PWS KB TK PUSKESMAS

PROVINSI : SUMATERA BARAT

KABUPATEN : PESISIR SELATAN
PUSKESMAS : TARUSAN
BULAN : MARET 2019

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 2 5 7 4.52 110 5 115 74.19 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 0.00 152 0 152 73.43 0 0 0 0 0 0 0 0 0 2 2 0.96618 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 2 1 3 1.14 88 1 89 33.84 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 1 0 1 0.63 1 0 1 0.63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 batu kalang 660 3 0 3 0.45 281 0 281 42.58 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0.45455
9 pulau karam 336 1 1 2 0.60 221 1 222 66.07 0 0 0 0 0 0 0 0 0 1 1 0.29762 1 1 2 0.59524
10 carocok 150 4 2 6 4.00 101 2 103 68.67 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 2.66667
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 1 1 2 1.05 90 1 91 47.89 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.52632
13 taluak raya 145 0 0 0 0.00 97 0 97 66.90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 sako 288 8 0 8 2.78 252 0 252 87.50 0 0 0 0 0 0 0 0 1 0 1 0.34722 8 0 8 2.77778
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 1 1 2 1.43 98 0 98 70.00 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.71429
17 poskesri mandeh 102 1 2 3 2.94 80 2 82 80.39 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 2.94118
18 sungai nyalo 127 0 0 0 0.00 50 0 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 2 0 2 1.63 81 0 81 65.85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 poskesri sungai pinang 99 0 4 4 4.04 65 4 69 69.70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 4482 26 17 43 0.96 2069 16 2085 46.52 0 0 0 0 0 0 0 0 1 1 2 0.04 15 8 23 0.51

Diketahui Tarusan , 27 Maret 2019

Kepala Puskesmas Pengelola KB Puskesmas

Jon Marta Hendra, SKM Darleni, Amd.Keb

Nip. 19810610 200604 1 010 Nip. 196701011988032008
 PWS KB TK PUSKESMAS
PROVINSI : SUMATERA BARAT
KABUPATEN : PESISIR SELATAN
PUSKESMAS : TARUSAN
BULAN : MARET 2019

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 54 0 54 75 0 0 0 0.00 0 0 0 0
2 sabai nan aluih 58 46 0 35 0 35 60.3 20 0 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 2 0 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 23 0 23 100.0 32 0 32 100.0 4 0 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 13 10 23 0.0 0 0 0 0.0 0 0 0 0.0
17 poskesri mandeh 65 0 0 2 4 6 9.2 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 81 0 81 0.0 2 0 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 25 163 19 182 13.9 54 0 54 12.6 4 0 4 16.0
formula indikator
% PUS Miskin Ber-KB = (jml PUS gakin Ber-KB/jml PUS gakin)x100%
Diketahui Tarusan, 27 Maret 2019
Kepala Puskesmas Pengelola KB Puskesmas

Jon Marta Hendra, SKM Darleni, Amd.Keb

Nip. 19810610 200604 1 010 Nip. 196701011988032008
 REKAPITULASI KOHORT KB TK PUSKESMAS TARUSAN
PROVINSI : SUMATERA BARAT
KABUPATEN : PESISIR SELATAN
PUSKESMAS : TARUSAN
BULAN : MARET 2019

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 64 3 29 3 1 2 111 0 0 0 0 111 0 0
Baru 0 4 0 1 0 0 0 5 0 0 0 0 5 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 2 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 12 65 6 5 0 0 0 88 0 0 0 0 9 0 0
Baru 0 1 0 0 0 0 0 1 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 66 0 2 13 0 1 84 0 0 0 0 84 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 batu kalang Lama 5 248 8 9 11 0 0 281 0 0 0 0 281 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 pulau karam Lama 12 132 13 34 30 0 0 221 0 0 0 1 220 0 0
Baru 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0
10 carocok Lama 10 70 4 9 6 0 2 101 0 0 0 0 97 0 0
Baru 0 2 0 0 0 0 0 2 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 1 0 0 0 0 0 1 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 27 203 5 8 4 4 1 252 0 0 0 0 252 23 32
Baru 0 0 0 0 0 0 0 0 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 20 70 3 5 0 0 0 98 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 15 65 0 0 0 0 0 80 0 0 0 0 16 0 0
Baru 0 2 0 0 0 0 0 2 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 10 61 2 3 2 0 3 81 0 0 0 0 81 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 poskesri sungai pinang Lama 14 52 1 0 2 0 0 69 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 0 2 0 3 0 0 0 5 0 0 0 0 4 0 0
Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL Lama 265 1629 74 201 123 104 18 2414 0 0 0 0 2164 23 32
TOTAL Baru 1 11 0 1 0 0 0 13 0 0 0 0 22 0 0

Diketahui Tarusan, 27 Maret 2019

Kepala Puskesmas Pengelola KB Puskesmas

Jon Marta Hendra, SKM Darleni, Amd.Keb

Nip. 19810610 200604 1 010 Nip. 196701011988032008
 LAPORAN KB BULAN MARET TAHUN 2019
KB kapuh sb.n.alh gr.pjg kph.utra s.anjg kp.pnsr simpang bt.klg pl.krm crocok nanggalo sei.twr tl.raya sako bt.hmpr pu.mndh po.mndh sei.nyalo M.air pu.s.png po.s.png TOTAL
1. jumlah peserta KB aktif 111 152 0 108 89 0 84 281 221 101 88 190 190 252 55 98 80 50 55 81 69 2355
a IUD 3 2 0 9 6 0 0 8 13 4 4 5 1 5 0 3 0 0 0 2 1 66
b pil 9 17 0 10 13 0 2 5 12 10 8 19 3 27 17 20 15 21 17 10 14 249
c suntikan 64 128 0 74 65 0 66 248 132 70 66 118 59 203 28 70 65 29 28 61 52 1626
d implant 29 4 0 2 5 0 2 9 34 9 9 32 10 8 10 5 0 0 10 3 0 181
e MOW 3 1 0 13 0 0 13 11 30 6 0 13 20 4 0 0 0 0 0 2 2 118
f MOP 1 0 0 0 0 0 0 0 0 0 0 2 97 4 0 0 0 0 0 0 0 104
g kondom 2 0 0 0 0 0 1 0 0 2 1 1 0 1 0 0 0 0 0 3 0 11
h lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. jumlah kunjungan akseptor KB baru 5 0 0 0 1 0 0 0 1 2 0 1 0 0 0 1 2 0 1 0 4 18
a IUD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b pil 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 4
c suntikan 4 0 0 0 1 0 0 0 0 2 0 1 0 0 0 1 2 0 1 0 1 13
d implant 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
e MOW 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f MOP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. jumlah kunjungan akseptor KB lama 18 0 0 3 0 0 2 0 4 0 0 3 0 1 2 10 30 5 1 21 8 109
a IUD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b pil 2 0 0 0 0 0 1 0 1 1 0 3 0 1 0 4 5 3 0 7 4 32
c suntikan 16 0 0 3 0 0 1 0 3 0 0 0 0 0 2 6 25 2 1 14 4 77
d implant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e MOW 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f MOP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g lain-lain( kondom ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. jumlah tempat klinik pelayanan KB milik pemerintah 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
5. jumlah tempat klinik pelayanan KB milik dokter swasta 0 0 0 0 0 0
6. jumlah tempat klinik pelayanan KB milik bidan swasta 1 1 0 0 0 1 3
7. jumlah persediaan sisa alat kontrasepsi bulan lalu 0 0 0 1 8 16 0 0 0 3 0 5 2 2 0 0 0 3 40
8. jumlah alat kontrasepsi yang diterima bulan ini 0 0 0 0 5 0 0 0 5 0 0 0 0 10 0 50 0 70
9. jumlah alat kontrasepsi yang dikeluarkan bulan ini 0 0 0 2 2 1 0 2 0 2 0 1 2 0 5 0 0 19 0 36
10. jumlah sisa alat kontrasepsi bulan ini 0 0 0 8 11 15 0 0 0 6 6 4 0 0 10 0 34 0 94

Diketahui
Kepala Puskesmas Tarusan, 27 maret 2019
Pengelola KB Puskesmas

Jon Marta Hendra, SKM

Nip. 19810610 200604 1 010 Darleni, Amd.Keb
Nip. 196701011988032008
 REKAPITULASI LAPORAN BULANAN LOGISTIK ALOKN & BHP KAB/KOTA

PROVINSI : SUMATERA BARAT

KABUPATEN : PESISIR SELATAN
PUSKESMAS : TARUSAN
BULAN : MAI 2018

No Desa MUTASI ALOKON

STOK AWAL PENERIMAAN PENGGUNAAN SISA

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 10 20 0 0 0 20 20 20 0 0 0 20 0 0 0 0 0 0

2 sabai nan aluih 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

4 kapuh utara/sei talang 2 5 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 2 0 1 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 8 0 0 0 0 0 0 5 0 0 0 5 0 1 0 0 0 1 7 4 0 0 0 0

8 batu kalang 11 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 4 0 0 0 0

9 pulau karam 8 7 0 3 2 0 0 5 0 0 0 0 2 3 0 0 0 0 8 7 0 3 2 0

10 carocok 4 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 4 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 3 6 0 0 0 1 0 0 0 0 0 0 3 0 0 0 0 0 6 0 0 0 0 1

13 taluak raya 0 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 sako 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 4 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

20 pustu sungai pinang 3 0 0 0 0 0 20 30 0 0 0 0 7 12 0 0 0 0 16 18 0 0 0 0

21 pasa sungai pinang 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0

TOTAL 44 25 0 4 2 4 32 60 0 0 0 25 36 41 0 0 0 21 59 35 0 4 2 1

Diketahui Tarusan, 27 maret 2019

Kepala Puskesmas Pengelola KB Puskesmas

Jon Marta Hendra, SKM Reni Fitrianti SST

Nip. 19810610 200604 1 010 Nip. 19760925 200501 2 008
 PERMINTAAN OBAT

PROVINSI : SUMATERA BARAT

KABUPATEN : PESISIR SELATAN
PUSKESMAS : TARUSAN
BULAN : MAI 2018

PERMINTAAN OBAT

NO DESA STOK AWAL PENGGUNAAN SISA 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

5 pustu sungai pinang 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 20 20 0 10 0 20

6 puskesmas 0 0 0 0 0 0 0 0 0 0 0 3 5 0 0 0 0 0 100 100 0 0 0 100

TOTAL 4 0 0 12 5 0 11 33 0 11 3 26 25 10 0 11 2 10 200 200 0 50 0 200

Diketahui Tarusan, 28 Mai 2018

Kepala Puskesmas Pengelola KB Puskesmas

Jon Marta Hendra, SKM Reni Fitrianti SST

Nip. 19810610 200604 1 010 Nip. 19760925 200501 2 008