - -

8 ATAKORE - - - - - - - - - - - 2 1 1 - - 1 9 5 12 7 19 - - 1 - - - - 1 1 1 2 - - - - - - - - - - -

9 LEREK - - - - - 1 - - - 1 1 4 1 2 1 1 2 7 16 14 20 30 - - - - - - 1 1 1 1 2 - - - - - - 1 - 1 - 1

10 DULIR - - - - - - - - - - - 2 - 2 1 - 5 5 2 9 8 17 - - - - - - 6 2 6 2 8 - - - - - - - - - - -

11 ILEKERBAU - - - - - - - - - - - - 3 - 1 1 3 4 2 5 9 14 1 - - - - - 1 1 1 2 - - - - - - - - - - -

12 NOGODONI - - - - - - - - - - - - - - 1 1 2 1 3 2 6 8 - - - - - - 1 - 1 - 1 - - - - - - 1 - 1 - 1

13 LUSILAME - - - - - - - - - - - 2 1 1 - 3 2 9 11 15 14 29 - - - - - - - - - - - - - - - - - - - - - -

14 LEWOGROMA - 1 - - - - - - - 1 1 - - - 1 - 1 4 5 4 7 11 1 1 - - - 1 2 1 3 3 6 - - - - - - - - - - -

15 NUBABOLI - - - - - - - - - - - 3 1 1 1 - 1 2 3 6 9 - - - - 1 - 1 1 2 1 3 - - - - - - - - - - -

TOTAL - 1 - - - 1 - - - 2 2 22 22 20 16 24 41 113 96 179 175 354 2 2 1 2 7 3 26 16 36 23 59 - - - - 1 - 3 2 4 2 6

 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

POSYANDU CAKUPAN PROGRAM PENCAPAIAN PROGRAM

JML
NO DESA D GMK NMRL KRS K.SKL GMK/D NRML/D KRS/D K.SKL/D
ADA LPR
PDDK L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 KATAKEJA 1338 4 4 36 29 65 0 0 0 29 21 50 8 4 12 1 2 3 - - - 80.6 72.4 76.9 22.2 13.8 18.5 2.8 5.6 4.6

2 TUBUK RAJAN 590 1 1 15 23 38 0 0 0 15 22 37 0 1 1 0 0 0 - - - 100.0 95.7 97.4 - 4.3 2.6 - - -

3 ILEKIMOK 1612 5 5 47 40 87 0 0 0 38 24 62 8 6 14 1 0 1 - - - 80.9 60.0 71.3 17.0 15.0 16.1 2.1 - 1.1

4 NUBAATALOJO 375 2 2 15 11 26 0 0 0 10 10 20 1 0 1 0 0 0 - - - 66.7 90.9 76.9 6.7 - 3.8 - - -

5 NUBAHAERAKA 270 2 2 8 10 18 0 0 0 8 10 18 0 0 0 0 0 0 - - - 100.0 100.0 100.0 - - - - - -

6 LEBAATA 182 1 1 6 7 13 0 0 0 6 6 12 0 1 1 0 0 0 - - - 100.0 85.7 92.3 - 14.3 7.7 - - -

7 DORIPEWUT 511 1 1 13 8 21 0 1 1 9 5 14 4 2 6 0 0 0 - 12.5 4.8 69.2 62.5 66.7 30.8 25.0 28.6 - - -

8 ATAKORE 706 2 2 13 8 21 0 0 0 12 7 19 1 1 2 0 0 0 - - - 92.3 87.5 90.5 7.7 12.5 9.5 - - -

9 LEREK 650 2 2 15 23 38 0 1 1 14 20 34 1 1 2 1 0 1 - 4.3 2.6 93.3 87.0 89.5 6.7 4.3 5.3 6.7 - 2.6

10 DULIR 361 2 2 15 10 25 0 0 0 9 8 17 6 2 8 0 0 0 - - - 60.0 80.0 68.0 40.0 20.0 32.0 - - -

11 ILEKERBAU 336 1 1 6 10 16 0 0 0 5 9 14 1 1 2 0 0 0 - - - 83.3 90.0 87.5 16.7 10.0 12.5 - - -

12 NOGODONI 188 1 1 3 6 9 0 0 0 2 6 8 1 0 1 1 0 1 - - - 66.7 100.0 88.9 33.3 - 11.1 33.3 - 11.1

13 LUSILAME 419 1 1 15 14 29 0 0 0 15 14 29 0 0 0 0 0 0 - - - 100.0 100.0 100.0 - - - - - -

14 LEWOGROMA 183 1 1 5 10 15 0 1 1 4 7 11 3 3 6 0 0 0 - 10.0 6.7 80.0 70.0 73.3 60.0 30.0 40.0 - - -

15 NUBABOLI 172 1 1 6 7 13 0 0 0 3 6 9 2 1 3 0 0 0 - - - 50.0 85.7 69.2 33.3 14.3 23.1 - - -

PUSKESMAS 7893 27 27 218 216 434 0 2 2 179 175 354 36 23 59 4 2 6 - 0.9 0.5 82.1 81.0 81.6 16.5 10.6 13.6 1.8 0.9 1.4
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

STATUS GIZI TB/U

TINGGI NORMAL PENDEK SANGAT PENDEK
NO DESA
0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL
TTL TTL TTL TTL
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

1 KATAKEJA - - - - - - - - - - - 2 5 1 2 4 1 16 15 23 23 46 - - - - 2 2 6 5 8 7 15 - - - - 1 - - 3 1 3 4

2 TUBUK RAJAN - - - - - - - - - - - - 1 2 1 - 5 9 8 11 15 26 - 1 - - 1 1 3 6 4 8 12 - - - - - - - - - - -

3 ILEKIMOK - - - - - - - - - - - 5 2 3 5 4 7 22 15 34 29 63 1 1 - - 2 3 6 4 9 8 17 - - 1 2 1 - 2 1 4 3 7

4 NUBAATALOJO - - - - - - - - - - - 2 2 1 1 1 3 6 5 10 11 21 - - 1 - 1 - 2 1 4 1 5 - - - - 1 1 1 - 2 1 3

5 NUBAHAERAKA - - - - - - - - - - - - 3 - 1 2 1 4 3 6 8 14 - - - - - 1 1 - 1 1 2 - - 1 - - - 1 1 1 2

6 LEBAATA - - - - - - - - - - - - - 1 - 1 - 4 6 6 6 12 - - - - - - - 1 - 1 1 - - - - - - - - - - -

7 DORIPEWUT - - - - - - - - - - - 1 1 1 1 3 - 8 6 13 8 21 - - - - - - - - - - - - - - - - - - - - - -

8 ATAKORE - - - - - - - - - - - 2 1 1 - 2 - 3 4 8 5 13 - - 1 - - - 2 4 3 4 7 - - - - - - 1 - 1 - 1

9 LEREK - - - - - - - - - - - 3 1 2 2 - 2 2 6 7 11 18 - - - - 1 - 5 10 6 10 16 - - - 1 1 - - - 1 1 2

10 DULIR - - - - - - - - - - - 1 - 2 - - 5 2 1 5 6 11 1 - - 1 - - 5 3 6 4 10 - - - - - - 4 - 4 - 4

11 ILEKERBAU - - - - - - - - - - - 1 3 - 1 1 3 4 1 6 8 14 - - - - - - - 2 - 2 2 - - - - - - - - - - -

12 NOGODONI - - - - - - - - - - - - - - 1 1 2 1 3 2 6 8 - - - - - - 1 - 1 - 1 - - - - - - 1 - 1 - 1

13 LUSILAME - - - - - - - - - - - 2 - 1 - 3 2 6 7 12 9 21 - 1 - - - - 2 4 2 5 7 - - - - - - 1 - 1 - 1

14 LEWOGROMA - - - - - - - - - - - - 1 - 2 - - 2 3 2 6 8 1 1 - - - - 1 - 2 1 3 4 1 1 - - - 1 - 2 1 3

15 NUBABOLI - - - - - - - - - - - - 3 1 - 2 - 3 2 6 5 11 - - 1 - - 1 - 2 - 2 - - - - - - 1 - 1 - 1

PUSKESMAS - - - - - - - - - - - 19 23 16 17 24 31 92 85 151 156 307 3 4 3 1 7 7 35 40 48 52 100 4 1 3 3 4 - 12 5 23 9 32

 Laporan F III program Gizi

STATUS GIZI TB/BB

TINGGI NORMAL PENDEK SANGAT PENDEK
NO DESA
0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL 0-5 6-11 12-23 24 - 59 TOTAL
TTL TTL TTL TTL
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

1 - - - - - - - - - - - -

2 - - - - - - - - - - - -

3 - - - - - - - - - - - -

4 - - - - - - - - - - - -

5 - - - - - - - - - - - -

6 - - - - - - - - - - - -

7 - - - - - - - - - - - -

8 - - - - - - - - - - - -

9 - - - - - - - - - - - -

10

11

12

13

14

15

16

17

18

19

20

21

22

TOTAL
 PUSKESMAS WAIKNUIT
LAPORAN F III / GIZI
BULAN : JUNI 2022

POSYANDU CAKUPAN PROGRAM PENCAPAIAN PROGRAM

JML
NO DESA D TINGGI NMRL PENDEK SANGAT PENDEK LEBIH/D NRML/D PENDEK/D SGT PENDEK /D
ADA LPR
PDDK L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 KATAKEJA 1338 4 4 36 29 65 0 0 0 23 23 46 8 7 15 1 3 4 - - - 63.9 79.3 70.8 22.2 24.1 23.1 2.8 10.3 6.2

2 TUBUK RAJAN 590 1 1 15 23 38 0 0 0 11 15 26 4 8 12 0 0 0 - - - 73.3 65.2 68.4 26.7 34.8 31.6 - - -

3 ILEKIMOK 1612 5 5 47 40 87 0 0 0 34 29 63 9 8 17 4 3 7 - - - 72.3 72.5 72.4 19.1 20.0 19.5 8.5 7.5 8.0

4 NUBAATALOJO 375 2 2 15 11 26 0 0 0 10 11 21 4 1 5 2 1 3 - - - 66.7 100.0 80.8 26.7 9.1 19.2 13.3 9.1 11.5

5 NUBAHAERAKA 340 2 2 8 10 18 0 0 0 6 8 14 1 1 2 1 1 2 - - - 75.0 80.0 77.8 12.5 10.0 11.1 12.5 10.0 11.1

6 LEBAATA 182 1 1 6 7 13 0 0 0 6 6 12 0 1 1 0 0 0 - - - 100.0 85.7 92.3 - 14.3 7.7 - - -

7 DORIPEWUT 511 1 1 13 8 21 0 0 0 13 8 21 0 0 0 0 0 0 - - - 100.0 100.0 100.0 - - - - - -

8 ATAKORE 706 2 2 13 8 21 0 0 0 8 5 13 3 4 7 1 0 1 - - - 61.5 62.5 61.9 23.1 50.0 33.3 7.7 - 4.8

9 LEREK 650 2 2 15 23 38 0 0 0 7 11 18 6 10 16 1 1 2 - - - 46.7 47.8 47.4 40.0 43.5 42.1 6.7 4.3 5.3

10 DULIR 361 2 2 15 10 25 0 0 0 5 6 11 6 4 10 4 0 4 - - - 33.3 60.0 44.0 40.0 40.0 40.0 26.7 - 16.0

11 ILEKERBAU 336 1 1 6 10 16 0 0 0 6 8 14 0 2 2 0 0 0 - - - 100.0 80.0 87.5 - 20.0 12.5 - - -

12 NOGODONI 188 1 1 3 6 9 0 0 0 2 6 8 1 0 1 1 0 1 - - - 66.7 100.0 88.9 33.3 - 11.1 33.3 - 11.1

13 LUSILAME 419 1 1 15 14 29 0 0 0 12 9 21 2 5 7 1 0 1 - - - 80.0 64.3 72.4 13.3 35.7 24.1 6.7 - 3.4

14 LEWOGROMA 183 1 1 5 10 15 0 0 0 2 6 8 2 1 3 2 1 3 - - - 40.0 60.0 53.3 40.0 10.0 20.0 40.0 10.0 20.0

15 NUBABOLI 172 1 1 6 7 13 0 0 0 6 5 11 2 0 2 1 0 1 - - - 100.0 71.4 84.6 33.3 - 15.4 16.7 - 7.7

PUSKESMAS 7963 27 27 218 216 434 0 0 0 151 156 307 48 52 100 23 9 32 - - - 69.3 72.2 70.7 22.0 24.1 23.0 10.6 4.2 7.4
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

POSYANDU
S K D N BGM T 2T K/S D/S N/S N/D BGM/D T/D 2T/D
NO DESA
ADA LPR
L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 38 39 40 38 39 40

1 KATAKEJA 4 4 36 29 65 36 29 65 36 29 65 20 22 42 - 1 1 14 7 21 5 5 10 100 100 100 100.0 100.0 100.0 55.6 75.9 64.6 55.6 75.9 64.6 - 3.4 1.5 38.9 24.1 32.3 13.9 17.2 15.4

2 TUBUK RAJAN 1 1 21 25 46 21 25 46 15 23 38 6 8 14 - 1 1 9 15 24 - - - 100 100 100 71.4 92.0 82.6 28.6 32.0 30.4 40.0 34.8 36.8 - 4.3 2.6 60.0 65.2 63.2 - - -

3 ILEKIMOK 5 5 47 40 87 47 40 87 47 40 87 26 24 50 1 1 2 16 11 27 1 2 3 100 100 100 100.0 100.0 100.0 55.3 60.0 57.5 55.3 60.0 57.5 2.1 2.5 2.3 34.0 27.5 31.0 2.1 5.0 3.4

4 NUBAATALOJO 2 2 14 12 26 14 12 26 15 11 26 7 7 14 - - - - - - 2 1 3 100 100 100 107.1 91.7 100.0 50.0 58.3 53.8 46.7 63.6 53.8 - - - - - - 13.3 9.1 11.5

5 NUBAHAERAKA 2 2 8 13 21 8 13 21 8 10 18 6 4 10 - - - 2 5 7 1 - 1 100 100 100 100.0 76.9 85.7 75.0 30.8 47.6 75.0 40.0 55.6 - - - 25.0 50.0 38.9 12.5 - 5.6

6 LEBAATA 1 1 6 7 13 6 7 13 6 7 13 6 6 12 - - - 1 3 4 - 1 1 100 100 100 100.0 100.0 100.0 100.0 85.7 92.3 100.0 85.7 92.3 - - - 16.7 42.9 30.8 - 14.3 7.7

7 DORIPEWUT 1 1 12 9 21 12 9 21 13 8 21 10 2 12 - - - 3 6 9 1 3 4 100 100 100 108.3 88.9 100.0 83.3 22.2 57.1 76.9 25.0 57.1 - - - 23.1 75.0 42.9 7.7 37.5 19.0

8 ATAKORE 2 2 14 9 23 14 9 23 13 8 21 7 2 9 - - - 5 6 11 3 2 5 100 100 100 92.9 88.9 91.3 50.0 22.2 39.1 53.8 25.0 42.9 - - - 38.5 75.0 52.4 23.1 25.0 23.8

9 LEREK 2 2 15 24 39 15 24 39 15 23 38 6 9 15 - - - - - - 1 3 4 100 100 100 100.0 95.8 97.4 40.0 37.5 38.5 40.0 39.1 39.5 - - - - - - 6.7 13.0 10.5

10 DULIR 2 2 15 11 26 15 11 26 15 10 25 9 5 14 - - - 6 5 11 2 1 3 100 100 100 100.0 90.9 96.2 60.0 45.5 53.8 60.0 50.0 56.0 - - - 40.0 50.0 44.0 13.3 10.0 12.0

11 ILEKERBAU 1 1 6 10 16 6 10 16 6 10 16 - 1 1 - - - 4 8 12 2 2 4 100 100 100 100.0 100.0 100.0 - 10.0 6.3 - 10.0 6.3 - - - 66.7 80.0 75.0 33.3 20.0 25.0

12 NOGODONI 1 1 4 6 10 4 6 10 3 6 9 3 3 6 - - - 4 2 6 1 1 2 100 100 100 75.0 100.0 90.0 75.0 50.0 60.0 100.0 50.0 66.7 - - - 133.3 33.3 66.7 33.3 16.7 22.2

13 LUSILAME 1 1 15 15 30 15 15 30 15 14 29 4 4 8 - - - 5 9 14 2 2 4 100 100 100 100.0 93.3 96.7 26.7 26.7 26.7 26.7 28.6 27.6 - - - 33.3 64.3 48.3 13.3 14.3 13.8

14 LEWOGROMA 1 1 5 12 17 5 12 17 5 10 15 3 2 5 - - - - - - - 1 1 100 100 100 100.0 83.3 88.2 60.0 16.7 29.4 60.0 20.0 33.3 - - - - - - - 10.0 6.7

15 NUBABOLI 1 1 6 7 13 6 7 13 6 7 13 1 2 3 1 - 1 6 6 12 2 1 3 100 100 100 100.0 100.0 100.0 16.7 28.6 23.1 16.7 28.6 23.1 16.7 - 7.7 100.0 85.7 92.3 33.3 14.3 23.1

PUSKESMAS 27 27 224 229 453 224 229 453 218 216 434 114 101 215 2 3 5 75 83 158 23 25 48 100 100 100 97.3 94.3 95.8 50.9 44.1 47.5 52.3 46.8 49.5 0.9 1.4 1.2 34.4 38.4 36.4 10.6 11.6 11.1
 PUSKESMAS WAIKNUIT
FOMULIR PENCATATAN PEMBERIAN KAPSUL VITAMIN A
PADA BAYI 6 - 59 BULAN DIPUSKESMAS
BULAN : JUNI 2022

JUMLAH
% ANAK 6 - 59
NO DESA BAYI 6 - 11 BULAN ANAK 6 - 59 BULAN DAPAT KET
ANAK 12 - 59 ANAK 12 - 59 BLN ANAK 6 - 59
BAYI 6 - 11 DAPAT KAPSUL VIT BULAN DAPAT KAPSUL VIT A
BULAN DPT KAPSUL VIT A BULAN
A KAPSUL VIT A
1 2 3 4 5 6 7 =3+5 8= 4+6 9 = 8/7*100 10

1 KATAKEJA 3 0 55 0 58 0 0
2 TUBUK RAJAN 3 0 41 0 44 0 0
3 ILEKIMOK 11 0 67 0 78 0 0
4 NUBAATALOJO 3 0 19 0 22 0 0
5 NUBAHAERAKA 3 0 15 0 18 0 0
6 LEBAATA 1 0 12 0 13 0 0
7 DORIPEWUT 1 0 18 0 19 0 0
8 ATAKORE 2 0 17 0 19 0 0
9 LEREK 4 0 30 0 34 0 0
10 DULIR 5 0 19 0 24 0 0
11 ILEKERBAU 1 0 11 0 12 0 0
12 NOGODONI 1 0 9 0 10 0 0
13 LUSILAME 2 0 25 0 27 0 0
14 LEWOGROMA 3 0 11 0 14 0 0
15 NUBABOLI 2 0 8 0 10 0 0

PUSKESMAS 45 0 357 0 402 0 0

* Formulir ini diisi dengan data dari formulir yg ada diposyandu

 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JML SSRN YG DPT VIT.A PEMBERIAN CAKUPAN % BUMIL DI UKR LILA DIPERIKSA HB IBU ANEMIA

NO DESA JML JML JML JML JML JML

BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS
DI UKR <23GR % DI PRKS <11gr% DI PRKS <11gr%

1 2 3 5 7 8 10 12 14 16 17 18 19 0 21 20 21

1 KATAKEJA 3 55 2 2 0 0 100.0 2 1 0 1 0
2 TUBUK RAJAN 3 41 0 0 0 0 100.0 3 1 0 1 0
3 ILEKIMOK 11 67 2 2 0 0 100.0 2 0 0 0 0
4 NUBAATALOJO 3 19 0 0 0 0 100.0 0 0 0 0 0
5 NUBAHAERAKA 3 15 1 1 0 0 100.0 1 0 0 0 0
6 LEBAATA 1 12 0 0 0 0 100.0 0 1 0 1 0
7 DORIPEWUT 1 18 0 0 0 0 100.0 2 1 0 1 0
8 ATAKORE 2 17 0 0 0 0 100.0 0 0 0 0 0
9 LEREK 4 30 3 3 0 0 100.0 1 1 0 1 0
10 DULIR 5 19 0 0 0 0 100.0 1 0 0 0 0
11 ILEKERBAU 1 11 0 0 0 0 100.0 0 0 0 0 0
12 NOGODONI 1 9 0 0 0 0 100.0 0 0 0 0 0
13 LUSILAME 2 25 0 0 0 0 100.0 0 0 0 0 0
14 LEWOGROMA 3 11 0 0 0 0 100.0 1 0 0 0 0
15 NUBABOLI 2 8 0 0 0 0 100.0 0 0 0 0 0
PUSKESMAS 45 357 8 8 0 0 100.0 10 4 0 0 4 0
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JUMLAH SASARAN PEMBERIAN JUMLAH SASARAN PEMBERIAN

NO DESA
BUMIL Komulatif BUFAS Komulatif
ESTIMASI IBU HAMIL ESTIMASI IBU NIFAS
Bulan Lalu Bulan Ini Absolut % Bulan Lalu Bulan Ini Absolut %
1 2 3 4 5 6= 4+5 7=6/3*100 8 9 10 11=9+10 12=11/8*100

1 KATAKEJA 22 5 2 7 31.8 20 4 2 6 30.0

2 TUBUK RAJAN 12 1 3 4 33.3 12 0 0 0 0.0

3 ILEKIMOK 32 2 2 4 12.5 30 3 2 5 16.7

4 NUBAATALOJO 6 1 0 1 16.7 6 2 0 2 33.3

5 NUBAHAERAKA 6 0 1 1 16.7 6 2 1 3 50.0

6 LEBAATA 4 1 0 1 25.0 4 2 0 2 50.0

7 DORIPEWUT 10 5 2 7 70.0 9 2 0 2 22.2

8 ATAKORE 14 1 0 1 7.1 13 0 0 0 0.0

9 LEREK 15 4 1 5 33.3 14 1 3 4 28.6

10 DULIR 9 1 1 2 22.2 8 1 0 1 12.5

11 ILEKERBAU 7 0 0 0 0.0 7 3 0 3 42.9

12 NOGODONI 4 0 0 0 0.0 4 0 0 0 0.0

13 LUSILAME 8 0 0 0 0.0 7 1 0 1 14.3

14 LEWOGROMA 4 3 1 4 100.0 4 1 0 1 25.0

15 NUBABOLI 4 0 0 0 0.0 4 2 0 2 50.0

PUSKESMAS 157 24 10 37 23.6 148 24 8 32 21.6

 PUSKESMAS WAIKNUIT
FORMULIR PENCATATAN ASI EKSKLUSIF
BULAN : JUNI 2022

Keterangan Pemberian ASI ( 0-6 BLN ) Keterangan Pemberian ASI ( 6 BLN )

No Desa √ X A √ X A

L P TTL L P TTL L P TTL L P TTL L P TTL L P TTL

1 KATAKEJA 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0

2 TUBUK RAJAN 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0

3 ILEKIMOK 1 3 4 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0

4 NUBAATALOJO 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0

5 NUBAHAERAKA 0 2 2 0 2 2 0 0 0 3 1 4 0 0 0 0 0 0

6 LEBAATA 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0

7 DORIPEWUT 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0

8 ATAKORE 3 2 5 3 2 5 0 0 0 1 1 2 0 0 0 0 0 0

1 LEREK 0 2 2 0 2 2 0 0 0 1 0 1 0 0 0 0 0 0

10 DULIR 3 2 5 3 2 5 0 0 0 0 1 1 0 0 0 0 0 0

11 ILEKERBAU 0 3 3 0 3 3 0 0 0 1 3 4 0 0 0 0 0 0

12 NOGODONI 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0

13 LUSILAME 1 0 1 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0

14 LEWOGROMA 0 4 4 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0

15 NUBABOLI 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 13 26 39 13 26 39 0 0 0 9 6 15 0 0 0 0 0 0

Keterangan
√ = bayi masih diberi ASI saj
X = bayi sudah diberi makanan/minuman lain selain ASI
A = bayi tidak datang penimbangan
 PUSKESMAS WAIKNUIT
LAPORAN PENCAPAIAN INDIKATOR KINERJA PEMBINAAN GIZI MASYARAKAT
BULAN : JUNI 2022

SASARAN FE BUMIL GIZI BURUK ASI - ESK 0-6 BLN SURVAILANCE GIZI
NO DESA IBU KET
< 6 BLN BALITA S D % JUMLAH % JUMLAH DIRAWAT % JUMLAH % SUDAH BELUM
HAMIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1 KATAKEJA 7 58 9 65 65 100.0 2 100.0 2 2 100.0 3 42.9 ۷

2 TUBUK RAJAN 2 44 8 46 38 82.6 3 100.0 1 1 100.0 2 100.0 ۷

3 ILEKIMOK 9 78 6 87 87 100.0 2 100.0 3 3 100.0 4 44.4 ۷

4 NUBAATALOJO 4 22 0 26 26 100.0 0 100.0 1 1 100.0 0 - ۷

5 NUBAHAERAKA 3 18 3 21 18 85.7 1 100.0 1 1 100.0 2 66.7 ۷

6 LEBAATA 0 13 4 13 13 100.0 0 100.0 0 0 #DIV/0! 2 #DIV/0! ۷

7 DORIPEWUT 2 19 5 21 21 100.0 2 100.0 0 0 #DIV/0! 2 100.0 ۷

8 ATAKORE 4 19 2 23 21 91.3 0 100.0 0 0 #DIV/0! 5 125.0 ۷

9 LEREK 5 34 7 39 38 97.4 1 100.0 0 0 #DIV/0! 2 40.0 ۷

10 DULIR 2 24 3 26 25 96.2 1 100.0 0 0 #DIV/0! 5 250.0 ۷

11 ILEKERBAU 4 12 1 16 16 100.0 0 100.0 0 0 #DIV/0! 3 75.0 ۷

12 NOGODONI 0 10 0 10 9 90.0 0 100.0 0 0 #DIV/0! 1 #DIV/0! ۷

13 LUSILAME 3 27 0 30 29 96.7 0 100.0 0 0 #DIV/0! 1 33.3 ۷

14 LEWOGROMA 3 14 3 17 15 88.2 1 100.0 0 0 #DIV/0! 4 133.3 ۷

15 NUBABOLI 3 10 1 13 13 100.0 0 100.0 1 1 100.0 3 100.0 ۷

PUSKESMAS 51 402 52 453 434 95.8 10 100.0 8 8 100.0 39 76.5 ۷

 PUSKESMAS WAIKNUIT
LAPORAN REKAPITULASI KASUS GIZI BURUK
BULAN : JUNI 2022

Kasus Baru Kumulatif Kasus s/d GIZI BURUK TANPA Jumlah yang
No DESA Dirawat inap Dirawat jalan Jumlah meninggal
Ditemukan Bulan Ini bulan ini KELAIANAN KLINIS membaik (sembuh)
1 2 3 4 5 6 7 8

1 KATAKEJA 0 12 3 0 3 3 0

2 TUBUK RAJAN 0 2 0 0 0 0 0

3 ILEKIMOK 0 1 1 0 1 1 0

4 NUBAATALOJO 0 3 0 0 0 0 0

5 NUBAHAERAKA 0 1 0 0 0 0 0

6 LEBAATA 0 1 0 0 0 0 0

7 DORIPEWUT 0 0 0 0 0 0 0

8 ATAKORE 0 0 0 0 0 0 0

9 LEREK 0 0 1 0 1 1 0

10 DULIR 0 0 1 0 1 1 0

11 ILEKERBAU 0 0 0 0 0 0 0

12 NOGODONI 0 0 1 0 1 1 0

13 LUSILAME 0 0 0 0 0 0 0

14 LEWOGROMA 0 0 2 0 2 2 0

15 NUBABOLI 0 0 0 0 0 0 0

PUSKESMAS 0 1 9 0 9 9 0
8
Keterangan :
Gizi Buruk : Indeks BB/TB <-3 SD dan atau ada tanda klinis
 PUSKESMAS WAIKNUIT
PERKEMBANGAN KASUS GIZI BURUK
BULAN : JUNI 2022

JUMLAH KASUS GIZI BURUK DENGAN KELAINAN KLINIS GIZI BURUK GIZI KURANG
NO PUKESMAS TANPA MENINGGAL MENINGGAL KETERANGAN
MARASMUS KWASH MARAS - KWASH KELAINAN
BALITA BB/TB
KLINIS (BB/TB)
1 2 3 4 5 6 7 8 9 10 11

1 KATAKEJA 65 0 0 0 3 0 12 0

2 TUBUK RAJAN 46 0 0 0 0 0 1 0

3 ILEKIMOK 87 0 0 0 1 0 14 0

4 NUBAATALOJO 26 0 0 0 0 0 1 0

5 NUBAHAERAKA 21 0 0 0 0 0 0 0

6 LEBAATA 13 0 0 0 0 0 1 0

7 DORIPEWUT 21 0 0 0 0 0 6 0

8 ATAKORE 23 0 0 0 0 0 1 0

9 LEREK 39 0 0 0 1 0 2 0

10 DULIR 26 0 0 0 0 0 8 0

11 ILEKERBAU 16 0 0 0 0 0 2 0

12 NOGODONI 10 0 0 0 1 0 1 0

13 LUSILAME 30 0 0 0 0 0 0 0

14 LEWOGROMA 17 0 0 0 0 0 1 0

15 NUBABOLI 13 0 0 0 0 0 3 0

PUSKESMAS 453 0 0 0 6 0 59 0
 PUSKESMAS WAIKNUIT
FORMULIR REKAPITULASI BADUTA DAN BALITA YANG DITIMBANG
BULAN : JUNI 2022

PROPINSI : NUSA TENGGARA TIMUR

BULAN / TAHUN : Juni 2022
Jumlah POSYANDU YANG ADA : 27
Jumlah POSYANDU YANG MELAPOR : 27

BADUTA 0 - 23 BULAN BALITA 24 - 59 BULAN

NO DESA JUMLAH YG JUMLAH YG
JUMLAH YG ADA DI % BADUTA 0 - 23 JUMLAH YG ADA DI
DITIMBANG BULAN INI ( DITIMBANG % BALITA 24 - 59 BULAN
POSYANDU ( S ) BULAN POSYANDU ( S )
D) BULAN INI ( D )
1 2 3 4 5 6 7 8

1 KATAKEJA 16 9 56.3 46 36 78.3

2 TUBUK RAJAN 11 10 90.9 32 26 81.3
3 ILEKIMOK 37 28 75.7 50 50 100.0
4 NUBAATALOJO 12 7 58.3 14 17 121.4
5 NUBAHAERAKA 11 5 45.5 10 9 90.0
6 LEBAATA 0 2 0 11 11 100.0
7 DORIPEWUT 5 3 60.0 14 14 100.0
8 ATAKORE 7 3 42.9 15 14 93.3
9 LEREK 10 5 50.0 26 26 100.0
10 DULIR 7 4 57.1 15 15 100.0
11 ILEKERBAU 5 2 40.0 7 7 100.0
12 NOGODONI 3 3 100.0 6 6 100.0
13 LUSILAME 7 4 57.1 21 20 95.2
14 LEWOGROMA 4 3 75.0 10 9 90.0
15 NUBABOLI 5 2 40.0 6 6 100.0
PUSKESMAS 170 110 64.7 283 276 97.5
 PUSKESMAS WAIKNUIT
LAPORAN PENCAPAIAN INDIKATOR PEMBINAAN GIZI MASYARAKAT
BULAN : JUNI 2022

Konsumsi Garam
PEMBERIAN VITAMIN A PADA BALITA Pemberian ASI pada bayi 0-6 Bln Remaja Putri dpt TTD IBU HAMIL ANEMIA
Beryodium

Anak 12- 59 bln

∑ Remaja Putri
Anak 12-59 bln

∑ Remaja Putri
Balita 6-59 bln

Balita 6-59 bln

Esklusif ( 0-6 )

Esklusif ( 0-6 )
Bayi 6-11 bln

Bayi 6-11 bln

∑ IBU HAMIL

∑ IBU HAMIL
yang dpt Vit A
yg dpt Vit A

Jml RT Yg

DIPERIKSA
Menyusui

Menyusui

∑ RT dgn
NO DESA

beryodium
yang ada

yang ada

yang ada

Diperksa
dpt Vit A

ANEMIA
Jumlah

Jumlah

dpt TTD
Garam
bln

bln
%

%
1 2 3 4 5 6 7 8 9 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

1 KATAKEJA 3 55 68 0 0 0 7 3 42.9 3 3 100 0 0 56 48 7

2 TUBUK RAJAN 3 41 47 0 0 0 2 2 100.0 3 3 100 0 0 27 0 4

3 ILEKIMOK 11 67 74 0 0 0 9 4 44.4 4 4 100 0 0 62 62 4

4 NUBAATALOJO 3 19 24 0 0 0 2 0 - 3 3 100 0 0 25 2 1

5 NUBAHAERAKA 3 15 18 0 0 0 3 2 66.7 2 2 100 0 0 34 10 1

6 LEBAATA 1 12 14 0 0 0 0 2 #DIV/0! 1 1 100 0 0 4 4 1

7 DORIPEWUT 1 18 23 0 0 0 2 0 - - - - 0 0 25 12 7

8 ATAKORE 2 17 20 0 0 0 3 5 166.7 1 1 100 0 0 3 8 1

9 LEREK 4 30 34 0 0 0 5 2 40.0 1 1 100 0 0 2 15 5

10 DULIR 5 19 24 0 0 0 2 5 250.0 1 1 100 0 0 14 5 2

11 ILEKERBAU 1 11 16 0 0 0 4 3 75.0 1 1 100 0 0 2 6 0

12 NOGODONI 1 9 10 0 0 0 0 2 - - - - 0 0 0 0 0

13 LUSILAME 2 25 29 0 0 0 3 1 33.3 - - - 0 0 2 0 0

14 LEWOGROMA 3 11 13 0 0 0 3 4 133.3 1 1 100 0 0 6 2 4

15 NUBABOLI 2 8 10 0 0 0 3 3 100.0 - - - 0 0 3 2 0

PUSKESMAS 45 357 424 0 0 0 48 25 52.1 21 21 100 0 0 262 176 37

 PUSKESMAS WAIKNUIT
LAPORAN PENCAPAIAN INDIKATOR PEMBINAAN GIZI MASYARAKAT
BULAN : JUNI 2022

BALITA KURUS Mendapat PMT Ibu Hamil KEK Yang dapat PMT Bayi Baru Lahir yang Dpt IMD Bayi BBLR Ibu Nifas Mendapat Vitamin A
∑ BALITA ∑ Ibu Hamil ∑ IBU Hamil ∑ bayi Baru
NO PUKSEMAS ∑ BALITA KEK ∑ Bayi ∑ Bayi ∑ Bayi ∑ Ibu ∑ Ibu Nifas
KURUS % KEK dpt % Lahir dpt % % %
KURUS Baru Lahir Baru Lahir BBLR Nifas dpt Vit A
dpt PMT PMT IMD
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1 KATAKEJA 12 12 100.0 1 1 - 1 1 100.0 2 0 0 2 2 100

2 TUBUK RAJAN 1 1 100.0 1 1 100.0 0 0 - 0 0 0 0 0 #DIV/0!

3 ILEKIMOK 14 14 100.0 0 0 #DIV/0! 0 0 - 2 0 0 2 2 100

4 NUBAATALOJO 1 1 100.0 0 0 - 1 1 100.0 0 0 0 0 0 #DIV/0!

5 NUBAHAERAKA 0 0 - 0 0 - 0 0 - 1 0 0 1 1 100

6 LEBAATA 1 1 - 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

7 DORIPEWUT 6 6 100.0 1 1 0 0 - 0 0 0 0 0 #DIV/0!

8 ATAKORE 2 2 100.0 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

9 LEREK 2 2 100.0 0 0 #DIV/0! 3 1 - 3 0 0 3 3 100

10 DULIR 8 8 100.0 0 0 #DIV/0! 0 0 - 0 0 0 0 0 #DIV/0!

11 ILEKERBAU 2 2 100.0 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

12 NOGODONI 1 1 100.0 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

13 LUSILAME 0 0 - 0 0 - 3 3 100.0 0 0 0 0 0 #DIV/0!

14 LEWOGROMA 6 6 100.0 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

15 NUBABOLI 3 3 100.0 0 0 - 0 0 - 0 0 0 0 0 #DIV/0!

PUSKESMAS 59 59 100.0 3 3 100.0 6 6 100.0 8 0 0 8 8 100

14.28571
 PUSKESMAS WAIKNUIT
LAPORAN REKAP DATA KASUS IBU HAMIL KEK DAPAT PMT-PEMULIHAN
BULAN : JUNI 2022

Data Ibu Hamil Kurang Energi Kronik (KEK) Total Ibu

Total
hamil % Ibu Hamil
ibu
No DESA hamil
KEK KEK Mendapat
dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat PMT P
Jan Feb Maret April Mei Juni Juli Ags Sept Okt Nov Des KEK
PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT-P

1 KATAKEJA 2 2 0 0 1 1 1 1 1 1 1 0

2 TUBUK RAJAN 1 1 1 1 1 1 1 1 1 1 1 0

3 ILEKIMOK 2 2 0 0 0 0 0 0 0 0 0 0

4 NUBAATALOJO 1 1 0 0 0 0 0 0 0 0 0 0

5 NUBAHAERAKA 2 2 0 0 0 0 0 0 0 0 0 0

6 LEBAATA 0 0 0 0 1 1 0 0 0 0 0 0

7 DORIPEWUT 2 2 2 2 1 1 1 1 1 1 1 0

8 ATAKORE 2 2 0 0 0 0 0 0 0 0 0 0

9 LEREK 1 1 1 1 1 1 0 0 0 0 0 0

10 DULIR 1 1 1 1 0 0 0 0 0 0 0 0

11 ILEKERBAU 1 1 0 0 0 0 0 0 0 0 0 0

12 NOGODONI 0 0 0 0 0 0 0 0 0 0 0 0

13 LUSILAME 0 0 0 0 0 0 0 0 0 0 0 0

14 LEWOGROMA 0 0 0 0 0 0 0 0 0 0 0 0

15 NUBABOLI 1 1 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 16 16 5 5 4 4 3 3 3 3 3 0
 PUSKESMAS WAIKNUIT
LAPORAN REKAP DATA KASUS BALITA GIZI KURANG DAPAT PMT-PEMULIHAN
BULAN : JUNI 2022

DATA BALITA GIZI KURANG TOTAL % BALITA

TOTAL
BALITA GIRANG
No DESA dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat dapat
BALITA
KURUS DPT Mendapat
Jan Feb Maret April Mei Juni Juli Ags Sept Okt Nov Des KURUS
PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT PMT - P PMT P

1 KATAKEJA 12 12 12 12 12 12 12 12 12 12 12 0

2 TUBUK RAJAN 1 1 1 1 1 1 1 1 1 1 1 0

3 ILEKIMOK 14 14 14 14 14 14 14 14 14 14 14 0

4 NUBAATALOJO 1 1 1 1 1 1 1 1 1 1 1 0

5 NUBAHAERAKA - - - - 0 0 0 0 0 0 0 0

6 LEBAATA 1 1 1 1 1 1 1 1 1 1 1 0

7 DORIPEWUT 6 6 6 6 6 6 6 6 7 7 6 0

8 ATAKORE 2 2 2 2 2 2 2 2 1 1 1 0

9 LEREK 2 2 2 2 2 2 2 2 4 4 2 0

10 DULIR 8 8 8 8 8 8 8 8 5 5 8 0

11 ILEKERBAU 2 2 2 2 2 2 2 2 1 1 2 0

12 NOGODONI 1 1 1 1 1 1 1 1 1 1 1 0

13 LUSILAME - - - - 0 0 0 0 0 0 0 0

14 LEWOGROMA 6 6 6 6 6 6 6 6 2 2 1 0

15 NUBABOLI 3 3 3 3 3 3 3 3 3 3 3 0

PUSKESMAS 59 59 59 59 59 59 59 59 53 53 59 0
 PUSKESMAS WAIKNUIT
CAKUPAN RUMAH TANGGA MENGONSUMSI GARAM BERIODIUM
BULAN : JUNI 2022

Jumlah Rumah tangga

Jumlah Rumah Tangga % Rumah tangga mengkonsumsi
No DESA Yg konsumsi garam
Diperiksa garam iodium
1 2 3
iodium
4 5

1 KATAKEJA

2 TUBUK RAJAN

3 ILEKIMOK

4 NUBAATALOJO

5 NUBAHAERAKA

6 LEBAATA

7 DORIPEWUT

8 ATAKORE

9 LEREK

10 DULIR

11 ILEKERBAU

12 NOGODONI

0 LUSILAME

14 LEWOGROMA

15 NUBABOLI

PUSKESMAS

NB.NELUM DILAKSANAKAN KEGIATAN

 PUSKESMAS WAIKNUIT
CAKUPAN REMAJA PUTRI MENDAPATKAN TABLET TAMBAH DARAH (TTD)
BULAN : JUNI 2022

No DESA Jumlah Seluruh Rematri usia 12-18 tahun di sekolah Jumlah Remaja Putri dapat TTD % Remaja Putri dapat TTD

1 2 3 4 5

1 KATAKEJA 48 48

2 TUBUK RAJAN 27 0

3 ILEKIMOK 62 62

4 NUBAATALOJO 2 2

5 NUBAHAERAKA 10 10

6 LEBAATA 4 4

7 DORIPEWUT 25 12

8 ATAKORE 27 8

9 LEREK 27 15

10 DULIR 5 5

11 ILEKERBAU 6 6

12 NOGODONI 2 0

13 LUSILAME 4 0

14 LEWOGROMA 2 2

15 NUBABOLI 2 2

PUSKESMAS 251 176

 PUSKESMAS WAIKNUIT
JUMLAH KASUS GIZI BURUK
KUMULATIF KEADAAN JANUARI - DESEMBER TAHUN 2022

JUMLAH KASUS GIZI BURUK USIA 0-5 BULAN

JAN PEB MART APR MEI JUNI JULI AGUST SEPT OKTO NOP DES
TOTAL % BAYI
BAYI GIZI GIZI
TOTAL BURUK BURUK
No DESA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA JUMLA KASUS MENDAPA MENDAPA
H H H H H H H H H H H H BARU T T
GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR GIBUR PERAWAT PERAWAT
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA AN AN
DIRAW DIRA DIRA DIRAW DIRAW DIRAW DIRA DIRAW DIRAW DIRAW DIRA DIRA
AT WAT WAT AT AT AT WAT AT AT AT WAT WAT
INAP INAP INAP INAP INAP INAP INAP INAP INAP INAP INAP INAP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1 KATAKEJA 0 0 1 0 0 0 0 0 0 0 0 1 0 0
0 0 0
2 TUBUK RAJAN 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
3 ILEKIMOK 0 0 2 0 0 0 0 0 0 0 0 2 0 0
0 0 0
4 NUBAATALOJO 0 0 1 0 0 0 0 0 0 0 0 1 0 0
0 0 0
5 NUBAHAERAKA 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
6 LEBAATA 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
7 DORIPEWUT 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
8 ATAKORE 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
9 LEREK 0 0 2 0 0 0 0 0 0 0 0 2 0 0
0 0 0
10 DULIR 0 0 2 0 0 0 0 0 0 0 0 2 0 0
0 0 0
11 ILEKERBAU 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
12 NOGODONI 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
13 LUSILAME 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
14 LEWOGROMA 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
15 NUBABOLI 0 0 - 0 0 0 0 0 0 0 0 - 0 0
0 0 0
PUSKESMAS 0 0 8 0 0 0 0 0 0 0 0 8 0 0 0 0 0
 PUSKESMAS WAIKNUIT
JUMLAH KASUS GIZI KURANG
KUMULATIF KEADAAN JANUARI - DESEMBER TAHUN 2022

BULAN TOTAL
No DESA
JAN FEB MART APR MEI JUNI JULI AGUST SEPT OKTO NOV DES KASUS
BARU
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 KATAKEJA 12 0 0 15 0 12 0 15 0 12 0 12

2 TUBUK RAJAN 1 0 0 6 0 1 0 9 0 1 0 1

3 ILEKIMOK 14 0 0 14 0 14 0 14 0 14 0 14

4 NUBAATALOJO 1 0 0 1 0 1 0 2 0 1 0 1

5 NUBAHAERAKA 0 0 0 0 0 0 0 0 0 0 0 0

6 LEBAATA 1 0 0 1 0 1 0 0 0 1 0 1

7 DORIPEWUT 6 0 0 6 0 6 0 6 0 7 0 6

8 ATAKORE 2 0 0 2 0 2 0 1 0 1 0 1

9 LEREK 2 0 0 2 0 2 0 1 0 4 0 2

10 DULIR 8 0 0 5 0 8 0 2 0 5 0 8

11 ILEKERBAU 2 0 0 3 0 2 0 1 0 1 0 2

12 NOGODONI 1 0 0 1 0 1 0 1 0 1 0 1

13 LUSILAME 0 0 0 1 0 0 0 0 0 0 0 0

14 LEWOGROMA 6 0 0 2 0 6 0 2 0 2 0 1

15 NUBABOLI 3 0 0 1 0 3 0 1 0 3 0 3

PUSKESMAS 59 0 0 61 0 59 0 55 0 53 0 59
 PUSKESMAS WAIKNUIT
DATA BALITA PENDEK (STUNTING)
BULAN : JUNI 2022

JUMLAH PENDEK SANGAT PENDEK TOTAL PENDEK + SANGAT PENDEK

NO DESA S 0-23 BLN 24-59 BLN 0-23 BLN 24-59 BLN 0-23 BLN 24-59 BLN
L P TTL L 6 TTL L P TTL L P TTL L P TTL L P TTL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

1 KATAKEJA 65 2 2 4 6 5 11 1 0 1 0 3 3 3 2 5 6 8 14

2 TUBUK RAJAN 46 1 2 3 3 6 9 0 0 0 0 0 0 1 2 3 3 6 9

3 ILEKIMOK 87 3 4 7 6 4 10 2 2 4 2 1 3 5 6 11 8 5 13

4 NUBAATALOJO 26 2 0 2 2 1 3 1 1 2 1 0 1 3 1 4 3 1 4

5 NUBAHAERAKA 21 0 1 1 1 0 1 1 0 1 0 1 1 1 1 2 1 1 2

6 LEBAATA 13 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1

7 DORIPEWUT 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 ATAKORE 23 1 0 1 2 4 6 0 0 0 1 0 1 1 0 1 3 4 7

9 LEREK 39 1 0 1 5 10 15 1 1 2 0 0 0 2 1 3 5 10 15

10 DULIR 26 1 1 2 5 3 8 0 0 0 4 0 4 1 1 2 9 3 12

11 ILEKERBAU 16 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 2

12 NOGODONI 10 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 2 0 2

13 LUSILAME 30 0 1 1 2 4 6 0 0 0 1 0 1 0 1 1 3 4 7

14 LEWOGROMA 17 1 1 2 1 0 1 5 1 6 1 0 1 6 2 8 2 0 2

15 NUBABOLI 13 1 0 1 1 0 1 0 0 0 1 0 1 1 0 1 2 0 2

PUSKESMAS 453 13 12 25 35 40 75 11 4 15 12 5 17 24 16 40 47 45 92
 LAPORAN
REKAPITULASI HASIL PENIMBANGAN F - III PROGRAM GIZI
UPTD PUSKESMAS WAIKNUIT
BULAN JUNI TAHUN 2022

KEPALA UPTD PUSKESMAS WAIKNUIT PENANGGUNG JAWAB PROGRAM GIZI

Polikarpus Bala Roning Pukai, SKM ARNOLDUS DA0, A. Md. Gz

NIP. 19800109 200903 1 003 NIP.197412052000121004
 DINAS KESEHATAN KABUPATEN LEMBATA
UPTD PUSKESMAS WAIKNUIT

LAPORAN
REKAPITULASI HASIL PENIMBANGAN F - III PROGRAM GIZI
BULAN JUNI TAHUN 2022
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JUMLAH SASARAN PEMBERIAN JUMLAH SASARAN PEMBERIAN

NO DESA
BUMIL Komulatif BUFAS Komulatif
ESTIMASI IBU HAMIL ESTIMASI IBU NIFAS
Bulan Lalu Bulan Ini Absolut % Bulan Lalu Bulan Ini Absolut %
1 2 3 4 5 6= 4+5 7=6/3*100 8 9 10 11=9+10 12=11/8*100

1 KATAKEJA

2 TUBUK RAJAN

3 ILEKIMOK

4 NUBAATALOJO

5 NUBAHAERAKA

6 LEBAATA

7 DORIPEWUT
8 ATAKORE

9 LEREK
10 DULIR

11 ILEKERBAU

12 NOGODONI
13 LUSILAME

14 LEWOGROMA
15 NUBABOLI

PUSKESMAS

Watugolok, ………..………………………
PJ. Kesehatan IBU
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JML SSRN YG DPT VIT.A PEMBERIAN CAKUPAN % BUMIL DI UKR LILA DIPERIKSA HB IBU ANEMIA

NO DESA JML JML JML JML JML JML

BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS
DI UKR <23GR % DI PRKS <11gr% DI PRKS <11gr%

1 2 3 5 7 8 10 12 14 16 17 18 19 0 21 20 21

1 KATAKEJA
2 TUBUK RAJAN
3 ILEKIMOK
4 NUBAATALOJO
5 NUBAHAERAKA
6 LEBAATA
7 DORIPEWUT
8 ATAKORE
9 LEREK
10 DULIR
11 ILEKERBAU
12 NOGODONI
13 LUSILAME
0 LEWOGROMA
15 NUBABOLI
PUSKESMAS
 Laporan F III program Gizi

JML SSRN YG DPT VIT.A PEMBERIAN CAKUPAN % BUMIL DI UKR LILA DIPERIKSA HB
NO DESA JML JML JML JML
BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS BAYI 6 - 11 BALITA 12-59 BUFAS
DI UKR <23GR % DI PRKS <11gr%
1 2 3 5 7 8 10 12 14 16 17 18 19 20 21
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

TOTAL

wairiang: 2018
Pengelolah program Gizi
 PUSKESMAS WAIKNUIT
LAPORAN PENCAPAIAN INDIKATOR KINERJA PEMBINAAN GIZI MASYARAKAT
BULAN : JUNI 2022

SASARAN FE BUMIL GIZI BURUK ASI - ESK 0-6 BLN SURVAILANCE GIZI
NO DESA IBU KET
< 6 BLN BALITA S D % JUMLAH % JUMLAH DIRAWAT % JUMLAH % SUDAH BELUM
HAMIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1 KATAKEJA

2 TUBUK RAJAN +

3 ILEKIMOK

4 NUBAATALOJO

5 NUBAHAERAKA

6 LEBAATA

7 DORIPEWUT

8 ATAKORE

9 LEREK

10 DULIR

11 ILEKERBAU

12 NOGODONI

13 LUSILAME

14 LEWOGROMA

15 NUBABOLI

PUSKESMAS

Watugolok, ………..………………………
PJ. Kesehatan IBU
 LAPORAN PENCAPAIAN INDIKATOR KINERJA PEMBINAAN GIZI MASYARAKAT
DINAS KESEHATAN KABUPATEN LEMBATA

SASARAN FE BUMIL GIZI BURUK ASI - ESK 0-6 BLN SURVAILANCE GIZI
NO DESA IBU KET
< 6 BLN BALITA S D % JUMLAH % JUMLAH DIRAWAT % JUMLAH % SUDAH BELUM
HAMIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
TOTAL
 PUSKESMAS WAIKNUIT
REKAPITULASI HASIL PENIMBANGAN F III / GIZI
BULAN : JUNI 2022

JUMLAH SASARAN PEMBERIAN JUMLAH SASARAN PEMBERIAN

NO DESA
BUMIL Komulatif BUFAS Komulatif
ESTIMASI IBU HAMIL ESTIMASI IBU NIFAS
Bulan Lalu Bulan Ini Absolut % Bulan Lalu Bulan Ini Absolut %
1 2 3 4 5 6= 4+5 7=6/3*100 8 9 10 11=9+10 12=11/8*100

1 KATAKEJA 2 2 4 0 2 2

2 TUBUK RAJAN 12 1 0 1 12 3 0 3

3 ILEKIMOK 32 1 0 1 32 1 0 1

4 NUBAATALOJO 0 0 0 0 0 0

5 NUBAHAERAKA 6 0 0 0 6 0 0 0

6 LEBAATA 4 0 1 1 4 1 0 0

7 DORIPEWUT 10 3 0 3 10 0 0 0

8 ATAKORE 14 0 1 1 14 3 0 3

9 LEREK 15 1 2 3 15 1 0 1

10 DULIR 9 0 1 1 9 1 0 1

11 ILEKERBAU 7 0 0 0 7 0 2 2

12 NOGODONI 4 0 0 0 4 0 0 0

13 LUSILAME 8 0 0 0 8 0 0 0

14 LEWOGROMA 4 0 2 2 4 0 0 0

15 NUBABOLI 4 0 0 0 4 0 1 1

PUSKESMAS 129 8 9 17 129 10 5 14