Contoh halaman judul SAP

SATUAN ACARA PENYULUHAN

JUDUL KEGIATAN

NAMA
NIM

PROGRAM STUDI D III KEBIDANAN

AKBID LA TANSA MASHIRO
Jln. Soekarno-Hatta, Pasirjati, Rangkasbitung, Lebak, Banten, 42317
Telp./Fax. (0252) 203690, email akbid_latansa@yahoo.co.id, Instragram @akbidlatansa,
Facebook Akademi Kebidanan-AKBID La Tansa Mashiro, Youtube AKBID LATANSA
 SATUAN ACARA PENYULUHAN (SAP)

Pokok Bahasan : ..............................................................................

Sub Pokok Bahasan : ..............................................................................
Sasaran : ..............................................................................
Hari/Tanggal : ..............................................................................
Waktu : ..............................................................................
Tempat : ..............................................................................
Penyuluh/Petugas : ..............................................................................

A. Tujuan Instruksional Umum

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B. Tujuan Instruksional Khusus

Setelah diberikan penyuluhan klien dapat :
1. .......................................................................................
2. .......................................................................................
3. .......................................................................................
4. .......................................................................................
5. .......................................................................................
6. .......................................................................................
7. .......................................................................................
8. .......................................................................................

C. Materi
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D. Metode
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E. Media
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F. Strategi Pelaksanaan
Berisi urut-urutan / langkah yang dilakukan dalam kegiatan penyuluhan:
1. Pembukaan : .........menit
2. Penyampaian Materi : .........menit
3. Diskusi / Tanya Jawab : .........menit
4. Evaluasi : .........menit
5. Penutup : .........menit

G. Evaluasi
Memberikan pertanyaan teori dan aplikasi yang berhubungan
dengan ..........................................., antara lain:
1. ............................................................................
2. ............................................................................
3. ............................................................................
4. ............................................................................
5. ............................................................................
6. ............................................................................
7. ............................................................................

H. Sumber
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I. Lampiran Materi
A. .................................................................
B. .................................................................
 C. .................................................................
1. ........................................................
2. ........................................................
3. .......................................................
a) ................................................
b) ................................................
c) ................................................
1) ..............................................
2) ..............................................
3) .............................................

Mengetahui,
Mahasiswa
Pembimbing PKMD

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