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LAPORAN BULANAN

REKAPITULASI BAYI BALITA DI PUSKESMAS DAN JEJARINGNYA


PUSKESMAS MANO KABUPATEN MANGGARAI TIMUR
BULAN NOVEMBER TAHUN 2021
COMPANG. COMPANG
MANDOSAWU BANGKA PAU GOLO LOBOS
WESANG
NGGALAK LELENG BANGKA LELENG BANGKA KULENG BEAWAEK GOLO RENGKET SATAR TESEM GOLO NDERU POCO LIA GURUNG TURI
NENGKER TOTAL
No Elemen Data
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
I Total Kunjungan Bayi/Balita ke Puskesmas :
0 - 7 hr 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
8 - 28 hr 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
29 - <1 thn 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3
1 - < 5 thn 7 6 2 2 2 1 0 1 1 2 0 0 1 2 0 0 0 0 0 0 1 2 0 0 1 0 0 0 21 16 37
II Kategori Penduduk :
1 Keluarga miskin 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
2 Bukan keluarga miskin 7 6 2 3 2 1 1 1 1 2 0 0 1 2 0 1 0 0 0 0 1 2 0 0 1 0 0 0 16 18 34
III Pelayanan Bayi dan Balita
1 Vit.A Biru (6-11 bulan) 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
2 Vit A Merah (12-59 bulan) 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
3 MTBM (0 < 2 bln) 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
4 MTBS (2 bln - 5 thn) 7 6 2 3 2 1 1 1 1 2 0 0 1 2 0 1 0 0 0 0 1 2 0 0 1 0 0 0 16 18 34
IV Diagnosa Penyakit
Dilaporkan melalui lamp.ICD10 sesuai
kasus yg ada saja 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

V Kondisi Bayi
a Sehat 1 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 1 0 1
b Tidak Sehat 7 6 2 3 2 1 1 1 1 2 0 0 1 2 0 1 0 0 0 0 1 2 0 0 1 0 0 0 16 18 34
c Meninggal 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
VI Rujuk
Puskesmas 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
Rumah sakit 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
Faskes lainnya 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
VI Penyebab Kematian :
a. Bayi :
- Pneumoni 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
- Diare 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
- Kelainan Saluran Pencernaan 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
- Tetanus Neonatorum 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
- Dll 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
b. Balita :
- Pneumoni 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
- Diare 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
- Malaria 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
- Campak 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
- Dll 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

COMPANG. COMPANG
MANDOSAWU BANGKA PAU GOLO LOBOS
WESANG
NGGALAK LELENG BANGKA LELENG BANGKA KULENG BEAWAEK GOLO RENGKET SATAR TESEM GOLO NDERU POCO LIA GURUNG TURI
NENGKER TOTAL
No Elemen Data
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
VII Dilakukan Deteksi Tumbuh Kembang :
a. Ya 7 6 2 3 2 1 1 1 1 2 0 0 1 2 0 1 0 0 0 0 1 2 0 0 1 0 0 0 16 18 34
b. Tidak 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
VIII Asal Pasien:
1 Datang sendiri 7 6 2 2 2 1 0 1 1 2 0 0 1 2 0 0 0 0 0 0 1 2 0 0 1 0 0 0 15 16 31
2 Rujukan 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
3 Kiriman kader 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

Mengetahui Mano, 05 Desember 2021


Kepala UPTD Puskesmas Mano Yang Melapor

Paskalis S. Jangkar, Amd. Kep Hilda Nofiana Nugu


NIP. 19790412 199903 1 003 NIP. 19911118 201403 2 002

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