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A. DATA DEMOGRAFI B.

Kelompok Resiko Tinggi


1. Bayi 1-12 bulan
Nama KK Usia Agama Pendidikan Pekerjaan Suku a b c
No
1 SITI 32 1 3 2 3 0 0 0
2 AMINA 62 1 3 1 3 0 0 0
3 HAMDAN 55 1 2 2 3 0 0 0
4 AROBI 61 1 2 1 3 0 0 0
5 AMARA 54 1 3 1 3 0 0 0
6 ROMI 29 1 5 3 3 1 0 2
7 HASAN 40 1 3 4 3 0 0 0
8 TINI 32 1 3 1 3 0 0 0
9 MITHA 28 1 3 1 3 1 0 2
10 OPAN 38 1 3 3 3 1 0 1
2. BALITA 1-5 TAHUN
d e f g h i j k l a

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 1 1 1 3 1 2 0 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
2 1 1 1 3 1 3 0 1 0
2 1 1 1 3 1 3 0 1 0
2. BALITA 1-5 TAHUN 3. KESEHATAN ANAK SEKOLAH
b c d e f a b c d e

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 2 2 1 2
0 0 0 0 0 0 0 0 0 0
1 1 1 2 1 3 2 3 1 1
0 0 0 0 0 3 2 2 1 1
0 0 0 0 0 3 2 2 1 1
4. KESEHATAN REMAJA 5. KESEHATAN DEWASA 6. IBU HAMIL
f g a b a b a b

0 0 4 2 2 2 0 0
0 0 0 0 2 2 0 0
0 0 0 0 2 2 0 0
0 0 0 0 2 2 0 0
0 0 0 0 0 0 0 0
2 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 1 0 0 0 0 0 0
2 1 0 0 0 0 0 0
2 1 0 0 0 0 0 0
7. LANSIA
c d e a b c d e f g

0 0 0 1 1 5 2 1 2 1
0 0 0 2 1 4 2 2 2 2
0 0 0 1 1 3 1 1 1 1
0 0 0 1 1 2 2 2 2 2
0 0 0 2 1 3 1 1 2 1
0 0 0 2 4 3 1 1 1 1
0 0 0 1 4 5 2 1 1 1
0 0 0 2 4 3 2 1 1 1
0 0 0 1 2 1 1 1 1 1
0 0 0 2 2 1 1 1 1 1
8. JIWA
a b c d e f g h i j

2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
KESEHATAN LINGKUNGAN
1. PERUMAHAN 2. SUMBER AIR 3. PEMBUANGAN SAMPAH
a b c d a b c a b c

1 1 1 3 2 1 1 5 1 2
1 1 1 3 2 1 1 5 1 2
2 1 1 2 2 1 1 4 1 2
2 1 1 3 2 1 1 5 1 2
2 1 1 3 2 1 1 5 1 2
1 1 1 3 2 1 1 5 1 2
1 1 1 3 2 1 1 5 1 1
1 1 1 3 2 1 1 5 1 1
1 1 1 3 2 1 1 4 1 1
1 1 1 3 2 1 1 5 1 2
4. PEMBUANGAN LIMBAH 5. KEAMANAN DAN TRANSPORTASI 6. POLITIK DAN PEMERINTAH
a b c a b c d a b c

1 2 2 2 1 1 1 2 1 1
1 2 2 2 1 1 1 2 1 1
1 2 2 2 1 1 1 2 1 1
1 1 1 2 1 1 1 1 1 1
1 2 2 2 1 1 1 2 1 1
1 1 1 2 1 1 2 1 1 1
1 1 1 2 1 1 2 1 1 1
1 1 1 2 1 1 2 2 1 1
1 1 1 2 1 2 2 2 1 1
1 2 2 2 1 1 2 2 1 1
HIPERTENSI
7. KOMUNIKASI 1. PENGETAHUAN HIPERTENSI
d a b c d e 1 2 3 4

1 0 2 2 1 2 1 1 1 2
1 0 3 2 1 2 1 1 1 2
1 0 2 2 1 2 1 2 1 1
1 0 2 2 1 1 1 2 1 2
1 0 2 2 1 1 1 2 1 1
3 0 1 2 3 1 1 1 1 2
1 0 6 2 3 2 1 2 1 2
1 0 2 2 3 2 1 2 1 1
1 0 5 2 3 1 1 1 1 1
1 0 5 2 1 1 1 2 1 1
2. SIKAP HIPERTENSI
5 6 7 8 9 1 2 3 4 5

2 2 2 2 2 1 1 1 1 1
2 1 2 2 2 2 1 1 1 1
1 1 1 1 1 1 1 1 1 2
1 2 1 1 1 1 2 1 1 2
1 2 1 1 2 1 1 1 2 1
1 2 1 2 2 1 1 1 1 1
2 2 1 2 1 1 1 1 1 1
1 1 1 2 2 1 2 1 1 1
1 1 1 2 2 1 1 1 1 1
1 2 1 2 2 1 1 1 1 1
ASAM URAT
1. PENGETAJUAN ASAM URAT
6 7 8 9 1 2 3 4 5 6

1 1 2 1 1 1 2 2 1
1 1 2 2 2 2 2 1 2
2 2 1 1 1 2 2 2 1
1 1 1 1 1 1 2 2 2
1 1 2 1 1 1 2 1 2
1 1 2 1 1 2 2 2 2
1 1 2 1 1 2 2 2 2
1 1 2 1 1 2 2 2 2
1 1 2 1 1 2 2 2 2
1 1 2 1 1 2 2 2
2. SIKAP ASAM URAT
7 8 9 10 11 12 13 14 1 2

1 1 2 1 2 1 1 1 1 2
1 1 1 1 2 1 1 1 1 2
2 2 2 1 2 2 1 1 1 1
1 2 1 1 2 2 2 1 1 1
1 1 1 2 1 2 1 1 1 1
2 2 2 1 2 2 1 1 1 1
2 2 2 1 2 2 1 1 1 1
2 2 2 1 2 2 2 1 1 1
2 2 2 1 2 2 2 1 1 1
2 2 2 1 2 2 2 1 1 1
KUESIONER ISPA
1. PENGETEAHUAN ISPA
3 4 5 6 7 8 9 10 1 2

1 1 1 2 2 2 1 2 1 1
1 1 1 2 2 2 1 1 1 1
1 1 1 2 1 2 1 2 1 1
1 1 1 2 1 2 1 2 1 1
2 1 1 2 1 2 1 1 1 1
1 1 1 2 1 2 1 2 1 1
1 1 1 2 1 2 1 2 1 1
2 1 1 2 1 2 1 2 1 1
1 1 1 2 1 2 1 2 1 1
1 1 1 2 1 2 1 2 1 1
TEAHUAN ISPA
3 4 5 6 7 8 9 10 11 12

1 1 2 1 1 2 1 1 1 1
1 1 2 1 1 2 1 1 1 1
1 2 2 1 1 2 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 2 1 1 1 1
1 1 1 1 1 2 1 1 1 1
1 1 2 1 2 2 1 1 1 1
1 1 1 1 1 2 1 1 1 1
1 1 1 1 1 2 1 1 1 1
2. SIKAP ISPA
13 14 15 1 2 3 4 5 6 7

2 1 1 1 1 2 1 1 2 1
1 1 1 1 1 2 1 1 2 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 1 1
1 1 1 1 1 2 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 2 1 1 1 1
1 1 1 1 1 2 1 1 1 1
KUESIONER COVID 19
1. PENGETAHUAN COVID 19
8 9 10 1 2 3 4 5 6 7

2 1 1 1 2 1 1 2 2 1
2 1 1 1 2 1 1 2 2 2
1 2 1 2 2 1 1 2 2 1
1 1 1 1 2 1 2 1 2 1
1 1 1 1 2 1 1 2 1 1
1 1 1 1 2 1 1 2 2 2
1 1 1 1 2 1 1 2 2 1
1 1 1 1 2 1 1 2 1 1
1 1 1 1 2 1 1 2 2 1
1 1 1 1 2 1 1 2 1 1
2. SIKAP COVID 19 DAN PENCEGAHAN
8 9 10 1 2 3 4 5 6 7

2 1 1 2 1 2 1 2 2 2
2 1 1 2 1 1 1 2 2 2
2 1 1 2 2 2 1 2 2 2
2 1 2 2 1 1 1 2 1 2
1 1 1 1 1 2 1 2 2 2
2 1 1 2 2 1 1 2 2 2
2 1 1 2 1 2 2 2 2 2
2 1 1 2 1 2 1 2 2 2
1 1 1 2 1 1 1 2 2 2
2 1 1 2 1 2 1 2 2 2
8 9 10 11

1 1 1 1
1 1 2 1
2 1 2 1
1 1 2 2
1 1 1 1
1 1 2 2
2 1 2 1
1 1 2 1
1 1 1
1 1 2 1

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