SATUAN ACARA PENYULUHAN (SAP)

PROMOSI KESEHATAN .....................................…………………..

SATUAN ACARA PENYULUHAN

Topik : -----------------------------------------------------------------------------------
Pokok bahasan : -----------------------------------------------------------------------------------
Target /sasaran : -----------------------------------------------------------------------------------
Hari / Tanggal : -----------------------------------------------------------------------------------
Waktu : -----------------------------------------------------------------------------------
Tempat : -----------------------------------------------------------------------------------

I. TUJUAN INSTRUKSIONAL UMUM (TIU)

-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------

II. TUJUAN INSTRUKSIONAL KHUSUS (TIK)

1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------
4. -------------------------------------------------------------------------------------------------------
5. -------------------------------------------------------------------------------------------------------
6. -------------------------------------------------------------------------------------------------------
II. MATERI PELAJARAN

1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------
4. -------------------------------------------------------------------------------------------------------
5. -------------------------------------------------------------------------------------------------------
6. -------------------------------------------------------------------------------------------------------

IV. PESERTA
1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------

V. METODE

1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------
VI. MEDIA

1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------

VII. EVALUASI

1. -------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------
3. - ------------------------------------------------------------------------------------------------------
4. -------------------------------------------------------------------------------------------------------
5. -------------------------------------------------------------------------------------------------------
6. -------------------------------------------------------------------------------------------------------

VIII. KEGIATAN PENYULUHAN

WAKTU KEGIATAN PENYULUHAN KEGIATAN PESERTA
N
O
1 Pembukaan:

--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
2 Pelaksanaan :
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------

-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
---------------------------------------------------------
3 Evaluasi :
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------

-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
 ----------------------------------------------------------- -----------------------------------
-------------------------------------------------------- ---------------------------------
4 Teriminasi :

-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------
-----------------------------------

IX. PENGORGANISASIAN & URAIAN TUGAS

1. Protokol / Pembawa acara
Uraian tugas :

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

2. Penyuluh / Pengajar
Uraian tugas :

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

3. Fasilitator
Uraian tugas :

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

4. Observer
Uraian tugas :
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

Ringkasan materi :

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

Refrensi:
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------