FORMAT REKAPITULA

Kabupaten : AMBON
Provinsi : MALUKU
Isilah pada kolom yang berwarna

Sasaran dan Cakupan Imunisasi Kejar

Usia 12 - 59 bulan
OPV IPV
No Puskesmas
Jumlah Jumlah Jumlah Jumlah
diimunis % diimunis
sasaran asi sasaran asi
a b c d e f g

1 Air Besar 181 210

2 Air Salobar 213 0.0% 152

3 Benteng 104 0.0% 88

4 Halong 5 0.0% 17

5 Kilang 4 0.0% 2

6 Lateri 0 0.0% 20

7 Nania 0 0.0% 54

8 Poka 48 0.0% 164

9 Tiahahu 2 0.0% 19

10 Urimessing 35 0.0% 26

11 Waihoka 48 0.0% 49

12 Hative Kecil 104 0.0% 130

13 Kayu Putih 0 0.0% 0

14 Amahusu 0 0.0% 0

15 Karang Panjang 0 0.0% 0

16 Belakang Soya 8 0.0% 5

17 Tawiri 20 0.0% 25

18 Waihaong 0 0.0% 0
19 Hutumuri 0 0.0% 2

20 Latuhalat 0 0.0% 12

21 Passo 113 0.0% 113

22 Rijali 318 0.0% 1465

Total 1203 0 0.0% 2553 0
AT REKAPITULASI HASIL PELAYANAN BULAN IMUNISASI ANAK NASIONAL TING

ang berwarna

Cakupan Imunisasi Kejar Sasaran dan cakupan imunisasi

a 12 - 59 bulan Usia 9-59 bulan Usia 5 - <7 thn
IPV DPT-HB-Hib Campak Rubella Campak Rubela

Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah

% diimunis % diimunis % diimunis %
sasaran asi sasaran asi sasaran asi
h i j k l m n o p q

310 429 321

0.0% 415 0.0% 1153 0.0% 53 0.0%

0.0% 435 0.0% 1036 0.0% 195 0.0%

0.0% 33 0.0% 354 0.0% 226 0.0%

0.0% 2 0.0% 256 0.0% 65 0.0%

0.0% 50 0.0% 521 0.0% 316 0.0%

0.0% 144 0.0% 1713 0.0% 169 0.0%

0.0% 333 0.0% 1202 0.0% 351 0.0%

0.0% 15 0.0% 724 0.0% 643 0.0%

0.0% 28 0.0% 552 0.0% 116 0.0%

0.0% 113 0.0% 386 0.0% 133 0.0%

0.0% 172 0.0% 232 0.0% 80 0.0%

0.0% 0 0.0% 1022 0.0% 220 0.0%

0.0% 0 0.0% 455 0.0% 131 0.0%

0.0% 0 0.0% 392 0.0% 127 0.0%

0.0% 39 0.0% 844 0.0% 170 0.0%

0.0% 25 0.0% 1644 0.0% 108 0.0%

0.0% 0 0.0% 593 0.0% 381 0.0%

0.0% 1 0.0% 324 0.0% 114 0.0%

0.0% 37 0.0% 979 0.0% 190 0.0%

0.0% 197 0.0% 1205 0.0% 310 0.0%

0.0% 385 0.0% 1467 0.0% 451 0.0%

0.0% 2734 0 0.0% 17483 0 0.0% 4870 0 0.0%
K NASIONAL TINGKAT KABUPATEN/KOTA
Tanggal :
Nama petugas :

aran dan cakupan imunisasi campak rubela

Usia 7-<12 thn Usia 12 -<15 thn
(bagi 5 Prov.)
Campak Rubela Campak Rubela Total Sasaran
Campak
Jumlah Jumlah Jumlah Rubella
diimunis % Jumlah diimunisasi %
sasaran asi sasaran

r s t u v w x

3992

2622 0.0% 0.0% 3828

1684 0.0% 0.0% 2915

783 0.0% 0.0% 1363

451 0.0% 0.0% 772

1788 0.0% 0.0% 2625

2274 0.0% 0.0% 4156

2791 0.0% 0.0% 4344

2408 0.0% 0.0% 3775

510 0.0% 0.0% 1178

434 0.0% 0.0% 953

1232 0.0% 0.0% 1544

333 0.0% 0.0% 1575

588 0.0% 0.0% 1174

552 0.0% 0.0% 1071

1729 0.0% 0.0% 2743

1926 0.0% 0.0% 3678

1905 0.0% 0.0% 2879

 620 0.0% 0.0% 1058

1404 0.0% 0.0% 2573

2875 0.0% 0.0% 4390

2242 0.0% 0.0% 4160

35143 0 0.0% 0 0 0.0% 37694
Total dimunisasi
Total Cakupan
Campak Rubella

y z

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%

0 0.0%
0 0.0%

0 0.0%

0 0.0%

0 0.0%
0 0.0%