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  • R 1 PUS - PPKBD Sub PPKBD

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    heriani
    16 views5 pages
    This document appears to be a form for tracking family planning participation in a village or sub-district. It lists columns for the names and ages of married couples, their number of children, contraceptive methods used, and participation in family planning programs each month. The footer provides codes for different contraceptive methods and family planning programs. The purpose is to monitor and evaluate local family planning efforts.

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    FORMAT R1 PUS PPKBD/Sub PPKBD

    Original Title

    R 1 PUS - PPKBD Sub PPKBD

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    This document appears to be a form for tracking family planning participation in a village or sub-district. It lists columns for the names and ages of married couples, their number of children, contraceptive methods used, and participation in family planning programs each month. The footer provides codes for different contraceptive methods and family planning programs. The purpose is to monitor and evaluate local family planning efforts.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views5 pages

    R 1 PUS - PPKBD Sub PPKBD

    Uploaded by

    heriani
    This document appears to be a form for tracking family planning participation in a village or sub-district. It lists columns for the names and ages of married couples, their number of children, contraceptive methods used, and participation in family planning programs each month. The footer provides codes for different contraceptive methods and family planning programs. The purpose is to monitor and evaluate local family planning efforts.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    R 1 / PUS PADA PPKBD DAN Sub PPKBD

    WILAYAH KECAMATAN : .................................................


    Desa'Kelurahan :
    RT :

    Umur Keikut Pembinaan Peserta KB Permix Kontrasepsi


    Nama Pasangan Usia Subur Jlh Anak PUS Bukan Peserta Kb
    No. Umur Anak sertaan Bulan
    SUAMI ISTERI Isteri L P Terakhir Ber Kb Hamil IAS IAD TIAL UN JAN PEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
    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
    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

    Keterangan : Kesertaan Ber Kb : PPKBD ' Sub PPKBD ...........................................


    IAS : Ingin Anak Segera IUD Suntik Tradisional
    IAD : Ingin Anak Ditunda MOW Pil
    TIAL : Tidak Ingin Anak Lagi MOP Kondom ..................................................
    UN : Unmet Need Implan MAL
    BKB BKR BKL UPPKS PIK-R
    IKUT AKTIF IKUT AKTIF IKUT AKTIF IKUT AKTIF IKUT AKTIF
    21 22 23 24 25
    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 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 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

    KETUA PPKBD/ SUB PPKBD

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