Formulir 1 ANC Revisi

DEFINISI OPERASIONAL
FORMULIR 1. ANC
No Indikator Keterangan Indikator
1 Jumlah Penduduk Jumlah penduduk menurut proyeksi Badan Pusat Statistik (BPS)
2 Sasaran Bayi Sasaran bayi setahun (bayi riil tahun sebelumnya)
3 Sasaran Ibu Hamil Sasaran Ibu hamil setahun (1,1 x Sasaran Bayi)
4 Ibu Hamil dapat Buku Ibu hamil yang telah memiliki Buku KIA/sejenis.
KIA
5 K1 Murni Ibu hamil yang telah mendapat pelayanan antenatal pertama kali pada usia
kemahilan 0-12 minggu
6 K1 Akses Ibu hamil yang telah mendapat pelayanan antenatal pertama kali pada usia
kemahilan >12 minggu
7 K1 Total Ibu hamil yang telah mendapat pelayanan antenatal pertama kali, tanpa
mempertimbangkan usia kehamilan saat mendapat pelayanan antenatal
pertama kali (K1 Akses)
8 K2 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya dua

kali sesuai standar dengan distribusi waktu 1 kali pada trimester ke-1 dan 1 kali
pada trimester ke-2
9 K3 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya tiga

kali sesuai standar dengan distribusi waktu 1 kali pada trimester ke-1,1 kali pada
trimester ke-2 dan 1 kali pada trimester ke-3
10 K4 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya Empat

kali sesuai standar dengan distribusi waktu 1 kali pada trimester ke-1,1 kali pada
trimester ke-2 dan 2 kali pada trimester ke-3
11 T1 Status Ibu hamil yang telah mendapatkan vaksinasi tetanus toksoid (TT) 1 kali
16 T2+ Status Ibu hamil dengan status T2+, yang merupakan hasil penjumlahan dari
Ibu hamil dengan status T2, T3, T4, dan T5
17 FE 30 Ibu hamil yang telah mendapat Tablet Tambah Darah sebanyak 30 tablet (Fe 2)
20 Deteksi Resiko Tinggi Ibu hamil, bersalin, dan nifas yang terdeteksi risiko tinggi pertama kali oleh
Nakes tenaga kesehatan
21 Deteksi Resiko Tinggi Ibu hamil, bersalin, dan nifas yang terdeteksi risiko tinggi pertama kali oleh
Masyarakat masyarakat (kader, dukun, tokoh masyarakat, tokoh agama, dll) serta dirujuk ke
tenaga kesehatan
22 Deteksi Resiko Tinggi Neonatus (0-28 Hari) yang terdeteksi risiko tinggi / faktor resiko dengan
Neonatus penyakit dan kelainan yang dapat menimbulkan kesakitan, kecacatan dan
kematian
23 Rujukan Kasus Risti Ibu hamil, bersalin, dan nifas dengan risiko tinggi yang dirujuk ke fasyankes
Maternal
24 Rujukan Kasus Risti bayi baru lahir (0-28 hari) dengan risiko tinggi yang dirujuk ke fasyankes
Neonatal
25 Penanganan Ibu hamil, bersalin, atau nifas dengan komplikasi yang mendapat penanganan
Komplikasi Obstetri definitif sesuai standar oleh tenaga kesehatan kompeten pada tingkat
(PK) pelayanan dasar dan rujukan
26 Penanganan Neonatus dengan komplikasi yang ditangani sesuai standar oleh tenaga
Komplikasi Neonatal kesehatan terlatih di seluruh sarana pelayanan kesehatan.
Neonatus dengan penyakit dan
kelainan yang dapat menyebabkan kesakitan, kecacatan dan kematian.
Neonatus dengan komplikasi seperti asfiksia, ikterus, hipotermia, tetanus
neonatorum, infeksi/sepsis, trauma lahir, BBLR (bayi berat lahir rendah < 2500
gr ), sindroma gangguan pernapasan, kelainan kongenital maupun yang
termasuk klasifikasi kuning pada MTBS
LAPORAN FORMULIR 1. ( ANC )
Puskesmas : GEBANG
Bulan : Januari 2020
Ibu Hamil Dapat

K1 Murni K1 Akses K1 Total K2 K3
Jumlah Sasaran Sasaran Buku KIA
No Nama Desa
penduduk Bayi Ibu Hamil
Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom %
1 Winong Kidul 1,831 25 28 2 2 7.143 2 2 7.1 0 0 0.0 2 2 7.1 0 0 0.0 0 0 0.0

2 Seren 3,810 29 32 - - 0 - - - 0 0 0.0 0 0 0.0 1 1 3.1 2 2 6.3
3 Lugosobo 3,965 33 36 7 7 19.44 7 7 19.4 0 0 0.0 7 7 19.4 0 0 0.0 0 0 0.0
4 Gintungan 3,184 32 35 2 2 5.714 2 2 5.7 0 0 0.0 2 2 5.7 1 1 2.9 2 2 5.7
5 Bulus 1,936 15 17 3 3 17.65 3 3 17.6 0 0 0.0 3 3 17.6 1 1 5.9 1 1 5.9
6 Rendeng 1,561 17 19 6 6 31.58 6 6 31.6 0 0 0.0 6 6 31.6 0 0 0.0 0 0 0.0
7 Kroyo 2,141 23 25 1 1 4 1 1 4.0 0 0 0.0 1 1 4.0 2 2 8.0 1 1 4.0
8 Winong Lor 2,134 17 19 1 1 5.263 1 1 5.3 0 0 0.0 1 1 5.3 1 1 5.3 1 1 5.3
9 Mlaran 1,918 25 28 5 5 17.86 5 5 17.9 0 0 0.0 5 5 17.9 0 0 0.0 0 0 0.0
10 Pelutan 994 7 8 - - 0 - - - 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
11 Bendosari 945 6 7 - - 0 - - - 0 0 0.0 0 0 0.0 0 0 0.0 1 1 14.3
12 Gebang 1,487 22 24 1 1 4.167 1 1 4.2 0 0 0.0 1 1 4.2 0 0 0.0 0 0 0.0
13 Pakem 1,727 20 22 2 2 9.091 2 2 9.1 0 0 0.0 2 2 9.1 1 1 4.5 1 1 4.5
14 Salam 655 6 7 2 2 28.57 2 2 28.6 0 0 0.0 2 2 28.6 2 2 28.6 0 0 0.0
15 Wonotopo 1,270 8 9 2 2 22.22 2 2 22.2 0 0 0.0 2 2 22.2 0 0 0.0 0 0 0.0
16 Sidoleren 817 7 8 - - 0 - - - 0 0 0.0 0 0 0.0 1 1 12.5 1 1 12.5
17 Penungkulan 2,941 45 50 7 7 14 6 6 12.0 1 1 2.0 7 7 14.0 2 2 4.0 6 6 12.0
18 Redin 3,385 49 54 6 6 11.11 6 6 11.1 0 0 0.0 6 6 11.1 4 4 7.4 4 4 7.4
19 Tlogosono 1,000 12 13 1 1 7.692 1 1 7.7 0 0 0.0 1 1 7.7 1 1 7.7 0 0 0.0
20 Ngemplak 1,215 12 13 2 2 15.38 2 2 15.4 0 0 0.0 2 2 15.4 0 0 0.0 0 0 0.0
21 Prumben 511 6 7 2 2 28.57 2 2 28.6 0 0 0.0 2 2 28.6 0 0 0.0 2 2 28.6
22 Ngaglik 1,215 13 14 2 2 14.29 2 2 14.3 0 0 0.0 2 2 14.3 0 0 0.0 0 0 0.0
23 Kalitengkek 1,306 28 31 - - 0 - - - 0 0 0.0 0 0 0.0 3 3 9.7 1 1 3.2
24 Kragilan 771 10 11 - - 0 - - - 0 0 0.0 0 0 0.0 0 0 0.0 1 1 9.1
25 Kemiri 1,101 18 20 1 1 5 1 1 5.0 0 0 0.0 1 1 5.0 0 0 0.0 0 0 0.0
Puskesmas 43820 485 537 55 55 10.2 54 54 10.1 1 1 0.2 55 55 10.24 20 20 3.724 24 24 4.5
Mengetahui Purworejo,
Kepala UPT Puskesmas Gebang Bidan Ko
Sudiarto, SKM, MM Rahayu Prasti

NIP. 196510201987021003 NIP. 198608
Puskesmas Form. 1a
Bulan
Status TT Bumil
K4
TT1 TT2
No Nama Desa
Bln Ini Kom % Bln Ini Kom % Bln Ini Kom %
1 Winong Kidul 2 2 7.1 - - 0.0 1 1 3.6

2 Seren 1 1 3.1 - - 0.0 - - 0.0
3 Lugosobo 1 1 2.8 - - 0.0 3 3 8.3
4 Gintungan 3 3 8.6 - - 0.0 1 1 2.9
5 Bulus 1 1 5.9 - - 0.0 - - 0.0
6 Rendeng 1 1 5.3 - - 0.0 - - 0.0
7 Kroyo 1 1 4.0 - - 0.0 3 3 12.0
8 Winong Lor 1 1 5.3 - - 0.0 - - 0.0
9 Mlaran 2 2 7.1 - - 0.0 1 1 3.6
10 Pelutan 1 1 12.5 - - 0.0 2 2 25.0
11 Bendosari 0 0 0.0 1 1 14.3 - - 0.0
12 Gebang 2 2 8.3 - - 0.0 1 1 4.2
13 Pakem 1 1 4.5 - - 0.0 - - 0.0
14 Salam 0 0 0.0 - - 0.0 1 1 14.3
15 Wonotopo 1 1 11.1 - - 0.0 - - 0.0
16 Sidoleren 0 0 0.0 - - 0.0 1 1 12.5
17 Penungkulan 5 5 10.0 - - 0.0 2 2 4.0
18 Redin 3 3 5.6 - - 0.0 8 8 14.8
19 Tlogosono 0 0 0.0 - - 0.0 - - 0.0
20 Ngemplak 1 1 7.7 - - 0.0 - - 0.0
21 Prumben 2 2 28.6 - - 0.0 2 2 28.6
22 Ngaglik 1 1 7.1 - - 0.0 1 1 7.1
23 Kalitengkek 1 1 3.2 - - 0.0 2 2 6.5
24 Kragilan 0 0 0.0 - - 0.0 - - 0.0
25 Kemiri 0 0 0.0 - - 0.0 1 1 5.0
Puskesmas 31 31 5.8 1 1 0.2 30 30 5.6
Purworejo, 31 Januari 2020

Bidan Koordinator Kia
Rahayu Prastiwi Noor, S.Tr.Keb.

NIP. 198608212009022007
Puskesmas : GEBANG
Bulan : Januari
Status TT Bumil Deteksi

Fe 30 Fe 60 Fe 90
TT3 TT4 TT5 T2+ Ibu Hamil,Salin, Nifas
No Nama Desa
Bln Bln Bln Bln Tenaga Kesehatan Masyara
Kom % Kom % Kom % Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Kom % / Ibu % / 20 % Bln
Ini Ini Ini Ini
Ini Hamil Bumil Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 1 1 3.6 2 2 7.1 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
2 Seren 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 - - 0.0 1 1 3.1 1 1 3.1 0 0 0.0 0.0 0
3 Lugosobo 0 0 0.0 0 0 0.0 0 - 0.0 3 3 8.3 7 7 19.4 0 0 0.0 - - 0.0 1 1 2.8 13.9 0
4 Gintungan 0 0 0.0 0 0 0.0 0 - 0.0 1 1 2.9 2 2 5.7 1 1 2.9 2 2 5.7 1 1 2.9 14.3 1
5 Bulus 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 3 3 17.6 1 1 5.9 1 1 5.9 1 1 5.9 29.4 1
6 Rendeng 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 6 6 31.6 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
7 Kroyo 0 0 0.0 0 0 0.0 0 - 0.0 3 3 12.0 1 1 4.0 2 2 8.0 1 1 4.0 1 1 4.0 20.0 1
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 1 1 5.3 1 1 5.3 1 1 5.3 0 0 0.0 0.0 0
9 Mlaran 0 0 0.0 0 0 0.0 0 - 0.0 1 1 3.6 5 5 17.9 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
10 Pelutan 0 0 0.0 0 0 0.0 0 - 0.0 2 2 25.0 - - 0.0 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
11 Bendosari 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 - - 0.0 0 0 0.0 1 1 14.3 0 0 0.0 0.0 0
12 Gebang 0 0 0.0 0 0 0.0 0 - 0.0 1 1 4.2 1 1 4.2 0 0 0.0 - - 0.0 1 1 4.2 20.8 1
13 Pakem 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 2 2 9.1 1 1 4.5 1 1 4.5 0 0 0.0 0.0 0
14 Salam 0 0 0.0 0 0 0.0 0 - 0.0 1 1 14.3 2 2 28.6 2 2 28.6 - - 0.0 0 0 0.0 0.0 0
15 Wonotopo 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 2 2 22.2 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
16 Sidoleren 0 0 0.0 0 0 0.0 0 - 0.0 1 1 12.5 - - 0.0 1 1 12.5 - - 0.0 0 0 0.0 0.0 0
17 Penungkulan 0 0 0.0 0 0 0.0 0 - 0.0 2 2 4.0 7 7 14.0 2 2 4.0 5 5 10.0 4 4 8.0 40.0 3
18 Redin 0 0 0.0 0 0 0.0 0 - 0.0 8 8 14.8 6 6 11.1 4 4 7.4 4 4 7.4 2 2 3.7 18.5 2
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 1 1 7.7 1 1 7.7 - - 0.0 0 0 0.0 0.0 0
20 Ngemplak 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 2 2 15.4 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 2 2 28.6 2 2 28.6 0 0 0.0 1 1 14.3 0 0 0.0 0.0 0
22 Ngaglik 0 0 0.0 0 0 0.0 0 - 0.0 1 1 7.1 2 2 14.3 0 0 0.0 - - 0.0 1 1 7.1 35.7 1
23 Kalitengkek 0 0 0.0 0 0 0.0 0 - 0.0 2 2 6.5 - - 0.0 4 4 12.9 1 1 3.2 0 0 0.0 0.0 0
24 Kragilan 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 - - 0.0 0 0 0.0 1 1 9.1 0 0 0.0 0.0 0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 1 1 5.0 1 1 5.0 0 0 0.0 - - 0.0 0 0 0.0 0.0 0
Puskesmas 0 0 0.0 0 0 0.0 0 0 0.0 30 30 5.6 55 55 10.2 21 21 3.9 20 20 3.7 12 12 2.2 11.2 10
Puskesmas Form. 1b
Bulan
Deteksi Risiko Tinggi

Ibu Hamil,Salin, Nifas Neonatal
No Nama Desa
Masyarakat Bulan Ini Komulatif
%
Kom % L P Jml L P Jml
1 Winong Kidul 0 0.0 0 0 0 0 0 0 0.0
2 Seren 0 0.0 0 0 0 0 0 0 0.0
3 Lugosobo 0 0.0 0 0 0 0 0 0 0.0
4 Gintungan 1 2.9 0 0 0 0 0 0 0.0
5 Bulus 1 5.9 0 0 0 0 0 0 0.0
6 Rendeng 0 0.0 0 0 0 0 0 0 0.0
7 Kroyo 1 4.0 1 0 1 1 0 1 4.3
8 Winong Lor 0 0.0 0 0 0 0 0 0 0.0
9 Mlaran 0 0.0 0 0 0 0 0 0 0.0
10 Pelutan 0 0.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0.0 0 0 0 0 0 0 0.0
12 Gebang 1 4.2 0 0 0 0 0 0 0.0
13 Pakem 0 0.0 0 0 0 0 0 0 0.0
14 Salam 0 0.0 0 0 0 0 0 0 0.0
15 Wonotopo 0 0.0 0 0 0 0 0 0 0.0
16 Sidoleren 0 0.0 0 0 0 0 0 0 0.0
17 Penungkulan 3 6.0 0 0 0 0 0 0 0.0
18 Redin 2 3.7 0 1 1 0 1 1 2.0
19 Tlogosono 0 0.0 0 0 0 0 0 0 0.0
20 Ngemplak 0 0.0 0 0 0 0 0 0 0.0
21 Prumben 0 0.0 0 0 0 0 0 0 0.0
22 Ngaglik 1 7.1 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0.0 0 0 0 0 0 0 0.0
24 Kragilan 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0.0 0 0 0 0 0 0 0.0
Puskesmas 10 1.9 1 1 2 1 1 2 0.4
Puskesmas : GEBANG
Bulan : Januari
Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikas

Maternal Neonatal Obstetri
No Nama Desa
Bulan Ini Komulatif Bulan Ini Komulatif Bulan ini Komulatif
% %
Hamil Salin Nifas Jml Hamil Salin Nifas Jml L P Jml L P Jml Hamil Salin Nifas Jml Hamil Salin Nifas Jml
1 Winong Kidul 0 0 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 Seren 0 0 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 Lugosobo 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
4 Gintungan 1 0 0 1 1 0 0 1 14.3 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
5 Bulus 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
6 Rendeng 0 0 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 Kroyo 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
8 Winong Lor 0 0 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 Mlaran 0 0 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 Pelutan 0 0 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 Bendosari 1 0 0 1 1 0 0 1 71.4 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
12 Gebang 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
13 Pakem 0 0 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 Salam 0 1 0 1 0 1 0 1 71.4 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
15 Wonotopo 0 0 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 Sidoleren 0 1 0 1 0 1 0 1 62.5 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
17 Penungkulan 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 4 0 4 0 4 0 4
18 Redin 0 1 0 1 0 1 0 1 9.3 0 0 0 0 0 0 0.0 0 2 0 2 0 2 0 2
19 Tlogosono 0 0 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 Ngemplak 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
21 Prumben 0 1 0 1 0 1 0 1 71.4 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
22 Ngaglik 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1
23 Kalitengkek 1 0 0 1 1 0 0 1 16.1 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
24 Kragilan 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
25 Kemiri 0 1 0 1 0 1 0 1 25.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0
Puskesmas 3 5 0 8 3 5 0 8 7.4 0 0 0 0 0 0 0.0 0 12 0 12 0 12 0 12
Puskesmas Form. 1c
Bulan
Cakupan Penanganan Komplikasi

Obstetri Neonatal
No Nama Desa
Bulan Ini Komulatif
% %
L P Jml L P Jml
1 Winong Kidul 0.0 0 0 0 0 0 0 0.0
2 Seren 0.0 0 0 0 0 0 0 0.0
3 Lugosobo 13.9 0 0 0 0 0 0 0.0
4 Gintungan 14.3 0 0 0 0 0 0 0.0
5 Bulus 29.4 0 0 0 0 0 0 0.0
6 Rendeng 0.0 0 0 0 0 0 0 0.0
7 Kroyo 20.0 1 0 1 1 0 1 29.0
8 Winong Lor 0.0 0 0 0 0 0 0 0.0
9 Mlaran 0.0 0 0 0 0 0 0 0.0
10 Pelutan 0.0 0 0 0 0 0 0 0.0
11 Bendosari 0.0 0 0 0 0 0 0 0.0
12 Gebang 20.8 0 0 0 0 0 0 0.0
13 Pakem 0.0 0 0 0 0 0 0 0.0
14 Salam 0.0 0 0 0 0 0 0 0.0
15 Wonotopo 0.0 0 0 0 0 0 0 0.0
16 Sidoleren 0.0 0 0 0 0 0 0 0.0
17 Penungkulan 40.0 0 0 0 0 0 0 0.0
18 Redin 18.5 0 1 1 0 1 1 13.6
19 Tlogosono 0.0 0 0 0 0 0 0 0.0
20 Ngemplak 0.0 0 0 0 0 0 0 0.0
21 Prumben 0.0 0 0 0 0 0 0 0.0
22 Ngaglik 35.7 0 0 0 0 0 0 0.0
23 Kalitengkek 0.0 0 0 0 0 0 0 0.0
24 Kragilan 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0.0 0 0 0 0 0 0 0.0
Puskesmas 11.2 1 1 2 1 1 2 2.7
Puskesmas TOLONG CEK YANG ADA TANDA -
Bulan (MINUS) ARTINYA KOMPL LEBIH
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
No Nama Desa MATERNAL
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 0 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 0 0
7 Kroyo 0 0
8 Winong Lor 0 0
9 Mlaran 0 0
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 0 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 0 0
18 Redin 0 0
19 Tlogosono 0 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 0 0
23 Kalitengkek 0 0
24 Kragilan 0 0
25 Kemiri 0 0
Puskesmas 0 0
Puskesmas : GEBANG Form. 1a
Bulan : Februari 2020
Ibu Hamil Dapat Status TT Bumil

K1 Murni K1 Akses K1 Total K2 K3 K4
Jumlah Sasaran Sasaran Buku KIA TT1 TT2
No Nama Desa
Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom %
1 Winong Kidul 1,831 25 28 3 5 17.9 3 5 17.9 0 0 0.0 3 5 17.9 2 2 7.1 0 0 0.0 1 3 10.7 - - 0.0 2 3 10.7
2 Seren 3,810 29 32 2 2 6.3 2 2 6.3 0 0 0.0 2 2 6.3 0 1 3.1 1 3 9.4 2 3 9.4 - - 0.0 1 1 3.1
3 Lugosobo 3,965 33 36 4 11 30.6 3 10 27.8 1 1 2.8 4 11 30.6 7 7 19.4 0 0 0.0 2 3 8.3 - - 0.0 1 4 11.1
4 Gintungan 3,184 32 35 1 3 8.6 1 3 8.6 0 0 0.0 1 3 8.6 2 3 8.6 1 3 8.6 0 3 8.6 - - 0.0 2 3 8.6
5 Bulus 1,936 15 17 2 5 29.4 2 5 29.4 0 0 0.0 2 5 29.4 3 4 23.5 1 2 11.8 4 5 29.4 - - 0.0 1 1 5.9
6 Rendeng 1,561 17 19 2 8 42.1 2 8 42.1 0 0 0.0 2 8 42.1 6 6 31.6 0 0 0.0 0 1 5.3 - - 0.0 - - 0.0
7 Kroyo 2,141 23 25 2 3 12.0 2 3 12.0 0 0 0.0 2 3 12.0 1 3 12.0 2 3 12.0 0 1 4.0 - - 0.0 1 4 16.0
8 Winong Lor 2,134 17 19 - 1 5.3 - 1 5.3 0 0 0.0 0 1 5.3 1 2 10.5 1 2 10.5 0 1 5.3 - - 0.0 2 2 10.5
9 Mlaran 1,918 25 28 1 6 21.4 1 6 21.4 0 0 0.0 1 6 21.4 6 6 21.4 1 1 3.6 1 3 10.7 - - 0.0 4 5 17.9
10 Pelutan 994 7 8 2 2 25.0 2 2 25.0 0 0 0.0 2 2 25.0 1 1 12.5 1 1 12.5 3 4 50.0 - - 0.0 1 3 37.5
11 Bendosari 945 6 7 2 2 28.6 2 2 28.6 0 0 0.0 2 2 28.6 0 0 0.0 0 1 14.3 2 2 28.6 - 1 14.3 - - 0.0
12 Gebang 1,487 22 24 4 5 20.8 4 5 20.8 0 0 0.0 4 5 20.8 2 2 8.3 1 1 4.2 0 2 8.3 1 1 4.2 2 3 12.5
13 Pakem 1,727 20 22 4 6 27.3 4 6 27.3 0 0 0.0 4 6 27.3 2 3 13.6 1 2 9.1 3 4 18.2 - - 0.0 2 2 9.1
14 Salam 655 6 7 1 3 42.9 1 3 42.9 0 0 0.0 1 3 42.9 2 4 57.1 2 2 28.6 2 2 28.6 - - 0.0 - 1 14.3
15 Wonotopo 1,270 8 9 1 3 33.3 1 3 33.3 0 0 0.0 1 3 33.3 2 2 22.2 0 0 0.0 0 1 11.1 - - 0.0 - - 0.0
16 Sidoleren 817 7 8 2 2 25.0 2 2 25.0 0 0 0.0 2 2 25.0 0 1 12.5 1 2 25.0 0 0 0.0 1 1 12.5 1 2 25.0
17 Penungkulan 2,941 45 50 4 11 22.0 4 10 20.0 0 1 2.0 4 11 22.0 6 8 16.0 2 8 16.0 5 10 20.0 - - 0.0 4 6 12.0
18 Redin 3,385 49 54 2 8 14.8 2 8 14.8 0 0 0.0 2 8 14.8 6 10 18.5 4 8 14.8 4 7 13.0 - - 0.0 2 10 18.5
19 Tlogosono 1,000 12 13 - 1 7.7 - 1 7.7 0 0 0.0 0 1 7.7 1 2 15.4 1 1 7.7 1 1 7.7 - - 0.0 - - 0.0
20 Ngemplak 1,215 12 13 - 2 15.4 - 2 15.4 0 0 0.0 0 2 15.4 2 2 15.4 0 0 0.0 4 5 38.5 - - 0.0 2 2 15.4
21 Prumben 511 6 7 - 2 28.6 - 2 28.6 0 0 0.0 0 2 28.6 2 2 28.6 0 2 28.6 1 3 42.9 - - 0.0 1 3 42.9
22 Ngaglik 1,215 13 14 1 3 21.4 1 3 21.4 0 0 0.0 1 3 21.4 3 3 21.4 0 0 0.0 1 2 14.3 - - 0.0 1 2 14.3
23 Kalitengkek 1,306 28 31 - - 0.0 - - - 0 0 0.0 0 0 0.0 0 3 9.7 3 4 12.9 2 3 9.7 - - 0.0 2 4 12.9
24 Kragilan 771 10 11 1 1 9.1 1 1 9.1 0 0 0.0 1 1 9.1 0 0 0.0 0 1 9.1 2 2 18.2 - - 0.0 - - 0.0
25 Kemiri 1,101 18 20 - 1 5.0 - 1 5.0 0 0 0.0 0 1 5.0 1 1 5.0 0 0 0.0 0 0 0.0 - - 0.0 1 2 10.0
Puskesmas 43820 485 537 41 96 17.9 40 94 17.5 1 2 0.4 41 96 17.88 58 78 14.53 23 47 8.8 40 71 13.2 2 3 0.6 33 63 11.7
Mengetahui Purworejo, 29 Februari 2020

Kepala UPT Puskesmas Gebang Bidan Koordinator Kia
Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

NIP. 196510201987021003 NIP. 198608212009022007
Puskesmas : GEBANG Form. 1b
Bulan : Februari
Status TT Bumil Deteksi Risiko Tinggi

Fe 30 Fe 60 Fe 90
TT3 TT4 TT5 T2+ Ibu Hamil,Salin, Nifas Neonatal
No Nama Desa
Bln Bln Bln Bln Tenaga Kesehatan Masyarakat Bulan Ini Komulatif
Kom % Kom % Kom % Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Kom % / Ibu % / 20 % Bln Kom % %
Ini Ini Ini Ini L P Jml L P Jml
Ini Hamil Bumil Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 2 3 10.7 3 5 17.9 2 2 7.1 - - 0.0 2 2 7.1 35.7 0 0 0.0 0 0 0 0 0 0 0.0
2 Seren 1 1 3.1 0 0 0.0 0 - 0.0 2 2 6.3 2 2 6.3 0 1 3.1 1 2 6.3 1 1 3.1 15.6 1 1 3.1 0 0 0 0 0 0 0.0
3 Lugosobo 1 1 2.8 0 0 0.0 0 - 0.0 2 5 13.9 4 11 30.6 7 7 19.4 - - 0.0 0 1 2.8 13.9 0 0 0.0 0 0 0 0 0 0 0.0
4 Gintungan 0 0 0.0 0 0 0.0 0 - 0.0 2 3 8.6 1 3 8.6 2 3 8.6 1 3 8.6 0 1 2.9 14.3 0 1 2.9 0 0 0 0 0 0 0.0
5 Bulus 0 0 0.0 0 0 0.0 0 - 0.0 1 1 5.9 2 5 29.4 3 4 23.5 1 2 11.8 0 1 5.9 29.4 0 1 5.9 0 0 0 0 0 0 0.0
6 Rendeng 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 2 8 42.1 6 6 31.6 - - 0.0 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
7 Kroyo 0 0 0.0 1 1 4.0 0 - 0.0 2 5 20.0 2 3 12.0 1 3 12.0 2 3 12.0 0 1 4.0 20.0 0 1 4.0 0 1 1 1 1 2 8.7
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 2 2 10.5 - 1 5.3 1 2 10.5 1 2 10.5 1 1 5.3 26.3 0 0 0.0 0 0 0 0 0 0 0.0
9 Mlaran 0 0 0.0 0 0 0.0 0 - 0.0 4 5 17.9 1 6 21.4 5 5 17.9 - - 0.0 1 1 3.6 17.9 0 0 0.0 0 0 0 0 0 0 0.0
10 Pelutan 0 0 0.0 0 0 0.0 0 - 0.0 1 3 37.5 2 2 25.0 0 0 0.0 - - 0.0 1 1 12.5 62.5 0 0 0.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 2 2 28.6 0 0 0.0 - 1 14.3 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
12 Gebang 0 0 0.0 0 0 0.0 0 - 0.0 2 3 12.5 4 5 20.8 1 1 4.2 - - 0.0 0 1 4.2 20.8 2 3 12.5 0 0 0 0 0 0 0.0
13 Pakem 0 0 0.0 0 0 0.0 0 - 0.0 2 2 9.1 4 6 27.3 2 3 13.6 1 2 9.1 3 3 13.6 68.2 1 1 4.5 0 0 0 0 0 0 0.0
14 Salam 1 1 14.3 0 0 0.0 0 - 0.0 1 2 28.6 1 3 42.9 2 4 57.1 2 2 28.6 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
15 Wonotopo 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 1 3 33.3 2 2 22.2 - - 0.0 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
16 Sidoleren 0 0 0.0 0 0 0.0 0 - 0.0 1 2 25.0 2 2 25.0 0 1 12.5 1 1 12.5 1 1 12.5 62.5 0 0 0.0 0 0 0 0 0 0 0.0
17 Penungkulan 0 0 0.0 0 0 0.0 0 - 0.0 4 6 12.0 4 11 22.0 7 9 18.0 2 7 14.0 0 4 8.0 40.0 1 4 8.0 1 0 1 1 0 1 2.2
18 Redin 0 0 0.0 0 0 0.0 0 - 0.0 2 10 18.5 2 8 14.8 6 10 18.5 4 8 14.8 1 3 5.6 27.8 0 2 3.7 0 0 0 0 1 1 2.0
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 - 1 7.7 1 2 15.4 1 1 7.7 1 1 7.7 38.5 0 0 0.0 0 0 0 0 0 0 0.0
20 Ngemplak 0 0 0.0 0 0 0.0 0 - 0.0 2 2 15.4 - 2 15.4 2 2 15.4 - - 0.0 1 1 7.7 38.5 0 0 0.0 0 0 0 0 0 0 0.0
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 1 3 42.9 - 2 28.6 2 2 28.6 - 1 14.3 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
22 Ngaglik 0 0 0.0 0 0 0.0 0 - 0.0 1 2 14.3 1 3 21.4 2 2 14.3 - - 0.0 1 2 14.3 71.4 0 1 7.1 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0 0.0 0 0 0.0 0 - 0.0 2 4 12.9 - - 0.0 0 4 12.9 4 5 16.1 1 1 3.2 16.1 0 0 0.0 0 0 0 0 0 0 0.0
24 Kragilan 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 1 1 9.1 0 0 0.0 - 1 9.1 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 1 2 10.0 - 1 5.0 1 1 5.0 - - 0.0 0 0 0.0 0.0 0 0 0.0 1 0 1 1 0 1 5.6
Puskesmas 3 3 0.6 1 1 0.2 0 0 0.0 37 67 12.5 41 96 17.9 55 76 14.2 21 41 7.6 15 27 5.0 25.1 5 15 2.8 2 1 3 3 2 5 1.0
Puskesmas : GEBANG Form. 1c
Bulan : Februari
Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Maternal Neonatal Obstetri Neonatal
No Nama Desa
Bulan Ini Komulatif Bulan Ini Komulatif Bulan ini Komulatif Bulan Ini Komulatif
% % % %
Hamil Salin Nifas Jml Hamil Salin Nifas Jml L P Jml L P Jml Hamil Salin Nifas Jml Hamil Salin Nifas Jml L P Jml L P Jml
1 Winong Kidul 2 0 0 2 2 0 0 2 35.7 0 0 0 0 0 0 0.0 2 0 0 2 2 0 0 2 35.7 0 0 0 0 0 0 0.0
2 Seren 1 0 0 1 1 0 0 1 15.6 0 0 0 0 0 0 0.0 1 0 0 1 1 0 0 1 15.6 0 0 0 0 0 0 0.0
3 Lugosobo 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 13.9 0 0 0 0 0 0 0.0
4 Gintungan 0 0 0 0 1 0 0 1 14.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 14.3 0 0 0 0 0 0 0.0
5 Bulus 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 29.4 0 0 0 0 0 0 0.0
6 Rendeng 0 0 0 0 0 0 0 0 0.0 0 0 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 Kroyo 0 0 0 0 0 0 0 0 0.0 0 1 1 0 1 1 29.0 0 0 0 0 0 1 0 1 20.0 1 0 1 2 0 2 58.0
8 Winong Lor 0 1 0 1 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1 26.3 0 0 0 0 0 0 0.0
9 Mlaran 0 0 1 1 0 0 1 1 17.9 0 0 0 0 0 0 0.0 0 0 1 1 0 0 1 1 17.9 0 0 0 0 0 0 0.0
10 Pelutan 0 1 0 1 0 1 0 1 62.5 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1 62.5 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0 0 1 0 0 1 71.4 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
12 Gebang 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0.0
13 Pakem 0 2 0 2 0 2 0 2 45.5 0 0 0 0 0 0 0.0 0 2 0 2 0 2 0 2 45.5 0 0 0 0 0 0 0.0
14 Salam 0 0 0 0 0 1 0 1 71.4 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
15 Wonotopo 0 0 0 0 0 0 0 0 0.0 0 0 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 Sidoleren 0 1 0 1 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 1 0 1 0 1 0 1 62.5 0 0 0 0 0 0 0.0
17 Penungkulan 0 0 0 0 0 0 0 0 0.0 1 0 1 1 0 1 14.8 0 0 0 0 0 4 0 4 40.0 1 0 1 1 0 1 14.8
18 Redin 0 1 0 1 0 2 0 2 18.5 0 0 0 0 0 0 0.0 0 1 0 1 0 3 0 3 27.8 0 0 0 0 1 1 13.6
19 Tlogosono 1 0 0 1 1 0 0 1 38.5 0 0 0 0 0 0 0.0 1 0 0 1 1 0 0 1 38.5 0 0 0 0 0 0 0.0
20 Ngemplak 0 0 1 1 0 0 1 1 38.5 0 0 0 0 0 0 0.0 0 0 1 1 0 0 1 1 38.5 0 0 0 0 0 0 0.0
21 Prumben 0 0 0 0 0 1 0 1 71.4 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
22 Ngaglik 0 1 0 1 0 1 0 1 35.7 0 0 0 0 0 0 0.0 0 1 0 1 0 2 0 2 71.4 0 0 0 0 0 0 0.0
23 Kalitengkek 1 0 0 1 2 0 0 2 32.3 0 0 0 0 0 0 0.0 1 0 0 1 1 0 0 1 16.1 0 0 0 0 0 0 0.0
24 Kragilan 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0 0 0 1 0 1 25.0 1 0 1 1 0 1 37.0 0 0 0 0 0 0 0 0 0.0 1 0 1 1 0 1 37.0
Puskesmas 5 7 2 14 8 12 2 22 20.5 2 1 3 2 1 3 4.1 5 7 2 14 5 19 2 26 24.2 3 0 3 4 1 5 6.9
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 0 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 0 0
7 Kroyo 0 0
8 Winong Lor 0 0
9 Mlaran 0 0
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 0 0
18 Redin 0 0
19 Tlogosono 0 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 0 0
23 Kalitengkek 0 0
24 Kragilan 0 0
25 Kemiri 0 0
Puskesmas 1 0
Bulan : Maret 2020

No Nama Desa
1 Winong Kidul 1,831 25 28 2 7 25.0 2 7 25.0 0 0 0.0 2 7 25.0 3 5 17.9 2 2 7.1 1 4 14.3 - - 0.0 4 7 25.0
2 Seren 3,810 29 32 2 4 12.5 2 4 12.5 0 0 0.0 2 4 12.5 2 3 9.4 0 3 9.4 0 3 9.4 - - 0.0 2 3 9.4
3 Lugosobo 3,965 33 36 1 12 33.3 1 11 30.6 0 1 2.8 1 12 33.3 3 10 27.8 7 7 19.4 2 5 13.9 - - 0.0 2 6 16.7
4 Gintungan 3,184 32 35 - 3 8.6 - 3 8.6 0 0 0.0 0 3 8.6 1 4 11.4 2 5 14.3 0 3 8.6 - - 0.0 3 6 17.1
5 Bulus 1,936 15 17 - 5 29.4 - 5 29.4 0 0 0.0 0 5 29.4 2 6 35.3 3 5 29.4 3 8 47.1 - - 0.0 3 4 23.5
6 Rendeng 1,561 17 19 - 8 42.1 - 8 42.1 0 0 0.0 0 8 42.1 2 8 42.1 6 6 31.6 2 3 15.8 - - 0.0 1 1 5.3
7 Kroyo 2,141 23 25 1 4 16.0 1 4 16.0 0 0 0.0 1 4 16.0 2 5 20.0 1 4 16.0 2 3 12.0 - - 0.0 1 5 20.0
8 Winong Lor 2,134 17 19 1 2 10.5 1 2 10.5 0 0 0.0 1 2 10.5 0 2 10.5 1 3 15.8 3 4 21.1 - - 0.0 - 2 10.5
9 Mlaran 1,918 25 28 - 6 21.4 - 6 21.4 0 0 0.0 0 6 21.4 1 7 25.0 6 7 25.0 1 4 14.3 - - 0.0 2 7 25.0
10 Pelutan 994 7 8 - 2 25.0 - 2 25.0 0 0 0.0 0 2 25.0 2 3 37.5 1 2 25.0 0 4 50.0 - - 0.0 1 4 50.0
11 Bendosari 945 6 7 - 2 28.6 - 2 28.6 0 0 0.0 0 2 28.6 2 2 28.6 0 1 14.3 0 2 28.6 1 2 28.6 - - 0.0
12 Gebang 1,487 22 24 - 5 20.8 - 5 20.8 0 0 0.0 0 5 20.8 4 6 25.0 2 3 12.5 1 3 12.5 1 2 8.3 3 6 25.0
13 Pakem 1,727 20 22 - 6 27.3 - 6 27.3 0 0 0.0 0 6 27.3 4 7 31.8 2 4 18.2 1 5 22.7 - - 0.0 2 4 18.2
14 Salam 655 6 7 1 4 57.1 1 4 57.1 0 0 0.0 1 4 57.1 1 5 71.4 2 4 57.1 0 2 28.6 - - 0.0 - 1 14.3
15 Wonotopo 1,270 8 9 3 6 66.7 3 6 66.7 0 0 0.0 3 6 66.7 1 3 33.3 2 2 22.2 0 1 11.1 - - 0.0 1 1 11.1
16 Sidoleren 817 7 8 - 2 25.0 - 2 25.0 0 0 0.0 0 2 25.0 2 3 37.5 0 2 25.0 0 0 0.0 1 2 25.0 1 3 37.5
17 Penungkulan 2,941 45 50 5 16 32.0 4 14 28.0 1 2 4.0 5 16 32.0 4 12 24.0 6 14 28.0 0 10 20.0 - - 0.0 4 10 20.0
18 Redin 3,385 49 54 1 9 16.7 1 9 16.7 0 0 0.0 1 9 16.7 2 12 22.2 6 14 25.9 6 13 24.1 1 1 1.9 1 11 20.4
19 Tlogosono 1,000 12 13 1 2 15.4 1 2 15.4 0 0 0.0 1 2 15.4 0 2 15.4 1 2 15.4 1 2 15.4 - - 0.0 3 3 23.1
20 Ngemplak 1,215 12 13 1 3 23.1 1 3 23.1 0 0 0.0 1 3 23.1 0 2 15.4 2 2 15.4 0 5 38.5 - - 0.0 2 4 30.8
21 Prumben 511 6 7 - 2 28.6 - 2 28.6 0 0 0.0 0 2 28.6 0 2 28.6 2 4 57.1 1 4 57.1 - - 0.0 - 3 42.9
22 Ngaglik 1,215 13 14 1 4 28.6 1 4 28.6 0 0 0.0 1 4 28.6 1 4 28.6 3 3 21.4 0 2 14.3 - - 0.0 - 2 14.3
23 Kalitengkek 1,306 28 31 2 2 6.5 2 2 6.5 0 0 0.0 2 2 6.5 0 3 9.7 0 4 12.9 0 3 9.7 - - 0.0 1 5 16.1
24 Kragilan 771 10 11 1 2 18.2 1 2 18.2 0 0 0.0 1 2 18.2 1 1 9.1 0 1 9.1 0 2 18.2 - - 0.0 - - 0.0
25 Kemiri 1,101 18 20 1 2 10.0 1 2 10.0 0 0 0.0 1 2 10.0 0 1 5.0 1 1 5.0 0 0 0.0 - - 0.0 - 2 10.0
Puskesmas 43820 485 537 24 120 22.3 23 117 21.8 1 3 0.6 24 120 22.35 40 118 21.97 58 105 19.6 24 95 17.7 4 7 1.3 37 100 18.6
Mengetahui Purworejo, 31 Maret 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Maret

Fe 30 Fe 60 Fe 90
No Nama Desa
Ini Hamil Bumil Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 4 7 25.0 2 7 25.0 3 5 17.9 2 2 7.1 2 4 14.3 71.4 0 0 0.0 0 0 0 0 0 0 0.0
2 Seren 0 1 3.1 0 0 0.0 0 - 0.0 2 4 12.5 2 4 12.5 2 3 9.4 - 2 6.3 1 2 6.3 31.3 0 1 3.1 0 0 0 0 0 0 0.0
3 Lugosobo 0 1 2.8 0 0 0.0 0 - 0.0 2 7 19.4 1 12 33.3 4 11 30.6 7 7 19.4 0 1 2.8 13.9 0 0 0.0 0 0 0 0 0 0 0.0
4 Gintungan 0 0 0.0 0 0 0.0 0 - 0.0 3 6 17.1 - 3 8.6 1 4 11.4 2 5 14.3 0 1 2.9 14.3 0 1 2.9 0 0 0 0 0 0 0.0
5 Bulus 1 1 5.9 0 0 0.0 0 - 0.0 4 5 29.4 - 5 29.4 2 6 35.3 3 5 29.4 0 1 5.9 29.4 0 1 5.9 0 0 0 0 0 0 0.0
6 Rendeng 1 1 5.3 0 0 0.0 0 - 0.0 2 2 10.5 - 8 42.1 2 8 42.1 6 6 31.6 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
7 Kroyo 0 0 0.0 0 1 4.0 0 - 0.0 1 6 24.0 1 4 16.0 2 5 20.0 1 4 16.0 0 1 4.0 20.0 0 1 4.0 0 0 0 1 1 2 8.7
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 0 2 10.5 1 2 10.5 0 2 10.5 1 3 15.8 0 1 5.3 26.3 0 0 0.0 0 0 0 0 0 0 0.0
9 Mlaran 0 0 0.0 0 0 0.0 0 - 0.0 2 7 25.0 - 6 21.4 1 6 21.4 5 5 17.9 0 1 3.6 17.9 0 0 0.0 0 0 0 0 0 0 0.0
10 Pelutan 0 0 0.0 0 0 0.0 0 - 0.0 1 4 50.0 - 2 25.0 2 2 25.0 - - 0.0 0 1 12.5 62.5 0 0 0.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 - 2 28.6 2 2 28.6 - 1 14.3 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
12 Gebang 0 0 0.0 0 0 0.0 0 - 0.0 3 6 25.0 - 5 20.8 4 5 20.8 1 1 4.2 0 1 4.2 20.8 0 3 12.5 0 0 0 0 0 0 0.0
13 Pakem 0 0 0.0 0 0 0.0 0 - 0.0 2 4 18.2 - 6 27.3 4 7 31.8 2 4 18.2 0 3 13.6 68.2 0 1 4.5 0 0 0 0 0 0 0.0
14 Salam 0 1 14.3 0 0 0.0 0 - 0.0 0 2 28.6 1 4 57.1 1 5 71.4 2 4 57.1 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
15 Wonotopo 0 0 0.0 0 0 0.0 0 - 0.0 1 1 11.1 3 6 66.7 1 3 33.3 2 2 22.2 0 0 0.0 0.0 2 2 22.2 0 0 0 0 0 0 0.0
16 Sidoleren 0 0 0.0 0 0 0.0 0 - 0.0 1 3 37.5 - 2 25.0 2 3 37.5 - 1 12.5 0 1 12.5 62.5 0 0 0.0 0 0 0 0 0 0 0.0
17 Penungkulan 0 0 0.0 0 0 0.0 0 - 0.0 4 10 20.0 5 16 32.0 4 13 26.0 7 14 28.0 2 6 12.0 60.0 2 6 12.0 0 0 0 1 0 1 2.2
18 Redin 0 0 0.0 0 0 0.0 0 - 0.0 1 11 20.4 1 9 16.7 2 12 22.2 6 14 25.9 1 4 7.4 37.0 0 2 3.7 0 0 0 0 1 1 2.0
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 3 3 23.1 1 2 15.4 0 2 15.4 1 2 15.4 0 1 7.7 38.5 0 0 0.0 0 0 0 0 0 0 0.0
20 Ngemplak 0 0 0.0 0 0 0.0 0 - 0.0 2 4 30.8 1 3 23.1 0 2 15.4 2 2 15.4 0 1 7.7 38.5 1 1 7.7 0 0 0 0 0 0 0.0
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 3 42.9 - 2 28.6 0 2 28.6 2 3 42.9 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
22 Ngaglik 0 0 0.0 0 0 0.0 0 - 0.0 0 2 14.3 1 4 28.6 1 3 21.4 2 2 14.3 0 2 14.3 71.4 0 1 7.1 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0 0.0 0 0 0.0 0 - 0.0 1 5 16.1 2 2 6.5 0 4 12.9 - 5 16.1 0 1 3.2 16.1 0 0 0.0 0 0 0 0 0 0 0.0
24 Kragilan 0 0 0.0 0 0 0.0 0 - 0.0 0 0 0.0 1 2 18.2 1 1 9.1 - 1 9.1 0 0 0.0 0.0 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 0 2 10.0 1 2 10.0 0 1 5.0 1 1 5.0 0 0 0.0 0.0 0 0 0.0 0 0 0 1 0 1 5.6
Puskesmas 2 5 0.9 0 1 0.2 0 0 0.0 39 106 19.7 24 120 22.3 41 117 21.8 55 96 17.9 6 33 6.1 30.7 5 20 3.7 0 0 0 3 2 5 1.0
Bulan : Maret

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 2 0 0 2 35.7 0 0 0 0 0 0 0.0 0 0 0 0 2 0 0 2 35.7 0 0 0 0 0 0 0.0
2 Seren 0 0 0 0 1 0 0 1 15.6 0 0 0 0 0 0 0.0 0 0 0 0 1 0 0 1 15.6 0 0 0 0 0 0 0.0
3 Lugosobo 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 13.9 0 0 0 0 0 0 0.0
4 Gintungan 0 0 0 0 1 0 0 1 14.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 14.3 0 0 0 0 0 0 0.0
5 Bulus 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 29.4 0 0 0 0 0 0 0.0
6 Rendeng 0 0 0 0 0 0 0 0 0.0 0 0 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 Kroyo 0 0 0 0 0 0 0 0 0.0 0 0 0 0 1 1 29.0 0 0 0 0 0 1 0 1 20.0 0 0 0 2 0 2 58.0
8 Winong Lor 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0
9 Mlaran 0 0 0 0 0 0 1 1 17.9 0 0 0 0 0 0 0.0 0 0 0 0 0 0 1 1 17.9 0 0 0 0 0 0 0.0
10 Pelutan 0 0 0 0 0 1 0 1 62.5 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 62.5 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0 0 1 0 0 1 71.4 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
12 Gebang 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0.0
13 Pakem 0 0 0 0 0 2 0 2 45.5 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 45.5 0 0 0 0 0 0 0.0
14 Salam 0 0 0 0 0 1 0 1 71.4 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
15 Wonotopo 0 0 0 0 0 0 0 0 0.0 0 0 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 Sidoleren 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 62.5 0 0 0 0 0 0 0.0
17 Penungkulan 0 0 0 0 0 0 0 0 0.0 0 0 0 1 0 1 14.8 0 0 0 0 0 4 0 4 40.0 0 0 0 1 0 1 14.8
18 Redin 1 0 0 1 1 2 0 3 27.8 0 0 0 0 0 0 0.0 1 0 0 1 1 3 0 4 37.0 0 0 0 0 1 1 13.6
19 Tlogosono 0 0 0 0 1 0 0 1 38.5 0 0 0 0 0 0 0.0 0 0 0 0 1 0 0 1 38.5 0 0 0 0 0 0 0.0
20 Ngemplak 0 0 0 0 0 0 1 1 38.5 0 0 0 0 0 0 0.0 0 0 0 0 0 0 1 1 38.5 0 0 0 0 0 0 0.0
21 Prumben 0 0 0 0 0 1 0 1 71.4 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
22 Ngaglik 0 0 0 0 0 1 0 1 35.7 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 71.4 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0 0 0 2 0 0 2 32.3 0 0 0 0 0 0 0.0 0 0 0 0 1 0 0 1 16.1 0 0 0 0 0 0 0.0
24 Kragilan 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0 0 0 1 0 1 25.0 0 0 0 1 0 1 37.0 0 0 0 0 0 0 0 0 0.0 0 0 0 1 0 1 37.0
Puskesmas 1 0 0 1 9 12 2 23 21.4 0 0 0 2 1 3 4.1 1 0 0 1 6 19 2 27 25.1 0 0 0 4 1 5 6.9
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 2 0
2 Seren 1 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 0 0
7 Kroyo 0 0
8 Winong Lor 0 0
9 Mlaran 0 0
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 2 0
18 Redin 0 0
19 Tlogosono 0 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 0 0
23 Kalitengkek 0 0
24 Kragilan 0 0
25 Kemiri 0 0
Puskesmas 6 0
Puskesmas : GEBANG
Bulan : April 2020
Ibu Hamil Dapat

K1 Murni K1 Akses K1 Total K2 K3
Jumlah Sasaran Sasaran Buku KIA
No Nama Desa
Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom %
1 Winong Kidul 1,831 25 28 1 8 28.57 1 8 28.57 0 0 0.00 1 8 28.57 2 7 25.00 3 5 17.86

2 Seren 3,810 29 32 - 4 12.50 - 4 12.50 0 0 0.00 0 4 12.50 2 5 15.63 2 5 15.63
3 Lugosobo 3,965 33 36 2 14 38.89 2 13 36.11 0 1 2.78 2 14 38.89 1 11 30.56 3 10 27.78
4 Gintungan 3,184 32 35 3 6 17.14 3 6 17.14 0 0 0.00 3 6 17.14 0 4 11.43 1 6 17.14
5 Bulus 1,936 15 17 - 5 29.41 - 5 29.41 0 0 0.00 0 5 29.41 0 6 35.29 2 7 41.18
6 Rendeng 1,561 17 19 - 8 42.11 - 8 42.11 0 0 0.00 0 8 42.11 0 8 42.11 2 8 42.11
7 Kroyo 2,141 23 25 2 6 24.00 2 6 24.00 0 0 0.00 2 6 24.00 1 6 24.00 2 6 24.00
8 Winong Lor 2,134 17 19 5 7 36.84 5 7 36.84 0 0 0.00 5 7 36.84 1 3 15.79 0 3 15.79
9 Mlaran 1,918 25 28 4 10 35.71 4 10 35.71 0 0 0.00 4 10 35.71 0 7 25.00 1 8 28.57
10 Pelutan 994 7 8 - 2 25.00 - 2 25.00 0 0 0.00 0 2 25.00 0 3 37.50 2 4 50.00
11 Bendosari 945 6 7 - 2 28.57 - 2 28.57 0 0 0.00 0 2 28.57 0 2 28.57 2 3 42.86
12 Gebang 1,487 22 24 - 5 20.83 - 5 20.83 0 0 0.00 0 5 20.83 0 6 25.00 4 7 29.17
13 Pakem 1,727 20 22 1 7 31.82 1 7 31.82 0 0 0.00 1 7 31.82 0 7 31.82 4 8 36.36
14 Salam 655 6 7 - 4 57.14 - 4 57.14 0 0 0.00 0 4 57.14 1 6 85.71 1 5 71.43
15 Wonotopo 1,270 8 9 - 6 66.67 - 6 66.67 0 0 0.00 0 6 66.67 3 6 66.67 1 3 33.33
16 Sidoleren 817 7 8 - 2 25.00 - 2 25.00 0 0 0.00 0 2 25.00 0 3 37.50 2 4 50.00
17 Penungkulan 2,941 45 50 2 18 36.00 2 16 32.00 0 2 4.00 2 18 36.00 4 16 32.00 4 18 36.00
18 Redin 3,385 49 54 5 14 25.93 5 14 25.93 0 0 0.00 5 14 25.93 1 13 24.07 2 16 29.63
19 Tlogosono 1,000 12 13 1 3 23.08 1 3 23.08 0 0 0.00 1 3 23.08 1 3 23.08 0 2 15.38
20 Ngemplak 1,215 12 13 1 4 30.77 1 4 30.77 0 0 0.00 1 4 30.77 1 3 23.08 0 2 15.38
21 Prumben 511 6 7 1 3 42.86 1 3 42.86 0 0 0.00 1 3 42.86 0 2 28.57 0 4 57.14
22 Ngaglik 1,215 13 14 - 4 28.57 - 4 28.57 0 0 0.00 0 4 28.57 1 5 35.71 1 4 28.57
23 Kalitengkek 1,306 28 31 - 2 6.45 - 2 6.45 0 0 0.00 0 2 6.45 2 5 16.13 0 4 12.90
24 Kragilan 771 10 11 1 3 27.27 1 3 27.27 0 0 0.00 1 3 27.27 1 2 18.18 1 2 18.18
25 Kemiri 1,101 18 20 3 5 25.00 3 5 25.00 0 0 0.00 3 5 25.00 1 2 10.00 0 1 5.00
Puskesmas 43820 485 537 32 152 28.31 32 149 27.75 0 3 0.56 32 152 28.31 23 141 26.26 40 145 27.00
Mengetahui Purworejo
Kepala UPT Puskesmas Gebang Bidan Ko
Sudiarto, SKM, MM Rahayu Prasti

NIP. 196510201987021003 NIP. 198608
Puskesmas Form. 1a
Bulan
Status TT Bumil
K4
TT1 TT2
No Nama Desa
Bln Ini Kom % Bln Ini Kom % Bln Ini Kom %
1 Winong Kidul 3 7 25.00 - - 0.00 3 10 35.71

2 Seren 4 7 21.88 - - 0.00 7 10 31.25
3 Lugosobo 4 9 25.00 1 1 2.78 5 11 30.56
4 Gintungan 4 7 20.00 - - 0.00 2 8 22.86
5 Bulus 1 9 52.94 - - 0.00 4 8 47.06
6 Rendeng 0 3 15.79 - - 0.00 1 2 10.53
7 Kroyo 0 3 12.00 - - 0.00 3 8 32.00
8 Winong Lor 4 8 42.11 - - 0.00 3 5 26.32
9 Mlaran 1 5 17.86 - - 0.00 - 7 25.00
10 Pelutan 3 7 87.50 - - 0.00 - 4 50.00
11 Bendosari 1 3 42.86 - 2 28.57 1 1 14.29
12 Gebang 0 3 12.50 - 2 8.33 - 6 25.00
13 Pakem 1 6 27.27 - - 0.00 - 4 18.18
14 Salam 0 2 28.57 - - 0.00 1 2 28.57
15 Wonotopo 2 3 33.33 - - 0.00 - 1 11.11
16 Sidoleren 0 0 0.00 - 2 25.00 1 4 50.00
17 Penungkulan 3 13 26.00 - - 0.00 5 15 30.00
18 Redin 3 16 29.63 - 1 1.85 5 16 29.63
19 Tlogosono 1 3 23.08 - - 0.00 - 3 23.08
20 Ngemplak 2 7 53.85 - - 0.00 1 5 38.46
21 Prumben 0 4 57.14 - - 0.00 - 3 42.86
22 Ngaglik 3 5 35.71 - - 0.00 3 5 35.71
23 Kalitengkek 1 4 12.90 - - 0.00 1 6 19.35
24 Kragilan 1 3 27.27 - - 0.00 1 1 9.09
25 Kemiri 0 0 0.00 - - 0.00 - 2 10.00
Puskesmas 42 137 25.51 1 8 1.49 47 147 27.37
Purworejo, 30 April 2020

Bidan Koordinator Kia
Rahayu Prastiwi Noor, S.Tr.Keb.

NIP. 198608212009022007
Puskesmas : GEBANG
Bulan : April
Status TT Bumil Det

Fe 30 Fe 60 Fe 90
TT3 TT4 TT5 T2+ Ibu Hamil,Salin, Nifas
No Nama Desa
Bln Bln Bln Bln Tenaga Kesehatan
Kom % Kom % Kom % Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Kom % / Ibu % / 20 %
Ini Ini Ini Ini
Ini Hamil Bumil
1 Winong Kidul 0 0 0.00 0 0 0.00 - - 0.00 3 10 35.71 1 8 28.57 2 7 25.00 3 5 17.86 1 5 17.86 89.29
2 Seren 0 1 3.13 0 0 0.00 - - 0.00 7 11 34.38 - 4 12.50 2 5 15.63 2 4 12.50 3 5 15.63 78.13
3 Lugosobo 0 1 2.78 0 0 0.00 - - 0.00 5 12 33.33 2 14 38.89 1 12 33.33 4 11 30.56 0 1 2.78 13.89
4 Gintungan 0 0 0.00 0 0 0.00 - - 0.00 2 8 22.86 3 6 17.14 0 4 11.43 1 6 17.14 0 1 2.86 14.29
5 Bulus 0 1 5.88 0 0 0.00 - - 0.00 4 9 52.94 - 5 29.41 0 6 35.29 2 7 41.18 3 4 23.53 117.65
6 Rendeng 0 1 5.26 0 0 0.00 - - 0.00 1 3 15.79 - 8 42.11 0 8 42.11 2 8 42.11 0 0 0.00 0.00
7 Kroyo 0 0 0.00 0 1 4.00 - - 0.00 3 9 36.00 2 6 24.00 1 6 24.00 2 6 24.00 1 2 8.00 40.00
8 Winong Lor 0 0 0.00 0 0 0.00 - - 0.00 3 5 26.32 5 7 36.84 1 3 15.79 - 3 15.79 2 3 15.79 78.95
9 Mlaran 0 0 0.00 0 0 0.00 - - 0.00 0 7 25.00 4 10 35.71 0 6 21.43 1 6 21.43 2 3 10.71 53.57
10 Pelutan 0 0 0.00 0 0 0.00 - - 0.00 0 4 50.00 - 2 25.00 0 2 25.00 2 2 25.00 1 2 25.00 125.00
11 Bendosari 0 0 0.00 0 0 0.00 - - 0.00 1 1 14.29 - 2 28.57 0 2 28.57 2 3 42.86 0 0 0.00 0.00
12 Gebang 0 0 0.00 0 0 0.00 - - 0.00 0 6 25.00 - 5 20.83 0 5 20.83 4 5 20.83 0 1 4.17 20.83
13 Pakem 0 0 0.00 0 0 0.00 - - 0.00 0 4 18.18 1 7 31.82 0 7 31.82 4 8 36.36 0 3 13.64 68.18
14 Salam 0 1 14.29 0 0 0.00 - - 0.00 1 3 42.86 - 4 57.14 1 6 85.71 1 5 71.43 0 0 0.00 0.00
15 Wonotopo 0 0 0.00 0 0 0.00 - - 0.00 0 1 11.11 - 6 66.67 3 6 66.67 1 3 33.33 0 0 0.00 0.00
16 Sidoleren 0 0 0.00 0 0 0.00 - - 0.00 1 4 50.00 - 2 25.00 0 3 37.50 2 3 37.50 0 1 12.50 62.50
17 Penungkulan 0 0 0.00 0 0 0.00 - - 0.00 5 15 30.00 2 18 36.00 5 18 36.00 4 18 36.00 0 6 12.00 60.00
18 Redin 0 0 0.00 0 0 0.00 - - 0.00 5 16 29.63 5 14 25.93 1 13 24.07 2 16 29.63 0 4 7.41 37.04
19 Tlogosono 0 0 0.00 0 0 0.00 - - 0.00 0 3 23.08 1 3 23.08 1 3 23.08 - 2 15.38 0 1 7.69 38.46
20 Ngemplak 0 0 0.00 0 0 0.00 1 1 7.69 2 6 46.15 1 4 30.77 1 3 23.08 - 2 15.38 0 1 7.69 38.46
21 Prumben 0 0 0.00 0 0 0.00 - - 0.00 0 3 42.86 1 3 42.86 0 2 28.57 - 3 42.86 0 0 0.00 0.00
22 Ngaglik 0 0 0.00 0 0 0.00 - - 0.00 3 5 35.71 - 4 28.57 1 4 28.57 1 3 21.43 0 2 14.29 71.43
23 Kalitengkek 0 0 0.00 0 0 0.00 - - 0.00 1 6 19.35 - 2 6.45 2 6 19.35 - 5 16.13 0 1 3.23 16.13
24 Kragilan 0 0 0.00 0 0 0.00 - - 0.00 1 1 9.09 1 3 27.27 1 2 18.18 1 2 18.18 0 0 0.00 0.00
25 Kemiri 0 0 0.00 0 0 0.00 - - 0.00 0 2 10.00 3 5 25.00 1 2 10.00 - 1 5.00 1 1 5.00 25.00
Puskesmas 0 5 0.93 0 1 0.19 1 1 0.19 48 154 28.68 32 152 28.31 24 141 26.26 41 137 25.51 14 47 8.75 43.76
Puskesmas Form. 1b
Bulan
Deteksi Risiko Tinggi

Ibu Hamil,Salin, Nifas Neonatal
No Nama Desa
Masyarakat Bulan Ini Komulatif
Bln Kom % %
L P Jml L P Jml
Ini
1 Winong Kidul 0 0 0.00 0 0 0 0 0 0 0.00
2 Seren 0 1 3.13 0 0 0 0 0 0 0.00
3 Lugosobo 0 0 0.00 0 0 0 0 0 0 0.00
4 Gintungan 0 1 2.86 0 0 0 0 0 0 0.00
5 Bulus 0 1 5.88 0 0 0 0 0 0 0.00
6 Rendeng 0 0 0.00 0 0 0 0 0 0 0.00
7 Kroyo 0 1 4.00 0 0 0 1 1 2 8.70
8 Winong Lor 1 1 5.26 0 0 0 0 0 0 0.00
9 Mlaran 1 1 3.57 0 0 0 0 0 0 0.00
10 Pelutan 0 0 0.00 0 0 0 0 0 0 0.00
11 Bendosari 0 0 0.00 0 0 0 0 0 0 0.00
12 Gebang 0 3 12.50 0 0 0 0 0 0 0.00
13 Pakem 0 1 4.55 0 0 0 0 0 0 0.00
14 Salam 0 0 0.00 0 0 0 0 0 0 0.00
15 Wonotopo 0 2 22.22 0 0 0 0 0 0 0.00
16 Sidoleren 0 0 0.00 0 0 0 0 0 0 0.00
17 Penungkulan 0 6 12.00 0 0 0 1 0 1 2.22
18 Redin 1 3 5.56 0 0 0 0 1 1 2.04
19 Tlogosono 1 1 7.69 1 0 1 1 0 1 8.33
20 Ngemplak 0 1 7.69 0 0 0 0 0 0 0.00
21 Prumben 1 1 14.29 0 0 0 0 0 0 0.00
22 Ngaglik 0 1 7.14 0 0 0 0 0 0 0.00
23 Kalitengkek 0 0 0.00 0 0 0 0 0 0 0.00
24 Kragilan 0 0 0.00 0 0 0 0 0 0 0.00
25 Kemiri 0 0 0.00 0 0 0 1 0 1 5.56
Puskesmas 5 25 4.66 1 0 1 4 2 6 1.24
Puskesmas : GEBANG
Bulan : April
Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplik

Maternal Neonatal Obstetri
No Nama Desa
Bulan Ini Komulatif Bulan Ini Komulatif Bulan ini Komulatif
% %
Hamil Salin Nifas Jml Hamil Salin Nifas Jml L P Jml L P Jml Hamil Salin Nifas Jml Hamil Salin Nifas Jml
1 Winong Kidul 1 0 0 1 3 0 0 3 53.57 0 0 0 0 0 0 0.00 1 0 0 1 3 0 0 3
2 Seren 0 3 0 3 1 3 0 4 62.50 0 0 0 0 0 0 0.00 0 3 0 3 1 3 0 4
3 Lugosobo 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1
4 Gintungan 0 0 0 0 1 0 0 1 14.29 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1
5 Bulus 2 1 0 3 2 1 0 3 88.24 0 0 0 0 0 0 0.00 2 1 0 3 2 2 0 4
6 Rendeng 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
7 Kroyo 0 1 0 1 0 1 0 1 20.00 0 0 0 0 1 1 28.99 0 1 0 1 0 2 0 2
8 Winong Lor 0 0 0 0 0 1 0 1 26.32 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1
9 Mlaran 0 0 0 0 0 0 1 1 17.86 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1
10 Pelutan 0 1 0 1 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 1 0 1 0 2 0 2
11 Bendosari 0 0 0 0 1 0 0 1 71.43 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
12 Gebang 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1
13 Pakem 0 0 0 0 0 2 0 2 45.45 0 0 0 0 0 0 0.00 0 0 0 0 0 2 0 2
14 Salam 0 0 0 0 0 1 0 1 71.43 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
15 Wonotopo 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
16 Sidoleren 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1
17 Penungkulan 0 0 0 0 0 0 0 0 0.00 0 0 0 1 0 1 14.81 0 0 0 0 0 4 0 4
18 Redin 0 0 0 0 1 2 0 3 27.78 0 0 0 0 0 0 0.00 0 0 0 0 1 3 0 4
19 Tlogosono 0 0 0 0 1 0 0 1 38.46 0 0 0 0 0 0 0.00 0 0 0 0 1 0 0 1
20 Ngemplak 0 0 0 0 0 0 1 1 38.46 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1
21 Prumben 0 0 0 0 0 1 0 1 71.43 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
22 Ngaglik 0 0 0 0 0 1 0 1 35.71 0 0 0 0 0 0 0.00 0 0 0 0 0 2 0 2
23 Kalitengkek 0 0 0 0 2 0 0 2 32.26 0 0 0 0 0 0 0.00 0 0 0 0 1 0 0 1
24 Kragilan 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0
25 Kemiri 0 0 0 0 0 1 0 1 25.00 0 0 0 1 0 1 37.04 0 0 0 0 0 0 0 0
Puskesmas 3 6 0 9 12 18 2 32 29.80 0 0 0 2 1 3 4.12 3 6 0 9 9 25 2 36
Puskesmas Form. 1c
Bulan
Cakupan Penanganan Komplikasi

Obstetri Neonatal
No Nama Desa
Bulan Ini Komulatif
% %
L P Jml L P Jml
1 Winong Kidul 53.57 0 0 0 0 0 0 0.00
2 Seren 62.50 0 0 0 0 0 0 0.00
3 Lugosobo 13.89 0 0 0 0 0 0 0.00
4 Gintungan 14.29 0 0 0 0 0 0 0.00
5 Bulus 117.65 0 0 0 0 0 0 0.00
6 Rendeng 0.00 0 0 0 0 0 0 0.00
7 Kroyo 40.00 0 0 0 2 0 2 57.97
8 Winong Lor 26.32 0 0 0 0 0 0 0.00
9 Mlaran 17.86 0 0 0 0 0 0 0.00
10 Pelutan 125.00 0 0 0 0 0 0 0.00
11 Bendosari 0.00 0 0 0 0 0 0 0.00
12 Gebang 20.83 0 0 0 0 0 0 0.00
13 Pakem 45.45 0 0 0 0 0 0 0.00
14 Salam 0.00 0 0 0 0 0 0 0.00
15 Wonotopo 0.00 0 0 0 0 0 0 0.00
16 Sidoleren 62.50 0 0 0 0 0 0 0.00
17 Penungkulan 40.00 0 0 0 1 0 1 14.81
18 Redin 37.04 0 0 0 0 1 1 13.61
19 Tlogosono 38.46 1 0 1 1 0 1 55.56
20 Ngemplak 38.46 0 0 0 0 0 0 0.00
21 Prumben 0.00 0 0 0 0 0 0 0.00
22 Ngaglik 71.43 0 0 0 0 0 0 0.00
23 Kalitengkek 16.13 0 0 0 0 0 0 0.00
24 Kragilan 0.00 0 0 0 0 0 0 0.00
25 Kemiri 0.00 0 0 0 1 0 1 37.04
Puskesmas 33.52 1 0 1 5 1 6 8.25
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 2 0
2 Seren 1 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 0 0
7 Kroyo 0 0
8 Winong Lor 2 0
9 Mlaran 2 0
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 2 0
18 Redin 0 0
19 Tlogosono 0 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 0 0
23 Kalitengkek 0 0
24 Kragilan 0 0
25 Kemiri 1 0
Puskesmas 11 0
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 0 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 0 0
7 Kroyo 1 0
8 Winong Lor 2 0
9 Mlaran 2 0
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 0 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 2 0
18 Redin 0 0
19 Tlogosono 0 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 1 0
23 Kalitengkek 1 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 11 0
Bulan : Juni 2020
Ibu Hamil Dapat Buku Status TT Bumil

Jumlah Sasaran Sasaran KIA TT1 TT2
No Nama Desa
1 Winong Kidul 1,831 25 28 1 9 32.14 1 9 32.14 0 0 0.00 1 9 32.14 0 8 28.57 1 8 28.57 2 13 46.43 - - 0.00 3 16 57.14
2 Seren 3,810 29 32 - 6 18.75 - 6 18.75 0 0 0.00 0 6 18.75 2 7 21.88 0 7 21.88 5 16 50.00 - - 0.00 5 16 50.00
3 Lugosobo 3,965 33 36 5 21 58.33 4 19 52.78 1 2 5.56 5 21 58.33 2 15 41.67 2 13 36.11 3 14 38.89 - 1 2.78 3 16 44.44
4 Gintungan 3,184 32 35 3 12 34.29 3 12 34.29 0 0 0.00 3 12 34.29 3 10 28.57 3 9 25.71 4 12 34.29 - - 0.00 3 12 34.29
5 Bulus 1,936 15 17 2 9 52.94 2 9 52.94 0 0 0.00 2 9 52.94 2 8 47.06 0 7 41.18 4 14 82.35 - - 0.00 3 12 70.59
6 Rendeng 1,561 17 19 1 10 52.63 1 10 52.63 0 0 0.00 1 10 52.63 1 9 47.37 0 8 42.11 1 6 31.58 - - 0.00 2 6 31.58
7 Kroyo 2,141 23 25 1 7 28.00 1 7 28.00 0 0 0.00 1 7 28.00 0 8 32.00 2 9 36.00 0 6 24.00 - - 0.00 1 10 40.00
8 Winong Lor 2,134 17 19 1 9 47.37 1 9 47.37 0 0 0.00 1 9 47.37 1 9 47.37 5 9 47.37 2 10 52.63 - - 0.00 2 9 47.37
9 Mlaran 1,918 25 28 1 11 39.29 1 11 39.29 0 0 0.00 1 11 39.29 0 11 39.29 4 12 42.86 3 8 28.57 - - 0.00 2 9 32.14
10 Pelutan 994 7 8 - 3 37.50 - 3 37.50 0 0 0.00 0 3 37.50 1 4 50.00 0 4 50.00 0 8 100.00 - - 0.00 - 5 62.50
11 Bendosari 945 6 7 - 2 28.57 - 2 28.57 0 0 0.00 0 2 28.57 0 2 28.57 0 3 42.86 0 4 57.14 - 2 28.57 - 2 28.57
12 Gebang 1,487 22 24 - 5 20.83 - 5 20.83 0 0 0.00 0 5 20.83 0 6 25.00 0 7 29.17 0 3 12.50 - 2 8.33 - 6 25.00
13 Pakem 1,727 20 22 3 11 50.00 3 11 50.00 0 0 0.00 3 11 50.00 1 9 40.91 1 9 40.91 2 9 40.91 1 1 4.55 1 6 27.27
14 Salam 655 6 7 - 4 57.14 - 4 57.14 0 0 0.00 0 4 57.14 0 6 85.71 0 6 85.71 1 5 71.43 - - 0.00 1 4 57.14
15 Wonotopo 1,270 8 9 3 10 111.11 3 10 111.11 0 0 0.00 3 10 111.11 1 7 77.78 0 6 66.67 1 5 55.56 - 1 11.11 - 4 44.44
16 Sidoleren 817 7 8 3 7 87.50 3 7 87.50 0 0 0.00 3 7 87.50 2 5 62.50 0 4 50.00 1 2 25.00 - 2 25.00 - 4 50.00
17 Penungkulan 2,941 45 50 1 20 40.00 1 18 36.00 0 2 4.00 1 20 40.00 1 19 38.00 2 24 48.00 4 20 40.00 - - 0.00 6 22 44.00
18 Redin 3,385 49 54 2 18 33.33 2 18 33.33 0 0 0.00 2 18 33.33 2 20 37.04 5 22 40.74 3 24 44.44 - 1 1.85 1 21 38.89
19 Tlogosono 1,000 12 13 1 4 30.77 1 4 30.77 0 0 0.00 1 4 30.77 0 4 30.77 1 4 30.77 0 4 30.77 - - 0.00 - 4 30.77
20 Ngemplak 1,215 12 13 1 5 38.46 1 5 38.46 0 0 0.00 1 5 38.46 0 4 30.77 1 4 30.77 0 7 53.85 - - 0.00 - 6 46.15
21 Prumben 511 6 7 - 3 42.86 - 3 42.86 0 0 0.00 0 3 42.86 0 3 42.86 1 5 71.43 1 6 85.71 - - 0.00 1 6 85.71
22 Ngaglik 1,215 13 14 1 9 64.29 1 9 64.29 0 0 0.00 1 9 64.29 4 9 64.29 0 5 35.71 0 8 57.14 - - 0.00 - 6 42.86
23 Kalitengkek 1,306 28 31 3 7 22.58 3 7 22.58 0 0 0.00 3 7 22.58 2 7 22.58 0 6 19.35 0 6 19.35 - - 0.00 3 10 32.26
24 Kragilan 771 10 11 - 3 27.27 - 3 27.27 0 0 0.00 0 3 27.27 0 3 27.27 1 4 36.36 2 5 45.45 - - 0.00 - 1 9.09
25 Kemiri 1,101 18 20 1 7 35.00 1 7 35.00 0 0 0.00 1 7 35.00 1 6 30.00 3 5 25.00 0 0 0.00 - - 0.00 - 2 10.00
Puskesmas 43820 485 537 34 212 39.48 33 208 38.73 1 4 0.74 34 212 39.48 26 199 37.06 32 200 37.24 39 215 40.04 1 10 1.86 37 215 40.04
Mengetahui Purworejo, 30 Juni 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Juni

Fe 30 Fe 60 Fe 90
No Nama Desa
Ini Hamil Bumil Ini
1 Winong Kidul 0 0 0.00 0 0 0.00 0 - 0.00 3 16 57.14 1 9 32.14 0 8 28.57 1 8 28.57 0 6 21.43 107.14 0 0 0.00 0 0 0 1 1 2 8.00
2 Seren 0 2 6.25 0 0 0.00 0 - 0.00 5 18 56.25 - 6 18.75 2 7 21.88 - 6 18.75 0 6 18.75 93.75 0 1 3.13 0 0 0 0 0 0 0.00
3 Lugosobo 0 1 2.78 0 0 0.00 0 - 0.00 3 17 47.22 5 21 58.33 2 16 44.44 2 14 38.89 0 1 2.78 13.89 0 0 0.00 0 0 0 0 0 0 0.00
4 Gintungan 0 0 0.00 0 0 0.00 0 - 0.00 3 12 34.29 3 12 34.29 3 10 28.57 3 9 25.71 1 3 8.57 42.86 1 4 11.43 0 0 0 0 0 0 0.00
5 Bulus 0 1 5.88 0 0 0.00 0 - 0.00 3 13 76.47 2 9 52.94 2 8 47.06 - 7 41.18 0 4 23.53 117.65 1 4 23.53 0 0 0 0 1 1 6.67
6 Rendeng 0 1 5.26 0 0 0.00 0 - 0.00 2 7 36.84 1 10 52.63 1 9 47.37 - 8 42.11 1 2 10.53 52.63 0 0 0.00 0 0 0 0 1 1 5.88
7 Kroyo 0 1 4.00 0 1 4.00 0 - 0.00 1 12 48.00 1 7 28.00 0 8 32.00 2 9 36.00 0 3 12.00 60.00 0 1 4.00 0 0 0 1 1 2 8.70
8 Winong Lor 0 0 0.00 0 0 0.00 0 - 0.00 2 9 47.37 1 9 47.37 1 9 47.37 5 9 47.37 0 3 15.79 78.95 0 1 5.26 0 1 1 0 1 1 5.88
9 Mlaran 0 0 0.00 0 0 0.00 0 - 0.00 2 9 32.14 1 11 39.29 0 10 35.71 4 10 35.71 0 3 10.71 53.57 0 1 3.57 2 0 2 2 0 2 8.00
10 Pelutan 0 0 0.00 0 0 0.00 0 - 0.00 0 5 62.50 - 3 37.50 1 3 37.50 - 2 25.00 0 2 25.00 125.00 0 0 0.00 0 0 0 0 0 0 0.00
11 Bendosari 0 0 0.00 0 0 0.00 0 - 0.00 0 2 28.57 - 2 28.57 0 2 28.57 - 3 42.86 0 1 14.29 71.43 0 0 0.00 0 0 0 0 0 0 0.00
12 Gebang 0 0 0.00 0 0 0.00 0 - 0.00 0 6 25.00 - 5 20.83 0 5 20.83 - 5 20.83 0 1 4.17 20.83 0 3 12.50 0 0 0 0 0 0 0.00
13 Pakem 0 1 4.55 0 0 0.00 0 - 0.00 1 7 31.82 3 11 50.00 1 9 40.91 1 9 40.91 0 4 18.18 90.91 0 1 4.55 0 0 0 0 0 0 0.00
14 Salam 0 1 14.29 0 0 0.00 0 - 0.00 1 5 71.43 - 4 57.14 0 6 85.71 - 6 85.71 0 0 0.00 0.00 0 0 0.00 0 0 0 0 0 0 0.00
15 Wonotopo 0 0 0.00 0 0 0.00 0 - 0.00 0 4 44.44 3 10 111.11 1 7 77.78 - 6 66.67 0 1 11.11 55.56 0 2 22.22 0 0 0 0 0 0 0.00
16 Sidoleren 0 0 0.00 0 0 0.00 0 - 0.00 0 4 50.00 3 7 87.50 2 5 62.50 - 3 37.50 0 1 12.50 62.50 0 0 0.00 0 0 0 0 0 0 0.00
17 Penungkulan 0 0 0.00 0 0 0.00 0 - 0.00 6 22 44.00 1 20 40.00 1 21 42.00 2 25 50.00 0 6 12.00 60.00 0 6 12.00 1 0 1 3 1 4 8.89
18 Redin 1 1 1.85 0 0 0.00 1 1 1.85 3 23 42.59 2 18 33.33 2 20 37.04 5 22 40.74 1 7 12.96 64.81 0 3 5.56 0 0 0 0 1 1 2.04
19 Tlogosono 0 0 0.00 0 0 0.00 0 - 0.00 0 4 30.77 1 4 30.77 0 4 30.77 1 4 30.77 1 3 23.08 115.38 0 1 7.69 0 0 0 1 0 1 8.33
20 Ngemplak 0 0 0.00 0 0 0.00 0 1 7.69 0 7 53.85 1 5 38.46 0 4 30.77 1 4 30.77 0 1 7.69 38.46 0 1 7.69 0 0 0 0 1 1 8.33
21 Prumben 0 0 0.00 0 0 0.00 0 - 0.00 1 6 85.71 - 3 42.86 0 3 42.86 1 4 57.14 1 2 28.57 142.86 0 1 14.29 0 0 0 0 0 0 0.00
22 Ngaglik 0 0 0.00 0 0 0.00 0 - 0.00 0 6 42.86 1 9 64.29 4 8 57.14 - 4 28.57 1 5 35.71 178.57 0 1 7.14 0 0 0 0 0 0 0.00
23 Kalitengkek 0 0 0.00 0 0 0.00 0 - 0.00 3 10 32.26 3 7 22.58 2 8 25.81 - 7 22.58 1 3 9.68 48.39 0 0 0.00 0 1 1 0 1 1 3.57
24 Kragilan 0 0 0.00 0 0 0.00 0 - 0.00 0 1 9.09 - 3 27.27 0 3 27.27 1 4 36.36 0 0 0.00 0.00 0 0 0.00 0 0 0 0 0 0 0.00
25 Kemiri 0 0 0.00 0 0 0.00 0 - 0.00 0 2 10.00 1 7 35.00 1 6 30.00 3 5 25.00 0 2 10.00 50.00 0 0 0.00 0 0 0 1 0 1 5.56
Puskesmas 1 9 1.68 0 1 0.19 1 2 0.37 39 227 42.27 34 212 39.48 26 199 37.06 32 193 35.94 7 70 13.04 65.18 2 31 5.77 3 2 5 9 9 18 3.71
Bulan : Juni

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.14 0 0 0 0 0 0 0.00 0 0 0 0 4 2 0 6 107.14 0 0 0 1 1 2 53.33
2 Seren 0 0 0 0 2 4 0 6 93.75 0 0 0 0 0 0 0.00 0 0 0 0 2 4 0 6 93.75 0 0 0 0 0 0 0.00
3 Lugosobo 0 1 0 1 0 1 0 1 13.89 0 0 0 0 0 0 0.00 0 1 0 1 0 2 0 2 27.78 0 0 0 0 0 0 0.00
4 Gintungan 0 1 0 1 2 1 0 3 42.86 0 0 0 0 0 0 0.00 0 1 0 1 1 2 0 3 42.86 0 0 0 0 0 0 0.00
5 Bulus 0 0 0 0 2 1 0 3 88.24 0 0 0 0 1 1 44.44 0 0 0 0 2 2 0 4 117.65 0 0 0 0 1 1 44.44
6 Rendeng 0 0 0 0 0 1 0 1 26.32 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 26.32 0 0 0 0 1 1 39.22
7 Kroyo 0 0 0 0 0 1 0 1 20.00 0 0 0 0 1 1 28.99 0 0 0 0 0 2 0 2 40.00 0 0 0 2 0 2 57.97
8 Winong Lor 0 0 0 0 0 1 0 1 26.32 0 1 1 0 1 1 39.22 0 0 0 0 0 1 0 1 26.32 0 1 1 0 1 1 39.22
9 Mlaran 0 1 0 1 0 1 1 2 35.71 0 0 0 0 0 0 0.00 0 1 0 1 0 1 1 2 35.71 0 0 0 0 0 0 0.00
10 Pelutan 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00
11 Bendosari 0 0 0 0 1 1 0 2 142.86 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 71.43 0 0 0 0 0 0 0.00
12 Gebang 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 20.83 0 0 0 0 0 0 0.00
13 Pakem 0 0 0 0 1 3 0 4 90.91 0 0 0 0 0 0 0.00 0 0 0 0 1 3 0 4 90.91 0 0 0 0 0 0 0.00
14 Salam 0 0 0 0 0 1 0 1 71.43 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00
15 Wonotopo 0 0 0 0 0 1 0 1 55.56 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 55.56 0 0 0 0 0 0 0.00
16 Sidoleren 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 62.50 0 0 0 0 0 0 0.00
17 Penungkulan 1 0 0 1 1 0 0 1 10.00 0 0 0 1 0 1 14.81 1 0 0 1 1 4 0 5 50.00 0 0 0 2 1 3 44.44
18 Redin 0 1 0 1 2 4 0 6 55.56 0 0 0 0 0 0 0.00 0 1 0 1 2 5 0 7 64.81 0 0 0 0 1 1 13.61
19 Tlogosono 0 0 0 0 1 1 0 2 76.92 0 0 0 0 0 0 0.00 0 0 0 0 1 1 0 2 76.92 0 0 0 1 0 1 55.56
20 Ngemplak 0 0 0 0 0 0 1 1 38.46 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 38.46 0 0 0 0 1 1 55.56
21 Prumben 1 0 0 1 1 2 0 3 214.29 0 0 0 0 0 0 0.00 1 0 0 1 1 1 0 2 142.86 0 0 0 0 0 0 0.00
22 Ngaglik 0 0 0 0 0 2 0 2 71.43 0 0 0 0 0 0 0.00 0 0 0 0 0 3 0 3 107.14 0 0 0 0 0 0 0.00
23 Kalitengkek 0 0 0 0 2 0 0 2 32.26 0 1 1 0 1 1 23.81 0 0 0 0 1 0 0 1 16.13 0 1 1 0 1 1 23.81
24 Kragilan 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00
25 Kemiri 0 0 0 0 0 1 0 1 25.00 0 0 0 1 0 1 37.04 0 0 0 0 0 0 0 0 0.00 0 0 0 1 0 1 37.04
Puskesmas 2 4 0 6 19 33 2 54 50.28 0 2 2 2 4 6 8.25 2 4 0 6 16 40 2 58 54.00 0 2 2 7 8 15 20.62
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 0 0
3 Lugosobo -1 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 1 0
7 Kroyo 1 0
8 Winong Lor 2 0
9 Mlaran 1 2
10 Pelutan 0 0
11 Bendosari 0 0
12 Gebang 0 0
13 Pakem 0 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 1 1
18 Redin 0 0
19 Tlogosono 1 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 2 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 12 3
Bulan : Juli 2020

No Nama Desa
1 Winong Kidul 1,831 25 28 2 11 39.29 2 11 39.29 0 0 0.00 2 11 39.29 1 9 32.14 0 8 28.57 2 15 53.57 - - 0.00 1 17 60.71
2 Seren 3,810 29 32 1 7 21.88 1 7 21.88 0 0 0.00 1 7 21.88 0 7 21.88 2 9 28.13 1 17 53.13 - - 0.00 3 19 59.38
3 Lugosobo 3,965 33 36 7 28 77.78 7 26 72.22 0 2 5.56 7 28 77.78 4 19 52.78 2 15 41.67 0 14 38.89 - 1 2.78 3 19 52.78
4 Gintungan 3,184 32 35 6 18 51.43 6 18 51.43 0 0 0.00 6 18 51.43 3 13 37.14 3 12 34.29 2 14 40.00 - - 0.00 2 14 40.00
5 Bulus 1,936 15 17 2 11 64.71 2 11 64.71 0 0 0.00 2 11 64.71 2 10 58.82 2 9 52.94 1 15 88.24 - - 0.00 1 13 76.47
6 Rendeng 1,561 17 19 4 14 73.68 4 14 73.68 0 0 0.00 4 14 73.68 1 10 52.63 1 9 47.37 3 9 47.37 - - 0.00 1 7 36.84
7 Kroyo 2,141 23 25 2 9 36.00 2 9 36.00 0 0 0.00 2 9 36.00 1 9 36.00 0 9 36.00 1 7 28.00 - - 0.00 3 13 52.00
8 Winong Lor 2,134 17 19 3 12 63.16 3 12 63.16 0 0 0.00 3 12 63.16 1 10 52.63 1 10 52.63 0 10 52.63 - - 0.00 1 10 52.63
9 Mlaran 1,918 25 28 - 11 39.29 - 11 39.29 0 0 0.00 0 11 39.29 1 12 42.86 0 12 42.86 2 10 35.71 - - 0.00 - 9 32.14
10 Pelutan 994 7 8 3 6 75.00 3 6 75.00 0 0 0.00 3 6 75.00 0 4 50.00 1 5 62.50 0 8 100.00 - - 0.00 - 5 62.50
11 Bendosari 945 6 7 2 4 57.14 2 4 57.14 0 0 0.00 2 4 57.14 0 2 28.57 0 3 42.86 0 4 57.14 - 2 28.57 - 2 28.57
12 Gebang 1,487 22 24 4 9 37.50 4 9 37.50 0 0 0.00 4 9 37.50 0 6 25.00 0 7 29.17 0 3 12.50 - 2 8.33 - 6 25.00
13 Pakem 1,727 20 22 - 11 50.00 - 11 50.00 0 0 0.00 0 11 50.00 3 12 54.55 1 10 45.45 0 9 40.91 - 1 4.55 3 9 40.91
14 Salam 655 6 7 - 4 57.14 - 4 57.14 0 0 0.00 0 4 57.14 0 6 85.71 0 6 85.71 1 6 85.71 - - 0.00 1 5 71.43
15 Wonotopo 1,270 8 9 2 12 133.33 2 12 133.33 0 0 0.00 2 12 133.33 3 10 111.11 1 7 77.78 1 6 66.67 - 1 11.11 1 5 55.56
16 Sidoleren 817 7 8 1 8 100.00 1 8 100.00 0 0 0.00 1 8 100.00 3 8 100.00 2 6 75.00 1 3 37.50 - 2 25.00 1 5 62.50
17 Penungkulan 2,941 45 50 3 23 46.00 3 21 42.00 0 2 4.00 3 23 46.00 1 20 40.00 1 25 50.00 9 29 58.00 - - 0.00 7 29 58.00
18 Redin 3,385 49 54 9 27 50.00 9 27 50.00 0 0 0.00 9 27 50.00 2 22 40.74 2 24 44.44 3 27 50.00 - 1 1.85 8 29 53.70
19 Tlogosono 1,000 12 13 2 6 46.15 2 6 46.15 0 0 0.00 2 6 46.15 1 5 38.46 0 4 30.77 1 5 38.46 - - 0.00 1 5 38.46
20 Ngemplak 1,215 12 13 - 5 38.46 - 5 38.46 0 0 0.00 0 5 38.46 1 5 38.46 0 4 30.77 1 8 61.54 - - 0.00 - 6 46.15
21 Prumben 511 6 7 - 3 42.86 - 3 42.86 0 0 0.00 0 3 42.86 0 3 42.86 0 5 71.43 2 8 114.29 - - 0.00 2 8 ###
22 Ngaglik 1,215 13 14 3 12 85.71 3 12 85.71 0 0 0.00 3 12 85.71 1 10 71.43 4 9 64.29 0 8 57.14 - - 0.00 2 8 57.14
23 Kalitengkek 1,306 28 31 3 10 32.26 3 10 32.26 0 0 0.00 3 10 32.26 3 10 32.26 2 8 25.81 0 6 19.35 - - 0.00 1 11 35.48
24 Kragilan 771 10 11 - 3 27.27 - 3 27.27 0 0 0.00 0 3 27.27 0 3 27.27 0 4 36.36 1 6 54.55 - - 0.00 1 2 18.18
25 Kemiri 1,101 18 20 1 8 40.00 1 8 40.00 0 0 0.00 1 8 40.00 1 7 35.00 1 6 30.00 0 0 0.00 - - 0.00 - 2 10.00
Puskesmas 43820 485 537 60 272 50.65 60 268 49.91 0 4 0.74 60 272 50.65 33 232 43.20 26 226 42.09 32 247 46.00 0 10 1.86 43 258 48.04
Mengetahui Purworejo, 31 Juli 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Juli

Fe 30 Fe 60 Fe 90
No Nama Desa
Ini Kom % Ini Kom % Ini Kom % Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln / Ibu % / 20 % Bln
Kom %Hamil Kom % L P Jml L P Jml
%
Ini Bumil Ini
1 Winong Kidul 0 0 0.00 0 0 0.00 - - 0.00 1 17 60.71 2 11 39.29 1 9 32.14 - 8 28.57 0 6 21.4 107.14 0 0 0.00 0 0 0 1 1 2 8.00
2 Seren 0 2 6.25 0 0 0.00 - - 0.00 3 21 65.63 1 7 21.88 0 7 21.88 2 8 25.00 1 7 21.9 109.38 0 1 3.13 0 0 0 0 0 0 0.00
3 Lugosobo 0 1 2.78 0 0 0.00 - - 0.00 3 20 55.56 7 28 77.78 5 21 58.33 2 16 44.44 2 3 8.3 41.67 0 0 0.00 1 0 1 1 0 1 3.03
4 Gintungan 0 0 0.00 0 0 0.00 - - 0.00 2 14 40.00 6 18 51.43 3 13 37.14 3 12 34.29 1 4 11.4 57.14 1 5 14.29 1 0 1 1 0 1 3.13
5 Bulus 0 1 5.88 0 0 0.00 - - 0.00 1 14 82.35 2 11 64.71 2 10 58.82 2 9 52.94 1 5 29.4 147.06 0 4 23.53 0 0 0 0 1 1 6.67
6 Rendeng 0 1 5.26 0 0 0.00 - - 0.00 1 8 42.11 4 14 73.68 1 10 52.63 1 9 47.37 1 3 15.8 78.95 0 0 0.00 0 0 0 0 1 1 5.88
7 Kroyo 0 1 4.00 0 1 4.00 - - 0.00 3 15 60.00 2 9 36.00 1 9 36.00 - 9 36.00 0 3 12.0 60.00 0 1 4.00 0 0 0 1 1 2 8.70
8 Winong Lor 0 0 0.00 0 0 0.00 - - 0.00 1 10 52.63 3 12 63.16 1 10 52.63 1 10 52.63 1 4 21.1 105.26 0 1 5.26 0 0 0 0 1 1 5.88
9 Mlaran 0 0 0.00 0 0 0.00 - - 0.00 0 9 32.14 - 11 39.29 1 11 39.29 - 10 35.71 0 3 10.7 53.57 0 1 3.57 0 0 0 2 0 2 8.00
10 Pelutan 0 0 0.00 0 0 0.00 - - 0.00 0 5 62.50 3 6 75.00 0 3 37.50 1 3 37.50 2 4 50.0 250.00 0 0 0.00 0 0 0 0 0 0 0.00
11 Bendosari 0 0 0.00 0 0 0.00 - - 0.00 0 2 28.57 2 4 57.14 0 2 28.57 - 3 42.86 0 1 14.3 71.43 0 0 0.00 0 0 0 0 0 0 0.00
12 Gebang 0 0 0.00 0 0 0.00 - - 0.00 0 6 25.00 4 9 37.50 0 5 20.83 - 5 20.83 2 3 12.5 62.50 0 3 12.50 0 0 0 0 0 0 0.00
13 Pakem 0 1 4.55 0 0 0.00 - - 0.00 3 10 45.45 - 11 50.00 3 12 54.55 1 10 45.45 1 5 22.7 113.64 0 1 4.55 0 0 0 0 0 0 0.00
14 Salam 0 1 14.29 0 0 0.00 - - 0.00 1 6 85.71 - 4 57.14 0 6 85.71 - 6 85.71 1 1 14.3 71.43 0 0 0.00 0 0 0 0 0 0 0.00
15 Wonotopo 0 0 0.00 0 0 0.00 - - 0.00 1 5 55.56 2 12 133.33 3 10 111.11 1 7 77.78 1 2 22.2 111.11 1 3 33.33 0 0 0 0 0 0 0.00
16 Sidoleren 0 0 0.00 0 0 0.00 - - 0.00 1 5 62.50 1 8 100.00 3 8 100.00 2 5 62.50 0 1 12.5 62.50 0 0 0.00 0 0 0 0 0 0 0.00
17 Penungkulan 0 0 0.00 0 0 0.00 - - 0.00 7 29 58.00 3 23 46.00 1 22 44.00 1 26 52.00 1 7 14.0 70.00 0 6 12.00 0 0 0 3 1 4 8.89
18 Redin 0 1 1.85 0 0 0.00 - 1 1.85 8 31 57.41 9 27 50.00 2 22 40.74 2 24 44.44 3 10 18.5 92.59 0 3 5.56 0 0 0 0 1 1 2.04
19 Tlogosono 0 0 0.00 0 0 0.00 - - 0.00 1 5 38.46 2 6 46.15 1 5 38.46 - 4 30.77 0 3 23.1 115.38 0 1 7.69 1 0 1 2 0 2 16.67
20 Ngemplak 0 0 0.00 0 0 0.00 - 1 7.69 0 7 53.85 - 5 38.46 1 5 38.46 - 4 30.77 0 1 7.7 38.46 0 1 7.69 0 0 0 0 1 1 8.33
21 Prumben 0 0 0.00 0 0 0.00 - - 0.00 2 8 114.29 - 3 42.86 0 3 42.86 - 4 57.14 0 2 28.6 142.86 0 1 14.29 1 0 1 1 0 1 16.67
22 Ngaglik 0 0 0.00 0 0 0.00 - - 0.00 2 8 57.14 3 12 85.71 1 9 64.29 4 8 57.14 0 5 35.7 178.57 0 1 7.14 0 0 0 0 0 0 0.00
23 Kalitengkek 0 0 0.00 0 0 0.00 - - 0.00 1 11 35.48 3 10 32.26 3 11 35.48 2 9 29.03 0 3 9.7 48.39 0 0 0.00 0 0 0 0 1 1 3.57
24 Kragilan 0 0 0.00 0 0 0.00 - - 0.00 1 2 18.18 - 3 27.27 0 3 27.27 - 4 36.36 1 1 9.1 45.45 0 0 0.00 0 0 0 0 0 0 0.00
25 Kemiri 0 0 0.00 0 0 0.00 - - 0.00 0 2 10.00 1 8 40.00 1 7 35.00 1 6 30.00 0 2 10.0 50.00 0 0 0.00 0 0 0 1 0 1 5.56
Puskesmas 0 9 1.68 0 1 0.19 0 2 0.37 43 270 50.28 60 272 50.65 34 233 43.39 26 219 40.78 19 89 16.6 82.87 2 33 6.15 4 0 4 13 9 22 4.54
Bulan : Juli

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.14 0 0 0 0 0 0 0.00 0 0 0 0 4 2 0 6 107.14 0 0 0 1 1 2 53.33
2 Seren 0 0 0 0 2 4 0 6 93.75 0 0 0 0 0 0 0.00 0 0 0 0 2 4 0 6 93.75 0 0 0 0 0 0 0.00
3 Lugosobo 1 0 0 1 1 1 0 2 27.78 0 0 0 0 0 0 0.00 1 0 0 1 1 2 0 3 41.67 1 0 1 1 0 1 20.20
4 Gintungan 0 1 0 1 2 2 0 4 57.14 0 0 0 0 0 0 0.00 0 1 0 1 1 3 0 4 57.14 1 0 1 1 0 1 20.83
5 Bulus 0 1 0 1 2 2 0 4 117.65 0 0 0 0 1 1 44.44 0 1 0 1 2 3 0 5 147.06 0 0 0 0 1 1 44.44
6 Rendeng 0 0 0 0 0 1 0 1 26.32 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 26.32 0 0 0 0 1 1 39.22
7 Kroyo 0 0 0 0 0 1 0 1 20.00 0 0 0 0 1 1 28.99 0 0 0 0 0 2 0 2 40.00 0 0 0 2 0 2 57.97
8 Winong Lor 0 0 0 0 0 1 0 1 26.32 0 0 0 0 1 1 39.22 0 0 0 0 0 1 0 1 26.32 0 0 0 0 1 1 39.22
9 Mlaran 0 0 0 0 0 1 1 2 35.71 0 0 0 0 0 0 0.00 0 0 0 0 0 1 1 2 35.71 0 0 0 0 0 0 0.00
10 Pelutan 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00
11 Bendosari 0 0 0 0 1 1 0 2 142.86 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 71.43 0 0 0 0 0 0 0.00
12 Gebang 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 20.83 0 0 0 0 0 0 0.00
13 Pakem 0 1 0 1 1 4 0 5 113.64 0 0 0 0 0 0 0.00 0 1 0 1 1 4 0 5 113.64 0 0 0 0 0 0 0.00
14 Salam 0 1 0 1 0 2 0 2 142.86 0 0 0 0 0 0 0.00 0 1 0 1 0 1 0 1 71.43 0 0 0 0 0 0 0.00
15 Wonotopo 1 0 0 1 1 1 0 2 111.11 0 0 0 0 0 0 0.00 1 0 0 1 1 1 0 2 111.11 0 0 0 0 0 0 0.00
16 Sidoleren 0 0 0 0 0 2 0 2 125.00 0 0 0 0 0 0 0.00 0 0 0 0 0 1 0 1 62.50 0 0 0 0 0 0 0.00
17 Penungkulan 0 0 0 0 1 0 0 1 10.00 0 0 0 1 0 1 14.81 0 0 0 0 1 4 0 5 50.00 0 0 0 2 1 3 44.44
18 Redin 1 2 0 3 3 6 0 9 83.33 0 0 0 0 0 0 0.00 1 2 0 3 3 7 0 10 92.59 0 0 0 0 1 1 13.61
19 Tlogosono 0 0 0 0 1 1 0 2 76.92 1 0 1 1 0 1 55.56 0 0 0 0 1 1 0 2 76.92 1 0 1 2 0 2 111.11
20 Ngemplak 0 0 0 0 0 0 1 1 38.46 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 38.46 0 0 0 0 1 1 55.56
21 Prumben 0 0 0 0 1 2 0 3 214.29 1 0 1 1 0 1 111.11 0 0 0 0 1 1 0 2 142.86 1 0 1 1 0 1 111.11
22 Ngaglik 0 1 0 1 0 3 0 3 107.14 0 0 0 0 0 0 0.00 0 1 0 1 0 4 0 4 142.86 0 0 0 0 0 0 0.00
23 Kalitengkek 0 0 0 0 2 0 0 2 32.26 0 0 0 0 1 1 23.81 0 0 0 0 1 0 0 1 16.13 0 0 0 0 1 1 23.81
24 Kragilan 0 1 0 1 0 1 0 1 45.45 0 0 0 0 0 0 0.00 0 1 0 1 0 1 0 1 45.45 0 0 0 0 0 0 0.00
25 Kemiri 0 0 0 0 0 1 0 1 25.00 0 0 0 1 0 1 37.04 0 0 0 0 0 0 0 0 0.00 0 0 0 1 0 1 37.04
Puskesmas 3 8 0 11 22 41 2 65 60.52 2 0 2 4 4 8 11.00 3 8 0 11 19 48 2 69 64.25 4 0 4 11 8 19 26.12
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 1 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 0 0
6 Rendeng 2 0
7 Kroyo 1 0
8 Winong Lor 3 0
9 Mlaran 1 2
10 Pelutan 2 0
11 Bendosari 0 0
12 Gebang 2 0
13 Pakem 0 0
14 Salam 0 0
15 Wonotopo 0 0
16 Sidoleren 0 0
17 Penungkulan 2 1
18 Redin 0 0
19 Tlogosono 1 0
20 Ngemplak 0 0
21 Prumben 0 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 20 3
Bulan : Agustus 2020

No Nama Desa
1 Winong Kidul 1,831 25 28 2 13 46.4 2 13 46.4 0 0 0.0 2 13 46.4 2 11 39.3 1 9 32.1 1 16 57.1 - - 0.0 3 20 71.4
2 Seren 3,810 29 32 5 12 37.5 5 12 37.5 0 0 0.0 5 12 37.5 1 8 25.0 0 9 28.1 3 20 62.5 - - 0.0 1 20 62.5
3 Lugosobo 3,965 33 36 3 31 86.1 3 29 80.6 0 2 5.6 3 31 86.1 7 26 72.2 4 19 52.8 5 19 52.8 - 1 2.8 - 19 52.8
4 Gintungan 3,184 32 35 2 20 57.1 2 20 57.1 0 0 0.0 2 20 57.1 6 19 54.3 3 15 42.9 3 17 48.6 - - 0.0 2 16 45.7
5 Bulus 1,936 15 17 4 15 88.2 4 15 88.2 0 0 0.0 4 15 88.2 2 12 70.6 2 11 64.7 2 17 100.0 - - 0.0 1 14 82.4
6 Rendeng 1,561 17 19 3 17 89.5 3 17 89.5 0 0 0.0 3 17 89.5 4 14 73.7 1 10 52.6 1 10 52.6 - - 0.0 2 9 47.4
7 Kroyo 2,141 23 25 5 14 56.0 5 14 56.0 0 0 0.0 5 14 56.0 2 11 44.0 1 10 40.0 8 15 60.0 - - 0.0 2 15 60.0
8 Winong Lor 2,134 17 19 1 13 68.4 1 13 68.4 0 0 0.0 1 13 68.4 3 13 68.4 1 11 57.9 0 10 52.6 - - 0.0 1 11 57.9
9 Mlaran 1,918 25 28 3 14 50.0 3 14 50.0 0 0 0.0 3 14 50.0 0 12 42.9 1 13 46.4 1 11 39.3 - - 0.0 4 13 46.4
10 Pelutan 994 7 8 - 6 75.0 - 6 75.0 0 0 0.0 0 6 75.0 3 7 87.5 0 5 62.5 0 8 100.0 - - 0.0 - 5 62.5
11 Bendosari 945 6 7 1 5 71.4 1 5 71.4 0 0 0.0 1 5 71.4 2 4 57.1 0 3 42.9 0 4 57.1 - 2 28.6 - 2 28.6
12 Gebang 1,487 22 24 2 11 45.8 2 11 45.8 0 0 0.0 2 11 45.8 4 10 41.7 0 7 29.2 1 4 16.7 - 2 8.3 1 7 29.2
13 Pakem 1,727 20 22 1 12 54.5 1 12 54.5 0 0 0.0 1 12 54.5 0 12 54.5 3 13 59.1 3 12 54.5 - 1 4.5 1 10 45.5
14 Salam 655 6 7 1 5 71.4 1 5 71.4 0 0 0.0 1 5 71.4 0 6 85.7 0 6 85.7 1 7 100.0 - - 0.0 1 6 85.7
15 Wonotopo 1,270 8 9 1 13 144.4 1 13 144.4 0 0 0.0 1 13 144.4 2 12 133.3 3 10 111.1 1 7 77.8 - 1 11.1 1 6 66.7
16 Sidoleren 817 7 8 1 9 112.5 1 9 112.5 0 0 0.0 1 9 112.5 1 9 112.5 3 9 112.5 1 4 50.0 - 2 25.0 1 6 75.0
17 Penungkulan 2,941 45 50 - 23 46.0 - 21 42.0 0 2 4.0 0 23 46.0 3 23 46.0 1 26 52.0 1 30 60.0 - - 0.0 6 35 70.0
18 Redin 3,385 49 54 3 30 55.6 3 30 55.6 0 0 0.0 3 30 55.6 9 31 57.4 2 26 48.1 1 28 51.9 - 1 1.9 2 31 57.4
19 Tlogosono 1,000 12 13 - 6 46.2 - 6 46.2 0 0 0.0 0 6 46.2 2 7 53.8 1 5 38.5 1 6 46.2 - - 0.0 1 6 46.2
20 Ngemplak 1,215 12 13 6 11 84.6 6 11 84.6 0 0 0.0 6 11 84.6 0 5 38.5 1 5 38.5 0 8 61.5 - - 0.0 1 7 53.8
21 Prumben 511 6 7 1 4 57.1 1 4 57.1 0 0 0.0 1 4 57.1 0 3 42.9 0 5 71.4 0 8 114.3 - - 0.0 - 8 ###
22 Ngaglik 1,215 13 14 1 13 92.9 1 13 92.9 0 0 0.0 1 13 92.9 3 13 92.9 1 10 71.4 1 9 64.3 - - 0.0 1 9 64.3
23 Kalitengkek 1,306 28 31 - 10 32.3 - 10 32.3 0 0 0.0 0 10 32.3 3 13 41.9 3 11 35.5 0 6 19.4 - - 0.0 - 11 35.5
24 Kragilan 771 10 11 1 4 36.4 1 4 36.4 0 0 0.0 1 4 36.4 0 3 27.3 0 4 36.4 0 6 54.5 1 1 9.1 1 3 27.3
25 Kemiri 1,101 18 20 - 8 40.0 - 8 40.0 0 0 0.0 0 8 40.0 1 8 40.0 1 7 35.0 0 0 0.0 - - 0.0 - 2 10.0
Puskesmas 43820 485 537 47 319 59.4 47 315 58.7 0 4 0.7 47 319 59.4 60 292 54.38 33 259 48.2 35 282 52.5 1 11 2.0 33 291 54.2
Mengetahui Purworejo, 31 Agustus 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Agustus

Fe 30 Fe 60 Fe 90
No Nama Desa
Bln Kom Bln Kom Bln Bln Kom Tenaga Kesehatan Masyarakat Bulan Ini Komulatif
% % Kom % % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln / Ibu % / 20 % Bln %
Ini Ini Ini Ini Kom %Hamil Bumil Kom % L P Jml L P Jml
Ini Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 3 20 71.4 2 13 46.4 2 11 39.3 1 9 32.1 0 6 21.4 107.1 0 0 0.0 0 0 0 1 1 2 8.0
2 Seren 0 2 6.3 0 0 0.0 0 - 0.0 1 22 68.8 5 12 37.5 1 8 25.0 - 8 25.0 1 8 25.0 125.0 0 1 3.1 0 0 0 0 0 0 0.0
3 Lugosobo 0 1 2.8 0 0 0.0 0 - 0.0 0 20 55.6 3 31 86.1 7 28 77.8 5 21 58.3 0 3 8.3 41.7 0 0 0.0 0 0 0 1 0 1 3.0
4 Gintungan 0 0 0.0 0 0 0.0 0 - 0.0 2 16 45.7 2 20 57.1 6 19 54.3 3 15 42.9 1 5 14.3 71.4 0 5 14.3 0 0 0 1 0 1 3.1
5 Bulus 0 1 5.9 0 0 0.0 0 - 0.0 1 15 88.2 4 15 88.2 2 12 70.6 2 11 64.7 2 7 41.2 205.9 0 4 23.5 1 0 1 1 1 2 13.3
6 Rendeng 0 1 5.3 0 0 0.0 0 - 0.0 2 10 52.6 3 17 89.5 4 14 73.7 1 10 52.6 0 3 15.8 78.9 0 0 0.0 0 0 0 0 1 1 5.9
7 Kroyo 0 1 4.0 0 1 4.0 0 - 0.0 2 17 68.0 5 14 56.0 2 11 44.0 1 10 40.0 2 5 20.0 100.0 0 1 4.0 0 0 0 1 1 2 8.7
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 1 11 57.9 1 13 68.4 3 13 68.4 1 11 57.9 0 4 21.1 105.3 0 1 5.3 0 0 0 0 1 1 5.9
9 Mlaran 0 0 0.0 0 0 0.0 0 - 0.0 4 13 46.4 3 14 50.0 0 11 39.3 1 11 39.3 2 5 17.9 89.3 0 1 3.6 1 0 1 3 0 3 12.0
10 Pelutan 0 0 0.0 0 0 0.0 0 - 0.0 0 5 62.5 - 6 75.0 3 6 75.0 - 3 37.5 0 4 50.0 250.0 0 0 0.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0.0 0 0 0.0 0 - 0.0 0 2 28.6 1 5 71.4 2 4 57.1 - 3 42.9 1 2 28.6 142.9 0 0 0.0 0 0 0 0 0 0 0.0
12 Gebang 0 0 0.0 0 0 0.0 0 - 0.0 1 7 29.2 2 11 45.8 4 9 37.5 - 5 20.8 1 4 16.7 83.3 0 3 12.5 1 0 1 1 0 1 4.5
13 Pakem 0 1 4.5 0 0 0.0 0 - 0.0 1 11 50.0 1 12 54.5 0 12 54.5 3 13 59.1 0 5 22.7 113.6 0 1 4.5 0 1 1 0 1 1 5.0
14 Salam 0 1 14.3 0 0 0.0 0 - 0.0 1 7 ### 1 5 71.4 0 6 85.7 - 6 85.7 0 1 14.3 71.4 0 0 0.0 0 0 0 0 0 0 0.0
15 Wonotopo 0 0 0.0 0 0 0.0 0 - 0.0 1 6 66.7 1 13 144.4 2 12 133.3 3 10 111.1 1 3 33.3 166.7 0 3 33.3 0 0 0 0 0 0 0.0
16 Sidoleren 0 0 0.0 0 0 0.0 0 - 0.0 1 6 75.0 1 9 112.5 1 9 112.5 3 8 100.0 1 2 25.0 125.0 0 0 0.0 0 0 0 0 0 0 0.0
17 Penungkulan 0 0 0.0 0 0 0.0 0 - 0.0 6 35 70.0 - 23 46.0 3 25 50.0 1 27 54.0 0 7 14.0 70.0 0 6 12.0 0 0 0 3 1 4 8.9
18 Redin 0 1 1.9 0 0 0.0 0 1 1.9 2 33 61.1 3 30 55.6 9 31 57.4 2 26 48.1 0 10 18.5 92.6 0 3 5.6 0 0 0 0 1 1 2.0
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 1 6 46.2 - 6 46.2 2 7 53.8 1 5 38.5 0 3 23.1 115.4 0 1 7.7 0 0 0 2 0 2 16.7
20 Ngemplak 0 0 0.0 0 0 0.0 0 1 7.7 1 8 61.5 6 11 84.6 0 5 38.5 1 5 38.5 1 2 15.4 76.9 0 1 7.7 0 0 0 0 1 1 8.3
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 8 ### 1 4 57.1 0 3 42.9 - 4 57.1 1 3 42.9 214.3 0 1 14.3 0 0 0 1 0 1 16.7
22 Ngaglik 0 0 0.0 0 0 0.0 0 - 0.0 1 9 64.3 1 13 92.9 3 12 85.7 1 9 64.3 0 5 35.7 178.6 0 1 7.1 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0 0.0 0 0 0.0 0 - 0.0 0 11 35.5 - 10 32.3 3 14 45.2 3 12 38.7 0 3 9.7 48.4 0 0 0.0 0 0 0 0 1 1 3.6
24 Kragilan 0 0 0.0 0 0 0.0 0 - 0.0 1 3 27.3 1 4 36.4 0 3 27.3 - 4 36.4 1 2 18.2 90.9 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 0 2 10.0 - 8 40.0 1 8 40.0 1 7 35.0 0 2 10.0 50.0 0 0 0.0 0 0 0 1 0 1 5.6
Puskesmas 0 9 1.7 0 1 0.2 0 2 0.4 33 303 56.4 47 319 59.4 60 293 54.6 34 253 47.1 15 104 19.4 96.8 0 33 6.1 3 1 4 16 10 26 5.4
Bulan : Agustus

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.1 0 0 0 0 0 0 0.0 0 0 0 0 4 2 0 6 107.1 0 0 0 1 1 2 53.3
2 Seren 0 0 0 0 2 4 0 6 93.8 0 0 0 0 0 0 0.0 0 0 0 0 2 4 0 6 93.8 0 0 0 0 0 0 0.0
3 Lugosobo 0 0 0 0 1 1 0 2 27.8 0 0 0 0 0 0 0.0 0 0 0 0 1 2 0 3 41.7 0 0 0 1 0 1 20.2
4 Gintungan 0 1 0 1 2 3 0 5 71.4 0 0 0 0 0 0 0.0 0 1 0 1 1 4 0 5 71.4 0 0 0 1 0 1 20.8
5 Bulus 0 1 0 1 2 3 0 5 147.1 0 0 0 0 1 1 44.4 0 1 0 1 2 4 0 6 176.5 1 0 1 1 1 2 88.9
6 Rendeng 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 26.3 0 0 0 0 1 1 39.2
7 Kroyo 0 0 0 0 0 1 0 1 20.0 0 0 0 0 1 1 29.0 0 0 0 0 0 2 0 2 40.0 0 0 0 2 0 2 58.0
8 Winong Lor 0 1 0 1 0 2 0 2 52.6 0 0 0 0 1 1 39.2 0 1 0 1 0 2 0 2 52.6 0 0 0 0 1 1 39.2
9 Mlaran 0 1 0 1 0 2 1 3 53.6 0 0 0 0 0 0 0.0 0 1 0 1 0 2 1 3 53.6 1 0 1 1 0 1 26.7
10 Pelutan 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0 0 1 1 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 0 0 0 0 0 0.0
12 Gebang 0 1 0 1 0 1 0 1 20.8 0 0 0 0 0 0 0.0 0 1 0 1 0 2 0 2 41.7 1 0 1 1 0 1 30.3
13 Pakem 0 0 0 0 1 4 0 5 113.6 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 113.6 0 1 1 0 1 1 33.3
14 Salam 0 0 0 0 0 2 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 0 0 0 0 0 0.0
15 Wonotopo 0 0 0 0 1 1 0 2 111.1 0 0 0 0 0 0 0.0 0 0 0 0 1 1 0 2 111.1 0 0 0 0 0 0 0.0
16 Sidoleren 0 1 0 1 0 3 0 3 187.5 0 0 0 0 0 0 0.0 0 1 0 1 0 2 0 2 125.0 0 0 0 0 0 0 0.0
17 Penungkulan 0 2 0 2 1 2 0 3 30.0 0 0 0 1 0 1 14.8 0 2 0 2 1 6 0 7 70.0 0 0 0 2 1 3 44.4
18 Redin 0 0 0 0 3 6 0 9 83.3 0 0 0 0 0 0 0.0 0 0 0 0 3 7 0 10 92.6 0 0 0 0 1 1 13.6
19 Tlogosono 0 0 0 0 1 1 0 2 76.9 0 0 0 1 0 1 55.6 0 0 0 0 1 1 0 2 76.9 0 0 0 2 0 2 111.1
20 Ngemplak 0 1 0 1 0 1 1 2 76.9 0 0 0 0 0 0 0.0 0 1 0 1 0 1 1 2 76.9 0 0 0 0 1 1 55.6
21 Prumben 0 0 0 0 1 2 0 3 214.3 0 0 0 1 0 1 111.1 0 0 0 0 1 1 0 2 142.9 0 0 0 1 0 1 111.1
22 Ngaglik 0 0 0 0 0 3 0 3 107.1 0 0 0 0 0 0 0.0 0 0 0 0 0 4 0 4 142.9 0 0 0 0 0 0 0.0
23 Kalitengkek 0 0 0 0 2 0 0 2 32.3 0 0 0 0 1 1 23.8 0 0 0 0 1 0 0 1 16.1 0 0 0 0 1 1 23.8
24 Kragilan 0 1 0 1 0 2 0 2 90.9 0 0 0 0 0 0 0.0 0 1 0 1 0 2 0 2 90.9 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0 0 0 1 0 1 25.0 0 0 0 1 0 1 37.0 0 0 0 0 0 0 0 0 0.0 0 0 0 1 0 1 37.0
Puskesmas 0 10 0 10 22 51 2 75 69.8 0 0 0 4 4 8 11.0 0 10 0 10 19 58 2 79 73.6 3 1 4 14 9 23 31.6
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 0 0
2 Seren 2 0
3 Lugosobo 0 0
4 Gintungan 0 0
5 Bulus 1 0
6 Rendeng 2 0
7 Kroyo 3 0
8 Winong Lor 2 0
9 Mlaran 2 2
10 Pelutan 2 0
11 Bendosari 1 0
12 Gebang 2 0
13 Pakem 0 0
14 Salam 0 0
15 Wonotopo 1 0
16 Sidoleren 0 0
17 Penungkulan 0 1
18 Redin 0 0
19 Tlogosono 1 0
20 Ngemplak 0 0
21 Prumben 1 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 25 3
Bulan : September 2020

No Nama Desa
1 Winong Kidul 1,831 25 28 4 17 60.7 4 17 60.7 0 0 0.0 4 17 60.7 2 13 46.4 2 11 39.3 0 16 57.1 - - 0.0 - 20 71.4
2 Seren 3,810 29 32 7 19 59.4 7 19 59.4 0 0 0.0 7 19 59.4 5 13 40.6 1 10 31.3 0 20 62.5 - - 0.0 1 21 65.6
3 Lugosobo 3,965 33 36 2 33 91.7 2 31 86.1 0 2 5.6 2 33 91.7 3 29 80.6 7 26 72.2 2 21 58.3 - 1 2.8 6 25 69.4
4 Gintungan 3,184 32 35 - 20 57.1 - 20 57.1 0 0 0.0 0 20 57.1 2 21 60.0 6 21 60.0 1 18 51.4 - - 0.0 - 16 45.7
5 Bulus 1,936 15 17 1 16 94.1 1 16 94.1 0 0 0.0 1 16 94.1 4 16 94.1 2 13 76.5 0 17 100.0 - - 0.0 1 15 88.2
6 Rendeng 1,561 17 19 3 20 105.3 3 20 105.3 0 0 0.0 3 20 105.3 3 17 89.5 4 14 73.7 3 13 68.4 - - 0.0 3 12 63.2
7 Kroyo 2,141 23 25 5 19 76.0 5 19 76.0 0 0 0.0 5 19 76.0 5 16 64.0 2 12 48.0 1 16 64.0 - - 0.0 1 16 64.0
8 Winong Lor 2,134 17 19 3 16 84.2 3 16 84.2 0 0 0.0 3 16 84.2 1 14 73.7 3 14 73.7 1 11 57.9 - - 0.0 1 12 63.2
9 Mlaran 1,918 25 28 2 16 57.1 2 16 57.1 0 0 0.0 2 16 57.1 3 15 53.6 0 13 46.4 0 11 39.3 - - 0.0 2 15 53.6
10 Pelutan 994 7 8 1 7 87.5 1 7 87.5 0 0 0.0 1 7 87.5 0 7 87.5 3 8 100.0 0 8 100.0 - - 0.0 - 5 62.5
11 Bendosari 945 6 7 2 7 100.0 2 7 100.0 0 0 0.0 2 7 100.0 1 5 71.4 2 5 71.4 2 6 85.7 - 2 28.6 2 4 57.1
12 Gebang 1,487 22 24 1 12 50.0 1 12 50.0 0 0 0.0 1 12 50.0 2 12 50.0 4 11 45.8 1 5 20.8 - 2 8.3 1 8 33.3
13 Pakem 1,727 20 22 3 15 68.2 3 15 68.2 0 0 0.0 3 15 68.2 1 13 59.1 0 13 59.1 0 12 54.5 - 1 4.5 4 14 63.6
14 Salam 655 6 7 2 7 100.0 2 7 100.0 0 0 0.0 2 7 100.0 1 7 100.0 0 6 85.7 0 7 100.0 - - 0.0 1 7 100.0
15 Wonotopo 1,270 8 9 - 13 144.4 - 13 144.4 0 0 0.0 0 13 144.4 1 13 144.4 2 12 133.3 2 9 100.0 - 1 11.1 3 9 100.0
16 Sidoleren 817 7 8 3 12 150.0 3 12 150.0 0 0 0.0 3 12 150.0 1 10 125.0 1 10 125.0 1 5 62.5 - 2 25.0 1 7 87.5
17 Penungkulan 2,941 45 50 3 26 52.0 3 24 48.0 0 2 4.0 3 26 52.0 0 23 46.0 3 29 58.0 2 32 64.0 - - 0.0 2 37 74.0
18 Redin 3,385 49 54 3 33 61.1 3 33 61.1 0 0 0.0 3 33 61.1 3 34 63.0 9 35 64.8 4 32 59.3 - 1 1.9 4 35 64.8
19 Tlogosono 1,000 12 13 1 7 53.8 1 7 53.8 0 0 0.0 1 7 53.8 0 7 53.8 2 7 53.8 2 8 61.5 - - 0.0 2 8 61.5
20 Ngemplak 1,215 12 13 3 14 107.7 3 14 107.7 0 0 0.0 3 14 107.7 6 11 84.6 0 5 38.5 2 10 76.9 - - 0.0 - 7 53.8
21 Prumben 511 6 7 - 4 57.1 - 4 57.1 0 0 0.0 0 4 57.1 1 4 57.1 0 5 71.4 0 8 114.3 - - 0.0 - 8 114.3
22 Ngaglik 1,215 13 14 3 16 114.3 3 16 114.3 0 0 0.0 3 16 114.3 1 14 100.0 3 13 92.9 3 12 85.7 - - 0.0 1 10 71.4
23 Kalitengkek 1,306 28 31 - 10 32.3 - 10 32.3 0 0 0.0 0 10 32.3 0 13 41.9 3 14 45.2 1 7 22.6 - - 0.0 - 11 35.5
24 Kragilan 771 10 11 - 4 36.4 - 4 36.4 0 0 0.0 0 4 36.4 1 4 36.4 0 4 36.4 1 7 63.6 - 1 9.1 1 4 36.4
25 Kemiri 1,101 18 20 - 8 40.0 - 8 40.0 0 0 0.0 0 8 40.0 0 8 40.0 1 8 40.0 2 2 10.0 - - 0.0 2 4 20.0
Puskesmas 43820 485 537 52 371 69.1 52 367 68.3 0 4 0.7 52 371 69.09 47 339 63.13 60 319 59.4 31 313 58.3 0 11 2.0 39 330 61.5
Mengetahui Purworejo, 30 September 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : September

Fe 30 Fe 60 Fe 90
No Nama Desa
Kom % Kom % Kom % Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln / Ibu % / 20 % Bln %
Ini Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 0 20 71.4 4 17 60.7 2 13 46.4 2 11 39.3 1 7 25.0 125.0 0 0 0.0 0 0 0 1 1 2 8.0
2 Seren 0 2 6.3 0 0 0.0 0 - 0.0 1 23 71.9 7 19 59.4 5 13 40.6 1 9 28.1 2 10 31.3 156.3 3 4 12.5 1 0 1 1 0 1 3.4
3 Lugosobo 0 1 2.8 0 0 0.0 0 - 0.0 6 26 72.2 2 33 91.7 3 31 86.1 7 28 77.8 1 4 11.1 55.6 1 1 2.8 2 0 2 3 0 3 9.1
4 Gintungan 0 0 0.0 0 0 0.0 0 - 0.0 0 16 45.7 - 20 57.1 2 21 60.0 6 21 60.0 0 5 14.3 71.4 0 5 14.3 0 0 0 1 0 1 3.1
5 Bulus 0 1 5.9 0 0 0.0 0 - 0.0 1 16 94.1 1 16 94.1 4 16 94.1 2 13 76.5 1 8 47.1 235.3 1 5 29.4 1 0 1 2 1 3 20.0
6 Rendeng 0 1 5.3 0 0 0.0 0 - 0.0 3 13 68.4 3 20 105.3 3 17 89.5 4 14 73.7 0 3 15.8 78.9 0 0 0.0 0 2 2 0 3 3 17.6
7 Kroyo 0 1 4.0 0 1 4.0 0 - 0.0 1 18 72.0 5 19 76.0 5 16 64.0 2 12 48.0 1 6 24.0 120.0 1 2 8.0 1 0 1 2 1 3 13.0
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 1 12 63.2 3 16 84.2 1 14 73.7 3 14 73.7 0 4 21.1 105.3 0 1 5.3 0 0 0 0 1 1 5.9
9 Mlaran 0 0 0.0 0 0 0.0 0 - 0.0 2 15 53.6 2 16 57.1 3 14 50.0 - 11 39.3 0 5 17.9 89.3 0 1 3.6 1 0 1 4 0 4 16.0
10 Pelutan 0 0 0.0 0 0 0.0 0 - 0.0 0 5 62.5 1 7 87.5 0 6 75.0 3 6 75.0 1 5 62.5 312.5 1 1 12.5 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0.0 0 0 0.0 0 - 0.0 2 4 57.1 2 7 100.0 1 5 71.4 2 5 71.4 1 3 42.9 214.3 1 1 14.3 0 0 0 0 0 0 0.0
12 Gebang 0 0 0.0 0 0 0.0 0 - 0.0 1 8 33.3 1 12 50.0 2 11 45.8 4 9 37.5 1 5 20.8 104.2 1 4 16.7 0 0 0 1 0 1 4.5
13 Pakem 0 1 4.5 0 0 0.0 0 - 0.0 4 15 68.2 3 15 68.2 1 13 59.1 - 13 59.1 1 6 27.3 136.4 2 3 13.6 1 0 1 1 1 2 10.0
14 Salam 0 1 14.3 0 0 0.0 0 - 0.0 1 8 114.3 2 7 100.0 1 7 100.0 - 6 85.7 0 1 14.3 71.4 0 0 0.0 0 1 1 0 1 1 16.7
15 Wonotopo 0 0 0.0 0 0 0.0 0 - 0.0 3 9 100.0 - 13 144.4 1 13 144.4 2 12 133.3 0 3 33.3 166.7 0 3 33.3 0 1 1 0 1 1 12.5
16 Sidoleren 0 0 0.0 0 0 0.0 0 - 0.0 1 7 87.5 3 12 150.0 1 10 125.0 1 9 112.5 1 3 37.5 187.5 1 1 12.5 0 2 2 0 2 2 28.6
17 Penungkulan 0 0 0.0 0 0 0.0 0 - 0.0 2 37 74.0 3 26 52.0 0 25 50.0 3 30 60.0 1 8 16.0 80.0 1 7 14.0 1 1 2 4 2 6 13.3
18 Redin 0 1 1.9 0 0 0.0 0 1 1.9 4 37 68.5 3 33 61.1 3 34 63.0 9 35 64.8 3 13 24.1 120.4 3 6 11.1 2 1 3 2 2 4 8.2
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 2 8 61.5 1 7 53.8 0 7 53.8 2 7 53.8 0 3 23.1 115.4 0 1 7.7 0 1 1 2 1 3 25.0
20 Ngemplak 0 0 0.0 0 0 0.0 0 1 7.7 0 8 61.5 3 14 107.7 6 11 84.6 - 5 38.5 2 4 30.8 153.8 2 3 23.1 0 0 0 0 1 1 8.3
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 8 114.3 - 4 57.1 1 4 57.1 - 4 57.1 0 3 42.9 214.3 0 1 14.3 0 0 0 1 0 1 16.7
22 Ngaglik 0 0 0.0 0 0 0.0 0 - 0.0 1 10 71.4 3 16 114.3 1 13 92.9 3 12 85.7 1 6 42.9 214.3 1 2 14.3 1 0 1 1 0 1 7.7
23 Kalitengkek 0 0 0.0 0 0 0.0 0 - 0.0 0 11 35.5 - 10 32.3 0 14 45.2 3 15 48.4 0 3 9.7 48.4 0 0 0.0 1 0 1 1 1 2 7.1
24 Kragilan 0 0 0.0 0 0 0.0 0 - 0.0 1 4 36.4 - 4 36.4 1 4 36.4 - 4 36.4 0 2 18.2 90.9 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 2 4 20.0 - 8 40.0 0 8 40.0 1 8 40.0 0 2 10.0 50.0 0 0 0.0 2 0 2 3 0 3 16.7
Puskesmas 0 9 1.7 0 1 0.2 0 2 0.4 39 342 63.7 52 371 69.1 47 340 63.3 60 313 58.3 18 122 22.7 113.6 19 52 9.7 14 9 23 30 19 49 10.1
Bulan : September

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.1 0 0 0 0 0 0 0.0 0 0 0 0 4 2 0 6 107.1 0 0 0 1 1 2 53.3
2 Seren 0 0 0 0 2 4 0 6 93.8 0 0 0 0 0 0 0.0 0 0 0 0 2 4 0 6 93.8 1 0 1 1 0 1 23.0
3 Lugosobo 0 0 0 0 1 1 0 2 27.8 0 0 0 0 0 0 0.0 0 0 0 0 1 2 0 3 41.7 2 0 2 3 0 3 60.6
4 Gintungan 0 0 0 0 2 3 0 5 71.4 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 71.4 0 0 0 1 0 1 20.8
5 Bulus 0 0 0 0 2 3 0 5 147.1 0 0 0 0 1 1 44.4 0 0 0 0 2 4 0 6 176.5 1 0 1 2 1 3 133.3
6 Rendeng 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 26.3 0 2 2 0 3 3 117.6
7 Kroyo 0 0 0 0 0 1 0 1 20.0 0 0 0 0 1 1 29.0 0 0 0 0 0 2 0 2 40.0 1 0 1 3 0 3 87.0
8 Winong Lor 0 0 0 0 0 2 0 2 52.6 0 0 0 0 1 1 39.2 0 0 0 0 0 2 0 2 52.6 0 0 0 0 1 1 39.2
9 Mlaran 0 0 0 0 0 2 1 3 53.6 0 0 0 0 0 0 0.0 0 0 0 0 0 2 1 3 53.6 1 0 1 2 0 2 53.3
10 Pelutan 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0
11 Bendosari 0 0 0 0 1 1 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 0 0 0 0 0 0.0
12 Gebang 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 41.7 0 0 0 1 0 1 30.3
13 Pakem 0 0 0 0 1 4 0 5 113.6 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 113.6 1 0 1 1 1 2 66.7
14 Salam 0 0 0 0 0 2 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 1 1 0 1 1 111.1
15 Wonotopo 0 0 0 0 1 1 0 2 111.1 0 0 0 0 0 0 0.0 0 0 0 0 1 1 0 2 111.1 0 1 1 0 1 1 83.3
16 Sidoleren 0 1 0 1 0 4 0 4 250.0 0 0 0 0 0 0 0.0 0 1 0 1 0 3 0 3 187.5 0 2 2 0 2 2 190.5
17 Penungkulan 0 0 0 0 1 2 0 3 30.0 0 0 0 1 0 1 14.8 0 0 0 0 1 6 0 7 70.0 1 1 2 3 2 5 74.1
18 Redin 1 2 0 3 4 8 0 12 111.1 0 0 0 0 0 0 0.0 1 2 0 3 4 9 0 13 120.4 2 1 3 2 2 4 54.4
19 Tlogosono 0 0 0 0 1 1 0 2 76.9 0 0 0 1 0 1 55.6 0 0 0 0 1 1 0 2 76.9 0 1 1 2 1 3 166.7
20 Ngemplak 0 0 0 0 0 1 1 2 76.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 1 2 76.9 0 0 0 0 1 1 55.6
21 Prumben 0 0 0 0 1 2 0 3 214.3 0 0 0 1 0 1 111.1 0 0 0 0 1 1 0 2 142.9 0 0 0 1 0 1 111.1
22 Ngaglik 0 1 0 1 0 4 0 4 142.9 0 0 0 0 0 0 0.0 0 1 0 1 0 5 0 5 178.6 1 0 1 1 0 1 51.3
23 Kalitengkek 0 0 0 0 2 0 0 2 32.3 0 0 0 0 1 1 23.8 0 0 0 0 1 0 0 1 16.1 1 0 1 1 1 2 47.6
24 Kragilan 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0 0 0 1 0 1 25.0 1 0 1 2 0 2 74.1 0 0 0 0 0 0 0 0 0.0 2 0 2 3 0 3 111.1
Puskesmas 1 4 0 5 23 55 2 80 74.5 1 0 1 5 4 9 12.4 1 4 0 5 20 62 2 84 78.2 14 9 23 28 18 46 63.2
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 1 0
2 Seren 4 0
3 Lugosobo 1 0
4 Gintungan 0 0
5 Bulus 2 0
6 Rendeng 2 0
7 Kroyo 4 0
8 Winong Lor 2 0
9 Mlaran 2 2
10 Pelutan 3 0
11 Bendosari 2 0
12 Gebang 3 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 1 0
16 Sidoleren 0 0
17 Penungkulan 1 1
18 Redin 0 0
19 Tlogosono 1 0
20 Ngemplak 2 0
21 Prumben 1 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 38 3
Bulan : Oktober 2020

Buku KIA K1 Murni K1 Akses K1 Total K2 K3 K4
Jumlah Sasaran Sasaran TT1 TT2
No Nama Desa penduduk Bayi Ibu Hamil
1 Winong Kidul 1,831 25 28 2 19 67.9 2 19 67.9 0 0 0.0 2 19 67.9 4 17 60.7 2 13 46.4 2 18 64.3 - - 0.0 - 20 71.4
2 Seren 3,810 29 32 5 24 75.0 5 24 75.0 0 0 0.0 5 24 75.0 7 20 62.5 5 15 46.9 7 27 84.4 - - 0.0 1 22 68.8
3 Lugosobo 3,965 33 36 2 35 97.2 2 33 91.7 0 2 5.6 2 35 97.2 2 31 86.1 3 29 80.6 9 30 83.3 - 1 2.8 - 25 69.4
4 Gintungan 3,184 32 35 1 21 60.0 1 21 60.0 0 0 0.0 1 21 60.0 0 21 60.0 2 23 65.7 5 23 65.7 - - 0.0 - 16 45.7
5 Bulus 1,936 15 17 3 19 111.8 3 19 111.8 0 0 0.0 3 19 111.8 1 17 100.0 4 17 100.0 3 20 117.6 - - 0.0 - 15 88.2
6 Rendeng 1,561 17 19 1 21 110.5 1 21 110.5 0 0 0.0 1 21 110.5 3 20 105.3 3 17 89.5 3 16 84.2 - - 0.0 - 12 63.2
7 Kroyo 2,141 23 25 4 23 92.0 4 23 92.0 0 0 0.0 4 23 92.0 5 21 84.0 5 17 68.0 2 18 72.0 - - 0.0 - 16 64.0
8 Winong Lor 2,134 17 19 4 20 105.3 4 20 105.3 0 0 0.0 4 20 105.3 3 17 89.5 1 15 78.9 1 12 63.2 - - 0.0 - 12 63.2
9 Mlaran 1,918 25 28 1 17 60.7 1 17 60.7 0 0 0.0 1 17 60.7 2 17 60.7 3 16 57.1 7 18 64.3 - - 0.0 - 15 53.6
10 Pelutan 994 7 8 - 7 87.5 - 7 87.5 0 0 0.0 0 7 87.5 1 8 100.0 0 8 100.0 1 9 112.5 - - 0.0 - 5 62.5
11 Bendosari 945 6 7 - 7 100.0 - 7 100.0 0 0 0.0 0 7 100.0 2 7 100.0 1 6 85.7 1 7 100.0 - 2 28.6 - 4 57.1
12 Gebang 1,487 22 24 1 13 54.2 1 13 54.2 0 0 0.0 1 13 54.2 1 13 54.2 2 13 54.2 2 7 29.2 - 2 8.3 1 9 37.5
13 Pakem 1,727 20 22 1 16 72.7 1 16 72.7 0 0 0.0 1 16 72.7 3 16 72.7 1 14 63.6 3 15 68.2 - 1 4.5 - 14 63.6
14 Salam 655 6 7 - 7 100.0 - 7 100.0 0 0 0.0 0 7 100.0 2 9 128.6 1 7 100.0 0 7 100.0 - - 0.0 - 7 100.0
15 Wonotopo 1,270 8 9 - 13 144.4 - 13 144.4 0 0 0.0 0 13 144.4 0 13 144.4 1 13 144.4 3 12 133.3 - 1 11.1 - 9 100.0
16 Sidoleren 817 7 8 - 12 150.0 - 12 150.0 0 0 0.0 0 12 150.0 3 13 162.5 1 11 137.5 0 5 62.5 - 2 25.0 - 7 87.5
17 Penungkulan 2,941 45 50 1 27 54.0 1 25 50.0 0 2 4.0 1 27 54.0 3 26 52.0 0 29 58.0 2 34 68.0 - - 0.0 - 37 74.0
18 Redin 3,385 49 54 5 38 70.4 5 38 70.4 0 0 0.0 5 38 70.4 3 37 68.5 3 38 70.4 2 34 63.0 - 1 1.9 - 35 64.8
19 Tlogosono 1,000 12 13 - 7 53.8 - 7 53.8 0 0 0.0 0 7 53.8 1 8 61.5 0 7 53.8 0 8 61.5 - - 0.0 - 8 61.5
20 Ngemplak 1,215 12 13 2 16 123.1 2 16 123.1 0 0 0.0 2 16 123.1 3 14 107.7 6 11 84.6 0 10 76.9 - - 0.0 - 7 53.8
21 Prumben 511 6 7 1 5 71.4 1 5 71.4 0 0 0.0 1 5 71.4 0 4 57.1 1 6 85.7 0 8 114.3 - - 0.0 - 8 114.3
22 Ngaglik 1,215 13 14 - 16 114.3 - 16 114.3 0 0 0.0 0 16 114.3 3 17 121.4 1 14 100.0 0 12 85.7 - - 0.0 - 10 71.4
23 Kalitengkek 1,306 28 31 1 11 35.5 1 11 35.5 0 0 0.0 1 11 35.5 0 13 41.9 0 14 45.2 2 9 29.0 - - 0.0 - 11 35.5
24 Kragilan 771 10 11 - 4 36.4 - 4 36.4 0 0 0.0 0 4 36.4 0 4 36.4 1 5 45.5 0 7 63.6 - 1 9.1 - 4 36.4
25 Kemiri 1,101 18 20 2 10 50.0 2 10 50.0 0 0 0.0 2 10 50.0 0 8 40.0 0 8 40.0 2 4 20.0 - - 0.0 - 4 20.0
Puskesmas 43820 485 537 37 408 76.0 37 404 75.2 0 4 0.7 37 408 75.98 52 391 72.81 47 366 68.2 57 370 68.9 0 11 2.0 2 332 61.8
Mengetahui Purworejo, Oktober 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Oktober

Fe 30 Fe 60 Fe 90
No Nama Desa
%
Ini Bumil Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 0 20 71.4 2 19 67.9 4 17 60.7 2 13 46.4 0 7 25.0 125.0 0 0 0.0 0 0 0 1 1 2 8.0
2 Seren 2 4 12.5 0 0 0.0 0 - 0.0 3 26 81.3 5 24 75.0 7 20 62.5 5 14 43.8 0 10 31.3 156.3 2 6 18.8 0 0 0 1 0 1 3.4
3 Lugosobo 6 7 19.4 0 0 0.0 0 - 0.0 6 32 88.9 2 35 97.2 2 33 91.7 3 31 86.1 3 7 19.4 97.2 1 2 5.6 0 0 0 3 0 3 9.1
4 Gintungan 4 4 11.4 0 0 0.0 0 - 0.0 4 20 57.1 1 21 60.0 0 21 60.0 2 23 65.7 1 6 17.1 85.7 0 5 14.3 0 0 0 1 0 1 3.1
5 Bulus 0 1 5.9 0 0 0.0 0 - 0.0 0 16 94.1 3 19 111.8 1 17 100.0 4 17 100.0 0 8 47.1 235.3 2 7 41.2 0 0 0 2 1 3 20.0
6 Rendeng 3 4 21.1 0 0 0.0 0 - 0.0 3 16 84.2 1 21 110.5 3 20 105.3 3 17 89.5 0 3 15.8 78.9 0 0 0.0 0 0 0 0 3 3 17.6
7 Kroyo 2 3 12.0 0 1 4.0 0 - 0.0 2 20 80.0 4 23 92.0 5 21 84.0 5 17 68.0 0 6 24.0 120.0 1 3 12.0 0 0 0 2 1 3 13.0
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 0 12 63.2 4 20 105.3 3 17 89.5 1 15 78.9 1 5 26.3 131.6 1 2 10.5 0 0 0 0 1 1 5.9
9 Mlaran 2 2 7.1 0 0 0.0 0 - 0.0 2 17 60.7 1 17 60.7 2 16 57.1 3 14 50.0 0 5 17.9 89.3 0 1 3.6 0 0 0 4 0 4 16.0
10 Pelutan 1 1 12.5 0 0 0.0 0 - 0.0 1 6 75.0 - 7 87.5 1 7 87.5 - 6 75.0 0 5 62.5 312.5 0 1 12.5 0 0 0 0 0 0 0.0
11 Bendosari 3 3 42.9 0 0 0.0 0 - 0.0 3 7 100.0 - 7 100.0 2 7 100.0 1 6 85.7 2 5 71.4 357.1 0 1 14.3 0 0 0 0 0 0 0.0
12 Gebang 1 1 4.2 0 0 0.0 0 - 0.0 2 10 41.7 1 13 54.2 1 12 50.0 2 11 45.8 1 6 25.0 125.0 0 4 16.7 0 0 0 1 0 1 4.5
13 Pakem 0 1 4.5 0 0 0.0 0 - 0.0 0 15 68.2 1 16 72.7 3 16 72.7 1 14 63.6 0 6 27.3 136.4 0 3 13.6 0 0 0 1 1 2 10.0
14 Salam 0 1 14.3 0 0 0.0 0 - 0.0 0 8 114.3 - 7 100.0 2 9 128.6 1 7 100.0 0 1 14.3 71.4 0 0 0.0 0 0 0 0 1 1 16.7
15 Wonotopo 1 1 11.1 0 0 0.0 0 - 0.0 1 10 111.1 - 13 144.4 0 13 144.4 1 13 144.4 0 3 33.3 166.7 0 3 33.3 0 0 0 0 1 1 12.5
16 Sidoleren 1 1 12.5 0 0 0.0 0 - 0.0 1 8 100.0 - 12 150.0 3 13 162.5 1 10 125.0 1 4 50.0 250.0 0 1 12.5 0 0 0 0 2 2 28.6
17 Penungkulan 2 2 4.0 0 0 0.0 0 - 0.0 2 39 78.0 1 27 54.0 3 28 56.0 - 30 60.0 3 11 22.0 110.0 0 7 14.0 0 0 0 4 2 6 13.3
18 Redin 2 3 5.6 0 0 0.0 0 1 1.9 2 39 72.2 5 38 70.4 3 37 68.5 3 38 70.4 1 14 25.9 129.6 0 6 11.1 1 0 1 3 2 5 10.2
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 0 8 61.5 - 7 53.8 1 8 61.5 - 7 53.8 0 3 23.1 115.4 0 1 7.7 0 0 0 2 1 3 25.0
20 Ngemplak 2 2 15.4 0 0 0.0 0 1 7.7 2 10 76.9 2 16 123.1 3 14 107.7 6 11 84.6 0 4 30.8 153.8 0 3 23.1 0 0 0 0 1 1 8.3
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 8 114.3 1 5 71.4 0 4 57.1 1 5 71.4 0 3 42.9 214.3 1 2 28.6 0 0 0 1 0 1 16.7
22 Ngaglik 2 2 14.3 0 0 0.0 0 - 0.0 2 12 85.7 - 16 114.3 3 16 114.3 1 13 92.9 2 8 57.1 285.7 0 2 14.3 0 0 0 1 0 1 7.7
23 Kalitengkek 2 2 6.5 0 0 0.0 0 - 0.0 2 13 41.9 1 11 35.5 0 14 45.2 - 15 48.4 0 3 9.7 48.4 0 0 0.0 0 0 0 1 1 2 7.1
24 Kragilan 2 2 18.2 0 0 0.0 0 - 0.0 2 6 54.5 - 4 36.4 0 4 36.4 1 5 45.5 0 2 18.2 90.9 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 0 4 20.0 2 10 50.0 0 8 40.0 - 8 40.0 1 3 15.0 75.0 1 1 5.0 0 0 0 3 0 3 16.7
Puskesmas 38 47 8.8 0 1 0.2 0 2 0.4 40 382 71.1 37 408 76.0 52 392 73.0 47 360 67.0 16 138 25.7 128.5 9 61 11.4 1 0 1 31 19 50 10.3
Bulan : Oktober

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.1 0 0 0 0 0 0 0.0 0 0 0 0 4 2 0 6 107.1 0 0 0 1 1 2 53.3
2 Seren 0 0 0 0 2 4 0 6 93.8 0 0 0 0 0 0 0.0 0 0 0 0 2 4 0 6 93.8 0 0 0 1 0 1 23.0
3 Lugosobo 1 0 0 1 2 1 0 3 41.7 0 0 0 0 0 0 0.0 1 1 0 2 2 3 0 5 69.4 0 0 0 3 0 3 60.6
4 Gintungan 0 1 0 1 2 4 0 6 85.7 0 0 0 0 0 0 0.0 0 1 0 1 1 5 0 6 85.7 0 0 0 1 0 1 20.8
5 Bulus 0 0 0 0 2 3 0 5 147.1 0 0 0 0 1 1 44.4 0 0 0 0 2 4 0 6 176.5 0 0 0 2 1 3 133.3
6 Rendeng 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 26.3 0 0 0 0 3 3 117.6
7 Kroyo 0 0 0 0 0 1 0 1 20.0 0 0 0 0 1 1 29.0 0 0 0 0 0 2 0 2 40.0 0 0 0 3 0 3 87.0
8 Winong Lor 0 0 0 0 0 2 0 2 52.6 0 0 0 0 1 1 39.2 0 0 0 0 0 2 0 2 52.6 0 0 0 0 1 1 39.2
9 Mlaran 0 0 0 0 0 2 1 3 53.6 0 0 0 0 0 0 0.0 0 0 0 0 0 2 1 3 53.6 0 0 0 2 0 2 53.3
10 Pelutan 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0
11 Bendosari 1 0 0 1 2 1 0 3 214.3 0 0 0 0 0 0 0.0 1 1 0 2 1 2 0 3 214.3 0 0 0 0 0 0 0.0
12 Gebang 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0.0 1 0 0 1 1 2 0 3 62.5 0 0 0 1 0 1 30.3
13 Pakem 0 0 0 0 1 4 0 5 113.6 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 113.6 0 0 0 1 1 2 66.7
14 Salam 0 0 0 0 0 2 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 0 0 0 1 1 111.1
15 Wonotopo 0 0 0 0 1 1 0 2 111.1 0 0 0 0 0 0 0.0 0 0 0 0 1 1 0 2 111.1 0 0 0 0 1 1 83.3
16 Sidoleren 0 0 0 0 0 4 0 4 250.0 0 0 0 0 0 0 0.0 0 0 1 1 0 3 1 4 250.0 0 0 0 0 2 2 190.5
17 Penungkulan 1 1 0 2 2 3 0 5 50.0 0 0 0 1 0 1 14.8 1 1 0 2 2 7 0 9 90.0 0 0 0 3 2 5 74.1
18 Redin 0 0 0 0 4 8 0 12 111.1 1 0 1 1 0 1 13.6 0 0 0 0 4 9 0 13 120.4 1 0 1 3 2 5 68.0
19 Tlogosono 0 0 0 0 1 1 0 2 76.9 0 0 0 1 0 1 55.6 0 0 0 0 1 1 0 2 76.9 0 0 0 2 1 3 166.7
20 Ngemplak 0 0 0 0 0 1 1 2 76.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 1 2 76.9 0 0 0 0 1 1 55.6
21 Prumben 0 0 0 0 1 2 0 3 214.3 0 0 0 1 0 1 111.1 0 0 0 0 1 1 0 2 142.9 0 0 0 1 0 1 111.1
22 Ngaglik 2 0 0 2 2 4 0 6 214.3 0 0 0 0 0 0 0.0 2 0 0 2 2 5 0 7 250.0 0 0 0 1 0 1 51.3
23 Kalitengkek 0 0 0 0 2 0 0 2 32.3 0 0 0 0 1 1 23.8 0 0 0 0 1 0 0 1 16.1 0 0 0 1 1 2 47.6
24 Kragilan 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0 0 0 1 0 1 25.0 0 0 0 2 0 2 74.1 0 0 0 0 0 0 0 0 0.0 0 0 0 3 0 3 111.1
Puskesmas 5 2 0 7 28 57 2 87 81.0 1 0 1 6 4 10 13.7 6 4 1 11 26 66 3 95 88.5 1 0 1 29 18 47 64.6
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 1 0
2 Seren 4 0
3 Lugosobo 2 0
4 Gintungan 0 0
5 Bulus 2 0
6 Rendeng 2 0
7 Kroyo 4 0
8 Winong Lor 3 0
9 Mlaran 2 2
10 Pelutan 3 0
11 Bendosari 2 0
12 Gebang 3 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 1 0
16 Sidoleren 0 0
17 Penungkulan 2 1
18 Redin 1 0
19 Tlogosono 1 0
20 Ngemplak 2 0
21 Prumben 1 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 3 0
Puskesmas 43 3
Bulan : November 2020

No Nama Desa
1 Winong Kidul 1,831 25 28 7 26 92.9 7 26 92.9 0 0 0.0 7 26 92.9 2 19 67.9 4 17 60.7 2 20 71.4 - - 0.0 1 21 75.0
2 Seren 3,810 29 32 6 30 93.8 6 30 93.8 0 0 0.0 6 30 93.8 5 25 78.1 7 22 68.8 3 30 93.8 - - 0.0 1 23 71.9
3 Lugosobo 3,965 33 36 2 37 102.8 2 35 97.2 0 2 5.6 2 37 102.8 2 33 91.7 2 31 86.1 7 37 102.8 - 1 2.8 5 30 83.3
4 Gintungan 3,184 32 35 4 25 71.4 4 25 71.4 0 0 0.0 4 25 71.4 1 22 62.9 0 23 65.7 4 27 77.1 - - 0.0 3 19 54.3
5 Bulus 1,936 15 17 - 19 111.8 - 19 111.8 0 0 0.0 0 19 111.8 3 20 117.6 1 18 105.9 0 20 117.6 - - 0.0 2 17 100.0
6 Rendeng 1,561 17 19 6 27 142.1 6 27 142.1 0 0 0.0 6 27 142.1 1 21 110.5 3 20 105.3 0 16 84.2 - - 0.0 1 13 68.4
7 Kroyo 2,141 23 25 5 28 112.0 5 28 112.0 0 0 0.0 5 28 112.0 4 25 100.0 5 22 88.0 4 22 88.0 - - 0.0 1 17 68.0
8 Winong Lor 2,134 17 19 - 20 105.3 - 20 105.3 0 0 0.0 0 20 105.3 4 21 110.5 3 18 94.7 1 13 68.4 - - 0.0 - 12 63.2
9 Mlaran 1,918 25 28 3 20 71.4 2 19 67.9 1 1 3.6 3 20 71.4 1 18 64.3 2 18 64.3 0 18 64.3 - - 0.0 1 16 57.1
10 Pelutan 994 7 8 1 8 100.0 1 8 100.0 0 0 0.0 1 8 100.0 0 8 100.0 1 9 112.5 0 9 112.5 - - 0.0 - 5 62.5
11 Bendosari 945 6 7 - 7 100.0 - 7 100.0 0 0 0.0 0 7 100.0 0 7 100.0 2 8 114.3 1 8 114.3 - 2 28.6 1 5 71.4
12 Gebang 1,487 22 24 5 18 75.0 5 18 75.0 0 0 0.0 5 18 75.0 1 14 58.3 1 14 58.3 0 7 29.2 - 2 8.3 - 9 37.5
13 Pakem 1,727 20 22 3 19 86.4 3 19 86.4 0 0 0.0 3 19 86.4 1 17 77.3 3 17 77.3 3 18 81.8 - 1 4.5 - 14 63.6
14 Salam 655 6 7 - 7 100.0 - 7 100.0 0 0 0.0 0 7 100.0 0 9 128.6 2 9 128.6 0 7 100.0 - - 0.0 - 7 100.0
15 Wonotopo 1,270 8 9 2 15 166.7 2 15 166.7 0 0 0.0 2 15 166.7 0 13 144.4 0 13 144.4 0 12 133.3 - 1 11.1 1 10 111.1
16 Sidoleren 817 7 8 2 14 175.0 2 14 175.0 0 0 0.0 2 14 175.0 0 13 162.5 3 14 175.0 0 5 62.5 - 2 25.0 - 7 87.5
17 Penungkulan 2,941 45 50 6 33 66.0 6 31 62.0 0 2 4.0 6 33 66.0 1 27 54.0 3 32 64.0 1 35 70.0 - - 0.0 - 37 74.0
18 Redin 3,385 49 54 2 40 74.1 2 40 74.1 0 0 0.0 2 40 74.1 5 42 77.8 3 41 75.9 5 39 72.2 - 1 1.9 1 36 66.7
19 Tlogosono 1,000 12 13 - 7 53.8 - 7 53.8 0 0 0.0 0 7 53.8 0 8 61.5 1 8 61.5 2 10 76.9 - - 0.0 2 10 76.9
20 Ngemplak 1,215 12 13 1 17 130.8 - 16 123.1 1 1 7.7 1 17 130.8 2 16 123.1 3 14 107.7 0 10 76.9 - - 0.0 - 7 53.8
21 Prumben 511 6 7 - 5 71.4 - 5 71.4 0 0 0.0 0 5 71.4 1 5 71.4 0 6 85.7 0 8 114.3 - - 0.0 - 8 114.3
22 Ngaglik 1,215 13 14 4 20 142.9 4 20 142.9 0 0 0.0 4 20 142.9 0 17 121.4 3 17 121.4 1 13 92.9 - - 0.0 1 11 78.6
23 Kalitengkek 1,306 28 31 3 14 45.2 3 14 45.2 0 0 0.0 3 14 45.2 1 14 45.2 0 14 45.2 2 11 35.5 - - 0.0 2 13 41.9
24 Kragilan 771 10 11 - 4 36.4 - 4 36.4 0 0 0.0 0 4 36.4 0 4 36.4 0 5 45.5 0 7 63.6 - 1 9.1 - 4 36.4
25 Kemiri 1,101 18 20 - 10 50.0 - 10 50.0 0 0 0.0 0 10 50.0 2 10 50.0 0 8 40.0 3 7 35.0 - - 0.0 1 5 25.0
Puskesmas 43820 485 537 62 470 87.5 60 464 86.4 2 6 1.1 62 470 87.52 37 428 79.7 52 418 77.8 39 409 76.2 0 11 2.0 24 356 66.3
Mengetahui Purworejo, 30 November 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : November

Fe 30 Fe 60 Fe 90
No Nama Desa
%
Ini Bumil Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 1 21 75.0 7 26 92.9 2 19 67.9 4 17 60.7 2 9 32.1 160.7 1 1 3.6 0 1 1 1 2 3 12.0
2 Seren 0 4 12.5 0 0 0.0 0 - 0.0 1 27 84.4 6 30 93.8 5 25 78.1 7 21 65.6 0 10 31.3 156.3 1 7 21.9 0 0 0 1 0 1 3.4
3 Lugosobo 0 7 19.4 0 0 0.0 0 - 0.0 5 37 102.8 2 37 102.8 2 35 97.2 2 33 91.7 0 7 19.4 97.2 1 3 8.3 0 0 0 3 0 3 9.1
4 Gintungan 1 5 14.3 0 0 0.0 0 - 0.0 4 24 68.6 4 25 71.4 1 22 62.9 - 23 65.7 1 7 20.0 100.0 1 6 17.1 0 0 0 1 0 1 3.1
5 Bulus 0 1 5.9 0 0 0.0 0 - 0.0 2 18 105.9 - 19 111.8 3 20 117.6 1 18 105.9 0 8 47.1 235.3 0 7 41.2 0 0 0 2 1 3 20.0
6 Rendeng 0 4 21.1 0 0 0.0 0 - 0.0 1 17 89.5 6 27 142.1 1 21 110.5 3 20 105.3 0 3 15.8 78.9 0 0 0.0 0 0 0 0 3 3 17.6
7 Kroyo 0 3 12.0 0 1 4.0 0 - 0.0 1 21 84.0 5 28 112.0 4 25 100.0 5 22 88.0 0 6 24.0 120.0 2 5 20.0 0 0 0 2 1 3 13.0
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 0 12 63.2 - 20 105.3 4 21 110.5 3 18 94.7 0 5 26.3 131.6 0 2 10.5 0 0 0 0 1 1 5.9
9 Mlaran 0 2 7.1 0 0 0.0 0 - 0.0 1 18 64.3 3 20 71.4 1 17 60.7 2 16 57.1 2 7 25.0 125.0 0 1 3.6 0 0 0 4 0 4 16.0
10 Pelutan 0 1 12.5 0 0 0.0 0 - 0.0 0 6 75.0 1 8 100.0 0 7 87.5 1 7 87.5 0 5 62.5 312.5 0 1 12.5 0 0 0 0 0 0 0.0
11 Bendosari 0 3 42.9 0 0 0.0 0 - 0.0 1 8 114.3 - 7 100.0 0 7 100.0 2 8 114.3 0 5 71.4 357.1 0 1 14.3 0 0 0 0 0 0 0.0
12 Gebang 0 1 4.2 0 0 0.0 0 - 0.0 0 10 41.7 5 18 75.0 1 13 54.2 1 12 50.0 0 6 25.0 125.0 0 4 16.7 0 0 0 1 0 1 4.5
13 Pakem 0 1 4.5 0 0 0.0 0 - 0.0 0 15 68.2 3 19 86.4 1 17 77.3 3 17 77.3 0 6 27.3 136.4 0 3 13.6 0 0 0 1 1 2 10.0
14 Salam 0 1 14.3 0 0 0.0 0 - 0.0 0 8 114.3 - 7 100.0 0 9 128.6 2 9 128.6 0 1 14.3 71.4 0 0 0.0 0 0 0 0 1 1 16.7
15 Wonotopo 0 1 11.1 0 0 0.0 0 - 0.0 1 11 122.2 2 15 166.7 0 13 144.4 - 13 144.4 0 3 33.3 166.7 0 3 33.3 0 0 0 0 1 1 12.5
16 Sidoleren 0 1 12.5 0 0 0.0 0 - 0.0 0 8 100.0 2 14 175.0 0 13 162.5 3 13 162.5 1 5 62.5 312.5 0 1 12.5 0 0 0 0 2 2 28.6
17 Penungkulan 0 2 4.0 0 0 0.0 0 - 0.0 0 39 78.0 6 33 66.0 1 29 58.0 3 33 66.0 1 12 24.0 120.0 0 7 14.0 0 0 0 4 2 6 13.3
18 Redin 1 4 7.4 0 0 0.0 0 1 1.9 2 41 75.9 2 40 74.1 5 42 77.8 3 41 75.9 1 15 27.8 138.9 1 7 13.0 1 0 1 4 2 6 12.2
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 2 10 76.9 - 7 53.8 0 8 61.5 1 8 61.5 1 4 30.8 153.8 0 1 7.7 0 0 0 2 1 3 25.0
20 Ngemplak 0 2 15.4 0 0 0.0 0 1 7.7 0 10 76.9 1 17 130.8 2 16 123.1 3 14 107.7 0 4 30.8 153.8 1 4 30.8 0 0 0 0 1 1 8.3
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 8 114.3 - 5 71.4 1 5 71.4 - 5 71.4 0 3 42.9 214.3 0 2 28.6 0 0 0 1 0 1 16.7
22 Ngaglik 0 2 14.3 0 0 0.0 0 - 0.0 1 13 92.9 4 20 142.9 0 16 114.3 3 16 114.3 0 8 57.1 285.7 0 2 14.3 0 0 0 1 0 1 7.7
23 Kalitengkek 0 2 6.5 0 0 0.0 0 - 0.0 2 15 48.4 3 14 45.2 1 15 48.4 - 15 48.4 1 4 12.9 64.5 0 0 0.0 0 0 0 1 1 2 7.1
24 Kragilan 0 2 18.2 0 0 0.0 0 - 0.0 0 6 54.5 - 4 36.4 0 4 36.4 - 5 45.5 0 2 18.2 90.9 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 0 0 0.0 0 0 0.0 0 - 0.0 1 5 25.0 - 10 50.0 2 10 50.0 - 8 40.0 0 3 15.0 75.0 0 1 5.0 0 0 0 3 0 3 16.7
Puskesmas 2 49 9.1 0 1 0.2 0 2 0.4 26 408 76.0 62 470 87.5 37 429 79.9 52 412 76.7 10 148 27.6 137.8 8 69 12.8 1 1 2 32 20 52 10.7
Bulan : November

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.1 0 0 0 0 0 0 0.0 0 0 0 0 4 2 0 6 107.1 0 0 0 1 1 2 53.3
2 Seren 0 0 0 0 2 4 0 6 93.8 0 0 0 0 0 0 0.0 0 0 0 0 2 4 0 6 93.8 0 0 0 1 0 1 23.0
3 Lugosobo 0 0 0 0 2 1 0 3 41.7 0 0 0 0 0 0 0.0 0 0 0 0 2 3 0 5 69.4 0 0 0 3 0 3 60.6
4 Gintungan 0 1 0 1 2 5 0 7 100.0 0 0 0 0 0 0 0.0 0 1 0 1 1 6 0 7 100.0 0 0 0 1 0 1 20.8
5 Bulus 0 0 0 0 2 3 0 5 147.1 0 0 0 0 1 1 44.4 0 0 0 0 2 4 0 6 176.5 0 0 0 2 1 3 133.3
6 Rendeng 0 1 0 1 0 2 0 2 52.6 0 0 0 0 0 0 0.0 0 1 0 1 0 2 0 2 52.6 0 0 0 0 3 3 117.6
7 Kroyo 0 0 0 0 0 1 0 1 20.0 0 0 0 0 1 1 29.0 0 0 0 0 0 2 0 2 40.0 0 0 0 3 0 3 87.0
8 Winong Lor 0 1 0 1 0 3 0 3 78.9 0 0 0 0 1 1 39.2 0 1 0 1 0 3 0 3 78.9 0 0 0 0 1 1 39.2
9 Mlaran 0 0 0 0 0 2 1 3 53.6 0 0 0 0 0 0 0.0 0 0 0 0 0 2 1 3 53.6 0 0 0 2 0 2 53.3
10 Pelutan 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0
11 Bendosari 0 1 0 1 2 2 0 4 285.7 0 0 0 0 0 0 0.0 0 1 0 1 1 3 0 4 285.7 0 0 0 0 0 0 0.0
12 Gebang 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0.0 0 0 0 0 1 2 0 3 62.5 0 0 0 1 0 1 30.3
13 Pakem 0 0 0 0 1 4 0 5 113.6 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 113.6 0 0 0 1 1 2 66.7
14 Salam 0 0 0 0 0 2 0 2 142.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 71.4 0 0 0 0 1 1 111.1
15 Wonotopo 0 0 0 0 1 1 0 2 111.1 0 0 0 0 0 0 0.0 0 0 0 0 1 1 0 2 111.1 0 0 0 0 1 1 83.3
16 Sidoleren 0 0 0 0 0 4 0 4 250.0 0 0 0 0 0 0 0.0 0 0 0 0 0 3 1 4 250.0 0 0 0 0 2 2 190.5
17 Penungkulan 0 0 0 0 2 3 0 5 50.0 0 0 0 1 0 1 14.8 0 0 0 0 2 7 0 9 90.0 0 0 0 3 2 5 74.1
18 Redin 0 2 0 2 4 10 0 14 129.6 0 0 0 1 0 1 13.6 0 2 0 2 4 11 0 15 138.9 0 0 0 3 2 5 68.0
19 Tlogosono 0 2 0 2 1 3 0 4 153.8 0 0 0 1 0 1 55.6 0 2 0 2 1 3 0 4 153.8 0 0 0 2 1 3 166.7
20 Ngemplak 0 0 0 0 0 1 1 2 76.9 0 0 0 0 0 0 0.0 0 0 0 0 0 1 1 2 76.9 0 0 0 0 1 1 55.6
21 Prumben 0 0 0 0 1 2 0 3 214.3 0 0 0 1 0 1 111.1 0 0 0 0 1 1 0 2 142.9 0 0 0 1 0 1 111.1
22 Ngaglik 0 0 0 0 2 4 0 6 214.3 0 0 0 0 0 0 0.0 0 0 0 0 2 5 0 7 250.0 0 0 0 1 0 1 51.3
23 Kalitengkek 0 1 0 1 2 1 0 3 48.4 0 0 0 0 1 1 23.8 0 1 0 1 1 1 0 2 32.3 0 0 0 1 1 2 47.6
24 Kragilan 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 90.9 0 0 0 0 0 0 0.0
25 Kemiri 0 1 0 1 0 2 0 2 50.0 0 0 0 2 0 2 74.1 0 1 0 1 0 1 0 1 25.0 0 0 0 3 0 3 111.1
Puskesmas 0 10 0 10 28 67 2 97 90.3 0 0 0 6 4 10 13.7 0 10 0 10 26 76 3 105 97.8 0 0 0 29 18 47 64.6
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 3 1
2 Seren 4 0
3 Lugosobo 2 0
4 Gintungan 0 0
5 Bulus 2 0
6 Rendeng 1 0
7 Kroyo 4 0
8 Winong Lor 2 0
9 Mlaran 4 2
10 Pelutan 3 0
11 Bendosari 1 0
12 Gebang 3 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 1 0
16 Sidoleren 1 0
17 Penungkulan 3 1
18 Redin 0 1
19 Tlogosono 0 0
20 Ngemplak 2 0
21 Prumben 1 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 2 0
Puskesmas 43 5
Bulan : Desember 2020

No Nama Desa
1 Winong Kidul 1,831 24 28 2 28 100.0 2 28 100.0 0 0 0.0 2 28 100.0 7 26 92.9 2 19 67.9 5 25 89.3 - - 0.0 2 23 82.1
2 Seren 3,810 31 33 3 33 100.0 3 33 100.0 0 0 0.0 3 33 100.0 6 31 93.9 5 27 81.8 4 34 103.0 - - 0.0 3 26 78.8
3 Lugosobo 3,965 39 38 1 38 100.0 1 36 94.7 0 2 5.3 1 38 100.0 2 35 92.1 2 33 86.8 0 37 97.4 - 1 2.6 1 31 81.6
4 Gintungan 3,184 27 27 2 27 100.0 2 27 100.0 0 0 0.0 2 27 100.0 4 26 96.3 1 24 88.9 3 30 111.1 - - 0.0 3 22 81.5
5 Bulus 1,936 20 20 1 20 100.0 1 20 100.0 0 0 0.0 1 20 100.0 0 20 100.0 3 21 105.0 2 22 110.0 - - 0.0 2 19 95.0
6 Rendeng 1,561 18 27 0 27 100.0 - 27 100.0 0 0 0.0 0 27 100.0 6 27 100.0 1 21 77.8 2 18 66.7 - - 0.0 1 14 51.9
7 Kroyo 2,141 25 29 1 29 100.0 1 29 100.0 0 0 0.0 1 29 100.0 5 30 103.4 4 26 89.7 0 22 75.9 - - 0.0 4 21 72.4
8 Winong Lor 2,134 16 21 1 21 100.0 1 21 100.0 0 0 0.0 1 21 100.0 0 21 100.0 4 22 104.8 2 15 71.4 - - 0.0 4 16 76.2
9 Mlaran 1,918 19 21 1 21 100.0 1 20 95.2 0 1 4.8 1 21 100.0 2 20 95.2 1 19 90.5 0 18 85.7 - - 0.0 - 16 76.2
10 Pelutan 994 7 10 2 10 100.0 2 10 100.0 0 0 0.0 2 10 100.0 1 9 90.0 0 9 90.0 1 10 100.0 - - 0.0 1 6 60.0
11 Bendosari 945 10 9 2 9 100.0 2 9 100.0 0 0 0.0 2 9 100.0 0 7 77.8 0 8 88.9 2 10 111.1 - 2 22.2 1 6 66.7
12 Gebang 1,487 12 19 1 19 100.0 1 19 100.0 0 0 0.0 1 19 100.0 5 19 100.0 1 15 78.9 7 14 73.7 - 2 10.5 1 10 52.6
13 Pakem 1,727 21 19 0 19 100.0 - 19 100.0 0 0 0.0 0 19 100.0 3 20 105.3 1 18 94.7 2 20 105.3 - 1 5.3 5 19 100.0
14 Salam 655 9 8 1 8 100.0 1 8 100.0 0 0 0.0 1 8 100.0 0 9 112.5 0 9 112.5 1 8 100.0 - - 0.0 1 8 100.0
15 Wonotopo 1,270 13 17 2 17 100.0 2 17 100.0 0 0 0.0 2 17 100.0 2 15 88.2 0 13 76.5 2 14 82.4 - 1 5.9 2 12 70.6
16 Sidoleren 817 11 16 2 16 100.0 2 16 100.0 0 0 0.0 2 16 100.0 2 15 93.8 0 14 87.5 3 8 50.0 - 2 12.5 2 9 56.3
17 Penungkulan 2,941 40 34 1 34 100.0 1 32 94.1 0 2 5.9 1 34 100.0 6 33 97.1 1 33 97.1 0 35 102.9 - - 0.0 1 38 111.8
18 Redin 3,385 42 46 6 46 100.0 6 46 100.0 0 0 0.0 6 46 100.0 2 44 95.7 5 46 100.0 0 39 84.8 - 1 2.2 1 37 80.4
19 Tlogosono 1,000 10 7 0 7 100.0 - 7 100.0 0 0 0.0 0 7 100.0 0 8 114.3 0 8 114.3 0 10 142.9 - - 0.0 - 10 142.9
20 Ngemplak 1,215 10 17 0 17 100.0 - 16 94.1 0 1 5.9 0 17 100.0 0 16 94.1 2 16 94.1 1 11 64.7 - - 0.0 - 7 41.2
21 Prumben 511 8 5 0 5 100.0 - 5 100.0 0 0 0.0 0 5 100.0 0 5 100.0 1 7 140.0 1 9 180.0 - - 0.0 - 8 160.0
22 Ngaglik 1,215 16 20 0 20 100.0 - 20 100.0 0 0 0.0 0 20 100.0 4 21 105.0 0 17 85.0 3 16 80.0 - - 0.0 3 14 70.0
23 Kalitengkek 1,306 16 14 0 14 100.0 - 14 100.0 0 0 0.0 0 14 100.0 3 17 121.4 1 15 107.1 1 12 85.7 - - 0.0 1 14 100.0
24 Kragilan 771 6 4 0 4 100.0 - 4 100.0 0 0 0.0 0 4 100.0 0 4 100.0 0 5 125.0 0 7 175.0 - 1 25.0 - 4 100.0
25 Kemiri 1,101 9 12 2 12 100.0 2 12 100.0 0 0 0.0 2 12 100.0 0 10 83.3 2 10 83.3 1 8 66.7 - - 0.0 3 8 66.7
Puskesmas 43820 459 501 31 501 100.0 31 495 98.8 0 6 1.2 31 501 100 60 488 97.41 37 455 90.8 43 452 90.2 0 11 2.2 42 398 79.4
Mengetahui Purworejo, 30 Desember 2020


NIP. 196510201987021003 NIP. 198608212009022007
Bulan : Desember

Fe 30 Fe 60 Fe 90
No Nama Desa
Kom % Kom % Kom % Kom % Bln Ini Kom % Bln Ini Kom % Bln Ini Kom % Bln / Ibu % / 20 % Bln %
Ini Ini
1 Winong Kidul 0 0 0.0 0 0 0.0 0 - 0.0 2 23 82.1 2 28 100.0 7 26 92.9 2 19 67.9 0 9 32.1 160.7 0 1 3.6 2 0 2 3 2 5 20.8
2 Seren 1 5 15.2 0 0 0.0 0 - 0.0 4 31 93.9 3 33 100.0 6 31 93.9 5 26 78.8 0 10 30.3 151.5 0 7 21.2 1 0 1 2 0 2 6.5
3 Lugosobo 1 8 21.1 0 0 0.0 0 - 0.0 2 39 102.6 1 38 100.0 2 37 97.4 2 35 92.1 0 7 18.4 92.1 0 3 7.9 1 0 1 4 0 4 10.3
4 Gintungan 0 5 18.5 0 0 0.0 0 - 0.0 3 27 100.0 2 27 100.0 4 26 96.3 1 24 88.9 0 7 25.9 129.6 0 6 22.2 0 0 0 1 0 1 3.7
5 Bulus 0 1 5.0 0 0 0.0 0 - 0.0 2 20 100.0 1 20 100.0 0 20 100.0 3 21 105.0 1 9 45.0 225.0 0 7 35.0 0 0 0 2 1 3 15.0
6 Rendeng 0 4 14.8 0 0 0.0 0 - 0.0 1 18 66.7 - 27 100.0 6 27 100.0 1 21 77.8 0 3 11.1 55.6 0 0 0.0 0 0 0 0 3 3 16.7
7 Kroyo 1 4 13.8 0 1 3.4 0 - 0.0 5 26 89.7 1 29 100.0 5 30 103.4 4 26 89.7 1 7 24.1 120.7 0 5 17.2 0 0 0 2 1 3 12.0
8 Winong Lor 0 0 0.0 0 0 0.0 0 - 0.0 4 16 76.2 1 21 100.0 0 21 100.0 4 22 104.8 0 5 23.8 119.0 0 2 9.5 0 0 0 0 1 1 6.3
9 Mlaran 0 2 9.5 0 0 0.0 0 - 0.0 0 18 85.7 1 21 100.0 3 20 95.2 1 17 81.0 1 8 38.1 190.5 0 1 4.8 0 0 0 4 0 4 21.1
10 Pelutan 0 1 10.0 0 0 0.0 0 - 0.0 1 7 70.0 2 10 100.0 1 8 80.0 - 7 70.0 0 5 50.0 250.0 0 1 10.0 0 0 0 0 0 0 0.0
11 Bendosari 1 4 44.4 0 0 0.0 0 - 0.0 2 10 111.1 2 9 100.0 0 7 77.8 - 8 88.9 0 5 55.6 277.8 0 1 11.1 1 0 1 1 0 1 10.0
12 Gebang 2 3 15.8 0 0 0.0 0 - 0.0 3 13 68.4 1 19 100.0 5 18 94.7 1 13 68.4 0 6 31.6 157.9 0 4 21.1 0 0 0 1 0 1 8.3
13 Pakem 0 1 5.3 0 0 0.0 0 - 0.0 5 20 105.3 - 19 100.0 3 20 105.3 1 18 94.7 0 6 31.6 157.9 0 3 15.8 0 1 1 1 2 3 14.3
14 Salam 0 1 12.5 0 0 0.0 0 - 0.0 1 9 112.5 1 8 100.0 0 9 112.5 - 9 112.5 0 1 12.5 62.5 0 0 0.0 0 0 0 0 1 1 11.1
15 Wonotopo 0 1 5.9 0 0 0.0 0 - 0.0 2 13 76.5 2 17 100.0 2 15 88.2 - 13 76.5 0 3 17.6 88.2 0 3 17.6 0 0 0 0 1 1 7.7
16 Sidoleren 0 1 6.3 0 0 0.0 0 - 0.0 2 10 62.5 2 16 100.0 2 15 93.8 - 13 81.3 1 6 37.5 187.5 0 1 6.3 0 0 0 0 2 2 18.2
17 Penungkulan 0 2 5.9 0 0 0.0 0 - 0.0 1 40 117.6 1 34 100.0 6 35 102.9 1 34 100.0 1 13 38.2 191.2 0 7 20.6 0 0 0 4 2 6 15.0
18 Redin 1 5 10.9 0 0 0.0 0 1 2.2 2 43 93.5 6 46 100.0 2 44 95.7 5 46 100.0 0 15 32.6 163.0 0 7 15.2 0 0 0 4 2 6 14.3
19 Tlogosono 0 0 0.0 0 0 0.0 0 - 0.0 0 10 142.9 - 7 100.0 0 8 114.3 - 8 114.3 0 4 57.1 285.7 0 1 14.3 0 0 0 2 1 3 30.0
20 Ngemplak 0 2 11.8 0 0 0.0 0 1 5.9 0 10 58.8 - 17 100.0 1 17 100.0 2 16 94.1 0 4 23.5 117.6 0 4 23.5 0 0 0 0 1 1 10.0
21 Prumben 0 0 0.0 0 0 0.0 0 - 0.0 0 8 160.0 - 5 100.0 0 5 100.0 1 6 120.0 0 3 60.0 300.0 0 2 40.0 0 0 0 1 0 1 12.5
22 Ngaglik 0 2 10.0 0 0 0.0 0 - 0.0 3 16 80.0 - 20 100.0 4 20 100.0 - 16 80.0 0 8 40.0 200.0 0 2 10.0 0 0 0 1 0 1 6.3
23 Kalitengkek 0 2 14.3 0 0 0.0 0 - 0.0 1 16 114.3 - 14 100.0 3 18 128.6 1 16 114.3 0 4 28.6 142.9 0 0 0.0 0 0 0 1 1 2 12.5
24 Kragilan 0 2 50.0 0 0 0.0 0 - 0.0 0 6 150.0 - 4 100.0 0 4 100.0 - 5 125.0 0 2 50.0 250.0 0 0 0.0 0 0 0 0 0 0 0.0
25 Kemiri 1 1 8.3 0 0 0.0 0 - 0.0 4 9 75.0 2 12 100.0 0 10 83.3 2 10 83.3 0 3 25.0 125.0 0 1 8.3 0 0 0 3 0 3 33.3
Puskesmas 8 57 11.4 0 1 0.2 0 2 0.4 50 458 91.4 31 501 100.0 62 491 98.0 37 449 89.6 5 153 30.5 152.7 0 69 13.8 5 1 6 37 21 58 12.6
Bulan : Desember

No Nama Desa
% % % %
1 Winong Kidul 0 0 0 0 4 2 0 6 107.1 0 0 0 0 0 0 0.0 0 0 0 0 4 2 0 6 107.1 2 0 2 3 1 4 111.1
2 Seren 1 3 0 4 3 7 0 10 151.5 0 0 0 0 0 0 0.0 0 3 0 3 2 7 0 9 136.4 1 0 1 2 0 2 43.0
3 Lugosobo 0 0 0 0 2 1 0 3 39.5 0 0 0 0 0 0 0.0 0 0 0 0 2 3 0 5 65.8 1 0 1 4 0 4 68.4
4 Gintungan 3 0 0 3 5 5 0 10 185.2 0 0 0 0 0 0 0.0 0 0 0 0 1 6 0 7 129.6 0 0 0 1 0 1 24.7
5 Bulus 0 0 0 0 2 3 0 5 125.0 0 0 0 0 1 1 33.3 0 0 0 0 2 4 0 6 150.0 0 0 0 2 1 3 100.0
6 Rendeng 0 1 0 1 0 3 0 3 55.6 0 0 0 0 0 0 0.0 0 1 0 1 0 3 0 3 55.6 0 0 0 0 3 3 111.1
7 Kroyo 0 0 0 0 0 1 0 1 17.2 0 0 0 0 1 1 26.7 0 0 0 0 0 2 0 2 34.5 0 0 0 3 0 3 80.0
8 Winong Lor 0 0 0 0 0 3 0 3 71.4 0 0 0 0 1 1 41.7 0 0 0 0 0 3 0 3 71.4 0 0 0 0 1 1 41.7
9 Mlaran 0 0 0 0 0 2 1 3 71.4 0 0 0 0 0 0 0.0 0 0 0 0 0 2 1 3 71.4 0 0 0 2 0 2 70.2
10 Pelutan 0 0 0 0 0 2 0 2 100.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 100.0 0 0 0 0 0 0 0.0
11 Bendosari 0 1 0 1 2 3 0 5 277.8 0 0 0 0 0 0 0.0 0 1 0 1 1 4 0 5 277.8 1 0 1 1 0 1 66.7
12 Gebang 0 0 0 0 0 1 0 1 26.3 0 0 0 0 0 0 0.0 0 0 0 0 1 2 0 3 78.9 0 0 0 1 0 1 55.6
13 Pakem 1 0 0 1 2 4 0 6 157.9 0 0 0 0 0 0 0.0 0 0 0 0 1 4 0 5 131.6 0 1 1 1 2 3 95.2
14 Salam 0 0 0 0 0 2 0 2 125.0 0 0 0 0 0 0 0.0 0 0 0 0 0 1 0 1 62.5 0 0 0 0 1 1 74.1
15 Wonotopo 0 0 0 0 1 1 0 2 58.8 0 0 0 0 0 0 0.0 0 0 0 0 1 1 0 2 58.8 0 0 0 0 1 1 51.3
16 Sidoleren 0 1 0 1 0 5 0 5 156.3 0 0 0 0 0 0 0.0 0 1 0 1 0 4 1 5 156.3 0 0 0 0 2 2 121.2
17 Penungkulan 0 0 0 0 2 3 0 5 73.5 0 0 0 1 0 1 16.7 0 0 0 0 2 7 0 9 132.4 0 0 0 3 2 5 83.3
18 Redin 0 0 0 0 4 10 0 14 152.2 0 0 0 1 0 1 15.9 0 0 0 0 4 11 0 15 163.0 0 0 0 3 2 5 79.4
19 Tlogosono 0 0 0 0 1 3 0 4 285.7 0 0 0 1 0 1 66.7 0 0 0 0 1 3 0 4 285.7 0 0 0 2 1 3 200.0
20 Ngemplak 1 0 0 1 1 1 1 3 88.2 0 0 0 0 0 0 0.0 0 0 0 0 0 1 1 2 58.8 0 0 0 0 1 1 66.7
21 Prumben 0 0 0 0 1 2 0 3 300.0 0 0 0 1 0 1 83.3 0 0 0 0 1 1 0 2 200.0 0 0 0 1 0 1 83.3
22 Ngaglik 0 0 0 0 2 4 0 6 150.0 0 0 0 0 0 0 0.0 0 0 0 0 2 5 0 7 175.0 0 0 0 1 0 1 41.7
23 Kalitengkek 0 0 0 0 2 1 0 3 107.1 0 0 0 0 1 1 41.7 0 0 0 0 1 1 0 2 71.4 0 0 0 1 1 2 83.3
24 Kragilan 0 0 0 0 0 2 0 2 250.0 0 0 0 0 0 0 0.0 0 0 0 0 0 2 0 2 250.0 0 0 0 0 0 0 0.0
25 Kemiri 0 1 0 1 0 3 0 3 125.0 0 0 0 2 0 2 148.1 0 1 0 1 0 2 0 2 83.3 0 0 0 3 0 3 222.2
Puskesmas 6 7 0 13 34 74 2 110 109.8 0 0 0 6 4 10 14.5 0 7 0 7 26 83 3 112 111.8 5 1 6 34 19 53 77.0
TINGGI DRPD RESTI
RESTI -
RESTI - KOMPL
KOMPLIKASI
NEONATAL
BULAN INI BULAN INI
1 Winong Kidul 3 1
2 Seren 1 0
3 Lugosobo 2 0
4 Gintungan 0 0
5 Bulus 3 0
6 Rendeng 0 0
7 Kroyo 5 0
8 Winong Lor 2 0
9 Mlaran 5 2
10 Pelutan 3 0
11 Bendosari 0 0
12 Gebang 3 0
13 Pakem 1 0
14 Salam 0 0
15 Wonotopo 1 0
16 Sidoleren 1 0
17 Penungkulan 4 1
18 Redin 0 1
19 Tlogosono 0 0
20 Ngemplak 2 0
21 Prumben 1 0
22 Ngaglik 1 0
23 Kalitengkek 2 0
24 Kragilan 0 0
25 Kemiri 1 0
Puskesmas 41 5
Tahun : 2019

Buku KIA TT1 TT2
Sasaran
Jumlah Sasaran
No Nama Desa Ibu
penduduk Bayi Bln Bln Bln Bln Bln Bln Bln Bln Bln
Hamil Kom % Kom % Kom % Kom % Kom % Kom % Kom % Kom % Kom %
Ini Ini Ini Ini Ini Ini Ini Ini Ini
1 Januari 43,820 485 537 55 55 10 54 54 10 1 1 0 55 55 10 20 20 4 24 24 4 31 31 6 1 1 0 30 30 6
2 Februari 43,820 485 537 41 96 18 40 94 18 1 2 0 41 96 18 58 78 15 23 47 9 40 71 13 2 3 1 33 63 12
3 Maret 43,820 485 537 24 120 22 23 117 22 1 3 1 24 120 22 40 118 22 58 105 20 24 95 18 4 7 1 37 100 19
4 April 43,820 485 537 32 152 28 32 149 28 0 3 1 32 152 28 23 141 26 40 145 27 42 137 26 1 8 1 47 147 27
5 Mei 43,820 485 537 26 178 33 26 175 33 0 3 1 26 178 33 32 173 32 23 168 31 39 176 33 1 9 2 31 178 33
6 Juni 43,820 485 537 34 212 39 33 208 39 1 4 1 34 212 39 26 199 37 32 200 37 39 215 40 1 10 2 37 215 40
7 Juli 43,820 485 537 60 272 51 60 268 50 0 4 1 60 272 51 33 232 43 26 226 42 32 247 46 0 10 2 43 258 48
8 Agustus 43,820 485 537 47 319 59 47 315 59 0 4 1 47 319 59 60 292 54 33 259 48 35 282 53 1 11 2 33 291 54
9 September 43,820 485 537 52 371 69 52 367 68 0 4 1 52 371 69 47 339 63 60 319 59 31 313 58 0 11 2 39 330 61
10 Oktober 43,820 485 537 37 408 76 37 404 75 0 4 1 37 408 76 52 391 73 47 366 68 57 370 69 0 11 2 2 332 62
11 November 43,820 485 537 62 470 88 60 464 86 2 6 1 62 470 88 37 428 80 52 418 78 39 409 76 0 11 2 24 356 66
12 Desember 43,820 459 501 31 501 100 31 495 99 0 6 1 31 501 100 60 488 97 37 455 91 43 452 90 0 11 2 42 398 79
501 495 6 501 488 455 452 11 398

Mengetahui

### NIP. 198608212009022007
Puskesmas : GEBANG Form. 1b : GEBANG
Tahun : 2019

Fe 30 Fe 60 Fe 90
No Nama Desa Tenaga Kesehatan Masyarakat Bulan Ini Komulatif
Bln Bln Bln Bln Bln Bln Bln
Kom % Kom % Kom % Kom % Kom % Kom % Kom % %
Ini Ini Ini Ini Ini Ini Ini Bln % / Ibu % / 20 % Bln
Kom Hamil Bumil Kom % L P Jml L P Jml
Ini Ini
1 Januari 0 0 0 0 0 0 0 0 0 30 30 6 55 55 10 21 21 4 20 20 4 12 12 2 11 10 10 2 1 1 2 1 1 2 0
2 Februari 3 3 1 1 1 0 0 0 0 37 67 12 41 96 18 55 76 14 21 41 8 15 27 5 25 5 15 3 2 1 3 3 2 5 1
3 Maret 2 5 1 0 1 0 0 0 0 39 106 20 24 120 22 41 117 22 55 96 18 6 33 6 31 5 20 4 0 0 0 3 2 5 1
4 April 0 5 1 0 1 0 1 1 0 48 154 29 32 152 28 24 141 26 41 137 26 14 47 9 44 5 25 5 1 0 1 4 2 6 1
5 Mei 3 8 1 0 1 0 0 1 0 34 188 35 26 178 33 32 173 32 24 161 30 16 63 12 59 4 29 5 2 5 7 6 7 13 3
6 Juni 1 9 2 0 1 0 1 2 0 39 227 42 34 212 39 26 199 37 32 193 36 7 70 13 65 2 31 6 3 2 5 9 9 18 4
7 Juli 0 9 2 0 1 0 0 2 0 43 270 50 60 272 51 34 233 43 26 219 41 19 89 17 83 2 33 6 4 0 4 13 9 22 5
8 Agustus 0 9 2 0 1 0 0 2 0 33 303 56 47 319 59 60 293 55 34 253 47 15 104 19 97 0 33 6 3 1 4 16 10 26 5
9 September 0 9 2 0 1 0 0 2 0 39 342 64 52 371 69 47 340 63 60 313 58 18 122 23 114 19 52 10 14 9 23 30 19 49 10
10 Oktober 38 47 9 0 1 0 0 2 0 40 382 71 37 408 76 52 392 73 47 360 67 16 138 26 128 9 61 11 1 0 1 31 19 50 10
11 November 2 49 9 0 1 0 0 2 0 26 408 76 62 470 88 37 429 80 52 412 77 10 148 28 138 8 69 13 1 1 2 32 20 52 11
12 Desember 8 57 11 0 1 0 0 2 0 50 458 91 31 501 100 62 491 98 37 449 90 5 153 31 153 0 69 14 5 1 6 37 21 58 13
57 1 2 458 501 491 449 153 69 37 21 58

Tahun : 2019

No Nama Desa Bulan Ini Komulatif Bulan Ini Komulatif Bulan ini Komulatif Bulan Ini Komulatif
% % % %
1 Januari 3 5 0 8 3 5 0 8 7 0 0 0 0 0 0 0 0 12 0 12 0 12 0 12 11 1 1 2 1 1 2 3
2 Februari 5 7 2 14 8 12 2 22 20 2 1 3 2 1 3 4 5 7 2 14 5 19 2 26 24 3 0 3 4 1 5 7
3 Maret 1 0 0 1 9 12 2 23 21 0 0 0 2 1 3 4 1 0 0 1 6 19 2 27 25 0 0 0 4 1 5 7
4 April 3 6 0 9 12 18 2 32 30 0 0 0 2 1 3 4 3 6 0 9 9 25 2 36 34 1 0 1 5 1 6 8
5 Mei 5 11 0 16 17 29 2 48 45 0 1 1 2 2 4 5 5 11 0 16 14 36 2 52 48 2 5 7 7 6 13 18
6 Juni 2 4 0 6 19 33 2 54 50 0 2 2 2 4 6 8 2 4 0 6 16 40 2 58 54 0 2 2 7 8 15 21
7 Juli 3 8 0 11 22 41 2 65 61 2 0 2 4 4 8 11 3 8 0 11 19 48 2 69 64 4 0 4 11 8 19 26
8 Agustus 0 10 0 10 22 51 2 75 70 0 0 0 4 4 8 11 0 10 0 10 19 58 2 79 74 3 1 4 14 9 23 32
9 September 1 4 0 5 23 55 2 80 74 1 0 1 5 4 9 12 1 4 0 5 20 62 2 84 78 14 9 23 28 18 46 63
10 Oktober 5 2 0 7 28 57 2 87 81 1 0 1 6 4 10 14 6 4 1 11 26 66 3 95 88 1 0 1 29 18 47 65
11 November 0 10 0 10 28 67 2 97 90 0 0 0 6 4 10 14 0 10 0 10 26 76 3 105 98 0 0 0 29 18 47 65
12 Desember 6 7 0 13 34 74 2 110 110 0 0 0 6 4 10 15 0 7 0 7 26 83 3 112 112 5 1 6 34 19 53 77
34 74 2 110 6 4 10 26 83 3 112 34 19 53
Desa : ……………………………….. Form. 1a
Tahun : 2020

Buku KIA TT1 TT2
Sasaran
Jumlah Sasaran
No Nama Desa Ibu
penduduk Bayi Bln Bln Bln Bln Bln Bln Bln Bln Bln
Hamil Kom % Kom % Kom % Kom % Kom % Kom % Kom % Kom % Kom %
Ini Ini Ini Ini Ini Ini Ini Ini Ini
1 Januari
2 Februari
3 Maret
4 April
5 Mei
6 Juni
7 Juli
8 Agustus
9 September
10 Oktober
11 November
12 Desember
Bidan Desa
……………………………..
Desa : ……………………………….. Form. 1b
Tahun : 2020

Fe 30 Fe 60 Fe 90
No Nama Desa Tenaga Kesehatan Masyarakat Bulan Ini Komulatif
Bln Bln Bln Bln Bln Bln Bln
Kom % Kom % Kom % Kom % Kom % Kom % Kom %
Ini Ini Ini Ini Ini Ini Ini Bln Kom % / % / 20 Bln
Ibu % Kom % L P Jml L P Jml
Ini Hamil Bumil Ini
1 Januari
2 Februari
3 Maret
4 April
5 Mei
6 Juni
7 Juli
8 Agustus
9 September
10 Oktober
11 November
12 Desember
Desa : ……………………………….. Form. 1c
Tahun : 2020
inggi Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Neonatal Maternal Neonatal Obstetri Neonatal
No Nama Desa Bulan Ini Komulatif Bulan Ini Komulatif Bulan ini Komulatif Bulan Ini Komulatif
% % % % %
1 Januari
2 Februari
3 Maret
4 April
5 Mei
6 Juni
7 Juli
8 Agustus
9 September
10 Oktober
11 November
12 Desember
DESA %K1
Wonotopo 66.67
Salam 57.14
Rendeng 42.11
Lugosobo 30.56
Bulus 29.41
Bendosari 28.57
Prumben 28.57
Ngaglik 28.57
Penungkulan 28.00
Pakem 27.27
70.00
Winong Kidul 25.00
Pelutan 25.00
Sidoleren 25.00 60.00
Ngemplak 23.08
PUSKESMAS 21.79 50.00
Mlaran 21.43
Gebang 20.83
40.00
Kragilan 18.18
Redin 16.67
Kroyo 16.00 30.00
%
Tlogosono 15.38
Seren 12.50 20.00
Winong Lor 10.53
Kemiri 10.00 10.00
Gintungan 8.57
Kalitengkek 6.45
0.00
o m g o s ri
top ala den sob Bulu osa mb
o S en go d
on R Lu B en Pru
W
DESA %CAPAIAN K4
Prumben 57.14
Pelutan 50.00
Bulus 47.06
Ngemplak 38.46
Bendosari 28.57
CAPA
Salam 28.57 (TARG
Redin 24.07
60.00
Pakem 22.73
Winong Lor 21.05
Penungkulan 20.00 50.00
Kragilan 18.18
PUSKESMAS 17.69
40.00
Rendeng 15.79
Tlogosono 15.38
Winong Kidul 14.29 30.00
%
20.00
40.00
30.00
Mlaran 14.29
%
Ngaglik 14.29
Lugosobo 13.89 20.00
Gebang 12.50
Kroyo 12.00 10.00
Wonotopo 11.11
Kalitengkek 9.68
Seren 9.38 0.00
n n s k ri m in m
Gintungan 8.57 be luta Bulu pla osa ala ed ake
m
u Pe em nd S R P no
Sidoleren 0.00 Pr Ng Be i
W
Kemiri 0.00
DESA %CAPAIAN
Ngaglik 71.43
Pelutan 62.50
Sidoleren 62.50
Pakem 45.45
Penungkulan 40.00
Tlogosono 38.46
Ngemplak 38.46
Redin 37.04
CAKUPAN PEN
Winong Kidul 35.71
S/D MARET 20
Bulus 29.41
80.00
Winong Lor 26.32
Gebang 20.83 60.00
Kroyo 20.00
50.00
Mlaran 17.86
Kalitengkek 16.13 40.00
Seren 15.63
30.00
%
Gintungan 14.29
Rendeng 0.00 10.00
Bendosari 0.00
0.00
Salam 0.00 lik an en m an no ak in
Wonotopo 0.00 gag elut ler ake kul oso mpl Red K
N P ido P ng og ge ng
Prumben 0.00 S
enu Tl N ino
P W
Kragilan 0.00
Kemiri 0.00
DESA CAPAIAN
Kroyo 57.97 CAKUPAN PENANGANAN KOM
S/D MARET 2020
60.00
CAKUPAN PENANGANAN KOM
Kemiri 37.04
Penungkulan 14.81
S/D MARET 2020
Redin 13.61 60.00
PUSKESMAS 6.87
Winong Kidul 0.00
Seren 0.00
50.00
Lugosobo 0.00
Gintungan 0.00
Bulus 0.00
40.00
Rendeng 0.00
Winong Lor 0.00
Mlaran 0.00
30.00
Pelutan 0.00
%
Bendosari 0.00
Gebang 0.00
20.00
Pakem 0.00
Salam 0.00
Wonotopo 0.00
10.00
Sidoleren 0.00
Tlogosono 0.00
Ngemplak 0.00
0.00
Prumben 0.00 o ri n in S ul n o n s g r n n
Ngaglik 0.00 r oy emi kula ed MA Kid ere sob nga Bulu den g Lo lara luta o
K K g R ES g S go tu n n e
M P end
un SK non Lu Gin Re ino B
Kalitengkek 0.00 n U
P Wi W
Pe
Kragilan 0.00
APRIL
DESA K1 K4 MAT NEO
Winong Kidul 28.57 25.00 53.57 0.00
Seren 12.50 21.88 62.50 0.00
Lugosobo 36.11 25.00 13.89 0.00
Gintungan 17.14 20.00 14.29 0.00
Bulus 29.41 52.94 117.65 0.00
Rendeng 42.11 15.79 0.00 0.00
Kroyo 24.00 12.00 40.00 57.97
Winong Lor 36.84 42.11 26.32 0.00
Mlaran 35.71 17.86 17.86 0.00
Pelutan 25.00 87.50 125.00 0.00
Bendosari 28.57 42.86 0.00 0.00
Gebang 20.83 12.50 20.83 0.00
Pakem 31.82 27.27 45.45 0.00
Salam 57.14 28.57 0.00 0.00
Wonotopo 66.67 33.33 0.00 0.00
Sidoleren 25.00 0.00 62.50 0.00
Penungkulan 32.00 26.00 40.00 14.81
Redin 25.93 29.63 37.04 13.61
Tlogosono 23.08 23.08 38.46 55.56
Ngemplak 30.77 53.85 38.46 0.00
Prumben 42.86 57.14 0.00 0.00
Ngaglik 28.57 35.71 71.43 0.00
Kalitengkek 6.45 12.90 16.13 0.00
Kragilan 27.27 27.27 0.00 0.00
Kemiri 25.00 0.00 0.00 37.04
PUSKESMAS 27.75 25.51 33.52 8.25
DESA K1
Wonotopo 66.67
Salam 57.14
Prumben 42.86
Rendeng 42.11 CAPAIAN K1 S
Winong Lor 36.84 (TARGET 33,3
Lugosobo 36.11
Mlaran 35.71 70.00
Penungkulan 32.00
60.00
Pakem 31.82
Ngemplak 30.77 50.00
Bulus 29.41
40.00
Winong Kidul 28.57
Bendosari 28.57 30.00
%
Ngaglik 28.57
Kragilan 27.27 10.00
Redin 25.93
Pelutan 25.00 0.00
o m n g r o n n m k s ul
Sidoleren 25.00 top ala mbe den g Lo sob lara kula ake pla Bulu Kid
o S u Ren on ugo M ng P gem g
Kemiri 25.00 on Pr in L u N on Be
n
W W n i n
Pe W
Kroyo 24.00
Tlogosono 23.08
Gebang 20.83
Gintungan 17.14
Seren 12.50
Kalitengkek 6.45
DESA K4
Pelutan 87.50
Prumben 57.14
CAPAIAN K4 S
Ngemplak 53.85 (TARGET 33,3
Bulus 52.94
90.00
Bendosari 42.86
Winong Lor 42.11 80.00
Ngaglik 35.71
70.00
Wonotopo 33.33
Redin 29.63 60.00
Salam 28.57
Pakem 27.27 50.00
%
30.00
20.00
60.00
50.00
40.00
Penungkulan 26.00
%
Winong Kidul 25.00
20.00
Lugosobo 25.00
Tlogosono 23.08 10.00
Seren 21.88
0.00
Gintungan 20.00 n n k s ri r ik o in m m n
Mlaran 17.86 le u
ta be pla Bulu osa g Lo agl top ed ala ake gila
m g R S a
P Pru gem nd on N ono P Kr n
Rendeng 15.79 N Be Win W nu
Pe
Kalitengkek 12.90
Gebang 12.50
Kroyo 12.00
Sidoleren 0.00
Kemiri 0.00
DESA MAT
Pelutan 125.00
Bulus 117.65
Ngaglik 71.43 CAKUPAN PENANGANAN
Seren 62.50 S/D APRIL 2020
Sidoleren 62.50
Pakem 45.45
120.00
Kroyo 40.00
Penungkulan 40.00 100.00
Tlogosono 38.46
Redin 37.04
%
Winong Lor 26.32

40.00
Gebang 20.83
Mlaran 17.86 20.00
Kalitengkek 16.13
Gintungan 14.29 0.00
n s k n n l o lan no lak in
Lugosobo 13.89 ta ulu agli ere ere idu kem oy o p Red
P
le u B Ng S ol g K Pa Kr gku gos em
Rendeng 0.00 Sid non n
nu Tl
o Ng
US
K
i Pe P
Bendosari 0.00 W
Salam 0.00
Wonotopo 0.00
Prumben 0.00
Kragilan 0.00
Kemiri 0.00
DESA NEO
Kroyo 57.97
Tlogosono 55.56
Kemiri 37.04
Penungkulan 14.81 CAKUPAN PENANGANAN
S/D APRIL 2020
60.00
50.00
CAKUPAN PENANGANAN
Redin 13.61 S/D APRIL 2020
PUSKESMAS 8.25
Seren 0.00
Lugosobo 0.00 50.00
Bulus 0.00
Rendeng 0.00 30.00
Winong Lor 0.00
%
20.00
Mlaran 0.00
Pelutan 0.00 10.00
Bendosari 0.00
Gebang 0.00 0.00
yo o iri n in S ul n o n s g
Pakem 0.00 o on em kula Red MA Kid Sere sob nga Bulu den
Kr os K S o u n
g ng E
SK non
g g
Lu Gin
t Re ino
Salam 0.00 Tlo enu U i W
P P W
Wonotopo 0.00
Sidoleren 0.00
Ngemplak 0.00
Prumben 0.00
Ngaglik 0.00
Kalitengkek 0.00
Kragilan 0.00
JUNI
DESA K1
Wonotopo 111.11
Sidoleren 87.50
CAKUPAN K1
Ngaglik 64.29 (TARGET 50%
Salam 57.14
120.00
Bulus 52.94
Lugosobo 52.78
Rendeng 52.63
100.00
Pakem 50.00
Winong Lor 47.37
Prumben 42.86
80.00
Mlaran 39.29
PUSKESMAS 38.73
Ngemplak 38.46
Pelutan 37.50 60.00
Penungkulan 36.00
%
Kemiri 35.00
Redin 33.33
Winong Kidul 32.14
Bendosari 28.57
Kroyo 28.00
Kragilan 27.27 0.00
o n ik m s o g m r n n S
top lere gagl ala Bulu sob den ake g Lo mbe lara MA
o o N S go Ren P on Pr u M KES g
on Sid Lu in S N
W W PU
20.00
0.00
o n ik m s o g m r n n S
Kalitengkek 22.58 top lere gagl ala Bulu sob den ake g Lo mbe lara MA
o o N S go Ren P on Pr u M KES g
Gebang 20.83 on Sid Lu in S N
W W PU
Seren 18.75
DESA K4
Pelutan 100.00
Prumben 85.71
CAKUPAN K4
Bulus 82.35 (TARGET 50%
Salam 71.43
100.00
Ngaglik 57.14
Bendosari 57.14
90.00
Wonotopo 55.56
Winong Lor 52.63
Seren 50.00 70.00
Winong Kidul 46.43
Redin 44.44
Pakem 40.91 50.00
PUSKESMAS 40.04
%
40.00
Penungkulan 40.00
Gintungan 34.29
Rendeng 31.58 20.00
Tlogosono 30.77
Mlaran 28.57 10.00
Sidoleren 25.00
Kroyo 24.00 0.00
n n s m ik ri o k r n ul n
Kalitengkek 19.35 le u
ta be Bulu ala agl osa top pla g Lo ere Kid gila
m S g d o m n S g r a
P Pr u N en on Nge ino K
Gebang 12.50 B on
W W in
Kemiri 0.00 W
DESA MAT
Prumben 142.86
Pelutan 125.00
CAKUPAN PENANGANAN KOMP
Bulus 117.65
160.00
Winong Kidul 107.14
Ngaglik 107.14
Seren 93.75 140.00
Pakem 90.91
Bendosari 71.43
Redin 64.81
100.00
Sidoleren 62.50
Wonotopo 55.56
Penungkulan 50.00
%
40.00
80.00
%
60.00
Kroyo 40.00
Ngemplak 38.46
40.00
Mlaran 35.71
Lugosobo 27.78
Rendeng 26.32 20.00
Winong Lor 26.32
Gebang 20.83
0.00
Kalitengkek 16.13 n n s ul ik n m o ri in n o
be luta Bulu Kid agl ere ake son osa ed lere top
Salam 0.00 um e g Ng S P go d R o no
P n
Pr on Tlo Be Sid Wo USK
Kragilan 0.00 in P
W
Kemiri 0.00
DESA NEO
Kroyo 57.97
Tlogosono 55.56
CAKUPAN PENANGANAN KOMP
Ngemplak 55.56
60.00
Winong Kidul 53.33
Bulus 44.44
Penungkulan 44.44
Rendeng 39.22 50.00
Winong Lor 39.22
Kemiri 37.04
Kalitengkek 23.81 40.00
PUSKESMAS 20.62
Redin 13.61
Seren 0.00 30.00
Lugosobo 0.00
%
Gintungan 0.00
Mlaran 0.00 20.00
Pelutan 0.00
Bendosari 0.00
Gebang 0.00
10.00
Pakem 0.00
Salam 0.00
Wonotopo 0.00
0.00
Sidoleren 0.00 o o k ul s n g r ri k S in
r oy son pla Kid Bulu kula den g Lo emi gke MA ed
Prumben 0.00 K go m g g n n K n ES R
e n Re ino te
Ngaglik 0.00 Tlo Ng inon nu Kali USK
P e W P
W
Kragilan 0.00
JULI
k1
Wonotopo 133.33
Sidoleren 100.00
Ngaglik 85.71
CAKUPAN K1
Pelutan 75.00
( TARGET 58,
Rendeng 73.68
140.00
Lugosobo 72.22
Bulus 64.71
120.00
100.00
140.00
Winong Lor 63.16 120.00

Bendosari 57.14
Salam 57.14
100.00
Gintungan 51.43
Pakem 50.00
Redin 50.00 80.00
Puskesmas 49.91
Tlogosono 46.15
60.00
%
Prumben 42.86
Penungkulan 42.00
Kemiri 40.00 40.00
Winong Kidul 39.29
Mlaran 39.29
20.00
Ngemplak 38.46
Gebang 37.50
Kroyo 36.00 0.00
o n ik n g o s r ri m n m
Kalitengkek 32.26 top lere gagl luta den sob Bulu g Lo osa ala nga ake
o o e n o n d S u P
on Sid N P Re Lug in
o
Be
n nt
Kragilan 27.27 W W Gi
Seren 21.88
k4
Prumben 114.29
Pelutan 100.00 CAKUPAN K4
Bulus 88.24
Salam 85.71
(TARGET 58,
Wonotopo 66.67
120.00
Ngemplak 61.54
Penungkulan 58.00
Bendosari 57.14 100.00
Ngaglik 57.14
Kragilan 54.55
Seren 53.13
Winong Lor 52.63
Redin 50.00 60.00
Rendeng 47.37
%
Puskesmas 46.00
Pakem 40.91 40.00
Gintungan 40.00
Lugosobo 38.89
Sidoleren 37.50
Mlaran 35.71
0.00
Kroyo 28.00 n n s m o k n ri ik n ul n
be luta Bulu ala top pla kula osa agl gila Kid ere
Kalitengkek 19.35 um e S o m g d g r a g S
Pr P on Nge un Ben N K n in
Gebang 12.50 W en ino W
P W
Kemiri 0.00
kom obs
Bulus 147.06
Prumben 142.86
Ngaglik 142.86 160.00
Pelutan 125.00
Pakem 113.64
Wonotopo 111.11 140.00
Winong Kidul 107.14
Seren 93.75 120.00
Redin 92.59
Tlogosono 76.92
100.00
Bendosari 71.43
Salam 71.43
Puskesmas 64.25 80.00
Sidoleren 62.50
Gintungan 57.14 % 60.00
Penungkulan 50.00
Kragilan 45.45
Kroyo 40.00
Mlaran 35.71
Rendeng 26.32
0.00
Winong Lor 26.32 s l i
u lu ben aglik utan kem opo idu eren edin ono sar lam
Gebang 20.83 B um Ng l a ot K S R go s o Sa
Pr Pe P
on on
g
lo end
Kalitengkek 16.13 W in T B Pu
W
Kemiri 0.00
kom neo
Tlogosono 111.11
Prumben 111.11
Kroyo 57.97 120.00
Ngemplak 55.56
Winong Kidul 53.33
Bulus 44.44
100.00
Penungkulan 44.44
Rendeng 39.22
Winong Lor 39.22
Kemiri 37.04 80.00
Puskesmas 26.12
Kalitengkek 23.81
Lugosobo 20.20
%
Redin 13.61
Seren 0.00 40.00
Mlaran 0.00
Pelutan 0.00
Bendosari 0.00
20.00
0.00
l s r iri as
no en yo lak du lu lan ng Lo ek
40.00
20.00
Gebang 0.00
Pakem 0.00
Salam 0.00
Wonotopo 0.00 0.00
o n o k ul s n g r iri as k
Sidoleren 0.00 son mbe roy pla Kid Bulu kula den g Lo em sm gke
go ru K em g g n n K ske ten
Tlo P Ng inon un Re ino li Gi
Ngaglik 0.00 n W P u Ka
W Pe
Kragilan 0.00
CAPAIAN K1 S/D MARET 2020
(TARGET 25%)
00
00
00
00
00
00
00
00
o m g o s ri n ik n m ul n n k S n g n in o o n r iri n k
top ala den sob Bulu osa mbe gagl kula ake Kid luta lere pla MA lara ban gila Red roy son Sere g Lo em nga gke
o S n o d N ng P e o m S e
M G Kr a K o n K u n
on Re Lug n Pru ng P id e
Ng USK
E g o nt ite
Be enu ino S Tlo W
in Gi Kal
P W P
CAPAIAN K4 S/D MARET 2020

(TARGET 25%)
00
00
00
00
00
00
00
00
00
00
n n s k ri m in m r n n S g o ul n ik o g o o k n n n ri
be luta Bulu pla osa ala ed ake g Lo kula gila MA den son Kid lara agl sob ban roy top gke ere nga lere emi
m
r u Pe em nd S R P non ng Kra KES Ren ogo ng M Ng ugo Ge K ono liten S intu ido K
Ng Be i u S Tl ino L W Ka G S
W Pen PU W
CAKUPAN PENANGANAN KOMPLIKASI OBSTETRI

S/D MARET 2020
00
00
00
00
00
00
00
00
00
lik an en m an no ak in ul us or AS ng yo an ek en an bo ng ari m po en an iri
gag elut ler ake kul oso mpl Red Kid Bul ng L SM eba Kro lar ngk Ser ung oso nde dos Sala oto mb agil em
N P ido P ng og ge ng o E G M lite r K
in USK nt g e n on Pru K
S
enu Tl N ino W K a Gi Lu R Be W
P W P
ENANGANAN KOMPLIKASI NEONATAL

2020
ENANGANAN KOMPLIKASI NEONATAL
2020
o n s g r n n ri g m m o n o k n ik k n
sob nga Bulu den g Lo lara luta osa ban ake ala top lere son pla mbe gagl gke gila
o
g int u n n M P ene d e P S o o o m u n
N lite K r a
Re ino B
G on Sid Tlog Nge Pr
G W W Ka
CAPAIAN K1 S/D APRIL 2020
(TARGET 33,33 %)
o n n m k s ul ri ik S n in n n ir i o o g n n k
ob lara kula ake pla Bulu Kid osa gagl MA gila Red luta lere em roy son ban nga Sere gke
M ng P gem g nd N KES Kr a Pe ido K K go Ge tu en
n u N on Be S S Tlo Gin alit
i n U K
Pe W P
CAPAIAN K4 S/D APRIL 2020

(TARGET 33,33 %)
or lik po l i
in m m an an AS idu obo ono ren gan ran eng kek ang oyo ren mir
gag oto Red Sala ake agil kul SM K s s Se n la d ng eb K r le e
N on P Kr ng KE o
ng Lug log
o
nt
u M Ren lite G o K
W nu PUS ino T Gi a Sid
Pe K
W
UPAN PENANGANAN KOMPLIKASI MATERNAL

PRIL 2020
l
du em y
o lan no lak
di
n AS or ng an
L ek an bo ng ari am po en lan ir i
Ki Pak Kro gku oso mp Re SM ng eba lar ngk ung oso nde dos Sal oto mb ragi Kem
n og Nge KE no G M lite int ug Re en on Pru K
enu Tl P US Wi K a G L B W
P
UPAN PENANGANAN KOMPLIKASI NEONATAL

PRIL 2020
UPAN PENANGANAN KOMPLIKASI NEONATAL
PRIL 2020
AS ul n o n s g r n n ri g m m o n k n ik k n
K id ere sob nga Bulu den g Lo lara luta osa ban ake ala top lere pla be agl gke gila
S o u n n e d e P S o o m m g n a
ng g
Lu Gin
t Re ino M P en G on Sid Nge Pru N lite Kr
no W B W Ka
CAKUPAN K1 S/D JUNI 2020

(TARGET 50%)
bo g r n n S k n n ri n n l o ri o n k g n
den akem g Lo be lara MA pla luta ula emi nga edi Kidu son osa roy gila gke ban ere
n m M KES gem Pe ng k R K a n Ge S
Re
P on Pr u K tu g go nd Kr lite
in US N nu G in
non Tlo Be a
W P Pe i K
W
bo g r n n S k n n ri n n l o ri o n k g n
den akem g Lo be lara MA pla luta ula emi nga edi Kidu son osa roy gila gke ban ere
n m M KES gem Pe ng k R K a n Ge S
Re
P on Pr u K tu g go nd Kr lite
in US N nu G in
non Tlo Be a
W P Pe i K
W
CAKUPAN K4 S/D JUNI 2020

(TARGET 50%)
ar
i o k r n ul n in m S n o n g o n n o k g iri
top pla g Lo Sere Kid gila Red ake MA kula sob nga den son lara lere roy gke ban em
o m n a P KES ng o u n o M ido K ten Ge K
on Nge ino on
g Kr S u Lug Gint Re Tlog S li
W W in U n Ka
W P Pe
ENANGANAN KOMPLIKASI MATERNAL S/D JUNI 2020

n m o ri in n o S n n o ak n o g or g ek m n iri
re
ake son osa Red lere top SMA kula nga roy pl lara sob den g L ban ngk Sala agila em
P o d o o g u K m o n n e K
g n n E
Sid Wo USK nun Gin
t
Ng
e M ug Re ino G lite Kr
Tlo Be e
L
W K a
P P
ENANGANAN KOMPLIKASI NEONATAL S/D JUNI 2020
an g r ri k S n n o n n n ri g o n n ik n
den g Lo emi gke MA edi ere sob nga lara luta osa ban akem alam top lere be agl gila
n n K n S R S o u e d e P S o o m g a
Re ino lit
e
SK
E g
Lu Gin
t M P n G on Sid Pru N Kr
W Ka PU Be W
CAKUPAN K1 S/D JULI 2020

( TARGET 58,33%)
o s r ri m n m in as o n n iri ul n k g o k n n
ob Bulu g Lo osa ala nga ake Red sm son mbe kula em Kid lara pla ban roy gke gila Sere
n d S u P e o K m e K n a
o n nt sk log Pru ung ng M ge G te Kr
W
in Be Gi Pu T en ino N Kali
P W
CAKUPAN K4 S/D JULI 2020

(TARGET 58, 33%)
ak n ri lik n ul n or in g as m n o o n n o ek g ir i
pl kula osa gag agila Kid Sere g L Red den sm ake nga sob son lere lara roy ngk ban em
g d N Kr g on n e P ntu o o o M K te Ge K
un Ben on in Re usk Gi Lug Tlog Sid ali
en in W P K
W
PENANGANAN KOMPLIKASI OBSTETRI S/D JULI 2020
o ul n in o ri m as n n n n o o k n g r g k iri
op Kid Sere Red son osa ala sm lere nga kula gila sob roy pla lara den g Lo ban gke em
g go d S ke o tu g Kra go K em M n n Ge ten K
on T lo Ben us Sid Gin nun Lu Ng Re ino ali
in P W K
W Pe
ENANGANAN KOMPLIKASI NEONATAL S/D JULI 2020
lu
s
lan ng Lo
r iri as ek an bo di
n en an ta
n ar
i
ng em am po en lik lan
us n g or iri as ek n o in n n n ri g m m o n lik n
ul kula den g L em sm ngk nga sob Red Sere lara luta osa ban ake Sala top lere gag agila
g n n K e u o e d e P o o r
un Re ino sk lite int Lug M P n G on Sid N K
en W P u Ka G Be W
iri n k
em nga gke
K u n
nt ite
Gi Kal

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DEFINISI OPERASIONAL

8 K2 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya dua

9 K3 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya tiga

10 K4 Ibu hamil yang telah mendapat pelayanan antenatal sekurang-kurangnya Empat

Ibu Hamil Dapat

1 Winong Kidul 1,831 25 28 2 2 7.143 2 2 7.1 0 0 0.0 2 2 7.1 0 0 0.0 0 0 0.0

Sudiarto, SKM, MM Rahayu Prasti

1 Winong Kidul 2 2 7.1 - - 0.0 1 1 3.6

Purworejo, 31 Januari 2020

Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi

Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikas

Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 29 Februari 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 31 Maret 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat

1 Winong Kidul 1,831 25 28 1 8 28.57 1 8 28.57 0 0 0.00 1 8 28.57 2 7 25.00 3 5 17.86

Sudiarto, SKM, MM Rahayu Prasti

1 Winong Kidul 3 7 25.00 - - 0.00 3 10 35.71

Purworejo, 30 April 2020

Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Det

Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplik

Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Buku Status TT Bumil

Mengetahui Purworejo, 30 Juni 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 31 Juli 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 31 Agustus 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 30 September 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, Oktober 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi

Rujukan Kasus Resiko Tinggi Cakupan Penanganan Komplikasi

Ibu Hamil Dapat Status TT Bumil

Mengetahui Purworejo, 30 November 2020

Sudiarto, SKM, MM Rahayu Prastiwi Noor, S.Tr.Keb.

Status TT Bumil Deteksi Risiko Tinggi