Rekap PHBS KK Jemasih 2021
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Rekap PHBS KK Jemasih 2021
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H
PUSKESMAS CIKEUSAL KIDUL
DESA JEMASIH
TAHUN 2021
NO ALAMAT PHBS JML KK
1 DESA JEMASIH RW 01 RT 01 A01 1
2 DESA JEMASIH RW 01 RT 02 A02 1
3 DESA JEMASIH RW 01 RT 03 A03 1
4 DESA JEMASIH RW 01 RT 04 A04 1
5 DESA JEMASIH RW 01 RT 05 A05 1
6 DESA JEMASIH RW 01 RT 06 A06 1
7 DESA JEMASIH RW 02 RT 07 A07 1
8 DESA JEMASIH RW 02 RT 08 A08 1
9 DESA JEMASIH RW 02 RT 09 A09 1
10 DESA JEMASIH RW 02 RT 10 A10 1
11 DESA JEMASIH RW 02 RT 11 A11 1
12 DESA JEMASIH RW 02 RT 12 A12 1
13 DESA JEMASIH RW 02 RT 13 A13 1
14 DESA JEMASIH RW 03 RT 01 A14 1
15 DESA JEMASIH RW 03 RT 02 A15 1
16 DESA JEMASIH RW 03 RT 03 A16 1
17 DESA JEMASIH RW 03 RT 04 A17 1
18 DESA JEMASIH RW 03 RT 05 A18 1
19 DESA JEMASIH RW 03 RT 06 A19 1
20 DESA JEMASIH RW 03 RT 07 A20 1
21 DESA JEMASIH RW 03 RT 08 A21 1
22 DESA JEMASIH RW 03 RT 09 A22 1
23 DESA JEMASIH RW 03 RT 10 A23 1
24 DESA JEMASIH RW 04 RT 01 A24 1
25 DESA JEMASIH RW 04 RT 02 A25 1
26 DESA JEMASIH RW 04 RT 03 A26 1
27 DESA JEMASIH RW 04 RT 04 A27 1
28 DESA JEMASIH RW 04 RT 05 A28 1
29 DESA JEMASIH RW 04 RT 06 A29 1
30 DESA JEMASIH RW 04 RT 07 A30 1
31 DESA JEMASIH RW 04 RT 08 A31 1
32 DESA JEMASIH RW 05 RT 01 A32 1
33 DESA JEMASIH RW 05 RT 02 A33 1
34 DESA JEMASIH RW 05 RT 03 A34 1
35 DESA JEMASIH RW 05 RT 04 A35 1
36 DESA JEMASIH RW 05 RT 05 A36 1
37 DESA JEMASIH RW 05 RT 06 A37 1
38 DESA JEMASIH RW 05 RT 07 A38 1
NO DESA JEMASIH DESA 38
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
KIDUL GRAFIK STRATA
GRAFIK INDIKATOR
PT MD UT PR
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 38
Pengelola PHBS
Arif Mustofa,S.KM
-
H
REKAPITULASI HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA
PUSKESMAS CIKEUSAL KIDUL TAHUN 2021
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Air Bersih
Seimbang
Eksklusif
Merokok
Timbang
Aktifitas
Narkoba
Sampah
Jamban
Jumlah
Parupirna
Tangan
Miras /
Rumah
Lantai
Gosok
Pratama
Nakes
Balita
Sehat
Tidak
Tidak
Salin
Fisik
Cuci
Madya
Utama
JPK
PSN
Gizi
Gigi
ASI
K4
No RT RW Desa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 01 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
2 02 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
3 03 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
4 04 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
5 05 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
6 06 01 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
7 07 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
8 08 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
9 09 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
10 10 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
11 11 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
12 12 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
13 13 02 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
14 01 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
15 02 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
16 03 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
17 04 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
18 05 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
19 06 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
20 07 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
21 08 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
22 09 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
23 10 03 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
24 01 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
25 02 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
26 03 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
27 04 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
28 05 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
29 06 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
30 07 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
31 08 04 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
32 01 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
33 02 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
34 03 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
35 04 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
36 05 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
37 06 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
38 07 05 JEMASIH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1
JUMLAH 38 38 38 38 38 38 38 38 38 38 38 38 38 38 38 38 0 0 0 38 38
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 0 0 0 100 100
URUTAN MASALAH 5 6 3 7 11 16 10 1 9 13 2 14 12 15 4 8
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
H
PUSKESMAS CIKEUSAL KIDUL
DESA JEMASIH
TAHUN 2021
NO ALAMAT PHBS JML KK
1 RW 01 RT 01 A01 1
2 RW 01 RT 02 A02 1
3 RW 01 RT 03 A03 1
4 RW 01 RT 04 A04 1
5 RW 01 RT 05 A05 1
6 RW 01 RT 06 A06 1
7 RW 02 RT 07 A07 1
8 RW 02 RT 08 A08 1
9 RW 02 RT 09 A09 1
10 RW 02 RT 10 A10 1
11 RW 02 RT 11 A11 1
12 RW 02 RT 12 A12 1
13 RW 02 RT 13 A13 1
14 RW 03 RT 01 A14 1
15 RW 03 RT 02 A15 1
16 RW 03 RT 03 A16 1
17 RW 03 RT 04 A17 1
18 RW 03 RT 05 A18 1
19 RW 03 RT 06 A19 1
20 RW 03 RT 07 A20 1
21 RW RT A21 1
22 RW RT A22 1
23 RW RT A23 1
24 RW RT A24 1
25 RW RT A25 1
26 RW RT A26 1
27 RW RT A27 1
28 RW RT A28 1
29 RW RT A29 1
30 RW RT A30 1
31 RW RT A31 1
32 RW RT A32 1
33 RW RT A33 1
34 RW RT A34 1
35 RW RT A35 1
36 RW RT A36 1
37 RW RT A37 1
38 RW RT A38 1
NO DESA JEMASIH DESA 38
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
KIDUL PUSKESMAS CIKEU
DESA JEMA
RW 02 RT
PT MD UT PR STRATA PRATAMA
- - - 1 #N/A
- - - 1
- - - 1
- - - 1
- - - 1 DESA BUAR
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 1
- - - 38
Pengelola PHBS
Arif Mustofa,S.KM
-
PUSKESMAS CIKEUSAL KIDUL
DESA JEMASIH
RW 02 RT 01
STRATA MADYA STRATA UTAMA STRATA PARIPURNA
#N/A #N/A #N/A
DESA BUARA
RW 02 RT 01 STRATA PRATAMA
RW 02 RT 01 STRATA MADYA
RW 02 RT 01 STRATA UTAMA
RW 02 RT 01 STRATA PARIPURNA
H
REKAPITULASI HASIL PENGKAJIAN PHBS TATANAN
PUSKESMAS CIKEUSAL KIDUL TAHUN 2
Air Bersih
Seimbang
Eksklusif
Timbang
Sampah
Jamban
Rumah
Lantai
Nakes
Balita
Sehat
Salin
Gizi
ASI
K4
1 2 3 4 5 6 7 8 9
1 RW 01 RT 01 1 1 1 1 1 1 1 1 1
2 RW 01 RT 02 1 1 1 1 1 1 1 1 1
3 RW 01 RT 03 1 1 1 1 1 1 1 1 1
4 RW 01 RT 04 1 1 1 1 1 1 1 1 1
5 RW 01 RT 05 1 1 1 1 1 1 1 1 1
6 RW 01 RT 06 1 1 1 1 1 1 1 1 1
7 RW 02 RT 07 1 1 1 1 1 1 1 1 1
8 RW 02 RT 08 1 1 1 1 1 1 1 1 1
9 RW 02 RT 09 1 1 1 1 1 1 1 1 1
10 RW 02 RT 10 1 1 1 1 1 1 1 1 1
11 RW 02 RT 11 1 1 1 1 1 1 1 1 1
12 RW 02 RT 12 1 1 1 1 1 1 1 1 1
13 RW 02 RT 13 1 1 1 1 1 1 1 1 1
14 RW 03 RT 01 1 1 1 1 1 1 1 1 1
15 RW 03 RT 02 1 1 1 1 1 1 1 1 1
16 RW 03 RT 03 1 1 1 1 1 1 1 1 1
17 RW 03 RT 04 1 1 1 1 1 1 1 1 1
18 RW 03 RT 05 1 1 1 1 1 1 1 1 1
19 RW 03 RT 06 1 1 1 1 1 1 1 1 1
20 RW 03 RT 07 1 1 1 1 1 1 1 1 1
21 RW 03 RT 08 1 1 1 1 1 1 1 1 1
22 RW 03 RT 09 1 1 1 1 1 1 1 1 1
23 RW 03 RT 10 1 1 1 1 1 1 1 1 1
24 RW 04 RT 01 1 1 1 1 1 1 1 1 1
25 RW 04 RT 02 1 1 1 1 1 1 1 1 1
26 RW 04 RT 03 1 1 1 1 1 1 1 1 1
27 RW 04 RT 04 1 1 1 1 1 1 1 1 1
28 RW 04 RT 05 1 1 1 1 1 1 1 1 1
29 RW 04 RT 06 1 1 1 1 1 1 1 1 1
30 RW 04 RT 07 1 1 1 1 1 1 1 1 1
31 RW 04 RT 08 1 1 1 1 1 1 1 1 1
32 RW 05 RT 01 1 1 1 1 1 1 1 1 1
33 RW 05 RT 02 1 1 1 1 1 1 1 1 1
34 RW 05 RT 03 1 1 1 1 1 1 1 1 1
35 RW 05 RT 04 1 1 1 1 1 1 1 1 1
36 RW 05 RT 05 1 1 1 1 1 1 1 1 1
37 RW 05 RT 06 1 1 1 1 1 1 1 1 1
38 RW 05 RT 07 1 1 1 1 1 1 1 1 1
DESA JEMASIH 38 38 38 38 38 38 38 38 38
S TATANAN RUMAH TANGGA REKAPITULASI HASIL PE
UL TAHUN 2021 PUSKESMAS
Eksklusif
Merokok
Aktifitas
Timbang
Narkoba
Tangan
Miras /
Gosok
Nakes
Balita
Tidak
Tidak
Salin
Fisik
Cuci
JPK
Gigi
PSN
ASI
K4
10 11 12 13 14 15 16 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1.2
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
0.8
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0.6
1 1 1 1 1 1 1
1 1 1 1 1 1 1 0.4
1 1 1 1 1 1 1
1 1 1 1 1 1 1 0.2
1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
Timbang Balita
Salin Nakes
Gizi Seimbang
ASI Eksklusif
K4
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
38 38 38 38 38 38 38
ASI Eksklusif
Timbang Balita
Gizi
Gizi Seimbang Seimbang
1
Air Bersih Air Bersih
1
Jamban Sehat Jamban
Sehat
1
Sampah
Sampah
RW 01 RT 01
1
Lantai Rumah
Lantai
Rumah
1
Aktifitas Fisik
Aktifitas
RW 01 RT 01
Fisik
1
Tidak Merokok
Tidak
Cuci Tangan Merokok
1
Cuci
Gosok Gigi Tangan
1
Tidak Miras / Narkoba Gosok
Gigi
1
PUSKESMAS CIKEUSAL KIDUL TAHUN 2021
JPK Tidak
Miras /
Narkoba
1
PSN
JPK
1
PSN
Row 8
1
ASI HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA
Row 8
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
18 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
19 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
130 0 0 0 0 0
20 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
176 0 0 0 0 0
21 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
22 of 494
Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
23 of 494
Strata
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Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
27 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 28 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
Page 29 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
Page 30 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
Page 31 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Page 32 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 33 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 37 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
Page 38 of 494
Strata
lola PHBS
ustofa,S.KM
-
Page 39 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 40 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 41 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 42 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 43 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 44 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 49 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 50 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 51 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 52 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 53 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 54 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 59 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 60 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 61 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 62 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 63 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 64 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 69 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 70 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 71 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 72 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 73 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 74 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 76 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 77 of 494
Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 78 of 494
Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 79 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 80 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 81 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 82 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 83 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 84 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 89 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 90 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 91 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
Page 92 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
129 0 0 0 0 0
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
Page 93 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
175 0 0 0 0 0
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 94 of 494
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 99 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 100 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 101 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 102 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 103 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 104 of 494
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 109 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 110 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 111 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 112 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 113 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 114 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 117 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 119 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 120 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 121 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 122 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 123 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 124 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 126 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 127 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Page 128 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 129 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 130 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 131 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 132 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 133 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 134 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
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Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 139 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 140 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 141 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 142 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 143 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 144 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Page 148 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 149 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 150 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 151 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 152 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 153 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 154 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 159 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 160 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 161 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 162 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 163 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 164 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Page 168 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 169 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 170 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 171 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 172 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 173 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 174 of 494
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Pratama
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Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 179 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 180 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 181 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 182 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 183 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 184 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 189 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 190 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
Page 191 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
130 0 0 0 0 0
Page 192 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 193 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 194 of 494
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 199 of 494
H
HASIL PENGKAJIAN PHBS TATANAN RUMAH TANGGA TAHUN 2021
PUSKESMAS : CIKEUSAL KIDUL RT : 01
DESA : CIKEUSAL KIDUL RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
16 0 0 0 0 0
17 0 0 0 0 0
18 0 0 0 0 0
19 0 0 0 0 0
20 0 0 0 0 0
21 0 0 0 0 0
22 0 0 0 0 0
23 0 0 0 0 0
24 0 0 0 0 0
25 0 0 0 0 0
26 0 0 0 0 0
27 0 0 0 0 0
28 0 0 0 0 0
29 0 0 0 0 0
30 0 0 0 0 0
31 0 0 0 0 0
32 0 0 0 0 0
33 0 0 0 0 0
34 0 0 0 0 0
35 0 0 0 0 0
36 0 0 0 0 0
37 0 0 0 0 0
38 0 0 0 0 0
Page 200 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 0 0 0 0 0
40 0 0 0 0 0
41 0 0 0 0 0
42 0 0 0 0 0
43 0 0 0 0 0
44 0 0 0 0 0
45 0 0 0 0 0
46 0 0 0 0 0
47 0 0 0 0 0
48 0 0 0 0 0
49 0 0 0 0 0
50 0 0 0 0 0
51 0 0 0 0 0
52 0 0 0 0 0
53 0 0 0 0 0
54 0 0 0 0 0
55 0 0 0 0 0
56 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
68 0 0 0 0 0
69 0 0 0 0 0
70 0 0 0 0 0
71 0 0 0 0 0
72 0 0 0 0 0
73 0 0 0 0 0
74 0 0 0 0 0
75 0 0 0 0 0
76 0 0 0 0 0
77 0 0 0 0 0
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
Page 201 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
Page 202 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
151 0 0 0 0 0
152 0 0 0 0 0
153 0 0 0 0 0
154 0 0 0 0 0
155 0 0 0 0 0
156 0 0 0 0 0
157 0 0 0 0 0
158 0 0 0 0 0
159 0 0 0 0 0
160 0 0 0 0 0
161 0 0 0 0 0
162 0 0 0 0 0
163 0 0 0 0 0
164 0 0 0 0 0
165 0 0 0 0 0
166 0 0 0 0 0
167 0 0 0 0 0
168 0 0 0 0 0
169 0 0 0 0 0
170 0 0 0 0 0
171 0 0 0 0 0
172 0 0 0 0 0
173 0 0 0 0 0
174 0 0 0 0 0
175 0 0 0 0 0
Page 203 of 494
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Timbang Balita
Tidak Merokok
Buang Sampah
Nomor Rumah
Gizi Seimabng
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
ASI Eksklusif
Cuci Tangan
dan Narkoba
Tidak Miras
Salin Nakes
Gosok Gigi
Air Bersih
Jumlah
Paripurna
Pratama
Madya
Utama
JPK
PSN
K4
No Nama KK NIK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
176 0 0 0 0 0
177 0 0 0 0 0
178 0 0 0 0 0
179 0 0 0 0 0
180 0 0 0 0 0
181 0 0 0 0 0
182 0 0 0 0 0
183 0 0 0 0 0
184 0 0 0 0 0
185 0 0 0 0 0
186 0 0 0 0 0
187 0 0 0 0 0
188 0 0 0 0 0
189 0 0 0 0 0
190 0 0 0 0 0
191 0 0 0 0 0
192 0 0 0 0 0
193 0 0 0 0 0
194 0 0 0 0 0
195 0 0 0 0 0
196 0 0 0 0 0
197 0 0 0 0 0
198 0 0 0 0 0
199 0 0 0 0 0
200 126 SURTIJAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 0 0 0 1
JUMLAH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1
PROSENTASE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
URUTAN MASALAH 1
Kepala Puskesmas Cikeusal Kidul Pengelola PHBS
Sunarto,S.Kep.,Ners M.H (Kes) Arif Mustofa,S.KM
NIP. 19720610 199203 1 003 -
Page 204 of 494
Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Page 205 of 494
Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
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Strata
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Pratama
Paripurna
lola PHBS
ustofa,S.KM
-
Page 209 of 494
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
A
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
H
HASIL PENGKAJIAN PHBS TATAN
PUSKESMAS : CIKEUSAL KIDUL
DESA : CIKEUSAL KIDUL
Indikator PHBS T
Timbang Balita
Nomor Rumah
Gizi Seimabng
ASI Eksklusif
Salin Nakes
Air Bersih
K4
No Nama KK NIK
1 2 3 4 5 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200 126 SURTIJAH 1 1 1 1 1 1
JUMLAH 1 1 1 1 1 1
PROSENTASE 100 100 100 100 100 100
URUTAN MASALAH
Kepala Puskesmas Cikeusal Kidul
Sunarto,S.Kep.,Ners M.H (Kes)
NIP. 19720610 199203 1 003
PHBS TATANAN RUMAH TANGGA TAHUN 2021
RT : 01
RW : 01
Indikator PHBS Tatanan Rumah Tangga Strata Rumah Tangga
Tidak Merokok
Buang Sampah
Aktifitas Fisik
Jamban Sehat
Lantai Rumah
Cuci Tangan
dan Narkoba
Tidak Miras
Gosok Gigi
Jumlah
Pratama
Madya
JPK
PSN
7 8 9 10 11 12 13 14 15 16
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1 1 1 1 1 1 16 0 0
1 1 1 1 1 1 1 1 1 1 0 0
100 100 100 100 100 100 100 100 100 100
Pengelola PHB
Arif Mustofa,S.
-
Strata Rumah Tangga
Paripurna
Utama
Strata
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 0 Pratama
0 1 Paripurna
0 1
Pengelola PHBS
Arif Mustofa,S.KM
-
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