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6OUVLMPHJTUJLQFOEVLVOHMBJOOZB TFQFSUJQFSMFOHLBQBOBOBGJMBLUJL MPHJTUJL11* NBUFSJ
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7BLTJO1$7EJEJTUSJCVTJLBOLFQPTQFMBZBOBOQBEBIBSJZBOHTBNBEFOHBOQFMBZBOBO
NFOHHVOBLBOvaccine carrierZBOHEJMFOHLBQJEFOHBOoCVBIcool pack LPUBLEJOHJODBJS

1FUVHBTLFTFIBUBOBUBVQFNCFSJJNVOJTBTJCFSUBOHHVOHKBXBCNFNCBXBvaccine carrierLF
UFNQBU QFMBZBOBO 4BBU TFTJ QFMBZBOBO TVEBI TFMFTBJ TFUJBQ IBSJOZB QFUVHBT CFSUBOHHVOH
KBXBC NFOHFNCBMJLBO TJTB WBLTJO ZBOH CFMVN EJCVLB vaccine carrier EBO safety box ZBOH
UFMBIUFSJTJLF1VTLFTNBT
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Carrier
Gambar 4.1 Cara penyimpanan vaksin dalam vaccine carrier
1SPTFT EJTUSJCVTJ WBLTJO EBO MPHJTUJL JNVOJTBTJ MBJOOZB UFSNBTVL QFOZJNQBOBO UFUBQ
EJMBLTBOBLBO EFOHBO NFNQFSIBUJLBO QSPUPLPM LFTFIBUBO TFSUB Standard Operational
Procedure (SOP)NBOBKFNFOSBOUBJEJOHJOZBOHCFSMBLVTFTVBJEFOHBOZBOHUFSDBOUVNEBMBN
1FUVOKVL5FLOJT1FMBZBOBO*NVOJTBTJ1BEB.BTB1BOEFNJ$07*%
."/"+&.&/7",4*/%"/-0(*45*,
,"3",5&3*45*,7",4*/1$7
7BLTJO1$7NFNJMJLJLBSBLUFSJTUJLTFCBHBJCFSJLVU
7BLTJO1$7NFSVQBLBOWBLTJOZBOHTFOTJUJGCFLV IBSVTEJTJNQBOQBEBTVIVo¡$
EBOUFSMJOEVOHEBSJDBIBZBNBUBIBSJ
7BLTJO1$7EBQBUCFSUBIBO NBTJIUFUBQQPUFO
TFMBNBCVMBOBQBCJMBEJTJNQBO
EBMBNMFNBSJFTQBEBTVIVoP$EBOUFSMJOEVOHEBSJDBIBZBNBUBIBSJ
7BLTJO 1$7 EJMFOHLBQJ EFOHBO vaccine vial monitor 77.
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HBNCBS
Gambar 4.2 Vaccine Vial Monitor pada Vaksin PCV
1BEBLPOEJTJEBSVSBU NJTBMOZBCFODBOBBMBN TFQFSUJHFNQB CBOKJS EBOMBJOOZB WBLTJO

1$7EBQBUCFSUBIBOEJTVIVSVBOHBOEBONBTJIEBQBUEJHVOBLBOTFMBNB77.EBMBN
LPOEJTJ " BUBV # 4FMBOKVUOZB TFTFHFSB NVOHLJO WBLTJO UFSTFCVU IBSVT TFHFSB
EJQJOEBILBOLFEBMBNUFNQBUQFOZJNQBOBOTFTVBJTUBOEBS
7BLTJO 1$7 EJLFNBT

EBMBN CFOUVL WJBM
EJNBOB EBMBN TBUV
WJBMCFSJTJEPTJT
Gambar 4.3 Vaksin

berupa vial, tiap box
berisi 25 botol
1&/:*.1"/"/7",4*/%"/-0(*45*,
7BLTJO 1$7 BEBMBI WBLTJO TFOTJUJG CFLV TFIJOHHB IBSVT EJTJNQBO EBO
EJUSBOTQPSUBTJLBO QBEB SFOUBOH TVIV o ¡$ EBSJ QSPEVTFO TBNQBJ EJCFSJLBO QBEB
TBTBSBO4FDBSBVNVN QSJOTJQQSJOTJQQFOZJNQBOBOEBOQFOBOHBOBOWBLTJOCFSJLVU
JOJIBSVTEJQFSIBUJLBOEBMBNNFOHFMPMBWBLTJO1$7
x 4FUJBQWJBMEJTJNQBOCFSEBTBSLBOOPNPSbatch
x 1FSIBUJLBO UBOHHBM LFEBMVXBSTB WBLTJO +BOHBO HVOBLBO WBLTJO ZBOH TVEBI
LFEBMVXBSTB 5FSBQLBO QSJOTJQ WBLTJO EFOHBO XBLUV LFEBMVXBSTB MFCJI DFQBU
NBLBEJHVOBLBOUFSMFCJIEBIVMV early-expiry-first-out&&'0

x 1FSIBUJLBOLPOEJTJ77.7BLTJOZBOHUFMBINFOEBQBULBOQBQBSBOQBOBTMFCJI
CBOZBL 77. #
IBSVT EJHVOBLBO UFSMFCJI EBIVMV EBSJQBEB 77. " NFTLJQVO
NBTBLFEBMVXBSTBOZBNBTJIMFCJIQBOKBOH
.BOBKFNFOTUPLWBLTJOZBOHFGFLUJGQFOUJOHVOUVLNFNBTUJLBOKVNMBIWBLTJO
UJEBLCFSMFCJINBVQVOLVSBOH6OUVLNFNBTUJLBOKVNMBIWBLTJODVLVQ TUPLWBLTJO
IBSVT EJQFSJLTB TFDBSB UFSVT NFOFSVT 7BLTJO ZBOH NBTVL EBO LFMVBS EBSJ UFNQBU
QFOZJNQBOBOIBSVTEJDBUBU
%BMBN NFOHIJUVOH LFCVUVIBO TFUJBQ UJOHLBU QFOZJNQBOBO IBSVT
NFOZFEJBLBO TUPL DBEBOHBO ZBOH EBQBU EJHVOBLBO BQBCJMB UFSKBEJ LFUFSMBNCBUBO
QFOHJSJNBOWBLTJOBUBVBQBCJMBUFSKBEJQFOJOHLBUBOLFCVUVIBOZBOHNFOEBEBL4UPL
WBLTJOEBODBEBOHBOEJUJOHLBUQSPWJOTJBEBMBICVMBOEJUBNCBICVMBO EJUJOHLBU
LBCVQBUFOLPUBZBJUVCVMBOEJUBNCBICVMBO EBOEJUJOHLBU1VTLFTNBTBEBMBI
CVMBOEJUBNCBINJOHHV
4FMBJOWBLTJO QFMBLTBOBBOJNVOJTBTJ1$7KVHBNFNCVUVILBOMPHJTUJL NFMJQVUJ
Auto Disable Syringe "%4
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CBJL %BMBN QFOZJNQBOBO MPHTJUJL JOJ IBSVT EJQBTUJLBO LPOEJTJ GJTJL EBO LFBNBOBO
CBSBOHEBOLFNBTBOOZB EJTFNVBUJOHLBUGBTJMJUBTQFOZJNQBOBOTBNQBJEJHVOBLBO
1FSIBUJLBO LFEBMVXBSTB TFUJBQ CBSBOH LIVTVT VOUVL "%4 QFOHJSJNBO EBO
QFNBLBJBOOZBIBSVTNFOHJLVUJQSJOTJQ&&'0 Early Expired First Out
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ZBOHBLBOLFEBMVXBSTB EJVUBNBLBOVOUVLEJLJSJNBUBVEJQBLBJUFSMFCJIEBIVMV"%4
ZBOHTVEBILFEBMVXBSTBUJEBLCPMFIEJEJTUSJCVTJLBOBUBVEJHVOBLBO
,&5&/56"/7",4*/:"/(#&-6.%*(6/","/
1BEBQFMBZBOBOTUBUJTBUBVQFMBZBOBOEJEBMBNHFEVOH WBLTJO1$7ZBOHUFMBI
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E 5JEBLNFMFXBUJNBTBLFEBMVXBSTB
F 7JBMWBLTJOUJEBLUFSFOEBNBJSBUBVCFLV
G 4FNVBEPTJTEJBNCJMTFDBSBBTFQUJT
6OUVLQFMBZBOBOEJOBNJTBUBVQFMBZBOBOEJMVBSHFEVOH TFQFSUJEJ1PTZBOEV
TJTBWBLTJO1$7ZBOHTVEBIEJCVLBIBSVTEJCVBOHTFUFMBIQFMBZBOBOJNVOJTBTJTFMFTBJ
4FEBOHLBOVOUVLTJTBWBLTJOZBOHCFMVNEJHVOBLBO NBTJIEBMBNLFBEBBOUFSUVUVQ

IBSVTEJLFNCBMJLBOLF1VTLFTNBTVOUVLEJTJNQBOEJEBMBNvaccine refrigeratorQBEB
TVIV $ 7BLTJO UFSTFCVU EJCFSJ UBOEB i,w LFNCBMJ
EBO EJEBIVMVLBO
QFOHHVOBBOOZB QBEB QFMBZBOBO CFSJLVUOZB EFOHBO UFUBQ NFNQFSIBUJLBO UBOHHBM
LFEBMVXBSTB4FCFMVNLFNCBMJLFQVTLFTNBT IJUVOHLFNCBMJEBODBUBUKVNMBIWBLTJO
1$7ZBOHEJHVOBLBO TFSUBQBTUJLBOWJBMWBLTJOZBOHNBTJIVUVIEBOTVEBIEJHVOBLBO
EJCBXBLFNCBMJLFQVTLFTNBT
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x *NVOJTBTJ1$7EJCFSJLBOTFCBOZBLEPTJT%PTJTQFSUBNBWBLTJO1$7EJCFSJLBO
QBEBCBZJVTJBCVMBO EPTJTLFEVBEJCFSJLBOQBEBCBZJVTJBCVMBOEBOEPTJT
LFUJHB JNVOJTBTJMBOKVUBO
EJCFSJLBOQBEBBOBLVTJBCVMBO
x 7BLTJO1$7EPTJTQFSUBNBEBOLFEVBEJCFSJLBOCFSTBNBBOEFOHBOWBLTJO%15
)#)JCEBO0176OUVL1SPWJOTJ%*:PHZBLBSUB WBLTJO1$7EPTJTQFSUBNBEBO
LFEVBEJCFSJLBOCFSTBNBBOEFOHBOWBLTJO%15)#)JCEBO*17
Tabel 4.1 Jadwal imunisasi setelah Introduksi Imunisasi PCV
64*""/", +&/*4*.6/*4"4*
KBN )FQBUJUJT )#

CVMBO #$( 017
CVMBO %15)#)JC 017 1$7
CVMBO %15)#)JC 017 1$7
CVMBO %15)#)JC 017EBO*17
CVMBO $BNQBL3VCFMB
CVMBO 1$7
CVMBO $BNQBL3VCFMB %15)#)JC
,FMBT $BNQBL3VCFMB %5
,FMBT 5E
,FMBT 5E )17
,FMBT )17
6OUVL1SPWJOTJ%*:PHZBLBSUB QFNCFSJBO017EJHBOUJLBOEFOHBOQFNCFSJBO*17
)17EJCFSJLBOQBEBEBFSBIZBOHTVEBINFMBLVLBOJOUSPEVLTJJNVOJTBTJ)17

$BUBUBO
1BEBBXBMQFMBLTBOBBOJOUSPEVLTJJNVOJTBTJ1$7EBMBNQSPHSBNJNVOJTBTJSVUJO
JNVOJTBTJ1$7EBQBUEJCFSJLBOQBEBCBZJCFSVTJBCVMBOQBEBTBBUEJNVMBJOZB
XBLUVQFMBLTBOBBOJOUSPEVLTJJNVOJTBTJ1$7EBOTFMBOKVUOZBEJMFOHLBQJEPTJT
LFEVBQBEBVTJBCVMBOEBOEPTJTMBOKVUBOQBEBVTJBCVMBO
+JLB BOBL CFMVN NFOEBQBULBO JNVOJTBTJ 1$7 QBEB VTJB EBO CVMBO NBLB
JNVOJTBTJ1$7NBTJIEBQBUEJCFSJLBOLBMJTBNQBJVTJBCVMBOEFOHBOJOUFSWBM
NJOHHV ,FNVEJBO JNVOJTBTJ MBOKVUBO 1$7 EBQBU EJCFSJLBO QBEB VTJB CVMBO
EFOHBONFNQFSIBUJLBOJOUFSWBMNJOJNBMNJOHHVEBSJEPTJTLFEVB
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UFSTFCVU NBTJI EBQBU EJCFSJLBO EVB EPTJT JNVOJTBTJ 1$7 EFOHBO JOUFSWBM
NJOJNBMNJOHHVTFCFMVNCFSVTJBCVMBO
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QBEB VTJB
CVMBO NBLBJNVOJTBTJUFSTFCVUNBTJIEBQBUEJCFSJLBOTBNQBJVTJBCVMBO
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UFSTFCVU NBTJI EBQBU EJCFSJLBO TBUV EPTJT JNVOJTBTJ 1$7 TBNQBJ TFCFMVN
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7BLTJO1$7EJCFSJLBOTFDBSBJOUSBNVTLVMFSEFOHBOEPTJT NMEJUFOHBI
CBHJBO MVBS QBIB LJSJ QBEB CBZJ VTJB EBO CVMBO TFSUB QBEB BOBL VTJB CVMBO
-BOHLBIMBOHLBI EBMBN QFOZVOUJLBO WBLTJO 1$7 EJMBLVLBO EFOHBO
NFNQFSUJNCBOHLBOTJUVBTJQBEBNBTBBEBQUBTJLFCJBTBBOCBSV
1FMBLTBOBBO QFMBZBOBO JNVOJTBTJ 1$7 EJMBLTBOBLBO EFOHBO NFOFSBQLBO
QSPUPLPMLFTFIBUBO QSJOTJQQFODFHBIBOEBOQFOHFOEBMJBOJOGFLTJEBONFOKBHB
KBSBL BNBO o NFUFS TFSUB NFNBLBJ "1%
TFTVBJ EFOHBO 1FUVOKVL 5FLOJT
1FMBZBOBO*NVOJTBTJQBEB.BTB1BOEFNJ$07*%
-BLVLBO TLSJOJOH LFTFIBUBO UFSMFCJI EBIVMV TFCFMVN NFNCFSJLBO JNVOJTBTJ
1$7LFQBEBTBTBSBO5FOUVLBOBQBLBITBTBSBONFNJMJLJLPOUSBJOEJLBTJUFSUFOUV
Tabel 4.2 Skrining kesehatan anak sebelum pemberian imunisasi PCV pada masa adaptasi
kebiasaan baru
/P 1FSUBOZBBO :B 5JEBL

"QBLBI BOBL "OEB BUBV BEB BOHHPUB LFMVBSHB TFSVNBI
UFSNBTVL EBMBN LBUBHPSJ LPOUBL FSBUTVTQFLLPOGJSNBTJ
BUBVTFEBOHEBMBNQFSBXBUBOUFSLBJU$07*%
"QBLBI BOBL BOEB NFNJMJLJ LPOUBL EFOHBO LBTVT LPOUBL
FSBUTVTQFLLPOGJSNBTJ$07*%EBMBNIBSJUFSBLIJS
"QBLBIBOBLTFEBOHEFNBNEBMBNUVKVIIBSJUFSBLIJS
"QBLBI BOBL NFOHBMBNJ TBLJU UFOHHPSPLBO BUBV TFEBOH
CBUVLQJMFLTFTBL BUBV TBMBI TBUV QFOZBLJU QFSOBGBTBO
EBMBNUVKVIIBSJUFSBLIJS
"QBLBI BOBL TFEBOH EJBSF BUBV BMFSHJ EBMBN UVKVI IBSJ
UFSBLIJS
"QBLBIBOBLTFEBOHTBLJUMBJOEBMBNCFCFSBQBUVKVIIBSJ
UFSBLIJS KJLB:BTFCVULBOTBLJUBUBVHFKBMBOZB

"QBLBI BOBL TFEBOH EBMBN QFOHPCBUBO EPLUFS KJLB :B
TFCVULBOTBLJUBUBVHFKBMBOZB

"QBLBITBBUJOJBOBLTFEBOHNFNJOVNPCBUPCBUBOVOUVL
QFOHPCBUBO KJLB:BTFCVULBONJOVNPCBUBQB

"QBLBI BOBL NFNJMJLJ SJXBZBU SFBLTJ BOBGJMBLUJL CFSBU
UFSIBEBQ LPNQPOFO WBLTJO 1$7 BUBV WBLTJO MBJO ZBOH
NFOHBOEVOHLPNQPOFO%JQIUFSJB %15)#)JC %5 5E

"QBLBI BOBL QFSOBI NFOEFSJUB LBOLFSHBOHHVBO
QFNCFLVBO EBSBI HBOHHVBO HJOKBM HBOHHVBO KBOUVOH
QFOZBLJUHVMB
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"QBLBI BOBL "OEB QFSOBI NFOHBMBNJ LFMVIBO QBTDB
JNVOJTBTJ ,*1*

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B +JLBUFSEBQBUKBXBCBOZBQBEBOPNPSo NBLBJNVOJTBTJEJUVOEBTBNQBJBOBL
EJOZBUBLBOTFIBULFNCBMJPMFIEPLUFSBUBVNJOJNBMIBSJTFUFMBIUJNCVMOZB
HFKBMB
C +JLB UFSEBQBU KBXBCBO ZB QBEB OPNPS o NBLB TFCBJLOZB BOBL
EJLPOTVMUBTJLBOEBIVMVLFQBEBEPLUFS
D +JLBUFSEBQBUKBXBCBOZBQBEBOPNPSNBLBBOBLEBQBUEJJNVOJTBTJ LFDVBMJ
QBEBSFBLTJBOBGJMBLUJLBUBVLFKBOHQBTDBJNVOJTBTJ MJIBULFUFOUVBOC
"QBCJMB
LFMVIBOUFSNBTVLEBMBNLBUFHPSJ,*1*OPOTFSJVT NBLBBOBLUFSTFCVUEJDBUBU
EBMBNGPSNVMJSQFMBQPSBO,*1*OPOTFSJVT
7BLTJO1$7EJCFSJLBOTFDBSBJOUSBNVTLVMBS EFOHBOEPTJT NMEJUFOHBI

CBHJBOMVBSQBIBLJSJ
Gambar 4.2: Gambar 4.3:

Penyuntikan tegak lurus dengan Gambar posisi bayi saat
permukaan kulit penyuntikan
"NCJMWBLTJOEBOQBTUJLBOUJEBLBEBHFMFNCVOHVEBSBEBMBN"%4
#FSTJILBO LVMJU UFNQBU QFNCFSJBO TVOUJLBO EFOHBO LBQBT LFSJOH TFLBMJ QBLBJ
BUBV LBQBT ZBOH EJCBTBIJ EFOHBO BJS NBUBOH UVOHHV IJOHHB LFSJOH "QBCJMB
QBIBCBZJEBOBOBLUBNQBLLPUPSEJNJOUBVOUVLEJCFSTJILBOUFSMFCJIEBIVMV
1FHBOHMPLBTJTVOUJLBOEFOHBOJCVKBSJEBOUFMVOKVL
5VTVLLBOKBSVNTFDBSBUFHBLMVSVT TVEVUEFSBKBU
UFSIBEBQQFSNVLBBOLVMJU
"QBCJMB UFSEBQBU EBSBI ZBOH NBTVL LF EBMBN TQVJU TFHFSB DBCVU EBO HBOUJ
EFOHBOTQVJUZBOHCBSV
6OUVL NFOHVSBOHJ SBTB TBLJU UJEBL QFSMV EJMBLVLBO BTQJSBTJ UFSMFCJI EBIVMV
7BLTJOTFHFSBEJTVOUJLBOTFDBSBJOUSBNVTLVMBS4FCBJLOZB TFCFMVNEJJNVOJTBTJ
BOBLEJCFSJLBO"4* "JS4VTV*CV
BUBV.1"4* .BLBOBO1FOEBNQJOH"4*

4FUFMBI WBLTJO EJTVOUJLLBO KBSVN EJUBSJL LFMVBS MBMV BNCJM LBQBT LFSJOH ZBOH
CBSV EBOUFLBOQBEBCFLBTTVOUJLBO+JLBBEBQFSEBSBIBOLBQBTUFUBQEJUFLBO
QBEBMPLBTJTVOUJLBOIJOHHBEBSBICFSIFOUJ+BOHBONFNJKBUNJKBUEBFSBICFLBT
TVOUJLBO
#VBOH KBSVN TVOUJL IBCJT QBLBJ LF EBMBN safety box UBOQB NFOVUVQ LFNCBMJ
KBSVN OP SFDBQQJOH
Safety box IBSVT EJUVUVQ BQBCJMB TVEBI £ QFOVI EBO
EJTJNQBOEJUFNQBUZBOHBNBO KBVIEBSJKBOHLBVBOBOBLoBOBL
$BUBUTUBUVTJNVOJTBTJQBEBCVLV,*"EBOCVLVLPIPSUSFHJTUFS
1FOHBOUBSEBOPSBOHUVBEJNJOUBVOUVLUJEBLNFOJOHHBMLBOUFNQBUJNVOJTBTJ
NFOJUTFUFMBIQFOZVOUJLBOVOUVLNFNBOUBVBQBCJMBUFSKBEJSFBLTJBOBGJMBLTJT
EBOTBNQBJLBOLFQBEBPSBOHUVBBQBCJMBEJSVNBIUFSEBQBUHFKBMBBUBVUBOEB
ZBOHUJEBLCJBTBQBEBBOBLNBLBQFSMVTFHFSBEJCBXBLF1VTLFTNBT
*OHBULBOPSBOHUVBKBEXBMJNVOJTBTJCFSJLVUOZB
453"5&(*1&-",4"/""/
1FMBZBOBO JNVOJTBTJ 1$7 QBEB NBTB BEBQUBTJ LFCJBTBBO CBSV EJMBLTBOBLBO EFOHBO
NFOFSBQLBO QSPUPLPM LFTFIBUBO TFTVBJ EFOHBO 1FUVOKVL 5FLOJT 1FMBZBOBO *NVOJTBTJ 1BEB
.BTB1BOEFNJ$07*%
5FOUVLBO KBEXBM IBSJ EBO KBN QFMBZBOBO +BN MBZBOBO UJEBL QFSMV MBNB EBO CBUBTJ
KVNMBITBTBSBOZBOHEJMBZBOJEBMBNTBUVLBMJTFTJQFMBZBOBO+JLBKVNMBITBTBSBOCBOZBLNBLB
CBHJNFOKBEJCFCFSBQBLBMJTFTJQFMBZBOBOBHBSUJEBLUFSKBEJQFOVNQVLBOBUBVLFSVNVOBO
PSBOH -PLBTJ QPT JNVOJTBTJ EBQBU EJHVOBLBO CFSVMBOH EBMBN TBUV IBSJ EFOHBO TZBSBU
EJMBLVLBOEJTJOGFLTJBOUBSTFTJ
#FCFSBQBIBMZBOHIBSVTEJMBLVLBOPMFIQFUVHBTQFMBLTBOBJNVOJTBTJBOUBSBMBJO
.FNBTUJLBOQFSBMBUBOSBOUBJWBLTJOEBOQFSMFOHLBQBOBOBGJMBUJLEBMBNLPOEJTJCBJL
.FNBTUJLBO WBLTJO EBMBN LPOEJTJ CBJL 77. EBMBN LPOEJTJ " BUBV # TFSUB CFMVN
LFEBMVXBSTB
.FNCFSJLBOJNVOJTBTJTFDBSBBNBOTFTVBJQSPTFEVS
.FMBLVLBOQFOHFMPMBBOMJNCBIJNVOJTBTJTFDBSBBNBO
.FNBOUBV NFOBOHBOJEBONFMBQPSLBOLBTVT,*1*
.FNFSJLTB QFODBUBUBO EBO QFMBQPSBO DBLVQBO JNVOJTBTJ EBO MPHJTUJL TFSUB
NFMFOHLBQJOZBQBEBBLIJSLFHJBUBO
.FNCJOBLBEFSEBMBNNFMBLTBOBLBOUVHBTOZB
.FMBLVLBOLFSKBTBNBEFOHBOUPLPIBHBNBUPLPINBTZBSBLBU
.FMBLVLBOVQBZBJEFOUJGJLBTJEBONFMBLTBOBLBOUJOEBLMBOKVUQFOKBOHLBVBOBOBLZBOH
CFMVNNFOEBQBUJNVOJTBTJTBBUQFMBZBOBOJNVOJTBTJ
.FNBTUJLBO QFMBZBOBO JNVOJTBTJ NFNBUVIJ QSPUPLPM LFTFIBUBO VOUVL QFODFHBIBO
QFOVMBSBO$07*%
6OUVL NFOHBOUJTJQBTJ UFSKBEJOZB LBTVT ,*1* ZBOH TFSJVT NBLB TBTBSBO EBO
PSBOHUVBQFOHBTVIEJNJOUBVOUVLUFUBQUJOHHBMEJQPTQFMBZBOBOJNVOJTBTJTFMBNBNFOJU
TFTVEBIJNVOJTBTJEBOQFUVHBTIBSVTUFUBQCFSBEBEJQPTNJOJNBMNFOJUTFUFMBITBTBSBO
UFSBLIJSEJJNVOJTBTJ
,BEFSCFSUVHBTNFNCBOUVQFMBLTBOBBOJNVOJTBTJEBMBNIBM
.FOHHFSBLLBOPSBOHUVBEBOTBTBSBOVOUVLEBUBOHLFQPTQFMBZBOBOJNVOJTBTJ
.FOHBUVSBMVSQFMBZBOBOJNVOJTBTJ
.FODBUBU TBTBSBO EBO NFNCFSJ LBSUV JNVOJTBTJ TFCBHBJ UBOEBCVLUJ LFQBEB TBTBSBO
ZBOHTVEBIEJJNVOJTBTJ
.FMBQPSLBOQBEBQFUVHBTCJMBEJUFNVLBOLBTVT,*1*
.FOHJOHBULBOPSBOHUVBVOUVLNFMFOHLBQJJNVOJTBTJSVUJOEFOHBOTFMBMVNFNCBXB
CVLV,*"
.FNCBOUVNFMBLVLBOQFNFUBBOTBTBSBOZBOHUJEBLIBEJSQBEBTBBUQFMBZBOBOVOUVL
LFNVEJBOEJMBLVLBOVQBZBUJOEBLMBOKVUQFOKBOHLBVBO
Gambar 4.4 Contoh Pengaturan Ruang/Tempat Pelayanan Imunisasi

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SURVEILANS KEJADIAN IKUTAN PASCA
IMUNISASI (KIPI)
1&/(&35*"/
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UFSKBEJ IBOZB NFOJNCVMLBO SFBLTJ SJOHBO 7BLTJOBTJ NFNJDV LFLFCBMBO UVCVI EFOHBO
NFOZFCBCLBOTJTUFNLFLFCBMBOUVCVIQFOFSJNBCFSFBLTJUFSIBEBQBOUJHFOZBOHUFSLBOEVOH
EBMBNWBLTJO3FBLTJMPLBMEBOTJTUFNJLTFQFSUJOZFSJQBEBUFNQBUTVOUJLBOBUBVEFNBNEBQBU
UFSKBEJ TFCBHBJ CBHJBO EBSJ SFTQPO JNVO ,PNQPOFO WBLTJO MBJOOZB NJTBMOZB CBIBO
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NFOZFCBCLBOSBXBUJOBQ LFDBDBUBO LFNBUJBOEBONFOJNCVMLBONBTBMBINFEJLPMFHBM TFSUB
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EFOHBO UJOHLBU LFQBSBIBO CFSBU BUBV SJOHBO
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BEBMBILFKBEJBONFEJLZBOHUFSKBEJTFUFMBIJNVOJTBTJEBOUJEBLNFOJNCVMLBOSJTJLPQPUFOTJBM
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BLBO CFSTBNBBO EFOHBO JNVOJTBTJ MBJOOZB EJQFSMVLBO LFXBTQBEBBO UFSIBEBQ UJNCVMOZB
SFBLTJ TJNQBOH UFSTFCVU 3FBLTJ TJNQBOH ZBOH NVOHLJO UFSKBEJ BEBMBI SFBLTJ MPLBM TFQFSUJ
OZFSJ CFOHLBLEBOLFNFSBIBOEJMPLBTJTVOUJLBO3FBLTJTJTUFNJLEBQBUCFSVQBEFNBN NVBM
NVOUBI OBGTVNBLBONFOVSVO JSJUBCJMJUBT NFOHBOUVL UJEVSUJEBLOZFOZBL
6OUVL SFBLTJ MPLBM QFUVHBT LFTFIBUBO EBQBU NFOHBOKVSLBO QFOFSJNB WBLTJO VOUVL
NFMBLVLBOLPNQSFTEJOHJOQBEBMPLBTJUFSTFCVUEBONFNJOVNPCBUKJLBEJQFSMVLBO6OUVL
SFBLTJ TJTUFNJL TFQFSUJ EFNBN EBO NBMBJTF QFUVHBT LFTFIBUBO EBQBU NFOHBOKVSLBO
QFOFSJNBWBLTJOVOUVLNJOVNMFCJICBOZBL NFOHHVOBLBOQBLBJBOZBOHOZBNBO LPNQSFT
BUBV NBOEJ BJS IBOHBU EBO NFNJOVN PCBU KJLB EJQFSMVLBO 3FBLTJ BMFSHJ CFSBU TFQFSUJ
BOBGJMBLUJL EBQBU UFSKBEJ QBEB QFNCFSJBO WBLTJO 1$7 TFQFSUJ QBEB TFUJBQ WBLTJO XBMBVQVO
TBOHBUKBSBOHEJUFNVLBO
,*1* ZBOH UFSLBJU LFLFMJSVBO QSPTFEVS EBQBU UFSKBEJ VOUVL JUV QFSTJBQBO TJTUFN
QFMBZBOBO JNVOJTBTJ ZBOH UFSEJSJ EBSJ QFUVHBT QFMBLTBOB ZBOH LPNQFUFO NFNJMJLJ
QFOHFUBIVBODVLVQ UFSBNQJMEBMBNNFMBLTBOBLBOJNVOJTBTJEBONFNJMJLJTJLBQQSPGFTJPOBM
DVLVQ TFCBHBJ UFOBHB LFTFIBUBO
QFSBMBUBO ZBOH MFOHLBQ EBO QFUVOKVL UFLOJT ZBOH KFMBT
UFSNBTVL TVSBU UVHBT 453 EBO 4*1 IBSVT EJTJBQLBO EFOHBO NBLTJNBM 4FNVB KBKBSBO ZBOH
NBTVLEBMBNTJTUFNJOJIBSVTNFNBIBNJQFUVOKVLUFLOJTZBOHEJCFSJLBO
,*1* ZBOH UJEBL UFSLBJU EFOHBO WBLTJO BUBV LPJOTJEFO IBSVT EJXBTQBEBJ 6OUVL JUV
QFOBQJTBOTUBUVTLFTFIBUBOBOBLZBOHBLBOEJJNVOJTBTJIBSVTEJMBLVLBOTFPQUJNBMNVOHLJO
"QBCJMBEJQFSMVLBODBUBUEBUBBOBLZBOHTUBUVTLFTFIBUBOOZBNFSBHVLBO VOUVLEJHVOBLBO
TFCBHBJLFMFOHLBQBOEBUBBQBCJMBUFSKBEJ,*1*
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1FNBOUBVBO LBTVT ,*1* EJNVMBJ MBOHTVOH TFUFMBI JNVOJTBTJ 4FUFMBI NFOFSJNB
JNVOJTBTJNBLBBOBLEJBOKVSLBONFOVOHHVEJMPLBTJJNVOJTBTJTBNQBJEFOHBONFOJUVOUVL
EJMBLVLBO PCTFSWBTJ UJNCVMOZB ,*1* +JLB UJEBL BEB LFMVIBOHFKBMB ,*1* NBLB BOBL
EJQFSCPMFILBOQVMBOHEBOPSBOHUVBEJCFSJLBOFEVLBTJUBUBMBLTBOBKJLBBOBLNFOHBMBNJ,*1*
EJ SVNBI 1VTLFTNBTGBTZBOLFT MBJOOZB BLBO NFOFSJNB MBQPSBO ,*1* EBSJ
NBTZBSBLBUPSBOHUVBLBEFS "QBCJMB EJUFNVLBO EVHBBO ,*1* TFSJVT NBLB IBSVT TFHFSB
EJSFTQPO EJJOWFTUJHBTJ EBO EJMBQPSLBO 4LFNB BMVS LFHJBUBO QFOFNVBO QFMBDBLBO EBO
QFMBQPSBOLBTVT,*1*TFSJVTEJMBLVLBOTFQFSUJQBEB(BNCBSCFSJLVUJOJ
Gambar 5.1 Skema Penemuan dan Pelaporan Kasus KIPI serius

,FUFSBOHBO
B 0SBOHUVB NBTZBSBLBU LBEFSBUBVQJIBLMBJOZBOHNFOHFUBIVJBEBOZB,*1*NFMBQPSLBO
LFQBEB GBTJMJUBT QFMBZBOBO LFTFIBUBO UFNQBU QFMBLTBOBBO WBLTJOBTJ BUBV GBTJMJUBT
QFMBZBOBOLFTFIBUBOUFSEFLBU 1VTLFTNBT34'BTZBOLFT4XBTUB

C 4FUJBQGBTJMJUBTQFMBZBOBOLFTFIBUBOIBSVTNFOFUBQLBOQFUVHBTQFOBOHHVOHKBXBC
TVSWFJMBOT ,*1* ZBOH EBQBU EJIVCVOHJ BQBCJMB BEB MBQPSBO ,*1* TFSJVT EBSJ PSBOHUVB
NBTZBSBLBU LBEFSBUBVQJIBLMBJOTFSUBNFMBLVLBOQFODBUBUBOEBOQFMBQPSBO,*1*
D 4FMBOKVUOZB TFUJBQ GBTJMJUBT QFMBZBOBO LFTFIBUBO BLBO NFODBUBU MBQPSBO ,*1* TFSJVT
NFMBMVJGPSNVMJSQFMBQPSBO,*1*TFSJVTEBOBUBVTFHFSBNFMBQPSLBO,*1*TFSJVTNFMBMVJ
MBNBO XFC ,FBNBOBO 7BLTJO XXXLFBNBOBOWBLTJOLFNLFTHPJE
TFDBSB PUPNBUJT
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E %JOBTLFTFIBUBOLBCVQBUFOLPUBEBOBUBVEJOBTLFTFIBUBOQSPWJOTJTFHBSBNFMBLVLBO
JOWFTUJHBTJ*OWFTUJHBTJEBQBUEJMBLVLBOCFLFSKBTBNBEFOHBO#BMBJ#FTBS10.1SPWJOTJ
EBO1PLKB11,*1*,BCVQBUFO,PUBBUBV,PNEB11,*1*1SPWJOTJ KJLBEJQFSMVLBO
)BTJM
JOWFTUJHBTJEJDBUBUNFMBMVJGPSNVMJSJOWFTUJHBTJ,*1*EBOBUBVEJMBQPSLBONFMBMVJMBNBO
XFC,FBNBOBO7BLTJO TFDBSBPUPNBUJT1PLKBNBVQVO,PNEB11,*1*BLBONFOFSJNB
MBQPSBOUFSTFCVU
F ,FNVEJBOEJMBLVLBOLBKJBO,*1*TFSJVTPMFI1PLKB11,*1*,BCVQBUFO,PUBBUBV,PNEB
11,*1*1SPWJOTJTFUFMBIJOWFTUJHBTJTFMFTBJEJMBLVLBO,PNOBT11,*1*BLBONFMBLVLBO
UBOHHBQBO LFUJLB TVEBI EJMBLVLBO LBKJBO PMFI 1PLKB 11 ,*1* ,BCVQBUFO,PUB BUBV
,PNEB11,*1*1SPWJOTJ
G 1FODBUBUBOEBOQFMBQPSBO,*1*TFSJVTEJMBLVLBONFMBMVJXFCTJUFLFBNBOBOWBLTJOPMFI
QFUVHBT TVSWFJMBOT ,*1* "QBCJMB UJEBL NFNVOHLJOLBO NBLB EBQBU EJMBLVLBO TFDBSB
NBOVBMNFOHHVOBLBOGPSNBUTUBOEBSZBOHEBQBUEJVOEVIQBEBUBVUBOCJUMZGPSNLJQJ
-BQPSBOTFHFSBEJLJSJNTFDBSBCFSKFOKBOHLFQBEB,FNFOUFSJBO,FTFIBUBODR4VCTUBOTJ
4VSWFJMBOT 1%* EBO ,*1* TFSUB ,PNOBT 11,*1* NFMBMVJ FNBJM
LPNOBTQQLJQJ!HNBJMDPNEBOTVSWQEJLJQJ!HNBJMDPN
4FNFOUBSB JUV VOUVL MBQPSBO ,*1* /POTFSJVT BLBO EJEBQBULBO PMFI 1VTLFTNBT
GBTZBOLFT MBJOOZB EBSJ PSBOH UVBQFOHBOUBS BOBL QBEB TBBU QFMBZBOBO JNVOJTBTJ EJ CVMBO
CFSJLVUOZBTFUFMBIQFNCFSJBOJNVOJTBTJ1$71BEBTBBUTLSJOJOHTFCFMVNEJCFSJLBOJNVOJTBTJ
NBLBQFUVHBTGBTJMJUBTQFMBZBOBOLFTFIBUBOXBKJCNFOBOZBLBOSJXBZBUUFSKBEJOZB,*1*QBEB
BOBLTFUFMBIEJCFSJLBOJNVOJTBTJ1$7"QBCJMBPSBOHUVBQFOHBOUBSBOBLNFOZBUBLBOCBIXB
UFSEBQBU HFKBMB LMJOJT TFUFMBI QFNCFSJBO JNVOJTBTJ 1$7 OBNVO EBQBU EJBUBTJ EJ SVNBI EBO
UJEBL NFOJNCVMLBO SJTJLP QPUFOTJBM QBEB LFTFIBUBO BOBL NBLB IBM UFSTFCVU EBQBU
EJLBUFHPSJLBOTFCBHBJLBTVT,*1*/POTFSJVT
"QBCJMB EJUFNVLBO ,*1* /POTFSJVT NBLB IBSVT TFHFSB EJDBUBU EBMBN GPSNVMJS
QFMBQPSBO,*1*/POTFSJVT ZBOHEJHVOBLBOVOUVLNFODBUBUTFNVB,*1*/POTFSJVTEBSJTFNVB
JNVOJTBTJZBOHEJCFSJLBOEJCVMBOTFCFMVNOZB'PNVMJSTLFNBBMVSLFHJBUBOQFOFNVBOEBO
QFMBQPSBOLBTVT,*1*/POTFSJVTEJMBLVLBOTFQFSUJQBEBHBNCBSCFSJLVUJOJ
'LUHNWRUDW3HQJHORODQ,PXQLVDVL
6HWLDSWDQJJDO
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Gambar 5.2 Skema Penemuan dan Pelaporan Kasus KIPI Non-Serius
,636/8",561&-"103"/,*1*
6OUVLNFOHFUBIVJIVCVOHBOBOUBSBJNVOJTBTJEFOHBO,*1*EJQFSMVLBOQFODBUBUBOEBO
QFMBQPSBO EFOHBO LFUFSBOHBO SJODJ TFNVB SFBLTJ TJNQBOH ZBOH UJNCVM TFUFMBI QFNCFSJBO
JNVOJTBTJZBOHNFSVQBLBOLFHJBUBOEBSJTVSWFJMBOT,*1*%BUBZBOHEJQFSPMFIEJQFSHVOBLBO
VOUVL NFOHBOBMJTJT LBTVT EBO NFOHBNCJM LFTJNQVMBO 1FMBQPSBO ,*1* EJMBLTBOBLBO TFDBSB
CFSUBIBQEBOCFSUJOHLBU
1BEBLBTVT,*1*TFSJVT UFSVUBNBZBOHNFOJNCVMLBOQFSIBUJBOCFSMFCJIBONFSFTBILBO
NBTZBSBLBU BUBVZBOHNBTJINFNCVUVILBOLFMFOHLBQBOEBUB NBLBMBQPSBOTBUVLBTVT,*1*
EBQBU EJMBQPSLBO CFCFSBQB LBMJ QBEB NBTJOHNBTJOH UJOHLBU QFMBQPSBO TBNQBJ MBQPSBO
NFNFOVIJLFMFOHLBQBOUFSTFCVU
1FMBQPSBO ,*1* TFSJVT EJCVBU TFDFQBUOZB TFIJOHHB LFQVUVTBO EBQBU EJQBLBJ VOUVL
UJOEBLBOQFOBOHHVMBOHBO,VSVOXBLUVQFMBQPSBOEBQBUNFOHBDVQBEBUBCFMEJCBXBI
Tabel 5.1 Waktu Pelaporan KIPI Serius Berdasarkan Jenjang Administrasi Penerima Laporan
+FOKBOH"ENJOJTUSBTJ ,VSVOXBLUVEJUFSJNBOZBMBQPSBO
%JOBT,FTFIBUBO,BC,PUB1PLKB,*1* KBNEBSJTBBUQFOFNVBOLBTVT
%JOBT,FTFIBUBO1SPWJOTJ,PNEB11,*1* KBNEBSJTBBUQFOFNVBOLBTVT
4VC%JSFLUPSBU*NVOJTBTJ,PNOBT11,*1* KBNIBSJEBSJTBBUQFOFNVBOLBTVT
1FSCBJLBONVUVQFMBZBOBOEJIBSBQLBOTFCBHBJUJOEBLMBOKVUEBOVNQBOCBMJLTFUFMBI
EJEBQBULBOLFTJNQVMBOQFOZFCBCCFSEBTBSLBOIBTJMJOWFTUJHBTJLBTVT,*1*TFSJVT
4FNFOUBSBJUVQFOFNVBOLBTVT,*1*/PO4FSJVTQBEBQFNCFSJBOJNVOJTBTJTFCFMVNOZB
EJ GBTJMJUBT QFMBZBOBO LFTFIBUBO EJMBLVLBO TFUJBQ CVMBO QBEB TBBU QFOBQJTB TFCFMVN
QFNCFSJBO JNVOJTBTJ ,BTVT ,*1* /POTFSJVT EBQBU EJDBUBU MBOHTVOH LF EBMBN MBNBO XFC
LFBNBOBO WBLTJO BUBV EJSFLBQ EBMBN GPSNVMJS LBTVT ,*1* /POTFSJVT LFNVEJBO EJVOHHBI
NFMBMVJMBNBOXFCLFBNBOBOWBLTJOTFCFMVNUBOHHBMEJCVMBOCFSJLVUOZB
1&-"$","/,*1*
1FMBDBLBOLBTVT,*1*TFSJVTNFOHJLVUJTUBOEBSQSJOTJQQFMBDBLBOZBOHUFMBIEJUFOUVLBO
EFOHBONFNQFSIBUJLBOLBJEBIQFMBDBLBOLBTVT WBLTJO UFLOJLEBOQSPTFEVSJNVOJTBTJTFSUB
NFMBLVLBO QFSCBJLBO CFSEBTBSLBO UFNVBO ZBOH EJEBQBU 1FMBDBLBO ,*1* ZBOH EJMBLVLBO
TFMBNBNBTBQBOEFNJ$07*%IBSVTEJMBLTBOBLBOTFTVBJQSJOTJQQSPUPLPMLFTFIBUBOZBJUV
EFOHBO NFOHHVOBLBO "MBU 1FMJOEVOH %JSJ "1%
EBO NFOFSBQLBO VQBZB 1FODFHBIBO EBO
1FOHFOEBMJBO*OGFLTJ 11*
EBONFOKBHBKBSBLBNBOoNFUFS1FMBDBLBO,*1*TFSJVTTFDBSB
MFOHLBQEBQBUEJMJIBUQBEB1FSNFOLFTOPNPSUBIVOUFOUBOH1FOZFMFOHHBSBBO
*NVOJTBTJEBOEJTFTVBJLBOEFOHBO,FQNFOLFT/PNPS),.&/,&45FOUBOH
1FUVOKVL5FLOJT1FMBLTBOBBO7BLTJOBTJ%BMBN3BOHLB1FOBOHHVMBOHBO1BOEFNJ$PSPOB7JSVT
%JTFBTF $07*%

Tabel 5.2 Langkah-langkah dalam pelacakan KIPI
-BOHLBI 5JOEBLBO

1BTUJLBO භ %BQBULBODBUBUBONFEJLLBTVT BUBVDBUBUBOLMJOJTMBJO
JOGPSNBTJ භ 1FSJLTBJOGPSNBTJUFOUBOHLBTVTEBSJDBUBUBONFEJLEBOEPLVNFO
QBEB MBJO
MBQPSBO භ *TJTFUJBQLFMFOHLBQBOZBOHLVSBOHEBSJGPSNVMJSMBQPSBO,*1*
භ 5FOUVLBO JOGPSNBTJ EBSJ LBTVT MBJO ZBOH EJCVUVILBO VOUVL
NFMFOHLBQJQFMBDBLBO

-BDBLEBO 5FOUBOHLBTVT
,VNQVMLBO භ ,SPOPMPHJTJNVOJTBTJTBBUJOJZBOHEJEVHBNFOJNCVMLBO,*1*
EBUB භ 3JXBZBUNFEJTTFCFMVNOZB UFSNBTVLSJXBZBUJNVOJTBTJ
TFCFMVNOZBEFOHBOSFBLTJZBOHTBNBBUBVSFBLTJBMFSHJZBOHMBJO
භ 3JXBZBULFMVBSHBEFOHBOLFKBEJBOZBOHTBNB
5FOUBOHLFKBEJBO
භ ,SPOPMPHJT EFTLSJQTJLMJOJTEBOTFUJBQIBTJMMBCPSBUPSJVNZBOH
SFMFWBOEFOHBO,*1*EBOQFOFHBLBOEJBHOPTJTEBSJLFKBEJBO
JLVUBO
භ 5JOEBLBOZBOHEJEBQBULBO BQBLBIEJSBXBUJOBQKBMBOEBO
CBHBJNBOBIBTJMOZB
5FOUBOHWBLTJOZBOHEJEVHBNFOJNCVMLBO,*1*
භ 5VMJTLBOKFOJTWBLTJOEBO no batchWBLTJO
භ 1SPTFEVSQFOHJSJNBOWBLTJO
භ ,POEJTJQFOZJNQBOBO
භ ,FBEBBOvaccine vial monitor
භ $BUBUBOTVIVQBEBMFNBSJFT vaccine refrigerator

5FOUBOHLPOEJTJBOBLMBJOOZB
භ "EBLBIBOBLMBJOZBOHNFOEBQBUJNVOJTBTJEBSJWBLTJOEFOHBO
OPNPSbatch ZBOHTBNBEBONFOJNCVMLBOHFKBMBZBOHTBNB
භ "EBLBIBOBLMBJOZBOHUJEBLNFOEBQBUJNVOJTBTJEBONFNJMJLJ
HFKBMBZBOHTBNB
.FOJMBJ භ 1FOZJNQBOBOWBLTJO UFSNBTVLWJBMBNQVMWBLTJOZBOHUFMBI

QFMBZBOBO EJCVLB
EJTUSJCVTJEBOQFNCVBOHBOMJNCBI
EFOHBO භ 1FOZJNQBOBOQFMBSVU EBOEJTUSJCVTJ
NFOBOZBLBO භ 1FMBSVUBOWBLTJO QSPTFTEBOXBLUVKBNEJMBLVLBO
UFOUBOH භ 1FOHHVOBBO"%4
භ 1FOZJNQBOBOLJUBOBGJMBLUJL
භ 1FMBUJIBOQSBLUFLJNVOJTBTJ TVQFSWJTJEBOQFMBLTBOBJNVOJTBTJ
.FOHBNBUJ භ "QBLBIQFMBZBOBOJNVOJTBTJEJMBLVLBOEBMBNKVNMBIMFCJI
QFMBZBOBO CBOZBLEBSJZBOHEJSFODBOBLBO
භ #BHBJNBOBQFOZJNQBOBOWBLTJOEBOQFMBSVUEBMBNMFNBSJ
QFOEJOHJO
භ 1SPTFEVSJNVOJTBTJ QFMBSVUBO QFOZJNQBOBOWBLTJO UFLOJL
QFOZVOUJLBO safety injectioO QFNCVBOHBOMJNCBI
3VNVTLBO භ ,FNVOHLJOBOQFOZFCBCLFKBEJBOUFSTFCVU
LMBTJGJLBTJ භ -BLVLBOVKJTUFSJMJUBTEBOUPLTJTJUBTWBLTJO KJLBEJQFSMVLBO
MBQBOHBO
.FNCVBU භ #VBULFTJNQVMBOQFOZFCBC,*1*
LFTJNQVMBO භ -FOHLBQJGPSNVMJSJOWFTUJHBTJ,*1*
1FMBDBLBO භ -BLVLBOUJOEBLBOLPSFLTJEBOSFLPNFOEBTJLBOUJOEBLBOMFCJI
MBOKVU
-"103"/,*1*%"-".1&-",4"/""/*.6/*4"4*1$7
4FMBNBQFMBLTBOBBOJNVOJTBTJ1$7TFKBLUBIVOTBNQBJTBBUJOJCBJLEJQSPWJOTJ
/5# NBVQVO #BCFM UJEBL EJEBQBULBO BEBOZB MBQPSBO ,*1* TFSJVT #FSEBTBSLBO IBTJM 1PTU
.BSLFUJOH4VSWFJMMBODFJNVOJTBTJ1$7ZBOHEJMBLVLBOEJ1SPWJOTJ/5# EJEBQBULBOEBUB,*1*
QBEB QFNCFSJBO 1$7 CFSTBNBBO EFOHBO QFOUBCJP EBO QPMJP PSBM EBSJ TVCKFL QBEB
QFNCFSJBO EPTJT QFSUBNB CFSVQB EFNBN OZFSJ MPLBM LFNFSBIBO
CFOHLBL SFXFM EBO QBEB QFNCFSJBO EPTJT LFEVB CFSVQB EFNBN OZFSJ
MPLBM LFNFSBIBO CFOHLBL SFXFM 4FEBOHLBOQBEBQFNCFSJBO1$7
TBKBEBSJTVCKFLQBEBQFNCFSJBOEPTJTQFSUBNBCFSVQBEFNBN OZFSJMPLBM
LFNFSBIBO CFOHLBL SFXFM CBUVLQJMFL EBOEJBSF EBOQBEB
QFNCFSJBOEPTJTLFEVBCFSVQBEFNBN OZFSJMPLBM LFNFSBIBO CFOHLBL
SFXFM CBUVLQJMFL EJBSF
)BTJM Post Marketing Surveillance WBLTJO 1$7 NFOVOKVLLBO UJEBL BEBOZB ,*1* TFSJVT
NBLBEJTJNQVMLBOCBIXBWBLTJOBNBOEBOEBQBUEJCFSJLBOCFSTBNBBOEFOHBOWBLTJOMBJO
%15)#)JC

1&/(&/"-"/%"/1&/"/("/"/"/"'*-",5*,
3FBLTJ BOBGJMBLUJL BEBMBI SFBLTJ IJQFSTFOTJUJGJUBT TJTUFNJL ZBOH CFSBU UFSKBEJ EFOHBO
DFQBU VNVNOZB NFOJU TFTVEBI TVOUJLBO
TFSJVT EBO EBQBU NFOZFCBCLBO LFNBUJBO
3FBLTJBOBGJMBLUJLNFOKBEJSJTJLPQBEBTFUJBQQFNCFSJBOWBLTJOBTJ PCBU NBLBOBOEBOMBJOOZB
EBO NFSVQBLBO ,*1* TFSJVT ZBOH IBSVT NFOEBQBU QFOBOHBOBO TFHFSB +JLB SFBLTJ UFSTFCVU
DVLVQIFCBUEBQBUNFOJNCVMLBOTZPLZBOHEJTFCVUTFCBHBJTZPLBOBGJMBLUJL4ZPLBOBGJMBLUJL
NFNCVUVILBOQFSUPMPOHBODFQBUEBOUFQBU5BUBMBLTBOBOZBNVMBJEBSJQFOFHBLBOEJBHOPTJT
TBNQBJQBEBUFSBQJOZBEJUFNQBULFKBEJBO EBOTFUFMBIUBOEBUBOEBWJUBMEBSJLBTVTTUBCJMCBSV
EJQFSUJNCBOHLBO VOUVL EJSVKVL LF 34 UFSEFLBU 4FUJBQ QFUVHBT QFMBLTBOB JNVOJTBTJ IBSVT
TVEBILPNQFUFOEBMBNNFOHFOBMJEBONFOBOHBOJSFBLTJBOBGJMBLUJL
(BNCBSBO BUBV HFKBMB LMJOJL TVBUV SFBLTJ BOBGJMBLUJL CFSCFEBCFEB TFTVBJ EFOHBO
CFSBUSJOHBOOZB SFBLTJ BOUJHFOBOUJCPEJ BUBV UJOHLBU TFOTJUJWJUBT TFTFPSBOH OBNVO QBEB
UJOHLBUZBOHCFSBUCFSVQBTZPLBOBGJMBLUJLHFKBMBZBOHNFOPOKPMBEBMBIHBOHHVBOTJSLVMBTJ
EBOHBOHHVBOSFTQJSBTJ3FBLTJBOBGJMBLUJLCJBTBOZBNFMJCBULBOCFCFSBQBTJTUFNUVCVI UFUBQJ
BEBKVHBHFKBMBHFKBMBZBOHUFSCBUBTIBOZBQBEBTBUVTJTUFNUVCVI DPOUPIHBUBMQBEBLVMJU

KVHBEBQBUUFSKBEJ
5BOEB BXBM BOBGJMBLUJL BEBMBI LFNFSBIBO FSJUFNB
NFOZFMVSVI EBO HBUBM VSUJLBSJB

EFOHBOPCTUSVLTJKBMBOOBGBTBUBTEBOBUBVCBXBI1BEBLBTVTCFSBUEBQBUUFSKBEJLFBEBBO
MFNBT QVDBU IJMBOHLFTBEBSBOEBOIJQPUFOTJ1FUVHBTTFCBJLOZBEBQBUNFOHFOBMJUBOEBEBO
HFKBMBBOBGJMBLUJL1BEBEBTBSOZBNBLJODFQBUSFBLTJUJNCVM NBLJOCFSBULFBEBBOQFOEFSJUB
1FOVSVOBOLFTBEBSBOKBSBOHTFCBHBJNBOJGFTUBTJUVOHHBMBOBGJMBLUJL JOJIBOZBUFSKBEJTFCBHBJ
TVBUVLFKBEJBOMBNCBUQBEBLBTVTCFSBU%FOZVUOBEJTFOUSBMZBOHLVBU DPOUPILBSPUJT
UFUBQ
BEBQBEBLFBEBBOQJOHTBO UFUBQJUJEBLQBEBLFBEBBOBOBGJMBLUJL
(FKBMBBOBGJMBLUJLEBQBUUFSKBEJTFHFSBTFUFMBIQFNCFSJBOJNVOJTBTJ SFBLTJDFQBU
BUBV
MBNCBUTFQFSUJEJVSBJLBOEBMBNHBNCBSCFSJLVUJOJ
Gambar 5.3 Gejala dan Tanda Anafilaksis Syok
,SJUFSJBHFKBMBNVODVMUJCBUJCBEBMBNNFOJUTBNQBJKBN
NFMJCBULBOLVMJUKBSJOHBONVLPTBBUBVLFEVBOZB .JTCFSDBLNFSBI
EJTFMVSVIUVCVIUFSBTBHBUBMEBOQBOBTCJCJSMJEBIEBOVWVMB
CFOHLBL
%JUBNCBITFEJLJUOZBTBUVEBSJLFBEBBOCFSJLVU
(FKBMBQBEBQFSOBGBTBO 5FLBOBOEBSBI
.JTTFTBLOBGBT NFOHJ NFOVSVO
CBUVL TUSJEPS IJQPLTFNJB
NFOEBEBLBUBV
UJNCVMOZBHFKBMB
EJTGVOHTJPSHBO
TFQFSUJIJQPUPOJB
LPMBQT
JOLPOUJOFOTJB
"5"6LSJUFSJBEVBBUBVMFCJIEBSJLFBEBBOCFSJLVUZBOHNVODVMNFOEBEBLTFUFMBIQBKBOBO
BMFSHFOBUBVQFNJDVMBJOOZB
(FKBMBNVODVMUJCB (FKBMBQBEB 5FLBOBOEBSBI (FKBMBQFODFSOBBO

UJCBEBMBNIJUVOHBO QFSOBGBTBO .JT NFOVSVONFOEBEBL ZBOHUJNCVM
NFOJUTBNQBJKBN TFTBLOBGBTCBUVL BUBVUJNCVMOZB NFOEBEBL .JTOZFSJ
NFMJCBULBOLVMJU IJQPLTFNJB
HFKBMBEJTGVOHTJ QFSVUTBNQBJLSBN
KBSJOHBONVLPTB BUBV PSHBOTFQFSUJ NVOUBI

LFEVBOZB .JTCFSDBL IZQPUPOJBLPMFQ
NFSBIEJTFMVSVI *OLPOUJOFOTJB
UVCVI UFSBTBHBUBM
EBOQBOBT CJCJS MJEBI
VWVMBCFOHLBL
"5"6LSJUFSJB5FLBOBOEBSBICFSLVSBOHTFUFMBIQBKBOBOBMFSHFOZBOHEJLFUBIVJVOUVL
QBTJFO EBMBNIJUVOHBONFOJUTBNQBJKBN
#BZJEBOBOBLBOBLUFLBOBOEBSBITJTUPMJLSFOEBITQFTJGJLVTJBBUBV
QFOHVSBOHBOUFLBOBOEBSBITJTUPMJLZBOHMFCJICFTBSEBSJ
,FUFSBOHBO
4FCBHBJDPOUPIJNVOPMPHJLOBNVOJOEFQFOEFO*H&BUBVOPOJNVOPMPHJL BLUJWBTJTFMNBTU
MBOHTVOH
4FCBHBJ DPOUPI TFUFMBI TFOHBUBO TFSBOHHB CFSLVSBOHOZB UFLBOBO EBSBI EBQBU NFOKBEJ
TBUVTBUVOZB NBOJGFTUBTJ BOBGJMBLTJT BUBV TFUFMBI JNVOPUFSBQJ BMFSHFO CFSDBL NFSBI HBUBM
EJTFMVSVIUVCVIEBQBUNFOKBEJNBOJGFTUBTJBXBMTBUVTBUVOZBEBSJBOBGJMBLTJT
5FLBOBOEBSBITJTUPMJLSFOEBIQBEBBOBLEJBSUJLBOTFCBHBJUFLBOBOEBSBIZBOHLVSBOHEBSJ
NN)HVOUVLVTJBCVMBOUBIVO LVSBOHEBSJNN)( LBMJVTJB
VOUVLUBIVO
EBO LVSBOH EBSJ NN)H VOUVL VTJB UBIVO 'SFLVFOTJ EFOZVU KBOUVOH OPSNBM
CFSWBSJBTJEBSJTBNQBJYNFOJUVOUVLVTJBUBIVOYNFOJUVOUVLVTJBUBIVO
EBOYNFOJUVTJBUBIVO1BEBCBZJEBOBOBLLFMBJOBOQFSOBGBTBOMFCJIVNVNUFSKBEJ
EBSJQBEBIJQPUFOTJEBOTZPLEBOTZPLMFCJITFSJOHCFSNBOJGFTUBTJUBLJLBSEJBEBSJIJQPUFOTJ
4FLBMJ EJBHOPTJT EJUFHBLLBO NBLB IBSVT EJJOHBU CBIXB QBTJFO CFSQPUFOTJ VOUVL
NFOKBEJGBUBMUBOQBNFOHIJSBVLBOCFSBUSJOHBOOZBHFKBMBZBOHNVODVM.VMBJUBOHBOJQBTJFO
EFOHBODFQBUEBOQBEBTBBUZBOHTBNBCVBUSFODBOBVOUVLNFSVKVLQBTJFOLFSVNBITBLJU
EFOHBODFQBU1FNCFSJBOFQJOFGSJO BESFOBMJO
BLBONFSBOHTBOHKBOUVOHEBONFMPOHHBSLBO
TQBTNF QBEB TBMVSBO OBGBT TFSUB NFOHVSBOHJ FEFNB EBO VSUJLBSJB 5FUBQJ BESFOBMJO EBQBU
NFOZFCBCLBOCFSCBHBJFGFLTBNQJOHKJLBEPTJTZBOHEQFSHVOBLBOUJEBLUFQBU
1FUVHBTIBSVTUFSMBUJIEBMBNQFOBOHBOBOBOBGJMBLUJL NFNJMJLJLFTJBQBOQFSMFOHLBQBO
BOBGJMBLUJLZBOHMFOHLBQVOUVLUBUBMBLTBOBSFBLTJBOBGJMBLUJLEBONFNJMJLJBLTFTZBOHDFQBU
VOUVL NFSVKVL QBTJFO 6OUVL JUV EBMBN TFUJBQ QFMBZBOBO IBSVT EJTFEJBLBO QFSMFOHLBQBO
BOBGJMBLUJL PYZNFUFS TUFUPTLPQEBOUFOTJNFUFS EFOHBOVLVSBOCBZJEBOBOBL
1BTUJLBOJTJ
QFSMFOHLBQBO BOBGJMBLUJL NBTJI CFMVN LFEBMVXBSTB EBO DBOUVNLBO UBOHHBM LFEBMVXBSTB
NBTJOHNBTJOH JTJ QFSMFOHLBQBO BOBGJMBLUJL EJ CBHJBO EFQBO UFNQBULPUBL QFSMFOHLBQBO
BOBGJMBLUJLEJTJNQBO
-BOHLBIMBOHLBIBXBMQFOBOHBOBOTZPLBOBGJMBLUJL
B Airway .FNCFCBTLBO KBMBO OBGBT +JLB QBTJFO UJEBL TBEBS UFNQBULBO QBTJFO QBEB
QPTJTJUJEVSUFSMFOUBOHBUBVCFSCBSJOHEFOHBOMFIFSIJQFSFLTUFOTJEBOLFEVBUVOHLBJ
EJBOHLBU EJHBOKBMEFOHBOLVSTJ
:BLJOLBOKBMBOOBGBTMBODBSEFOHBONFOHIJTBQMFOEJS
TVDUJPO
UBIBOMJEBIBHBSUJEBLKBUVILFCFMBLBOH
C Breathing#FSJLBOPLTJHFOoMNNFMBMVJOBTBMLBOVM
D Circulation/JMBJGSFLVFOTJEFOZVUKBOUVOHEBOGSFLVFOTJQFSOBGBTBO,FNVEJBONVMBJ
MBLVLBOSFTVTJUBTJLBSEJPQVMNPOBMTFTVBJLFBEBBO
E Drug:
x #FSJLBOFQJOFGSJO NMVOUVLBOBLVTJBUBIVO
TFDBSBJOUSBNVTLVMBS
QBEBQBIBZBOHCFSMBXBOBOEFOHBOMPLBTJQFOZVOUJLBO&QJOFGSJOEBQBUEJVMBOHJ
NFOJU%PTJTVMBOHBOVNVNOZBEJQFSMVLBOLBSFOBMBNBLFSKBFQJOFGSJODVLVQ
TJOHLBU
x #FSJ TFUFOHBI EPTJT UBNCBIBO EJ TFLJUBS MPLBTJ TVOUJLBO VOUVL NFNQFSMBNCBU
BCTPSTJBOUJHFO

F +JLBQBTJFOTBEBSTFTVEBIQFNCFSJBOFQJOFGSJO MFUBLLBOLFQBMBOZBMFCJISFOEBIEBSJ
QBEBLBLJEBOKBHBQBTJFOEFOHBOTVIVUFUBQIBOHBU
G ,FNVEJBO QBTBOH JOGVT EFOHBO NFOHHVOBLBO DBJSBO /B$M CFSJLBO EPTJT
QFNFMJIBSBBO NBJOUFOBODF
TFCBOZBLNMLH##KBN NBLTJNBMDBJSBOZBOH
EJCFSJLBO NM KBN 1FNCFSJBO DBJSBO JOGVT TFCBJLOZB EJQFSUBIBOLBO TBNQBJ
UFLBOBOEBSBILFNCBMJPQUJNBMEBOTUBCJM
H +BOHBO NFOJOHHBMLBO QBTJFO TFOEJSJBO TFUFMBI TVOUJLBO QFSUBNB FQJOFGSJO BUBV
TFTFHFSBNVOHLJOQBOHHJMUFOBHBLFTFIBUBOMBJOZBOHBEBLFNVEJBOQBOHHJMBNCVMBO
BUBVBMBUBOHLVUBOVOUVLUSBOTQPSUBTJLF34SVKVLBOUFSEFLBU
I -JIBU SFTQPO CBZJ BUBV BOBL +JLB BEB QFSCBJLBO NBLB CBZJ BUBV BOBL BLBO LFNCBMJ
TBEBS BLUJG NFOBOHJT EBO EFOZVU OBEJ UFSBCB LVBU +JLB LPOEJTJ QBTJFO UJEBL BEB
QFSCBJLBO EBMBN NFOJU TFUFMBI TVOUJLBO QFSUBNB VMBOHJ QFNCFSJBO EPTJT
FQJOFGSJO TBNQBJNBLTJNVNUPUBMUJHBEPTJT1FOZFNCVIBOTZPLBOBGJMBLUJLVNVNOZB
DFQBUTFTVEBIQFNCFSJBOFQJOFGSJO
J $BUBU UBOEBUBOEB WJUBM LFTBEBSBO GSFLVFOTJ EFOZVU KBOUVOH GSFLVFOTJ QFSOBGBTBO
EFOZVUOBEJ
TFUJBQXBLUVEBODBUBUEPTJTTFUJBQQFOHPCBUBOZBOHEJCFSJLBO:BLJOLBO
DBUBUBOEFUBJMUFSTFCVUKVHBEJCBXBCFSTBNBQBTJFOLFUJLBEJSVKVL
K 5BOEBJ DBUBUBO JNVOJTBTJ EFOHBO KFMBT TFIJOHHB BOBL UFSTFCVU UJEBL CPMFI MBHJ
NFOEBQBULBOKFOJTWBLTJOUFSTFCVU
*TJEBSJ1FSMFOHLBQBO"OBGJMBLUJLUFSEJSJEBSJ
x &QJOFGSJOBNQVM
x %FYBNFUIBTPOFBNQVM
x 4QVJUNM
x *OGVTTFU
x +BSVNJOGVTVOUVLCBZJEBOCBMJUB
x ,BOUPOHDBJSBOJOGVT/B$M
x 5BCVOHCFSJTJPLTJHFO
"MHPSJUNF1FOBOHBOBO4ZPL"OBGJMBLUJL1BTDB*NVOJTBTJ

.JMJLJQSPUPLPMHBXBUEBSVSBUUFSUVMJTVOUVL
NFOHFOBM BOBGJMBLTJT CFTFSUB
UBUBMBLTBOBOZBEBOMBUJITFDBSBSVUJO

4FEBQBU NVOHLJO KBVILBO CBZJBOBL EBSJ
QBQBSBO GBLUPS QFNJDV ZBOH
LFNVOHLJOBONFOKBEJQFNJDVHFKBMB

/JMBJ KBMBO OBGBT QFSOBGBTBO EBO TJSLVMBTJ
airway breathing circulation
TUBUVT
NFOUBM LVMJU EBOCFSBUCBEBO

1BEBTBBUZBOHTBNB QBOHHJMCBOUVBOUJN
SFTVTJUBTJ KJLBLFKBEJBOEJSVNBITBLJU
BUV
UJN NFEJT HBXBU EBSVSBU KJLB LFKBEJBO EJ
MVBSSVNBITBLJULPNVOJUBT

-FUBLLBO CBZJBOBL QBEB QPTJTJ UFMFOUBOH
BUBVTFUFOHBICFSCBSJOHEBMBNQPTJTJZBOH
OZBNBOQBEBMFOHBOQFOHBTVIOZB

#FSJ JOKFLTJ FQJOFGSJO BESFOBMJO
TFDBSB
JOUSBNVTLVMFS QBEB SFHJP UFOHBI QBIB
CBHJBO EFQBO EFOHBO EPTJT NHLH
MBSVUBO NHNM
NBLTJNVN
NH $BUBU XBLUV QFNCFSJBO EBO EPTJT
VMBOHJ NFOJU LFNVEJBO CJMB
EJQFSMVLBO ,FCBOZBLBO QBTJFO BLBO
NFOVOKVLLBOSFTQPOTFUFMBIEPTJT

#JMB EJQFSMVLBO CFSJLBO PLTJHFO EFOHBO
LFDFQBUBO UJOHHJ -NFOJU
EFOHBO
NBTLFSLIVTVTCBZJBOBL

#VBUBLTFTJOUSBWFOBNFOHHVOBLBOKBSVN
EBO NVMBJ QFNCFSJBO SFTVTJUBTJ DBJSBO
EFOHBO MBSVUBO /B$M /B$M EFOHBO
EPTJTN-LHTFMBNBNFOJU

1BOUBV UFLBOBO EBSBI EFOZVU EBO GVOHTJ
KBOUVOH TUBUVT QFSOBGBTBO TFSUB LBEBS
PLTJHFO TFTFSJOH NVOHLJO EBMBN JOUFSWBM
ZBOHUFSBUVS

#JMBEJQFSMVLBO MBLVLBOSFTVTJUBTJKBOUVOH
QBSV EFOHBO LPNQSFTJ EBEB LBMJ QFS
NFOJULFEBMBNBODNTFDBSBLPOUJOVEBO
CFSJLBO OBGBT CVBUBO EFOHBO LFDFQBUBO
LBMJNFOJU
4VNCFS4JNPO '&3 4BNQTPO )""OBQIZMBYJT6OJRVFBTQFDUTPGDMJOJDBMEJBHOPTJTBOENBOBHFNFOU

JOJOGBOUT CJSUIUPBHFZFBST
+"MMFSHZ$MJO*NNVOPM

,FUFSBOHBO

,FBEBBOZBOHNFOHBODBNKJXB
"JSXBZKBMBOOBGBTCFOHLBL TVBSBTFSBL TUSJEPS
#SFBUIJOHQFSOBGBTBOOBQBTDFQBU NFOHJ TJBOPTJT
$JSDVMBUJPOTJSLVMBTJQVDBU UFMBQBLUBOHBOEBOLBLJEJOHJOTFSUBCFSLFSJOHBU UFLBOBO
EBSBISFOEBI QJOHTBO LPNB

&QJOFGSJO CFSJLBOTFDBSB*.
$BJSBOJOGVT*7
%PTJT FQJOFGSJO BEBMBI NHLH ## "OBL /B$M BUBV 3-
TFDBSB *. EJVMBOH TFUJBQ NFOJU BQBCJMB NMLH##
UJEBLBEBQFSCBJLBO

.BLTJNBMEPTJT NMQFSLBMJQFNCFSJBO
3FODBOB5JOEBL-BOKVU
x .FODBUBU QFOZFCBC SFBLTJ BOBGJMBLUJL EJ SFLBN NFEJT TFSUB NFNCFSJUBIVLBO LFQBEB
QBTJFOEBOLFMVBSHB
x +BOHBONFNCFSJLBOWBLTJOZBOHTBNBQBEBJNVOJTBTJCFSJLVUOZB
BAB VI
PENCATATAN PELAPORAN
4BMBITBUVLFCJKBLBOQSPHSBNJNVOJTBTJEBMBNVQBZBNFNCFSJLBOQFMBZBOBOJNVOJTBTJ
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Lurah/Camat membahas tindak lanjutnya dalam rapat
koordinasi Kelurahan/Kecamatan (lihat undangan /notulen)
C. PENCATATAN DAN PELAPORAN
1. Apakah pencatatan dan pelaporan cakupan imunisasi

di Puskesmas akurat?
Caranya : Hitung kembali cakupan imunisasi Campak dan
DPT-HB-Hib 1 dari buku register, dan dari cakupan pelayanan
swasta dalam satu desa. Pilih 3 desa yang dipilih secara acak,
minimal dalam 3 bulan terakhir (A). Bandingkan dengan
laporan cakupan yang tercatat di buku rekapitulasi
Puskesmas atau dari laporan Puskesmas ke kabupaten dalam
periode waktu yang sama (B). Gunakan tabel berikut. Bila
akurasi sama dengan 100%, berarti pencatatan dan
pelaporan cakupan akurat.
Periode Waktu Bulan …… s/d ……. Tahun …..
(A) (B)
DPT-HB- Campak DPT-HB- Campak DPT-HB-Hib 1 Campak
Desa
(A : B ) (A : B )
Hib 1 Rubela Hib 1 Rubela
x 100% x 100%
Catatan : Jawaban tidak, bila akurasi data < atau > 100%. Temukan penyebabnya.
2. Apakah jumlah vaksin dalam lemari es sama dengan yang

tercatat pada buku stok vaksin? Untuk menentukan Ya/Tidak,
cek dua jenis vaksin yang dipilih secara acak dengan
menggunakan tabel berikut :
Jumlah vaksin (vial)

Vaksin
Di lemari es Tercatat di buku stok vaksin
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:B
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E
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OPUVMFO
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#JMBUJEBLUFSEBQBUCVLVSFHJTUFSEFTB EBQBUKVHBNFOHHVOBLBOCVLVLPIPSUCBZJEBO*CV
3 Formulir Akurasi Data Cakupan
DESA - PUSKESMAS
Tanggal wawancara :
Team :
Kabupaten/Kota :
Pilih satu desa secara acak untuk
Desa yang dipilih secara acak :
verifikasi
Puskesmas :
Tahun :
7
$BUBUBOQPJOJOJBHBSEJCVBUVOUVLTFUJBQMFWFMBTTFTTNFOU
,FMFCJIBOEBOLFMFNBIBOEBSJTJTUFNQFMBQPSBO
*EFOUJGJLBTJBMVSQFODBUBUBOEBOQFMBQPSBO
8
Tanggal wawancara: PUSKESMAS - KABUPATEN/KOTA
Team:
Kabupaten/Kota:
Puskesmas:
Bulan
PCV 1 atau PCV 2 (Dapat dipilih salah satu) Jumlah
Jan Feb Maret April Mei Juni Juli Agust Sept Okt Nov Des
Jumlah imunisasi PCV 1 atau PCV 2 (Dapat

dipilih salah satu) yang dicatat laporan
bulanan Puskesmas di Puskesmas
Jumlah imunisasi PCV 1 atau PCV 2 (Dapat

dipilih salah satu) yang dicatat di Kabupaten
pada laporan bulanan Kabupaten
SELISIH
Catatan poin ini agar dibuat untuk setiap level assessment

1. Kelebihan dan kelemahan dari sistem pelaporan
2. Identifikasi alur pencatatan dan pelaporan
'PSNVMJS'PSNVMJS3$"
Rapid Convenience Assessment 3$"

1FOJMBJBODFQBU
/BNB4VQFSWJTPS +BCBUBO 6OJUPSHBOJTBTJ

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5JQFBSFB QFEFTBBOQFSLPUBBO 3538
,VOKVOHJLFSVNBIZBOHNFNJMJLJBOBLTFTVBJTBTBSBOQFNCFSJBOJNVOJTBTJ1OFVNPLPLVT,POZVHBTJEBMBNMPLBTJ
TFDBSBBDBL
%JMBLVLBOQBEBMPLBTJZBOHNFMBLVLBOLFHJBUBO%24
"QBLBI #FSJLBO
%BSJNBOB
NFOHFUBIVJ BMBTBOBOBL
NFOHFUBIVJBEBOZB
UFOUBOH +VNMBI +VNMBI UJEBLEJ
JNVOJTBTJ
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/P "MBNBU 1OFVNPLPLVT
3FTQPOEFO JNVOJTBTJ EBMBN ZBOHEJ KBXBCBO CPMFI
,POZVHBTJ 1$7
1JMJI
1OFVNPLPLVT TFSVNBI -BZBOJ MFCJIEBSJTBUV
KBXBCBO CPMFIMFCJI
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TVNCFS

EBSJTBUVTVNCFS

:B5JEBL

9
80
7
8
9
10
11
12
13
14
15
16
17
18
19
20
(*) Darimana mengetahui adanya pemberian imunisasi Pneumokok Konyugasi (PCV)?

1. Petugas Kesehatan 2. Kader 3. Tempat ibadah (Mesjid, Gereja…..) 4. Tetangga 5. TV 6. Radio 7. Koran 8. Selebaran 9.Spanduk 10. Poster 11. Dll…
(**) Apa alasan anak tidak di imunisasi?
1. Tidak mengetahui adanya vaksin baru 2. Anak sakit 3. Sedang sibuk 4. Petugas kesehatan tidak datang ke pos atau tidak ada pelayanan 5. Takut Minum Obat
Cacing 6.Merasa tidak yakin terhadap pentingnya imunisasi PCV 7. Pemahaman yang salah tentang efek samping 8. Mengerti tentang efek samping 9. Takut
disuntik 10. Dll….
Mengetahui ,
Tanda tangan Penilai
81
2

(Final) - Petunjuk Teknis Imunisasi PCV (Cetak)

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(Final) - Petunjuk Teknis Imunisasi PCV (Cetak)

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Gambar 2.1 Alveoli normal dan alveoli dengan Pneumonia

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Gambar 2.2 Patogenesis Invasive Pneumococcal Diseases (IPD)

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Pada daerah perluasan introduksi, perhitungan sasaran

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Gambar 4.1 Cara penyimpanan vaksin dalam vaccine carrier

Gambar 4.2 Vaccine Vial Monitor pada Vaksin PCV

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Gambar 4.3 Vaksin

Tabel 4.1 Jadwal imunisasi setelah Introduksi Imunisasi PCV

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Gambar 4.2: Gambar 4.3:

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Gambar 5.1 Skema Penemuan dan Pelaporan Kasus KIPI serius

Gambar 5.2 Skema Penemuan dan Pelaporan Kasus KIPI Non-Serius

Tabel 5.2 Langkah-langkah dalam pelacakan KIPI

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Gambar 6.1 Format Pencatatan Imunisasi pada Buku KIA

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Gambar 6.4 Contoh Surat Bukti Barang Keluar

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