POA BOK Tahun 2019

PLAN OF ACTION (POA) PUSKESMAS JAILOLO
PROGRAM IVA
Kab/Kota : Halmahera Barat
Puskesmas : Jailolo
Tahun/Bulan : Januari/2019
Volume Rincian Lokasi Tenaga

No. Upaya Kesehatan Kegiatan Sasaran Target Jadwal
Kegiatan Pelaksanaan Pelaksanaan Pelaksana
1 2 3 4 5 6 7 8 9 10
1 Upaya pencegahan dan 1.1.Pendataan sasaran umur (30-50 thn Wanita 1x Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
pengendalian penyakit tidak Usia Subur Thy Asmarany
Menular Langsung antara lain : Trnsport Petugas Ds Guaeria Indira Kamaruddin 1/2/2019
Deteksi Dini Kanker Leher Rahim Nining Kabir
Dan Kenali Diri adanya kanker pada Transport Petugas Tauro Indira Kamaruddin 1/3/2019
payudara Ermawati
Trnsport Petugas Ds bukubualawa Indira Kamaruddin 1/4/2019
Hamriani
Trnsport Petugas Ds Bukumaadu Indira Kamaruddin 1/5/2019
Tuty Loyang
Trnsport Petugas Ds Ulo Indira Kamaruddin 1/6/2019
Betlina Mudja
transpor petugas Ds Saria Indira Kamaruddin 1/7/2019
Rina Hasim
transpor petugas Ds bobo Indira Kamaruddin 1/8/2019
Rosmiyatih
transpor petugas Ds. Bobo jiko Indira Kamaruddin 1/9/2019
Hafilat Ade
transpor petugas Payo Tengah Indira Kamaruddin 1/10/2019
Ratih M abd. Gani
transpor petugas Payo Indira Kamaruddin 1/11/2019
Ratih M abd. Gani
transpor petugas Bobanehena Indira Kamaruddin 1/12/2019
Jumra Sangaji
transpor petugas Galala Indira Kamaruddin 1/13/2019
Zumra Bayan
transpor petugas Guaemaadu Indira Kamaruddin 1/14/2019
Ekawati
transpor petugas Gufasa Indira Kamaruddin 1/15/2019
Erna
transpor petugas Jalan Baru Indira Kamaruddin 1/16/2019
Rukija Hardin
transpor petugas Gamlamo Indira Kamaruddin 1/17/2019
Rukija Hardin
1.2 Sosilasasi Tentang IVA, atau Kanker

Leher Wanita 1x Trnsport Petugas Ds.Saria Indira Kamarudin 2/18/2019
Rahim, dan Sadari/ Kenali diri tentang Usia Subur Mardiyah Tengg
Kanker Payudara Bides
Trnsport Petugas Ds.Bobo Indira Kamarudin 2/19/2019
Mardiyah Tengg
Bides
Trnsport Petugas Ds.Bobo Jiko Indira Kamarudin 2/20/2019
Mardiyah Tengg
Bides
Trnsport Petugas Ds. Payo Tengah Indira Kamarudin 2/21/2019
Mardiyah Tengg
Bidess
Tahun/Bulan : Febuari/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1 x Trnsport Petugas Ds. Saria Indira Kamarudin 2/18/2019
pengendalian penyakit tidak tentang Sadari Diri trntang adanya Usia Subur Zumra Bayan
Menular Langsung antara lain : Kanker pada Payudara Trnsport Petugas Ds. Bobo Indira Kamarudin
Deteksi Dini Kanker Leher Rahim Zumra Bayan
Dan Kenali Diri adanya kanker Trnsport Petugas Ds. Bobo Jikoa Indira Kamarudin
payudara Zumra Bayan
Trnsport Petugas Ds. Payo Tengah Indira Kamarudin
Zumra Bayan
Rina Hasim
Hafilat Ade
Rosmiyati
Ratih M Abd. Gani
Makan Minum
Bahan-bahan
Tahun/Bulan : Maret/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.3 Sosilasasi Tentang IVA, atau Kanker Wanita 1x Trnsport Petugas Ds. Payo Indira Kamarudin 3/18/2019
pengendalian penyakit tidak Leher Usia Subur Mardiyah Tengg
Menular Langsung antara lain : Rahim, dan Sadari/ Kenali diri tentang adanya Bides
Deteksi Dini Kanker Leher RahimKanker Payudara Trnsport Petugas Ds. Bobanehena Indira Kamarudin 3/19/2019
Dan Kenali Diri adanya kanker Bides
payudara Mardiyah Tengg
Trnsport Petugas Ds. Galala Indira Kamarudin 3/20/2019
Bides
Mardiyah Tengg
Trnsport Petugas Ds. Guaemaadu Indira Kamarudin 3/21/2019
Mardiyah Tengg
Bides
Tahun/Bulan : April/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1x Trnsport Petugas Ds. Payo Indira Kamarudin 4/15/2019
Menular Langsung antara lain : Kanker pada Payudara Trnsport Petugas Ds. Bobanehena Indira Kamarudin
Dan Kenali Diri adanya kanker Trnsport Petugas Ds. Galala Indira Kamarudin
Trnsport Petugas Ds. Guaemaadu Indira Kamarudin
Zumra Bayan
Ratih Abd.Gani
Jumra Sangaji
Ekawati
Zumra Bayan
Bahan-bahan
Makan Minum
Tahun/Bulan : Mei/2019
1 2 3 IVA, atau Kanker
1.3 Sosilasasi Tentang 4 5 6 7 9 10
Upaya pencegahan dan Leher Wanita 1x Trnsport Petugas Gufasa Indira Kamarudin 5/19/2019
pengendalian penyakit tidak Rahim, dan Sadari/ Kenali diri tentang Usia Subur Mardiyah Tengg
Menular Langsung antara lain : Kanker Payudara Bides
Deteksi Dini Kanker Leher Rahim Trnsport Petugas jalan baru Indira Kamarudin
Dan Kenali Diri adanya kanker Mardiyah Tengg
payudara Bides
Trnsport Petugas Gamlamo Indira Kamarudin
Mardiyah Tengg
Bides
: Juni/2019
1 2 3 4 5 6 7 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1x Trnsport Petugas Gufasa Indira Kamarudin 6/5/2019
Menular Langsung antara lain : Kanker pada Payudara Trnsport Petugas Jalan baru Indira Kamarudin
Dan Kenali Diri adanya kanker Trnsport Petugas Gamlamo Indira Kamarudin
Erna
Rukija
Melli
Bahan-bahan
Makan minum
Tahun/Bulan : Juli/2019
KegiatanPelaksanaan Pelaksanaan Pelaksana
1 2 3 IVA, atau Kanker
1.3 Sosilasasi Tentang 4 5 6 7 8 9 10
Upaya pencegahan dan Leher Wanita 1 x Trnsport Petugas Ulo Indira Kamarudin 7/6/2019
pengendalian penyakit tidakRahim, dan Sadari/ Kenali diri tentang adanya Zumra Bayan
Menular Langsung antara lain : Kanker Payudara Usia Subur bides
Deteksi Dini Kanker Leher Rahim Trnsport Petugas Bukubualawa Indira Kamarudin 7/4/2019
Dan Kenali Diri adanya kanker Zumra Bayan
payudara Bides
Trnsport Petugas Bukumaadu Indira Kamarudin 7/5/2019
Zumra Bayan
Bides
Tahun/Bulan : Agustus/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1 x Trnsport Petugas Ulo Indira Kamarudin 8/7/2019
Menular Langsung antara lain : Kanker pada Payudara Trnsport Petugas Bukubualawa Indira Kamarudin
Dan Kenali Diri adanya kanker Trnsport Petugas Bukumaadu Indira Kamarudin
Betlina Mudja
Hamriani
Tuty Loyang
Bahan-Bahan
Makan Minum
Tahun/Bulan : September/2019
1 2 3 4 5 6 7 8 9 10
1.3 Sosilasasi Tentang IVA, atau Kanker
Upaya pencegahan dan Leher Wanita 1x Trnsport Petugas Tauro Indira Kamarudin 9/3/2019
pengendalian penyakit tidakRahim, dan Sadari/ Kenali diri tentang adanya
Usia Subur Zumra bayan
Menular Langsung antara lain : Kanker Payudara Bides
Deteksi Dini Kanker Leher Rahim 1x Trnsport Petugas Matui Indira Kamarudin 9/1/2019
Dan Kenali Diri adanya kanker Zumra bayan
payudara Bides
1x Trnsport Petugas Guaeria Indira Kamarudin 9/2/2019
Zumra bayan
Bides
Tahun/Bulan : Oktober/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1x Trnsport Petugas Tauro Indira Kamarudin 10/3/2019
pengendalian penyakit tidak tentang Sadari Diri trntang adanya Usia Subur Zumra bayan
Menular Langsung antara lain : Kanker pada Payudara Ermawati
Deteksi Dini Kanker Leher Rahim Makan Minum
Dan Kenali Diri adanya kanker Bahan-bahan
payudara
Tahun/Bulan : November/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan 1.1 Pemeriksaan Iva Dan pemeriksaan Wanita 1x Trnsport Petugas Matui Indira Kamarudin 11/4/2019
Menular Langsung antara lain : Kanker pada Payudara Tuty Asmarany
Deteksi Dini Kanker Leher Rahim Makan Minum
Dan Kenali Diri adanya kanker Bahan bahan
payudara
Guaeria Indira Kamarudin 11/5/2019

Zumra Bayan
Nining Kabir
Makan Minum
Bahan bahan
FILARIASIS
Puskesmas : Jailolo
Tahun/Bulan : Juli/2019
1 2 3 4 5 6 7 8 9 10
1 Upaya pencegahan dan 1.1.Pendataan sasaran umur (2-65 thn) Masyarakat 100% 1x Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
pengendalian penyakit Kaki Thy Asmarany
Gajah
Yang di tularkan langsung dari Trnsport Petugas Ds.Guaeria Indira Kamaruddin 1/2/2019
Yang di tularkan langsung dari 2-5 Thn Trnsport Petugas Ds Guaeria Indira Kamaruddin 1/2/2019
Nyamuk Villaria
Nyamuk Villaria Nining Kabir
Transport Petugas Tauro Indira Kamaruddin 1/3/2019
Ermawati
Hamriani
Tuty Loyang
Betlina Mudja
Rina Hasim
Rosmiyatih
Hafilat Ade
Ratih M abd. Gani
Ratih M abd. Gani
Jumra Sangaji
Zumra Bayan
Ekawati
Erna
Rukija Hardin
Rukija Hardin
Upaya pencegahan dan 1.2. Orentasi dan Pembentukan Kader Masyrakat 100% Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
pengendalian penyakit Kaki
Gajah
Yang di tularkan langsung dari Trnsport Petugas Ds Guaeria Indira Kamaruddin 1/2/2019
Nyamuk Villaria

Tahun/Bulan : Agustus/2019
1 2 3 4 5 6 7 8 9 10
1 Upaya pencegahan dan 1.1. Sosialisasi Tentang Masyarakat 1x Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
pengendalian penyakit Kaki POPM filariasis Mardiyah teng
Gajah
Nyamuk Villaria Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
Mardiyah teng
1.2.Pembekalan Kader dan Petugas Honorer Trnsport Petugas Puskesmas Jailolo Sahbudin 8/19/2019
Dalam Pendamping Pelaksanaan Trnsport Petugas Indira Kamarudin
POPM filariasis Trnsport Petugas Citra Anggraini
Trnsport Petugas Julfa Jadid
Transport Petugas Jumra Sangaji
Trnsport Petugas Susi Yamin
Trnsport Petugas Nurinsana
Trnsport Petugas Karmila M Boamona
transpor petugas anila
transpor petugas Wiwin
transpor petugas Irma Kasim
transpor petugas Wulandari
transpor petugas Wahyuningsi
transpor 85 Kader 85 kader posyandu
Tahun/Bulan : September/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan Pemberian Obat dan pencegahan MassaMasyarakat 100% 1x Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
pengendalian penyakit Kaki POPM Filariasis Kader Poyandu
Gajah
Nyamuk Villaria Kader Poyandu
Transport Petugas Tauro Melli 1/3/2019
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
transpor petugas Ds Saria Anila 1/7/2019
Kader Poyandu
transpor petugas Ds bobo Wiwin 1/8/2019
Kader Poyandu
transpor petugas Ds. Bobo jiko Irma 1/9/2019
Kader Poyandu
transpor petugas Payo Tengah Anila 1/10/2019
Kader Poyandu
transpor petugas Payo Nurinsana 1/11/2019
Kader Poyandu
transpor petugas Bobanehena jumra sangaji 1/12/2019
Kader Poyandu
transpor petugas Galala Irma 1/13/2019
Kader Poyandu
transpor petugas Guaemaadu julfa Jadid 1/14/2019
Kader Poyandu
Mardiyah teng
transpor petugas Jalan Baru Karmila M Boamona 1/16/2019
Kader Poyandu
Kader Poyandu
Tahun/Bulan : Oktober/2019
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan Sweping Untuk Meningkatkan POPM Masyarakat Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
Gajah Filariasis Kader Poyandu
Transport Petugas Tauro Melli 1/3/2019
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
transpor petugas Ds Saria Anila 1/7/2019
Kader Poyandu
transpor petugas Ds bobo Wiwin 1/8/2019
Kader Poyandu
transpor petugas Ds. Bobo jiko Irma 1/9/2019
Kader Poyandu
transpor petugas Payo Tengah Anila 1/10/2019
Kader Poyandu
transpor petugas Payo Nurinsana 1/11/2019
Kader Poyandu
transpor petugas Bobanehena jumra sangaji 1/12/2019
Kader Poyandu
transpor petugas Galala Irma 1/13/2019
Kader Poyandu
transpor petugas Guaemaadu julfa Jadid 1/14/2019
Kader Poyandu
Mardiyah teng
transpor petugas Jalan Baru Karmila M Boamona 1/16/2019
Kader Poyandu
Kader Poyandu
1 2 3 4 5 6 7 8 9 10
Upaya pencegahan dan Pelacakan Hasil Reaksi Minum Obat PadMasyarakat Trnsport Petugas Ds Matui Indira Kamaruddin 1/1/2019
Gajah POPM Filariasis Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Kader Poyandu
Mardiyah teng
Kader Poyandu
Kader Poyandu
1 2 3 4 5 6 7 8 9 10
Jumlah
Kegiatan Penunjang Upaya Volume Rincian Lokasi Tenaga

No. Kegiatan Sasaran Target Jadwal
Kesehatan Kegiatan Pelaksanaan Pelaksanaan Pelaksana
1 2 3 4 5 6 7 8 9 10
1 Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas

2.Belanja Rapid Tes
3.Belanja/Cetak Media Penyuluhan
4.Belanja ATK Pengadaan Tersedianya A 100% 2. Foto copy arsip,dll
5.Perjalanan dinas dalam rangka
konsultasi POA dan pelaporan
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40000 Staf Puskesmas
0
Upaya Esensial
10,500,000
Dukungan Manajemen
36.750.000
TOTAL KESELURUHAN
Mengetahui Jailolo, 01 Januari 2018

Kepala Puskesmas Jailolo Pengelola BOK
Hindun Djumati, Amd. Keb Rosita A. Buamona, S.Gz

NIP. 19731007 199301 2 NIP. 19861205 201001 2 011
Sumber
Biaya
Biaya
11 12
BOK
250,000
100,000
250,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
250,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
5,550,000
150,000
150,000
100,000
150,000
150,000
100,000
150,000
150,000
100,000
150,000
150,000
100,000
1,600,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
100,000
100,000
100,000
100,000
150,000
100,000
1,850,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
100,000
150,000
100,000
150,000
150,000
100,000
150,000
150,000
150,000
100,000
1,600,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
100,000
100,000
100,000
100,000
150,000
100,000
1,850,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
100,000
150,000
150,000
100,000
150,000
150,000
100,000
1,200,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
100,000
100,000
150,000
1,550,000
Sumber
Biaya
Biaya
11 12
400,000
400,000
100,000
400,000
400,000
100,000
400,000
400,000
100,000
2,700,000
Sumber
Biaya
Biaya
12
11
400,000
400,000
400,000
400,000
400,000
400,000
100,000
100,000
100,000
100,000
150,000
2,950,000
Sumber
Biaya
Biaya
12
11
400,000
400,000
100,000
400,000
400,000
400,000
400,000
2,500,000
Sumber
Biaya
Biaya
12
11
400,000
400,000
100,000
150,000
100,000
1,150,000
Sumber
Biaya
Biaya
12
11
250,000
250,000
100,000
100,000
100,000
100,000
250,000
250,000
100,000
100,000
100,000
1,700,000
Sumber
Biaya
Biaya
12
11 BOK
250,000
100,000
250,000
250,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
250,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
5,800,000
250,000
250,000
250,000
250,000
400,000
400,000
400,000
400,000
400,000
400,000
400,000
400,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
7,350,000
Sumber
Biaya
Biaya
12
11 BOK
250,000
250,000
250,000
250,000
400,000
400,000
400,000
400,000
400,000
400,000
400,000
400,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
150,000
7,350,000
BOK
250,000
250,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
8,500,000
10,100,000
Sumber
Biaya
Biaya
12
11
250,000
250,000
250,000
250,000
400,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
5,750,000
Sumber
Biaya
Biaya
12
11
250,000
250,000
250,000
250,000
400,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
5,750,000
Sumber
Biaya
Biaya
12
11
250,000
250,000
250,000
250,000
400,000
100,000
400,000
100,000
400,000
100,000
400,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
150,000
100,000
5,750,000
Sumber
Biaya
Biaya
12
26.250.000
Sumber
Biaya
Biaya
12
11 BOK
1,900,000
2,000,000
2,500,000
1,800,000
300,000
2,000,000
10,500,000
Jailolo, 01 Januari 2018

Pengelola BOK
Rosita A. Buamona, S.Gz

NIP. 19861205 201001 2 011
Puskesmas : Jailolo
Tahun/Bulan : Februari/2018

No. Upaya Kesehatan Kegiatan Sasaran Target Jadwal Biaya
1 2 3 4 5 6 7 8 9 10 11
1 1.Upaya Kesehatan Ibu 1.1.Pelaksanaan kelas ibu hamil Bumil 1x Trnsport Petugas ds saria Nofiany Djabir 150,000
Rina Hasim 150,000
Trnsport Petugas ds bobo Zumra Bayan 100,000
Hafilat Ade 100,000
Transport Petugas ds bobojiko Zumra Bayan 100,000
Hafilat Ade 100,000
Transport Petugas ds payo Nofiany Djabir 100,000
Ratih Abd.Gani 100,000
Trnsport Petugas ds Pateng Nofiany Djabir 100,000
Trnsport Petugas ds Bobanehena Zumra Bayan 100,000
Indira Kamarudin 100,000
transpor petugas ds Galala Nofiany Djabir 100,000
Zumra Bayan 100,000
transpor petugas ds Guaemaadu Zumra Bayan 100,000
Ekawati Mahmud 100,000
transpor petugas ds gufasa Zumra Bayan 100,000
Erna 100,000
transpor petugas ds Jalan baru Nofiany Djabir 100,000
Rukija Hardin 100,000
transpor petugas ds Gamlamo Nofiany Djabir 100,000
Meli 100,000
transpor petugas ds Matui Nofiany Djabir 200,000
Tuty Asmarany 200,000
transpor petugas ds Guaeria Zumra Bayan 200,000
Nining Kabir 200,000
Trnsport Petugas ds tauro Zumra Bayan 350,000
Ermawati 350,000
transpor Petugas ds bukubualawa Nofiany Djabir 350,000
Hamriani 350,000
Trnsport Petugas ds Ulo Nofiany Djabir 350,000
Betlina Mudja 50,000
6,650,000
1.2 Pelayanan ANC /pemeriksaan ibu
hamil Bumil IX Trnsport Petugas Ds.Saria Nofiany Djabir 150,000
Rina Hasim
Trnsport Petugas Ds.Bobo Zumra Bayan 100,000
Hafilat Ade 50,000
Trnsport Petugas Ds.Bobo Jiko Zumra Bayan 100,000
Hafilat Ade 50,000
Trnsport Petugas ds payo Nofiany Djabir 100,000
Trnsport Petugas ds pateng Nofiany Djabir 100,000
Trnsport Petugas ds Bobanehena Zumra Bayan 100,000
Trnsport Petugas ds Galala Nofiany Djabir 100,000
Zumra Bayan 50,000

1 2 3 4 5 6 7 8 9 10
1x Trnsport Petugas ds Guaemaadu Zumra Bayan 2/13/2017 100,000
Ekawati Mahmud
Trnsport Petugas ds gufasa Zumra Bayan 2/13/2017 100,000
Erna 50,000
Trnsport Petugas ds Jalan baru Nofiany Djabir 2/16/2017 100,000
Trnsport Petugas ds Gamlamo Nofiany Djabir 2/15/2017 100,000
Meli 50,000
Trnsport Petugas ds Matui Nofiany Djabir 2/15/2017 200,000
Trnsport Petugas ds Guaeria Zumra Bayan 2/10/2017 200,000
Nining Kabir 50,000
Trnsport Petugas ds tauro Zumra Bayan 2/13/2017 350,000
Ermawati 50,000
Trnsport Petugas ds bukubualawa Nofiany Djabir 2/11/2017 350,000
Hamriani 50,000
Trnsport Petugas ds Ulo Nofiany Djabir 2/14/2017 350,000
TOTAL 3,300,000
2 Upaya Kesehatan Anak 2.1. Kelas Ibu Balita ibu & balita Desa 1X Trnsport Petugas ds saria Meli 150,000
Balita dan Prasekolah Rina Hasim
Trnsport Petugas ds bobo hafilat ade 50,000
Rina Hasim
ds. Boji Rina Hasim
hafilat ade
Trnsport Petugas ds payo Anila 50,000
Ratih Abd Gani
Trnsport Petugas ds pateng Anila 50,000
Ratih Abd Gani
Trnsport Petugas ds bobanhena Indira Kamarudin 50,000
Rina Hasim
Trnsport Petugas ds galala Rina Hasim 50,000
Zumra Bayan
Trnsport Petugas ds guaemaadu Meli 100,000
Ekawati Mahmud
Trnsport Petugas ds gufasa Rina Hasim 50,000
Erna
Trnsport Petugas ds jalan baru Rina Hasim 50,000
Rukija Hardin
Trnsport Petugas ds gamlamo Rina Hasim 50,000
Meli
Trnsport Petugas ds guaeria Ermawati 50,000
Nining Kabir
Trnsport Petugas ds. Tauro Nining Kabir
Ermawati
Trnsport Petugas ds. Bukubualawa Tuti Loyang
Hamriani
Trnsport Petugas ds bukumaadu Tuti Loyang 50,000
Hamriani
Trnsport Petugas ds ulo Meli 50,000
Betlina Mudja
800,000

1 2 3 4 5 6 7 8 9 10
2.2. pemantauan dan pertumbuhan Bayi & Balita 1x transport petugas ds saria Meli 150,000
Bayi Balita melalui SDIDTK Rina Hasim
ds bobo hafilat ade 100,000
Rina Hasim
ds. Boji Rina Hasim 100,000
hafilat ade
ds payo Anila 100,000
Ratih Abd Gani
ds pateng Anila 100,000
Ratih Abd Gani
ds bobanhena Indira Kamarudin 100,000
Rina Hasim
ds galala Rina Hasim 100,000
Zumra Bayan
ds guaemaadu Meli 100,000
Ekawati Mahmud
ds gufasa Rina Hasim 100,000
Erna
ds jalan baru Rina Hasim 100,000
Rukija Hardin
ds gamlamo Rina Hasim 100,000
Meli
ds guaeria Ermawati 50,000
Nining Kabir
ds. Tauro Nining Kabir 50,000
Ermawati
ds. Bukubualawa Tuti Loyang 50,000
Hamriani
ds bukumaadu Tuti Loyang 50,000
Hamriani
ds ulo Meli 50,000
Betlina Mudja
1,400,000
2.3. kunjungan rumah dalam rangka bayi di atas transport petugas ds Bobo Ning Ade 100,000
pemberian vitamin A 6 bln yg hafilat Ade 50,000
tidak ds Bobojiko Rahmawati 100,000
dtng Hafilat ade 50,000
posyandu ds Payo faharia 100,000
Ratih Abd gani 50,000
ds Pateng Mona sarita 100,000
ratih ABD Gani 50,000
ds Bobanehena Ning Ade 100,000
Indira Kamaruddin 50,000
ds Galala Mona Sarita 100,000
Zumra Bayan 50,000
ds Guaemaadu Rosita Buamona 100,000
ds gufasa Mardiah Syaban 100,000
Erna 50,000
ds Jalan Baru Faharia 100,000
Ning Ade 50,000
ds gamlamo Mardiah Syaban 100,000
Mely 50,000
ds. Tauro Mardiah Syaban
Ermawati

1 2 3 4 5 6 7 8 9 10
2.4. Pemeriksaan Garam Beryodium IBU RT IX Trnsport Petugas ds saria mardiah syaban 2/7/2017 150,000
tingkat RT Rina Hasim 2/9/2017 100,000
Trnsport Petugas ds bobo Faharia
hafilat ade
Trnsport Petugas ds. Boji Rahmawati 2/8/2017 100,000
hafilat ade
Trnsport Petugas ds payo Faharia 2/10/2017 100,000
Ratih Abd Gani
Trnsport Petugas ds pateng Mona Sarita 2/10/2017 100,000
Ratih Abd Gani
Trnsport Petugas ds bobanhena Ning Ade 2/15/2017 100,000
Indira Kamarudin
Trnsport Petugas ds galala Mona Sarita 2/15/2017 100,000
Zumra Bayan
Trnsport Petugas ds guaemaadu Rosita Buamona 2/16/2017 100,000
Ekawati Mahmud
Trnsport Petugas ds gufasa mardiah syaban 2/13/2017 100,000
Erna
Trnsport Petugas ds jalan baru Faharia 2/15/2017 100,000
Rukija Hardin
Trnsport Petugas ds gamlamo Ning Ade 2/16/2017 100,000
Meli
Trnsport Petugas ds guaeria Rahmawati 2/6/2017 200,000
Nining Kabir
Trnsport Petugas ds. Tauro mardiah syaban 2/17/2017 200,000
Ermawati
Trnsport Petugas ds. Bukubualawa Faharia 2/17/2017 350,000
Hamriani
Trnsport Petugas ds bukumaadu Rosita Buamona 2/24/2017 350,000
Hamriani
Trnsport Petugas ds ulo Rosita Buamona 2/24/2017 350,000
Betlina Mudja
2,600,000
2.5. Sosialisasi dan Pemberian Tablet Siswi SMP Trnsport Petugas MTs MA PaBos Mardiyah Saban
Tambah Darah (FE) pada Remaja Putri SMA Rina Hasim
SMP Pabos Mona Sarita
Hafilat Ade
SMP Tsanawia Khairat Faharia
Ratih Abd. Kadim
MA Tsanawiyah AT TarbRahmawati
Zumra Bayan
SMP Islam Jailolo Rosita Buamona
Ekawati Mahmud
SMP Neg 1 Halbar Faharia
Rukija Hardin
SMP Neg 31 Halbar Mona Sarita
Tuty Asmarani
SMP Neg 11 Halbar Mardiyah Saban
Ermawati
MTS Nurul Haq Rosita Buamona
Hamriani
SMA MA Pabos Ning Ade
Anila Kasim

1 2 3 4 5 6 7 8 9 10
SMA Madrasa Aliyah Rahmawati
AlHairat Pabos Irma
SMK Neg 1 Halbar Ning Ade
Indira Kamarudin
SMK MA Galala Mona Sarita
Rusna Z. Wahid
SMA Islam Jailolo Mardiyah Saban
Erna
SMA Nusantara Faharia
Tuti Loyang
3 Imunisasi pendataan sasaran imunisasi kampanye siswa paud IX Trnsport Petugas Paud Saria Rina Hasim
rubella di sekolah dan desa TK Trnsport Petugas TK Aisia Boji Hafilat Ade
Trnsport Petugas TK Alhairat Boji Hafilat Ade
Trnsport Petugas TK Neg. 1 Halbar Indira Kamarudin
Trnsport Petugas TK Alukhuwa Ekawati Mahmud
Trnsport Petugas TK Alhikma gufasa erna
Trnsport Petugas TK Pertiwi Jalbar Rukija Hardin
Trnsport Petugas TK Nurbaiti gamlamo Meli
Trnsport Petugas TK Kanaan Guaeria Nining Kabir
Trnsport Petugas TK Imanuel bukumaadHamriani
Trnsport Petugas TK Melati BukubualawTuti loyang
Trnsport Petugas TK Ulo Betlina Mudja
siswa SD Trnsport Petugas SDN 13 Rina Hasim

Trnsport Petugas SD Inp 6 Hafilat Ade
Trnsport Petugas SDN 5 Ratih Abd. Kadim
Trnsport Petugas SDN 6 Ratih Abd. Kadim
Trnsport Petugas SDN 3 Indira Kamarudin
Trnsport Petugas SDN 4 Indira Kamarudin
Trnsport Petugas SD Inp 5 Zumra Bayan
Trnsport Petugas SD Alhidayah Zumra Bayan
Trnsport Petugas SD Inp 8 Ekawati Mahmud
Trnsport Petugas SD Alukhuwah Ekawati Mahmud
Trnsport Petugas SDN 2 Erna
Trnsport Petugas SDN 1 Rukija Hardin
Trnsport Petugas SD Inp 7 Mely
Trnsport Petugas SD Inp 10 Tutiy Asmarani
Trnsport Petugas SDN 12 Nining Kabir
Trnsport Petugas SDN 14 Ermawati
Trnsport Petugas SDN 7 Ermawati
Trnsport Petugas SDN 8 Hamrani
Trnsport Petugas SDN 13 Betlina Mudja
Trnsport Petugas SD Alhairat Pabos Ratih Abd. Kadim
siswa SMP Trnsport Petugas SMP Pabos Hafilat Ade

Trnsport Petugas MIS Alhairat Pabos Ratih Abd. Kadim
Trnsport Petugas MTS Pabos Hafilat Ade
Trnsport Petugas MA Tsanawiyah AlhairZumra Bayan
Trnsport Petugas SMP AT Tarbiyah Zumra Bayan
Trnsport Petugas SMP Islam Ekawati Mahmud
Trnsport Petugas SMP 1 Rukija Hardin
Trnsport Petugas SMP 31 Tuty Asmarani
1 2 3 4 5 6 7 8 9 10
Trnsport Petugas SMP 11 Ermawati
Trnsport Petugas MTS Nurul Haq Hamriani
di Desa untuk Trnsport Petugas Ds. Saria Rina Hasim

umur 9 bln s/d Ds. Bobo Hafilat Ade
15 thn Ds. Boji Hafilat Ade
Ds. Payo Ratih Abd. Kadim
Ds. Pateng Ratih Abd. Kadim
Ds. Bobanehena Indira Kamarudin
Ds. Galala Zumra Bayan
Ds. Guaemaadu Ekawati Mahmud
Ds. Gufasa Erna
Ds. Jalan Baru Rukija Hardin
Ds. Gamlamo Meli
Ds. Matui Tuty Asmarani
Ds. Guaeria Nining Kabir
Ds. Tauro Ermawati
Ds. Bukubualawa Hamriani
Ds. Bukumaadu Hamriani
Ds. Ulo Betlina Mudja
3.2 Pengambilan Vaksin 1x Transpor Petugas Gudang Farmasi Fahima samsudin 2/1/2017 100,000
rasid yunus 100,000
200,000
4 Upaya pencegahan dan mobile Visit bumil,px TB transpor petugas ds bobanehena Senaen linda Imelda 2/10/2017 150,000
pengendalian penyakit pxIMS,hepatitis yuli pratiwi 150,000
Menular Langsung antara lain : faktor resiko ds galala Senaen linda Imelda 2/20/2017 100,000
TB,HIV/AIDS,IMS,Hepatitis,Diare, yuli pratiwi 100,000
kusta ds guaemaadu Senaen linda Imelda 2/13/2017 100,000
yuli pratiwi 100,000
ds gufasa Senaen linda Imelda 2/9/2017 100,000
yuli pratiwi 100,000
900,000
pemantauan pasien reaktif transpor petugas ds Pateng M.Haerudin 2/15/2017 100,000

Senaen linda Imelda 100,000
yuli Pratiwi 100,000
Hindun Djumati 100,000
500,000

1 2 3 4 5 6 7 8 9 10
pemeriksaan kontak masyarakat transpor petugas ds bobojiko Senaen linda Imelda 2/7/2017 100,000
santi dokuloha 100,000
ds pateng Senaen linda Imelda 2/14/2017 100,000
ds payo Senaen linda Imelda 2/11/2017 100,000
600,000
Penyuluhan ttng diare masyarakat transpor petugas ds gufasa safria samboyo ` 2/13/2017 100,000
ds jalan baru safria samboyo ` 2/14/2017 100,000
200,000
upayah pencegahan dan Distribusi kelambu dan skrening ibu transport petugas ds saria meiske barutressy 2/6/2017 150,000
pengendalian penyakit tular hamil ds bobo hafilat ade 2/9/2017 50,000
vektor dan Zoonotik
ds pateng meiske barutressy 2/10/2017 100,000
ds bobanehena meiske Barutressy 2/11/2017 100,000
ds galala Zumra bayan 2/6/2017 50,000
ds gamlamo meli 2/4/2017 50,000
ds jalan baru rukija hardin 2/3/2017 50,000
ds bukubualawa meiske barutressy 2/13/2017 350,000
ds ulo betlina mudja 2/15/2017 50,000
950,000
5 Upaya Promosi Kesehatan Penyegaran/Refresing kader kader 1X Trnsport Petugas ds bobanehena Mardia Teng 2/27/2017 100,000
mardiah syaban 100,000
Trnsport Petugas ds guaemaadu Mardia teng 2/21/2017 100,000
Mona sarita 100,000
Trnsport Petugas ds galala narlianti siguntu 2/20/2017 100,000
Mona sarita 100,000
Trnsport Petugas ds gufasa Sri Rahayu 2/28/2017 100,000
mardiah syaban 100,000
Trnsport Petugas ds jalan baru srirahayu 2/23/2017 100,000
faharia 100,000
Trnsport Petugas ds bukubualawa mardia teng 2/28/2017 350,000
faharia 350,000
Trnsport Petugas ds bukumaadu mardia teng 2/25/2017 350,000
faharia 350,000
2,400,000
Penyuluhan ttng Pentingnya posyandu transpor petugas ds bobanehena Mardia Teng 2/18/2017 100,000
ds Galala desly liliani 2/8/2017 100,000
ds gamlamo Mardia Teng 2/15/2017 100,000
ds jalan baru Mardia Teng 2/16/2017 100,000
ds matui desli Liliany 2/4/2017 200,000
ds guaeria Fahima Samsudin 2/10/2017 200,000
ds Tauro mona sarita 2/28/2017 350,000
ds bukubualawa Mardia Teng 2/11/2017 350,000
ds Bukumaadu Mardia Teng 2/17/2017 350,000
1,850,000

1 2 3 4 5 6 7 8 9 10
6 Upaya Kesehatan Lingkungan orientasi natural leader(refresing kader Desa 80% 1X Trnsport Petugas ds jalan baru Sitti Nurlailah 2/14/2017 100,000
kesling ) Desly leleani 100,000
Trnsport Petugas ds gamlamo Sitti Nurlailah 2/16/2017 100,000
Desly leleani 100,000
Trnsport Petugas ds gufasa Sitti Nurlailah 2/18/2017 100,000
Desly leleani 100,000
600,000
Upaya kesehatan Lanjut Usia pendataan pra lansia dan lansia(usia lanjut) usila 1x 1x transport petugas ds payo Santi dokuloha 2/24/2017 100,000
ratih abd gani 50,000
ds pateng Santi dokuloha 2/21/2017 100,000
ds bobanehena Santi dokuloha 2/22/2017 100,000
450,000
upaya kesehatan usia reproduksi penyuluhan kesehatan reproduksi pada KB PUS 1x transpor petugas ds bobanehena Hindun Djumati 2/10/2017 100,000
ds galala Hindun Djumati 2/11/2017 100,000
ds guaemaadu Hindun Djumati 2/18/2017 100,000
300,000
kesehatan olahraga sosialisasi,orientasi kes olahraga masyarakat 1x transpor petugas ds bobanehena hindun djumati 2/14/2017 100,000
ds galala hindun djumati 2/20/2017 100,000
ds guaemaadu hindun djumati 2/16/2017 100,000
300,000
upaya pencegahan dan orientasi kader kesehatan di desa masyarakat 1x 1x transpor petugas ds jalan baru isna 2/14/2017 100,000
pengendaliaan PTM ds gamlamno isna 2/15/2017 100,000
200,000
orientasi kader kesehatan di posbindu masyarakat 1x 1x transpor petugas ds bobo isna 2/6/2017 100,000
khusus majelis taklim ds bobojiko isna 2/9/2017 100,000
200,000
penyuluhan DM masyarakat 1x 1x transport petugas ds payo isna 2/8/2017 100,000

ds bobanehena isna 2/10/2017 100,000
200,000
kesehatan jiwa 1x 1x transpor petugas ds bobanehena senaen Linda Imelda 2/2/2017 100,000
pendataan penderita jiwa
indira kamaruddin 50,000
ds galala Senaen Linda Imelda 2/3/2017 100,000
zumra bayan 50,000
ds guaemaadu senaen Linda Imelda 2/4/2017 100,000
Fahima Samsudin 100,000
500,000
surveilans pelaksanaan penyelidikan atau pemantauan masy 1x transporyt petugas ds bobojiko santi dokulaha 2/18/2017 100,000
ds pateng santi dokulaha 2/9/2017 100,000
ds payo santi dokulaha 2/8/2017 100,000
300,000
Jumlah #REF!

No. Kegiatan Sasaran Target Jadwal Biaya
Kesehatan
1 2 3 4 5 6 7 8 9 10 11
1 Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas 1,900,000

2.Belanja Reagen,stik tes cepat 1,700,000
4.Belanja ATK Pengadaan Tersedianya A 100% 2. Foto copy arsip,dll 1,800,000
5.Perjalanan dinas dalam rangka 300,000
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40000 Staf Puskesmas 28-Feb-17 2,000,000
7,700,000
Upaya Esensial 30,100,000
Dukungna Menejmen 7,700,000
TOTAL KESELURUHAN 37,800,000

Mengetahui Jailolo, 01 Februari 2017
Sitti Nurlailah,SKM Aisyah Muksin,Amd.Keb
NIP. 19760921 200012 2 001 NIP. 19841007 201001 2 015
Sumber
Biaya
12
BOK
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
#REF!
Sumber
Biaya
12
BOK
30,100,000
7,700,000
37,800,000
Puskesmas : Jailolo
Tahun/Bulan : Marert /2017

1 2 3 4 5 6 7 8 9 10
1 1.Upaya Kesehatan Ibu 1.1.Pelaksanaan kelas ibu hamil Bumil 1x Trnsport Petugas ds saria Hindun Djumaty 3/9/2017
Aisyah Muksin
Trnsport Petugas ds bobo Nofiany Djabir 3/13/2017
Narlianti Siguntu
Hafilat Ade
Transport Petugas ds bobojiko Dewi Usman 3/17/2017
Rusna Z Wahid
Hafilat Ade
Transport Petugas ds payo Fahima Samsudin 3/18/2017
Mardia Teng
Ratih Abd.Gani
Trnsport Petugas ds Pateng Hindun Djumati 3/17/2017
Aisyah Muksin
Ratih Abd.Gani
Trnsport Petugas ds Bobanehena Nofiany Djabir 3/18/2017
Narlianti Siguntu
Indira Kamarudin
transpor petugas ds Galala Dewi Usman 3/18/2017
rusna z Wahid
Zumra Bayan
transpor petugas ds Guaemaadu Fahima Syamsudin 3/20/2017
Mardia Teng
transpor petugas ds gufasa Hindun Djumati 3/20/2017
Aisyah Muksin
Rina Hasim
transpor petugas ds Jalan baru Nofiany Djabir 3/20/2017
Narlianti Siguntu
Rukija Hardin
transpor petugas ds Gamlamo Dewi Usman 3/21/2017
Rusna Z Wahid
Meli
transpor petugas ds Guaeria Fahima samsudin 3/21/2017
Mardia Teng
Nining Kabir
Trnsport Petugas ds tauro Dewi usman 3/23/2017
Rusna Z Wahid
Ermawati
Trnsport Petugas ds bukubualawa Hindun Djumaty 3/22/2017
aisyah Muksin
Hamriani

1 2 3 4 5 6 7 8 9 10
Trnsport Petugas ds Bukumaadu Nofiany Djabir 3/23/2017
Narlianti Siguntu
Hamriani
Trnsport Petugas ds Ulo Nofiany Djabir 3/22/2017
Siti Rivatul
Betlina Mudja
Total
1.2 Pelayanan ANC /pemeriksaan ibu
hamil Bumil IX Trnsport Petugas Ds.Saria Hindun Djumati 3/7/2017
hamil Trnsport Petugas Ds.Bobo Nofiany djabir 3/7/2017
Hafilat Ade
Trnsport Petugas Ds.Bobo Jiko Dewi Usman 3/8/2017
hafilat Ade
Trnsport Petugas ds payo Fahima Samsudin 3/7/2017
Ratih Abd Gani
Trnsport Petugas ds pateng Aisyah Muksin 3/10/2017
Ratih Abd Gani
Trnsport Petugas ds Bobanehena Narlianti Siguntu 3/10/2017
Indira Kamaruddin
Trnsport Petugas ds Galala Rusna Z Wahid 3/11/2017
Zumra Bayan
Trnsport Petugas ds Guaemaadu Mardia Teng 3/13/2017
Trnsport Petugas ds Gufasa Hindun Djumaty 3/13/2017
Rina Hasim
Trnsport Petugas ds jalan baru Nofiany djabir 3/14/2017
Rukija Hardin
Trnsport Petugas ds gamlamo Dewi Usman 3/15/2017
Meli
Trnsport Petugas ds guaeria Mardia teng 3/10/2017
Nining Kabir
Trnsport Petugas Tauro Rusna Z Wahid 3/13/2017
Ermawati
Trnsport Petugas Bukubualawa Aisyah Muksin 3/13/2017
Hamriani
1X Trnsport Petugas ds bukumaadu Narlianti Siguntu 3/11/2017
hamriani
Trnsport Petugas ds Ulo Nofiany Djabir 3/11/2017
Betlina Mudja
TOTAL
pemasangan dan sosialisasi stiker p4k ibu hamil 1x Transpor petugas ds saria hindun Djumati 3/8/2017
ds bobo hafilat ade 3/9/2017
ds bobojiko hafilat ade 3/10/2017
ds payo ratih abd gani 3/11/2017
ds pateng ratih abd gani 1303/2017
ds bobanehena indira kamaruddin 3/13/2017

1 2 3 4 5 6 7 8 9 10
ds galala zumra bayan 3/13/2017
ds guaemaadu fahima samsudin 3/15/2017
ds gufasa rina hasim 3/16/2017
ds jalan baru rukija hardin 3/16/2017
ds gamlamo meli 3/18/2017
ds matui tuty asmarani 3/13/2017
ds guaeria nining kabir 3/13/2017
ds tauro ermawaty 3/17/2017
ds bukubualawa hamriani 3/17/2017
ds bukumaadu hamriani 3/15/2017
ds ulo betlina mudja 3/15/2017
2 Upaya Kesehatan Anak pemantauan SDIDTK balita transport petugas ds saria hindun djumati 3/10/2017
Balita dan Prasekolah
ds bobo siti Rivatul 3/13/2017
ds bobojiko Dewi Usman 3/14/2017
ds payo siti Rivatul 3/14/2017
ds pateng Dewi Usman 3/13/2017
ds bobanehena siti Rivatul 3/20/2017
ds galala Dewi Usman 3/20/2017
ds guaemaadu Dewi Usman 3/22/2017
ds gufasa siti Rivatul 3/21/2017
ds jalan baru siti Rivatul 3/23/2017
ds gamlamo Dewi Usman 3/23/2017

ds matui tuty asmarani 3/15/2017
ds guaeria nining kabir 3/15/2017
ds tauro ermawati 3/15/2017
ds bukubualawa hamriani 3/20/2017
ds ulo betlina 3/18/2017
2.2.Pemantauan Status Pertumbuhan Balita IX Trnsport Petugas Ds.Saria Mona Sarita 3/7/2017
/Status Gizi Trnsport Petugas Ds.Bobo faharia 3/7/2017
Trnsport Petugas Ds.Bobo Jiko Mardia Syaban 3/8/2017
Trnsport Petugas Ds.Payo faharia 3/10/2017
Trnsport Petugas Ds.Pateng Mona Sarita 3/10/2017
Trnsport Petugas Ds.Bobanehena mardiah syaban 3/11/2017
Trnsport Petugas Ds.Galala Mona Sarita 3/11/2017
Trnsport Petugas Ds.Guaemaadu Mona Sarita 3/13/2017
1 2 3 4 5 6 7 8 9 10
Trnsport Petugas Ds.Gufasa faharia 3/13/2017
Trnsport Petugas Ds.Jalan Baru faharia 3/14/2017
Trnsport Petugas ds gamlamo mardiah syaban 3/15/2017
Trnsport Petugas ds matui mona sarita 3/3/2017
Trnsport Petugas ds guaeria faharia 3/3/2017
Trnsport Petugas ds tauro Mona Sarita 3/15/2017
Trnsport Petugas ds bukubualawa Mardia Syaban 3/14/2017
Trnsport Petugas ds bukumaadu faharia 3/15/2017
Trnsport Petugas ds ulo mardiah syaban 3/18/2017
3 Imunisasi Monitoring ke desa Non UCI (Jurim) desa Non UCI IX Trnsport Petugas ds bukubualawa fahima Samsudin 3/17/2017
Trnsport Petugas bukumaadu fahima Samsudin 3/11/2017
Trnsport Petugas ds ulo fahima Samsudin 3/11/2017
3.2 Pengambilan Vaksin 1x Transpor Petugas Gudang Farmasi Fahima samsudin 1/3/2017
rasid yunus
4 Upaya pencegahan dan penjaringan suspek Masyarakat IX Trnsport Petugas ds bobo isna 3/22/2017
pengendalian penyakit pasien TB Hafilat Ade
Menular Langsung ds bobojiko isna 3/24/2017
hafilat ade
ds payo risdabandawati 3/22/2017
ratih abd gani
ds pateng risdabandawati 3/24/2017
ratih abd gani
ds bobanehena risdabandawati 3/20/2017
indira kamaruddin
pemeriksaan kontak Masyarakat Transport petugas ds ulo senaen Linda Imelda 3/24/2017
pasen kusta betlina mudja
ds tauro Senaen Linda Imelda 3/27/2017
ermawati
mobile Visit bumil,pasien transpor petugas ds jalan baru Senaen Linda Imelda 3/14/2017
TB yuli pratiwi
ds gamlamo Senaen Linda Imelda 3/15/2017
yuli pratiwi
yuli pratiwi
penyuluhan ttng diare masyarakat transport petugas ds bukubualawa safria samboyo 3/18/2017
Distribusi kelambu dan skrening ibu transport petugas ds bobojiko meiske barutressy 3/7/2017
upayah pencegahan dan hamil ds payo meiske barutressy 3/8/2017
pengendalian penyakit tular ds guaemaadu meiske barutressy 3/15/2017
vektor dan Zoonotik ds gufasa meiske barutressy 3/20/2017
ds tauro ermawati 3/11/2017
ds matui tuty Asmarany 3/11/2017
ds guaeria Nining kabir 3/11/2017

1 2 3 4 5 6 7 8 9 10
5 Upaya Promosi Kesehatan survei PHBS Rumah Tangga masyarakat 1X Trnsport Petugas ds saria Mardia Teng 3/23/2017
hindun djumati
Trnsport Petugas Zumra bayan
ds bobo narlianti siguntu 3/25/2017
Trnsport Petugas Rukija Hardin
hafilat ade
Trnsport Petugas ds bobojiko Idmawati 3/23/2017
meli
Trnsport Petugas hafilat ade
ds payo mardia teng 3/25/2017
Trnsport Petugas rina hasim
ratih abd gani
Trnsport Petugas ds pateng siti rivatul 3/29/2017
desli
ratih abd gani
Penyuluhan ttng Pentingnya posyandu transpor petugas ds saria Mardia Teng 3/15/2017
ds bobo Mardia Teng 3/7/2017
ds bobojiko Mardia Teng 3/8/2017
ds payo siti rivatul 3/8/2017
ds pateng desli liliany 3/9/2017
sosialisasi ASI ekslusif ibu hamil dan transport petugas ds saria mona sarita 3/8/2017
ibu yg berkun ds bobo faharia 3/8/2017
jung ke posy ds bobojiko mardia syaban 3/9/2017
ds payo faharia 3/9/2017
ds pateng mona sarita 3/17/2017
ds bobanehena mardia syaban 3/17/2017
ds galala mona sarita 3/18/2017
ds guaemaadu mona sarita 3/20/2017
ds gufasa faharia 3/17/2017
ds jalan baru faharia 3/18/2017
ds gamlamo mardiah syaban 3/20/2017
ds matui mona sarita 3/22/2017
ds guaeria fahria 3/22/2017
ds tauro mona sarita 3/23/2017
ds bukubualawa mardiah syaban 3/23/2017
ds bukumaadu faharia 3/25/2017
ds ulo mardiah syaban 3/25/2017
6 Upaya Kesehatan Lingkungan monitoring STBM di masyarakat dan sekilah masyr 80% 1X Trnsport Petugas ds saria Sitti Nurlailah 3/6/2017
kesling ) Desly leleani
Trnsport Petugas ds gufasa Sitti Nurlailah 3/8/2017
rina hasim
Desly leleani
Trnsport Petugas ds gamlamo Sitti Nurlailah 3/7/2017
meli
Idmawati
Upaya kesehatan Lanjut Usia pendataan pra lansia dan lansia usila 1x 1x transport petugas ds galala Santi dokuloha 3/1/2017
( Lansia ) zumra bayan
ds guaemaadu Santi dokuloha 3/2/2017
fahima samsudin
ds gufasa Santi dokuloha 3/4/2017
rina hasim

1 2 3 4 5 6 7 8 9 10
upaya kesehatan usia reproduksi penyuluhan kesehatan reproduksi pada KB PUS 1x transpor petugas ds gufasa Hindun Djumati 3/18/2017
ds jln baru Hindun Djumati 3/14/2017
ds gamlamo Hindun Djumati 3/15/2017
l
kesehatan olahraga sosialisasi,orientasi kes olahraga masyarakat 1x transpor petugas ds gufasa hindun djumati 3/30/2017
ds JLN BARU hindun djumati 3/21/2017
ds gamlamo hindun djumati 3/25/2017
upaya pencegahan dan pengendalian 1. pengukuran & pemeriksaan faktor resiko pTM masyarakat 1x 1x transpor petugas ds jalan baru isna 3/21/2017
penyakit tidak menular posbindu PTM di desa santi dokuloha
rukija Hardin
ds gamlamo isna 3/25/2017
santi dokuloha
meli
2. pengukuran& pemeriksaan faktor resiko masyarakat 1x 1x transpor petugas ds bobo isna 3/27/2017
di posbindu pTM santi dokuloha
hafilat ade
ds bobojilo isna 3/29/2017
santi dokuloha
hafilat ade
3. pemantauan penerapan kawasan tanpa 1x 1x transpor petugas SD neg 1 Halbar isna 3/13/2017
rokok SD Inpres 8 Halbar isna 3/15/2017
kesehatan jiwa pendataan penderita jiwa 1x 1x transpor petugas ds jalan baru Senaen linda Imelda 3/4/2017
rukija Hardin
ds gamlamo senaen Linda Imelda 3/6/2017
meli
ermawati
Surveilans Pelaksanaan penyelidikan/pemantauan Kasus ds Bobanehena santidokulaha 3/8/2017

ds galala santidokulaha 3/9/2017
Jumlah

No. Kegiatan Sasaran Target Jadwal
Kesehatan
1 2 3 4 5 6 7 8 9 10

3.Belanja Reagen,Stik tes cepat
5.belanja media cetak penyuluhan
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40000 Staf Puskesmas 30-Mar-17
Upaya Esensial 28,850
Dukungna Menejmen 11,700,
TOTAL KESELURUHAN 40,550,
Mengetahui Jailolo, 01 Maret 2017

Sitti Nurlailah,SKM Aisyah Muksin,Amd.Keb

NIP. 19760921 200012 2 001 NIP. 19841007 201001 2 015
Sumber
Biaya
Biaya
11 12
150,000
150,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
200,000
200,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
Sumber
Biaya
Biaya
11 12
350,000
350,000
50,000
350,000
350,000
50,000
6,200,000
150,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,450,000
150,000
50,000
50,000
50,000
50,000
50,000
Sumber
Biaya
Biaya
11 12
50,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
1,000,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
1,450,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
Sumber
Biaya
Biaya
11 12
100,000
100,000
100,000
200,000
200,000
350,000
350,000
350,000
350,000
2,950,000
350,000
350,000
350,000
1,050,000
100,000
100,000
200,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
750,000
350,000
50,000
350,000
50,000
800,000
100,000
100,000
100,000
100,000
350,000
350,000
1,100,000
350,000
100,000
100,000
100,000
100,000
50,000
50,000
50,000
50,000
600,000
Sumber
Biaya
Biaya
11 12
150,000
150,000
150,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
1,450,000
150,000
100,000
100,000
100,000
100,000
550,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
350,000
350,000
350,000
350,000
2,950,000
150,000
150,000
100,000
50,000
100,000
100,000
50,000
100,000
800,000
100,000
50,000
100,000
100,000
100,000
50,000
500,000
Sumber
Biaya
Biaya
11 12
100,000
100,000
100,000
300,000
100,000
100,000
100,000
300,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
1,000,000
100,000
100,000
200,000
100,000
50,000
100,000
50,000
350,000
50,000
700,000
100,000
100,000
200,000
28,850,000
Sumber
Biaya
Biaya
11 12
1,900,000 BOK
3,800,000
1,700,000
300,000
2,000,000
2,000,000
11,700,000
28,850,000
11,700,000
40,550,000
Jailolo, 01 Maret 2017

Pengelola BOK
Aisyah Muksin,Amd.Keb
NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : April /2017

1 2 3 4 5 6 7 8 9 10 11
1 1.Upaya Kesehatan Ibu 1.1.Pelaksanaan kelas ibu hamil Bumil 1x Trnsport Petugas ds saria Aisyah Muksin 5/4/2017 150,000
Trnsport Petugas ds bobo Nofiany Djabir 6/4/2017 100,000
Transport Petugas ds bobojiko Dewi Usman 8/4/2017 100,000
Transport Petugas ds payo Fahima Samsudin 10/4/2017 100,000
Trnsport Petugas ds Pateng Narlinati siguntu 11/4/2017 100,000
Trnsport Petugas ds Bobanehena Nofiany Djabir 10/4/2017 100,000
transpor petugas ds Galala Rusna z wahid 12/4/2017 100,000
transpor petugas ds Guaemaadu Fahima Syamsudin 4/13/2017 100,000
transpor petugas ds gufasa Aisyah muksin 4/15/2017 100,000
transpor petugas ds Jalan baru Nofiany djabir 15/4/17 100,000
transpor petugas ds Gamlamo Dewi Usman 4/15/2017 100,000
Trnsport Petugas ds tauro Dewi usman 4/17/2017 350,000
Trnsport Petugas ds bukubualawa Aisyah Muksin 4/17/2017 350,000
Trnsport Petugas ds Bukumaadu Nofiany Djabir 4/17/2017 350,000
Trnsport Petugas ds Ulo Nofiany Djabir 4/12/2017 350,000
Total 2,550,000
Penjaringan Bumil risti transpor Petugas Saria erna 4/7/2017 50,000

bobo hafilat ade 4/8/2017 50,000
bobojiko hafilat ade 4/10/2017 50,000
payo ratih abd gani 4/10/2017 50,000
pateng ratih abd gani 4/12/2017 50,000
bobanehena indira kamaruddin 4/12/2017 50,000
galala Zumra bayan 4/15/2017 50,000
guaemaadu ekawatimahmud 4/15/2017 50,000
gufasa rina hasim 4/19/2017 50,000
jalan baru rukija 4/19/2017 50,000
gamlamo meli 4/20/2017 50,000
tauro ermawati 4/20/2017 50,000
bukubualawa Hamriani 4/20/2017 50,000
ulo Betlina 4/21/2017 50,000
Total 700,000
2 Upaya Kesehatan Anak pemantauan SDIDTK balita transport petugas ds saria erna 4/5/2017 50,000
balita dan pra sekolah ds bobo hafilat 4/6/2017 50,000
ds bobojiko hafilat 4/7/2017 50,000
ds payo ratih Abd Gani 4/8/2017 50,000
ds pateng Ratih Abd Gani 4/11/2017 50,000
ds bobanehena Indira Kamaruddin 4/10/2017 50,000
ds galala Zumra Bayan 4/12/2017 50,000
ds guaemaadu Ekawati mahmud 4/12/2017 50,000
ds gufasa Rina Hasim 4/13/2017 50,000
ds jalan baru Rukija Hasim 4/15/2017 50,000
ds matui tuty Asmarany 4/3/2017 50,000
ds guaeria nining kabir 4/11/2017 50,000
ds tauro ermawati 4/11/2017 50,000
1 2 3 4 5 6 7 8 9 10 11
ds bukubualawa hamriani 4/11/2017 50,000
ds bukumaadu hamriani 4/12/2017 50,000
ds ulo betlina 4/12/2017 50,000
850,000
Pemantauan status pertumbuhan Balita IX Trnsport Petugas Ds.Saria Mona sarita 4/7/2017 150,000
Trnsport Petugas Ds.Bobo faharia 4/5/2017 100,000
Trnsport Petugas Ds.Bobo Jiko Mona sarita 4/6/2017 100,000
Trnsport Petugas Ds.Payo faharia 4/7/2017 100,000
Trnsport Petugas Ds.Pateng Mona sarita 4/8/2017 100,000
Trnsport Petugas Ds.Bobanehena mardiah Syaban 4/10/2017 100,000
Trnsport Petugas Ds.Galala Mona sarita 4/11/2017 100,000
Trnsport Petugas Ds Guaemadu Mona sarita 4/13/2017 100,000
Trnsport Petugas ds gufasa faharia 4/13/2017 100,000
Trnsport Petugas ds jalan baru Faharia 4/15/2017 100,000
Trnsport Petugas ds gamlamo mardiah syaban 4/18/2017 100,000
Trnsport Petugas ds matui mona sarita 4/4/2017 200,000
Trnsport Petugas guaeria faharia 4/11/2017 200,000
Trnsport Petugas ds tauro Mona sarita 4/17/2017 350,000
Trnsport Petugas Ds Bukubualawa mardiah Syaban 4/17/2017 350,000
Trnsport Petugas Ds Bukumaadu faharia 4/17/2017 350,000
Trnsport Petugas ds ulo mardia Syaban 4/12/2017 350,000
Total 2,950,000
Pemberian PMT Penyuluhan transpor petugas ds saria mona sarita 4/15/2017 150,000
ds bobo faharia 4/18/2017 100,000
ds bobojiko mardiah syaban 4/19/2017 100,000
ds payo faharia 4/19/2017 100,000
ds pateng mona sarita 4/20/2017 100,000
ds bobanehena mardiah syaban 4/20/2017 100,000
ds galala mona sarita 4/12/2017 100,000
ds guaemaadu mona sarita 4/21/2017 100,000
Total 850,000
pembelian bahan PMT penyuluhan
1. kacang ijo 23 kg x30000 690000 4/12/2017
2. susu kaleng 23x20000 460000 1,150,000
2,000,000
3 Imunisasi Kunjungan Rumah Dalam rangka Transpor Petugas ds galala Zumra bayan 4/13/2017 50,000
pemberian imunisasi Polio ds guaemaadu ekawati mahmud 4/17/2017 50,000
ds jalan baru Rukija 4/17/2017 50,000
ds bukumaadu Hamriani 4/19/2017 50,000
ds pateng Ratih abd gani 4/13/2017 50,000
250,000
Kunjungan rumah Dalam Rangka transpor petugas ds Gufasa rina hasim 4/15/2017 50,000
Pemberian Imunisasi BCG ds jalan baru rukija hardin 4/20/2017 50,000
150,000
Desiminasi ke desa NON Uci transpor petugas ds galala Fahima samsudin 4/11/2017 100,000
Zumra Bayan 50,000
Wahid 100,000
M Haerudin 100,000
350,000

1 2 3 4 5 6 7 8 9 10 11
3.2 Pengambilan Vaksin 1x Transpor Petugas Gudang Farmasi Fahima samsudin 4/1/2017 100,000
rasid yunus 100,000
200,000
4 Upaya pencegahan dan pemantauan pasien mangkir (TB) Masyarakat IX Trnsport Petugas ds bobo Meiske 4/6/2017 100,000
pengendalian penyakit pasien TB
Menular Langsung ds payo Meiske 4/7/2017 100,000
200,000
pemeriksaan kontak Masyarakat Transport petugas Ds jalan baru Senaen Linda Imelda 4/8/2017 100,000
pasen kusta Rukija 50,000
150,000
Pendampingan pasien Reaktif ODHA Transpor petugas ds jalan baru Seanen Linda Imelda 4/10/2017 100,000
Syahbudin 100,000
M Haerudin 100,000
400,000
Rujukan pasien ODHA ke RS Chasan Transport Petugas RSU Tte Senaen Linda Imelda 4/25/2017 400,000
Bosoire Ternate Rukija Hardin
400,000
5 Upaya Promosi Kesehatan survei PHBS Rumah Tangga masyarakat 1X Trnsport Petugas ds bobanehena Idmawati 4/3/2017 100,000
indira Kamaruddin 50,000
Transpor Petugas ds galala Mardia Teng 4/17/2017 100,000
Zumra Bayan 50,000
Trnsport Petugas ds guaemaadu Idmawati 4/18/2017 100,000
Trnsport Petugas Ds Gufasa mardia Teng 4/18/2017 100,000
Rina hasim 50,000
Trnsport Petugas ds jalan baru Idmawati 4/22/2017 100,000
rukija 50,000
Total 750,000
Pendataan Keluarga sehat desa masyarakat 1x transpor Petugas RT 1 Meiske 27-29/04/17 1,200,000
Guaemaadu Siti rivatul
Junita
Dewi usman
RT 2 Isna 27-29/4/17 1,200,000
Narlianti
Alwia
erna
RT 3 Mardia teng 27-29/4/17 1,200,000
Novi Kurniawati
Idmawati
hatisa ismail
RT4 Safria Sambyo 27-29/4/17 1,200,000
Risda Bandawati
Mardiah Syaban
anila kasim
Pembelian Bahan Pendataan Keluarga sehat 4,800,000

1. ID Card 40x 11.000 40000
2. Map plastik 80000
3. 3 dos pensil 135000
4. 1 dos penghapus pensil 80000
5. 1 toples bor2 48000
6. kertas Foto 38000
7. Foto Copy kuesioner 1429000
1850000 1,850,000
Total 6,650,000
1 2 3 4 5 6 7 8 9 10 11
6 Upaya Kesehatan Lingkungan Ferifikasi ODF masyr 80% 1X Trnsport Petugas Ds Gufasa hafilat ade 42,842 100,000
juhria hamid 100,000
Emy 100,000
Trnsport Petugas Ds Saria hafilat ade 4/19/2017 150,000
Emy 150,000
Transpor Petugas ds gamlamo hafilat ade 4/25/2017 100,000
Emy 100,000
1,050,000
upaya kesehatan usia reproduksi penyuluhan kesehatan reproduksi pada KB PUS 1x transpor petugas ds ulo Hindun Djumati 4/13/2017 350,000
ds Bukubualawa hamriani 4/18/2017 50,000
l ds bukumaadu Hindun djumati 4/17/2017 350,000
ds matui tuty asmarany 4/18/2017 50,000
900,000
upaya pencegahan dan pengendalian pendataan sasaran PTM dan faktor resiko masyarakat 1x 1x transpor petugas ds saria isna 4/3/2017 150,000
penyakit tidak menular penduduk laki2 dan perempuan usia >15 thn erna 50,000
ds payo isna 4/6/2017 100,000

Ratih Abd Gani 50,000
ds pateng isna 4/1/2017 100,000

500,000
2.penyuluhan PTM dgn gangguan katarak, masyarakat 1x 1x transpor petugas ds galala isna 11/4/2017 100,000
serumen,HT Guaemaadu isna 12/4/2017 100,000
Bobanehena Isna 10/4/2017 100,000

300,000
3. Kunjungan rumah dg faktor resiko di desa 1x 1x transpor petugas jln baru isna 4/15/2017 100,000
gamlamo isna 4/17/2017 100,000
bobo isna 4/13/2017 100,000
bobojiko isna 4/8/2017 100,000
400,000
kesehatan jiwa pendataan penderita Jiwa 1x 1x transpor petugas ds Ulo Senaen Linda Imelda 4/20/2017 350,000
ds matui Senaen Linda Imelda 4/22/2017 200,000
650,000
Upaya Kesehatan lanjut usia Pendataan pralansia& lansia Transpor Petugas ds jalan baru santi dokuloha 4/19/2017 100,000
Rukija hardin 50,000
ds gamlamo santi dokuloha 4/26/2017 100,000
Meli 50,000
Total 300,000
Jumlah 22,650,000

No. Kegiatan Sasaran Target Jadwal Biaya
Kesehatan
1 2 3 4 5 6 7 8 9 10 11

4.Belanja ATK Pengadaan Tersedianya A 100% 2. Foto copy arsip,dll 4,500,000
Rapat kordinasi lintas program 2420000
Honor pengelola tenaga promkes 1000000
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40000 Staf Puskesmas 29 aprl 2017 2,000,000
12,120,000
Mengetahui Jailolo, 01 April 2017

Hindun Djumati,Amd.Keb Aisyah Muksin,Amd.Keb

NIP. 19681007 199003 2 005 NIP. 19841007 201001 2 015
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
22,650,000
Sumber
Biaya
12
BOK
22,650,000
12,120,000
34,770,000
Puskesmas : Jailolo
Tahun/Bulan : Mei 2017

1 2 3 4 5 6 7 8 9 10 11
1 Upaya promosi Pendataan Keluarga sehat desa saria 16 desa 1X Transpor Petugas RT1 Meiske 2 mei 2017 600,000
Kesehatan faharia
Siti Rivatul
Indira Kamaruddin
RT2 dewi usman 2 mei 2017 600,000
hamriani
junita
rukija
total 1,200,000
pendataan keluarga sehat desa bobo RT1 Isna 2-3 mei 2017 800,000
narlianti
mona sarita
Ekawati mahmud
RT2 Zumra bayan 2-3 mei 2017 800,000
Rusna z wahid
Alwia
Ermawati
RT3 Mardia Teng 2-3 mei 2017 800,000
Novi kurniawati
Idmawati
Hatisa ismail
Total 2,400,000
pendataan keluarga sehat desa bobojiko RT1 Senaen Linda Imelda 2-3 mei 2017 800,000
rina hasim
Rukija
nofiany djabir
RT2 Mardiah syaban 2-3 mei 2017 800,000
Risda bandawati
Safria samboyo
Desly liliany
RT3 Fahima samsudin 2-3 mei 2017 800,000
erna
Nining kabir
Anila kasim
Total 2,400,000
Pendataan keluarga sehat desa payo RT1 Tuty Asmarany 5-6 mei 2017 800,000
santi dokuloha
Meli
aisyah muksin
No. Upaya Kesehatan Kegiatan Sasaran Target Kegiatan Jadwal Biaya
Pelaksanaan Pelaksanaan Pelaksana
1 2 3 4 5 6 7 8 9 10 11
RT2 Hafilat ade 5-6 mei 2017 800000
Rasyid yunus
Betlina mudja
Irma hasan
RT3 Meiske 5-6 mei 2017 800000
faharia
dewi usman
Siti Rivatul
Total 2,400,000
pendataan keluarga sehat desa pateng RT1-RT2 Mardia Teng 5-7 mei 2017 1,200,000
novi Kurniawati
Idmawati
Hatisa Ismail
RT3-4 Senaen Linda imelda 5-7 mei 2017 1,200,000
Irma Kasim
rina hasim
noviany Djabir
Total 2,400,000
pendataan keluarga sehat bobanehena RT1,RT2,RT3 hafilat ade 8-11 mei 2017 1,600,000
rasyid Yunus
Betlina mudja
Irma Kasim
RT4-RT6 Fahima samsudin 8-11 mei 2017 1,600,000
erna
Nining kabir
anila Kasim
RT 7-9 Zumra Bayan 8-11 mei 2017 1,600,000
Rusna z wahid
alwia
ermawati
Total 4,800,000
pendataan keluarga sehat desa galala RT 1-RT2 Meiske 8-10 mei 2017 1,200,000
Faharia
Dewi usman
Siti Rivatul
RT3-RT4 Isna 8-10 mei 2017 1,200,000
narlianti
Ekawati
Ermawati
2,400,000
Pendataan keluarga sehat desa gufasa RT 1-Rt2 mardia teng 8-9 mei 2017 800000
novi kurniawati
idmawaty
hatisa ismail

RT 3-RT4 Mardia syaban 8-9 mei 2017 800,000
risda bandawaty
safria samboyo
Desly liliany
Total 1,600,000
Pendataan keluarga sehat desa jalan baru RT1-RT2 Linda senaen 8-11 mei 2017 1,600,000
Ratih Abd gani
rina hasim
noviany Djabir
RT3-Rt4 Tuty asmarany 8-11 mei 2017 1,600,000
Santi dokuloha
Meli
Aisyah
Total 3,200,000
Pendataan Keluarga sehat desa gamlamo RT 1-RT2 Meiske 12-14 mei 2017 1,200,000
Faharia
Dewi usman
Siti Rivatul
RT3-RT4 indira kamaruddin 12-14 mei 2017 1,200,000
Hamriani
junita
Rukija
RT 5 Isna 12-13 mei 2017 400,000
Narlianti Siguntu
Total 2,800,000
Pendataan keluarga sehat desa matui RT1-RT 3 mona sarita 15-16 mei 2017 1,600,000
Ekawati
Zumra Bayan
Rusna z wahid
Total 1,600,000
Pendataan keluarga sehat desa guaeria RT1-Rt2 Fahima samsudin 15-16 mei 2017 1,600,000
Erna
anila Kasim
Desly liliany
Total 1,600,000
Pendataan keluarga sehat desa tauro RT1-RT3 mardia teng 15-16 mei 2017 2,800,000
Novi kurniawati
idmawaty
hatisa ismail

No. Upaya Kesehatan Kegiatan Sasaran Target Kegiatan Pelaksanaan Pelaksanaan Pelaksana Jadwal Biaya
1 2 3 4 5 6 7 8 9 10 11
RT4-RT6 Linda senaen 15-16 mei 2017 2,800,000
Ratih Abd gani
rina hasim
noviany Djabir
Total 5600000
pendataan keluarga sehat di bukubualawa Rt1-RT4 Mardiah syaban 15-16 mei 2017 2,800,000
Risda bandawaty
safria samboyo
Desly liliany
Total 2,800,000
Pendataan keluarga sehat desa bukumaadu RT1-RT4 hfilat ade 15-16 mei 2017 2,800,000
rasyid Yunus
Meli
irma hasan
Total 2,800,000
Pendataan keluarga sehat desa ulo Rt1-Rt4 Meiske 15-16 mei 2017 2,800,000
Isna
mardia syaban
Tuty asmarany
Total 2,800,000
Total 42,800,000
Foto copy form 1 dan Form 3.1 13,000,000
Total 55,800,000
Upaya kesehatan ibu pendampingan kelas ibu hamil ds Saria Nofiany Djabir 27/5/17 150,000
ds bobo Nofiany djabir 17/5/17 100,000
ds Bobojiko dewi Usman 27/5/17 100,000
ds payo Nofiany Djabir 18/5/17 100,000
ds pateng Narlianti siguntu 4/5/2017 100,000
ds Bobanehena Nofiani Djabir 18/5/17 100,000
ds galala Desly liliany 17/5/17 100,000
ds guaemaadu Nofiany Djabir 19/5/17 100,000
ds gufasa Aisyah muksin 27/5/17 100,000
ds jalan baru Nofiany djabir 23/5/17 100,000
ds gamlamo Dewi Usman 17/5/17 100,000
ds matui Nofiany djabir 22/5/17 200,000
ds tauro dewi usman 18/5/17 350,000
ds Bukubualawa noviany Djabir 24/5/17 350,000
ds Ulo Nofiany Djabir 29/5/17 350,000
Total 2,400,000

1 2 3 4 5 6 7 8 9 10 11
Penanganan bumil Risti
1. Pemberian PMT pemulihan Bumil KEK ds Bobo Hafialat ade 17/5/17 50,000
Faharia 100,000
ds matui Tuty asmarany 17/5/17 50,000
mona sarita 200,000
400,000
Pembelian Bahan PMT
1. Susu Prenagen 6 dos 6X 55000 330,000
2. kacang ijo 4X30000 120,000
3. susu kaleng 4x25000 100,000
550,000
Total 950,000
2.konseling . Ibu hamil risti ds galala Zumra bayan 17/5/17 50,000

ds Gueria Nining kabir 18/5/17 50,000
Total 100,000
Upaya Kesehatan
neonatus dan bayi Pemantauan SDIDTK bayi/balita ds saria Junita Alwan 27/5/17 150,000
neonatus dan bayi ds bobo siti Rivatul 27/5/17 100,000
ds bobojiko Junita Alwan 17/5/17 100,000
ds payo siti rivatul 17/5/17 100,000
ds Pateng junita alwan 18/5/17 100,000
ds bobanehena siti rivatul 18/5/17 100,000
ds galala junita alwan 19/5/17 100,000
ds guaemaadu siti Rivatul 19/5/17 100,000
ds gufasa junita alwan 20/5/17 100,000
ds jalan baru siti rivatul 20/5/17 100,000
ds gamlamo Junita Alwan 22/5/17 100,000
ds matui tuty asmarany 18/5/17 50,000
Total 1,450,000
pelaksanaan kelas ibu balita ds saria Dewi usman 19/5/17 150,000

erna 50,000
ds bobo desly 20/5/17 100,000
hafilat 50,000

1 2 3 4 5 6 7 8 9 10 11
ds bobojiko dewi usman 18/5/17 100,000
hafilat ade 50,000
ds payo desly 22/5/17 100,000
ratih Abd Gani 50,000
ds pateng dewi usman 22/5/17 100,000
ds bobanehena desly 23/5/17 100,000
ds galala dewi usman 23/5/17 100,000
zumra bayan 50,000
ds guaemaadu desly liliani 24/5/17 100,000
Ekawati mahmud 50,000
ds gufasa dewi usman 24/5/17 100,000
rina hasim 50,000
ds jalan baru desli 29/5/17 100,000
rukija 50,000
ds gamlamo Dewi usman 29/5/17 100,000
meli 50,000
Total 1,700,000
Upaya kesehatan anak Pemberian PMT penyuluhan Transpor Petugas ds gufasa mardiah syahban 18/5/17 100,000
balita & prasekolah ds jalan baru faharia 18/5/17 100,000
ds gamlamo mardiah syaban 19/7/17 100,000
ds matui mona sarita 18/7/17 200,000
ds guaeria faharia 19/5/17 200,000
ds tauro mona sarita 19/5/17 350,000
ds bukubualawa Mardiah Syaban 20/5/17 350,000
ds bukumaadu faharia 20/5/17 350,000
ds ulo mardiah syaban 22/5/17 350,000
Total 2,100,000
Pembelian bahan PMT penyuluhan
1 kacang ijo 22x 30000 660000
2. susu kaleng 22x 20000 440000
1,100,000
Total 3,200,000
Upaya pencegahan Orientasi kader kesehatan posbindu di desa ds saria Isna 19/5/17 150,000
penyakit tidak menular ds payo Isna 17/5/17 100,000
ds pateng Isna 18/5/17 100,000
Total 350,000

1 2 3 4 5 6 7 8 9 10 11
Surveilans penyakit tdk menular di sekolah MTS pabos isna 20/5/17 100,000
kantor safria 100,000
SMP islam Isna 22/5/17 100,000
safria 100,000
Total 400,000
Penyuluhan PTM dg gangguan ds gufasa Narlianti 18/2/17 100,000

Katarak ds jalan baru isna 23/5/17 100,000
ds gamlamo Narlianti 17/5/17 100,000
Total 300,000
Imunisasi Desiminasi desa Non uci ds bukubualawa M.Haerudin 350,000

fahima Samsudin 350,000
Hamriani 50,000
ds Guaemaadu M.Haerudin 100,000
1,000,000
Kunjungan rumah dalam rangka ds Gueamaadu Ekawati 18/5/17 50,000

pemberian imunisasi lanjutan ds jalan baru rukija 19/5/17 50,000
ds galala zumra bayan 19/5/17 50,000
ds gufasa rina hasim 19/5/17 50,000
Total 300,000
pengambilan vaksin Gudang Farmasi Fahima samsudin 4/5/2017 100,000

Rasid yunus 100,000
Total 200,000
Upaya penyakit menular Mobile visit KUA Senaen Linda Imelda 19/5/17 100,000
Yuli 100,000
Ds Matui Senaen Linda Imelda 20/5/17 200,000
Yuli 200,000
Total 600,000
Pemeriksaan kontak ds guaemaadu Senaen Linda Imelda 22/5/17 100,000
Ekawati 50,000
Total 150,000
1 2 3 4 5 6 7 8 9 10 11
deteksi dini hepatitis pada ibu hamil ds matui safria samboyo 22/5/17 200,000
Risda bandawati 200,000
ds saria safria samboyo 19/5/17 150,000
risda bandawati 150,000
ds bobo safria samboyo 23/5/17 100,000
ds bobobjiko safria samboyo 24/5/17 100,000
Total 1,100,000
upaya kesehatan Monitoring STBM di masyarakat dan sekolah ds Payo Hafilat 20/5/17 100,000
lingkungan kesling Ratih abd gani 50,000
ds galala Hafilat 22/5/17 100,000
Zumra Bayan 50,000
ds Bobanehena Idmawati 23/5/17 100,000
Indira kamarudin 50,000
ds jalan baru Hafilat 23/5/17 100,000
Rukija 50,000
Total 600,000
Upaya kesehatan usia Pendataan pralansia dan lansia ds matui santi dokuloha 22/5/17 200,000
lanjut Tuty asmarany 50,000
ds guaeria Nining Kabir 20/5/17 50,000
Total 300,000
Upaya kesehatan jiwa pendataan kesehatan jiwa ds guaeria Senaen Linda Imelda 23/5/17 200,000
Nining kabir 50,000
250,000
JUMLAH 71,150,000
JUMLAH 71,150,000

Manajemen Puskesmas Kegiatan Sasaran Target Jadwal Biaya
1 2 3 4 5 6 7 8 9 10 11

3.Belanja ATK Pengadaan Tersedianya 100% 2. Foto copy arsip,dll 4,000,000
5. Belanja media penyuluhan 2500000
6. Honor pengelola tenaga promkes 1000000
5.Lokakarya Mini Puskesmas Konsumsi 50 X 40,000 Staf Puskesmas 30/5/2017 2,000,000
11,700,000
Dukungan Menejmen 11,700,000
Mengetahui Jailolo, 01 Mei 2017

NIP. 19681007 199003 2 005 NIP. 19841007201001 2 015
Sumber
Biaya
12
BOK
Sumber
Biaya
12
Sumber
Biaya
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
1,150,000
1,150,000
Sumber
Biaya
12
BOK
71,150,000
11,700,000
82,850,000
Puskesmas : Jailolo
Tahun/Bulan : Juni 2017

1 2 3 4 5 6 7 8 9 10 11
1 Kesehatan Ibu 1.1.Pendampingan Kelas Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiany Djabir 6/15/2017 150,000
Kelas Ibu Hamil Erna 50,000
ds bobo Aisyah muksin 6/15/2017 100,000
Hafilat ade 50,000
ds bobojiko dewi usman 6/16/2017 100,000
hafilat ade 50,000
ds payo fahima 6/16/2017 100,000
Ratih abd gani 50,000
ds pateng narlianti siguntu 6/17/2017 100,000
ds Bobanehena Nofiany Djabir 6/17/2017 100,000
ds galala mardia Teng 6/20/2017 100,000
Zumra bayan 50,000
ds guaemaadu Fahima samsudin 6/20/2017 100,000
ekawati 50,000
ds gufasa Aisyah muksin 20/06/2017 100,000
Rina hasim 50,000
ds Jalan Baru Nofiany djabir 22/06/2017 100,000
ds gamlamo dewi Usman 22/06/2017 100,000
Meli 50,000
ds matui Nofiany Djabir 10/06/2017 200,000
tuty asmarany 50,000
ds Guaeria Fahima samsudin 10/06/2017 200,000
Nining kabir 50,000
ds tauro dewi usman 09/06/2017 350,000
ermawati 50,000
ds bukubualawa Nofiany Djabir 09/06/2017 350,000
hamriani 50,000
ds ulo Nofiany Djabir 08/06/2017 350,000
Betlina 50,000
Total 3,400,000

1 2 3 4 5 6 7 8 9 10 11
2 Upaya Kesehatan Anak 2.1.Pemantauan pertumbuhan Bayi dan Balita Balita 100% 1X Trnsport Petugas Ds.Saria junita alwan 6/5/2017 150,000
Balita dan Prasekolah Melalui SDIDTK Trnsport Petugas Ds.Bobo siti rivatul 6/6/2017 100,000
Trnsport Petugas Ds.Bobo Jiko junita alwan 6/7/2017 100,000
Trnsport Petugas Ds.Payo siti rivatul 6/8/2017 100,000
Trnsport Petugas Ds.Pateng junita alwan 6/9/2017 100,000
Trnsport Petugas Ds.Bobanehena siti rivatul 6/10/2017 100,000
Trnsport Petugas Ds.Galala junita alwan 6/12/2017 100,000
Trnsport Petugas Ds.Guaemaadu siti rivatul 6/12/2017 100,000
Trnsport Petugas Ds.Gufasa junita alwan 6/13/2017 100,000
Trnsport Petugas Ds.Jalan Baru siti rivatul 6/14/2017 100,000
Trnsport Petugas Ds.Gamlamo junita alwan 6/15/2017 100,000
Trnsport Petugas Ds.Matui tuty asmarani 6/5/2017 50,000
Trnsport Petugas Ds.Gaueria nining kabir 6/13/2017 50,000
Trnsport Petugas Ds.Tuaro ermawati 6/15/2017 50,000
Trnsport Petugas Ds.Bukubualawa hamriani 6/15/2017 50,000
Trnsport Petugas Ds.Bukumaadu hamriani 6/14/2017 50,000
Trnsport Petugas Ds.Ulo betlina mudja 6/14/2017 50,000
1,450,000
2.3.Pelaksanaan kelas ibu balita Bayi ds Matui siti rivatul 6/3/2017 200,000
Balita tuty asmarany 50,000
ds guaeria junita alwan 6/16/2017 200,000
Nining Kabir 50,000
ds tauro desly liliani 6/12/2017 350,000
ermawati 50,000
ds bukubualawa mardia teng 6/16/2017 350,000
hamriani 50,000
ds bukumaadu Aisyah Muksin 6/17/2017 350,000
hamriani 50,000
ds ulo dewi usman 6/12/2017 350,000
2,050,000
2.4.pelacakan gizi buruk

ds saria mona sarita 6/7/2017 150,000
erna 50,000
ds bobo faharia 6/7/2017 100,000
hafilat ade 50,000
ds bobojiko mardiah syaban 6/13/2017 100,000
hafilat ade 50,000
ds payo faharia 6/10/2017 100,000
ds pateng mona sarita 6/13/2017 100,000
ds bobanehena mardia syaban 6/7/2017 100,000
indira kamarudin 50,000

1 2 3 4 5 6 7 8 9 10 11
ds galala mona sarita 6/16/2017 100,000
zumra bayan 50,000
ds guaemaadu mona sarita 6/10/2017 100,000
ekawati mahmud 50,000
ds gufasa mardiah syaban 6/16/2017 100,000
rina hasim 50,000
ds jalan baru faharia 6/13/2017 100,000
rukija hardin 50,000
ds gamlamo mardiah syahban 6/17/2017 100,000
meli 50,000
ds matui mona sarita 6/6/2017 200,000
tuty asmarani 50,000
ds guaeria faharia 6/6/2017 200,000
nining kabir 50,000
ds tauro mona sarita 6/21/2017 350,000
ermawati 50,000
ds bukubualawa mardia syaban 6/21/2017 350,000
hamriani 50,000
ds bukumaadu faharia 6/22/2017 350,000
hamriani 50,000
ds ulo mardia syaban 6/22/2017 350,000
betlina mudja 50,000
Total 3,800,000
3 Imunisasi 3.1.kunjungan rumah dalam rangka ds bobanehena indira kamaruddi 6/14/2017 50,000
pemberian imunisasi rutin ds galala zumra bayan 6/14/2017 50,000
ds guaemaadu ekawati mahmud 6/19/2017 50,000
Total 200,000
3.2.Pengambilan Vaksin gudang farmasi Fahima samsudin 6/2/2017 100,000

Rasyid yunus 100,000
200,000
4 Upaya pencegahan dan 4.1.Deteksi dini hepatitis pada ibu hamil ds payo safria samboyo 6/8/2017 100,000
pengendalian penyakit risda bandawati 100,000
Menular Langsung ds pateng safria samboyo 6/9/2017 100,000
ds bobanehena safria samboyo 6/10/2017 100,000
desa galala safria samboyo 6/12/2017 100,000
800,000
4.2.Rujukan pasien reaktif ODHA ke RSU Chasan ds jalan baru Senaen linda Imelda 6/3/2017 400,000
Bosoire rukija
Total 400,000

1 2 3 4 5 6 7 8 9 10 11
4.3.Mobile Visit ds bukubualawa Senain L Imelda 6/29/2017 350,000

Yuli 350,000
ds bukumaadu Senain L Imelda 6/30/2017 350,000
yuli 350,000
Total 1,400,000
4.4.Pemeriksaan kontak ds bukubualawa Senaen Linda Imelda 6/5/2017 350,000

hamriani 50,000
ds bukumaadu Senaen Linda Imelda 6/8/2017 350,000
hamriani 50,000
Total 800,000
4.5.Refresing Kader TB ds payo meiske 6/8/2017 100,000

isna 100,000
ds guaemaadu meiske 6/12/2017 100,000
isna 100,000
ds jalan baru meiske 6/14/2017 100,000
isna 100,000
Total 600,000
5 Upaya Pengendalian 5.1.Skrining RDT ibu Hamil K1 ds Saria Meiske 6/5/2017 150,000
Vektor ds bobo meiske 6/6/2017 100,000
ds bobojiko meiske 6/7/2017 100,000
ds payo meiske 6/21/2017 100,000
ds pateng meiske 6/9/2017 100,000
ds bobanehena meiske 6/10/2017 100,000
ds galala meiske 6/24/2017 100,000
ds guaemaadu meiske 6/13/2017 100,000
ds gufasa meiske 6/17/2017 100,000
ds jalan baru meiske 6/19/2017 100,000
ds gamlamo meiske 6/15/2017 100,000
ds matui meiske 6/3/2017 200,000
ds guaeria risda bandawati 6/12/2017 200,000
ds tauro meiske 6/16/2017 350,000
ds bukubualawa risda bandawati 6/8/2017 350,000
ds bukumaadau meiske 6/20/2017 350,000
ds ulo meiske 6/22/2017 350,000
Total 2,950,000
5.2.Distribusi Kelambu ds saria erna 6/5/2017 50,000

ds bobojiko hafilat 6/9/2017 50,000
ds payo ratih abd gani 6/8/2017 50,000
ds pateng ratih abd gani 6/9/2017 50,000

1 2 3 4 5 6 7 8 9 10 11
ds bobanehena indira kamaruddin 6/10/2017 50,000
ds galala zumra bayan 6/12/2017 50,000
ds guaemaadu ekawati mahmud 6/12/2017 50,000
ds gufasa rina hasim 6/13/2017 50,000
ds jalan baru rukija hardin 6/14/2017 50,000
ds matui tuty asmarani 6/13/2017 50,000
Total 800,000
6 Upaya kesehatan jiwa 6.1.Pendataan penderita gangguan kes jiwa ds bukubualawa Senaen Linda Imelda 6/13/2017 350,000
hamriani 50,000
ds bukumaadu Senaen Linda Imelda 6/10/2017 350,000
hamriani 50,000
800,000
7 Upaya Promosi 7.1.Survei PHBS Rumah tangga ds tauro Idmawati 6/3/2017 350,000
kesehatan Mardia Teng 350,000
Ermawati 50,000
desly liliany 350,000
total 1,100,000
8 upaya kesehatan usia 8.1.Pendataan pra lansia dan lansia ds tauro Ermawati 6/24/2017 50,000
lanjut
ds ulo Betlina Mudja 6/12/2017 50,000
ds Bukubualawa Hamriani 6/29/2017 50,000

150,000
1 2 3 4 5 6 7 8 9 10 11
Upaya pencegahan 1. pengukuran dan pemeriksaan faktor resiko saria isna 6/13/2017 150,000
penyakit tdk menular penyakit tidak menular di posbindu PTM di desa erna 50,000
ds payo Isna 6/19/2017 100,000
ds pateng isna 6/21/2017 100,000
500,000
penyuluhan PTM dg ganguan Serumen ds gufasa Isna 6/16/2017 100,000

ds gamlamo Isna 6/15/2017 100,000
ds jalan baru isna 6/17/2017 100,000
ds ulo isna 6/20/2017 350,000
650,000
Upaya Kesehatan usia Pemeriksaan IVA transpor Petugas ds saria erna 6/20/2017 50,000
reproduksi junita alwan 150,000
ds Bobo Ikma 6/20/2017 100,000
Hafilat 50,000
ds boji anila kasim 6/21/2017 100,000
hafilat 50,000
ds payo irma hasim 6/21/2017 100,000
ds pateng Anila kasim 6/22/2017 100,000
ds bobanehena Junita alwan 6/30/2017 100,000
900,000
6 Kesehatan Lingkungan inspeksi sanitasi tempat tempat umum Masyarakat 100% 1x Transport Petugas ds matui Idmawati Arif 6/21/2017 200,000
tuty asmarani 50,000
Transport Petugas ds tauro Hafilat 6/30/2017 350,000
ermawati 50,000
Transport Petugas ds bukubualawa desli 6/30/2017 350,000
hamriani 50,000
Transport Petugas Ds Bukumaadu Siti rivatul 6/22/2017 350,000
Transport Petugas ds ulo Ikma 6/29/2017 350,000
betlina 50,000
1,800,000
JUMLAH 24,750,000

1 2 3 4 5 6 7 8 9 10 11

2.Belanja /Cetak Media Penyuluhan 2,000,000
5.Honor pengelola tenaga Promkes 1000000
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40,000 Staf Puskesmas 6/29/2017 2,000,000
11,200,000
Dukungan Menejmen 11,200,000
Mengetahui Jailolo, 01 Juni 2017

Hindun Djumati,Amd.Keb Aisyah MuksinAmd,Keb
NIP. 19681007 199003 2 005 NIP. 19841007 201001 2 015
Sumber
Biaya
12
BOK
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
,750,000
Sumber
Biaya
12
BOK
24,750,000
11,200,000
35,950,000
Puskesmas : Jailolo
Tahun/Bulan : Juli 2017

1 2 3 4 5 6 7 8 9 10
1 Kesehatan Ibu 1.1.Pendampingan Kelas Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiany Djabir 6/7/2017
Kelas Ibu Hamil Erna
ds bobojiko Zumra Bayan 6/7/2017
Hafilat Ade
ds pateng Nofiany Djabir 7/7/2017
Ratih Abd Gani
ds Bobanehena Zumra Bayan 5/7/2017
Indira Kamaruddin
ds Galala Nofiany Djabir 8/7/2017
Zumra Bayan
ds guaemaadu Zumra Bayan 10/7/2017
ekawati
ds gufasa Zumra Bayan 11/7/2017
Rina hasim
ds Jalan Baru Nofiany djabir 12/7/2017
Rukija Hardin
ds Gamlamo Nofiany Djabir 13/7/2017
Meli
ds Matui Nofiany Djabir 3/7/2017
Tuty Asmarany
ds Tauro Ermawati 10/7/2017
ds bukubualawa Hamriani 10/7/2017
ds ulo Nofiany Djabir 4/7/2017
Betlina Mudja
Total
Pembelanjaan Alat Peraga Kelas Ibu Hamil
Pemberian PMT Bumil KEK Transport Petugas Ds Guaemaadu Mona Sarita 6/7/2017
Ekawati Mahmud
Ds Bobo Faharia 13/7/2017
Zumra Bayan
Ds Bobojiko Madiah Syaban 10/7/2017
Hafilat Ade
Ds pateng Mona Sarita 10/7/2017

Noviani Djabir
Ds Gufasa Mardiah Syaban 18/7/2017
Zumra Bayan
Ds Gamlamo Mardiah Syaban 15/7/2017
Noviani Djabir
Ds Guaeria Faharia 20/7/2017
Zumra Bayan
Ds Tauro Mona Sarita 21/7/2017
Zumra Bayan
Ds Bukumaadu Faharia 14/7/2017
Noviani Djabir
Pembelian Bahan PMT Bumil KEK

Susu Prenagen 57 dos x60000 5/7/2017
kacang Ico 38 kilo x 30000
Susu cap Nona 38 kaleng x25000
1.2.Pembinaan Pelayanan Kesehatan Ibu Ds.Bobo Zumra Bayan 1/7/2017

Hamil Risti Hafilat Ade
Ds.Galala Nofiani Djabir 31/7/2017
Zumara Bayan
Ds.Matui Tuty Asmarani 4/7/2017
Ds.Guaeria Nining Kabir 4/7/2017
Total
2 Upaya kesehatan usia 2.1.Pembinaan dan pelayanan lanjut usila Lansia 3 Desa Ds.saria Santi Dokulaha 5/7/2017
lanjut di posyandu lansia Ds.Gamlmo Santi Dokulaha 6/7/2017
Ds.Jalan Baru Santi Dokulaha 7/7/2017
3 Upaya Kesehatan usia 3.1.Pemeriksaan IVA PUS 3 Desa 1X Ds.Galala Ermawati 4/7/2017
reproduksi Zumra Bayan
Ds.Guaemaadu Ermawati 5/7/2017
Ekawati Mahmud
Ds.Gufasa Ermawati 6/7/2017
Rina Hasim
Total
4 Upaya Kesehatan Anak 4.1.Pemantauan pertumbuhan Bayi dan Balita Balita 100% 1X Trnsport Petugas Ds.Saria Rina Hasim 5/7/2017
Balita dan Prasekolah Melalui SDIDTK Erna
Trnsport Petugas Ds.Bobo Rina Hasim 7/7/2017
Hafilat Ade
Trnsport Petugas Ds.Bobo Jiko Rina Hasim 8/7/2017
Hafilat Ade
Trnsport Petugas Ds.Payo Rina Hasim 15/7/2017
Ratih Abd Gani
Trnsport Petugas Ds.Pateng Sitti Rifatul Patty 11/7/2017
Ratih Abd Gani
Trnsport Petugas Ds.Bobanehena Mardia teng 7/7/2017
Indira Kamarudin
Trnsport Petugas Ds.Galala Dewi Usman 12/7/2017
Zumra Bayan
Trnsport Petugas Ds.Guaemaadu Rina Hasim 12/7/2017
Ekawati Mahmud
Trnsport Petugas Ds.Gufasa Sitti Rifatul Patty 13/7/2017
Rina Hasim
Trnsport Petugas Ds.Jalan Baru Dewi Usman 8/7/2017
Rukija Hardin
Trnsport Petugas Ds.Gamlamo Rina Hasim 14/7/2017
Meli
Trnsport Petugas Ds.Matui Tuty Asmarani 5/7/2017
Trnsport Petugas Ds.Gaueria Nining Kabir 5/7/2017
Trnsport Petugas Ds.Tuaro Ermawati 7/7/2017
Trnsport Petugas Ds.Bukubualawa Hamriani 6/7/2017
Trnsport Petugas Ds.Bukumaadu Hamriani 7/7/2017
Trnsport Petugas Ds.Ulo Betlina Mudja 3/7/2017
Total
4.2.Pelaksanaan kelas ibu balita Bayi Ds.Saria Mardia Teng 8/7/2017

Balita Erna
Ds.Bobo Rina Hasim 4/7/2017
Hafilat Ade
Ds.Bobo Jiko Narianti Siguntu 5/7/2017
Hafilat Ade
Ds.Payo dewi usman 13/7/2017
Ratih Abd gani
Ds.Pateng Sitti Rifatul Patty 10/7/2017
Ratih Abd gani
Ds.Bobanehena Mardia Teng 10/7/2017
Indira Kamarudin
Ds.Galala Dewi Usman 14/7/2017

Zumara Bayan
Ds.Guaemaadu Sitti Rifatul Patty 18/7/2017
Ekawati Mahmudn
Ds.Gufasa dewi usman 10/7/2017
Rina Hsim
Ds.Jalan Baru Rina Hasim 18/7/2017
Rukija Hardin
Ds.Gamlamo Narianti Siguntu 8/7/2017
Meli
Ds.Gaueria Nining Kabir 20/7/2017
Ds.Tuaro Ermawati 8/7/2017
Ds.Bukubualawa Hamriani 17/7/2017
Ds.Bukumaadu Hamriani 8/7/2017
Ds.Ulo Betlina Mudja 5/7/2017
Total
4.3.Pembelian Bahan PMT Gizi Buruk dan

Gizi Kurang
1. Susu Dancau Fuli Crim 400 Gream 25 orng 1 X 60000 60,000 X 100 Dos 2/7/2017
2. Susu Lactogen 1 400 Gram 1 Orng 1 X 60,000 60000 X 4 DOS
3. Srup Curcuma 26 orang 1 X 20.000 20,000 X 104 botol
4.4. Pemberian Makanan Tambahan ( PMT ) Bayi,Balita 13 Desa Ds.Saria Mona Sarita 7/7/2017
Gizi Buruk dan Gizi Kurang Gizi Buruk & Erna
Gizi Kurang Ds.Bobo Faharia 3/7/2017
Hafilat Ade
Ds.Bobo Jiko Mardia Syaban 11/7/2017
Hafilat Ade
Ds.Bobanehena Mardia Syaban 6/7/2017
Indira Kamarudin
Ds.Galala Mona Sarita 17/7/2017
Zumra Bayan
Ds.Guaemaadu Mona Sarita 11/7/2017
Ekawati Mahmud
Ds.Jalan Baru Faharia 7/7/2017
Rukija Hardin
Ds.Gamlamo Mardia Syaban 12/7/2017
Meli
Ds.Matui Mona Sarita 8/7/2017
Tuty Asmarani
Ds.Guaeria Faharia 12/7/2017
Nining Kabir
Ds.Bukubaulawa Mardia Syaban 20/7/2017
Hamriani
Ds.Bukumaadu Faharia 19/7/2017
Hamriani
Ds.Ulo Mardia Syaban 17/7/2017
Betlina Mudja
Total
4.5Konseling Asi Ekslusif Bayi 0-6 bulan transpor Petugas ds Saria Mona sarita 12/7/2017
yg dtng posyandu erna
Ds bobo Faharia 17/7/2017
Hafilat ade
Ds Bobojiko Mardiah syaban 21/7/2017
Hafilat ade
Ds payo Faharia 4/7/2017
Ratih abd Gani
Ratih Abd Gani
Ds Bobanehena Mardiah Syaban 8/7/2017
Indira Kamarudin
Ds Galala Mona sarita 22/7/2017
Zumra Bayan
Ds Guaemaadu Mona sarita 13/7/2017
Ekawati Mahmud
Ds Gufasa Faharia 21/7/2017
Rina Hasim
Ds jalan Baru faharia 6/7/2017
rukija Hardin
ds Gamlamo Mardiah syaban 7/7/2017
Meli
z Ds matui Mona Sarita 15/7/2017

Tuty Asmarani
ds guaeria faharia 8/7/2017
Nining kabir
ds tauro mona sarita 14/7/2017
Ermawati
Ds Bukubualawa Mardiah syaban 15/7/2017
Hamriani
ds Bukumaadu Faharia 18/7/2017
Tuty Loang
ds Ulo Mardiah Syaban 13/7/2017
Betlina Mudja
Total
5 Imunisasi 5.1.kunjungan rumah dalam rangka Bayi 3 Desa 1x Ds.Gufasa Rina Hasim 17/7/2017
pemberian imunisasi rutin Ds.Jalan Baru Rukija Hardin 19/7/2017
Ds.Gamlamo Meli 15/7/2017
Total
5.2.Pengambilan Vaksin gudang farmasi Fahima samsudin 1/7/2017

Rasyid yunus
6 Upaya pencegahan dan 6.1.Deteksi dini hepatitis pada ibu hamil Bumil 3 Desa 1x Ds.Guaemaadu safria samboyo 12/7/2017
pengendalian penyakit risda bandawati
Menular Langsung Ds.Gufasa safria samboyo 13/7/2017
risda bandawati
Ds.Jalan baru safria samboyo 15/7/2017
risda bandawati
Total
Penyuluhan Penyakit ispa/Pneumoni Masyarakat Ds saria Narlianti Siguntu 8/7/2017

Ds Bobo Narlianti Siguntu 6/7/2017
Ds Bobojiko Isna 7/7/2017
Ds payo Narlianti Siguntu 4/7/2017
Ds pateng Narlianti Siguntu 10/7/2017
Ds Bobanehena Narlianti Siguntu 11/7/2017
Ds galala Narlianti Siguntu 12/7/2017
Ds Guaemaadu Narlianti Siguntu 13/7/2017
Ds Gufasa Narlianti Siguntu 14/7/2017
Ds jalan Baru Narlianti Siguntu 15/7/2017
Ds Gamlamo Narlianti Siguntu 20/7/2017
DS Matui Nining Kabir 3/7/2017
DS Guaeria Nining Kabir 14/7/2017
Ds Tauro Nining Kabir 15/7/2017
Ds BukubUalawa Nining Kabir 21/7/2017
Ds Bukumaadu Nining Kabir 18/7/2017
Ds Ulo Nining Kabir 19/7/2017
6.2.Pendataan Filariasis Masyarakat 17 Desa 1X Ds.Saria Erna 14/7/2017

Ds.Bobo Hafilat Ade 14/7/2017
Ds.Bobo Jiko Hafilat Ade 15/7/2017
Ds.Payo Ratih Abd Gani 14/7/2017
Ds.Pateng Ratih Abd Gani 17/7/2017
Ds.Bobanehena Indira Kamarudin 14/7/2017
Ds.Galala Zumra Bayan 15/7/2017
Ds.Guaemaadu Ekawati Mahmud 15/7/2017
Ds.Gufasa Rina Hasim 19/7/2017
Ds,Jalan Baru Rukija Hardin 17/7/2017
Ds.Gamlamo Meli 17/7/2017
Ds.Tauro Ermawati 11/7/2017
Ds,.Bukumaadu Hamriani 14/7/2017
Total
6.3.Penyuluhan tentang Diare Masyarakat 1 desa 1x transpor Petugas Ds.Guaria Safria Samboyo 14/7/2017
Idmawati Arif
Total
6.4.Penyuluhan tentang penyakit menular ( TB ) Masyarakat 2 Desa 1X Ds.Jalan Baru Isna 14/7/2017
Ds.Gamlamo Isna 15/7/2017
ds Galala Isna 25/7/20-17
Ds Bobanehena Isna 10/7/2017
Kunjungan Rumah Pasien TB Ds Bobojiko Isna 13/7/2017

Aisyah Muksin
Ds Pateng Isna 17/7/2017
Aisyah Muksin
Ds Bobanehena Isna 21/7/2017
Aisyah Muksin
ds Galala Isna 22/7/2017
Aisyah Muksin
Ds Guaemaadu Isna 6/7/2017
Aisyah Muksin
Ds Jalan Baru Isna 7/7/2017
Aisyah Muksin
Ds Ulo Isna 8/7/2017
Aisyah Muksin
7 Upaya pencegahan 7.1.Pengukuran dan pemeriksaan faktor resiko Masyarakat 5 Desa 1X Ds.Saria Isna 11/7/2017
penyakit tidak menular penyakit tidak menular di posbindu di desa Santi Dokulaha
Erna
Ds.Bobo Isna 12/7/2017
Santi Dokulaha
Hafilat Ade
Ds.Bobo Jiko Isna 24/7/2017
Hamriani
Hafilat Ade
Ds.Jalan Baru Isna 26/7/2017
Hamriani
Rukija Hardin
Ds.Gamlamo Isna 20/7/2017
Hamriani
Meli
Total
7.2.Pengukuran dan pemeriksaan faktor resiko Pegawai, Pelabuha 1X Pelabuhan Jailolo Isna 1/7/2017
PTM posbindu khusus di kesehatan pelabuhan Masyarakat n
Hamriani
dan Buru Hatisa Ismail
7.3.Penyuluhan tentang PTM dengan ganguan Masyarakat 2 Desa 1X Ds.Bukubaulawa Hamriani 31/7/2017
katarak di desa Ds.Bukumaadu Hamriani 21/7/2017
7.4Penyuluhan tentang hipertensi Ds Saria Isna 31/7/2017

Ds Bobo Isna . 27/7/2017
8 Upaya Promosi Kesehatan 7.1.Penyuluhan tentang PHBS Masyarkat 8 Desa Ds.Saria Idmawati Arif 6/7/2017
Ds.Bobo Mardia Teng 5/7/2017
Ds.Bobo Jiko Mardia Teng 11/7/2017
Ds.Bobanehena Idmawati Arif 10/7/2017
Ds.Galala Idmawati Arif 11/7/2017
Ds.Matui Idmawati Arif 3/7/2017
Ds.Tauro Mardia Teng 12/7/2017
Total

1 2 3 4 5 6 7 8 9 10
7.2.Pendataan phbs rumah tangga Rumah tangga 5 Desa Ds.Saria Idmawati Arif 18/7/2017
Erna
Ds.Bobo Mardia Teng 20/7/2017
Hafilat Ade
Ds.Bobo Jiko Idmawati Arif 22/7/2017
Hafilat Ade
Ds.Bobanehena Mardia Teng 22/7/2017
Indira Kamarudin
Ds.Galala Idmawati Arif 24/7/2017
Zumra Bayan
7 7.1.Pemantauan penggunaan kelambu Bumil dan 9 Desa 1X Ds.Saria Erna 25/7/2017

Bayi 9 bln Ds.Bobo Hafilat Ade 25/7/2017
upayah pencegahan dan
pengendalian penyakit tular Ds.Pateng Risda Bandawati 25/7/2017
vektor dan Zoonotik
pengendalian penyakit tular
vektor dan Zoonotik
Ratih Abd Gani
Ds.Bobanehena Risda Bandawati 26/7/2017
Indira Kamarudin
Ds.Galala Risda Bandawati 27/7/2017
Zumra Bayan
Ds Gamlamo Meli 28/7/2017
Ds.Jalan Baru Risda Bandawati 29/7/2017
Rukija Hardin
Total
8 Survelens 8.1.penyelidikan Kasus Wabah Diare Masy 3 Desa Ds.Guaemaadu Santi Dokulaha 18/7/2017
Safria Samboyo
Ds.Jalan baru Santi Dokulaha 17/7/2017
Safria Samboyo
Ds.Guaeria Santi Dokulaha 22/7/2017
Hafilat Ade
Total
8.2.Pemantauan Kasus gigitan Anjing dan Kucing Penderita Ds.Guaria Santi Dokulaha 13/7/2017
Nining Kabir
Ds.Tauro Santi Dokulaha 15/7/2017
Ermawati
7 Kesehatan Lingkungan 7.1. Pendataan dan pemeriksaan TPM serta Rumah 100% 1x Transport Petugas Ds.Guaemaadu Hafilat Ade 26/7/2017
Depot Air makan dan Wahyunigsi
depot ari Transport Petugas Ds.Gufasa Hafilat Ade 27/7/2017
Wahyunigsi
Transport Petugas Ds.Bobo Hafilat Ade 28/7/2017
Wahyunigsi
Ds.Bobanehena Hafilat Ade 29/7/2017
Wahyunigsi
Ds.Jalan Baru Hafilat Ade 31/7/2017
Wahyunigsi
Total
JUMLAH

NO Manajemen Puskesmas Kegiatan Sasaran Target Jadwal
1 2 3 4 5 6 7 8 9 10

3.Belanja Reagen,stik tes cepat
5 cetak media penyuluhan
5.Honor pengelola tenaga Promkes
6.Rapat kordinasi lintas program
6.Lokakarya Mini Puskesmas Konsumsi 50 X 40,000 Staf Puskesmas
Upaya Esensial 58,38
Dukungan Menejmen 16,70
TOTAL KESELURUHAN 75,08
Mengetahui Jailolo, 01 Juli 2017

Hindun Djumati,Amd.Keb Aisyah MuksinAmd,Keb

NIP. 19681007 199003 2 005 NIP. 19841007 201001 2 015
Sumber
Biaya
Biaya
11 12
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
50,000
50,000
350,000
50,000
2,150,000
13,000,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
350,000
350,000
350,000
350,000
2,900,000
3,420,000
1,140,000
950,000
5,510,000
100,000
50,000
100,000
50,000
50,000
50,000
400,000
150,000
100,000
100,000
350,000
100,000
50,000
100,000
50,000
100,000
50,000
450,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
2,000,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
2,000,000
6,000,000
240,000
2,080,000
8,320,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
2,950,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200000
50,000
200,000
50000
350000
50000
350000
50000
350000
50000
350000
50000
3,800,000
50,000
50,000
50,000
150,000
100,000
100,000
200,000
100,000
100,000
100,000
100,000
100,000
100,000
600,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
50,000
350,000
350,000
350,000
350,000
2,800,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
850,000
200,000
200,000
400,000
100,000
100,000
100,000
100,000
400,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
350,000
350,000
1,900,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
1,350,000
100,000
100,000
100,000
300,000
50,000
50,000
100,000
150,000
100,000
250,000
150,000
100,000
100,000
100,000
100,000
200,000
50,000
350,000
1,150,000
Sumber
Biaya
Biaya
11 12
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
800,000
50,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
100,000
50,000
50,000
50,000
850,000
100,000
100,000
100,000
100,000
200,000
200,000
800,000
200,000
50,000
350,000
50,000
650,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
1,000,000
58,380,000
Sumber
Biaya
Biaya
11 12
BOK
1,900,000
4,000,000
2,000,000
300000
3000000
1000000
2500000
2,000,000
16,700,000
58,380,000
16,700,000
75,080,000
Jailolo, 01 Juli 2017

Pengelola BOK
Aisyah MuksinAmd,Keb
NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : Agustus 2017
Volume Rincian Lokasi

No. Upaya Kesehatan Kegiatan Sasaran Target
Kegiatan Pelaksanaan Pelaksanaan
1 2 3 4 5 6 7 8
1 Kesehatan Ibu 1.1.Pendampingan Kelas Bumil 17 Desa 1X Transport Petugas Ds.Saria
Kelas Ibu Hamil
Ds.bobo
Ds.Payo
Ds.Bobanehena
Ds.Galala
Ds.Guaemaadu
Ds.Gufasa
Ds.Jalan Baru
Ds.Gamlamo
Ds.Tauro
Ds.bukubualawa
Ds.ulo
1.2.Kemitraan Bidan Dukun Ds.Saria
Ds.Matui
Ds.Tauro
Ds.Bukubaualawa
Ds Jalan Baru
Pemberian dan pemantauan PMT Bumil KEK Transport Petugas Ds Guaemaadu
Ds Bobo
Ds Bobojiko
Ds pateng
Desa Gufasa
Ds Gamlamo
Ds Guaeria
1 2 3 4 5 6 7 8
Ds Tauro
Ds Bukumaadu
Pembelian Bahan PMT Bumil KEK

Susu Prenagen 57 dos x60000
2 Upaya Kesehatan usia 2.1.Pemeriksaan IVA PUS 2 Desa 1X Ds.Jalan Baru

reproduksi
Ds.Gamlamo
3 Upaya Kesehatan Anak 3.1.Pemantauan pertumbuhan Bayi dan Balita Balita 100% 1X Trnsport Petugas Ds.Saria
Balita dan Prasekolah Melalui SDIDTK
Trnsport Petugas Ds.Bobo
Trnsport Petugas Ds.Bobo Jiko
Trnsport Petugas Ds.Payo
Trnsport Petugas Ds.Pateng
Trnsport Petugas Ds.Bobanehena

Trnsport Petugas Ds.Galala
Trnsport Petugas Ds.Guaemaadu
Trnsport Petugas Ds.Gufasa
Trnsport Petugas Ds.Jalan Baru
Trnsport Petugas Ds.Gamlamo
Trnsport Petugas Ds.Matui

Trnsport Petugas Ds.Gaueria
Trnsport Petugas Ds.Tuaro
Trnsport Petugas Ds.Bukubualawa
Trnsport Petugas Ds.Bukumaadu
Trnsport Petugas Ds.Ulo
3.2.Pelaksanaan kelas ibu balita Bayi Ds.Saria

Balita
Ds.Bobo
Ds.Bobo Jiko
1 2 3 4 5 6 7 8
Ds.Payo
Ds.Pateng
Ds.Bobanehena
Ds.Galala
Ds.Guaemaadu
Ds.Gufasa
Ds.Jalan Baru
Ds.Gamlamo
Ds.Matui
Ds.Gaueria
Ds.Tuaro
Ds.Bukubualawa
Ds.Bukumaadu
Ds.Ulo
3.3.Pembelian Bahan PMT Gizi Buruk dan

Gizi Kurang
1. Susu Dancau Fuli Crim 400 Gream 25 orng 1 X 60000 60,000 X 100 Dos
2. Susu Lactogen 1 400 Gram 4 Orng 1 X 60,000 60,000 X 4
3. Srup Curcuma 26 Orng 1 X 20.000 20,000 X 104 botol
3.4. Pemberiandan pemantauan Makanan Tambahan ( PMBayi,Balita 13 Desa Ds.Saria

Gizi Buruk dan Gizi Kurang Gizi Buruk &
Gizi Kurang Ds.Bobo
Ds.Bobo Jiko
Ds.Bobanehena
Ds.Galala
Ds.Guaemaadu
Ds.Jalan Baru
1 2 3 4 5 6 7 8
Ds.Gamlamo
Ds.Matui
Ds.Guaeria
Ds.Bukubaulawa
Ds.Bukumaadu
Ds.Ulo
Pemantauan konsumsi tablet Fe pada ibu hamil ibu hamil Ds saria
Ds Bobo
ds Bobojiko
ds Payo
Ds pateng
Ds Bobanehena
Ds galala
Ds Guaemaadu
Ds gufasa
Ds Jalan Baru
Ds Gamlamo
Ds Matui
Ds Guaeria
ds Tauro
Ds Bukubualawa
Ds Bukumaadu
Ds ulo

1 2 3 4 5 6 7 8
4 Imunisasi 4.1.Pengambilan Vaksin gudang farmasi
5 Upaya pencegahan dan 5.1.Deteksi dini hepatitis pada ibu hamil Bumil 3 Desa 1x Ds.Gamlamo
pengendalian penyakit
Menular Langsung Ds.Tauro
Ds.Ulo
5.2.Sosialisasi tentang Filariasis dan Masyarakat 17 Desa 1X Ds.Saria

Pembagian Obat Filariasis Ds.Bobo
Ds.Bobo Jiko
Ds.Payo
Ds.Pateng
Ds.Bobanehena
Ds.Galala
Ds.Guaemaadu
Ds.Gufasa
Ds.Jalan Baru
Ds.Gamlamo
Ds.Matui
Ds.Guaeria
Ds.Tauro
Ds.Bukubualawa
Ds.Bukumaadu
Ds.Ulo
5.3.Penjarinagn Suspek TB Masyarakat 2 Desa Ds.Jalan Baru
Ds.Gamlamo
Pelatihan Kader TB ds Pateng

Ds Bobojiko
Ds Gamlamo
Ds Galala
Ds Bobanehena
Ds jalan Baru
Ds Guaemaadu
Ds Ulo
Narasumber
Makan/Minum
ATK
5.5.Pemeriksaan Kontak Masyarakat 4 Desa 1X Ds.Bobanehena
Ds.Tauro

1 2 3 4 5 6 7 8
Ds.Bukubualawa
Ds.Ulo
Melakukan Kunjungan Rumah U/Penderita ISPA /PneumoniMasyarakat Ds Bobojiko
Ds pateng
Ds Bobanehena
Ds Guaemaadu
Ds Gamlamo
Ds Jalan Baru
Ds Matui
Ds Tauro
Ds Ulo
6 Upaya pencegahan 6.1.Pengukuran dan pemeriksaan faktor resiko Masyarakat 5 Desa 1X Ds.Saria
penyakit tidak menular penyakit tidak menular di posbindu di desa
Ds.Bobo
Ds.Bobo Jiko
Ds.Jalan Baru
Ds.Gamlamo
6.1.Pengukuran dan pemeriksaan faktor resiko Pegawai, 1X Pelabuhan Jailolo

Pelabuhan
penyakit tidak menular di posbindu di desa Masyarakat
dan Buru
1 2 3 4 5 6 7 8
6.2.Pemantauan penerapan kawasan tampa 1X SD Neg 1 Halbar
rokok di sekolah
6.3 Kunjungan Rumah Posbindu Di Desa Ds Saria
ds Bobo
ds Bobojiko
7 7.1.Pemantauan penggunaan kelambu Bumil dan 9 Desa 1X Ds.Bobo Jiko

Bayi 9 bln Ds.Payo
pengendalian penyakit
tular vektor dan Zoonotik
Ds.Guaemaadu
Ds.Gufasa
Ds.Matui
Ds.Guaeria
Ds.Tauro
Ds.Bukumaadu
8 Survelans 8.1.Evaluasi Hasil Penyelidikan Epidemiologi Masyarakat 3 Desa Ds.Guaemaadu

Ds.Jalan Baru
Ds.Guaeria
9 Kesehatan Lingkungan 9.1. Refresing Kader Kesling ( Orintasi Natural Rumah 100% 1x Transport Petugas Ds.Saria
Leader ) makan dan
depot ari Transport Petugas Ds.Bobo
Transport Petugas Ds.Pateng
10 Upaya kesehatan usia Pemantauan Lansia Resiko Tinggi Masy Ds.Saria

lanjut
Ds.Bobo
Ds.Payo
Ds.Bobanehena
Ds.Jalan Baru
Ds.Gamlamo
11 upaya promosi Penyuluhan PHBS Ds guaemaadu
kesehatan Ds Gufasa
Ds Jalan baru
Ds gamlamo
Ds Bukubualawa
Ds Bukumaadu
Pendataan PHBS Rumah tangga ds guaemaadu
ds gufasa
ds jalan baru
ds gamlamo
ds bukumaadu
ds bukubulawa
Ds tauro
ds Guaeria
ds matui
JUMLAH
Manajemen Puskesmas Kegiatan Sasaran Target
1 2 3 4 5 6 7 8
1 Menajemen Puskesma1.Honor pengelola BOK Puskesmas

3.Belanja /Cetak Media Penyuluhan
4.Belanja ATK Pengadaan Tersedianya 100% 2. Foto copy arsip,dll
5.Belanja Reagen,stik tes cepat
7.Honor pengelola tenaga Promkes
8.Lokakarya Mini Puskesmas Konsumsi 50 X 40,000
Upaya Esensial
Dukungan Menejmen
TOTAL KESELURUHAN
Mengetahui
Kepala Puskesmas Jailolo
Hindun Djumati,Amd.Keb
NIP. 19681007 199003 2 005
KESMAS JAILOLO
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 11 12
Nofiany Djabir 1/8/2017 150,000
Erna 50,000
Zumra Bayan 1/8/2017 100,000
Hafilat Ade 50,000
Zumra Bayan 2/8/2017 100,000
Zumra Bayan 50,000
Zumra Bayan 5/8/2017 100,000
ekawati 50,000
Zumra Bayan 4/8/2017 100,000
Rina hasim 50,000
Nofiany djabir 5/8/2017 100,000
Meli 50,000
Zumra Bayan 8/8/2017 350,000
Ermawati 50,000
Nofiany Djabir 08/08/2017 350,000
Hamriani 50,000
Total 2,600,000
Nofiani Djabir 12/8/2017 150,000
Total 1,150,000
Mona Sarita 7/8/2017 100,000

Faharia 9/8/2017 100,000
Zumra Bayan 100,000
Madiah Syaban 11/8/2017 100,000
Hafilat Ade 50,000
Mona Sarita 11/8/2017 100,000
Noviani Djabir 100,000
Mardiah Syaban 15/8/2017 100,000
Zumra Bayan 100,000
Faharia 18/8/2017 200,000
Zumra Bayan 200,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 11 12
Mona Sarita 23/8/2017 350,000
Zumra Bayan 350,000
Faharia 23/8/2017 350,000
2,900,000
5/8/2017 3,420,000
1,140,000
950,000
5,510,000
Ermawati 24/8/2017 100,000

Ermawati 26/8/2017 100,000
Meli 50,000
Total 300,000
Rina Hasim 5/8/2017 150,000

Erna 50,000
Rina Hasim 7/8/2017 100,000
Hafilat Ade 50,000
Rina Hasim 8/8/2017 100,000
Hafilat Ade 50,000
Rina Hasim 9/8/2017 100,000
Rina Hasim 10/8/2017 100,000
Rina Hasim 11/8/2017 100,000
Rina Hasim 12/8/2017 100,000
Zumra Bayan 50,000
Rina Hasim 14/8/2017 100,000
Sitti Rifatul Patty 15/8/2017 100,000
Rina Hasim 50,000
Rina Hasim 16/8/2017 100,000
Rina Hasim 18/8/2017 100,000
Meli 50,000
Tuty Asmarani 3/8/2017 50,000
Nining Kabir 10/8/2017 50,000
Ermawati 10/8/2017 50,000
Hamriani 10/8/2017 50,000
Hamriani 12/8/2017 50,000
Betlina Mudja 12/8/2017 50,000
Total 2,000,000
Mardia Teng 7/8/2017 150,000

Erna 50,000
Rina Hasim 19/8/2017 100,000
Hafilat Ade 50,000
Narianti Siguntu 9/8/2017 100,000
Hafilat Ade 50,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 11 12
Dewi Usman 3/8/2017 100,000
Mardia Teng 10/8/2017 100,000
Dewi Usman 11/8/2017 100,000
Zumara Bayan 50,000
Ekawati Mahmudn 50,000
Dewi Usman 21/8/2017 100,000
Rina Hsim 50,000
Rina Hasim 22/8/2017 100,000
Narianti Siguntu 31/8/2017 100,000
Meli 50,000
Nining Kabir 11/8/2017 50,000
Ermawati 11/8/2017 50,000
Hamriani 11/8/2017 50,000
Hamriani 14/8/2017 50,000
Betlina Mudja 14/8/2017 50,000
Total 2,000,000
9/8/2017 6,000,000
240,000
2,080,000
8,320,000
Mona Sarita 12/8/2017 150,000

Erna 50,000
Faharia 12/8/2017 100,000
Hafilat Ade 50,000
Mardia Syaban 29/8/2017 100,000
Hafilat Ade 50,000
Mardia Syaban 18/8/2017 100,000
Mona Sarita 22/8/2017 100,000
Zumra Bayan 50,000
Mona Sarita 18/8/2017 100,000
Faharia 25/8/2017 100,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 11 12
Mardia Syaban 24/8/2017 100,000
Meli 50,000
Mona Sarita 24/8/2017 200,000
Tuty Asmarani 50,000
Faharia 28/8/2017 200,000
Nining Kabir 50,000
Mardia Syaban 25/8/2017 350,000
Hamriani 50,000
Faharia 26/8/2017 350,000
Hamriani 50,000
Mardia Syaban 28/8/2017 350,000
Total 2,950,000
Mona Sarita 10/8/2017 150,000

erna 50,000
Faharia 10/8/2017 100,000
hafilat ade 50,000
hafilat ade 50,000
Faharia 5/8/2017 100,000
ratih abd Gani 50,000
Mona Sarita 14/8/2017 100,000
Mardiah Dsyaban 14/8/2017 100,000
mona sarita 16/8/2017 100,000
Zumra bayan 50,000
Mona sarita 19/8/2017 100,000
Rina Hasim 50,000
Fahari a 14/8/2017 100,000
Meli 50,000
Mona Sarita 26/8/2017 200,000
Faharia 19/8/2017 200,000
Nining Kabir 50,000
Mona sarita 25/8/2017 350,000
ermawati 50,000
Hamriani 50,000
Faharia 22/8/2017 350,000
Tuti Loang 350,000
4,100,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 12
Fahima samsudin 1/8/2017 100,000
Rasyid yunus 100,000
200,000
Safria Samboyo 15/8/2017 100,000

Risda Bandawati 100,000
Total 1,600,000
Mardia Teng 5/8/2017 150,000

Meli 5/8/2017 100,000
Mardia Teng 14/8/2017 100,000
Meli 3/8/2017 100,000
Mardia Teng 8/8/2017 100,000
Meli 8/8/2017 100,000
Mardia Teng 9/8/2017 100,000
Meli 9/8/2017 100,000
Mardia Teng 12/8/2017 100,000
Meli 10/8/2017 100,000
Mardia Teng 4/8/2017 100,000
Meli 11/8/2017 200,000
Mardia Teng 18/8/2017 200,000
Ermawati 19/8/2017 50,000
Mardia Teng 31/8/2017 350,000
Meli 22/8/2017 350,000
Meli 30/8/2017 350,000
Total 2,650,000
Isna 2/8/2017 100,000
Isna 4/8/2017 100,000
Meli 50,000
Total 300,000
Kader 2 Orang 21/8/2017 200,000

Kader 2 Orang 200,000
500,000
1,200,000
250,000
3,550,000
Santi Dokulaha 5/8/2017 100,000

Ermawati 50,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 12
Hamriani 50,000
Total 1,350,000
Narlianti Siguntu 29/8/2017 100,000

Isna 100,000
Isna 100,000
Isna 100,000
Isna 100,000
Isna 100,000
Isna 100,000
Nining Kabir 18/8/2017 200,000
Nining Kabir 22/8/2017 350,000
Nining Kabir 24/8/2017 350,000
2,100,000
Isna 16/8/2017 150,000

Hamriani 150,000
Erna 50,000
Isna 18/8/2017 100,000
Hamriani 100,000
Hafilat Ade 50,000
Isna 31/8/2017 100,000
Hamriani 100,000
Hafilat Ade 50,000
Isna 25/8/2017 100,000
Hamriani 100,000
Isna 26/8/2017 100,000
Hamriani 100,000
Meli 50,000
Total 1,350,000
Isna 1/8/2017 100,000

Hamriani 100,000
Hatisa Ismail 100,000
300,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 12
Isna 12/8/2017 100,000
Hamriani 100,000
200,000
Isna 23/8/2017 150,000
Narlianti siguntu 150,000
Isna 24/8/2017 100,000
Narlinati 100,000
Isna 28/8/2017 100,000
Narlinati siguntu 100,000
700,000
Hafilat Ade 16/8/2017 50,000

Risda Bandawati 18/8/2017 100,000
Rina Hasim 50,000
Nining Kabir 21/8/2017 50,000
Ermawati 31/8/2017 50,000
Hamriani 24/8/2017 50,000
Total 700,000

400,000
Wahyunigsi 21/8/2017 100,000
Erna 50,000
Wahyunigsi 23/8/2017 100,000
Hafilat Ade 50,000
Hafilat Ade 28/8/2017 100,000
Wahyunigsi 100,000
Total 500,000

Isna 150,000
Isna 100,000
Isna 100,000
Isna 100,000
Isna 100,000
Isna 100,000
Total 1,300,000
idmawati 12/8/2017 100,000
Mardia teng 23/8/2017 100,000
Idmawati 14/8/2017 100,000
Mardia teng 15/8/2017 100,000
Mardia teng 25/8/2017 350,000
Idmawati 10/8/2017 350,000
1,100,000
Idmawati 29/8/2017 100,000

ekawati 50,000
mardia teng 29/8/2017 100,000
rina hasim 50,000
idmawati 26/8/2017 100,000
rukija hardin 50,000
mardia teng 28/8/2017 100,000
meli 50,000
idmawati 9/8/2017 350,000
hamriani 50,000
mardia teng 30/8/2017 350,000
hamrina 50,000
Mardia teng 24/8/2017 350,000
Ermawati 50,000
idmawati 3/8/2017 200,000
nining kabir 50,000
Idmawati 5/8/2017 200,000
Tuty asmarani 50,000
2,300,000
52,430,000
Tenaga Sumber
Jadwal Biaya
Pelaksana Biaya
9 10 11 12
BOK
1,900,000
5,000,000
4,000,000
1,500,000
300,000
1000000
Staf Puskesmas 2,500,000
16,200,000
52,430,000
16,200,000
68,630,000
.
Jailolo, 01 Agustus 2017

Pengelola BOK
Aisyah MuksinAmd,Keb
NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : September 2017

1 2 3 4 5 6 7 8 9 10
1 Kesehatan Ibu 1.1.Pendampingan Kelas Ibu Hamil Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiany Djabir 5/9/2017
erna
Transport Petugas Ds Bobojiko Zumra Bayan 7/9/2017
Hafilat Ade
Transport Petugas Ds Pateng Nofiany Djabir 9/9/2017
ratih Abd Gani
Transport Petugas Ds Bobanehena Zumra Bayan 9/9/2017
Indira kamaruddin
Transport Petugas Ds Galala Nofiany Djabir 11/9/2017
zumra Bayan
Transport Petugas Ds guaemaadu Zumra bayan 12/9/2017
Ekawati Mahmud
Transport Petugas Ds Gufasa Zumra Bayan 13/9/2017
Rina hasim
Transport Petugas Ds jalan Baru Nofiany Djabir 14/9/2017
Rukija Hardin
Transport Petugas Ds Gamlamo Nofiany Djabbir 15/9/2017
Meli
Transport Petugas Ds matui Nofiany djabir 4/9/2017
Tuty Asmarany
Transport Petugas Ds Guaeria Zumra bayan 2/9/2017
Nining Kabir
Transport Petugas Ds Tauro Zumra Bayan 4/9/2017
Ermawati
Transport Petugas Ds Bukubualawa Nofiany Djabir 2/9/2017
Hamriani
Transport Petugas Ds Ulo Nofiany djabir 12/9/2017
Betlina mUdja

1 2 3 4 5 6 7 8 9 10
1.2.Pemberian dan Pemantuan PMT Bumil 13 Desa 1X Transport Petugas Ds.Saria Mona Sarita 7/9/2017
Balita Gizi Buruk dan Gizi Kurang Erna
Transport Petugas Ds. Bobo Faharia 11/9/2017
Hafilat Ade
Transport Petugas Ds Bobojiko Mardiah syaban 12/9/2017
hafilat Ade
Transport Petugas Ds Bobanehena Mardia Syaban 13/9/2017
Indira Kamarudin
Transport Petugas Ds Galala Mona sarita 14/9/2017
Zumra bayan
Transport Petugas Ds guaemaadu Mona Sarita 13/9/2017
Ekawati mahmud
Transport Petugas Ds jalan Baru Fahria 15/9/2017
Rukija hardin
Transport Petugas Ds Gamlamo Mardia Syaban 16/9/2017
Meli
Transport Petugas Ds Matui Mona Sarita 6/9/2017
Tuty Asmarany
Transport Petugas Ds Guaeria Fahria 13/9/2017
Nining Kabir
Transport Petugas Ds bukubualawa Mardia Syaban 14/9/2017
hamriani
Hamriani
Ds Ulo mardiah Syaban 15/9/2017
Betlina Mudja
1.3.Pembelian Bahan PMT Balita Gizi Buruk/Kurang

1. Susu Dancau Fuli Crim 400 Gream 25 orng 1 X 60000 60,000 X 100 Dos 5/9/2017
2. Susu Lactogen 1 400 Gram 1 Orang 1 X 60,000 60,000 X 4
3. Sirup Curcuma 26 Orng 1 X 20.000 20,000 X 104 botol
Upaya Kesehatan Kegiatan Sasaran Target Volume Rincian Lokasi Tenaga Jadwal
2 3 4 5 6 7 8 9 10
1.4Pemberian dan pemantauan PMT Bumil KEK Transport Petugas Ds Guaemaadu Mona Sarita 8/9/2017
Ekawati Mahmud
Ds Bobo Faharia 8/9/2017
Zumra Bayan
Ds Bobojiko Madiah Syaban 9/9/2017
Hafilat Ade
Noviani Djabir
Desa Gufasa Mardiah Syaban 22/9/2017
Noviani Djabir
Ds Gamlamo Mardiah Syaban 23/9/2017
Noviani Djabir
Ds Guaeria Faharia 22/9/2017
Zumra Bayan
Ds Tauro Mona Sarita 25/9/2017
Zumra Bayan
Noviani Djabir
1.5Pembelian Bahan PMT Bumil KEK

Susu Prenagen 57 dos x60000 7/9/2017
2 Upaya Kesehatan Anak 2.1.Pemantauan pertumbuhan Bayi dan Balita Balita 100% 1X Trnsport Petugas Ds.Saria Erna 6/9/2017
Balita dan Prasekolah Melalui SDIDTK Rina
Ds Bobo hafilat 8/9/2017
Rina hasim
Ds Bobojiko Hafilat 28/9/2017
Rina Hasim
Ds Payo ratih 12/9/2017
Rina Hasim
Ds pateng Ratih 30/9/2017
Rina Hasim
Ds Bobanehena indira 12/9/2017

Upaya Kesehatan Kegiatan Sasaran Target Jadwal
2 3 4 5 6 7 8 9 10
Ds Galala Zumra 15/9/2017
Rina hasim
Ds Guaemaadu Ekawati 14/9/2017
Rina Hasim
Ds Gufasa Rina 16/9/2017
Ds jalan Baru Rukija 18/9/2017
Rina Hasim
Ds gamlamo Meli 22/9/2017
Rina hasim
Ds matui Tuty asmarany 11/9/2017
Ds Guaeria Nining Kabir 11/9/2017
Ds Tauro Ermawati 11/9/2017
Ds Bukubualawa Hamriani 11/9/2017
Ds Bukumaadu Hamriani 12/9/2017
Ds Ulo Betlina 13/9/2017
2.2Pelaksanaan Kelas Ibu Balita Ds Saria Mardia Teng 5/9/2017

Ds Bobo Rina Hasim 23/9/2017
Ds Bobojiko Hafilat Ade 15/9/2017
Ds payo Dewi Usman 8/9/2017
Ds pateng Mardia Teng 9/9/2017
Ds Bobanehena Mardia Teng 11/9/2017
Ds Galala Zumra 28/9/2017
Ds Guaemaadu Fahima Samsudin 12/9/2017
Ds Gufasa Dewi Usman 23/9/2017
Ds Jalan Baru Siti Rivatul 14/9/2017
Ds Gamlamo Narlianti 15/9/2017
Ds Matui Tuty Asmarani 7/9/2017
Ds Bukumaadu Tuty Loyan 11/9/2017
Ds Ulo Betlina 11/9/2017

1 2 3 4 5 6 7 8 9 10
3 Upaya Kesehatan 3.1.Pendataan Jumlah Siswa dan Guru Siswa 20 Seklh 1x Transport Petugas SD Neg 13 Halbar Erna 2/9/2017
Anak Usia Sekolah dan Rem ( Sekolah Dasar ) Transport Petugas SD Inpres 6 Halbar Hafilat Ade 4/9/2017
Transport Petugas SD Neg 5 Halbar Ratih Abd Gani 5/9/2017
Transport Petugas SD Neg 6 Halbar Ratih Abd Gani 6/9/2017
Transport Petugas MIS Alhairat Pabos Ratih Abd Gani 7/9/2017
Transport Petugas SD Neg 3 Halbar Indira Kamarudin 5/9/2017
Transport Petugas SD Neg 4 Halbar Indira Kamarudin 6/9/2017
Transport Petugas SD Inpres 1 Halbar Zumra Bayan 2/9/2017
Transport Petugas Mis Alhidayah Zumra Bayan 5/9/2017
Transport Petugas SD Inpres 8 Halbar Ekawati Mahmud 7/9/2017
Transport Petugas SD IT Alukhuwa Ekawati Mahmud 9/9/2017
Transport Petugas SD Neg 2 Halbar Rina Hasim 4/9/2017
Transport Petugas SD Neg 1 Halbar Rukija Hardin 6/9/2017
Transport Petugas SD Inper 7 Halbar Meli 7/9/2017
Transport Petugas SD Inpres 10 Halbar Tuty Asmarani 5/9/2017
Transpor Petugas SD Neg 12 Halbar Nining Kabir 8/9/2017
Transport Petugas SD Neg 7 Halbar Ermawati 8/8/2017
Transport Petugas SD Neg 14 Halbar Ermawati 9/9/2017
Transport Petugas SD Neg 8 Halbar Hamriani 5/9/2017
Transport Petugas SD Neg 15 Halbar Betlina Mudja 6/9/2017
3.2Penjaringan Anak SD,Pengukuran TBABS,Pemantauan Transport Petugas SDN 13 Halbar Erna 18/9/2017
garam beryodium Isna
Mona Sarita
SD Inpres 6 Halbar Hafilat Ade 18/9/2017
dr Inay
Faharia
SDn 5 Halbar Ratih 18/9/2017
Santi dukolaha
Mardiah Syaban
SDN 6 Halbar Narlianti Siguntu 18/9/2017
dr Yeheskiel
Wahyuningsih
SD Alkhairat Pabos Safria Samboyo 18/9/2017
Zumra
Rusna Z Wahid

1 2 3 4 5 6 7 8 9 10
SDN 3 Halbar Indira kamaruddin 19/9/2017
Nofiany djabir
faharia
SDN 4 Halbar Mardia Teng 19/9/2017
Rina Hasim
Mardia syaban
SD Inpres 1 Halbar Zumra bayan 19/9/2017
Dewi Usman
Mona sarita
Mis Alhidayah Rusna Z Wahid 19/9/2017
Fahima samsudin
SD Inpres 8 Halbar Ekawati Mahmud 20/9/2017
Meli
Faharia
SDIT Alukhuwah Ratih abd Gani 20/9/2017
Isna
Rusna Z Wahid
SDN 2 Halbar Rina hasim 20/9/2017
Nofiany djabir
mardiah syaban
SDN 1 Halbar Rukija hardin 21/9/2017
Siti Rivatul
Faharia
SD INP 7 Halbar Meli 21/9/2017
Santi Dukolaha
4 Upaya Pencegahan dan 4.1Skrining RDT ibu Hamil Masyarakat 17 Desa 1X Ds.Saria Erna 4/9/2017
Pengendalian Penyakit Ds.Bobo hafilat Ade 5/9/2017
Tular Vektor dan Zoonotik Ds.Pateng Ratih abd Gani 8/9/2017
Ds.Bobanehena Indira Kamaruddin 11/9/2017
Ds.Galala Risdawati 11/9/2017
Ds.Jalan Baru Risdawati 14/9/2017
Ds.Gamlamo Risdawati 15/9/2017
Ds.Ulo betlina mudja 30/9/2017
5 Upayah Pencegahan 5.1Pengukuran Dan pemeriksaan faktor resiko Masyarkat 1x 1X Ds Saria Isna 16/9/2017
Penyakit Tidak Menular PTM di posbindu di desa Hamriani
Erna
Ds Bobo Isna 22/9/2017
narlianti siguntu
Hafilat Ade
Hamriami
Hafilat Ade
Ds jalan Baru Isna 26/9/2017
hamriani
Rukija Hardin
Ds Gamlamo Isna 27/9/2017
Hamriamni
Meli
Ds pateng Isna 28/9/2017
narlianti siguntu
Ratih abd Gani
5.2Pengukuran Dan pemeriksaan faktor resiko Buruh Kesehatan pelabhan Isna 30/9/2017
PTM di posbindu khusus kesehatan pelabuhan pegawai pelabuhan Jailolo Hatisa Ismail
penumpang hamriani
5.3kunjungan rumah posbindu desa Ds Jalan Baru isna 11/9/2017
narlianti siguntu
ds Gamlamo isna 9/9/2017
Narlianti siguntu
Tuti Loang
ds Bukubualawa Tuty loang 8/9/2017
Hamriani
5.4Penyuluhan PTM dgn Gangguan Serumen Masyarkat 1X Ds Tauro Ermawati 2/9/2017

Ds Guaeria Idmawati 12/9/2017
Ds matui narlianti Siguntu 4/9/2017
6 Upaya Pencegahan Penya6.1Penyuluhan TB Masyarakat 1x 1x Ds saria Isna 5/9/2017

Menular Langsung Ds Bobo Isna 6/9/2017
6.2Pemeriksaan kontak TB Masyarakat Ds bobojiko Isna 7/9/2017

Narlianti Sigunru
6.3Deteksi Dini Hepatitis Pada Ibu Hamil Ds Guaeria Risda Bandawati 12/9/2017
Nining Kabir
6.4Sweping Hepatitis Ibu Hamil K1 Ds Saria Safria Samboyo 6/9/2017

Risda Bandawati
Ds Bobo Safria Samboyo 7/9/2017
Risda Bandawati
Ds Bobojiko Safria Samboyo 8/9/2017
Risda Bandawati
6.5Penyuluhan Penyakit Akibat Kecelakaan Kerja Ds matui hatisa Ismail 28/9/2017
Tuty Asmarani
Ds Saria Hatisa Ismail 29/9/2017
Erna
6.6Pemeriksaan Kontak pada anak sekolah Sd neg 1 Halbar Santi Dukolaha 8/9/2017
Rusna Z Wahid
Sd Inpres 8 Halbar Santi Dukolaha 11/9/2017
Narlianti
SD Inpres 1 Halbar Santi Dukolaha 14/9/2017
Dewi Usman
SD Neg 3 Halbar Aisya Muksin 15/9/2017
Hatisa ismail
SD Neg 4 Halbar Dewi Usman 16/9/2017
Narlianti Siguntu
Sd Neg 5 Halbar Santi Dukolaha 15/9/2017
Rusna z Wahid
SD Neg 6 Halbar Aisyah muksin 27/9/2017
Narlianti
SD Alkhairat Dewi Usman 11/9/2017
Hatisa ismail
1 2 3 4 5 6 7 8 9 10
Sd Inpres 6 Halbar Rusna Z wahid 9/9/2017
Aisya Muksin
SD Neg 12 Halbar Narlianti 23/9/2017
Nining Kabir
SD Neg 15 Halbar Santi dukolaha 28/9/2017
Betlina
D Neg 8 Halbar Santi dukolaha 26/9/2017
Aisyah Muksin
SD Neg 7 Halbar Dewi Usman 27/9/2017
Rusna z Wahid
7 Upaya promosi 7.1Penyuluhan Napza dan kesehatan reproduksi ank 1x 1x MA Muh Pabos Mardia Teng 7/9/2017
Kesehatan pada anak sekolah sekolah Alwia
MTS Pabos Idmawati 7/9/2017
Nofi kurniawati
SMP Pabos Idmawati 9/9/2017
Nofi kurniawati
SMK Neg 1 Halbar Mardia Teng 15/9/2017
Nofi kurniawati
7.2Pendataan PHBS Rumah Tangga Ds saria Idmawati 8/9/2017

Erna
Ds Bobo mardia Teng 6/9/2017
Hafilat ade
Ds Bobojiko Idmawati 13/9/2017
hafilat ade
ds payo Mardia Teng 14/9/2017
Ratih abd Gani
ds pateng Idmawati 11/9/2017
ratih abd gani
Ds Matui mardia teng 8/9/2017
Tuty asmarani
Ds Guaeria Idmawati 14/9/2017
Nining Kabir
Ds Tauro Mardia Teng 12/9/2017
ermawati

1 2 3 4 5 6 7 8 9 10
7.3Pelatihan Kader Posyandu Kader Narasumber 1 X 500,000 28/9/2017
posyandu Narasumber 3 X 300,000
Makan/ Minum 100 X 60,000
Transport Peserta 5 X 150,000
50 X 100,000
10 X 200,000
20 X 350,000
ATK
7.4Advokasi Tingkat Desa masyarakat Transport Petugas ds guaemaadu Narasumber 26/9/2017

Peserta
Pembuatan spanduk
Makan/Minum
Atk
8 Imunisasi 8.1Pengambilan Vaksin 1x Gudang Fahima Samsudin 2/9/2017

Farmasi Rasyid Yunus
8.2Pelaksanaan BIAS SD Neg 13 Halbar Ekawati 18/9/2017

Ikma
SD Inp 6 Halbar Dewi Usman 18/9/2017
Anila Kasim
Sd Neg 5 Halbar Siti Rivatul 18/9/2017
Aisyah Muksin
SD Neg 6 Halbar Mardia Teng 18/9/2017
Irma
Mis alkhairat Pabos Fahima 18/9/2017
Nofiany Djabir
SDN 3 halbar Santi 19/9/2017
Rukija Hardin
SDN 4 halbar ekawati Mahmud 19/9/2017
Hafilat ade
Sd Inp 1 halbar erna 19/9/2017
safria Samboyo

1 2 3 4 5 6 7 8 9 10
Mis alhidayah Ratih 19/9/2017
Ikma
SD Inp 8 Halbar Dewi usman 20/9/2017
Irma
SDIT Al Ukhuwah Narlianti 20/9/2017
Indira kamaruddin
SDn 2 Halbar Fahiman Samsudin 20/9/2017
Zumra bayan
SDN 1 halbar ekawati 25/9/2017
rina hasim
SD Inp 7 Halbar Erna 25/9/2017
aisyah Muksin
8.3Sweping imunisasi polio 1x Ds Bobanehena Indira kamaruddin 14/9/2017

Ds Galala Zumra bayan 29/9/2017
Ds Guaemaadu ekawati 15/9/2017
Ds Gufasa Rina Hasim 26/9/2017
Ds Jalan Baru Rukija hardin 16/9/2017
Ds gamlamo Meli 26/9/2017
Ds tauro Ermawati 13/9/2017
8.4Peningkatan Kapasitas Petugas Tentang Transpor Petugas PKM jailolo Kabid P2M 14/9/2017
Imunisasi Wasor Imunisasi
Jurim PKM Jailolo
Snack/Kue
9 Upaya Kesehatan Jiwa 9.1pendampingan Keluarga Pasien kesehatan jiwa Transport Petugas Ds gamlamo Betlina Mudja 2/9/2017
Meli
Ds Jalan Baru Betlina Mudja 4/9/2017
Rukija
Ds Guaemaadu Betlina Mudja 22/9/2017
Ekawati Mahmud
Ds Bobanehena Betlina Mudja 29/9/2017
Indira Kamruddin
Desa Bobojiko Betlina Mudja 14/9/2017
Hafilat Ade

1 2 3 4 5 6 7 8 9 10
Ds payo Ratih abd Gani 29/9/2017
Ds Galala Betlina Mudja 26/9/2017
Zumra Bayan
Ds Gufasa Betlina Mudja 27/9/2017
Rina Hasim
ds Ulo Betlina Mudja 20/9/2017
10 Keluarga Berencana 10.1Kunjungan rumah PUS yang tidak Ber KB ds bobo Sitti rivatul 26/9/2017
Hafilat Ade
Ds pateng Sitti Rivatul 27/9/2017
ratih abd Gani
Ds Bobanehena Sitti rivatul 23/9/2017
Indira Kamaruddin
Ds Galala Ermawati 27/9/2017
Zumra bayan
Ds Guaemaadu ermawati 28/9/2017
ekawati
Ds Gufasa Ermawati 29/9/2017
rina Hasim
11 Kesling 11.1Pemicuan STBM Ds galala Zumra bayan 30/9/2017

Hafilat ade
Wahyuningsih
Ds Bobo Hafilat ade 29/9/2017
Wahyuningsih
Mardia teng
JUMLAH
]

No Manajemen Puskesmas Kegiatan Sasaran Target Jadwal
1 2 3 4 5 6 7 8 9 10
Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas

2.Belanja ATK Pengadaan Tersedianya ATK 100% 2. Foto copy arsip,dll
4. Belanja cetak media penyuluhan
5. Belanja Reagen/stik cepat
6. Honor tenaga pengelola promkes
7. Minilokakarya Lintas sektor
Upaya Esensial 77,9
Dukungna Menejmen 24,6
TOTAL KESELURUHAN 102,6
Mengetahui Jailolo, 01 September 2017

Hindun Djumati,Amd,Keb Aisyah Muksin,Amd.Keb

NIP. 19681007 199003 2 005 NIP. 19841007 201001 2 015
Sumber
Biaya
Biaya
11 12
150,000 BOK
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,100,000
Sumber
Biaya
Biaya
11 12
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
2,950,000
6,000,000
240,000
2,080,000
8,320,000
Biaya Sumber
Biaya
11 12
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
350,000
350,000
350,000
350,000
2,900,000
3,420,000
1,140,000
950,000
5,510,000
50,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
Sumber
Biaya
Biaya
11 12
50,000
100,000
50,000
100,000
50,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
1,800,000
150,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
50,000
50,000
50,000
50,000
50,000
50,000
1,350,000
Sumber
Biaya
Biaya
11 12
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
1,000,000
50,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
Sumber
Biaya
Biaya
11 12
50,000
100,000
100,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
3,700,000
50,000
50,000
50,000
50,000
100,000
100,000
100,000
50,000
50,000
600,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
1,600,000
100,000
100,000
100,000
300,000
100,000
100,000
100,000
100,000
50,000
350,000
350,000
50,000
1,200,000
50,000
200,000
200,000
450,000
150,000
100,000
250,000
100,000
100,000
200,000
200,000
50,000
250,000
150,000
150,000
100,000
100,000
100,000
100,000
700,000
200,000
50,000
150,000
50,000
450,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
Sumber
Biaya
Biaya
11 12
100,000
100,000
200,000
50,000
350,000
50,000
350,000
350,000
350,000
350,000
3,850,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
800,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
1,700,000
Sumber
Biaya
Biaya
11 12
500,000
900,000
6,000,000
750,000
5,000,000
2,000,000
7,000,000
500,000
22,650,000
1,500,000
1,200,000
250,000
1,500,000
250,000
4,700,000
100,000
100,000
200,000
150,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
Sumber
Biaya
Biaya
11 12
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
2,900,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
350,000
500,000
500,000
300,000
300,000
1,600,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
Sumber
Biaya
Biaya
11 12
50,000
100,000
50,000
100,000
50,000
50,000
50,000
1,200,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
900,000
50,000
100,000
100,000
50,000
100,000
100,000
500,000
77,980,000
Sumber
Biaya
Biaya
11 12
BOK
1,900,000
4,487,906
300,000
3000000
1000000
1000000
13,000,000
24,687,906
77,980,000
24,687,906
102,667,906
lolo, 01 September 2017

Pengelola BOK
Aisyah Muksin,Amd.Keb
P. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : Oktober 2017

1 2 3 4 5 6 7 8 9 10 11
1 Kesehatan Ibu 1.1.Pendampingan Kelas Ibu Hamil Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiany Djabir 18/10/2017 150,000
erna 50,000
Transport Petugas Ds Bobojiko Zumra Bayan 26/10/17 100,000
Hafilat Ade 50,000
Transport Petugas DS payo Nofiany Djabir 19/10/17 100,000
Transport Petugas Ds Bobanehena Zumra Bayan 20/10/17 100,000
Indira kamaruddin 50,000
Transport Petugas Ds Galala Nofiany Djabir 21/10/17 100,000
zumra Bayan 50,000
Transport Petugas Ds guaemaadu Zumra bayan 23/10/17 100,000
Transport Petugas Ds Gufasa Zumra Bayan 24/10/17 100,000
Rina hasim 50,000
Transport Petugas Ds jalan Baru Nofiany Djabir 25/10/17 100,000
Transport Petugas Ds Gamlamo Nofiany Djabbir 26/10/17 100,000
Meli 50,000
Transport Petugas Ds matui Nofiany djabir 4/10/2017 200,000
Transport Petugas Ds Guaeria Zumra bayan 4/10/2017 200,000
Nining Kabir 50,000
Transport Petugas Ds Tauro Zumra Bayan 9/10/2017 350,000
Ermawati 50,000
Transport Petugas Ds Bukubualawa Nofiany Djabir 17/10/17 350,000
Transport Petugas Ds Ulo Nofiany djabir 7/10/2017 350,000
3,000,000
1.2 Pemeriksaan ANC Ibu Hamil Transport Petugas Ds.Saria Nofiany Djabir 5/10/2017 150,000
erna 50,000
Transport Petugas Ds Bobojiko Zumra Bayan 6/10/2017 100,000
Hafilat Ade 50,000
Transport Petugas DS payo Nofiany Djabir 9/10/2017 100,000
Transport Petugas Ds Bobanehena Zumra Bayan 10/10/2017 100,000
Indira kamaruddin 50,000

1 2 3 4 5 6 7 8 9 10
Transport Petugas Ds Galala Nofiany Djabir 11/10/2017 100,000
zumra Bayan 50,000
Transport Petugas Ds guaemaadu Zumra bayan 12/10/2017 100,000
Transport Petugas Ds Gufasa Zumra Bayan 13/10/17 100,000
Rina hasim 50,000
Transport Petugas Ds jalan Baru Nofiany Djabir 14/10/17 100,000
Transport Petugas Ds Gamlamo Nofiany Djabbir 16/10/17 100,000
Meli 50,000
Transport Petugas Ds matui Nofiany djabir 3/10/2017 200,000
Transport Petugas Ds Guaeria Zumra bayan 5/10/2017 200,000
Nining Kabir 50,000
Transport Petugas Ds Tauro Zumra Bayan 13/10/17 350,000
Ermawati 50,000
Transport Petugas Ds Bukubualawa Nofiany Djabir 10/10/2017 350,000
Hamriani 50,000
Transport Petugas Ds Bukumaadu Hamriani 11/10/2017 50,000
Transport Petugas Ds Ulo Nofiani 12/10/2017 350,000
Betlina 50,000
3,150,000
2 Upaya Kesehatan Anak 2.1.Pemantauan pertumbuhan Bayi dan Balita Balita 100% 1X Trnsport Petugas Ds.Saria Erna 4/10/2017 50,000
Balita dan Prasekolah Melalui SDIDTK Rina 150,000
Ds Bobo hafilat 5/10/2017 50,000
Rina hasim 100,000
Ds Bobojiko Hafilat 7/10/2017 50,000
Rina Hasim 100,000
Ds Payo ratih 10/10/2017 50,000
Rina Hasim 100,000
Ds pateng Ratih 11/10/2017 50,000
Rina Hasim 100,000
Ds Bobanehena indira 9/10/2017 50,000
Rina 100,000
Ds Galala Zumra 3/10/2017 50,000
Rina hasim 100,000
Ds Guaemaadu Ekawati 4/10/2017 50,000
Rina Hasim 100,000
Ds Gufasa Rina 5/10/2017 50,000
Ds jalan Baru Rukija 6/10/2017 50,000
Rina Hasim 100,000
Ds gamlamo Meli 7/10/2017 50,000
Rina hasim 100,000
Ds matui Tuty asmarany 2/10/2017 50,000
Ds Guaeria Nining Kabir 2/10/2017 50,000
Ds Tauro Ermawati 2/10/2017 50,000
Ds Bukubualawa Hamriani 7/10/2017 50,000
Ds Bukumaadu Hamriani 3/10/2017 50,000
Ds Ulo Betlina 2/10/2017 50,000
1,900,000

No Upaya Kesehatan Kegiatan Sasaran Target Kegiatan Pelaksanaan Pelaksanaan Pelaksana Jadwal Biaya
2 3 4 5 6 7 8 9 10
2.2Pelaksanaan Kelas Ibu Balita Transpor Petugas Ds Saria Mardia Teng 9/10/2017 150,000
Ds Bobo Rina Hasim 12/10/2017 100,000
Ds Bobojiko Hafilat Ade 9/10/2017 50,000
Ds payo Dewi Usman 2/10/2017 100,000
Ds pateng Mardia Teng 2/10/2017 100,000
Ds Bobanehena Mardia Teng 3/10/2017 100,000
Ds Galala Zumra 5/10/2017 50,000
Ds Guaemaadu Fahima Samsudin 3/10/2017 100,000
Ds Gufasa Rina Hasim 14/10/17 100,000
Ds Jalan Baru Siti Rivatul 2/10/2017 100,000
Ds Gamlamo Narlianti 3/10/2017 100,000
Ds Matui Tuty Asmarani 5/10/2017 50,000
Ds Tauro Ermawati 3/10/2017 50,000
Ds Bukumaadu Tuty Loyan 3/10/2017 350,000
Ds Ulo Betlina 2/10/2017 50,000
1,650,000
2.3Penjaringan Anak SD,Pengukuran TBABS,Pemantauan Transport Petugas SD Inp 10 Halbar Tuty Asmarany 16/10/17 50,000
garam beryodium dr inay 200,000
Mona Sarita 200,000
SD Neg 12 Halbar Nining Kabir 16/10/17 50,000
dr Regina 200,000
Faharia 200,000
SD Neg 14 halbar Betlina 16/10/17 350,000
Anila 350,000
SD Neg 7 Halbar Ermawati 18/10/17 50,000
dr Yeheskiel 350,000
Mona Sarita 350,000
SD Neg 8 Halbar Hamriani 18/10/17 50,000
Tuty Loyan 350,000
SD Neg 15 Halbar Betlina 21/10.17 50,000
Santi Dukolaha 350,000
faharia 350,000
3,500,000
3 3.1 Sosialisasi dan pemberian Tablet Tambah Darah(FE) pada Transpor Petugas Mts Muh Pabos Mardiah Syaban 17/10/17 100,000
remaja putri Hafilat Ade 50,000
SMP Pabos Faharia 17/10/17 100,000
Upaya Kesehatan Ratih Abd Gani 50,000
Sekolah dan Remaja SMP Tsanawia Al Khairat PabMona Sarita 17/10/17 100,000
Erna 100,000
Mts Attarbiyah Galala Mardiah syaban 18/10/17 100,000
Zumra Bayan 50,000
SMP Islam Jailolo Mona Sarita 18/10/17 100,000
SMp Neg 1 Halbar Faharia 18/10/17 100,000
SMP Neg 31 Halbar Mardiah Dsyaban 25/10/17 200,000
SMP Neg 11 Halbar Mona sarita 25/10/17 350,000
Ermawati 50,000
MTs Nurul Haq Faharia 24/10/17 350,000
Hamriani 50,000

1 2 3 4 5 6 7 8 9 10 11
MA Muh Pabos Mardiah Syaban 23/10/17 100,000
Hafilat Ade 50,000
Ma Alkhairat Pabos Faharia 23/10/17 100,000
SMK Neg 1 Halbar Mardiah Syaban 19/10/17 100,000
SMK Muh Halbar Mona Sarita 19/10/17 100,000
Zumra Bayan 50,000
Sma Islam Jailolo Faharia 19/10/17 100,000
Rina Hasim 50,000
SMA Nusantara Halbar Mardiah Syaban 24/10/17 350,000
Tuti Loang 350,000
3,450,000
Penjaringan kesehatan Peserta didik lanjutan(smp & sma) Transport Petugas Mts Muh Pabos Irma Kasim 17/10/17 100,000
SMP Pabos Rina Hasim 17/10/17 100,000
SMP Tsanawia Al Khairat PabEkawati Mahmud 17/10/17 100,000
Mts Attarbiyah Galala Indira Kamaruddin 18/10/17 100,000
SMP Islam Jailolo Betlina Mudja 18/10/17 100,000
Rusna Z Wahid 100,000
SMp Neg 1 Halbar Safria Samboyo 18/10/17 100,000
Nining Kabir 100,000
SMP Neg 31 Halbar Meli 25/10/17 100,000
SMP Neg 11 Halbar Zumra Bayan 25/10/17 100,000
MTs Nurul Haq Tuty Loang 24/10/17 350,000
MA Muh Pabos Rusna z Wahid 23/10/17 100,000
Ma Alkhairat Pabos Fahima Samsudin 23/10/17 100,000
SMK Neg 1 Halbar Meli 19/10/17 100,000
SMK Muh Halbar Rusna z Wahid 19/10/17 100,000
Sma Islam Jailolo Fahima Samsudin 19/10/17 100,000
SMA Nusantara Halbar Susi Yamin 24/10/17 350,000
2,200,000
4 3.1Skrining RDT ibu Hamil Masyarakat 17 Desa 1X Transport Petugas Ds Bobojiko Risdabandawati 7/10/2017 100,000
Ds payo Risda Bandawati 9/10/2017 100,000
Ds Guaemaadu Risda Bandawati 12/7/2017 100,000
Upaya pencegahan dan ds Gufasa Risda Bandawati 100,000
pengendalian penyakit 13/10/17
Ds tauro ermawati 4/10/2017 50,000
Tular Vektor dan zoonotik Ds matui Tuty Asmarani 50,000
6/10/2017
antara lain : DS Guaeria Nining Kbir 3/10/2017 50,000
malaria,dbd,filariasis Ds Bukumaadu Hamriani 5/10/2017 50,000
600,000
Skrining bayi& balita Bayi & 1x Transport Petugas ds Saria Meli 5/10/2017 150,000
(0-11 bln dan 1-4 tahun) Balita Ds Bobo Risda Bandawati 6/10/2017 100,000
dengan demam Ds Bobojiko Meli 6/10/2017 100,000
Ds Payo Meli 9/10/2017 100,000
Ds Pateng Ulfa 10/10/2017 100,000
Ds Bobanehena Risda Bandawati 10/10/2017 100,000
Ds Galala Risda Bandawati 11/10/2017 100,000
Ds Guaemaadu Ulfa 12/10/2017 100,000
Ds Gufasa Meli 13/10/17 100,000
Ds Jalan Baru Ulfa 14/10/17 100,000
Ds Gamlamo Risda Bandawati 15/10/17 100,000
ds Matui Ulfa 4/10/2017 200,000
Ds Tauro Meli 10/10/2017 350,000
Ds Bukubualawa Risda Bandawati 5/10/2017 350,000
DS Ulo Risda Bandawati 14/10/17 350,000
2,500,000
Upaya pencegahan dan
pengendalian penyakit Pembentukan Desa Percontohan PTM Masyarakat Transport Petugas Ds Guaeria Kepala Desa 100000
dan pengendalian
tidak menular Kaur Desa 100000
penyakit tidak Tokoh Agama 12/10/2017 100000
menular Kader 4 Orng 400000
Kepala Puskesmas 200000
Isna 200000
Dewi Usman 200000
Nining Kabir 100000
Hamriani 200000
Asmani 200000
Makan/Minum 600000
2400000
1 2 3 4 5 6 7 8 9 10 11
4 4.1Pengukuran Dan pemeriksaan faktor resiko Masyarkat 1x 1X Transport Petugas Ds Saria Isna 6/10/2017 150,000
PTM di posbindu di desa Hamriani 150,000
Ds Bobo Isna 12/10/2017 100,000
narlianti siguntu 100,000
Ds Bobojiko Isna 13/10/17 100,000
Hamriami 100,000
Ds jalan Baru Isna 29/10/17 100,000
hamriani 100,000
Ds Gamlamo Isna 31/10/17 100,000
Hamriamni 100,000
Ds pateng Isna 14/10/17 100,000
narlianti siguntu 100,000
1,300,000
4.2 Pengukuran Dan pemeriksaan faktor resiko Buruh Transpor Petugas Kesehatan pelabhan Isna 2/10/2017 100,000
PTM di posbindu khusus kesehatan pelabuhan pegawai pelabuhan Jailolo Hatisa Ismail 100,000
penumpang hamriani 100,000
300,000
4.3Pemeriksaan faktor resiko u/ siswa SMA Siswa SMA ISLAM Jailolo Rina hasim 19/10/17 50,000
Ermawati 100,000
SMA Aliyah Pabos Hafilat Ade 23/10/17 50,000
Ikma Taher 100,000
Irma Kasim 100,000
SMA Aliyah Alkhaerat Ratih Abd gani 23/10/17 50,000
Anila Kasim 100,000
Isna 100,000
750,000
4.4Penyuluhan penyakit tidak menular dgn gannguan D masya Transport Petugas Ds Bobo Isna 7/10/2017 100,000
Ds Pateng Isna 9/10/2017 100,000
200,000
4.5Kunjungan rumah posbindu di desa Masya Transport Petugas Ds Saria Isna 5/10/2017 150,000
Ds Bobo Isna 4/10/2017 100,000
Ds Bobojiko Isna 11/10/2017 100,000
Narlianti Siguntu 100,000
Tuty Loang 350,000
Tuty Loang 350,000
1,500,000

1 2 3 4 5 6 7 8 9 10 11
5 5.1Penyuluhan TB Masya 1x 1x Transport Petugas DS Bobojiko Isna 3/10/2017 100,000
Ds pateng Isna 5/10/2017 100,000
Ds Guaemaadu Narlianti siguntu 12/10/2017 100,000
Ds gufasa Narlianti Siguntu 13/10/17 100,000
400,000
5.2Pemeriksaan Kontak Masya 1x 1x Transport Petugas Ds Guaemaadu Isna 19/10/17 100,000
Upaya Pencegahan Ekawati Mahmud 50,000
penyakit menular Ds Gamlamo Isna 18/10/17 100,000
langsung Meli 50,000
( TB,HIV/AIDS,IMS,Hepa
titis, kusta, kusta 300,000
5.3Deteksi Dini Hepatitis Pada Ibu Hamil Transport Petugas Ds Bukumaadu Risda Bandawati 16/10/17 350,000
Tuty Loyan 350,000
700,000
5.4Sweping Hepatitis Ibu Hamil K1 Transport Petugas Ds Bukubualawa Risda Bandawati 18/10/17 350,000
Hamriani 50,000
Ds Pateng Safria Samboyo 19/10/17 100,000
Ds payo Safria Samboyo 3/10/2017 100,000
800,000
Pemeriksaan Kontak kusta pada anak Sekolah Transport Petugas Mts Muh Pabos Hatisa Ismail 17/10/17 100,000
SMP Pabos Santi Dukolaha 17/10/17 100,000
Anila 100,000
SMP Tsanawia Al Khairat PabSusi yamin 17/10/17 100,000
Mts Attarbiyah Galala Santi Dukolaha 18/10/17 100,000
SMP Islam Jailolo Meli 18/10/17 100,000
Tuti 100,000
SMp Neg 1 Halbar Safria Samboyo 18/10/17 100,000
Rina Hasim 100,000
SMP Neg 11 Halbar Santi Dukolaha 23/10/17 200,000
MTs Nurul Haq Santi Dukolaha 24/10/17 350,000
MA Muh Pabos Ikma 23/10/17 100,000
Ma Alkhairat Pabos Irma Kasim 23/10/17 100,000
Anila 100,000
SMK Neg 1 Halbar Santi Dukolaha 19/10/17 100,000
Anila 100,000
SMK Muh Halbar Dewi Usman 19/10/17 100,000
Ikma 100,000
Sma Islam Jailolo Safria Samboyo 19/10/17 100,000
SMA Nusantara Halbar Anila 24/10/17 350,000
Ikma 350,000
2,950,000
Pendampingan konseling tes hiv sukarela Bumil 16 Orang 1x Transport Petugas ds Pateng Risda Bandawati 4/10/2017 100,000
pada ibu hamil Diana Bernadus 100,000
Safria Samboyo 100,000
Ds Guaemaadu Risda Bandawati 3/10/2017 100,000
Diana Bernadus 100,000
600,000
6 Upaya promosi 6.1Penyuluhan Napza dan kesehatan reproduksi ank 1x 1x Transport Petugas MTS Galala Mardia Teng 18/10/17 100,000
Kesehatan pada anak sekolah sekolah Alwia 100,000
SMA Islam Idmawati 19/10/17 100,000
Nofi kurniawati 100,000
SMP Neg 1 Idmawati 18/10/17 100,000
Nofi kurniawati 100,000
600,000
Pendataan PHBS Rumah Tangga Transport Petugas Ds Bobanehena Idmawati 11/10/2017 100,000
Ds Galala mardia Teng 7/10/2017 100,000
Zumra Bayan 50,000
Ds Guaemaadu Mardia Teng 13/10/17 100,000
Ekawati 50,000
Ds Gufasa Mardia Teng 25/10/17 100,000
Rina Hasim 50,000
Ds Jalan Baru Idmawati 3/10/2017 100,000
Rukija 50,000
Ds Gamlamo mardia teng 4/10/2017 100,000
Meli 50,000
Ds Bukubualawa Idmawati 28/10/17 350,000
Hamriani 50,000
Ds Bukumaadu Mardia Teng 30/10/17 350,000
Hamriani 50,000
1,700,000
Advokasi Tingkat Desa Masyrakat Transport Ds Galala Narasumber 19/10/17 1,500,000
Peserta 1,200,000
Makan/Minum 1,500,000
Atk 250,000
4,450,000
7 Imunisasi 7.1Pengambilan Vaksin 1x Gudang Fahima Samsudin 2/10/2017 100,000
Farmasi Rasyid Yunus 100,000
200,000
7.2Pelaksanaan BIAS Transport Petugas SD Inp 10 Halbar Fahima 16/10/17 200,000
SD Neg 12 Halbar Ekawati 16/10/17 200,000
hafilat 200,000
SD Neg 14 Halbar Erna 16/10/17 350,000
Irma 350,000
SD Neg 7 Halbar Aisyah Muksin 18/10/17 350,000
Ratih 350,000
1 2 3 4 5 6 7 8 9 10 11
SD Neg 8 Halbar Fahima 18/10/17 350,000
Zumra 350,000
SD Neg 15 Halbar Ekawati 21/10/17 350,000
Meli 350,000
3,600,000
8 Upaya Kesehatan 8.1Kunjungan rumah PUS yang tidak Ber KB Transport Petugas ds Gamlamo ermawati 6/10/2017 100,000
usia reproduksi meli 50,000
Ds jalan baru ermawati 10/10/2017 100,000
rukija 50,000
Ds tauro Tuty Loyan 5/10/2017 350,000
Ermawati 50,000
Ds Bukumaadu Tuty Loyan 23/10/17 350,000
Hamriani 50,000
Ds Bukubualawa Tuty Loyan 24/10/17 350,000
Hamriani 50,000
Ds ulo Tuty Loyan 6/10/2017 350,000
Betlina 50,000
1,900,000
9 Pemicuan STBM Ds Bukumaadu hamriani 19/10/17 50,000
Upaya Kesehatan Hafilat ade 350,000
Lingkungan Wahyuningsih 350,000
750,000
Upaya Kesehatan lainnyaPembentukan Pos UKK desa Saria Transport Petugas Ds saria Hatisa Ismail 11/10/2017 150,000
Asmani 150,000
Makan/Minum 1,250,000
1,550,000
48,900,000
1 2 3 4 5 6 7 8 9 10 11

4. Belanja Reagen/stik cepat 1200000
5.Rapat lintas Program 2500000
6. Honor tenaga pengelola promkes 1000000
7. Minilokakarya puskesmas 2,000,000
12,250,000
Mengetahui Jailolo, 01 Oktober 2017


NIP. 19760921 200012 2 001 NIP. 19841007 201001 2 015
Sumber
Biaya
12
BOK
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
Sumber
Biaya
12
,900,000
Sumber
Biaya
12
BOK
48,900,000
12,250,000
61,150,000
Puskesmas : Jailolo
Tahun/Bulan : Novemeber 2017

1 2 3 4 5 6 7 8 9
1 Kesehatan Ibu 1.1.Pendampingan Kelas Ibu Hamil Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiani Djabir
Erna
Transport Petugas Desa.Bobo jiko Zumra Bayan
Hafilat Ade
Transport Petugas Desa.Pateng Nofiani Djabir
Ratih Abd Gani
Transport Petugas Desa.Bobanehena Zumra Bayan
Indira kamarudin
Transport Petugas Desa.Galala Nofiani Djabir
Zumra Bayan
Transport Petugas Desa.Guaemaadu Zumra Bayan
Ekawati Mahmud
Transport Petugas Desa.Gufasa Zumra Bayan
Rina Hasim
Transport Petugas Desa.Jalan Baru Nofiani Djabir
Rukija Hardin
Transport Petugas Desa.Gamlamo Nofiani Djabir
Mely
Transport Petugas Desa.Matui Nofiani Djabir
Tuty Asmarani
Transport Petugas Desa.Guaeria Zumra Bayan
Nining Kabir
Transport Petugas Desa.Tauro Zumra Bayan
Ermawati
Transport Petugas Desa.Bukumaadu Nofiani Djabir
Hamriani
Transport Petugas Desa.Ulo Nofiani Djabir
Betlina Mudja
1.2.Pelayanan ANC/Pemeriksaan Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiani Djabir
Kehamilan Erna
Transport Petugas Desa.Bobo Zumra Bayan
Hafilat Ade
Transport Petugas Dresa.Bobo Jiko Zumra Bayan
Hafilat Ade
Transport Petugas Desa.Payo Nofiani Djabir
Ratih Abd Gani
Ratih Abd Gani
Indira Kamarudin
Zumra Bayan
Transport Petugas Desa,Guaemaadu Zumra Bayan
Ekawati Mahmud
Rina Hasim
Rukija Hardin
Mely
No. Upaya Kesehatan Kegiatan Sasaran Target Kegiatan Pelaksanaan Pelaksanaan Pelaksana
1 2 3 4 5 6 7 8 9
Tuty Asmarani
nining Kabir
Ermawati
Transport Petugas Desa.Bukubualawa Nofiani Djabir
Hamriani
Hamriani
Betlina Mudja
2 Upaya Kesehatan Anak 2.1.Pemantauan pertumbuhan Balita Balita 100% 1X Trnsport Petugas Desa.Saria Rina Hasim
Trnsport Petugas Desa.Bobo Rina Hasim
Hafilat ade
Trnsport Petugas Desa.Bobo Jiko Rina Hasim
Hafilat ade
Trnsport Petugas Desa.Payo Rina Hasim
Ratih Abd Gani
Trnsport Petugas Desa.Pateng Rina Hasim
Ratih Abd Gani
Trnsport Petugas Desa.Bobanehena Rina Hasim
Indira Kamarudin
Trnsport Petugas Desa.Galala Rina Hasim
Zumra Bayan
Trnsport Petugas Desa,Guaemaadu Rina Hasim
Ekawati Mahmud
Trnsport Petugas Desa.Gufasa Siti Rifatul Paty
Rina Hasim
Trnsport Petugas Desa,Jalan Baru Rina Hasim
Rukija Hardin
Trnsport Petugas Desa.Gamlamo Rina Hasim
Mely
Trnsport Petugas Desa.Matui Rina Hasim
Tuty Asmarany
Trnsport Petugas Desa.Guaeria Siti Rifatul Paty
Nining Kabir
Trnsport Petugas Desa.Tauro Mardia Teng
Ermawati
Trnsport Petugas Desa.Bukubualawa Tuti Loang
Hamriani
Trnsport Petugas Desa.Bukumaadu Tuti Loang
Hamriani
Trnsport Petugas Desa.Ulo Narliyanti Siguntu
Betlina Mudja
2.2.Kelas Ibu Balita ibu balita Desa.Saria Rina Hasim

Erna
Desa.Bobo Rina Hasim
Hafilat ade
Desa.Bobo Jiko Rina Hasim
Hafilat ade
Desa.Payo Anila
Ratih Abd Gani
Desa.Pateng Narlianti Siguntu
Ratih Abd Gani
Desa.Bobanehena Rina Hasim
Indira Kamarudin
Desa.Galala Rusna Z Wahid
Zumra Bayan
Desa,Guaemaadu Rina Hasim
Ekawati Mahmud
Desa.Gufasa Siti Rifatul Paty
Rina Hasim
Desa,Jalan Baru Rina Hasim
Rukija Hardin
Desa.Gamlamo Rina Hasim
Mely
Desa.Matui Rina Hasim
Tuty Asmarany
Desa.Guaeria Siti Rifatul Paty
Nining kabir
Desa.Tauro Mardia Teng
Ermawati
Desa.Bukubualawa Tuti Loang
Hamriani
Desa.Bukumaadu Fahima Samsudin
Hamriani
Desa.Ulo Narlianti Siguntu
Betlina Mudja
2.3.Pelacakan kematian Neonatal termasuk Desa.Tauro Rina Hasim
Autopsi Verbal Ermawati
2.4.Pemeriksaan Garam Beryudium Ibu Rmah 1X Trnsport Petugas Desa.Saria

Tangga
Trnsport Petugas Desa.Bobo
Trnsport Petugas Desa.Bobo Jiko
Trnsport Petugas Desa.Payo
Trnsport Petugas Desa.Pateng
Trnsport Petugas Desa.Bobanehena
Trnsport Petugas Desa.Galala
Trnsport Petugas Desa,Guaemaadu
Trnsport Petugas Desa.Gufasa
Trnsport Petugas Desa,Jalan Baru
Trnsport Petugas Desa.Gamlamo
Trnsport Petugas Desa.Matui

1 2 3 4 5 6 7 8 9
Trnsport Petugas Desa.Guaeria
Trnsport Petugas Desa.Tauro
Trnsport Petugas Desa.Bukubualawa
Trnsport Petugas Desa.Bukumaadu
Trnsport Petugas Desa.Ulo

3 Imunisasi 3.1.Pengambilan Vaksin Trnsport Petugas Gudang Obat
3.2.Swiping BIAS Anak SD Trnsport Petugas SD N 13 Halbar
SD Inpres 6 Halbar
SD N 5 Halbar
SD N 6 Halbar
Mis Alhairat Pabos
SD N 3 Halbr
SD N 4 Halbar
SD Inpres 1 Halbar
SD Inp 8 Halbar
SD IT Alkhuwua
SD N 2 Halbar
SD N 1 Halbar
SD Inpres 7 Halbar
SD Inp 10 Halbar
SD N 12 Halbar
SD N 14 Halbar
SD N 7 Halbar
SD N 8 Halbar
SD N 15 Halbar
3.3.Swiping Imunisasi Lanjutan Balita Melaksanakan Desa.Saria Ikma

Swiping imunisasi Erna
Lanjutan Desa.Bobo Anila Kasim
Hafilat Ade
Desa.Bobojiko Anila Kasim
Hafilat Ade
Desa.Payo Irma
Ratih abd Gani
Desa.Pateng Irma
Ratih abd Gani
Desa.Bobanehena Mardia Teng
Indira kamarudin
Desa.Galala Ekawati Mahmud
Zumra Bayan
Desa.Guaemaadu Fahima Samsudin
Ekawati Mahmud
Desa.Gufasa Fahima Samsudin
Rina Hasim
Desa.Jalan baru Tity Rifatul paty
Rukija hardin
Desa.Gamlamo Fahima Samsudin
Mely
Desa.Tauro Ermawati
Nining kabir
Desa.Bukubualawa Tuli Loang
Hamriani
Desa.Bukumaadu Tuli Loang
Hamriani
Desa.Ulo Betlina Mudja
4 Upaya Promosi 4.1.Penyuluhan Tentang Mengenal Antibiotik Desa.Saria Novi kurniawati
Kesehatan Desa Bobojiko Novi kurniawati
Desa.Payo Novi kurniawati
Desa.Bobanehena Novi kurniawati
Desa.Galala Novi kurniawati
Desa.Guaemaadu Novi kurniawati
Desa.Tauro Novi kurniawati
4.2.Penyuluhan Kelambu Desa.Saria Risda Bandawati

Desa.Pateng Risda Bandawati
Desa.Guaemaadu Idmawati Arif
Desa.Gufasa Idmawati Arif
Desa.Bobanehena Risda Bandawati
Desa.Jalan Baru Risda Bandawati
Desa.Galala Idmawati Arif
4.3.Swiping Pendataan Keluarga sehat Masy Desa.Saria Mardia Teng

Tuty Asmarani
Erna
Desa.Bobo Mardia Syaban
Anila
Hafilat
Desa.Pateng Mardia Syaban
Ikma Taher
Ratih Abd Gani
Desa.Galala Tuty Asmarani
Mardia Teng
Zumra Bayan
Desa.jalan Baru Zumra Bayan
Mardia Syaban
Rukija Hardin
Desa.Tauro Tuty Asmarani
Zumra Bayan
Ermawati
Desa.Bukumaadu Mardia Syaban
Tuti Loang
Hamriani
1 2 3 4 5 6 7 8 9
5 Upaya Kesehatan 5.1.Inspeksi TTU Pasar Rakyat Hafilat Ade
Lingkungan Wahyuningsi
Yosefina
Penginapan Hafilat Ade
Wahyuningsi
5.2.Monitoring Desa yg Melaksanakan STBM Desa ,Bobo Hafilat Ade

Wahyuningsi
Desa.galala Hafilat Ade
Wahyuningsi
Desa Bukumaadu Yosefina
Hamriani
6 Upaya pengandalian 6.1.Pengukuran dan pemeriksaan faktor resiko Masy Desa.Saria Isna
Penyakit(P2) PTM Posbidu di desa Nining kabir
Erna
Desa.Bobo Isna
Nining kabir
Erna
Desa.Bobo Jiko Isna
Narliyanti Siguntu
Hafilat ade
Desa.Jalan baru Isna
Narliyanti Siguntu
Rukija Hardin
Desa.gamlamo Isna
Nining kabir
Mely
Desa.Pateng Isna
Nining kabir
Ratih abd Gani
Desa.Bukubualawa Tuti loang
Hamriani
Desa.Bukumaadu Tuti loang
Hamriani
6.2.Pemeriksaan Faktor resiko Masy Kesehatan pelabuhan Isna

di posbindu Khusus Jailolo Hatis Ismail
Hamriani
Pemeriksaan Faktor Resiko PTM Di posbindu Desa Guaeria Ds Guaeria Isna

Dewi Usman
Hamriani
Nining Kabir
6.3.Pemantauan Penerapan KTR d Sekolah Guru dan SD inpres 8 Halbar Isna

Siswa Safria Samboyo
6.4.Kunjungan Rumah Masy Desa.Bobo Isna

Desa Jalan Baru Isna
6.5.Distribusi Kelambu K1 dan Desa.Saria Erna
Bayi 9 bln Desa.Bobo Hafilt ade
Desa.Pateng Ratih Abd Gani
Desa.Bobanehena Indira Kamarudin
Desa.Galala Zumra Bayan
Rukija Hardin
Desa.Gamlamo Risda Bandawati
Mely
Desa.Bukubualawa Hamriani
Desa.Ulo Hamriani
Skrining Bumil K1 Bumil k1 Ds Saria Meli
Ds Bobo Risda bandawati
Ds Bobojiko Meli
Ds payo Meli
Ds pateng Ulfa
Ds Bobanehena Risdabandawati
Ds Galala Risdabandawati
Ds Guaemaadu Ulfa
Ds Gufasa Meli
Ds jalan Baru Ulfa
Ds Gamlamo Risdabandawati
Ds Matui Ulfa
DS Guaeria Nining Kabir
Ds Tauro Meli
Ds Bukubualawa Risdabandawati
Ds Bukumaadu Hamriani
Ds Ulo Risdabandawati
7 Upaya Pencegahan dan 7.1.Swiping Ibu Hamil k1 untuk pemeriksaan Bumil Desa.Bobanehena Safria Samboyo
pengendalian penyakit Hepatitis Risda Bandawati
Menular Desa.galala Safria Samboyo
Risda Bandawati
Desa.Guaemaadu Safria Samboyo
Risda Bandawati
Desa.Gufasa Risda Bandawati
Safria Samboyo
Penyuluhan Etika Batuk Dan Bearsin Masya Ds Saria Narlianti Siguntu

Ds Bobo Narlianti Siguntu
Ds Bobojiko Isna
Ds Payo Narlianti Siguntu
Ds Pateng Narlianti Siguntu
Ds Bobanehena Narlianti Siguntu
Ds Galala Narlianti Siguntu
Ds Guaemaadu Narlianti Siguntu
Ds Gufasa Narlianti Siguntu
Ds Jalan Baru Narlianti Siguntu
Ds Gamlamo Narlianti Siguntu
Ds Matui Nining Kabir
Ds Tauro Nining Kabir
Ds Bukubualawa Nining Kabir
Ds Bukumaadu Nining Kabir
Ds Ulo Nining Kabir
Pendampingan dan konseling tes HIV sukarela pada ibu hamil danIbu Hamil 27 orang1x Transport Kegiatan ds jalan baru Risda bandawati
penyuluhan Diana Bernadus
Safria samboyo
11 Orang Ds Gamlamo Risda bandawati
Diana Bernadus
Safria samboyo
8 Upaya Kesehatan Jiwa 8.1.Pendampingan keluarga pasien kesehatan Masy Desa.Bobo Betlina Mudja
jiwa Hafilat ade
Desa Bobo Jiko Betlina Mudja
Hafilat ade
Desa,Payo Betlina Mudja
Ratih Abd Gani
Desa.Bobanehena Betlina Mudja
Indira kamarudin
Desa.Galala Betlina Mudja
Zumra Bayan
Desa.Guaemaadu Betlina Mudja
Ekawati Mahmud
Desa,Gufasa Betlina Mudja
Rina Hasim
Desa.jalan baru Betlina Mudja
Riukija hardin
Desa.Bukumaadu Hamriani
9 Upaya Kesehatan 9.1.pembinaan dan pelayanan usiladi posyandu Masy Desa.Galala Erna
Usia Lanjut Zumra Bayan
Desa.Guaemaadu Erna
Ekawati mahmud
Desa.Gufasa Erna
Rina hasim
Hamriani
Desa.Bukumaadu Santi Dukolaha
Hamriani
Desa.Ulo Santi Dukolaha
Betlina Mudja
10 Upaya Pencegahan 10.1.Penyelidikan Kasus Rabies Masy Desa.Bukubualawa Santi Dukolaha

dan pengendalian Hamriani
penyakit tular vektor Desa.Ulo Santi Dukolaha
dan zoonatik Betlina Midja
11 Upaya Kesehatan 11.1.Sosialisasi Olahraga Tradisonal Anak SD Inpres 1 Halbar Hatisa Ismail
Lainnya Sekolah Asmani
SD N 1 Halbar Hatisa Ismail
Asmani
Asmani
Asmani
Asmani
Asmani
SD Inpres 6 Halbar Hatisa Ismail
Asmani
Asmani
Asmani
SD N 8 halbar Hatisa Ismail
Asmani
SD.Inpres 8 Halbar Hatisa Ismail
Asmani
Asmani
Asmani
Asmani
Asmani
Asmani
SD IT Alkhuwah Hatisa Ismail
Asmani
Mis Alhidayah Hatisa Ismail
Asmani
MIS IB Alkhairat Pabos Hatisa Ismail
Asmani
JUMLAH
1 2 3 4 5 6 7 8 9

5.Honor Pengelola Promkes
6.Miniloka Karya
Upaya Esensial
Dukungna Menejmen
TOTAL KESELURUHAN
Mengetahui
Hindun Djumati,Amd,Keb
NIP. 19681007 199003 2 005
Sumber
Jadwal Biaya
Biaya
10 11 12
BOK
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,100,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
Sumber
Jadwal Biaya Biaya
10 11 12
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
350,000
50,000
400,000
Mona Sarita 150,000

Erna 50,000
Fahria 100,000
Hafilat Ade 50,000
Mardia Syaban 100,000
Hafilat Ade 50,000
Fahria 100,000
Mona Sarita 100,000
Mona Sarita 100,000
Zumra Bayan 50,000
Mona Sarita 100,000
Fahria 100,000
Rina Hasim 50,000
Fahria 100,000
Mely 50,000
Mona Sarita 200,000
Sumber
Jadwal Biaya Biaya
10 11 12
Fahria 200,000
Nining Kabir 50,000
Mona Sarita 350,000
Ermawati 50,000
Hamriani 50,000
Fahria 350,000
Tuti long 50,000
3,800,000
Rasid Yunus 100,000
200,000

Erna 50,000
Ikma 100,000
Hafilat Ade 50,000
Irma 100,000
Aisyah Muksin 100,000
Anila Kasim 100,000
Dewi Usman 100,000

Isna 100,000
Mardia Teng 100,000
Dewi Usman 100,000
Zumra Bayan 50,000
Isna 100,000
Nofiani Djabir 100,000
Rina Haim 50,000
Mely 50,000
Nining Kabir 50,000
Ermawati 50,000
Ermawati 50,000
Hamriani 50,000
2,500,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
350,000
350,000
50,000
350,000
50,000
50,000
2,950,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
700,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
700,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
2,850,000
Sumber
Jadwal Biaya
Biaya
10 11 12
100,000
100,000
100,000
100,000
100,000
500,000
100,000
100,000
100,000
100,000
100,000
100,000
600,000
100,000
100,000
50,000
100,000
100,000
100,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
350,000
50,000
350,000
50,000
2,350,000
100,000
100,000
100,000
300,000
200,000
200,000
200,000
50,000
650,000
100,000
100,000
200,000
100,000
100,000
200,000
50,000
50,000
50,000
50,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
650,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
50,000
350,000
350,000
50,000
350,000
2,500,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
800,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
50,000
350,000
350,000
350,000
350,000
2,800,000
100,000
100,000
100,000
100,000
100,000
100,000
600,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
1,300,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
900,000
350,000
50,000
350,000
50,000
800,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
350,000
350,000
100,000
100,000
350,000
350,000
100,000
100,000
200,000
200,000
200,000
200,000
150,000
150,000
350,000
350,000
350,000
350,000
100,000
100,000
100,000
100,000
100,000
100,000
6,300,000
50,050,000
Sumber
Jadwal Biaya
Biaya
10 11 12
BOK
1,900,000
4,000,000
300,000
1500000
1,000,000
2,500,000
11,200,000
50,050,000
11,200,000
61,250,000
Jailolo, 01 November 2017

Pengelola BOK
Aisyah Miksin,Amd,Keb
NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : Novemeber 2017

1 2 3 4 5 6 7 8 9
1 Kesehatan Ibu 1.1.Pendampingan Kelas Ibu Hamil Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiani Djabir
Erna
Transport Petugas Desa.Bobo jiko Zumra Bayan
Hafilat Ade
Ratih Abd Gani
Indira kamarudin
Zumra Bayan
Transport Petugas Desa.Guaemaadu Zumra Bayan
Ekawati Mahmud
Rina Hasim
Rukija Hardin
Mely
Tuty Asmarani
Nining Kabir
Ermawati
Hamriani
Betlina Mudja
1.2.Pelayanan ANC/Pemeriksaan Bumil 17 Desa 1X Transport Petugas Ds.Saria Nofiani Djabir

Kehamilan Erna
Transport Petugas Desa.Bobo Zumra Bayan
Hafilat Ade
Transport Petugas Dresa.Bobo Jiko Zumra Bayan
Hafilat Ade
Transport Petugas Desa.Payo Nofiani Djabir
Ratih Abd Gani
Ratih Abd Gani
Indira Kamarudin
Zumra Bayan
Transport Petugas Desa,Guaemaadu Zumra Bayan
Ekawati Mahmud
Rina Hasim
Rukija Hardin
Mely
1 2 3 4 5 6 7 8 9
Tuty Asmarani
nining Kabir
Ermawati
Transport Petugas Desa.Bukubualawa Nofiani Djabir
Hamriani
Hamriani
Betlina Mudja
2 Upaya Kesehatan Anak 2.1.Pemantauan pertumbuhan Balita Balita 100% 1X Trnsport Petugas Desa.Saria Rina Hasim
Trnsport Petugas Desa.Bobo Rina Hasim
Hafilat ade
Trnsport Petugas Desa.Bobo Jiko Rina Hasim
Hafilat ade
Trnsport Petugas Desa.Payo Rina Hasim
Ratih Abd Gani
Trnsport Petugas Desa.Pateng Rina Hasim
Ratih Abd Gani
Trnsport Petugas Desa.Bobanehena Rina Hasim
Indira Kamarudin
Trnsport Petugas Desa.Galala Rina Hasim
Zumra Bayan
Trnsport Petugas Desa,Guaemaadu Rina Hasim
Ekawati Mahmud
Trnsport Petugas Desa.Gufasa Siti Rifatul Paty
Rina Hasim
Trnsport Petugas Desa,Jalan Baru Rina Hasim
Rukija Hardin
Trnsport Petugas Desa.Gamlamo Rina Hasim
Mely
Trnsport Petugas Desa.Matui Rina Hasim
Tuty Asmarany
Trnsport Petugas Desa.Guaeria Siti Rifatul Paty
Nining Kabir
Trnsport Petugas Desa.Tauro Mardia Teng
Ermawati
Trnsport Petugas Desa.Bukubualawa Tuti Loang
Hamriani
Trnsport Petugas Desa.Bukumaadu Tuti Loang
Hamriani
Trnsport Petugas Desa.Ulo Narliyanti Siguntu
Betlina Mudja
2.2.Kelas Ibu Balita ibu balita Desa.Saria Rina Hasim

Erna
Desa.Bobo Rina Hasim
Hafilat ade
Desa.Bobo Jiko Rina Hasim
Hafilat ade
Desa.Payo Anila
Ratih Abd Gani
Desa.Pateng Narlianti Siguntu
Ratih Abd Gani
Desa.Bobanehena Rina Hasim
Indira Kamarudin
Desa.Galala Rusna Z Wahid
Zumra Bayan
Desa,Guaemaadu Rina Hasim
Ekawati Mahmud
Desa.Gufasa Siti Rifatul Paty
Rina Hasim
Desa,Jalan Baru Rina Hasim
Rukija Hardin
Desa.Gamlamo Rina Hasim
Mely
Desa.Matui Rina Hasim
Tuty Asmarany
Desa.Guaeria Siti Rifatul Paty
Nining kabir
Desa.Tauro Mardia Teng
Ermawati
Hamriani
Desa.Bukumaadu Fahima Samsudin
Hamriani
Desa.Ulo Narlianti Siguntu
Betlina Mudja
2.3.Pelacakan kematian Neonatal termasuk Desa.Tauro Rina Hasim

Autopsi Verbal Ermawati
2.4.Pemeriksaan Garam Beryudium Ibu Rmah 1X Trnsport Petugas Desa.Saria Mona Sarita
Tangga Erna
Trnsport Petugas Desa.Bobo Fahria
Hafilat Ade
Trnsport Petugas Desa.Bobo Jiko Mardia Syaban
Hafilat Ade
Trnsport Petugas Desa.Payo Fahria
Ratih Abd Gani
Trnsport Petugas Desa.Pateng Mona Sarita
Ratih Abd Gani
Trnsport Petugas Desa.Bobanehena Mardia Syaban
Indira Kamarudin
Trnsport Petugas Desa.Galala Mona Sarita
Zumra Bayan
Trnsport Petugas Desa,Guaemaadu Mona Sarita
Ekawati Mahmud
Trnsport Petugas Desa.Gufasa Fahria
Rina Hasim
Trnsport Petugas Desa,Jalan Baru Fahria
Rukija Hardin
Trnsport Petugas Desa.Gamlamo Mardia Syaban
Mely
Trnsport Petugas Desa.Matui Mona Sarita
Tuty Asmarany
Trnsport Petugas Desa.Guaeria Fahria
Nining Kabir
Trnsport Petugas Desa.Tauro Mona Sarita
Ermawati
Trnsport Petugas Desa.Bukubualawa Mardia Syaban
Hamriani
Trnsport Petugas Desa.Bukumaadu Fahria
Hamriani
Trnsport Petugas Desa.Ulo Mardia Syaban
Betlina Mudja
Imunisasi 3.1.Pengambilan Vaksin Trnsport Petugas Gudang Obat Fahima Samsudin

Rasid Yunus
3.2.Swiping BIAS Anak SD Trnsport Petugas SD N 13 Halbar Ekawati Mahmud

Erna
SD Inpres 6 Halbar Ikma
Hafilat Ade
SD N 5 Halbar Irma
Ratih Abd Gani
SD N 6 Halbar Aisyah Muksin
Anila Kasim
Mis Alhairat Pabos Dewi Usman
Isna
SD N 3 Halbr Mardia Teng
Indira Kamarudin
SD N 4 Halbar Ekawati Mahmud
Rukija Hardin
SD Inpres 1 Halbar Dewi Usman
Zumra Bayan
SD Inp 8 Halbar Santi Dukolaha
Ekawati mahmud
SD IT Alkhuwua Isna
Santi Dukolaha
SD N 2 Halbar Nofiani Djabir
Rina Haim
SD N 1 Halbar Safria Samboyo
Rukija Hardin
SD Inpres 7 Halbar Fahima Samsudin
Mely
SD Inp 10 Halbar Tuty Asmarany
SD N 12 Halbar Nining Kabir
SD N 14 Halbar Ermawati
SD N 7 Halbar Ermawati
SD N 8 Halbar Hamriani
SD N 15 Halbar Betlina Mudja
3.3.Swiping Imunisasi Lanjutan Balita Transpor petugas Desa.Saria Ikma

Erna
Desa.Bobo Anila Kasim
Hafilat Ade
Desa.Bobojiko Anila Kasim
Hafilat Ade
Desa.Payo Irma
Ratih abd Gani
Desa.Pateng Irma
Ratih abd Gani
Desa.Bobanehena Mardia Teng
Indira kamarudin
Desa.Galala Ekawati Mahmud
Zumra Bayan
Desa.Guaemaadu Fahima Samsudin
Ekawati Mahmud
Desa.Gufasa Fahima Samsudin
Rina Hasim
Desa.Jalan baru Tity Rifatul paty
Rukija hardin
Desa.Gamlamo Fahima Samsudin
Mely
Desa.Tauro Ermawati
Nining kabir
Desa.Bukubualawa Tuli Loang
Hamriani
Desa.Bukumaadu Tuli Loang
Hamriani
4 Upaya Promosi 4.1.Penyuluhan Tentang Mengenal Antibiotik Desa.Saria Novi kurniawati

Kesehatan Desa Bobojiko Novi kurniawati
Desa.Payo Novi kurniawati
Desa.Bobanehena Novi kurniawati
Desa.Galala Novi kurniawati
Desa.Guaemaadu Novi kurniawati
Desa.Tauro Novi kurniawati
4.2.Penyuluhan Kelambu Desa.Saria Risda Bandawati

Desa.Pateng Risda Bandawati
Desa.Guaemaadu Idmawati Arif
Desa.Gufasa Idmawati Arif
Desa.Bobanehena Risda Bandawati
Desa.Galala Idmawati Arif
4.3.Swiping Pendataan Keluarga sehat Masy Desa.Saria Mardia Teng

Tuty Asmarani
Erna
Desa.Bobo Mardia Syaban
Anila
Hafilat
Desa.Pateng Mardia Syaban
Ikma Taher
Ratih Abd Gani
Desa.Galala Tuty Asmarani
Mardia Teng
Zumra Bayan
Desa.jalan Baru Zumra Bayan
Mardia Syaban
Rukija Hardin
Desa.Tauro Tuty Asmarani
Zumra Bayan
Ermawati
Desa.Bukumaadu Mardia Syaban
Tuti Loang
Hamriani

1 2 3 4 5 6 7 8 9
5 Upaya Kesehatan 5.1.Inspeksi TTU Pasar Rakyat Hafilat Ade
Lingkungan Wahyuningsi
Yosefina
Penginapan Hafilat Ade
Wahyuningsi
5.2.Monitoring Desa yg Melaksanakan STBM Desa ,Bobo Hafilat Ade

Wahyuningsi
Desa.galala Hafilat Ade
Wahyuningsi
Desa Bukumaadu Yosefina
Hamriani
6 Upaya pengandalian 6.1.Pengukuran dan pemeriksaan faktor resiko Masy Desa.Saria Isna
Penyakit(P2) PTM Posbidu di desa Nining kabir
Erna
Desa.Bobo Isna
Nining kabir
Erna
Desa.Bobo Jiko Isna
Narliyanti Siguntu
Hafilat ade
Desa.Jalan baru Isna
Narliyanti Siguntu
Rukija Hardin
Desa.gamlamo Isna
Nining kabir
Mely
Desa.Pateng Isna
Nining kabir
Ratih abd Gani
Desa.Bukubualawa Tuti loang
Hamriani
Desa.Bukumaadu Tuti loang
Hamriani
6.2.Pemeriksaan Faktor resiko Masy Kesehatan pelabuhan Isna

di posbindu Khusus Jailolo Hatis Ismail
Hamriani
Pemeriksaan Faktor Resiko PTM Di posbindu Desa Guaeria Ds Guaeria Isna

Dewi Usman
Hamriani
Nining Kabir
6.3.Pemantauan Penerapan KTR d Sekolah Guru dan SD inpres 8 Halbar Isna

Siswa Safria Samboyo
6.4.Kunjungan Rumah Masy Desa.Bobo Isna
Desa Jalan Baru Isna
6.5.Distribusi Kelambu K1 dan Desa.Saria Erna

Bayi 9 bln Desa.Bobo Hafilt ade
Desa.Pateng Ratih Abd Gani
Desa.Bobanehena Indira Kamarudin
Desa.Galala Zumra Bayan
Rukija Hardin
Desa.Gamlamo Risda Bandawati
Mely
Desa.Bukubualawa Hamriani
Desa.Ulo Betlina
Skrining Bumil K1 Bumil k1 Ds Saria Meli

Ds Bobo Risda bandawati
Ds Bobojiko Meli
Ds payo Meli
Ds pateng Ulfa
Ds Bobanehena Risdabandawati
Ds Galala Risdabandawati
Ds Guaemaadu Ulfa
Ds Gufasa Meli
Ds jalan Baru Ulfa
Ds Gamlamo Risdabandawati
Ds Matui Ulfa
Ds Tauro Meli
Ds Bukubualawa Risdabandawati
Ds Ulo Risdabandawati
7 Upaya Pencegahan dan 7.1.Swiping Ibu Hamil k1 untuk pemeriksaan Bumil Desa.Bobanehena Safria Samboyo
pengendalian penyakit Hepatitis Risda Bandawati
Menular Desa.galala Safria Samboyo
Risda Bandawati
Desa.Guaemaadu Safria Samboyo
Risda Bandawati
Desa.Gufasa Risda Bandawati
Safria Samboyo
Penyuluhan Etika Batuk Dan Bearsin Masya Ds Saria Narlianti Siguntu

Ds Bobo Narlianti Siguntu
Ds Bobojiko Isna
Ds Payo Narlianti Siguntu
Ds Bobanehena Narlianti Siguntu
Ds Galala Narlianti Siguntu
Ds Guaemaadu Narlianti Siguntu
Ds Gufasa Narlianti Siguntu
Ds Jalan Baru Narlianti Siguntu
Ds Gamlamo Narlianti Siguntu
Ds Matui Nining Kabir
Ds Tauro Nining Kabir
Ds Ulo Nining Kabir
Pendampingan dan konseling tes HIV sukarela pada ibu hamil danIbu Hamil 27 orang1x Transport Kegiatan ds jalan baru Risda bandawati
penyuluhan Diana Bernadus
Safria samboyo
11 Orang Ds Gamlamo Risda bandawati
Diana Bernadus
Safria samboyo
8 Upaya Kesehatan Jiwa 8.1.Pendampingan keluarga pasien kesehatan Masy Desa.Bobo Betlina Mudja
jiwa Hafilat ade
Desa Bobo Jiko Betlina Mudja
Hafilat ade
Desa,Payo Betlina Mudja
Ratih Abd Gani
Desa.Bobanehena Betlina Mudja
Indira kamarudin
Desa.Galala Betlina Mudja
Zumra Bayan
Desa.Guaemaadu Betlina Mudja
Ekawati Mahmud
Desa,Gufasa Betlina Mudja
Rina Hasim
Desa.jalan baru Betlina Mudja
Riukija hardin
Desa.Bukumaadu Hamriani
9 Upaya Kesehatan 9.1.pembinaan dan pelayanan usila di posyandu Masy Desa.Galala Erna
Usia Lanjut Zumra Bayan
Desa.Guaemaadu Erna
Ekawati mahmud
Desa.Gufasa Erna
Rina hasim
Hamriani
Desa.Bukumaadu Santi Dukolaha
Hamriani
Desa.Ulo Santi Dukolaha
Betlina Mudja
10 Upaya Pencegahan 10.1.Penyelidikan Kasus Rabies Masy Desa.Bukubualawa Santi Dukolaha
dan pengendalian Hamriani
penyakit tular vektor Desa.Ulo Santi Dukolaha
dan zoonatik Betlina Midja
11 Upaya Kesehatan 11.1.Sosialisasi Olahraga Tradisonal Anak SD Inpres 1 Halbar Hatisa Ismail
Lainnya Sekolah Asmani
Asmani
Asmani
Asmani
Asmani
Asmani
Asmani
Asmani
Asmani
SD N 8 halbar Hatisa Ismail
Asmani
SD.Inpres 8 Halbar Hatisa Ismail
Asmani
Asmani
Asmani
Asmani
Asmani
JUMLAH

1 2 3 4 5 6 7 8 9

5.Honor Pengelola Promkes
6.Miniloka Karya
Upaya Esensial
Dukungna Menejmen
TOTAL KESELURUHAN
Mengetahui
Hindun Djumati,Amd,Keb
NIP. 19681007 199003 2 005
AN OF ACTION (POA) PUSKESMAS JAILOLO
Sumber
Jadwal Biaya
Biaya
10 11 12
BOK
3/11/2017 150,000
50,000
28/11/17 100,000
50,000
4/11/2017 100,000
50,000
3/11/2017 100,000
50,000
1/11/2017 100,000
50,000
8/11/2017 100,000
50,000
21/11/17 100,000
50,000
7/11/2017 100,000
50,000
21/11/17 100,000
50,000
17/11/17 200,000
50,000
30/11/17 200,000
50,000
22/11/17 350,000
50,000
18/11/17 350,000
50,000
20/11/17 350,000
50,000
3,100,000
6/11/2017 150,000
50,000
6/11/2017 100,000
50,000
7/11/2017 100,000
50,000
8/11/2017 100,000
50,000
9/11/2017 100,000
50,000
10/11/2017 100,000
50,000
11/11/2017 100,000
50,000
13/11/17 100,000
50,000
27/11/17 100,000
50,000
14/11/17 100,000
50,000
15/11/17 100,000
50,000
Sumber
Jadwal Biaya Biaya
10 11 12
3/11/2017 200,000
50,000
3/11/2017 200,000
50,000
15/11/17 350,000
50,000
10/11/2017 350,000
50,000
13/11/17 350,000
50,000
16/11/17 350,000
50,000
3,800,000
7/11/2017 150,000
50,000
8/11/2017 100,000
50,000
9/11/2017 100,000
50,000
6/11/2017 100,000
50,000
10/11/2017 100,000
50,000
11/11/2017 100,000
50,000
16/11/17 100,000
50,000
14/11/17 100,000
50,000
15/11/17 100,000
50,000
17/11/17 100,000
50,000
18/11/17 100,000
50,000
4/11/2017 200,000
50,000
4/11/2017 200,000
50,000
10/11/2017 350,000
50,000
11/11/2017 350,000
50,000
13/11/17 350,000
50,000
13/11/17 350,000
50,000
3,800,000
1/11/2017 150,000
50,000
3/11/2017 100,000
50,000
4/11/2017 100,000
50,000
6/11/2017 100,000
50,000
1/11/2017 100,000
50,000
24/11/17 100,000
50,000
25/11/17 100,000
50,000
16/11/17 100,000
50,000
23/11/17 100,000
50,000
24/11/17 100,000
50,000
25/11/17 100,000
50,000
28/11/17 200,000
50,000
7/11/2017 200,000
50,000
7/11/2017 350,000
50,000
7/11/2017 350,000
50,000
17/11/17 350,000
50,000
3/11/2017 350,000
50,000
3,800,000
29/11/17 350,000
50,000
400,000
10/11/2017 150,000
50,000
10/11/2017 100,000
50,000
11/11/2017 100,000
50,000
11/11/2017 100,000
50,000
13/11/17 100,000
50,000
13/11/17 100,000
50,000
17/11/17 100,000
50,000
18/11/17 100,000
50,000
20/11/17 100,000
50,000
15/11/17 100,000
50,000
17/11/17 100,000
50,000
20/11/17 200,000
50,000
18/11/17 200,000
50,000
19/11/17 350,000
50,000
21/11/17 350,000
50,000
14/11/17 350,000
50,000
14/11/17 350,000
50,000
3,800,000
1/11/2017 100,000
100,000
200,000
1/11/2017 150,000
50,000
1/11/2017 100,000
50,000
1/11/2017 100,000
50,000
1/11/2017 100,000
100,000
1/11/2017 100,000
100,000
2/11/2017 100,000
50,000
2/11/2017 100,000
100,000
2/11/2017 100,000
50,000
2/11/2017 100,000
50,000
7/11/2017 100,000
100,000
2/11/2017 100,000
50,000
6/11/2017 100,000
50,000
6/11/2017 100,000
50,000
13/11/17 50,000
13/11/17 50,000
13/11/17 50,000
14/11/17 50,000
15/11/17 50,000
15/11/17 50,000
2,500,000
9/11/2017 150,000
50,000
13/11/17 100,000
50,000
14/11/17 100,000
50,000
14/11/17 100,000
50,000
15/11/17 100,000
50,000
14/11/17 100,000
50,000
19/11/17 100,000
50,000
21/11/17 100,000
50,000
22/11/17 100,000
50,000
21/11/17 100,000
50,000
21/11/17 100,000
50,000
8/11/2017 50,000
350,000
8/11/2017 350,000
50,000
9/11/2017 350,000
50,000
9/11/2017 50,000
2,950,000
6/11/2017 150,000
7/11/2017 100,000
8/11/2017 100,000
10/11/2017 100,000
11/11/2017 100,000
13/11/17 100,000
14/11/17 350,000
1,000,000
6/11/2017 150,000
9/11/2017 100,000
11/11/2017 100,000
13/11/17 100,000
10/11/2017 100,000
14/11/17 100,000
10/11/2017 100,000
750,000
4/11/2017 150,000
150,000
50,000
2/11/2017 100,000
100,000
50,000
3/11/2017 100,000
100,000
50,000
9/11/2017 100,000
100,000
50,000
4/11/2017 100,000
100,000
50,000
23/11/17 350,000
350,000
50,000
6/11/2017 350,000
350,000
50,000
2,850,000
Sumber
Jadwal Biaya
Biaya
10 11 12
20/11/17 100,000
100,000
100,000
22/11/17 100,000
100,000
500,000
17/11/17 100,000
100,000
18/11/17 100,000
100,000
20/11/17 350,000
50,000
800,000
17/11/17 150,000
150,000
50,000
20/11/17 100,000
100,000
100,000
21/11/17 100,000
100,000
50,000
18/11/17 100,000
100,000
50,000
22/11/17 100,000
100,000
50,000
16/11/17 100,000
100,000
50,000
17/11/17 350,000
50,000
350,000
50,000
2,450,000
2/11/2017 100,000
100,000
100,000
300,000
27/11/17 200,000
200,000
200,000
50,000
650,000
9/11/2017 100,000
100,000
200,000
7/11/2017 100,000
14/11/17 100,000
200,000
2/11/2017 50,000
4/11/2017 50,000
4/11/2017 50,000
4/11/2017 50,000
14/11/17 50,000
22/11/17 100,000
50,000
23/11/17 100,000
50,000
4/11/2017 50,000
4/11/2017 50,000
650,000
6/11/2017 150,000
7/11/2017 100,000
7/11/2017 100,000
8/11/2017 100,000
9/11/2017 100,000
11/11/2017 100,000
13/11/17 100,000
13/11/17 100,000
13/11/17 100,000
14/11/17 100,000
15/11/17 100,000
3/11/2017 200,000
10/11/2017 50,000
10/11/2017 350,000
16/11/17 350,000
16/11/17 50,000
17/11/17 350,000
2,500,000
8/11/2017 100,000
100,000
18/11/17 100,000
100,000
21/11/17 100,000
100,000
20/11/17 100,000
100,000
800,000
6/11/2017 150,000
7/11/2017 100,000
10/11/2017 100,000
8/11/2017 100,000
9/11/2017 100,000
10/11/2017 100,000
11/11/2017 100,000
13/11/17 100,000
14/11/17 100,000
15/11/17 100,000
16/11/17 100,000
6/11/2017 200,000
15/11/17 50,000
16/11/17 350,000
14/11/17 350,000
11/11/2017 350,000
9/11/2017 350,000
2,800,000
2/11/2017 100,000
100,000
100,000
4/11/2017 100,000
100,000
100,000
600,000
11/11/2017 100,000
50,000
13/11/17 100,000
50,000
14/11/17 100,000
50,000
15/11/17 100,000
50,000
21/11/17 100,000
50,000
22/11/17 100,000
50,000
30/11/17 100,000
50,000
8/11/2017 100,000
50,000
3/11/2017 50,000
6/11/2017 50,000
1,300,000
29/11/17 100,000
50,000
11/11/2017 100,000
50,000
13/11/17 100,000
50,000
20/11/17 350,000
50,000
23/11/17 250,000
50,000
10/11/2017 350,000
50,000
1,550,000
27/11/17 350,000
50,000
17/11/17 350,000
50,000
800,000
6/11/2017 100,000
100,000
7/11/2017 100,000
100,000
8/11/2017 100,000
100,000
9/11/2017 100,000
100,000
10/11/2017 100,000
100,000
13/11/17 100,000
100,000
14/11/17 100,000
100,000
15/11/17 350,000
350,000
16/11/17 100,000
100,000
17/11/17 350,000
350,000
20/11/17 100,000
100,000
21/11/17 200,000
200,000
22/11/17 200,000
200,000
23/11/17 150,000
150,000
27/11/17 350,000
350,000
5,000,000
50,050,000
Sumber
Jadwal Biaya
Biaya
10 11 12
BOK
1,900,000
4,000,000
300,000
1500000
1,000,000
2,500,000
11,200,000
50,050,000
11,200,000
61,250,000
Jailolo, 01 November 2017

Pengelola BOK
Aisyah Miksin,Amd,Keb
NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : Desember 2017

1 2 3 4 5 6 7 8 9 10
1 Upaya Kesehatan Pendataan Jumlah Penduduk 16 desa 1X Transpor Petugas Ds Saria Anila
Alwia
Erna
Ds Bobo Aisyah Muksin
Ikma Taher
Hafilat Ade
Ds Bobojiko Irma
Rusna Z Wahid
Hafilat Ade
Ds Payo Mardiah Syaban
Mardia Teng
Ratih Abd Gani
Ds Pateng Dewi Usman
Fahima Samsudin
Ratih Abd Gani
Ds Bobanehena Zumra
Mardiah Syaban
Nofi Kurniawati
Indira Kamaruddin
Ds Galala Hatisa Ismail
Mona Sarita
Nofiani Djabir
Zumra bayan
Ds Guaemadu Fahria
Siti Rifatul
Isna
Ekawati Mahmud
Ds Gufasa Santi Dukolaha
Wahyuningsih
Rina Hasim
Ds jalan Baru Hafilat Ade
Mely
Nining Kabir
Rukija Hardin
Ds Gamlamo dewi Usman
Aisyah Muksin
Mona Sarita
Meli
Ds Matui Rusna z wahid
Hatisa Ismail
Tuty Asmarani
Ds Guaeria Indira Kamaruddin
Zumra Bayan
Nining Kabir
No. Upaya Kesehatan Kegiatan Sasaran Target Kegiatan Pelaksanaan Pelaksanaan Pelaksana Jadwal
1 2 3 4 5 6 7 8 9 10
Ds Tauro Tuty Asmarany
Anila
Ratih Abd Gani
Ermawati
DS Bukubualawa Tuty Loang
Fahria
Hamriani
Ds Bukumaadu Yosepina
Wahyuningsih
Hamriani
DS Ulo Irma
Hafilat Ade
Betlina Mudja
Upaya Kesehatan Ibu 2.1.Kelas Ibu hamil Bayi Transport Petugas Ds.Saria Nofiany Djabir
Balita Erna
Transport Petugas Ds. Bobo Zumra
Hafilat
Transport Petugas Ds. Payo Nofiany Djabir
Ratih Abd Gani
Transport Petugas Ds. Bobanehena Zumra Bayan
Indira Kamaruddin
Transport Petugas Ds.Galala Nofiany Djabir
Zumra bayan
Transport Petugas Ds. Guaemaadu Zumra Bayan
Ekawati Mahmud
Transport Petugas Ds. Gufasa Zumra Bayan
Rina Hasim
Transport Petugas Ds. Jalan Baru Nofiany Djabir
Rukija Hardin
Transport Petugas Ds. Gamlamo Nofiany Djabir
Meli
Transport Petugas Ds.Matui Nofiany Djabir
Tuty Asmarani
Transport Petugas Ds.Guaeria Zumra Bayan
Nining Kabir
Transport Petugas Ds. Tauro Zumra Bayan
Ermawati
Transport Petugas Ds. Bukubualawa Nofiany Djabir
Hamriani
Pemeriksan ANC Ibu Hamil Ds.Saria Noviani Djabir
Erna
Ds. Bobo Zumra Bayan
Hafilat Ade
Ds.Bobo Jiko Zumra Bayan
Hafilat Ade
Ds. Payo nofiany Djabir
Ratih abd Gani
Ds Pateng nofiany Djabir
Ratig Abd Gani
Ds. Bobanehena Zumra Bayan
Indira Kamarudin
1 2 3 4 5 6 7 8 9 10
Ds.Galala Nofiany Djabir
Zumra Bayan
Ds. Guaemaadu Zumra Bayan
Ekawati Mahmud
Ds. Gufasa Zumra Bayan
Rina Hasim
Ds. Jalan Baru Nofiany Djabir
Rukija Hardin
Ds. Gamlamo Nofiany Djabir
Meli
Ds.Matui Nofiany Djabir
tuty asmarany
Ds.Guaeria Zumra Bayan
Nining Kabir
Ds. Tauro Zumra Bayan
Ermawati
Ds. Bukubualawa Tuty Loang
Hamriani
Ds Bukumaadu Tuty Loang
Hmriani
Ds Ulo Nofiany Djabir
Betlina mUdja
Upaya Kesehatan Neonatus Pemantauan Pertumbuhan dan perkembanagan Transport Petugas Ds.Saria ikma
Bayi dan balita(SDIDTK) Erna
Ds. Bobo irma
Hafilat Ade
Ds.Bobo Jiko Irma
Hafilat Ade
Ds. Payo Anila
Ratih Abd Gani
Ds Pateng Anila
Ratih Abd Gani
Ds. Bobanehena rina Hasim
Indira Kamaruddin
Ds.Galala Aisyah Muksin
Zumra Bayan
Ds. Guaemaadu Dewi Usman
Ekawati Mahmud
Ds. Gufasa Narlianti Siguntu
Rina Hasim
Ds. Jalan Baru Dewi Usman
Rukija Hardin
Ds. Gamlamo Rina Hasim
Meli
Ds.Matui Rina Hasim
Tuty Asmarani
Ds.Guaeria Ermawati
Nining Kabir
Ds. Tauro Mardia Teng
Ermawati
Hamriani
Hamriani
Ds Ulo Narlianti Siguntu
Betlina Mudja
Pelaksanaan Kelas Ibu balita Transport Petugas Ds.Saria Ikma

Rina Hasim
Ds. Bobo Aisyah Muksin
Hafilat Ade
Ds.Bobo Jiko Irma
Hafilat Ade
Ds. Payo Dewi Usman
Ratih Abd Gani
Ds Pateng Anila
Ratih Abd Gani
Ds. Bobanehena Rusana Z Wahid
Indira Kamaruddin
Ds.Galala Aisyah Muksin
Zumra Bayan
Ds. Guaemaadu Rusna Z Wahid
Ekawati
Ds. Gufasa Narlianti Siguntu
Rina Hasim
Ds. Jalan Baru Dewi Usman
Rukija
Ds. Gamlamo Rina hasim
Meli
Ds.Matui Rina Hasim
Tuty Asmarani
Ds.Guaeria Ermawati
Nining Kabir
Ds. Tauro Mardia Teng
Ermawati
Hamriani
Hamriani
Ds Ulo Narlianti Siguntu
Betlina Mudja
Sweping Imunisasi Dasar Transport Petugas Ds Saria Anila

Erna
Ds Bobo Irma Kasim
Hafilat Ade
Ds Bobojiko Irma Kasim
hafilat Ade
Ds Payo Ikma
Ratih Abd Gani
Ds pateng Ikma
Ratih Abd Gani
Ds Bobanehena Zumra Bayan
Indira Kamarudin
Ds Galala Zumra Bayan
Indira Kamarudin
Ds Guaemaadu Ikma
Ekawati
Ds Gufasa Ikma
Rina Hasim
Ds jalan Baru Meli
Rukija Hardin
Ds Gamlamo Ikma
Meli
Ds Tauro Tuty Asmarani
Ermawati
Ds Bukubualawa Tuty Loang
Hamriani
Hamriani
Ds Ulo Betlina Mudja
2.2.Pengambilan Vaksin 1X Gudang Obat Fahima Samsudin 12/1/2016

Rasid Yunus
Pendataan PUS Transpoert Petugas DS Jalan Baru Rukija Hardin

Upaya Kesehatan Usia Ds Gamlamo Meli
Reproduksi Ds matui Tuty Asmarani
Ds Guaeria Nining Kabir
Ds Tauro Ermawati
Ds Bukubualawa Hamriani
Ds Ulo Betlina Mudja
Penyuluhan Alkon Trnspor Petugas DS Sari a Narlianti Siguntu

DS Bobo Narlianti Siguntu
Ds Bobojiko Narlianti Siguntu
Ds Payo narlianti Siguntu
Ds Bobanehen a Narlianti Siguntu
Ds galala Rusna Z Wahid
Ds Guaemaadu Rusna Z Wahid
Ds Gufasa Rusna Z Wahid
Ds Jalan Baru Rusna Z Wahid
Ds Gamlamo Rusna Z Wahid
Ds Matui ermawati
Ds Guaeria Ermawati
Ds Tauro Ermawati
FDs Bukubualawa Ermawati
Ds Bukumaadu ermawati
Ds ulo Ermawati
Pemeriksaan IVA Transpor Petugas ds Matui Ermawati

Tuty Asmarani
Ds guaeria Ermawati
Nining Kabir
Ds Tauro Tuty Asmarani
Ermawati
Ds Bukubualawa Ermawati
Hamriani
Ds Bukumaadu Ermawati
Tuty Loang
Ds Ulo Ermawati
Betlina Mudja
Rasid Yunus
3 Upaya Pencegahan dan Sweping Hepatitis Ibu Hamil K1 Ibu Hamil Ds jalan Baru Safria Samboyo
pengendalian penyakit Risda Bandawati
menular langsung
TB,Hiv/AIDS,Hepatitis,Di Ds gamlamo Safria Samboyo
are Risda Bandawati
Kusta Ds Matui Risda Bandawati
Tuty Asmarani
Ds Guaeria Risda Bandawati
Nining Kabir
Kunjungan Rumah Penderita ISPA Dan Pneomonia Masyarakat Ds saria Isna

Narlianti Siguntu
Ds Bobo Isna
Narlianti Siguntu
Ds Payo Isna
Narlianti Siguntu
Ds Galala Isna
Narlianti Siguntu
Ds Gufasa Isna
Narlianti Siguntu
Upaya Promosi KesehatanPenyuluhan TTng Mengenal Antibiotik Masyarakat Ds Gufasa Alwia

Ds Jalan Baru Alwia
Ds Gamlamo Alwia
Ds matui Alwia
Ds.Guaeria Alwia
Ds Bukubualawa Alwia
Ds Ulo
Upaya Pencegahan Dan Distribusi Kelambu Ibu Hamil K1 Ds Bobojiko Risda Bandawati
pengendalian Penyakit Bayi 9 Bulan Hafilat Ade
Tular Vektor Dan Zoonotik Ds Payo Risda Bandawati
Ratih abd Gani
Ds Guaemaadu Risda Bandawati
Ekawati
Ds Gufasa Risda Bandawati
Rina Hasim
Ds Matui Tuty Asmarani
Ds Tauro Ermawati
Ds Bukumaadu hamriani
Upaya Pencegahan dan Pengukuran dan pemeriksaan faktor resiko PTM Masya Transpor Petugas Ds Saria Isna
Pengendsalian penyakit di posbindu desa Hamriani
Tidak Menular Erna
Ds Bobo Isna
Nining Kabir
hafilat Ade
Ds Bobojiko Isna
Hamriani
hafilat Ade
Ds Jalan Baru Isna
Hamriani
Rukija Hardin
Ds Gamlamo Isna
Nining Kabir
Meli
Ds pateng Isna
Narlianti Siguntu
Ratih Abd Gani
Ds Bukubualawa hamriani
Tuty Loang
Tuty Loang
Pemeriksaan Faktor Resiko PTM di posbindu khusus Kesehatan Pelabuhan Isna

Jailolo Hatisa Ismail
Hamriani
Pemeriksaan faktor resiko PTM Di Posbindu Di Desa Desa Guaeria Dewi Usman
Isna
Hamriani
Nining Kabir
Upaya Kesehatan Jiwa pendampingan Keluarga Pasien kesehatan jiwa Transport Petugas Ds gamlamo Betlina Mudja
Meli
Ds Jalan Baru Betlina Mudja
Rukija
Ds Guaemaadu Betlina Mudja
Ekawati Mahmud
Ds Bobanehena Betlina Mudja
Indira Kamruddin
Desa Bobojiko Betlina Mudja
Hafilat Ade
Desa Payo Betlina Mudja
Ratih abd Gani
Ds Galala Betlina Mudja
Zumra Bayan
Ds Gufasa Betlina Mudja
Rina Hasim
ds Ulo Betlina Mudja
JUMLAH

Manajemen Puskesmas Kegiatan Sasaran Target Jadwal
1 2 3 4 5 6 7 8 9 10

5.Lokakarya Mini Lintas Sektor Puskesmas 100% Konsumsi Lintas Sektor 12/29/2016
Staf Puskesmas
6. Honor Pengelola Tenaga Promkes
Upaya Esensial
Dukungna Menejmen 2
TOTAL KESELURUHAN 6
Mengetahui Jailolo, 01 Desember 20

Hindun Djumati,Amd.Keb Aisyah Muksain ,Amd.Ke

NIP. 19760921 200012 2 001 NIP. 19841007 201001 2
Sumber
Biaya
Biaya
11 12
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
200000
200000
50000
200000
200000
50000
Sumber
Biaya Biaya
11 12
350,000
350,000
350,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
7,600,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
2,700,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
Sumber
Biaya
Biaya
11 12
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
150,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,900,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
50,000
2,950,000
100,000
100,000
200,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
400,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
50,000
350,000
350,000
350,000
2,650,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
2,100,000
100,000
100,000
100,000
100,000
100,000
200,000
50,000
200,000
50,000
900,000
150,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
50,000
350,000
350,000
1,850,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
700,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
50,000
50,000
800,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
50,000
350,000
50,000
350,000
2,400,000
100,000
100,000
100,000
300,000
200,000
200,000
200,000
50,000
650,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
1,300,000
39,000,000
Sumber
Biaya
Biaya
11 12
BOK
1,900,000
3,977,906
300,000
1800000
13,000,000
1,000,000
21,977,906
39,000,000
21,977,906
60,977,906
Jailolo, 01 Desember 2017

Pengelola BOK
Aisyah Muksain ,Amd.Keb

NIP. 19841007 201001 2 015
Puskesmas : Jailolo
Tahun/Bulan : Desember 2017

1 2 3 4 5 6 7 8 9 10
1 Upaya Kesehatan Pendataan Jumlah Penduduk 16 desa 1X Transpor Petugas Ds Saria Anila 20/12/17
Alwia
Erna
Ds Bobo Aisyah Muksin 20/12/17
Ikma Taher
Hafilat Ade
Ds Bobojiko Irma 21/12/17
Rusna Z Wahid
Hafilat Ade
Ds Payo Mardiah Syaban 20/12/17
Mardia Teng
Ratih Abd Gani
Ds Pateng Dewi Usman 21/12/17
Fahima Samsudin
Ratih Abd Gani
Ds Bobanehena Zumra 21/12/17
Mardiah Syaban
Nofi Kurniawati
Indira Kamaruddin
Ds Galala Hatisa Ismail 20/12/17
Mona Sarita
Nofiani Djabir
Zumra bayan
Ds Guaemadu Fahria 20/12/17
Siti Rifatul
Isna
Ekawati Mahmud
Ds Gufasa Santi Dukolaha 20/12/17
Wahyuningsih
Rina Hasim
Ds jalan Baru Hafilat Ade 22/12/17
Mely
Nining Kabir
Rukija Hardin
Ds Gamlamo dewi Usman 23/12/17
Aisyah Muksin
Mona Sarita
Meli
Ds Matui Rusna z wahid 23/12/17
Hatisa Ismail
Tuty Asmarani
Ds Guaeria Indira Kamaruddin 23/12/17
Zumra Bayan
Nining Kabir
Ds Tauro Tuty Asmarany 18/12/17
Anila
Ratih Abd Gani
Ermawati
DS Bukubualawa Tuty Loang 19/12/17
Fahria
Hamriani
Ds Bukumaadu Yosepina 21/12/17
Wahyuningsih
Hamriani
DS Ulo Irma 16/12/17
Hafilat Ade
Betlina Mudja
Upaya Kesehatan Ibu 2.1.Kelas Ibu hamil Bayi Transport Petugas Ds.Saria Nofiany Djabir 5/12/2017
Balita Erna
Transport Petugas Ds. Bobo Zumra 6/12/2017
Hafilat
Transport Petugas Ds. Payo Nofiany Djabir 8/12/2017
Ratih Abd Gani
Transport Petugas Ds. Bobanehena Zumra Bayan 11/12/2017
Indira Kamaruddin
Transport Petugas Ds.Galala Nofiany Djabir 12/12/2017
Zumra bayan
Transport Petugas Ds. Guaemaadu Zumra Bayan 13/12/17
Ekawati Mahmud
Transport Petugas Ds. Gufasa Zumra Bayan 14/12/17
Rina Hasim
Transport Petugas Ds. Jalan Baru Nofiany Djabir 14/12/17
Rukija Hardin
Transport Petugas Ds. Gamlamo Nofiany Djabir 15/12/17
Meli
Transport Petugas Ds.Matui Nofiany Djabir 7/12/2017
Tuty Asmarani
Transport Petugas Ds.Guaeria Zumra Bayan 28/12/17
Nining Kabir
Transport Petugas Ds. Tauro Zumra Bayan 15/12/17
Ermawati
Transport Petugas Ds. Bukubualawa Nofiany Djabir 13/12/17
Hamriani
Pemeriksan ANC Ibu Hamil Ds.Saria Noviani Djabir 4/12/2017

Erna
Ds. Bobo Zumra Bayan 7/12/2017
Hafilat Ade
Ds.Bobo Jiko Zumra Bayan 2/12/2017
Hafilat Ade
Ds. Payo nofiany Djabir 6/12/2017

Ratih abd Gani
Ds Pateng nofiany Djabir 9/12/2017
Ratig Abd Gani
Ds. Bobanehena Zumra Bayan 9/12/2017
Indira Kamarudin
Ds.Galala Nofiany Djabir 16/12/17
Zumra Bayan
Ds. Guaemaadu Zumra Bayan 18/12/17
Ekawati Mahmud
Ds. Gufasa Zumra Bayan 19/12/17
Rina Hasim
Ds. Jalan Baru Nofiany Djabir 15/12/17
Rukija Hardin
Ds. Gamlamo Nofiany Djabir 18/12/17
Meli
Ds.Matui Nofiany Djabir 2/12/2017
tuty asmarany
Ds.Guaeria Zumra Bayan 8/12/2017
Nining Kabir
Ds. Tauro Zumra Bayan 19/12/17
Ermawati
Ds. Bukubualawa Tuty Loang 11/12/2017
Hamriani
Ds Bukumaadu Tuty Loang 12/12/2017
Hmriani
Ds Ulo Nofiany Djabir 20/12/17
Betlina mUdja
Upaya Kesehatan Neonatus Pemantauan Pertumbuhan dan perkembanagan Transport Petugas Ds.Saria ikma 6/12/2017
Bayi dan balita(SDIDTK) Erna
Ds. Bobo irma 5/12/2017
Hafilat Ade
Ds.Bobo Jiko Irma 8/12/2017
Hafilat Ade
Ds. Payo Anila 5/12/2017
Ratih Abd Gani
Ds Pateng Anila 7/12/2017
Ratih Abd Gani
Ds. Bobanehena rina Hasim 12/12/2017
Indira Kamaruddin
Ds.Galala Aisyah Muksin 4/12/2017
Zumra Bayan
Ds. Guaemaadu Dewi Usman 12/12/2017
Ekawati Mahmud
Ds. Gufasa Narlianti Siguntu 7/12/2017
Rina Hasim
Ds. Jalan Baru Dewi Usman 5/12/2017

Rukija Hardin
Ds. Gamlamo Rina Hasim 9/12/2017
Meli
Ds.Matui Rina Hasim 4/12/2017
Tuty Asmarani
Ds.Guaeria Ermawati 12/12/2017
Nining Kabir
Ds. Tauro Mardia Teng 23/12/17
Ermawati
Hamriani
Hamriani
Ds Ulo Narlianti Siguntu 2/12/2017
Betlina Mudja
Pelaksanaan Kelas Ibu balita Transport Petugas Ds.Saria Ikma 5/12/2017

Rina Hasim
Ds. Bobo Aisyah Muksin 11/12/2017
Hafilat Ade
Ds.Bobo Jiko Irma 12/12/2017
Hafilat Ade
Ds. Payo Dewi Usman 4/12/2017
Ratih Abd Gani
Ds Pateng Anila 9/12/2017
Ratih Abd Gani
Ds. Bobanehena Rusana Z Wahid 8/12/2017
Indira Kamaruddin
Ds.Galala Aisyah Muksin 26/12/17
Zumra Bayan
Ds. Guaemaadu Rusna Z Wahid 11/12/2017
Ekawati
Ds. Gufasa Narlianti Siguntu 8/12/2017
Rina Hasim
Ds. Jalan Baru Dewi Usman 8/12/2017
Rukija
Ds. Gamlamo Rina hasim 21/12/17
Meli
Ds.Matui Rina Hasim 11/12/2017
Tuty Asmarani
Ds.Guaeria Ermawati 11/12/2017
Nining Kabir
Ds. Tauro Mardia Teng 13/12/17
Ermawati
Hamriani
Hamriani
Ds Ulo Narlianti Siguntu 11/12/2017
Betlina Mudja
Sweping Imunisasi Dasar Transport Petugas Ds Saria Anila 11/12/2017

Erna
Ds Bobo Irma Kasim 13/12/17
Hafilat Ade
Ds Bobojiko Irma Kasim 14/12/17
hafilat Ade
Ds Payo Ikma 11/12/2017
Ratih Abd Gani
Ds pateng Ikma 12/12/2017
Ratih Abd Gani
Ds Bobanehena Zumra Bayan 27/12/17
Indira Kamarudin
Ds Galala Zumra Bayan 28/12/17
Indira Kamarudin
Ds Guaemaadu Ikma 13/12/17
Ekawati
Ds Gufasa Ikma 14/12/17
Rina Hasim
Ds jalan Baru Meli 11/12/2017
Rukija Hardin
Ds Gamlamo Ikma 15/12/17
Meli
Ds Tauro Tuty Asmarani 14/12/17
Ermawati
Ds Bukubualawa Tuty Loang 16/12/17
Hamriani
Hamriani
Ds Ulo Betlina Mudja 12/12/2017
2.2.Pengambilan Vaksin 1X Gudang Obat Fahima Samsudin 1/12/2017

Rasid Yunus
Pendataan PUS Transpoert Petugas DS Jalan Baru Rukija Hardin 4/12/2017

Upaya Kesehatan Usia Ds Gamlamo Meli 5/12/2017
Reproduksi Ds matui Tuty Asmarani 8/12/2017
Ds Ulo Betlina Mudja 8/12/2017
Penyuluhan Alkon Trnspor Petugas DS Sari a Narlianti Siguntu 5/12/2017

DS Bobo Narlianti Siguntu 6/12/2017
Ds Bobojiko Narlianti Siguntu 13/12/17
Ds Payo narlianti Siguntu 9/12/2017
Ds Pateng Narlianti Siguntu 12/12/2017
Ds Bobanehen a Narlianti Siguntu 15/12/17
Ds galala Rusna Z Wahid 9/12/2017
Ds Guaemaadu Rusna Z Wahid 12/12/2017
Ds Gufasa Rusna Z Wahid 13/12/17
Ds Jalan Baru Rusna Z Wahid 14/12/17
Ds Gamlamo Rusna Z Wahid 15/12/17
Ds Matui ermawati 4/12/2017
Ds Guaeria Ermawati 5/12/2017
FDs Bukubualawa Ermawati 7/12/2017
Ds Bukumaadu ermawati 8/12/2017
Ds ulo Ermawati 27/12/17
Pemeriksaan IVA Transpor Petugas ds Matui Ermawati 2/12/2017

Tuty Asmarani
Ds guaeria Ermawati 21/12/17
Nining Kabir
Ds Tauro Tuty Asmarani 28/12/17
Ermawati
Ds Bukubualawa Ermawati 29/12/17
Hamriani
Ds Bukumaadu Ermawati 30/12/17
Tuty Loang
Ds Ulo Ermawati 22/12/17
Betlina Mudja
Rasid Yunus
3 Upaya Pencegahan dan Sweping Hepatitis Ibu Hamil K1 Ibu Hamil Ds jalan Baru Safria Samboyo 14/12/17
pengendalian penyakit Risda Bandawati
menular langsung
TB,Hiv/AIDS,Hepatitis,Di Ds gamlamo Safria Samboyo 16/12/17
are Risda Bandawati
Kusta Ds Matui Risda Bandawati 5/12/2017
Tuty Asmarani
Ds Guaeria Risda Bandawati 13/12/17
Nining Kabir
Kunjungan Rumah Penderita ISPA Dan Pneomonia Masyarakat Ds saria Isna 4/12/2017
Narlianti Siguntu
Narlianti Siguntu
Ds Payo Isna 18/12/17
Narlianti Siguntu
Ds Galala Isna 19/12/17
Narlianti Siguntu
Ds Gufasa Isna 21/12/17
Narlianti Siguntu
Ds Bukubualawa Nining Kabir 7/12/2017
Ds Bukumaadu Nining Kabir 9/12/2017
Upaya Promosi KesehatanPenyuluhan TTng Mengenal Antibiotik Masyarakat Ds Gufasa Alwia 13/12/17
Ds Jalan Baru Alwia 14/12/17
Ds Gamlamo Alwia 15/12/17
Ds matui Alwia 4/12/2017
Ds.Guaeria Alwia 10/12/2017
Ds Bukubualawa Alwia 18/12/17
Ds Ulo 12/12/2017
Upaya Pencegahan Dan Distribusi Kelambu Ibu Hamil K1 Ds Bobojiko Risda Bandawati 4/12/2017
pengendalian Penyakit Bayi 9 Bulan Hafilat Ade
Tular Vektor Dan Zoonotik Ds Payo Risda Bandawati 19/12/17
Ratih abd Gani
Ds Guaemaadu Risda Bandawati 20/12/17
Ekawati
Ds Gufasa Risda Bandawati 15/12/17
Rina Hasim
Ds Matui Tuty Asmarani 9/12/2017
Ds Bukumaadu hamriani 20/12/17
Upaya Pencegahan dan Pengukuran dan pemeriksaan faktor resiko PTM Masya Transpor Petugas Ds Saria Isna 22/12/17
Pengendsalian penyakit di posbindu desa Hamriani
Tidak Menular Erna
Nining Kabir
hafilat Ade
Hamriani
hafilat Ade
Ds Jalan Baru Isna 23/12/17
Hamriani
Rukija Hardin
Ds Gamlamo Isna 29/12/17
Nining Kabir
Meli
Ds pateng Isna 30/12/17
Narlianti Siguntu
Ratih Abd Gani
Ds Bukubualawa hamriani 28/12/17
Tuty Loang
Tuty Loang
Pemeriksaan Faktor Resiko PTM di posbindu khusus Kesehatan Pelabuhan Isna 8/12/2017
Jailolo Hatisa Ismail
Hamriani
Pemeriksaan faktor resiko PTM Di Posbindu Di Desa Desa Guaeria Dewi Usman 6/12/2017
Isna
Hamriani
Nining Kabir
Upaya Kesehatan Jiwa pendampingan Keluarga Pasien kesehatan jiwa Transport Petugas Ds gamlamo Betlina Mudja 6/12/2017
Meli
Ds Jalan Baru Betlina Mudja 7/12/2017
Rukija
Ds Guaemaadu Betlina Mudja 9/12/2017
Ekawati Mahmud
Ds Bobanehena Betlina Mudja 13/12/17
Indira Kamruddin
Desa Bobojiko Betlina Mudja 28/12/17
Hafilat Ade
Desa Payo Betlina Mudja 23/12/17
Ratih abd Gani
Ds Galala Betlina Mudja 9/12/2017
Zumra Bayan
Ds Gufasa Betlina Mudja 29/12/17
Rina Hasim
ds Ulo Betlina Mudja 18/12/17
JUMLAH

Manajemen Puskesmas Kegiatan Sasaran Target Jadwal
1 2 3 4 5 6 7 8 9 10

5.Lokakarya Mini Lintas Sektor Puskesmas 100% Konsumsi Lintas Sektor 12/29/2016
Staf Puskesmas
6. Honor Pengelola Tenaga Promkes
Mengetahui Jailolo, 01 Desember 2017

Hindun Djumati,Amd.Keb Aisyah Muksain ,Amd.Keb

NIP. 19760921 200012 2 001 NIP. 19841007 201001 2 015
Sumber
Biaya
Biaya
11 12
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
100,000
100,000
100,000
50,000
200000
200000
50000
200000
200000
50000
350,000
350,000
350,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
350,000
350,000
50,000
7,600,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
2,700,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,800,000
150,000
150,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
3,900,000
150,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
50,000
2,950,000
100,000
100,000
200,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
400,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
50,000
350,000
350,000
350,000
2,650,000
200,000
50,000
200,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
350,000
50,000
2,100,000
100,000
100,000
100,000
100,000
100,000
200,000
50,000
200,000
50,000
900,000
150,000
150,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
50,000
350,000
350,000
1,850,000
100,000
100,000
100,000
100,000
100,000
100,000
100,000
700,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
50,000
50,000
800,000
150,000
150,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
100,000
100,000
50,000
50,000
350,000
50,000
350,000
2,400,000
100,000
100,000
100,000
300,000
200,000
200,000
200,000
50,000
650,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
100,000
50,000
50,000
50,000
1,300,000
39,000,000
Sumber
Biaya
Biaya
11 12
BOK
1,900,000
3,977,906
300,000
1800000
13,000,000
1,000,000
21,977,906
39,000,000
21,977,906
60,977,906
Jailolo, 01 Desember 2017

Pengelola BOK
Aisyah Muksain ,Amd.Keb

NIP. 19841007 201001 2 015

POA BOK Tahun 2019

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PLAN OF ACTION (POA) PUSKESMAS JAILOLO

Volume Rincian Lokasi Tenaga

1.2 Sosilasasi Tentang IVA, atau Kanker

Guaeria Indira Kamarudin 11/5/2019

Trnsport Petugas Ds bukubualawa Indira Kamaruddin 1/4/2019

Trnsport Petugas Ds Bukumaadu Indira Kamaruddin 1/5/2019

Trnsport Petugas Ds Ulo Indira Kamaruddin 1/6/2019

transpor petugas Ds Saria Indira Kamaruddin 1/7/2019

transpor petugas Ds bobo Indira Kamaruddin 1/8/2019

transpor petugas Ds. Bobo jiko Indira Kamaruddin 1/9/2019

transpor petugas Payo Tengah Indira Kamaruddin 1/10/2019

transpor petugas Payo Indira Kamaruddin 1/11/2019

transpor petugas Bobanehena Indira Kamaruddin 1/12/2019

transpor petugas Galala Indira Kamaruddin 1/13/2019

transpor petugas Guaemaadu Indira Kamaruddin 1/14/2019

transpor petugas Gufasa Indira Kamaruddin 1/15/2019

transpor petugas Jalan Baru Indira Kamaruddin 1/16/2019

transpor petugas Gamlamo Indira Kamaruddin 1/17/2019

Kegiatan Penunjang Upaya Volume Rincian Lokasi Tenaga

1 Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas

Mengetahui Jailolo, 01 Januari 2018

Hindun Djumati, Amd. Keb Rosita A. Buamona, S.Gz

Jailolo, 01 Januari 2018

Rosita A. Buamona, S.Gz

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

siswa SD Trnsport Petugas SDN 13 Rina Hasim

siswa SMP Trnsport Petugas SMP Pabos Hafilat Ade

di Desa untuk Trnsport Petugas Ds. Saria Rina Hasim

pemantauan pasien reaktif transpor petugas ds Pateng M.Haerudin 2/15/2017 100,000

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

penyuluhan DM masyarakat 1x 1x transport petugas ds payo isna 2/8/2017 100,000

Kegiatan Penunjang Upaya Volume Rincian Lokasi Tenaga

1 Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas 1,900,000

Dukungna Menejmen 7,700,000

TOTAL KESELURUHAN 37,800,000

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

ds bobojiko Dewi Usman 3/14/2017

ds payo siti Rivatul 3/14/2017

ds pateng Dewi Usman 3/13/2017

ds bobanehena siti Rivatul 3/20/2017

ds galala Dewi Usman 3/20/2017

ds guaemaadu Dewi Usman 3/22/2017

ds gufasa siti Rivatul 3/21/2017

ds jalan baru siti Rivatul 3/23/2017

ds gamlamo Dewi Usman 3/23/2017

Volume Rincian Lokasi Tenaga

Volume Rincian Lokasi Tenaga

Surveilans Pelaksanaan penyelidikan/pemantauan Kasus ds Bobanehena santidokulaha 3/8/2017

Kegiatan Penunjang Upaya Volume Rincian Lokasi Tenaga

1 Menajemen Puskesmas 1.Honor pengelola BOK Puskesmas

Upaya Esensial 28,850

Dukungna Menejmen 11,700,

TOTAL KESELURUHAN 40,550,

Mengetahui Jailolo, 01 Maret 2017

Sitti Nurlailah,SKM Aisyah Muksin,Amd.Keb

Jailolo, 01 Maret 2017