Poa Bok 2017

RENCANA KEGIATAN (POA) BOK
UPT Puskesmas Karangploso

Tahun 2017
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VOLUME RINCIAN LOKASI TENAGA m Jadwal
No. UPAYA KESEHATAN KEGIATAN Sasaran TARGET BIAYA
KEGIATAN PELAKSANAAN PELAKSANAAN PELAKSANA l Pelasksanaan
a Jan Feb Maret Apr Mei Jun Jul Agst Sept Okt Nop Des
h
I Upaya Kesehatan Ibu
5 org x 8 hr x 9 ds x
1. Pelayanan Antenatal/ ANC 1 Pendataan sasaran (TERPADU) desa 9 desa Transport petugas 9 Desa Bidan Desa Maret 36,000,000 36,000,000
100000
2 org x 8 hr x 9ds x
2 Pendataan sasaran (TERPADU) desa 9 desa Transport kader 9 desa Kader Maret 4,320,000 4,320,000
30000
1org x 2kss x 12bln x

3 Pelaksanaan Program P4K bumil 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000

4 Pemantauan Bumil Resiko Tinggi bumil 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000
1org x 9 desa x 12bln x

5 Pelaksanaan Kelas Ibu desa 9 desa Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
Rp.50.000

desa 9 desa Transport petugas 9 Desa Bikor/Pet Gizi ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
Rp.100.000
14 org x 3 kali x
6 Kemitraan Bidan Dukun dukun bayi 3 kali Transport dukun puskesmas Tim pkm ### Mrt, Sept, Des 700,000 700,000 700,000 2,100,000
Rp.50.000
16 org x 3 kali x
peserta 3 kali konsumsi warung Tim pkm ### Mrt, Sept, Des 480,000 480,000 480,000 1,440,000
Rp.30.000
1 org X 3 pus x 12 kl x
7 Kunjungan rmh PUS DO/tdk ber KB PUS 36 PUS Transport petugas Rumah Pet KB ### Jan-Des 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 3,600,000
Rp.100.000
1 org x 1 kss x12bln x

2 Pelayanan Ibu Nifas 1 Pelayanan nifas termasuk KB Ibu nifas 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
9ds x Rp50.000

2 Pemantauan kesehatan ibu nifas Bufas 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
9ds x Rp50.000
II Upy Kesh Neonatus & Bayi

Pelayanan Kesh Neonatus 1 Pemeriksaan neonatus bayi 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
9ds x Rp50.000
1 kali x 69 posy x 2bln

& Bayi 2 Pemberian Vitamin A bayi 9 desa Transport kader 9 Desa Kader Feb, Agust 2,070,000 2,070,000 4,140,000
x Rp30.000

3 Kunj rumah/pendmgn kesh bayi bayi 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
9ds x Rp50.000

4 Pemantauan Bayi Resti Bayi Resti 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000
Surveylans dan Pelacakan Gizi Kurang 1 org x 12 ks x 1 kl x

III Upaya Kesh Anak Balita 1 Bayi &Balita 12 Kasus Transport petugas rumah balita Pet. Gizi ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
Pembelian bahan PMT pemulihan 2 kss x 90 hma x

dan Pra Sekolah 2 pmt-p 2 kss Pengadaan Bahan toko Pet. Gizi ### Juli-Des 600,000 600,000 600,000 600,000 600,000 600,000 3,600,000
balita Rp.20.000
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1 org x 2 kss x 3 kl x
3 Pendampingan PMT-P Bayi &Balita 2 kss Transport petugas rumah balita Pet. Gizi ### Jul-Des 100,000 100,000 100,000 100,000 100,000 100,000 600,000
Rp.100.000
1 org x 2 kss x 3 kl x
4 Pendampingan PMT-P Bayi &Balita 2 kss Transport kader rumah balita Kader ### Jul-Des 30,000 30,000 30,000 30,000 30,000 30,000 180,000
Rp.50.000
2 org x 34 SD x
IV Upaya Kesh Anak Usia Sklh 1 Pemeriksaan Peserta Didik SD 34 SD transport petugas SD Pet UKS,prwt ### Sept-Des 1,600,000 1,600,000 1,800,000 1,800,000 6,800,000
Rp.100.000
2 org x 34 SD x
2 Pembinaan UKS SD 34 SD transport petugas SD P.UKS,drg Juni-Sept 2,000,000 2,000,000 2,250,000 2,250,000 8,500,000
Rp.100.000
V Imunisasi 1. Pelaksanaan Imunisasi
1 org x 34 SD x
a Bias Campak Siswa SD 34 SD transport petugas SD Korim ### September 3,400,000 3,400,000
Rp.100.000
1 org x 34 SD x
b Bias DD/TT Siswa SD 34 SD transport petugas SD Korim ### Nopember 3,400,000 3,400,000
Rp.100.000
2. Pelaksanaan Campak Rubella
1 org x 4 kali x
a Sosialisasi 1 tmpt 1 kali Transport petugas 4 tmpt Korim ### Juni 400,000 400,000
Rp.100.000
355 org x 1 kali x

peserta 10 kali konsumsi warung Peserta ### Juni 10,650,000 10,650,000
Rp.30.000
2 org x 9 desa x
b Pendataan 1 kali Transport petugas 9 desa Korim, Bikor Juni 1,800,000 1,800,000
Rp.100.000
3 org x 9 desa x 1 kali x

c Distribusi Sarana & Prasarana Desa 9 desa Transport petugas 9 Desa Tim pkm Juli 2,700,000 2,700,000
Rp 100000
Sosialisasi Kesehatan Reproduksi trmsk 1 org x 10 kali x Rp Feb-Juni, Agust-

VI Upaya Kesh Usia Reproduksi Desa 10 kali Transport petugas 9 Desa, Kec Pet KB ### 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,000,000
KB 100.000 Des
2 org x 1 kali x 12bln x

VII Upaya Kesh UsiaLanjut Usia 1 Pelayanan di Posbindu posbindu 12 kali Transport petugas posbindu Prwt induk Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp 100.000
Pelayanan lanjut usia di posyandu 11 pos 1 org x 11 kali x

2 11 kali Transport petugas posy lansia Pet KB Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
lansia lansia Rp.100.000
1 org x 4 kali x9 ds x 12
3 Pemantauan Lansia Resti Lansi Resti 432 kali Transport petugas 9 Desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
bl x Rp.50.000
IS Thd Sarana TTU, TPM, Sarana Air 1 org x 1 kl x 12 bln x

VIII Upaya Kesh Lingkungan 1 Desa 12 kali Transport petugas 9 Desa Pet.Kesling ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS
Konsumsi peserta peserta 3 desa 200 org x 10.000 konsumsi 3 desa peserta Okt 2,000,000 2,000,000
ATK dan alat peraga pemicuan 3 desa 3 kali 16 paket ATK x 50000 ATK toko Pet kesling Okt 800,000 800,000
4 org x 3kali x 3ds x PPD, kesling,

Transport petugas desa 3 desa Transport petugas 3 desa Okt 1,800,000 1,800,000
50.000 promkes
b Pleno Pasca Pemicuan -
masy
ATK 3 desa 3 paket x 200.000 3 paket ATK Toko Pet kesling Okt 600,000 600,000
terpicu
masy
Snack 3 desa 75 org x 5000 snack toko pet kesling Okt 375,000 375,000
terpicu
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masy
Transport komite 3 desa 9 org x 30000 Transport komite 3 desa komite Okt 270,000 270,000
terpicu
Transport aparat desa aparat ds 3 desa 9 org x 30000 Transport aparat desa 3 desa aparat desa Okt 270,000 270,000
c Monitoring pasca pemicuan
ATK desa 3 desa 6 paket x 18500 6 paket ATK Toko Pet kesling Nop 111,000 111,000
Penggandaan adm 600 lb 600 lb x 200 Fotocopy Toko Pet kesling Nop 120,000 120,000
masy 2 org x 3 ds x 2 kali

Transport petugas 3 desa Transport petugas 3 desa Tim Pkm Nop 1,200,000 1,200,000
terpicu x100000
Pembuatan ,update peta sanitasi

d
dan buku kader
Form pengisian data sanitasi 3 desa 1600 lb 1600 lb x 200 Fotocopy Toko Pet kesling Nop 320,000 320,000
Kertas Manila 3 desa 24 lbr 24 lmbr x 5000 ATK Toko Pet kesling Nop 120,000 120,000
Spidol warna 3 desa 23 pak 23 pak x 20000 ATK Toko Pet kesling Nop 460,000 460,000
Transport kader 3 desa 3 desa 64 kader x 30000 Transport kader 3 desa Kader Nop 1,890,000 1,890,000
Transport petugas 3 desa 8 org 8 org x 100000 Transport petugas desa Tim Pkm Nop 800,000 800,000
e Kampanye HS sekolah
Snack untuk siswa Siswa 1 SD 200 snack x 5000 Konsumsi Toko Pet Kesling Nop 1,000,000 1,000,000
ATK Siswa 1 SD 8 paket x 50000 ATK Toko Pet Kesling ### Nop 400,000 400,000
Alat peraga CPTS Siswa 1 SD 8 paket x 145000 ATK Toko Pet Kesling Nop 1,160,000 1,160,000
Transport petugas Siswa 1 SD 4 org x 4 kali x 100000 Transport petugas Transport Tim Pkm Nop 1,600,000 1,600,000
f Pertemuan pguatan komitmen ODF
ATK atk 2 2x50000 ATK 2 paket Toko Des 100,000 100,000
Konsumsi org 50 50 x 10000 Konsumsi konsumsi Toko Des 500,000 500,000
Transport natural leader org 12 12 x 30000 Transport natural Transport natural leader Des 360,000 360,000
Transport aparat desa org 4 4 x 30000 Transport aparat dea Transport aparat desa Des 120,000 120,000
Transport petugas org 6 6 x 100000 Transport petugas Transport Tim Pkm Des 600,000 600,000
g Kegiatan verifikasi SBS utk tim
verifikasi SBS
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Penggandaan format masy 136 lb 136 lb x 200 Fcopy Toko Pet Kesling Des 27,200 27,200
Snack ktk 136 org 136 x 5000 Konsumsi Warung Pet Kesling Des 680,000 680,000
Transport kader kader 136 org 136 x 30000 Transport kader desa Kader Des 4,080,000 4,080,000
stiker verifikasi bh 1368 1368 x 100 Stiker Percetakan Pet Kesling Des 136,800 136,800
Transport petugas org 6 6 x 100000 Transport petugas Desa Tim pkm Des 600,000 600,000
2 org x 9 ds x 3 kl x
IX Upaya Promosi Kesh 1 Pertemuan penyegaran teknis kdr Kader 18 kader transport kader puskesmas Kader Posy ### Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
Kader 20 org konsumsi puskesmas Kader Posy, Petgs### Mrt,Juli,Sept,Des 690,000 690,000 690,000 690,000 2,760,000
Rp.30000
X Upaya P2 1. TB
1 org x 2 kali x 12 bln x

a Kunj rmh utk follow up tt laksana TB Pasien 24 Transport petugas pasien Pet TB ### Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp.100.000

b Pelacakan kasus kontak TB Pasien 12 kunj Transport petugas pasien Pet TB ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000

c PMO pasien TB Pasien 12 kunj Transport petugas pasien Pet TB ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
1 org x 2kss x9ds x

b Pengambilan spesimen TB Pasien 216 Transport petugas pasien Prwt Poskesdes ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
12bln xRp50.000
2. HIV/AIDS

Penyuluhan HIV AIDS Desa 12 kali Transport petugas Posyandu Pet.HIV/AIDS ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
1 org x 9 ds x 12 bln x
3 Kunj rmh utk follow up tt laksana diare Pasien 108 kasus Transport petugas pasien Pet Diare ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
Rp.100.000
Kunj rmh utk follow up tt laksana ISPA/ 1 org x 9 ds x 12 bln x

4 Pasien 108 kasus Transport petugas pasien Pet ISPA ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
pneumonia Rp.100.000

5 Kunj rmh utk follow up tt laksana kusta Pasien 12 kali Transport petugas pasien Pet Kusta ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
50000
2 org x 11 kl x
XI Upaya Pencegahan dan 1 Penyuluhan DBD Desa 11 kali Transport petugas desa Pet.DBD ### Feb-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
Rp.50.000
Pgendlian Peny Tular Vektor 2 Pelacakan Kasus Kontak Desa 324 kasus 324 kss x Rp.50.000 Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 900,000 900,000 900,000 900,000 900,000 900,000 16,200,000
1 org x 4 kss x 9 ds x
3 Penemuan kasus secara dini Desa 432 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
12 bln x Rp.50.000
4 Pemantauan dan pengendalian vektor Desa 216 kasus Transport petugas desa Prwt Ponkesdes Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
12 bln x Rp.50.000
1 org x 2 desa x 12 kl x
XIII Upy Pcghn & Pengendalian 1 Pendampingan Keswa Desa 24 kali Transport petugas Desa Pet Keswa ### Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp.100.000
Masalah Keswa da Napza 2 Deteksi dini Masalah Keswa Desa 12 kali Transport petugas Desa Pet Keswa ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
3 org x 4 kl x
3 Penyuluhan Keswa dan Napza Masy/siswa 4 kali Transport petugas Desa/Sekolah Tim Pkm ### Agst-okt, Des 300,000 300,000 300,000 300,000 1,200,000
Rp.100.000
Pet
XIV UKM Pengembangan Lain 1 Pemeriksaan Tmpt Kerja & Pekerja Desa 5 kali Transport petugas Posyandu UKK,Promkes,Kesl###Feb,April,Agst,Okt, 300,000 300,000 300,000 300,000 300,000 1,500,000
Rp.100.000
ing Des
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Pemberian honor pengelola keuangan 2 org x 12 kali x
XV Pengelolaan Keuangan Pkm 1. BOK 6 kali honor dinkes Bendahara ### Jan-Des 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 6,000,000
dan asset daerah RP.250.000
2 Pembelian Materai ADM 72 buah 72 buah pembelian materai Toko Bendahara ### Jan-Feb 300,000 300,000 600,000
30 org x 11 kali x
XVI Manajemen Puskesmas 1. Lokakarya Mini Bulanan Pkm Peserta 11 kali konsumsi Puskesmas Staff PKM ### Jan-Mei,Juli-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 9,900,000
Rp.30.00
21 orang x 4 kali x
2. Rapat Linsek Linsek 4 kali transport linsek Puskesmas Linsek ### Mrt,Juli,Sept,Des 2,100,000 2,100,000 2,100,000 2,100,000 8,400,000
Rp.100.000
30 orang x 4 kali x
Linsek 4 kali konsumsi Puskesmas Linsek ### Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30.000
50 org x 2 kali x
3 Evaluasi / penilaian kinerja Peserta 2 kali konsumsi Puskesmas Staff PKM ### Juli,Des 1,500,000 1,500,000 3,000,000
Rp.30.000
30 org x 4 kali x
4 Rapat Lintas Program Peserta 11 kali konsumsi Puskesmas Staff PKM ### Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30000
XVII Pembelian ATK 1. Pembelian ATK ATK 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan-Des 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000
1 botol x 5 bulan x Jan, Feb, April,

ATK 5 botol Tinta printer Toko Bendahara ### 45,000 45,000 45,000 45,000 45,000 225,000
Rp.45.000 Juli,Okt
420 buah x 1 kl x Rp
ATK 420 bh Ballpoint Toko Bendahara ### Jan-Sept 60,000 120,000 60,000 60,000 60,000 300,000 60,000 60,000 300,000 1,080,000
2000
480 buah x 1 kl x
ATK 480 bh Map Toko Bendahara ### Mrt-Sept,des 30,000 30,000 30,000 100,000 30,000 30,000 30,000 20,000 300,000
Rp.3000
3750 lbr x 10 kl x
XVIII Pelayanan promotif & preventif 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy/Cetak Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
Rp.200
2 Penggadaan Banner/Spanduk Desa 7 bln 32 baner/spanduk Percetakan Puskesmas ### Juni-Des 2,400,000 450,000 1,400,000 1,000,000 300,000 400,000 400,000 6,350,000
3 Penggandaan Format Laporan Peserta 4500 lbr 375 lbr x 12 kl x Rp.200 fotocopy Puskesmas ### Jan-Des 500,000 500,000 75,000 75,000 58,000 800,000 300,000 75,000 300,000 350,000 350,000 600,000 3,983,000
5 org x 1 kl x 9 desa x
XIX Konsultasi pembinaan teknis 1. Supervisi suportif 9 desa 1 kali transport petugas 9 Desa tim ### Mrt 4,500,000 4,500,000
Rp.100.000
2 org x 12 kl x
2 Konsultasi ke Dinas dinkes 12 kali transport petugas dinkes tim ### Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp.100.000
900 lbr x 12 bln

XX Sistem Informasi 1. Penggandaan Laporan ADM 10.800 lbr Fotocopy Toko Bendahara ### Jan-Des 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 2,160,000
XRp.200
Jumlah Total Keseluruhan ### 19,211,000 22,391,000 71,011,000 19,866,000 19,504,000 37,206,000 31,361,000 25,121,000 34,486,000 27,646,000 33,767,000 37,430,000 379,000,000
Mengetahui,
Kuasa Pengguna Anggaran/ Pengelola BOK Puskesmas/
Kepala Dinas Kesehatan Kabupaten Malang Kepala UPT Puskesmas Karangploso
dr Abdurrahman, M.Kes dr. Sony Muchlison

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
Tahun 2017
BULAN
VOLUME RINCIAN LOKASI TENAGA Jadwal
No. UPAYA KESEHATAN KEGIATAN Sasaran TARGET Jumlah BIAYA
KEGIATAN PELAKSANAAN PELAKSANAAN PELAKSANA Pelasksanaan
Jan Feb Maret Apr Mei Jun Jul Agst Sept Okt Nop Des
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000

Rp.100.000
dukun 14 org x 3 kali x

6 Kemitraan Bidan Dukun 3 kali Transport dukun puskesmas Tim pkm ### Mrt, Sept, Des 700,000 700,000 700,000 2,100,000
bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.100.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000
Bayi 1 org x 2 kss x12bln x

4 Pemantauan Bayi Resti 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
Resti 9ds x Rp50.000
Surveylans dan Pelacakan Gizi Kurang Bayi 1 org x 12 ks x 1 kl x

III Upaya Kesh Anak Balita 1 12 Kasus Transport petugas rumah balita Pet. Gizi ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
&Balita Rp.100.000
BULAN
2 kss x 90 hma x
dan Pra Sekolah 2 Pembelian bahan PMT pemulihan balita pmt-p 2 kss Pengadaan Bahan toko Pet. Gizi ### Juli-Des 600,000 600,000 600,000 600,000 600,000 600,000 3,600,000
Rp.20.000
Bayi 1 org x 2 kss x 3 kl x

3 Pendampingan PMT-P 2 kss Transport petugas rumah balita Pet. Gizi ### Jul-Des 100,000 100,000 100,000 100,000 100,000 100,000 600,000
&Balita Rp.100.000

4 Pendampingan PMT-P 2 kss Transport kader rumah balita Kader ### Jul-Des 30,000 30,000 30,000 30,000 30,000 30,000 180,000
&Balita Rp.50.000
Upaya Kesh Anak Usia 2 org x 34 SD x

IV 1 Pemeriksaan Peserta Didik SD 34 SD transport petugas SD Pet UKS,prwt ### Sept-Des 1,600,000 1,600,000 1,800,000 1,800,000 6,800,000
Sklh Rp.100.000
2 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 4 kali x
Rp.100.000
355 org x 1 kali x

Rp.30.000
2 org x 9 desa x
Rp.100.000

Rp 100000
Upaya Kesh Usia Sosialisasi Kesehatan Reproduksi trmsk 1 org x 10 kali x Rp Feb-Juni, Agust-
VI Desa 10 kali Transport petugas 9 Desa, Kec Pet KB ### 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,000,000
Reproduksi KB 100.000 Des
Upaya Kesh UsiaLanjut 2 org x 1 kali x 12bln x

VII 1 Pelayanan di Posbindu posbindu 12 kali Transport petugas posbindu Prwt induk Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Usia Rp 100.000

Lansi 1 org x 4 kali x9 ds x 12

3 Pemantauan Lansia Resti 432 kali Transport petugas 9 Desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
Resti bl x Rp.50.000

Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS

50.000 promkes

BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
BULAN
verifikasi SBS
IX Upaya Promosi Kesh 1 Pertemuan penyegaran teknis kdr Kader 18 kader transport kader puskesmas Kader Posy ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
Kader 20 org konsumsi puskesmas Kader Posy, Petgs###Mrt,Juli,Sept,Des 690,000 690,000 690,000 690,000 2,760,000
Rp.30000
X Upaya P2 1. TB

Rp.100.000

Rp.100.000

Rp.100.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS

Rp.100.000
Rp.100.000


50000
2 org x 11 kl x
Rp.50.000
Pgendlian Peny Tular Vektor 2 Pelacakan Kasus Kontak Desa 324 kasus 324 kss x Rp.50.000 Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 900,000 900,000 900,000 900,000 900,000 900,000 16,200,000
12 bln x Rp.50.000
12 bln x Rp.50.000
BULAN
Rp.100.000
Rp.100.000
Masy/sis 3 org x 4 kl x
3 Penyuluhan Keswa dan Napza 4 kali Transport petugas Desa/Sekolah Tim Pkm ### Agst-okt, Des 300,000 300,000 300,000 300,000 1,200,000
wa Rp.100.000
Pet
Rp.100.000
ing Des
XV Pengelolaan Keuangan Pkm 1. BOK 6 kali honor dinkes Bendahara ### Jan-Des 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 6,000,000
dan asset daerah RP.250.000
30 org x 11 kali x
Rp.30.00
21 orang x 4 kali x
2. Rapat Linsek Linsek 4 kali transport linsek Puskesmas Linsek ###Mrt,Juli,Sept,Des 2,100,000 2,100,000 2,100,000 2,100,000 8,400,000
Rp.100.000
30 orang x 4 kali x
Linsek 4 kali konsumsi Puskesmas Linsek ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
4 Rapat Lintas Program Peserta 11 kali konsumsi Puskesmas Staff PKM ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30000

Rp.45.000 Juli,Okt
2000
480 buah x 1 kl x
Rp.3000
Pelayanan promotif & 3750 lbr x 10 kl x

XVIII 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy/Cetak Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
2 Penggadaan Banner/Spanduk Desa 7 bln 32 baner/spanduk Percetakan Puskesmas ### Juni-Des 2,400,000 450,000 1,400,000 1,000,000 300,000 400,000 400,000 6,350,000
Rp.100.000
2 org x 12 kl x
Rp.100.000
900 lbr x 12 bln

XRp.200
Mengetahui,
BULAN
Kepala Dinas Kesehatan Kabupaten Malang Kepala UPTD Puskesmas Karangploso

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
316,790,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
5,400,000
10,800,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
316,790,000
BIAYA
3,600,000
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,800,000
2,700,000
1,000,000
2,400,000
1,100,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
-
316,790,000
BIAYA
600,000 70,330,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
120,000
316,790,000
BIAYA
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
2,400,000
1,200,000
1,200,000
10,800,000
1,200,000
10,800,000
10,800,000
1,200,000
1,100,000
16,200,000
21,600,000
10,800,000
316,790,000
BIAYA
2,400,000 103,584,000
1,200,000
1,200,000
1,500,000 3,900,000 316,790,000
6,000,000 62,210,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
6,350,000
3,983,000
4,500,000
2,400,000
2,160,000
379,000,000 #NAME?
266,387,000
Tahun 2017
BULAN
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000

Rp.100.000

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.100.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000


&Balita Rp.100.000
BULAN
2 kss x 90 hma x
Rp.20.000

&Balita Rp.100.000

&Balita Rp.50.000

Sklh Rp.100.000
2 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 4 kali x
Rp.100.000
355 org x 1 kali x

Rp.30.000
2 org x 9 desa x
Rp.100.000

Rp 100000

Usia Rp 100.000



Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS

50.000 promkes

BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
BULAN
verifikasi SBS
Rp.50.000
23 org x 3 kali x
Rp.30000
X Upaya P2 1. TB

Rp.100.000

Rp.100.000

Rp.100.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS

Rp.100.000
Rp.100.000


50000
2 org x 11 kl x
Rp.50.000
Pgendlian Peny Tular Vektor 2 Pelacakan Kasus Kontak Desa 432 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 16,200,000
12 bln x Rp.50.000
12 bln x Rp.50.000
12 bln x Rp.50.000
BULAN
Rp.100.000
Rp.100.000
wa Rp.100.000
Pet
Rp.100.000
ing Des
XV Pengelolaan Keuangan Pkm 1. BOK 6 kali honor dinkes Bendahara ### Jan-Juni 500,000 500,000 500,000 500,000 500,000 500,000 1,000,000 500,000 500,000 500,000 500,000 6,000,000
BOK RP.250.000
30 org x 11 kali x
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000

Rp.45.000 Juli,Okt
2000
480 buah x 1 kl x
Rp.3000

XVIII 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
2 Penggadaan Banner/Spanduk Desa 18 2 lbr x 9 kl x Rp.150000 Percetakan Puskesmas ### Juni-Okt 2,400,000 450,000 1,400,000 1,000,000 300,000 400,000 400,000 6,350,000
Rp.100.000
2 org x 12 kl x
Rp.100.000
900 lbr x 12 bln

XRp.200
Mengetahui,
BULAN

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
316,790,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
5,400,000
10,800,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
316,790,000
BIAYA
3,600,000
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,800,000
2,700,000
1,000,000
2,400,000
1,100,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
-
316,790,000
BIAYA
600,000 70,330,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
120,000
316,790,000
BIAYA
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
2,400,000
1,200,000
1,200,000
10,800,000
1,200,000
10,800,000
10,800,000
1,200,000
1,100,000
16,200,000
21,600,000
10,800,000
316,790,000
BIAYA
2,400,000 103,584,000
1,200,000
1,200,000
1,500,000 3,900,000 316,790,000
6,000,000 62,210,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
6,350,000
3,983,000
4,500,000
2,400,000
2,160,000
379,000,000 #NAME?
266,387,000
Tahun 2017
BULAN
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000

Rp.100.000

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.100.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000


&Balita Rp.100.000
BULAN
2 kss x 90 hma x
Rp.20.000

&Balita Rp.100.000

&Balita Rp.50.000

Sklh Rp.100.000
2 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 4 kali x
Rp.100.000
355 org x 1 kali x

Rp.30.000
2 org x 9 desa x
Rp.100.000

Rp 100000

Usia Rp 100.000



Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS

50.000 promkes

BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
BULAN
verifikasi SBS
Rp.50.000
23 org x 3 kali x
Rp.30000
X Upaya P2 1. TB

Rp.100.000

Rp.100.000

Rp.100.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS

Rp.100.000
Rp.100.000


50000
2 org x 11 kl x
Rp.50.000
Pgendlian Peny Tular Vektor 2 Pelacakan Kasus Kontak Desa 432 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
12 bln x Rp.50.000
12 bln x Rp.50.000
12 bln x Rp.50.000
BULAN
Rp.100.000
Rp.100.000
wa Rp.100.000
Pet
Rp.100.000
ing Des
XV Pengelolaan Keuangan Pkm 1. BOK 6 kali honor dinkes Bendahara ### Jan-Juni 500,000 500,000 500,000 500,000 500,000 500,000 3,000,000
BOK RP.250.000
30 org x 11 kali x
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000

Rp.45.000 Juli,Okt
2000
480 buah x 1 kl x
Rp.3000

XVIII 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
2 Penggadaan Banner/Spanduk Desa 18 2 lbr x 9 kl x Rp.150000 Percetakan Puskesmas ### Juni-Okt 2,400,000 450,000 400,000 400,000 300,000 3,950,000
Rp.100.000
2 org x 12 kl x
Rp.100.000
900 lbr x 12 bln

XRp.200
Mengetahui,
BULAN

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
322,190,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
5,400,000
10,800,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
322,190,000
BIAYA
3,600,000
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,800,000
2,700,000
1,000,000
2,400,000
1,100,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
-
322,190,000
BIAYA
600,000 70,330,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
120,000
322,190,000
BIAYA
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
2,400,000
1,200,000
1,200,000
10,800,000
1,200,000
10,800,000
10,800,000
1,200,000
1,100,000
21,600,000
21,600,000
10,800,000
322,190,000
BIAYA
2,400,000 108,984,000
1,200,000
1,200,000
1,500,000 3,900,000 322,190,000
3,000,000 56,810,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
3,950,000
3,983,000
4,500,000
2,400,000
2,160,000
379,000,000 #NAME?
266,387,000
UPTD Puskesmas Karangploso
Tahun 2017
BULAN
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000

Rp.100.000

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.100.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000


&Balita Rp.100.000
BULAN
2 kss x 90 hma x
Rp.20.000

&Balita Rp.100.000

&Balita Rp.50.000

Sklh Rp.100.000
2 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 4 kali x
Rp.100.000
355 org x 1 kali x

Rp.30.000
2 org x 9 desa x
Rp.100.000

Rp 100000

Usia Rp 100.000


VIII Upaya Kesh Lingkungan

1 Desa 12 kali Transport petugas 9 Desa Pet.Kesling ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS

50.000 promkes
BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
BULAN
verifikasi SBS
Rp.50.000
23 org x 3 kali x
Rp.30000
X Upaya P2 1. TB

Rp.100.000

Rp.100.000

Rp.100.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS

Rp.100.000
Rp.100.000


50000
2 org x 11 kl x
Rp.50.000
12 bln x Rp.50.000
12 bln x Rp.50.000
BULAN
12 bln x Rp.50.000
Rp.100.000
Rp.100.000
wa Rp.100.000
Pet
Rp.100.000
ing Des
-
Total Esensial & Penunjang ### 16,450,000 19,120,000 59,840,000 17,050,000 16,750,000 31,600,000 23,670,000 22,400,000 27,800,000 25,795,000 31,861,000 29,854,000 322,190,000

1. Pengelolaan Keuangan Pkm 1. BOK 6 kali honor dinkes Bendahara ### Jan-Juni 500,000 500,000 500,000 500,000 500,000 500,000 3,000,000
BOK RP.250.000
2. Dukungan Administrasi
Pembelian Materai ADM 72 buah 72 buah pembelian materai Toko Bendahara ### Jan-Feb 300,000 300,000 600,000
30 org x 11 kali x
2. Manajemen Puskesmas 1. Lokakarya Mini Bulanan Pkm Peserta 11 kali konsumsi Puskesmas Staff PKM ### Jan-Mei,Juli-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 9,900,000
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000
3. Pembelian ATK 1. Pembelian ATK ATK 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan-Des 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000

Rp.45.000 Juli,Okt
2000
480 buah x 1 kl x
Rp.3000

4. 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
5. Konsultasi pembinaan teknis 1. Supervisi suportif 9 desa 1 kali transport petugas 9 Desa tim ### Mrt,Agt,Des 4,500,000 4,500,000
Rp.100.000
2 org x 12 kl x
Rp.100.000
BULAN
900 lbr x 12 bln

6. Sistem Informasi 1. Penggandaan Laporan ADM 10.800 lbr Fotocopy Toko Bendahara ### Jan-Des 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 2,160,000
XRp.200
Sub Total Manajemen Puskesmas ### 2,761,000 3,271,000 11,171,000 2,816,000 2,754,000 5,606,000 8,091,000 2,121,000 6,486,000 2,251,000 1,906,000 7,576,000 56,810,000
Mengetahui,

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
322,190,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
5,400,000
10,800,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
322,190,000
BIAYA
3,600,000
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,800,000
2,700,000
1,000,000
2,400,000
1,100,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
322,190,000
BIAYA
600,000 70,330,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
322,190,000
BIAYA
120,000
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
2,400,000
1,200,000
1,200,000
10,800,000
1,200,000
10,800,000
10,800,000
1,200,000
1,100,000
21,600,000
21,600,000
322,190,000
BIAYA
10,800,000
2,400,000 108,984,000
1,200,000
1,200,000
1,500,000 3,900,000 322,190,000

-
322,190,000 322,190,000 322,190,000
3,000,000 56,810,000
379,000,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
3,950,000
3,983,000
4,500,000
2,400,000
322,190,000
BIAYA
2,160,000
56,810,000
379,000,000 #NAME?
266,387,000
Tahun 2017
BULAN
1. Pelayanan Antenatal/ ANC 1 Pendataan sasaran (TERPADU) desa 9 desa Transport petugas 9 Desa Tim pkm Maret 36,000,000 36,000,000
100000
30000

1. 3 Pelaksanaan Program P4K bumil 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000

9ds x Rp50.000
3org x 9 desa x 12bln x 2 Bidan dan Pet

5 Pelaksanaan Kelas Ibu desa 9 desa Transport petugas 9 Desa ### Jan-Des 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 16,200,000
Rp.50.000 Gizi

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.100.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000


III Upaya Kesh Anak Balita 1 12 Kasus Transport petugas rumah balita Pet. Gizi & PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
&Balita Rp.50.000
2 kss x 90 hma x
Rp.20.000
BULAN

&Balita Rp.100.000

&Balita Rp.50.000

Sklh Rp.100.000
2 org x 34 SD x
2 Pembinaan UKS SD 34 SD transport petugas SD P.UKS, prwt Juni-Sept 2,000,000 2,000,000 2,250,000 2,250,000 8,500,000
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 34 SD x
Rp.100.000
1 org x 4 kali x
Rp.100.000
355 org x 1 kali x

Rp.30.000
3 org x 9 desa x
b Pendataan 1 kali Transport petugas 9 desa Tim Pkm Juni 1,800,000 1,800,000
Rp.100.000

Rp 100000

Usia Rp 100.000

Lansi 1 org x 4 kali x9 ds x

Resti Rp.50.000

Bersih Rp.100.000
2 STBM ###
a. Pemicuan/ CLTS
4 org x 3kali x 3ds x P.kesling,promkes,

50.000 PPD

BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
Transport petugas 3 desa 3 desa 16 org x 50000 Transport petugas desa Tim Pkm Nop 800,000 800,000
Transport petugas Siswa 1 SD 4 0rg x 8 kali x 50000 Transport petugas 3 desa Tim Pkm Nop 1,600,000 1,600,000
BULAN
verifikasi SBS
Transport kader kader 136 org 136 x 30000 Transport kader kader desa Pet Kesling Des 4,080,000 4,080,000
stiker verifikasi bh 1368 1368 x 100 Stiker Toko Pet Kesling Des 136,800 136,800
1 Pertemuan penyegaran teknis kader Kader 18 kader transport kader puskesmas Kader Posy ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
IX Upaya Promosi Kesh Kader 20 org konsumsi puskesmas Kader Posy, Petgs###Mrt,Juli,Sept,Des 690,000 690,000 690,000 690,000 2,760,000
Rp.30000
X Upaya P2 1. TB

a Kunj rmh utk follow up tt laksana TB Pasien 24 kunj Transport petugas pasien Pet TB ### Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp.100.000

Rp.100.000

Rp.100.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS
1 org x 12 posy x 1 kl x
Rp.100.000
Rp.100.000


100000
1 org x 11 kl x
1 Penyuluhan DBD Desa 11 kali Transport petugas desa Pet.DBD ### Feb-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
Rp.100.000
XI Upaya Pencegahan dan 1 Pelacakan Kasus Kontak Desa 432 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
12 bln x Rp.50.000
Pgendlian Peny Tular Vektor 2 Penemuan kasus secara dini Desa 432 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
12 bln x Rp.50.000
12 bln x Rp.50.000
BULAN
XIII Masalah Keswa da Napza 1 Pendampingan Keswa Desa 12 kali Transport petugas Desa Pet Keswa ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
2 Deteksi dini Masalah Keswa Desa 12 kali Transport petugas Desa Pet Keswa ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.100.000
3 org x 3 kl x
3 Penyuluhan Keswa dan Napza SMA Sekolah Transport petugas Sekolah Pet Keswa ### Agst-okt 300,000 300,000 300,000 900,000
Rp.100.000
3 org x 1 desa x 5 kl x Pet UKK, Pet

1 Pemeriksaan Tmpt Kerja & Pekerja Desa 5 kali Transport petugas Posyandu ###Feb,April,Agst,Okt, 150,000 150,000 150,000 150,000 150,000 750,000
Rp.50.000 Promkes
Des
XIV UKM Pengembangan Lain ### 16,350,000 18,870,000 59,740,000 16,800,000 16,650,000 31,500,000 23,570,000 22,150,000 27,700,000 25,545,000 31,761,000 29,304,000 319,940,000
sial & Penunjang

1. BOK 12 kali honor dinkes Bendahara ### Jan-Des 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 3,000,000
2. BOK
Dukungan Administrasi RP.250.000
1. Pengelolaan Keuangan Pkm Pembelian Materai ADM 72 buah 72 buah pembelian materai Toko Bendahara ### Jan-Feb 300,000 300,000 600,000
30 org x 11 kali x
1. Lokakarya Mini Bulanan Pkm Peserta 11 kali konsumsi Puskesmas Staff PKM ### Jan-Mei,Juli-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 9,900,000
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
2. Manajemen Puskesmas Linsek 4 kali konsumsi Puskesmas Linsek ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000
1. Pembelian ATK ATK 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan-Des 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000

Rp.45.000 Juli,Okt
3. Penyediaan Bahan Hbs Pakai ATK 420 bh Ballpoint Toko Bendahara ### Jan-Sept 60,000 120,000 60,000 60,000 60,000 300,000 60,000 60,000 300,000 1,080,000
2000
480 buah x 1 kl x
Rp.3000
3750 lbr x 10 kl x
1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
Rp.200
pelayanan promotif &

4. 3 Penggandaan Format Laporan Peserta 4500 lbr 375 lbr x 12 kl x Rp.200 fotocopy Puskesmas ### Jan-Des 500,000 500,000 75,000 75,000 58,000 800,000 300,000 75,000 300,000 350,000 350,000 600,000 3,983,000
preventif
1. Supervisi suportif 9 desa transport petugas 9 Desa tim ### Mrt,Agt,Des 2,250,000 2,250,000 2,250,000 6,750,000
Rp.50.000
2 org x 12 kl x
2 Konsultasi ke Dinas Dinkes transport petugas dinkes tim ### Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp.100.000
900 lbr x 12 bln

5. Konsultasi pembinaan teknis 1. Penggandaan Laporan ADM 10.800 lbr Fotocopy Toko Bendahara ### Jan-Des 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 2,160,000
XRp.200
BULAN
6. Sistem Informasi ### 2,511,000 3,021,000 8,671,000 2,566,000 2,504,000 5,356,000 8,341,000 4,621,000 6,736,000 2,501,000 2,156,000 10,076,000 59,060,000
najemen Puskesmas ### 18,861,000 21,891,000 68,411,000 19,366,000 19,154,000 36,856,000 31,911,000 26,771,000 34,436,000 28,046,000 33,917,000 39,380,000 379,000,000
otal Keseluruhan
Mengetahui,
NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003

319,940,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
16,200,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
3,600,000
319,940,000
BIAYA
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,800,000
2,700,000
1,000,000
2,400,000
1,100,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
-
319,940,000
BIAYA
600,000 70,330,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
120,000
319,940,000
BIAYA
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
2,400,000
1,200,000
1,200,000
10,800,000
1,200,000
10,800,000
10,800,000
1,200,000
1,100,000
21,600,000
21,600,000
10,800,000
319,940,000
BIAYA
1,200,000 107,784,000
1,200,000
900,000
750,000 2,850,000
319,940,000 319,940,000 319,940,000
319,940,000
3,000,000
600,000 59,060,000
9,900,000 379,000,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
3,950,000
3,983,000
6,750,000
2,400,000
2,160,000
319,940,000
BIAYA
59,060,000
379,000,000 #NAME?
269,837,000
Tahun 2017
BULAN
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000 Gizi

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
7 Kunjungan rmh PUS DO/tdk ber KB PUS 36 PUS Transport petugas Rumah Pet KB & PPD ### Jan-Des 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 3,600,000
Rp.50.000

9ds x Rp50.000

9ds x Rp50.000

9ds x Rp50.000

x Rp30.000

9ds x Rp50.000


III Upaya Kesh Anak Balita 1 12 Kasus Transport petugas rumah balita Pet. Gizi & PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
&Balita Rp.50.000
2 kss x 90 hma x
Rp.20.000
BULAN

3 Pendampingan PMT-P 2 kss Transport petugas rumah balita Pet. Gizi,PPD ### Jul-Des 100,000 100,000 100,000 100,000 100,000 100,000 600,000
&Balita Rp.50.000

&Balita Rp.50.000
Upaya Kesh Anak Usia 4 org x 34 SD x Dr, Pet

IV 1 Pemeriksaan Peserta Didik SD 34 SD transport petugas SD ### Sept-Des 1,600,000 1,600,000 1,800,000 1,800,000 6,800,000
Sklh Rp.50.000 UKS,prwt,drg
4 org x 34 SD x
2 Pembinaan UKS SD 34 SD transport petugas SD P.UKS,prwt,gizi,ke Juni-Sept 2,000,000 2,000,000 2,250,000 2,250,000 8,500,000
Rp.50.000
sling
2 org x 34 SD x
a Bias Campak Siswa SD 34 SD transport petugas SD Korim & PPD ### September 3,400,000 3,400,000
Rp.50.000
2 org x 34 SD x
b Bias DD/TT Siswa SD 34 SD transport petugas SD Korim & PPD ### Nopember 3,400,000 3,400,000
Rp.50.000
2 org x 4 kali x
a Sosialisasi 4 tmpt 4 kali Transport petugas 4 tmpt Tim pkm ### Juni 400,000 400,000
Rp.50.000
355 org x 1 kali x

Rp.30.000
3 org x 9 desa x
b Pendataan 1 kali Transport petugas 9 desa Tim Pkm Juni 1,350,000 1,350,000
Rp.50.000

Rp 50000
VI Desa 10 kali Transport petugas 9 Desa, Kec Pet KB & PPD ### 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,000,000
Upaya Kesh UsiaLanjut 1 org x 1 kali x 9ds x

VII 1 Pendataan pra lansia dan lansia desa 9 kali Transport petugas 9 Desa Prwt Ponkesdes ### Jan 450,000 450,000
Usia Rp.50.000
2 org x 2 kali x 12bln x

2 Pelayanan di Posbindu posbindu 18 kali Transport petugas posbindu Prwt induk Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
Rp 50.000

3 12 kali Transport petugas posy lansia Pet KB Jan-Des 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 600,000

Resti Rp.50.000
VIII Upaya Kesh Lingkungan

1 Desa 24 kali Transport petugas 9 Desa Pet.Kesling ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Bersih Rp.50.000
2 STBM ###
a. Pemicuan/ CLTS

50.000 PPD
BULAN
masy
terpicu
masy
terpicu
masy
terpicu

terpicu x100000

d
dan buku kader
Transport petugas 3 desa 3 desa 16 org x 50000 Transport petugas desa Tim Pkm Nop 800,000 800,000
Transport petugas Siswa 1 SD 4 0rg x 8 kali x 50000 Transport petugas 3 desa Tim Pkm Nop 1,600,000 1,600,000
BULAN
verifikasi SBS
Transport kader kader 136 org 136 x 30000 Transport kader kader desa Pet Kesling Des 4,080,000 4,080,000
stiker verifikasi bh 1368 1368 x 100 Stiker Toko Pet Kesling Des 136,800 136,800
IX Upaya Promosi Kesh 1 Pertemuan penyegaran teknis kader Kader 18 kader transport kader puskesmas Kader Posy ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
Rp.30000
Pembinaan/pendampingan kelmp desa 10 kali 1 org x 10 kali x 50000 Transport petugas 10 kali petugas Feb-Des 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 500,000
X Upaya P2 1. TB

Rp.50.000

Rp.50.000

Rp.50.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS
Penyuluhan HIV AIDS Desa 12 kali Transport petugas Posyandu Pet.HIV/AIDS ### Jan-Des 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 600,000
Rp.50.000
2 org x 9 ds x 12 bln x Pet Diare, prwt

3 Kunj rmh utk follow up tt laksana diare Pasien 108 kasus Transport petugas pasien ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
Rp.50.000 ponkesdes
Kunj rmh utk follow up tt laksana ISPA/ 2 org x 9 ds x 12 bln x Pet ISPA, prwt
4 Pasien 108 kasus Transport petugas pasien ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
pneumonia Rp.50.000 ponkesdes

50000
2 org x 11 kl x Pet.DBD,Prwt
XI Upaya Pencegahan dan 1 Penyuluhan DBD Desa 11 kali Transport petugas desa ### Feb-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
Rp.50.000 Ponkesdes
12 bln x Rp.50.000
BULAN
12 bln x Rp.50.000
Pengendalian Vektor 1 Pemantauan dan pengendalian vektor Desa 216 kasus Transport petugas desa Prwt Ponkesdes Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
12 bln x Rp.50.000
XIII Upy Pcghn & Pengendalian 1 Penyuluhan Keswa Desa 9 kali Transport petugas Posyandu Pet Keswa ### April-Des 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 450,000
Rp.50.000
Masalah Keswa da Napza 2 Pendampingan Keswa Desa 12 kali Transport petugas Desa Pet Keswa, PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.50.000
3 Deteksi dini Masalah Keswa Desa 12 kali Transport petugas Desa Pet Keswa, PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Rp.50.000
2 Penyuluhan Keswa dan Napza SMA 6 Sekolah 3 org x 6 kl x Rp.50.000 Transport petugas Sekolah Pet Keswa ### Agst-okt 300,000 300,000 300,000 900,000

XIV UKM Pengembangan Lain 1 Pemeriksaan Tmpt Kerja & Pekerja Desa 5 kali Transport petugas Posyandu ###Feb,April,Agst,Okt, 150,000 150,000 150,000 150,000 150,000 750,000
Rp.50.000 Promkes
Des
-

1. Pengelolaan Keuangan Pkm 1. BOK 12 kali honor dinkes Bendahara ### Jan-Des 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 3,000,000
BOK RP.250.000
2. Dukungan Administrasi
Pembelian Materai ADM 72 buah 72 buah pembelian materai Toko Bendahara ### Jan-Feb 300,000 300,000 600,000
30 org x 11 kali x
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000
3. Penyediaan Bahan Hbs Pakai 1. Pembelian ATK ATK 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan-Des 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000

Rp.45.000 Juli,Okt
2000
480 buah x 1 kl x
Rp.3000
pelayanan promotif & 3750 lbr x 10 kl x

4. 1 Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Feb-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
BULAN
5. Konsultasi pembinaan teknis 1. Supervisi suportif 9 desa transport petugas 9 Desa tim ### Mrt,Agt,Des 2,250,000 2,250,000 2,250,000 6,750,000
Rp.50.000
2 org x 12 kl x
Rp.100.000
900 lbr x 12 bln

XRp.200
Mengetahui,

NIP. 19651228 199803 1 006 NIP. 19700114 200212 1 003
319,940,000
BIAYA
36,000,000 379,000,000
4,320,000
10,800,000
10,800,000
16,200,000
2,100,000
1,440,000
3,600,000
5,400,000
5,400,000
5,400,000
4,140,000
5,400,000
10,800,000
1,200,000
3,600,000
319,940,000
BIAYA
600,000 127,200,000
180,000
6,800,000
8,500,000
3,400,000
3,400,000
400,000
10,650,000
1,350,000
2,250,000
1,000,000
450,000
2,400,000
600,000
21,600,000
1,200,000
2,000,000
800,000
1,800,000
319,940,000
BIAYA
600,000 69,380,000
375,000
270,000
270,000
111,000
120,000
1,200,000
320,000
120,000
460,000
1,890,000
800,000
1,000,000
400,000
1,160,000
1,600,000
100,000
500,000
360,000
319,940,000
BIAYA
120,000
600,000
11,776,000
27,200
680,000
4,080,000
136,800
600,000
3,600,000
2,760,000
500,000
1,800,000
1,800,000
1,800,000
10,800,000
600,000
10,800,000
10,800,000
1,200,000
1,100,000
21,600,000
319,940,000
BIAYA
21,600,000
10,800,000
450,000
1,200,000 108,734,000
1,200,000
900,000
750,000 2,850,000 319,940,000

-
319,940,000 319,940,000 319,940,000
3,000,000 59,060,000
379,000,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
300,000
5,200,000
3,950,000
3,983,000
319,940,000
BIAYA
6,750,000
2,400,000
2,160,000
59,060,000
379,000,000 #NAME?
269,387,000
Tahun 2017
BULAN
I Upaya Kesehatan Ibu -
100000
30000

9ds x Rp50.000

9ds x Rp50.000

Rp.50.000 Gizi

bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.50.000

9ds x Rp50.000

9ds x Rp50.000
II Upy Kesh Neonatus & Bayi -

9ds x Rp50.000

& Bayi 2 Pemberian Vitamin A bayi 9 desa x Rp30.000
Transport kader 9 Desa Kader Feb, Agust 2,070,000 2,070,000 4,140,000

3 Pemantauan imunisasi dasar lgkp bayi 9 desa
x Rp30.000
Transport kader 9 Desa Kader Jan-Des 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 24,840,000

9ds x Rp50.000


III Upaya Kesh Anak Balita 1 Pemantauan Kesehatan Balita 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
BULAN

dan Pra Sekolah 2 12 Kasus Transport petugas rumah balita Pet. Gizi & PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
&Balita Rp.50.000
2 kss x 90 hma x
3 Pembelian bahan PMT pemulihan balita pmt-p 2 kss Pengadaan Bahan toko Pet. Gizi ### Juli-Des 600,000 600,000 600,000 600,000 600,000 600,000 3,600,000
Rp.20.000

4 Pendampingan PMT-P 2 kss Transport petugas rumah balita Pet. Gizi,PPD ### Jul-Des 100,000 100,000 100,000 100,000 100,000 100,000 600,000
&Balita Rp.50.000

&Balita Rp.50.000

IV 1 Pemeriksaan Peserta Didik SD 34 SD transport petugas SD ### Sept-Des 1,600,000 1,600,000 1,800,000 1,800,000 6,800,000
4 org x 34 SD x
2 Pembinaan UKS SD 34 SD transport petugas SD P.UKS,prwt,kesling Juni-Sept 2,000,000 2,000,000 2,250,000 2,250,000 8,500,000
Rp.50.000
,gz
V Imunisasi 1. Pelaksanaan Imunisasi -
2 org x 34 SD x
Rp.50.000
2 org x 34 SD x
Rp.50.000
2. Pelaksanaan Campak Rubella -
2 org x 4 kali x
a Sosialisasi 4 tmpt 4 kali Transport petugas 4 tmpt Tim pkm ### Juli 400,000 400,000
Rp.50.000
355 org x 1 kali x

peserta 4 kali konsumsi warung Peserta ### Juli 10,650,000 10,650,000
Rp.30.000
3 org x 9 desa x
b Pendataan Juli 1,350,000 1,350,000
Rp.50.000

c Distribusi Sarana & Prasarana Desa 9 desa Transport petugas 9 Desa Tim pkm Agustus 2,250,000 2,250,000
Rp 50000
Upaya Kesh UsiaLanjut 1 org x 1 kali x 9ds x

VII 1 Pendataan pra lansia dan lansia desa 9 kali Transport petugas 9 Desa Prwt Ponkesdes ### Jan-Des 450,000 450,000
Usia Rp.50.000
2 org x 10 kali x Rp
2 Pelayanan di Posbindu posbindu 18 kali Transport petugas posbindu Prwt induk Jan-Des 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 2,400,000
50.000

3 9 kali Transport petugas posy lansia Pet KB Jan-Des 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 600,000

Resti Rp.50.000
VIII Upaya Kesh Lingkungan -

1 Desa 9 desa Transport petugas 9 Desa Pet.Kesling ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Bersih Rp.50.000
2 STBM ###
a. Pemicuan/ CLTS
BULAN

50.000 PPD
masy
terpicu
masy
terpicu
masy
terpicu
c Monitoring pasca pemicuan -
Penggandaan 600 lb x 200 Fotocopy Toko Pet kesling Nop 120,000 120,000
2 org x 3 ds x 2 kali
Transport petugas Transport petugas 3 desa Tim Pkm Nop 1,200,000 1,200,000
x100000

d -
dan buku kader
Form pengisian data sanitasi 1600 lb x 200 Fotocopy Toko Pet kesling Nop 320,000 320,000
Kertas Manila 24 lmbr x 5000 ATK Toko Pet kesling Nop 120,000 120,000
Spidol warna 23 pak x 20000 ATK Toko Pet kesling Nop 460,000 460,000
Transport kader 64 kader x 30000 Transport kader 3 desa Kader Nop 1,890,000 1,890,000
Transport petugas 16 org x 50000 Transport petugas desa Tim Pkm Nop 800,000 800,000
e Kampanye HS sekolah -
Snack untuk siswa 200 snack x 5000 Konsumsi Toko Pet Kesling Nop 1,000,000 1,000,000
ATK 8 paket x 50000 ATK Toko Pet Kesling ### Nop 400,000 400,000
Alat peraga CPTS 8 paket x 145000 ATK Toko Pet Kesling Nop 1,160,000 1,160,000
Transport petugas 4 0rg x 8 kali x 50000 Transport petugas 3 desa Tim Pkm Nop 1,600,000 1,600,000
f Pertemuan pguatan komitmen ODF -
ATK ATK Des 100,000 100,000

BULAN
Konsumsi Konsumsi Des 500,000 500,000
Transport natural leader Transport natural Des 360,000 360,000
Transport aparat desa Transport aparat dea Des 120,000 120,000
Transport petugas Des 600,000 600,000
g Kegiatan verifikasi SBS utk tim -
verifikasi SBS -
Penggandaan format Fcopy Des 27,200 27,200
Snack Konsumsi Des 680,000 680,000
Transport kader Transport kader Des 4,080,000 4,080,000
verifikasi Stiker Des 136,800 136,800
Transport petugas Transport petugas Des 600,000 600,000
IX Upaya Promosi Kesh 1 Pertemuan penyegaran teknis kader Kader 18 kader transport kader puskesmas Kader Posy ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
Rp.30000
Pyuluhan klmpk ttg program kesh Pet promkes 450,000
desa 9 desa 25 org x 30000 x 9 ds Transport masy 9 desa masy 6,750,000
desa 9 desa 26 org x 9 ds x 30000 konsumsi Toko pkm 7,020,000
Pembinaan/pendampingan kelmp desa 10 kali 1 org x 10 kali x 50000 Transport petugas 10 kali petugas 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 500,000
X Upaya P2 1. TB -

Rp.50.000

Rp.50.000

Rp.50.000
1 org x 2kss x9ds x

12bln xRp50.000
2. HIV/AIDS -
Rp.50.000
BULAN

Rp.50.000 ponkesdes

5 Kunj rmh utk follow up tt laksana kusta Pasien Transport petugas pasien Pet Kusta ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
50000
2 org x 9 desa x 11 kl x Pet.DBD,Prwt

XI Upaya Pencegahan dan 1 Penyuluhan DBD Desa 9 kali Transport petugas desa ### Feb-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
Rp.50.000 Ponkesdes
1 org x 3 kss x 9 ds x6
Pengendalian Peny Tular Vek1 Pelacakan Kasus Kontak Desa 324 kasus Transport petugas desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
bln x Rp.50.000
1 org x 3 kss x 9 ds x 9
bln x Rp.50.000
Pengendalian Vektor 1 Pemantauan dan pengendalian vektor Desa 216 kasus Transport petugas desa Prwt Ponkesdes Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
12 bln x Rp.50.000
Rp.50.000
Rp.50.000
Rp.50.000
3 org x 6 x 1 kl x
2 Penyuluhan Keswa dan Napza SMA 6 SMP/SMA Transport petugas SMA Pet Keswa ### Agst-okt 300,000 300,000 300,000 900,000
Rp.50.000

XIV UKM Pengembangan Lain 1 Pemeriksaan Tmpt Kerja & Pekerja Desa 12 kali Transport petugas Posyandu ### Jan-Des 150,000 150,000 150,000 150,000 150,000 750,000
Rp.50.000 Promkes
-

BOK RP.250.000
2. Dukungan Administrasi -
Pembelian Materai ADM 50 buah 72 buah pembelian materai Toko Bendahara ### Jan 300,000 300,000 600,000
30 org x 11 kali x
Rp.30.00
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Linsek 30 org konsumsi Puskesmas Linsek ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.30.000
50 org x 2 kali x
Rp.30.000
30 org x 4 kali x
Rp.30000
3. Penyediaan Bahan Hbs Pakai 1. Pembelian ATK -
ADM 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000
BULAN

ADM 5 botol Tinta printer Toko Bendahara ### 45,000 45,000 45,000 45,000 45,000 225,000
Rp.45.000 Juli,Okt
420 bh Ballpoint Toko Bendahara ### Jan-Sept 60,000 120,000 60,000 60,000 60,000 300,000 60,000 60,000 300,000 1,080,000
2000
480 buah x 1 kl x
480 bh Map Toko Bendahara ### Jan-Des 30,000 30,000 30,000 100,000 30,000 30,000 30,000 280,000
Rp.3000

2. Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Jan-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 200,000 200,000 200,000 200,000 200,000 5,200,000
preventif Rp.200
Penggadaan Banner/Spanduk Desa 18 2 lbr x 9 kl x Rp.150000 Percetakan Puskesmas ### Jan-Des 2,400,000 450,000 400,000 3,250,000
4. Penggandaan Format Laporan Peserta 4500 lbr 375 lbr x 12 kl x Rp.200 fotocopy Puskesmas ### Jan-Des 500,000 500,000 75,000 75,000 58,000 800,000 300,000 75,000 300,000 350,000 350,000 600,000 3,983,000
Rp.50.000
2 org x 12 kl x
Rp.100.000
900 lbr x 12 bln

XRp.200
Mengetahui,
Kuasa Pengguna Anggaran/ Pejabat Pembuat Komitmen (PPK) Ketua Pengelola BOK Puskesmas/
Kepala Dinas Kesehatan Kabupaten Malang Dinas Kesehatan Kabupaten MAlang Kepala UPTD Puskesmas Karangploso
dr Abdurrahman, M.Kes Lulus Condro Trikoratno Skep.NS, MSI dr. Sony Muchlison
NIP. 19651228 199803 1 006 NIP. 19620709 198409 1 002 NIP. 19700114 200212 1 003
BIAYA
10,800,000
10,800,000
1,200,000
1,100,000
21,600,000
21,600,000
10,800,000
450,000
1,200,000
1,200,000
900,000
750,000
320,660,000 320,660,000
3,000,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
BIAYA
225,000
1,080,000
280,000
5,200,000
3,250,000
3,983,000
6,750,000
2,400,000
2,160,000
58,340,000
379,000,000
299,447,000
Tahun 2017
BULAN
I Upaya Kesehatan Ibu -
1. Pelayanan Antenatal/ ANC ### Pendataan sasaran (TERPADU) Petugas Maret 36,000,000 36,000,000
100000
### Kader 4,320,000 4,320,000
30000

1. Pelaksanaan Program P4K Bumil 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000

Pemantauan Bumil Resiko Tinggi Bumil 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
9ds x Rp50.000
14 x 9 desa x Bidan
Pelaksanaan Kelas Ibu desa 9 desa Transport petugas 9 Desa ### Jan-Des 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 16,200,000
Rp.50.000 Pkm,Bides,Pet Gizi

Kemitraan Bidan Dukun 3 kali Transport dukun puskesmas Tim pkm ### Mrt, Sept, Des 700,000 700,000 700,000 2,100,000
bayi Rp.50.000
16 org x 3 kali x
Rp.30.000
Rp.50.000
Bufas 1 org x 1 kss x12bln x

2 Pelayanan Ibu Nifas 1 Pelayanan nifas termasuk KB 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
Risti 9ds x Rp50.000

9ds x Rp50.000
II Upy Kesh Neonatus & Bayi -

Pelayanan Kesh Neonatus Pemeriksaan neonatus bayi 108 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 5,400,000
9ds x Rp50.000
& Bayi Pemantauan kesehatan bayi
1 Pemberian Vitamin A Feb, Agust 2,070,000 2,070,000 4,140,000
2 Pemantauan imunisasi dasar lgkp Jan-Des 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 2,070,000 24,840,000

9ds x Rp50.000

-
BULAN
III Upaya Kesh Anak Balita dan Pelayanan Kesh Anak Balita -

Pra Sekolah Pemantauan Kesehatan Balita 216 kasus Transport petugas 9 Desa Bidan Desa ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
1. 12 Kasus Transport petugas rumah balita Pet. Gizi & PPD ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
&Balita Rp.50.000
2. PMT pemulihan balita ### -
2 kss x 90 hma x
b Pembelian bahan PMT pemulihan balita pmt-p 2 kss Pengadaan Bahan toko Pet. Gizi ### Juli-Des 600,000 600,000 600,000 600,000 600,000 600,000 3,600,000
Rp.20.000

c Pendampingan PMT-P 4 kss Transport petugas rumah balita Pet. Gizi,PPD ### Jul-Des 100,000 100,000 100,000 100,000 100,000 100,000 600,000
&Balita Rp.50.000

d Pendampingan PMT-P 4 kss Transport kader rumah balita Kader ### Jul-Des 30,000 30,000 30,000 30,000 30,000 30,000 180,000
&Balita Rp.50.000

IV Pemeriksaan Berkala Peserta Didik SD 34 SD transport petugas SD ### Sept-Des 1,600,000 1,600,000 1,800,000 1,800,000 6,800,000
Pet
Pembinaan UKS 5 org x 34 UKS,Prwt<Keslin, 2,000,000 2,000,000 2,250,000 2,250,000 8,500,000
GZ
V Imunisasi 1. Pelaksanaan Imunisasi -
2 org x 34 SD x
Rp.50.000
2 org x 34 SD x
Rp.50.000
2. Pelaksanaan Campak Rubella -
2 org x 4 kali x
a Sosialisasi Desa, Kec 10 kali Transport petugas 9 Desa Korim ### Juli 400,000 400,000
Rp.50.000
120 org x 1 kali x

peserta 1 kali konsumsi warung Tim pkm ### Juli 10,650,000 10,650,000
Rp.20.000
3 org x 9 desa x
b Pendataan Juli 1,350,000 1,350,000
Rp.50.000

c Distribusi Sarana & Prasarana Desa 9 desa Transport petugas 9 Desa Kapus & Korim Agustus 2,250,000 2,250,000
Rp 50000
Upaya Kesh UsiaLanjut 2 org x 12 kali x

VII 1 Pendataan pra lansia dan lansia desa 9 kali Transport petugas 9 Desa Prwt Ponkesdes ### Jan-Des 450,000 450,000
Usia Rp.50.000
2 Pelayanan di Posbindu Prwt induk Jan-Des 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 4,800,000
Pelayanan lanjut usia di posyandu

3 Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
lansia
1 org x 4 kali x9 ds x
4 Pemantauan Lansia Resti Transport petugas 9 Desa Prwt Ponkesdes ### Jan-Des 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
Rp.50.000
VIII Upaya Kesh Lingkungan 1. Pelayanan Kes Kesh Lingk -

Desa 9 desa Transport petugas 9 Desa Pet.Kesling ### Jan-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,200,000
Bersih Rp.50.000
BULAN
Pemberdayaan Masy Melalui 3 org x 1 desa x PPD,Kesling,Pet

SD 1 desa Transport petugas desa ### Nop
Pemicuan STBM Rp.50.000 UKS
33 orang x 1 desa x
peserta 1 desa Konsumsi desa ### Nop
Rp.7.500
2 org x 1 desa x
Pembinaan pasca pemberdayaan Desa 1 desa Transport petugas desa Pet. Kesling,PPD ### Des 22,500,000 22,500,000
Rp.50.000
IX Upaya Promosi Kesh 1 Pertemuan penyegaran teknis kader Kader 18 kader transport kader puskesmas Kader Posy ### April, Agust, Nop 900,000 900,000 900,000 900,000 3,600,000
Rp.50.000
23 org x 3 kali x
Kader 20 org konsumsi puskesmas Kader Posy, Petgs### April, Agust, Nop 690,000 690,000 690,000 690,000 2,760,000
Rp.27.500
Pyuluhan klmpk ttg program kesh Pet promkes 450,000
25 org x 30000 x 9 ds masy 6,750,000
26 org x 9 ds x 30000 konsumsi 7,020,000
Pembinaan/pendampingan kelmp 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 500,000
X Upaya P2 1. TB -

Rp.50.000

Rp.50.000

Rp.50.000
1 org x 2kss x9ds x

b Pengambilan spesimen TB Pasien 324 kasus Transport petugas pasien Prwt Poskesdes ### Jan-Des 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
12bln xRp50.000
2. HIV/AIDS -
Rp.50.000

Rp.50.000 ponkesdes
1 org x 4 kasus x
5 Kunj rmh utk follow up tt laksana kusta Pasien 4 kasus Transport petugas pasien Pet Kusta ###April, Agt,Okt,Des 100,000 100,000 200,000
Rp.50.000
2 org x 9 desa x 1 kl x Pet.DBD,Prwt

XI Upaya Pencegahan dan 1 Penyuluhan DBD Desa 9 kali Transport petugas desa ###April-Mei,Agt-Des 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 1,100,000
Rp.50.000 Ponkesdes
1 org x 3 kss x 9 ds x6
Pengendalian Peny Tular Vek2 Pelacakan Kasus Kontak Desa 108 kasus Transport petugas desa Prwt Ponkesdes ### Maret-Agt 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
bln x Rp.50.000
1 org x 3 kss x 9 ds x 9
3 Penemuan kasus secara dini Desa 108 kasus Transport petugas desa Prwt Ponkesdes ### Maret-Nop 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 1,800,000 21,600,000
bln x Rp.50.000
Pengendalian Vektor Pemantauan dan pengendalian vektor Prwt Ponkesdes 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 900,000 10,800,000
Rp.50.000
BULAN
Rp.50.000
Rp.50.000
3 org x 6 x 1 kl x
2 Penyuluhan Keswa dan Napza SMA 6 SMP/SMA Transport petugas SMA Pet Keswa ### Agst-okt 300,000 300,000 300,000 900,000
Rp.50.000

XIV UKM Pengembangan Lain 1 Pemeriksaan Tmpt Kerja & Pekerja Desa 12 kali Transport petugas Posyandu ### Jan-Des 150,000 150,000 150,000 150,000 150,000 750,000
Rp.50.000 Promkes
-

BOK RP.200.000
2. Dukungan Administrasi -
Pembelian Materai ADM 50 buah 72 buah pembelian materai Toko Bendahara ### Jan 300,000 300,000 600,000
30 org x 11 kali x
Rp.27.500
21 orang x 4 kali x
Rp.100.000
30 orang x 4 kali x
Linsek 30 org konsumsi Puskesmas Linsek ###Mrt,Juli,Sept,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.27.500
50 org x 2 kali x
Rp.20.000
30 org x 11 kali x
4 Rapat Lintas Program Peserta 11 kali konsumsi Puskesmas Staff PKM ### Juli,Des 900,000 900,000 900,000 900,000 3,600,000
Rp.27.500
3. Penyediaan Bahan Hbs Pakai 1. Pembelian ATK -
ADM 27 rim 27 rim x Rp.38.000 Kertas Toko Bendahara ### Jan 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 76,000 912,000

ADM 5 botol Tinta printer Toko Bendahara ### 45,000 45,000 45,000 45,000 45,000 225,000
Rp.45.000 Juli,Okt
420 bh Ballpoint Toko Bendahara ### Jan-Sept 60,000 120,000 60,000 60,000 60,000 300,000 60,000 60,000 300,000 1,080,000
2000
480 buah x 1 kl x
480 bh Map Toko Bendahara ### Jan-Des 30,000 30,000 30,000 100,000 30,000 30,000 30,000 280,000
Rp.3000

2. Penggadaan Leaflet/poster Desa 45000 lbr fotocopy Puskesmas ### Jan-Des 450,000 750,000 750,000 750,000 1,050,000 450,000 4,200,000
preventif Rp.200
Penggadaan Banner/Spanduk Desa 18 2 lbr x 9 kl x Rp.150000 Percetakan Puskesmas ### Jan-Des 2,400,000 450,000 2,850,000
4. Penggandaan Format Laporan Peserta 4500 lbr 375 lbr x 12 kl x Rp.200 fotocopy Puskesmas ### Jan-Des 500,000 500,000 75,000 75,000 58,000 800,000 300,000 75,000 300,000 350,000 350,000 600,000 3,983,000
Rp.50.000
2 org x 12 kl x
Rp.100.000
BULAN
900 lbr x 12 bln

XRp.200
Mengetahui,
Kuasa Pengguna Anggaran/ Pejabat Pembuat Komitmen (PPK) Ketua Pengelola BOK Puskesmas/
Kepala Dinas Kesehatan Kabupaten Malang Dinas Kesehatan Kabupaten MAlang Kepala UPTD Puskesmas Karangploso
dr Abdurrahman, M.Kes Lulus Condro Trikoratno Skep.NS, MSI dr. Sony Muchlison
NIP. 19651228 199803 1 006 NIP. 19620709 198409 1 002 NIP. 19700114 200212 1 003
BIAYA
1,200,000
1,200,000
900,000
750,000
322,660,000 322,660,000
2,400,000
600,000
9,900,000
8,400,000
3,600,000
3,000,000
3,600,000
912,000
225,000
1,080,000
280,000
4,200,000
2,850,000
3,983,000
6,750,000
2,400,000
BIAYA
2,160,000
56,340,000
379,000,000
299,147,000

Poa Bok 2017

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Poa Bok 2017

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RENCANA KEGIATAN (POA) BOK

UPT Puskesmas Karangploso

I Upaya Kesehatan Ibu

1org x 2kss x 12bln x

1org x 2kss x 12bln x

1org x 9 desa x 12bln x

1org x 9 desa x 12bln x

1 org x 1 kss x12bln x

1 org x 1 kss x12bln x

II Upy Kesh Neonatus & Bayi

1 org x 1 kss x12bln x

1 kali x 69 posy x 2bln

1 org x 1 kss x12bln x

1 org x 2 kss x12bln x

Surveylans dan Pelacakan Gizi Kurang 1 org x 12 ks x 1 kl x

Pembelian bahan PMT pemulihan 2 kss x 90 hma x

V Imunisasi 1. Pelaksanaan Imunisasi

2. Pelaksanaan Campak Rubella

355 org x 1 kali x

3 org x 9 desa x 1 kali x

Sosialisasi Kesehatan Reproduksi trmsk 1 org x 10 kali x Rp Feb-Juni, Agust-

2 org x 1 kali x 12bln x

Pelayanan lanjut usia di posyandu 11 pos 1 org x 11 kali x

IS Thd Sarana TTU, TPM, Sarana Air 1 org x 1 kl x 12 bln x

4 org x 3kali x 3ds x PPD, kesling,

b Pleno Pasca Pemicuan -

c Monitoring pasca pemicuan

masy 2 org x 3 ds x 2 kali

Pembuatan ,update peta sanitasi

f Pertemuan pguatan komitmen ODF

ATK atk 2 2x50000 ATK 2 paket Toko Des 100,000 100,000

Konsumsi org 50 50 x 10000 Konsumsi konsumsi Toko Des 500,000 500,000

g Kegiatan verifikasi SBS utk tim

1 org x 2 kali x 12 bln x

1 org x 1 kali x 12 bln x

1 org x 1 kali x 12 bln x

1 org x 2kss x9ds x

1 org x 1 kali x 12 bln x

Kunj rmh utk follow up tt laksana ISPA/ 1 org x 9 ds x 12 bln x

1 org x 1 kali x 12 bln x

1 botol x 5 bulan x Jan, Feb, April,

900 lbr x 12 bln

dr Abdurrahman, M.Kes dr. Sony Muchlison

I Upaya Kesehatan Ibu

1org x 2kss x 12bln x

1org x 2kss x 12bln x

1org x 9 desa x 12bln x

1org x 9 desa x 12bln x

dukun 14 org x 3 kali x

1 org x 1 kss x12bln x

1 org x 1 kss x12bln x

II Upy Kesh Neonatus & Bayi

1 org x 1 kss x12bln x

1 kali x 69 posy x 2bln

1 org x 1 kss x12bln x

Bayi 1 org x 2 kss x12bln x

Surveylans dan Pelacakan Gizi Kurang Bayi 1 org x 12 ks x 1 kl x

Bayi 1 org x 2 kss x 3 kl x

Bayi 1 org x 2 kss x 3 kl x

Upaya Kesh Anak Usia 2 org x 34 SD x

V Imunisasi 1. Pelaksanaan Imunisasi

2. Pelaksanaan Campak Rubella

355 org x 1 kali x

3 org x 9 desa x 1 kali x