TELAAH POSYANDU

PUSKESMAS KEBONARUM; Tahun : 2010

INDIKATOR
DESA

Pelaksananan Program
NO DUKUH Posyandu
Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja
Program Pokok Pengembangan

a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h
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
1 Sambeng Teratai 1 1 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
2 Jabungan Mawar 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
Gondang

3 ledok Melati 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
4 Gondang Dahlia 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
5 Samiran Anggrek 1 1 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
6 RW I Mg.mlyo 1 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
7 RW II Mg.mlyo 2 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0
8 RW III Mg.mlyo 3 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
9 RW IV Mg.mlyo 4 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
10 RW V Mg.mlyo 5 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
Basin

11 RW VI Mg.mlyo 6 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1 0
12 RW VII Mg.mlyo 7 1 1 1 1 0 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
13 RW VIII Mg.mlyo 8 1 1 1 1 0 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0
14 RW IX Mg.mlyo 9 1 1 1 1 0 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 0
15 RW X Mg.mlyo 10 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
16 Jati Tirta Husada 1 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
17 Ngemplak Tirta Husada 2 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
18 Kr. Wetan Tirta Husada 3 1 1 1 1 1 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
19 Kr. Lor Tirta Husada 4 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Pluneng

20 Samberan Tirta Husada 5 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

21 Miren Tirta Husada 6 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
22 Simpar Tirta Husada 7 1 1 1 1 0 0 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
23 Dawe Tirta Husada 8 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
24 Cinde Tirta Husada 9 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
25 Pluneng Tirta Husada 10 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
26 Ketonggo Melati 1 1 1 1 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
27 Kauman Melati 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Ngrundul

28 Krosok Melati 3 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1
29 Jetis Melati 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
30 Satrian Melati 5 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1
INDIKATOR
SA
 DESA
NO DUKUH Posyandu Pelaksananan Program
Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h
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
31 Jetak Melati 6 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Ngrundul

32 Ngriman Melati 7 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0
33 Ngrundul Melati 8 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0
34 Guling Melati 9 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
35 Kr. Kmbang Anggrek 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
36 Bener Anggrek 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
Ml. Jiwan

37 Brintik Anggrek 3 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
38 Bayanan Anggrek 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
39 Tanon Anggrek 5 1 1 1 1 0 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0
40 Geneng Nusa Indah 1 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0
41 Barepan Nusa Indah 2 1 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
42 Somol Nusa Indah 3 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
43 Kr. Duren Nusa Indah 4 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Kr. Duren

44 Kr. Anyar Nusa Indah 5 1 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

45 Bedaran Nusa Indah 6 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
46 Kr. Jati Nusa Indah 7 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
47 Kenangan Nusa Indah 8 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0
48 Tojayan Nusa Indah 9 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
49 Bakal Nusa Indah 10 1 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
50 Pokoh Dahlia 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
51 Prayan Dahlia 2 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 0
Menden

52 Menden Dahlia 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1
53 Bandung Dahlia 4 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 1 0
54 Jerukan Dahlia 5 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 0

Keterangan : Kebonarum, 23
STRATA I : POSYANDU PRATAMA Mengetahui,
STRATA II : POSYANDU MADYA Kepala Puskesmas Kebonarum Petugas P
STRATA III: POSYANDU PRATAMA
STRATA IV: POSYANDU MANDIRI

Ir. H. Sadjiran, M. Kes Kristina Widiya

Nip. 19550617 198207 1 001 Nip. 19851010
TELAAH POSYANDU
PUSKESMAS KEBONARUM; Tahun : 2011
 INDIKATOR
NO DESA DUKUH Posyandu Pelaksananan Program
Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h
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
1 Sambeng Teratai 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0
2 Jabungan Mawar 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
Gondang

3 ledok Melati 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0
4 Gondang Dahlia 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0
5 Samiran Anggrek 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0
6 RW I Mg.mlyo 1
7 RW II Mg.mlyo 2
8 RW III Mg.mlyo 3
9 RW IV Mg.mlyo 4
10 RW V Mg.mlyo 5
Basin

11 RW VI Mg.mlyo 6
12 RW VII Mg.mlyo 7
13 RW VIII Mg.mlyo 8
14 RW IX Mg.mlyo 9
15 RW X Mg.mlyo 10
16 Jati Tirta Husada 1
17 Ngemplak Tirta Husada 2
18 Kr. Wetan Tirta Husada 3
19 Kr. Lor Tirta Husada 4
Pluneng

20 Samberan Tirta Husada 5

21 Miren Tirta Husada 6
22 Simpar Tirta Husada 7
23 Dawe Tirta Husada 8
24 Cinde Tirta Husada 9
25 Pluneng Tirta Husada 10

26 Ketonggo Melati 1 1 1 1 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
27 Kauman Melati 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Ngrundul

28 Krosok Melati 3 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1
29 Jetis Melati 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
30 Satrian Melati 5 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1
INDIKATOR
DESA

NO DUKUH Posyandu Pelaksananan Program

Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h
 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
31 Jetak Melati 6 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
32 Ngrundul Ngriman Melati 7 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0
33 Ngrundul Melati 8 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0
34 Guling Melati 9 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
35 Kr. Kmbang Anggrek 1
36 Bener Anggrek 2
Ml. Jiwan

37 Brintik Anggrek 3
38 Bayanan Anggrek 4
39 Tanon Anggrek 5
40 Geneng Nusa Indah 1
41 Barepan Nusa Indah 2
42 Somol Nusa Indah 3
43 Kr. Duren Nusa Indah 4
Kr. Duren

44 Kr. Anyar Nusa Indah 5

45 Bedaran Nusa Indah 6
46 Kr. Jati Nusa Indah 7
47 Kenangan Nusa Indah 8
48 Tojayan Nusa Indah 9
49 Bakal Nusa Indah 10
50 Pokoh Dahlia 1
51 Prayan Dahlia 2
Menden

52 Menden Dahlia 3
53 Bandung Dahlia 4
54 Jerukan Dahlia 5

Keterangan : Kebona
STRATA I : POSYANDU PRATAMA Mengetahui,
STRATA II : POSYANDU MADYA Kepala Puskesmas Kebonarum Petugas P
STRATA III: POSYANDU PRATAMA
STRATA IV: POSYANDU MANDIRI

Ir. H. Sadjiran, M. Kes Kristina Widiya

Nip. 19550617 198207 1 001 Nip. 19851010
 JUMLAH

STRATA
SCORE

i j k
37 38 39 40 41 42
1 1 1 30 85.7 IV
1 1 1 31 88.5 IV
1 1 1 31 88.5 IV
1 1 1 31 88.5 IV
1 1 1 30 85.7 IV
1 1 1 27 77.1 III
1 1 1 29 82 IV
1 1 1 27 77.1 III
1 1 1 27 77.1 III
1 1 1 28 80 III
1 1 1 26 74,28 III
1 1 1 27 77,1 III
1 1 1 27 77,2 III
1 1 1 28 80 III
1 1 1 32 91,4 IV
1 1 1 32 91.4 IV
1 1 1 32 91.4 IV
1 1 1 31 88,5 IV
1 1 1 33 94,28 IV
1 1 1 30 85.7 IV
1 1 1 29 82 IV
1 1 1 29 82 IV
1 1 1 30 85.7 IV
1 1 1 32 91.4 IV
1 1 1 32 91.4 IV
1 1 1 32 91.4 IV
1 1 1 35 100 IV
1 1 1 32 91.4 IV
1 1 1 35 100 IV
1 1 1 32 91.4 IV
 JUMLAH

STRATA
SCORE
i j k
37 38 39 40 41 42
1 1 1 33 94,28 IV
1 1 1 31 88,5 IV
1 1 1 31 88,5 IV
1 1 1 32 91,4 IV
1 1 1 32 91,4 IV
1 1 1 33 94,28 IV
1 1 1 33 94,28 IV
1 1 1 33 94,28 IV
1 1 1 30 85,7 IV
1 1 1 29 82 IV
1 1 1 29 82 IV
1 1 1 30 85,7 IV
1 1 1 29 82 IV
1 1 1 30 85,7 IV
1 1 1 30 85,7 IV
1 1 1 30 85,7 IV
1 1 1 29 82 IV
1 1 1 31 88,5 IV
1 1 1 31 88,5 IV
1 1 1 33 94,28 IV
1 1 1 31 88,5 IV
1 1 1 33 94,28 IV
1 1 1 29 82 IV
1 1 1 31 88,5 IV

um, 23 Agustus 2010

tugas PROMKES

Widiyawati, Am. KL.

9851010 200902 2 007
 JUMLAH

STRATA
SCORE
i j k
37 38 39 40 41 42
1 1 1 31 IV
1 1 1 32 IV
1 1 1 30 IV
1 1 1 31 IV
1 1 1 30 IV
III
IV
III
III
III
III
III
III
III
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
1 1 1 32 91.4 IV
1 1 1 35 100 IV
1 1 1 32 91.4 IV
1 1 1 35 100 IV
1 1 1 32 91.4 IV
JUMLAH

STRATA
SCORE

i j k
 37 38 39 40 41 42
1 1 1 33 94,28 IV
1 1 1 31 88,5 IV
1 1 1 31 88,5 IV
1 1 1 32 91,4 IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV

Kebonarum,

tugas PROMKES

Widiyawati, Am. KL.

9851010 200902 2 007
 TELAAH POSYANDU
PUSKESMAS KEBONARUM; Tahun : 2012

INDIKATOR
DESA

NO DUKUH Posyandu Pelaksananan Program

Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja

JUMLAH
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h i j k
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
1 Sambeng Teratai 31
2 Jabungan Mawar 32
Gondang

3 ledok Melati 30
4 Gondang Dahlia 31
5 Samiran Anggrek 30
6 RW I Mg.mlyo 1
7 RW II Mg.mlyo 2
8 RW III Mg.mlyo 3
9 RW IV Mg.mlyo 4
10 RW V Mg.mlyo 5
Basin

11 RW VI Mg.mlyo 6
12 RW VII Mg.mlyo 7
13 RW VIII Mg.mlyo 8
14 RW IX Mg.mlyo 9
15 RW X Mg.mlyo 10
16 Miren Tirta Husada 1 1 1 1 1 0 0 1 1 1 0 1 1 1 0 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 1 26
17 Simpar Tirta Husada 2 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 25
18 Dawe Tirta Husada 3 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1 0 1 1 1 28
19 Kr. Lor Tirta Husada 4 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 27
Pluneng

20 Pluneng Tirta Husada 5 1 1 1 1 1 1 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 30

21 Samberan Tirta Husada 6 1 1 1 1 0 0 1 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 26
22 Krg Wetan Tirta Husada 7 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 1 26
23 Sawahan Tirta Husada 8 1 1 1 1 0 1 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 1 1 1 27
24 Jati Tirta Husada 9 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 31
25 Cinde Tirta Husada 10 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 27
26 Ketonggo Melati 1 1 1 1 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 32
27 Kauman Melati 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34
Ngrundul

28 Krosok Melati 3 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 32
29 Jetis Melati 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35
30 Satrian Melati 5 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 32
INDIKATOR
DESA

NO DUKUH Posyandu Pelaksananan Program

Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja

JUMLAH
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h i j k
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
31 Jetak Melati 6 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 28
Ngrundul

32 Ngriman Melati 7 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0 1 1 1 30
33 Ngrundul Melati 8 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0 1 1 1 33
34 Guling Melati 9 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 28
35 Kr. Kmbang Anggrek 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 0 1 1 1 30
36 Bener Anggrek 2 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 0 1 1 1 30
Ml. Jiwan

37 Brintik Anggrek 3 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 31
38 Bayanan Anggrek 4 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 31
39 Tanon Anggrek 5 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 31
40 Geneng Nusa Indah 1
41 Barepan Nusa Indah 2
42 Somol Nusa Indah 3
43 Kr. Duren Nusa Indah 4
Kr. Duren

44 Kr. Anyar Nusa Indah 5

45 Bedaran Nusa Indah 6
46 Kr. Jati Nusa Indah 7
47 Kenangan Nusa Indah 8
48 Tojayan Nusa Indah 9
49 Bakal Nusa Indah 10
50 Pokoh Dahlia 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 29
51 Prayan Dahlia 2 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 32
Menden

52 Menden Dahlia 3 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 1 0 1 1 1 1 1 1 1 31
53 Bandung Dahlia 4 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 29
 Menden

54 Jerukan Dahlia 5 1 1 0 1 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 29

Keterangan : Kebonarum,
STRATA I : POSYANDU PRATAMA Mengetahui,
STRATA II : POSYANDU MADYA Kepala Puskesmas Kebonarum Petugas PROMKES
STRATA III: POSYANDU PRATAMA
STRATA IV: POSYANDU MANDIRI

Ir. H. Sadjiran, M. Kes Kristina Widiyawati, Am. KL.

Nip. 19550617 198207 1 001 Nip. 19851010 200902 2 007
ANDU
M; Tahun : 2012

STRATA
SCORE
41 42
IV
IV
IV
IV
IV
III
IV
III
III
III
III
III
III
III
IV
74.3 IV
71.4 IV
80 IV
77.1 IV
85.7 IV
74.3 IV
74.3 IV
77.1 IV
88.6 IV
77.1 IV
91.4 IV
97.1 IV
91.4 IV
100 IV
91.4 IV

STRATA
SCORE
41 42
80 III
85.7 IV
94.3 IV
80 III
85.7 IV
85.7 IV
88.6 IV
88.6 IV
88.6 IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
82.9 IV
91.4 IV
88.6 IV
82.9 IV
 82.9 IV

Kebonarum,

Petugas PROMKES

Kristina Widiyawati, Am. KL.

Nip. 19851010 200902 2 007
 REKAPAN TELAAH POSYANDU
PUSKESMAS KEBONARUM; Tahun : 2013

INDIKATOR
DESA

NO DUKUH Posyandu Pelaksananan Program

Kepengurusan Kader sarana pra sarana Dana Administrasi Kinerja
Program Pokok Pengembangan
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g
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 Geneng Nusa Indah 1 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1
2 Barepan Nusa Indah 2 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1
3 Somolinggang Nusa Indah 3 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1
4 Karang Duren Nusa Indah 4 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1
5 Bakal Nusa Indah 5 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1
Kr. Duren

6 Bedaran Nusa Indah 6 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1

7 Karang Anyar Nusa Indah 7 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1
8 Kenangan Nusa Indah 8 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1
9 Karang Jati Nusa Indah 9 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1
10 Biyengan Nusa Indah 10 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1
11 Tojayan Nusa Indah 11 1 1 1 1 0 0 1 1 1 0 1 1 1 0 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1

Keterangan : Kebonarum
STRATA I : POSYANDU PRATAMA Mengetahui,
STRATA II : POSYANDU MADYA Kepala Puskesmas Kebonarum Petuga
STRATA III : POSYANDU PRATAMA
STRATA IV : POSYANDU MANDIRI

dr. Bekti Wahyuni Kristina Wid

Nip. 19630607 198910 2 002 Nip. 198510
 SCORE (%)
JUMLAH

STRATA

h i j k
36 37 38 39 40 41 42
0 1 1 1 27 77 III
0 1 1 1 27 77 III
0 1 1 1 27 77 III
0 1 1 1 28 80 III
1 1 1 1 29 83 IV
0 1 1 1 28 80 III
0 1 1 1 28 80 III
0 1 1 1 28 80 III
0 1 1 1 28 80 III
0 1 1 1 27 77 III
0 1 1 1 26 74 III

arum, 29 Juni 2013

ugas PROMKES

Widiyawati, AMKL.
851010 200902 2 007
 TELAAH POSYANDU
PUSKESMAS KEBONARUM
TAHUN 2014
INDIKATOR
DESA

NO DUKUH Posyandu Pelaksanaan Program

Kepengurusan Kader sarana pra sarana Dana Program Pengembang Administrasi Kinerja
Pokok an
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h i
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
1 Sambeng Teratai 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
2 Jabungan Mawar 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
Gondang

3 ledok Melati 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
4 Gondang Dahlia 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
5 Samiran Anggrek 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
6 RW I Mg.mlyo 1 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
7 RW II Mg.mlyo 2 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
8 RW III Mg.mlyo 3 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
9 RW IV Mg.mlyo 4 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 1 0 1 1 1 1 1 1 1 1 0 1
10 RW V Mg.mlyo 5 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
Basin

11 RW VI Mg.mlyo 6 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
12 RW VII Mg.mlyo 7 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
13 RW VIII Mg.mlyo 8 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
14 RW IX Mg.mlyo 9 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
15 RW X Mg.mlyo 10 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
16 Kr.Wetan TH. Kr.Wetan 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
17 Samberan TH. Samberan 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
18 Dawe TH. Dawe 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
TIRTA HUSADA

19 Simpar TH. Simpar 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 1

Pluneng

20 Pluneng TH. Pluneng 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1

21 Ngmplak-Swh TH. Ngmplk-Swh 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1
22 Kr.Lor TH.Kr. Lor 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
23 Cinde TH. Cinde 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
24 Miren TH.Miren 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
25 Jati TH. Jati 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
26 Ketonggo Melati 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1
Ngrundul

27 Kauman Melati 2 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
28 Krosok Melati 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1
29 Jetis Melati 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 0 1
 INDIKATOR
DESA

NO DUKUH Posyandu Pelaksanaan Program

Kepengurusan Kader sarana pra sarana Dana Program Pengembang Administrasi Kinerja
Pokok an
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h i
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
30 Satrian Melati 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 1 0 1
31 Jetak Melati 6 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1
Ngrundul

32 Ngriman Melati 7 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1
33 Ngrundul Melati 8 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1
34 Guling Melati 9 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 1 0 1 1 1 1 1 1 1 1 0 1
35 Kr. Kmbang Anggrek 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1
36 Bener Anggrek 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 0 1
Ml. Jiwan

37 Brintik Anggrek 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1
38 Bayanan Anggrek 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1
39 Tanon Anggrek 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1
40 Geneng Nusa Indah 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
41 Barepan Nusa Indah 2 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
42 Somol Nusa Indah 3 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
43 Bakal Nusa Indah 4 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1
44 Kr. Duren Nusa Indah 5 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
Kr. Duren

45 Bedaran Nusa Indah 6 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1

46 Kr. Anyar Nusa Indah 7 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
47 Kenangan Nusa Indah 8 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
48 Kr. Jati Nusa Indah 9 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
49 Biyengan Nusa Indah 10 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
50 Tojayan Nusa Indah 11 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 1
51 Pokoh Dahlia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1
52 Prayan Dahlia 2 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1
Menden

53 Menden Dahlia 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
54 Bandung Dahlia 4 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1
55 Jerukan Dahlia 5 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1
Jumlah Posyandu : 55 posyandu; Strata I : 0 Posyandu, Strata II : 0 Posyandu, Strata III : 31 Posyandu, Strata IV : 24 Posyandu
Keterangan : Kebonarum, 3
STRATA I : POSYANDU PRATAMA Mengetahui,
STRATA II : POSYANDU MADYA Kepala Puskesmas Kebonarum Petugas PR
STRATA III : POSYANDU PURNAMA
STRATA IV : POSYANDU MANDIRI
dr. Bekti Wahyuni Kristina Widiya
NIP. 19630607 198910 2 002 Nip. 19851010 2
POSYANDU
S KEBONARUM
UN 2014
INDIKATOR

JUMLAH

STRATA
SCORE
Kinerja

j k
38 39 40 41 42
1 1 32 91.43% IV
1 1 31 88.57% IV
1 1 32 91.43% IV
1 1 32 91.43% IV
1 1 31 88.57% IV
1 1 25 71.43% III
1 1 25 71.43% III
1 1 25 71.43% III
1 1 26 74.29% III
1 1 25 71.43% III
1 1 25 71.43% III
1 1 25 71.43% III
1 1 25 71.43% III
1 1 26 74.29% III
1 1 25 71.43% III
1 1 28 80.00% III
1 1 27 77.14% III
1 1 26 74.29% III
1 1 26 74.29% III
1 1 28 80.00% III
1 1 28 80.00% III
1 1 27 77.14% III
1 1 28 80.00% III
1 1 26 74.29% III
1 1 30 85.71% IV
1 1 31 88.57% IV
1 1 30 85.71% IV
1 1 28 80.00% III
1 1 32 91.43% IV
 INDIKATOR

JUMLAH

STRATA
SCORE
Kinerja

j k
38 39 40 41 42
1 1 30 85.71% IV
1 1 32 91.43% IV
1 1 31 88.57% IV
1 1 30 85.71% IV
1 1 31 88.57% IV
1 1 33 94.29% IV
1 1 32 91.43% IV
1 1 33 94.29% IV
1 1 33 94.29% IV
1 1 33 94.29% IV
1 1 28 80.00% III
1 1 25 71.43% III
1 1 26 74.29% III
1 1 25 71.43% III
1 1 28 80.00% III
1 1 28 80.00% III
1 1 27 77.14% III
1 1 28 80.00% III
1 1 28 80.00% III
1 1 28 80.00% III
1 1 28 80.00% III
1 1 33 94.29% IV
1 1 32 91.43% IV
1 1 33 94.29% IV
1 1 31 88.57% IV
1 1 30 85.71% IV
II : 0 Posyandu, Strata III : 31 Posyandu, Strata IV : 24 Posyandu
Kebonarum, 30 Juli 2014

Petugas PROMKES

Kristina Widiyawati, AMKL.

Nip. 19851010 200902 2 007
 TELAAH POSYANDU
PUSKESMAS KEBONARUM
TAHUN 2022
INDIKATOR
DESA

Pelaksanaan Program

JUMLAH
NO DUKUH Posyandu
Kepengurusan Kader sarana pra sarana Dana Program Pengembang Administrasi Kinerja
Pokok an
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f g h i j k
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
1 Sambeng RT 12/05 Teratai 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35
2 Jabungan RT 20/09 Mawar 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35
Gondang

3 Ledok RT 01/01 Melati 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35

4 Gondang RT 09/03 Dahlia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35
5 Samiran RT 17/07 Anggrek 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 35
6 Pilangsari RT 24/11 Kenanga 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 26
7 Nglarang RT 02/01 Mg.mlyo 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 31
8 Nglarang RT 02/02 Mg.mlyo 2 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34
9 Nglarang RT 01/03 Mg.mlyo 3 1 1 1 0 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 31
10 Basin RT 02/04 Mg.mlyo 4 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 33
11 Basin RT 02/05 Mg.mlyo 5 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 32
Basin

12 Basin RT 02/06 Mg.mlyo 6 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 32

13 Basin RT 02/07 Mg.mlyo 7 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 32
14 Basin RT 03/08 Mg.mlyo 8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 33
15 Basin RT 04/09 Mg.mlyo 9 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 33
16 Kebonarum RT 01/10 Mg.mlyo 10 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 33
17 Kr.Wetan RT 01/06 TH. Kr.Wetan 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 31
18 Samberan RT 01/05 TH. Samberan 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 1 1 1 28
19 Dawe RT 02/02 TH. Dawe 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 32
TIRTA HUSADA

20 Simpar RT 03/01 TH. Simpar 1 1 1 0 1 0 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 1 1 1 27

Pluneng

21 Pluneng RT 02/04 TH. Pluneng 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 32

22 Ngmplak-Swh RT 01/07 TH. Ngmplk-Swh 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 33
23 Kr.Lor RT 01/03 TH.Kr. Lor 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 31
24 Cinde RT 02/08 TH. Cinde 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 0 1 1 1 29
25 Miren Tempel RT 02/01 TH.Miren 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 31
26 Jati RT 01/08 TH. Jati 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 30
27 Ketonggo RT 01/01 Melati 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34
Ngrundul

28 Kauman RT 02/02 Melati 2 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34

29 Krosok RT 04/03 Melati 3 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34
30 Jetis RT 02/04 Melati 4 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 34
OSYANDU
KEBONARUM
N 2022

STRATA
SCORE
41 42
100.00% Mandiri
100.00% Mandiri
100.00% Mandiri
100.00% Mandiri
100.00% Mandiri
74.29% Purnama
88.57% Mandiri
97.14% Mandiri
88.57% Mandiri
94.29% Mandiri
91.43% Mandiri
91.43% Mandiri
91.43% Mandiri
94.29% Mandiri
94.29% Mandiri
94.29% Mandiri
88.57% Mandiri
80.00% Mandiri
91.43% Mandiri
77.14% Purnama
91.43% Mandiri
94.29% Mandiri
88.57% Mandiri
82.86% Mandiri
88.57% Mandiri
85.71% Mandiri
97.14% Mandiri
97.14% Mandiri
97.14% Mandiri
97.14% Mandiri
 HASIL REKAPITULASI PENDATAAN STRATA POSYANDU DESA MENDEN TAHUN 2022
INDIKATOR
DESA
DUKUH Posyandu
Kepengurusan Kader sarana pra sarana Dana Pelaksanaan Program Pokok Program Pengembangan Administrasi Kinerja
NO
a b c a b c a b c a b c a b c a b c a b c a b c a b c d e f
1 Pokoh RT 01/01 Dahlia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
2 Prayan RT 01/05 Dahlia 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
Menden

3 Menden RT 02/03 Dahlia 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1

4 Bandung RT 02/08 Dahlia 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
5 Jerukan RT 02/07 Dahlia 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1

Mengetahui,
Kepala Puskesmas Kebonarum

dr. Ahmad Budoli

NIP. 19691215 199803 1 004
022

JUMLAH

STRATA
SCORE
Kinerja
g h i j k
1 1 1 1 1 35 100.00% Mandiri
1 1 1 1 1 34 97.14% Mandiri
1 0 1 1 1 33 94.29% Mandiri
1 1 1 1 1 35 100.00% Mandiri
1 1 1 1 1 33 94.29% Mandiri