Anda di halaman 1dari 59

No.

B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

Nama Ibu
IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

Umur Ibu

BBL (kg)
24
23
41
18
28
26
18
22
36
35
20
39
40
20
39
23
25
26
37
31
36
38
35
24

3.7
2.9
3.6
3.2
3.3
2.8
3
4
2.9
2.2
3
3
1.6
3.8
2.2
2.8
3.4
2.7
3.2
3
3.4
3.2
3.2
2.6

Usia Kandungan
9
9
9
9
9
9
9
9
9
8
8
9
6
9
8
9
9
9
9
9
9
9
9
9

BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN 3 MNG
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN
BLN

Pendarahan
Ya
Tidak
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l

Konsumsi Tablet Fe
Ya
Tidak
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l

l
-

Berapa Kali Konsumsi Tablet Fe


a
b
l
l
-

Kali Konsumsi Tablet Fe


c
d
l
l
l
l
l
l
l
l
l
l
l
-

Ya
l
l
-

Pantangan Makanan
Tidak
Jika "Ya"
l
l
l
l
l
l
JAMU
MAKANAN PEDAS
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
-

Gangguan Keha
ya
l
l
l
l
l
l
l
l
l
l
l

tidak
l
l
l
l
l
l
l
l
l
l
l
l
l

Gangguan Kehamilan
jika "Ya"
MUAL
MUNTAH
TIDAK NAFSU MAKAN
TIDAK NAFSU MAKAN, MUNTAH
MUAL
KETUBAN KERING
MUAL, PUSING
KAKI BENGKAK
MUAL
MUAL, MUNTAH, KAKI BENGKAK
MUAL
-

l
l
l
l
l
l
l
l
l
l
l

Tempat Melahirkan
Penolong Persalinan
a
b
c
a
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
-

g Persalinan
e
l
-

NO
B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

Nama Ibu
IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

Agama
Alamat
JEDONG 02/01
SAWUN 04/02
KROBYOKAN 04/08
JATEN 03/06
JATEN 01/06
JATEN 03/06
JATEN 01/05
JATEN 02/06
SAWUN 02/02
SAWUN 02/03
SAWUN 03/02
SAWUN 02/02
KROBYOKAN 01/09
JUANG WUGU 01/10
KROBYOKAN 04/09
SAWUN 02/03
PERUM BMI 01/07
PERUM BMI 03/07
PERUM BMI 05/07
PERUM BMI 05/07
JURANG WUGU 01/10
JURANG WUGU 05/10
JURANG WUGU 06/10
KROBYOKAN 03/09

Umu

Umur Riil

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
22

l
l
2

28
25
43
22
31
28
20
26
40
38
23
42
44
24
42
25
27
29
40
35
39
41
38
27
32.375

Umur Ibu

Pendidikan

15 - 20

21 - 30

31 - 35

> 35

SD

SMP

l
1

l
l

l
l
2

l
l
l
l
l
l
l
l
l
9

l
l
l
l
l
l
l
l
l
l
l
11

l
l
2

l
l
l
l
l
l
l
l
l
11

Pendidikan

Jumlah Anggota Keluarga

SMA/SMK

PT

l
l
l
l
l
l
l
l
l
9

l
1

3 -4 orang 5 - 6 orang
l
l
l
l
l
l
l
l
l
l
10

l
l
l
l
l
l
l
l
l
l
10

7 orang
l
l
l
l
4

A
Tani
0

Pekerjaan
Buruh
0

Ayah
Tani
Swasta
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

Wiraswasta
l
l
2

Tani
0

IRT
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

Ibu
Swasta
l
l
l
l
l
l
6

Pendapatan

u
Wiraswasta
l
l
2

< 1 juta

1 juta - 1,5 juta

1,6 juta - 2 juta

> 2 juta

l
1

l
l
l
l
l
l
l
l
l
l
l
11

l
l
l
l
l
l

l
l
l
l
l
5

l
7

Jenis
Nama Anak

Usia Anak

VELISYA ERIKA
SATRIO WISNU
DEWI KANZA
SISILIA PUTRI V.
M. FAREL
NAUVAL RIZAL A.R
YURI KESHA PUTRI
HARI FANDI
SALSABILLA
ANANDA RIZKY
M. AFANDI
IDAM GUSBIRAWA
GILANG ANGGA
M. MIFTAKHUL I.
RAFA GANGGA P.
KAILA ANGELINA
M. FAHMI RASYA
GILFIN ARRAN H.A
SAHIRA MIRA A.
ANAYA FAHRUNNISA
AL NIZAR MELKY DWI.S
M. FAUZAN
GALANG PUTRA G.
KEMAS YAHYA

46
30
30
44
42
33
29
50
48
53
35
39
51
57
29
26
26
40
58
48
40
37
29
37
39.875
L
P

Tanggal Lahir
Kelamin
P
L
P
P
L
L
P
L
P
L
L
L
L
L
L
P
L
L
P
P
L
L
L
L
16
8

1/18/2012
5/10/2013
5/6/2013
3/8/2012
4/8/2012
1/17/2013
5/29/2013
8/17/2011
10/25/2011
3/5/2012
11/15/2012
7/7/2012
7/23/2011
1/26/2011
5/3/2013
8/23/2013
8/17/2013
6/28/2012
12/11/2010
10/1/2011
6/10/2012
9/1/2012
5/17/2013
10/21/2012

Jumlah
Anak ke1
2
2
1
1
1
1
1
3
4
1
3
8
1
3
2
2
2
2
2
2
5
1
1

Saudara
0
1
2
0
0
0
0
0
2
3
1
2
7
0
2
1
1
1
2
1
1
4
0
0

2.166667 1.291667

Nama Anak
VELISYA ERIKA
SATRIO WISNU
DEWI KANZA
SISILIA PUTRI V.
M. FAREL
NAUVAL RIZAL A.R
YURI KESHA PUTRI
HARI FANDI
SALSABILLA
ANANDA RIZKY
M. AFANDI
IDAM GUSBIRAWA
GILANG ANGGA
M. MIFTAKHUL I.
RAFA GANGGA P.
KAILA ANGELINA
M. FAHMI RASYA
GILFIN ARRAN H.A
SAHIRA MIRA A.
ANAYA FAHRUNNISA
AL NIZAR MELKY DWI.S
M. FAUZAN
GALANG PUTRA G.
KEMAS YAHYA

Usia Anak

Jenis Kelamin

46
30
30
44
42
33
29
50
48
53
35
39
51
57
29
26
26
40
58
48
40
37
29
37
39.875

P
L
P
P
L
L
P
L
P
L
L
L
L
L
L
P
L
L
P
P
L
L
L
L

L
P

16
8

Tanggal Lahir
1/18/2012
5/10/2013
5/6/2013
3/8/2012
4/8/2012
1/17/2013
5/29/2013
8/17/2011
10/25/2011
3/5/2012
11/15/2012
7/7/2012
7/23/2011
1/26/2011
5/3/2013
8/23/2013
8/17/2013
6/28/2012
12/11/2010
10/1/2011
6/10/2012
9/1/2012
5/17/2013
10/21/2012

BB
17.5
11.5
10
18
15
14
11.1
23
12.5
10.5
11
10.9
11
16
12.2
10
11.1
11.6
14.1
17.6
13.4
11.8
12.4
12.2
13.26667

BB/U

Status Gizi Berdasarka


BB Kurang

0.77
-1.24
-1.97
1.15
-0.18
0.1
-0.97
2.45
-1.89
-3.78
-2.12 I
-2.55 I
-3.35
-0.82
-0.62
-1.43
-1.06
-2.12 I
-1.68
0.65
-0.93
-1.71
-0.48
-1.43
3

Status Gizi Berdasarkan BB/U


BB Sangat Kurang
Normal
I
I
I
I
I
I
I
I
I

BB Lebih

I
I
I
I
I
I
I
I
I
I
I
2

19

TB
97
105
83.5
109
100
89
85.5
105
96
92
85
81
89.5
109
83
86
84
89.5
102
103
98.5
91
90
90
0 93.4791666667

TB/U

Status Gizi Berdasarkan TB/U


pendek
normal
I

Sangat Pendek
-1.07
3.84
-2.03
2.1
0.04
-1.42
-1.27
0.13
-1.56
-3.22 I
-2.85
-4.43 I
-3.6 I
0.15
-2.44
-0.43
-1.51
-2.35
-1.36
0.06
-0.04
-1.53
-0.36
-1.79

I
I
I
I
I
I
I
I

I
I
I
I
I
I
I
I
I
I
I
3

16

/U

BB/TB

tinggi

Status Gizi Berdas


kurus

Sangat krus
2.08
-4.56 I
-1.12
-0.13
-0.29
1.24
-0.42
3.52
-1.41
-3.12 I
-0.73
0.14
-1.9
-1.49
1.03
-1.76
-0.36
-1.21
-1.28
0.94
-1.36
-1.35
-0.48
-0.69

Status Gizi Berdasarkan BB/TB


normal
Resiko Gemuk

gemuk

Sangat Gemuk

I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
18

LILA
19
14
14
17.5
16
15
14
19
16
14
14
11
13.5
17.5
15
14.5
13
12.5
13
16
16
16
14
14.5
14.9583333333

Status Gizi Berdasarkan IMT/

IMT/U

Sangat Gemuk

Gemuk

-5.32
-0.96
-0.1
-0.36
1.48
-0.29
3.56 I
-1.33
-2.59
-0.33
0.85
-1.32
-1.48
1.4
-1.79
-0.17
-0.85
-1.27
0.89
-1.45
-1.13
-0.43
-0.42
2.06

Status Gizi Berdasarkan IMT/U


Risiko Gemuk

Normal

Kurus

Sangat kurus
I

I
I
I
I
I
I
I
I
I

I
I
I
I
I
I
I
I
I
I
I
I

18

No.
B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

sakit

Nama Ibu
IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

ya
l
l
l
l
l
l
l
l
l
l
l
l
l
13

tidak
l
l
l
l
l
l
l
l
l
l
l
11

Tindakan ibu jika

sakit
Jika "Ya"
BATUK-PILEK
BATUK-PILEK
BATUK-PILEK
SAKIT GIGI
PANAS
BATUK
PANAS
BATUK-PILEK
BATUK-PILEK
BATUK-PILEK, PANAS
BATUK-PILEK
BATUK-PILEK
BATUK-PILEK
-

a
l
l
l
l
l
l
l
l
8

balita sakit
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
15 0
0

imunisasi
e
l
1

LENGKAP
LENGKAP
LENGKAP + CAMPAK TAMBAHAN
LENGKAP
LENGKAP
LENGKAP
LENGKAP
TT, POLIO, CAMPAK
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP
LENGKAP

Rawat Inap
ya
l
l
l
l
l
l
6

tidak
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
18

Jika "Ya"
RADANG TENGGOROKAN
ASMA
MUNTABER
DIARE
MUNTABER
DIARE
-

Yang Mengasuh

Kapan ditimbang

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
18

a
I
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
23

b
l
l
l
l
l
l
6

c
0

d
0

b
0

c
0

d
0

Tempat Menimbang

Makan dalam sehari

a
0

a
0

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

c
0

d
0

b
l
1

c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

d
l
l
l
l
l
l
l
7

No.

Nama Ibu
a

B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
23

Pengetahu
2

1
c

b
0

d
0

a
0

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l

l
l
l
l
l
l
l
l
l
23

Pengetahuan asi
2
3
c
d
a
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
0
1
1
1 15 7

b
l
l
2

l
l
2

4
c

d
l
l
l

l
l
l
l
l
l
l
l
l
l
l
l
l
16

a
l
l
l
l
4

l
l
l
l
l
l
l
l
l
l
l
l
l
l
14

5
c

b
l
l
2

d
l
l
l
l
l
l
l
l
8

Pengetahuan Tahap Pemberi


6
a
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
2
20
2
0

an Tahap Pemberian Makanan


7
8
a
b
c
d
a
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
4
2
9
9
20 0
1

a
l
l
l
3

9
c

b
0

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

d
0

Pengetahuan Tentang Makan


11
a
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
15
0
9
0

uan Tentang Makanan Sehat


12
a
b
c
d
a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
15
7
2
0
0

13
c

b
l
l
l
3

d
l
l
2

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
19

b
0

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
18

Pengetahuan tentang Kesehatan b


14
15
c
d
a
b
c
l
l
l
l
l
l
l
l
l
l
0
5
1
1
3

ntang Kesehatan balita


15
16
d
a
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
19
0
0
1

Pengetahuan Tentang G
d

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
23

17
c

b
l
l
2

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

d
l
1

a
0

18
c

b
l
l
l
l
l
l
l
l
l
l
10

l
l
l
l
l
l
l
l
l
l
l
l
l
13

d
l
1

engetahuan Tentang Garam Beryodium


19
20
a
b
c
d
a
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
20
0
1
3
11
0
3

a
l
l
l
l
l
l
l
l
l
l
10

21
c

b
l
1

d
0

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
23

Membe
No.
B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

Nama Ibu
IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

22
a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

b
l
1

23
c
0

d
l
1

a
0

b
0

c
0

23

Memberikan ASI
24
d
a
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24
1
1
3

Pemberian
25
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
19

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
19

26
b
l
l
l
l
l
5

a
l
1

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

27
c
l
l
l
3

d
l
l
l
l
4

a
l
l
l
3

b
l
l
l
l
l
l
l
l
l
l
l
l
l
13

c
l
l
l
l
l
l
6

d
l
l
2

Pemberian MP ASI dan


28
a
b
c
d
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
22
0
0
2

Kebiasaan Makan
29
a
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
1
21
1

Balita
30
d
l
1

a
l
l
l
l
l
l
l
l
l
l
l
11

b
l
l
l
l
l
l
l
l
l
l
10

31
c
l
1

d
l
1

a
l
1

31
b
l
l
l
l
l
5

32
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
18

d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
14

b
l
l
l
l
l
l
l
l
8

33
c
l
l
2

d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
20

b
l
l
l
l
4

c
0

d
0

Gambaran Keadaan R
34
a
b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
1
19

Gambaran Keadaan
34
c
d
l
l
l
3
0

Rumah
35
a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
17

b
0

c
l
l
l
3

d
l
l
l
l
4

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

b
0

36
c
0

37
d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
19

b
l
l
l
l
4

38
c
0

d
l
1

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
22

Hygine Sanitasi
38
b
0

39
c
l
1

d
l
1

a
l
l
l
3

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
17

c
0

d
l
l
l
l
4

a
l
1

40
b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

41
c
l
l
2

d
0

a
l
l
l
3

b
0

itasi
41

42
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

b
l
l
l
l
l
l
l
7

43
c
l
1

d
0

a
l
l
l
l
l
l
l
7

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
15

44
c
l
l
2

d
0

a
l
l
l
l
l
l
l
l
l
l
10

b
l
l
l
l
l
l
l
l
l
l
l
11

c
l
l
l
3

Khusus Buteki
44

45
d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
12

b
l
l
l
l
l
5

46
c
l
l
l
l
l
l
l
7

d
0

YA
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

Tidak
l
l
l
l
l
l
l
l
8

Jika "Ya"
SAYUR - SAYURAN
JAMU
JAMU
SAYUR - SAYURAN
AIR PUTIH
MARNING JAGUNG
MARNING JAGUNG
JAMU
MARNING JAGUNG
JAMU
SAYUR - SAYURAN
SAYUR DAN BUAH
SAYUR - SAYURAN
JAMU
KAPSUL DAUN KATUK, SAYUR SAWI
JAMU
-

47
YA
l
l
l
l
l
l
l
l
8

Tidak
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

Jika "Ya"
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS, GORENGAN
MAKANAN PEDAS
MAKANAN PEDAS
-

No.
B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

Nama Ibu
IKA PURWATI
KOLIPAH
SINTA KUSUMADEWI
ERNA
SUNIK
YUYUN INDAH K.
INDAH WULANSARI
TRI ASTI NINGSIH
YAYUK
RUSTIN
YANI
REHMA ANSARI
BAWON
KAROMAH
SRI RETNO
RINA
YUYUN EFITA
OKY WAHYU S
ANIK LATIFA
DIAH SETYANING
TATIK
TIANI
SUSRIANI
ANI

43
a
l
l
l
l
l
l
l
7

b
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
15

c
l
l
2

43
d
0

a
l
l
l
l
l
l
l
l
l
l
10

44
b
c
l
l
l
l
l
l
l
l
l
l
l
l
l
l
11 3

d
0

a
l
l
l
l
l
l
l
l
l
l
l
l
12

b
l
l
l
l
l
5

45
c
l
l
l
l
l
l
l
7

Khusus Buteki
46
d
0

YA
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

Tidak
l
l
l
l
l
l
l
l
8

Khusus Buteki
46
Jika "Ya"
SAYUR - SAYURAN
JAMU
JAMU
SAYUR - SAYURAN
AIR PUTIH
MARNING JAGUNG
MARNING JAGUNG
JAMU
MARNING JAGUNG
JAMU
SAYUR - SAYURAN
SAYUR DAN BUAH
SAYUR - SAYURAN
JAMU
KAPSUL DAUN KATUK, SAYUR SAWI
JAMU
-

47
YA
l
l
l
l
l
l
l
l
8

Tidak
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
16

1
47
Jika "Ya"
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS
MAKANAN PEDAS, GORENGAN
MAKANAN PEDAS
MAKANAN PEDAS
-

TS

TS

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

l
l
l
3

l
l
l
l
l
l
l
l
l
l
l
11

l
l
l
l
l
l
l
l
l
l
l
l
l
13

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

TS

TS

TS

TS

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
21

l
l
l
3

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
22

10

TS

TS

TS

TS

l
l
2

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
l
24

l
l
l
l
l
l
l
l
l
l
10

l
l
l
l
l
l
l
l
l
l
l
l
l
l
14

No
B/24-59/01
B/24-59/02
B/24-59/03
B/24-59/04
B/24-59/05
B/24-59/06
B/24-59/07
B/24-59/08
B/24-59/09
B/24-59/10
B/24-59/11
B/24-59/12
B/24-59/13
B/24-59/14
B/24-59/15
B/24-59/16
B/24-59/17
B/24-59/18
B/24-59/19
B/24-59/20
B/24-59/21
B/24-59/22
B/24-59/23
B/24-59/24

Nama Balita
VELISYA ERIKA
SATRIO WISNU
DEWI KANZA
SISILIA PUTRI V.
M. FAREL
NAUVAL RIZAL A.R
YURI KESHA PUTRI
HARI FANDI
SALSABILLA
ANANDA RIZKY
M. AFANDI
IDAM GUSBIRAWA
GILANG ANGGA
M. MIFTAKHUL I.
RAFA GANGGA P.
KAILA ANGELINA
M. FAHMI RASYA
GILFIN ARRAN H.A
SAHIRA MIRA A.
ANAYA FAHRUNNISA
AL NIZAR MELKY DWI.S
M. FAUZAN
GALANG PUTRA G.
KEMAS YAHYA

Usia
46
30
30
44
42
33
29
50
48
53
35
39
51
57
29
26
26
40
58
48
40
37
29
37
39.875

ENERGI RATA RATA


Defisit Tingkat Berat
978.1
951.5
603.9
606.5
848
835.9
474.3
892
870.9
381.2
593.6
146.2
828.3
727.8
781.7
1121.2
1091.3
1177.6
952.9
1225.8
712.1
372.6
473.8
659.4
762.775

Tingkat Konsumsi Energi


Defisit Tingkat Sedang

ngkat Konsumsi Energi


Defisit Tingkat Ringan

Normal

Lebih

PROTEIN RATA
RATA
42(17%)
40,1 (17%)
23 (16%)
17,2(11%)
33,2(16%)
39,6(19%)
20,4(17%)
39(18%)
36,1(17%)
23,2(25%)
23,8(17%)
3,2(9%)
30,4(15%)
27,3(15%)
20,9(11%)
37,9(14%)
39,6(14%)
30,2(10%)
35,9(15%)
54,7(18%)
35,1(20%)
10(11%)
17,3(15%)
26,1(16%)

Tingkat Konsumsi Protein


Kurang
Cukup

LEMAK RATA
RATA
42,2 (38%)
43,3 (41%)
26,1 (39%)
21,5(31%)
33,8(35%)
28,1(30%)
28,2(52%)
37,1(37%)
49,7(51%)
19,1(44%)
17,8(27%)
1(6%)
41,3(44%)
29,9(36%)
34,3(38%)
53,1(42%)
58,8(47%)
59,8(45%)
43,7(40%)
49(35%)
33,2(41%)
10,2(24%)
17,6(33%)
27,4(37%)

Tingkat Konsumsi LEMAK


Kurang
Cukup

KH
Tingkat Konsumsi KH
RATA RATA
Kurang
Cukup
107 (44%)
96,5 (42%)
67,5(46%)
88,6(58%)
100,7(49%)
105,4(51%)
36,3(31%)
101,1(46%)
68,8(32%)
29,1(31%)
81,5(57%)
31,7(86%)
85,9(42%)
88,5(49%)
99,5(51%)
124(45%)
106,9(39%)
128,1(44%)
106,8(45%)
144,1(47%)
66,9(38%)
59,4(65%)
61,8(53%)
76,4(47%)

Konsumsi ASI
Ya
Tidak

VIT A

Serat

616
1.8
366.4
1.8
250.3
1.6
374.9
1.5
456.4
1.5
392.7
2.9
235.2
2.2
322
2.7
317.8
3
225.5
0.9
59.6
2.4
6.6
0.1
196.3
7.7
489.4
4.4
167.8
6.4
995.6
4.9
1366.1
9
230.1
4.3
954.9
6
1185.1
5.9
449.9
2.5
174.3
2.2
157.9
1.3
272.9
2.4
427.6542 3.308333

No.

Bahan Makanan

Makanan Pokok
1 Nasi putih
2 Jagung
3 kentang
4 mie
5 singkong
6 ketela/ubi
Lauk Hewani
1 daging sapi
2 ayam
3 ikan pindang
4 ikan asin
5 ikan tongkol
6 telur ayam
7 ikan mujair
8 udang
9 bandeng
10 lele
Lauk Nabati
1 tahu
2 tempe
Sayur
brokoli
bayam
3 seada
4 sawi
5 wortel
6 kacang panjang
7 kubis
8 tewel
9 terong
10 buncis
11 kangkung
Buah
1 mangga
2 pepaya
3 pisang
4 jambu
5 melon
6 blewah
1
2

> 1 x / hari

1 x / hari

Frekuensi Makan
4 - 6 x / minggu

lllll-lllll-lllll-lllll-llll
-

l
-

lll
l
-

l
lll
-

l
l
llll
-

lllll-llll
lllll-lllll-ll

lllll
llll

lllll
lllll-ll

l
-

l
l
-

ll
lll
ll
llllll
lll
lll
ll

ll
ll
ll
-

llll
ll

7 anggur
8 jeruk
9 apel
10 kernatu
11 semangka
Lain - Lain
1 agar - agar
2 roti tawar
3 roti goreng
4 biskuit mari
5 gorengan
6 cilok
8 kopi
8 kerupuk
10 wafer
11 kripik
12 canggawe
13 jipang
14 donat
15 bubur ketan

l
l
-

l
ll
l
-

lll
ll
lll
l
l
l
-

kuensi Makan
1 - 3 x / minggu

1 x / bulan

1 x / tahun

Jenis Makanan
l
llll
lll
lll
ll

l
lll
-

l
-

ll
lllll-lllll-l
lllll-lllll-ll
lllll-l
lllll-lllll-ll
l
l
l
ll

lll
llll
l
l

llll
l

lll
lllll-lllll-lll
ll
lllll-llll
lllll-lllll-ll
lllll-l
lllll-lll
l
l
lllll-llllllllll-llll

>1x/hari
Beras
Jagung
kentang
Mie
singkong
ketela/umbi

n
24
0
0
0
0
0

Jenis Makanan
>1x/hari
n
daging sapi
ayam
ikan pindang
ikan asin
ikan tongkol
telur ayam
ikan mujair
udang
bandeng
lele

0
0
0
0
0
0
0
0
0
0

Jenis Makanan
>1x/hari
n
tahu
tempe

9
12

Jenis Makanan
>1x/hari

lllll
lllll-l
llll
l
lllll-lllll
lllll

l
l
l
-

n
brokoli
bayam
seada
sawi
wortel

0
0
0
1
0

lll
llll
lllll-l

l
ll
ll
l

lll
ll
llll
ll
l
l
l
l
-

lll
l
l

l
-

kacang panjang
kubis
tewel
terong
buncis
kangkung

0
0
0
0
0
0

Jenis Makanan
>1x/hari
n
agar - agar
roti tawar
roti goreng
biskuit mari
gorengan
cilok
kopi
kerupuk
wafer
kripik
canggawe
jipang
donat
bubur ketan

0
0
0
0
0
0
0
0
0
0
0
0
0
0

>1x/hari

1x/hari
%
0
0
0
0
0
0

n
0
0
0
0
1
0

>1x/hari

%
0
0
0
0
4.167
0

1x/hari
%

n
0
0
0
0
0
0
0
0
0
0

%
0
1
3
0
0
0
0
0
0
0

>1x/hari

4.167
12.5
0
0
0
0
0
0
0

1x/hari
%

37.5
50

%
5
4

>1x/hari

20.83
16.67

1x/hari
%
0
0
0
4.167
0

%
0
0
1
1
0

0
0
4.167
4.167
0

Frekuensi konsumsi
4-6x/mgg
1-3x/mgg
n
%
n
%
0
0
0
0
0
0
1
4.1666666667
3
12.5
4
16.6666666667
0
0
3
12.5
1
4.167
3
12.5
0
0
2
8.3333333333

Frekuensi konsumsi
4-6x/mgg
1-3x/mgg
n
%
n
%
0
0
0
1
1
4
0
0
0
0

4.167
4.167
16.67

2
11
12
0
6
12
1
1
1
2

8.33
45.83
50
0
25
50
4.167
4.167
4.167
8.33

Frekuensi konsumsi
4-6x/mgg
1-3x/mgg
n
%
n
%
5
7

20.83
29.17

4
1

16.67
4.167

Frekuensi konsumsi
4-6x/mgg
1-3x/mgg
n
%
n
%
0
2
3
2
5

0
8.33
12.5
8.33
20.83

3
13
2
9
12

12.5
54.17
8.33
37.5
50

0
0
0
0
0
0

0
0
0
0
0
0

>1x/hari

0
0
0
0
0
0

1x/hari
%

n
0
0
0
0
0
0
0
0
0
0
0
0
0
0

%
0
0
1
0
0
0
0
2
1
0
0
0
0
0

0
0
4.167
0
0
0
0
8.33
4.167
0
0
0
0
0

1
3
0
0
3
2

4.167
12.5
0
0
12.5
8.33

6
8
1
1
10
9

25
33.33
4.167
4.167
41.67
37.5

Frekuensi konsumsi
4-6x/mgg
1-3x/mgg
n
%
n
%
0
3
0
2
3
1
1
0
0
1
0
0
0
0

0
12.5
0
8.33
12.5
4.167
4.167
0
0
4.167
0
0
0
0

3
2
4
2
0
0
0
0
1
1
1
1
0
0

12.5
8.33
16.67
8.33
0
0
0
0
4.167
4.167
4.167
4.167
0
0

Total
1x/bln
n
0
0
1
0
3
0

1x/th

%
0
0
4.1666666667
0
12.5
0

n
0
0
0
0
1
0

%
0
0
0
0
4.167
0

n
24
1
8
3
9
2

%
100
4.167
38.3333333333
12.5
45.501
8.333

Total
1x/bln
n

1x/th
%

3
4
1
0
0
0
0
0
0
1

n
12.5
16.67
4.167
0
0
0
0
0
0
4.167

%
0
0
0
0
0
0
0
0
0
0

n
0
0
0
0
0
0
0
0
0
0

%
5
16
16
1
7
16
1
1
1
3

23.83
66.67
66.67
4.167
29.167
66.67
4.167
4.167
4.167
12.5

Total
1x/bln
n

1x/th
%

0
0

n
0
0

%
0
0

n
0
0

%
23 95.8333333333
25 104.166666667

Total
1x/bln
n

1x/th
%

0
0
0
0
0

n
0
0
0
0
0

%
0
0
0
0
0

n
0
0
0
0
0

%
3
15
6
13
17

12.5
62.5
25
54.17
70.83

0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0

7
11
1
1
13
11

29.17
45.83
4.167
4.167
54.17
45.17

Total
1x/bln
n

1x/th
%

3
0
0
0
0
0
0
0
0
0
0
0
1
1

n
12.5
0
0
0
0
0
0
0
0
0
0
0
4,167
4.167

%
1
0
0
0
0
0
0
0
0
0
0
0
0
0

4.167
0
0
0
0
0
0
0
0
0
0
0
0
0

%
6
5
5
4
3
1
1
2
2
2
1
1
1
1

25
20.83
20.83
16.67
12.5
4.167
4.167
8.33
8.33
8.33
4.167
4.167
4.167
4.167