Peserta KB Baru Peserta KB Aktif Kegagalan Komplikasi Drop Out Peserta KB Pasca Salin
No Desa Jumlah Bulan Kumulatif Bulan Kumulatif Bulan Kumulatif Bulan Kumulatif Bulan Kumulatif Bulan Kumulatif
PUS Lalu Ini Jml % Lalu Ini Jml % Lalu Ini Jml % Lalu Ini Jml % Lalu Ini Jml % Lalu Ini 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
1 Kapuh 155 1 1 0.65 0 109 109 70.32 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0.00
2 sabai nan aluih 207 0 0 0 0.00 0 152 152 73.43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 gurun panjang 247 0 0 0 0.00 194 0 194 78.54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 kapuh utara/sei talang 385 0 0 0 0.00 108 0 108 28.05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 surau anjuang 263 0 2 2 0.76 0 2 2 0.76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 kampung pansur 116 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 simpang 160 0 1 1 0.63 0 1 1 0.63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 batu kalang 660 0 2 2 0.30 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 8 1 9 1.36364
9 pulau karam 336 0 1 1 0.30 0 1 1 0.30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 carocok 150 0 1 1 0.67 0 1 1 0.67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2
11 nanggalo 367 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 sungai tawar 190 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0.52632
13 taluak raya 145 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 sako 288 0 8 8 2.78 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 batu hampar 156 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 pustu mandeh 140 0 1 1 0.71 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 poskesri mandeh 102 0 1 1 0.98 0 12 12 11.76 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.98039
18 sungai nyalo 127 0 0 0 0.00 0 50 50 39.37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 mudik air 66 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1.51515
20 pustu sungai pinang 123 0 2 2 1.63 0 3 3 2.44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 poskesri sungai pinang 99 0 0 0 0.00 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 4.0404
TOTAL 4482 0 20 20 0.45 302 331 633 14.12 0 0 0 0 0 0 0 0 0 0 0 0.00 12 4 16 0.36
PUS ALKI Peserta KB Aktif Gakin Peserta KB Aktif 4T Psrta KB Aktif Peny Kronis
No Desa PUS PUS 4T (anemia/LILA<23,5cm/ Bulan Kumulatif Bulan Kumulatif Bulan Kumulatif
Gakin penyakit kronis/IMS Lalu Ini Jml % Lalu Ini Jml % Lalu Ini Jml %
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kapuh 72 80 3 0 54 54 75 0 0 0 0.00 0 0 0 0
2 sabai nan aluih 58 46 0 0 35 35 60.3 0 20 20 43.5 0 0 0 0
3 gurun panjang 21 28 3 0 0 0 0.0 0 0 0 0.0 0 0 0 0
4 kapuh utara/sei talang 104 105 0 0 0 0 0.0 0 0 0 0.0 0 0 0 #DIV/0!
5 surau anjuang 201 0 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
6 kampung pansur 0 0 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
7 simpang 0 0 0 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 0.0
8 batu kalang 144 0 0 0 0 0 0.0 0 0 0 #DIV/0! 0 0 0 0.0
9 pulau karam 55 0 0 0 0 0 0.0 0 0 0 #DIV/0! 0 0 0 0.0
10 carocok 0 0 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
11 nanggalo 50 30 7 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
12 sungai tawar 53 95 6 0 2 2 3.8 0 0 0 0.0 0 0 0 0.0
13 taluak raya 44 34 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
14 sako 23 32 4 0 23 23 100.0 0 32 32 100.0 0 4 4 0.0
15 batu hampar 61 0 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
16 pustu mandeh 140 0 0 0 8 8 0.0 0 0 0 0.0 0 0 0 0.0
17 poskesri mandeh 65 0 0 0 2 2 3.1 0 0 0 0.0 0 0 0 0.0
18 sungai nyalo 67 0 0 0 5 5 0.0 0 0 0 0.0 0 0 0 0.0
19 mudik air 66 0 0 7 0 7 10.6 0 0 0 #DIV/0! 0 0 0 0.0
20 pustu sungai pinang 59 30 5 0 3 3 0.0 0 2 2 0.0 0 0 0 0.0
21 poskesri sungai pinang 99 30 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0
TOTAL 1310 430 25 7 78 85 6.5 0 54 54 12.6 0 4 4 16.0
formula indikator
% PUS Miskin Ber-KB = (jml PUS gakin Ber-KB/jml PUS gakin)x100%
Diketahui Tarusan, 28 Januari 2019
Kepala Puskesmas Pengelola KB Puskesmas
No DESA Lama PIL suntik IUD Implan MOW MOP kondom Total efek Sa komplikegaga DO aktif aktif aktif
/Baru mping kasi lan gakin 4T
1 Kapuh Lama 9 62 3 29 3 1 2 109 0 0 0 0 109 0 0
Baru 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0
2 sabai nan aluih Lama 17 127 2 4 1 0 0 151 0 0 0 0 151 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 gurun panjang Lama 41 95 12 36 5 0 8 197 0 0 0 0 146 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 kapuh utara/sei talang Lama 10 74 9 2 13 0 0 108 0 0 0 0 108 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 surau anjuang Lama 1 3 0 0 0 0 0 4 0 0 0 0 9 0 0
Baru 0 2 0 0 0 0 0 2 0 0 0 0 5 0 0
6 kampung pansur Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 simpang Lama 2 65 0 2 13 0 1 83 0 0 0 0 83 0 0
Baru 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
8 batu kalang Lama 3 240 8 9 11 0 0 271 0 0 0 0 271 0 0
Baru 2 0 0 0 0 0 0 2 0 0 0 0 2 0 0
9 pulau karam Lama 12 132 12 34 30 0 0 220 0 0 0 0 220 0 0
Baru 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
10 carocok Lama 10 66 4 9 6 0 2 97 0 0 0 0 97 0 0
Baru 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0
11 nanggalo Lama 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 sungai tawar Lama 19 118 5 32 13 2 1 190 0 0 0 0 182 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 taluak raya Lama 3 59 1 10 20 97 0 190 0 0 0 0 99 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 sako Lama 27 195 5 8 4 4 1 244 0 0 0 0 244 0 0
Baru 0 8 0 0 0 0 0 8 0 0 0 0 0 0 0
15 batu hampar Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 pustu mandeh Lama 3 5 0 0 0 0 0 8 0 0 0 0 8 0 0
Baru 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0
17 poskesri mandeh Lama 4 12 0 0 0 0 0 16 0 0 0 0 16 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 sungai nyalo Lama 21 29 0 0 0 0 0 50 0 0 0 0 49 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 mudik air Lama 18 29 0 10 0 0 0 57 0 0 0 0 54 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
20 pustu sungai pinang Lama 9 60 2 3 2 0 3 79 0 0 0 0 79 0 0
Baru 1 1 0 0 0 0 0 2 0 0 0 0 0 0 0
21 poskesri sungai pinang Lama 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 puskesmas Lama 2 6 0 0 0 0 1 9 0 0 0 0 3 0 0
Baru 1 0 0 0 0 0 0 1 0 0 0 0 2 0 0
TOTAL Lama 211 1377 63 188 121 104 19 2083 0 0 0 0 2140 0 0
TOTAL Baru 4 15 1 0 0 0 0 20 0 0 0 0 22 0 0
Diketahui
Kepala Puskesmas Tarusan, 28 Januari 2019
Pengelola KB Puskesmas
PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT
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
1 Kapuh 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 gurun panjang 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 surau anjuang 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 kampung pansur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 simpang 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 batu kalang 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 pulau karam 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 carocok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 nanggalo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 sungai tawar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 taluak raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 sako 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 batu hampar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 pustu mandeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 poskesri mandeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 sungai nyalo 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 mudik air 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT PIL STK IUD KDMINP SPT
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
1 Kapuh 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 gurun panjang 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 surau anjuang 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 kampung pansur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 simpang 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 batu kalang 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 pulau karam 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 carocok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 nanggalo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 sungai tawar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 taluak raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 sako 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 batu hampar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 pustu mandeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 poskesri mandeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 sungai nyalo 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 mudik air 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PERMINTAAN OBAT
PIL STK IUD KDM INP SPT PIL STK IUD KDMINP SPT PIL STK IUD KDM INP SPT PIL STK IUD KDMINP SPT
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
1 Kapuh 0 0 0 0 3 0 4 20 0 10 3 20 0 0 0 0 0 0 20 20 0 10 0 20
2 simpang 4 0 0 8 0 0 4 0 0 1 0 0 3 3 0 7 0 3 20 20 0 10 0 20
3 pulau karam 0 0 0 4 2 0 3 3 0 0 0 3 17 7 0 4 2 7 20 20 0 10 0 20
4 pustu mandeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 10 0 20