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LAPORAN BULANAN HASIL IMUNISASI RUTIN BAYI PUSKESMAS

Puskesmas: Harapan Makmur


Kabupaten/Kota: Sanggau
Provinsi: Kalimantan Barat Bulan: MARET 2016

HB0 (0<7 HARI) BCG POLIO1


DESA / BAYI BARU LAHIR SURVIVING INFANT
NO BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET
KELURAHAN
L P JUMLAH L P JUMLAH #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

1 Kuala Buayan 75 71 146 73 68 141 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 5 6.7 6 8.5 11 7.6 5 6.7 6 8.5 11 7.6 6 8.0 9 12.7 15 10.3 6 8.0 9 12.7 15 10.3

2 Pampang Dua 17 16 34 17 16 32 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

3 Kuala Rosan 39 36 75 37 35 72 1 2.6 0 0.0 1 1.3 1 2.6 0 0.0 1 1.3 1 2.6 2 5.5 3 4.0 1 2.6 2 5.5 3 4.0 1 2.6 3 8.3 4 5.4 1 2.6 3 8.3 4 5.4

4 Sungai Kembayau 22 21 43 21 20 41 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 3 13.7 1 4.8 4 9.4 3 13.7 1 4.8 4 9.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

5 Kunyil 38 36 75 37 35 72 1 2.6 0 0.0 1 1.3 1 2.6 0 0.0 1 1.3 3 7.8 3 8.3 6 8.0 3 7.8 3 8.3 6 8.0 4 10.4 5 13.8 9 12.1 4 10.4 5 13.8 9 12.1

6 Harapan Makmur 17 16 33 17 16 32 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5.8 0 0.0 1 3.0 1 5.8 0 0.0 1 3.0 1 5.8 0 0.0 1 3.0 1 5.8 0 0.0 1 3.0

7 Mukti Jaya 10 9 20 10 9 19 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

8 Bhakti Jaya 12 11 23 12 11 22 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 8.4 0 0.0 1 4.3 1 8.4 0 0.0 1 4.3 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

9 Lalang 19 17 36 18 17 35 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5.4 2 11.5 3 8.4 1 5.4 2 11.5 3 8.4 1 5.4 2 11.5 3 8.4 1 5.4 2 11.5 3 8.4

10 Melawi Makmur 20 19 39 19 18 38 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5.0 1 5.3 2 5.1 1 5.0 1 5.3 2 5.1 1 5.0 3 15.9 4 10.3 1 5.0 3 15.9 4 10.3

PUSKESMAS 269 253 522 260 245 505 2 0.7 0 0.0 2 0.4 2 0.7 0 0.0 2 0.4 16 5.9 15 5.9 31 5.9 16 5.9 15 5.9 31 5.9 14 5.2 22 8.7 36 6.9 14 5.2 22 8.7 36 6.9

Mengetahui, Pengelola Program Imunisasi Puskesmas

Kepala Puskesmas

DWI MUSTIKA WATI, A.Md. Gizi

PATRONIUS, S.Sos NIP. 19910429 201403 2 004

NIP. 19670721 198801 1 001


DPT/HB (1) DPT/HB-Hib (1) DPT/HB Total (1) POLIO2

BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET

#L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %

45 46 47 48 49 50 51 52 53 54 55 56 45 46 47 48 49 50 51 52 53 54 55 56 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 1.4 4 5.9 5 3.5 1 1.4 4 5.9 5 3.5 1 1.4 4 5.9 5 3.5 1 1.4 4 5.9 5 3.5 4 5.5 4 5.9 8.0 5.7 4 5.5 4 5.9 8 5.7

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1.0 3.1 1 6.0 0 0.0 1 3.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 2.7 2 5.7 3 4.1 1 2.7 2 5.7 3 4.1 1 2.7 2 5.7 3 4.1 1 2.7 2 5.7 3 4.1 1 2.7 4 11.4 5.0 6.9 1 2.7 4 11.4 5 6.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5.0 1 2.4 0 0.0 1 5.0 1 2.4 0 0.0 1 5.0 1 2.4 0 0.0 1 5.0 1 2.4 0 0.0 1 5.0 1 2.4 0 0.0 1 5.0 1 2.4

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 2.7 2 5.7 3 4.2 1 2.7 2 5.7 3 4.2 1 2.7 2 5.7 3 4.2 1 2.7 2 5.7 3 4.2 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 11.2 1 5.9 3 8.6 2 11.2 1 5.9 3 8.6 2 11.2 1 5.9 3 8.6 2 11.2 1 5.9 3 8.6 3 16.8 1 5.9 4 11.5 3 16.8 1 5.9 4 11.5

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 6 2.3 12 4.9 18 3.6 6 2.3 12 4.9 18 3.6 6 2.3 12 4.9 18 3.6 6 2.3 12 4.9 18 3.6 10 3.8 13 5.3 23 4.6 10 3.8 13 5.3 23 4.6
HASIL IMUNISASI BAYI
DPT/HB (2) DPT/HB-Hib (2) DPT/HB Total (2) POLIO3

BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET

#L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %

69 70 71 72 73 74 75 76 77 78 79 80 69 70 71 72 73 74 75 76 77 78 79 80 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 5 6.9 3 4.4 8 5.7 5 6.9 3 4.4 8 5.7 5 6.9 3 4.4 8 5.7 5 6.9 3 4.4 8 5.7 5 6.9 2 2.9 7 5.0 5 6.9 2 2.9 7 5.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 1.5 1 0.7 0 0.0 1 1.5 1 0.7 0 0.0 1 6.3 1 3.1 0 0.0 1 6.3 1 3.1 0 0.0 1 6.3 1 3.1 0 0.0 1 6.3 1 3.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 4 5.5 1 1.5 5 3.5 4 5.5 1 1.5 5 3.5 4 10.7 1 2.9 5 6.9 4 10.7 1 2.9 5 6.9 8 21.5 8 22.8 16 22.1 8 21.5 8 22.8 16 22.1

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 2.8 0 0.0 2 1.4 2 2.8 0 0.0 2 1.4 2 9.4 0 0.0 2 4.9 2 9.4 0 0.0 2 4.9 2 9.4 0 0.0 2 4.9 2 9.4 0 0.0 2 4.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 1.4 1 1.5 2 1.4 1 1.4 1 1.5 2 1.4 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 2.8 0 0.0 2 1.4 2 2.8 0 0.0 2 1.4 2 12.0 0 0.0 2 6.2 2 12.0 0 0.0 2 6.2 2 12.0 0 0.0 2 6.2 2 12.0 0 0.0 2 6.2

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 1.4 0 0.0 1 0.7 1 1.4 0 0.0 1 0.7 1 10.3 0 0.0 1 5.3 1 10.3 0 0.0 1 5.3 1 10.3 0 0.0 1 5.3 1 10.3 0 0.0 1 5.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 2.8 0 0.0 2 1.4 2 2.8 0 0.0 2 1.4 2 17.3 0 0.0 2 8.9 2 17.3 0 0.0 2 8.9 2 17.3 0 0.0 2 8.9 2 17.3 0 0.0 2 8.9

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 2.8 0 0.0 2 1.4 2 2.8 0 0.0 2 1.4 2 11.2 0 0.0 2 5.8 2 11.2 0 0.0 2 5.8 1 5.6 1 5.9 2 5.8 1 5.6 1 5.9 2 5.8

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 2.9 2 1.4 0 0.0 2 2.9 2 1.4 0 0.0 2 11.0 2 5.3 0 0.0 2 11.0 2 5.3 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 19 7.3 8 3.3 27 5.3 19 7.3 8 3.3 27 5.3 19 7.3 8 3.3 27 5.3 19 7.3 8 3.3 27 5.3 22 8.5 13 5.3 35 6.9 22 8.5 13 5.3 35 6.9
DPT/HB-Hib (3) DPT/HB Total (3) POLIO4 IPV

BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET

#L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %

69 70 71 72 73 74 75 76 77 78 79 80 69 70 71 72 73 74 75 76 77 78 79 80 105 106 107 108 109 110 111 112 113 114 115 116 105 106 107 108 109 110 111 112 113 114 115 116

5 6.9 1 1.5 6 4.3 5 6.9 1 1.5 6 4.3 5 6.9 1 1.5 6 4.3 5 6.9 1 1.5 6 4.3 2 2.8 0 0.0 2 1.4 2 2.8 0 0.0 2 1.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 2.7 3 8.6 4 5.5 1 2.7 3 8.6 4 5.5 1 2.7 3 8.6 4 5.5 1 2.7 3 8.6 4 5.5 10 26.9 13 37.1 23 31.8 10 26.9 13 37.1 23 31.8 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8 1 2.7 1 2.9 2 2.8 1 2.7 0 0.0 1 1.4 1 2.7 0 0.0 1 1.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 3 19.2 3 9.3 0 0.0 3 19.2 3 9.3 0 0.0 3 19.2 3 9.3 0 0.0 3 19.2 3 9.3 0 0.0 3 19.2 3 9.3 0 0.0 3 19.2 3 9.3 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 10.3 2 21.8 3 15.9 1 10.3 2 21.8 3 15.9 1 10.3 2 21.8 3 15.9 1 10.3 2 21.8 3 15.9 1 10.3 2 21.8 3 15.9 1 10.3 2 21.8 3 15.9 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 2 18.4 2 8.9 0 0.0 2 18.4 2 8.9 0 0.0 2 18.4 2 8.9 0 0.0 2 18.4 2 8.9 0 0.0 2 18.4 2 8.9 0 0.0 2 18.4 2 8.9 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 5.6 2 11.9 3 8.6 1 5.6 2 11.9 3 8.6 1 5.6 2 11.9 3 8.6 1 5.6 2 11.9 3 8.6 1 5.6 1 5.9 2 5.8 1 5.6 1 5.9 2 5.8 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 10.3 0 0.0 2 5.3 2 10.3 0 0.0 2 5.3 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

9 3.5 14 5.7 23 4.6 9 3.5 14 5.7 23 4.6 9 3.5 14 5.7 23 4.6 9 3.5 14 5.7 23 4.6 17 6.5 21 8.6 38 7.5 17 6.5 21 8.6 38 7.5 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Per-tangga 3/31/2016
HASIL IMUNISASI BATITA
CAMPAK IMUNISASI LENGKAP DPT/HB/Hib CAMPAK
SASARAN BATITA
BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET

#L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % L P JUMLAH # L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %

117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167

1 1.4 2 2.9 3 2.1 1 1.4 2 2.9 3 2.1 1 1.4 2 2.9 3 2.1 1 1.4 2 2.9 3 2.1 138 132 270 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 6.0 1 6.3 2 6.2 1 6.0 1 6.3 2 6.2 1 6.0 1 6.3 2 6.2 1 6.0 1 6.3 2 6.2 32 30 62 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

2 5.4 1 2.9 3 4.1 2 5.4 1 2.9 3 4.1 2 5.4 1 2.9 3 4.1 2 5.4 1 2.9 3 4.1 71 68 139 4 5.6 3 4.4 7 5.0 4 5.6 3 4.4 7 5.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 4.7 0 0.0 1 2.4 1 4.7 0 0.0 1 2.4 1 4.7 0 0.0 1 2.4 1 4.7 0 0.0 1 2.4 40 39 79 2 4.9 1 2.6 3 3.8 2 4.9 1 2.6 3 3.8 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

3 8.1 2 5.7 5 6.9 3 8.1 2 5.7 5 6.9 3 8.1 2 5.7 5 6.9 3 8.1 2 5.7 5 6.9 71 68 138 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 1 6.0 0 0.0 1 3.1 32 30 62 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

2 20.5 0 0.0 2 10.6 2 20.5 0 0.0 2 10.6 2 20.5 0 0.0 2 10.6 2 20.5 0 0.0 2 10.6 19 18 36 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 1 9.2 1 4.5 0 0.0 1 9.2 1 4.5 0 0.0 1 9.2 1 4.5 0 0.0 1 9.2 1 4.5 22 21 43 2 9.1 1 4.8 3 7.0 2 9.1 1 4.8 3 7.0 0 0.0 1 4.8 1 2.3 0 0.0 1 4.8 1 2.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 34 33 67 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 37 35 72 1 2.7 0 0.0 1 1.4 1 2.7 0 0.0 1 1.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

11 4.2 7 2.9 18 3.6 11 4.2 7 2.9 18 3.6 11 4.2 7 2.9 18 3.6 11 4.2 7 2.9 18 3.6 496 473 969 9 1.8 5 1.1 14 1.4 9 1.8 5 1.1 14 1.4 0 0.0 1 0.2 1 0.1 0 0.0 1 0.2 1 0.1
TABEL REKAPITULASI IMUNISASI TT IBU HAMIL DAN WUS DI PUSKESMAS
Puskesmas: Harapan Makmur
Kabupaten/Kota: Sanggau
Provinsi: Kalimantan Barat
Bulan: MARE 2016

JUMLAH DAN PERSENTASE IBU HAMIL DIIMUNISASI JUMLAH DAN PERSENTASE WUS TIDAK HAMIL DIIMUNISASI
DESA / SASARAN TT1 TT2 TT3 TT4 TT5 SASARAN TT1 TT2 TT3 TT4 TT5
NO
KELURAHAN
BUMIL BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR WUS BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR

# # % # % # % # % # % # % # % # % # % # %TIDAK HAMIL# % # % # % # % # % # % # % # % # % # %

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

1 Kuala Buayan 160 2 1.2 8 5.0 0 0.0 4 2.5 10 6.2 14 8.7 0 0.0 0 0.0 1 0.6 18 11.2 1084 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

2 Pampang Dua 37 1 2.7 3 8.1 0 0.0 1 2.7 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 250 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

3 Kuala Rosan 82 0 0.0 3 3.7 5 6.1 5 6.1 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 556 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

4 Sungai Kembayau 47 1 2.1 7 15.0 2 4.3 3 6.4 4 8.5 5 10.7 1 2.1 2 4.3 0 0.0 1 2.1 317 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

5 Kunyil 82 3 3.7 9 11.0 4 4.9 9 11.0 0 0.0 1 1.2 0 0.0 3 3.7 0 0.0 0 0.0 555 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

6 Harapan Makmur 37 1 2.7 3 8.2 4 10.9 4 10.9 1 2.7 9 24.5 0 0.0 2 5.5 1 2.7 2 5.5 248 0 0.0 0 0.0 6 2.4 6 2.4 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

7 Mukti Jaya 22 0 0.0 0 0.0 0 0.0 1 4.7 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 145 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

8 Bhakti Jaya 26 0 0.0 0 0.0 0 0.0 0 0.0 2 7.8 2 7.8 0 0.0 2 7.8 1 3.9 1 3.9 173 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

9 Lalang 39 0 0.0 0 0.0 0 0.0 0 0.0 1 2.5 3 7.6 0 0.0 2 5.1 1 2.5 5 12.7 267 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

10 Melawi Makmur 43 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 289 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

PUSKESMAS 574 8 1.4 33 5.7 15 2.6 27 4.7 18 3.1 34 5.9 1 0.2 11 1.9 4 0.7 27 4.7 3883 0 0.0 0 0.0 6 0.2 6 0.2 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

Mengetahui, Pengelola Program Imunisasi Puskesmas

Kepala Puskesmas

DWI MUSTIKA WATI, A.Md. Gizi

PATRONIUS, S.Sos NIP. 19910429 201403 2 004

NIP. 19670721 198801 1 001


JUMLAH TOTAL DAN PERSENTASE WUS (HAMIL+TIDAK HAMIL) DIIMUNISASI TT TT2+ BUMIL

TT1 TT2 TT3 TT4 TT5 TT2+

BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR BLN MAR S/D BLN MAR

# % # % # % # % # % # % # % # % # % # % # % # %

45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68

2 0.2 8 0.6 0 0.0 4 0.3 10 0.8 14 1.1 0 0.0 0 0.0 1 0.1 18 1.4 11 6.9 36 22.5

1 0.3 3 1.0 0 0.0 1 0.3 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 2.7

0 0.0 3 0.5 5 0.8 5 0.8 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 5 6.1 5 6.1

1 0.3 7 1.9 2 0.6 3 0.8 4 1.1 5 1.4 1 0.3 2 0.6 0 0.0 1 0.3 7 15.0 11 23.5

3 0.5 9 1.4 4 0.6 9 1.4 0 0.0 1 0.2 0 0.0 3 0.5 0 0.0 0 0.0 4 4.9 13 15.9

1 0.4 3 1.1 10 3.5 10 3.5 1 0.4 9 3.2 0 0.0 2 0.7 1 0.4 2 0.7 6 16.4 17 46.4

0 0.0 0 0.0 0 0.0 1 0.6 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 4.7

0 0.0 0 0.0 0 0.0 0 0.0 2 1.0 2 1.0 0 0.0 2 1.0 1 0.5 1 0.5 3 11.8 5 19.6

0 0.0 0 0.0 0 0.0 0 0.0 1 0.3 3 1.0 0 0.0 2 0.7 1 0.3 5 1.6 2 5.1 10 25.3

0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

8 0.2 33 0.7 21 0.5 33 0.7 18 0.4 34 0.8 1 0.0 11 0.2 4 0.1 27 0.6 38 6.6 99 17.2
(%)
Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522
Puskesmas:

Maret (%) (L)


%

HB0 Maret (%)

HB0 Februari (%)


Sasaran Tahunan
Kabupaten/Kota:

HB0 Kumulatif s/d


Sasaran s/d Bulan Ini (%)

Target Tahunan HB0


100

0
10
20
30
40
50
60
70
80
90

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau


1 Kuala Buayan 80.0 141
0.7 0.0 8.0Err:522
Kalimantan Barat
Harapan Makmur

=
2 Pampang Dua 80.0 0.0 0.0 5.8Err:52232

=
3 Kuala Rosan 80.0 1.3 1.3 7.8Err:52272

Sungai

=
4 80.0 0.0 0.0 0.0Err:52241
Kembayau
3

5

Kunyil 80.0 0.0 1.3 2.6Err:52272
=

6 Harapan Makmur 80.0 0.0 0.0 0.0Err:52232


=

7 Mukti Jaya 80.0 0.0 0.0 0.0Err:52219


8 Bhakti Jaya 80.0 4.3 0.0 16.7


Err:52222
=

9 Lalang 80.0 0.0 0.0 0.0Err:52235


=

10 Melawi Makmur 80.0 0.0 0.0 0.0Err:52238


PUSKESMAS 80.0 505


0.6 0.4 4.8Err:522
(%)

Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522
Puskesmas:

Maret (%) (L)

Maret (%) (P)

BCG Maret (%)


Kabupaten/Kota:

Sasaran Tahunan

BCG Kumulatif s/d


BCG Kumulatif s/d
10
20
30
40
50
60
70
80
90
100

Sasaran s/d Bulan Ini

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau


1 Kuala Buayan 7.6 19.2 13.3Err:522141
Kalimantan Barat
Harapan Makmur


2 Pampang Dua 0.0 6.0 5.8 Err:522 32


3 Kuala Rosan 4.0 14.7 15.6Err:522 72


4 Sungai Kembayau 9.4 14.1 18.2Err:522 41
3

=
5 Kunyil 8.0 18.8 13.0Err:522 72
=

6 Harapan Makmur 3.0 9.0 17.5Err:522 32


=

7 Mukti Jaya 0.0 5.1 9.9 Err:522 19


8 Bhakti Jaya 4.3 12.9 25.1Err:522 22


=

9 Lalang 8.4 22.3 21.6Err:522 35


=

10 Melawi Makmur 5.1 15.4 5.0 Err:522 38


PUSKESMAS 5.9 15.7 14.1Err:522505


Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522
Puskesmas:

s/d Maret (%)


Sasaran Tahunan

s/d Maret (%) (L)

s/d Maret (%) (P)


Kabupaten/Kota:

DPT/HB (1) Maret (%)


DPT/HB (1) Kumulatif
DPT/HB (1) Kumulatif
DPT/HB (1) Kumulatif

DESA / KELURAHAN
%

Sasaran s/d Bulan Ini (%)


2016

100

0
10
20
30
40
50
60
70
80
90
Err:522
MARET
Sanggau

1 Kuala Buayan 3.5 12.8 16.1 9.6 Err:522141


Kalimantan Barat
Harapan Makmur

=
Pampang Dua 3.1 6.2 6.3 6.0 Err:52232

3 Kuala Rosan 4.1 26.3 28.5 24.2Err:52272


4

=
Sungai Kembayau 2.4 4.9 5.0 4.7 Err:52241
3

5 Kunyil 4.2 9.7 11.4 8.1 Err:52272

6 Harapan Makmur 0.0 9.3 12.8 6.0 Err:52232


7 Mukti Jaya 0.0 15.9 10.9 20.5Err:52219


8 Bhakti Jaya 0.0 4.5 0.0 8.6 Err:52222


9 Lalang 8.6 25.9 11.9 39.1Err:52235


10 Melawi Makmur 5.3 8.0 16.4 0.0 Err:52238


PUSKESMAS 3.6 13.3 14.3 12.3Err:522505



Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522
Puskesmas:

s/d Maret (%)


%

Sasaran Tahunan

s/d Maret (%) (L)

s/d Maret (%) (P)


Kabupaten/Kota:

Sasaran s/d Bulan Ini (%)

DPT/HB (3) Maret (%)


DPT/HB (3) Kumulatif
DPT/HB (3) Kumulatif
DPT/HB (3) Kumulatif
100

0
10
20
30
40
50
60
70
80
90

DPT/HB (3) Februari (%)

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau

=
Kuala Buayan 4.3 4.3 13.5 10.2 16.5 141
Err:522
Kalimantan Barat
Harapan Makmur

=
Pampang Dua 0.0 0.0 9.2 6.3 12.0
Err:52232

3 Kuala Rosan 4.1 5.5 12.4 20.0 5.4Err:52272


4 Sungai Kembayau 4.9 0.0 4.9 5.0 4.7Err:52241


3

5 Kunyil 9.7 2.8 16.6 22.9 10.8


Err:52272


6 Harapan Makmur 0.0 9.3 12.4 19.2 6.0Err:52232

7 Mukti Jaya 5.3 15.9 31.7 32.7 30.8


Err:52219

8 Bhakti Jaya 4.5 8.9 26.7 36.7 17.3


Err:52222

9 Lalang 5.8 8.6 14.4 11.9 16.8


Err:52235

10 Melawi Makmur 8.0 0.0 13.3 5.5 20.7


Err:52238

PUSKESMAS 5.0 4.6 14.1 15.1 13.1 505


Err:522

Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522

Maret (%)
Puskesmas:

Sasaran Tahunan

s/d Maret (%) (L)

s/d Maret (%) (P)


Kabupaten/Kota:

POLIO 1 Maret (%)


Sasaran s/d Bulan Ini (%)

POLIO 1 Februari (%)


POLIO 1 (1) Kumulatif
POLIO 1 (1) Kumulatif
100

0
10
20
30
40
50
60
70
80
90

POLIO 1 Kumulatif s/d

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau

1 Kuala Buayan 0.0 10.3 15.8 21.2 10.7 141


Err:522


Kalimantan Barat
Harapan Makmur

=
Pampang Dua 0.0 0.0 3.0 6.1 0.0Err:52232

3 Kuala Rosan 0.0 5.4 13.4 11.0 15.6


Err:52272


4

=
Sungai Kembayau 0.0 0.0 2.3 0.0 4.6Err:52241
3

5 Kunyil 0.0 12.1 14.8 16.6 13.0


Err:52272

6 Harapan Makmur 0.0 3.0 6.0 6.2 5.8Err:52232


7
=

Mukti Jaya 0.0 0.0 5.1 0.0 9.9Err:52219

8
=

Bhakti Jaya 0.0 0.0 8.6 0.0 16.7


Err:52222

9 Lalang 0.0 8.4 13.9 11.5 16.2


Err:52235

10 Melawi Makmur 0.0 10.3 15.4 26.5 5.0Err:52238


PUSKESMAS 0.0 6.9 11.9 13.4 10.4 505


Err:522

Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522

Maret (%)
Puskesmas:

Sasaran Tahunan

s/d Maret (%) (L)

s/d Maret (%) (P)


Kabupaten/Kota:

POLIO 4 Maret (%)


Sasaran s/d Bulan Ini (%)

POLIO 4 Februari (%)


10
20
30
40
50
60
70
80
90
100

POLIO 4 (1) Kumulatif


POLIO 4 (1) Kumulatif

POLIO 4 Kumulatif s/d

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau

1 Kuala Buayan 0.0 1.4 7.1 4.4 141


9.6Err:522


Kalimantan Barat
Harapan Makmur

=
Pampang Dua 0.0 0.0 6.2 6.3 6.0Err:52232

3 Kuala Rosan 0.0 31.8 40.1 48.5 32.2


Err:52272


Sungai
4 4.9 0.0 4.9 5.0 4.7Err:52241


Kembayau
3

5 Kunyil 0.0 1.4 5.5 5.7 5.4Err:52272

6 Harapan Makmur 0.0 9.3 12.4 19.2 6.0Err:52232


7 Mukti Jaya 5.3 15.9 31.7 32.7 30.8


Err:52219

8 Bhakti Jaya 4.5 8.9 22.3 27.5 17.3


Err:52222

9 Lalang 0.0 5.8 5.8 5.9 5.6Err:52235


10 Melawi Makmur 0.0 5.3 16.0 16.4 15.5


Err:52238

PUSKESMAS 0.8 7.5 13.9 15.1 12.7 505


Err:522

Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522

Maret (%)
Puskesmas:

Maret (%) (L)

Maret (%) (P)


%

Sasaran Tahunan
Kabupaten/Kota:

CAMPAK Maret (%)


Sasaran s/d Bulan Ini (%)

CAMPAK Februari (%)


10
20
30
40
50
60
70
80
90
100

CAMPAK Kumulatif s/d


CAMPAK Kumulatif s/d
CAMPAK Kumulatif s/d

DESA / KELURAHAN
2016
Err:522
MARET
Sanggau

1 Kuala Buayan 6.4 5.7 17.7 16.1 19.3 141


Err:522


Kalimantan Barat
Harapan Makmur

2 Pampang Dua 0.0 3.1 3.1 6.3 0.0Err:52232


3 Kuala Rosan 2.8 6.9 13.8 17.1 10.7
Err:52272


Sungai
4 0.0 4.9 9.7 5.0 14.1
Err:52241


Kembayau
3

=
Kunyil 2.8 2.8 15.3 22.9 8.1Err:52272

6 Harapan Makmur 9.3 6.2 15.5 19.2 12.0


Err:52232

7 Mukti Jaya 15.9 5.3 26.4 21.8 30.8


Err:52219

8 Bhakti Jaya 13.4 8.9 22.3 18.4 25.9


Err:52222

9 Lalang 8.6 5.8 14.4 17.8 11.2Err:52235


10 Melawi Makmur 0.0 5.3 13.3 11.0 15.5


Err:52238

PUSKESMAS 5.0 5.3 15.0 15.9 14.2 505


Err:522

(%)

Trend
Bulan:
Tahun:
Err:522
Provinsi:
Err:522

Maret (%)
Puskesmas:

TT2+ Maret (%)


Kabupaten/Kota:

Sasaran Tahunan

TT2+ Februari (%)


TT2+ Kumulatif s/d
Sasaran s/d Bulan Ini
100

0
10
20
30
40
50
60
70
80
90

DESA / KELURAHAN
80
2016
MARET
Sanggau

1 Kuala Buayan 10.0 6.9 22.5 54 160


Kalimantan Barat
Harapan Makmur

2 Pampang Dua 2.7 0.0 2.7 54 37


3 Kuala Rosan 0.0 6.1 6.1 54 82


4 Sungai Kembayau 2.1 15.0 23.5 54 47


3

5 Kunyil 3.7 4.9 15.9 54 82

6 Harapan Makmur 0.0 16.4 46.4 54 37


7 Mukti Jaya 4.7 0.0 4.7 54 22


8 Bhakti Jaya 3.9 11.8 19.6 54 26


9 Lalang 7.6 5.1 25.3 54 39


10
=

Melawi Makmur 0.0 0.0 0.0 54 43

PUSKESMAS 4.5 6.6 17.2 54 574



Puskesmas: Harapan Makmur
Kabupaten/Kota: Sanggau
Provinsi: Kalimantan Barat
Tahun: 2016

TABEL PEMATAUAN DESA MENUJU UCI DI PUSKESMAS s/d MARET, Per-tanggal: 3/31/2016
Jumlah Imunisasi DESA UCI
NO DESA / KELURAHAN Sasaran tahunan SI % Pencapaian
Lengkap ATAU NON UCI
1 Kuala Buayan 141 17 12.06 non uci
2 Pampang Dua 32 2 6.16 non uci
3 Kuala Rosan 72 13 17.98 non uci
4 Sungai Kembayau 41 4 9.71 non uci
5 Kunyil 72 14 19.41 non uci
6 Harapan Makmur 32 5 15.50 non uci
7 Mukti Jaya 19 3 15.86 non uci
8 Bhakti Jaya 22 3 13.36 non uci
9 Lalang 35 1 2.88 non uci
10 Melawi Makmur 38 0 0.00 non uci
10 PUSKESMAS 505 62 12.28 0.00

Mengetahui, Pengelola Program Imunisasi Puskesmas


Kepala Puskesmas

DWI MUSTIKA WATI, A.Md. Gizi


PATRONIUS, S.Sos NIP. 19910429 201403 2 004
NIP. 19670721 198801 1 001
LAPORAN KEJADIAN IKUTAN PASCA IMUNISASI (KIPI)
Form KIPI Non Serius
PUSKESMAS : HARAPAN MAKMUR
KABUPATEN / KOTA : SANGGAU
PROVINSI : KALIMANTAN BARAT
BULAN / TAHUN : MARET / 2016

Identitas No Batch / No Batch / Tempat Gejala Yang Dialami


Jenis Vaksin Jenis Vaksin Pemberi Tanggal
No Umur Exp Date Exp Date Pelayanan Lain-Lain
Nama Anak Jenis Kelamin Tanggal Lahir Nama Ortu Alamat 1 2 Imunisasi Imunisasi Demam Bengkak Merah Muntah
(Bln) Vaksin 1 Vaksin 2 Imunisasi (Sebutkan)
Dsn. Suak 5043114 /
1 Gayo 1-Laki-Laki 23-12-2015 3 Ny. Novi DPT/HB/Hib2 2-Bidan 1-Posyandu 13/3/2016 1-Tidak 0-Ya 0-Ya 1-Tidak 1-Tidak
Peram Nov 16
Dsn.
5043114 /
2 Yohana 2-Perempuan 12/2/2015 3 Ny. Cica Lubuk DPT/HB/Hib2 2-Bidan 1-Posyandu 14/3/2016 1-Tidak 1-Tidak 0-Ya 1-Tidak 1-Tidak
Nov 16
Benuang
Dsn. Sei 5043114 /
3 Heru 1-Laki-Laki 4 Heli DPT/HB/Hib2 3-Perawat 1-Posyandu 13/3/2016 0-Ya 1-Tidak 1-Tidak 1-Tidak 1-Tidak
Kerumai Nov 16
Dsn. 5043114 /
4 Dito 1-Laki-Laki 18/11/2015 4 Lemon DPT/HB/Hib2 3-Perawat 1-Posyandu 13/3/2016 0-Ya 1-Tidak 1-Tidak 1-Tidak 1-Tidak
Sebude Nov 16
Dsn. 5043114 /
5 Resel 1-Laki-Laki 15/9/2015 6 Andut DPT/HB/Hib3 3-Perawat 1-Posyandu 13/3/2016 0-Ya 0-Ya 1-Tidak 1-Tidak 1-Tidak
Sebude Nov 16
Dsn.
5043114 /
6 Asang 1-Laki-Laki 3 Rena Lembah DPT/HB/Hib2 3-Perawat 1-Posyandu 13/3/2016 0-Ya 1-Tidak 1-Tidak 1-Tidak 1-Tidak
Nov 16
Golenang
Dsn.
5043114 /
7 Ika 2-Perempuan 2 Eva Lembah DPT/HB/Hib1 3-Perawat 1-Posyandu 13/3/2016 0-Ya 1-Tidak 1-Tidak 1-Tidak 1-Tidak
Nov 16
Golenang
Dsn. Balai 5041715 / 2012815 /
8 Gres 2-Perempuan 12/10/2015 4 Rutni DPT/HB/Hib2 Polio 3 2-Bidan 1-Posyandu 13/2/2016 1-Tidak 1-Tidak 0-Ya 1-Tidak 1-Tidak
Imbung Apr 17 Apr 2017
Dsn. Balai 5041715 / 2012815 /
9 Moratha 1-Laki-Laki 13/12/2015 2 Lilis DPT/HB/Hib1 Polio 2 2-Bidan 1-Posyandu 13/2/2016 0-Ya 1-Tidak 1-Tidak 1-Tidak 1-Tidak
Imbung Apr 17 Apr 2017
Dsn. Sei 5041715 / 2012815 /
10 Gilang 1-Laki-Laki 17/7/2014 7 Suter DPT/HB/Hib3 Polio 4 2-Bidan 1-Posyandu 15/2/2016 1-Tidak 1-Tidak 0-Ya 1-Tidak 1-Tidak
Kembayau Apr 17 Apr 2017

Mengetahui, Pengelola Program Imunisasi Puskesmas


Kepala Puskesmas

DWI MUSTIKA WATI, A.Md. Gizi


PATRONIUS, S.Sos NIP. 19910429 201403 2 004
NIP. 19670721 198801 1 001

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