Anda di halaman 1dari 168

BULAN : JANUARI

TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH JUMLAH PENDUDUK
P M P
L P L P L
1 2 3 4 5 6 7 8
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
JUMLAH 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
P M P M P M
P L P L P L P L P L
9 10 11 12 13 14 15 16 17 18

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
9 Th 10 - 14 Th 15 - 19 Th > 20 Th
M P M P M P
P L P L P L P L P L
19 20 21 22 23 24 25 26 27 28

0 0 0 0 0 0 0 0 0 0
AN
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
P M P M Zinc
Oralit
P L P L P L P 0-6 Bln 6Bln-<1T
29 30 31 32 33 34 35 36 37 38
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
ta Diare < 5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi
Zinc Zinc
RL Oralit RL
1 - 5 Th Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th
39 40 41 42 43 44 45 46 47

0 0 0 0 0 0 0 0 0
FORM : 13G

KADER
0-<1 Th 1-4 Th 5 Th 5-9 Th 10-14Th

L P L P L P L P L P
48 49 50 51 52 53 54 55 56 57

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
15-19Th 20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P L P
58 59 60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 T


NO DESA/WILAYAH JUMLAH PENDUDUK
P M P
L P L P L
1 2 3 4 5 6 7 8
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
JUMLAH 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
P M P M P M
P L P L P L P L P L
9 10 11 12 13 14 15 16 17 18

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
9 Th 10 - 14 Th 15 - 19 Th > 20 Th
M P M P M P
P L P L P L P L P L
19 20 21 22 23 24 25 26 27 28

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
P M P M Zinc
Oralit
P L P L P L P 0-6 Bln 6Bln-<1T
29 30 31 32 33 34 35 36 37 38
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
ta Diare < 5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc Zinc
RL Oralit RL
1 - 5 Th Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L
39 40 41 42 43 44 45 46 47 48

0 0 0 0 0 0 0 0 0 0
KADER
0-<1 Th 1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

P L P L P L P L P L
49 50 51 52 53 54 55 56 57 58

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
15-19Th 20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

P L P L P L P
59 60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2017

0 - 6 Bln 6 Bln - < 1 Th


NO DESA/WILAYAH
JUMLAH PENDUDUK
P M P
L P L P L P
1 2 3 4 5 6 7 8 9
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
JUMLAH 0 0 0 0 0 0 0
TD
JUML.PENDERITA DIARE DR/S
DB
Jumlah Penderita mendapat oralit
Jumlah Penderita mendapat infuse
Juml Penderita mendapat antibiotik
Jumlah penderita diberi Zinc
6 Bln - < 1 Th 1 - 4 Th 5 - 9 Th
M P M P M
L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19

0 0 0 0 0 0 0 0 0 0
FASILITAS PELAYANAN KESEHATAN
10 - 14 Th 15 - 19 Th > 20 Th
P M P M P
L P L P L P L P L P
20 21 22 23 24 25 26 27 28 29

0 0 0 0 0 0 0 0 0 0
> 20 Th JUMLAH Penderita Diare < 5 Th diberi
M P M Zinc
Oralit
L P L P L P 0-6 Bln 6Bln-<1T 1 - 5 Th
30 31 32 33 34 35 36 37 38 39
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 Th diberi Jumlah Pemakaian
Penderita Diare > 5 Th diberi 0-<1 Th
Zinc
RL Oralit RL
Oralit RL 0-6 Bln 6Bln-<1T 1-5 Th L P
40 41 42 43 44 45 46 47 48 49

0 0 0 0 0 0 0 0 0 0
KADER
1-4 Th 5 Th 5-9 Th 10-14Th 15-19Th

L P L P L P L P L P
50 51 52 53 54 55 56 57 58 59

0 0 0 0 0 0 0 0 0 0
jumlah
Total Penderia
20 Th JUMLAH pemakaian Fasyankes dan Kader
oralit

L P L P L P
60 61 62 63 64 65 66
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0

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