REKAPITULASI PENYAKIT PNEUMONIA

PUSKESMAS : Mondokan
KABUPATEN : Sragen
BULAN : Agustus
TAHUN : 2020

JUMLAH KEMATIAN ISPA ( > 5 TAHUN)

JUMLAH PNEUMONIA BATUK BUKAN
PNEUMONIA JUMLAH BALITA KARENA
JUMLAH PDDK USIA SASARAN TARGET 56 BERAT PNEUMONIA
% PNEUMONIA
N PENDUDUK BALITA (10% Balita) % BUKAN
NAMA DESA PNEUM
O (10% Pddk) 1-4 1-4 PNEUM
< 1 TH 1 - 4 TH < 1 TH 1 - 4 TH < 1 TH 1 - 4 TH Total < 1 TH Jumlah <1 TH Jumlah ONIA ONIA
TH TH
Tota Tot
L P Total L P L P Total L P L P L P L P L P L P L P L P L P Total L P L P L P L P L P L P L P L P
l al
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
1 SONO 1,524 1,662 3,186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 2 3 0 0 0 0 0 0 0 0 12 10 0 0
2 TEMPELREJO 2,182 2,098 4,280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 1 5 2 0 0 0 0 0 0 0 0 10 8 0 0
3 TROMBOL 1,832 1,858 3,690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 4 3 0 0 0 0 0 0 0 0 12 11 0 0
4 PARE 2,645 2,657 5,302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 1 0 5 6 0 0 0 0 0 0 0 0 12 14 0 0
5 JEKANI 2,547 3,119 5,666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 4 5 0 0 0 0 0 0 0 0 12 10 0 0
6 KEDAWUNG 3,199 3,120 6,319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 1 5 2 0 0 0 0 0 0 0 0 11 8 0 0
7 JAMBANGAN 2,314 2,335 4,649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 5 4 0 0 0 0 0 0 0 0 9 10 0 0
8 GEMANTAR 3,475 3,430 6,905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 4 3 0 0 0 0 0 0 0 0 8 9 0 0
9 SUMBEREJO 1,896 1,754 3,650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 5 3 0 0 0 0 0 0 0 0 10 8 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 39 31 0 0 0 0 0 0 0 0 96 88 0 0

Mengetahui, Mondokan, 31 Agustus 2020

Kepala UPTD Puskesmas Mondokan Pengelola Program P2 ISPA

dr.Movira Wuryanti Wardhani.M.Kes Sri Hartini

NIP. 19740413 200502 2 001 NIP.
 FORM : 13 F

LAPORAN BULANAN KASUS DIARE DI WILAYAH PUSKESMAS MONDOKAN

BULAN : September

TAHUN : 2020

Fasilitas Pelayanan Kesehatan Kader

≥6 bln - < 1 Penderita diare < 5 th Penderi Total
0 -<6 BLN thn 1 - 4 Tahun 5 - 9 thn 10- 14 thn 15- 19 thn > 20 tahun Jumlah Diberi Jumlah Pemakaian Jumlah Penderita
JMH ta
N diare> 0 - <1 1-4 ≤5 5 - 9 10- 14 15- 19 > 20 Jumla Fasyankes
DESA PENDU Thn Thn Thn thn thn thn tahun h Pemak dan Kader
O DUK P M P M P M P M P M P M P M P M Zinc 5 th Zinc
Oral aian
it 0- 6 - RL Diberi Oral
it 6 1 - RL
1-5 Oral RL 0-<6 bln- 5
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P <6 <1 L P L P L P L P L P L P L P L P Oralit L P
bln th
thn it bln <1 th
th n
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

1 SONO 2 1 1 2 2 0 0 12 0 0 2 2

2 TEMPELREJO 0 0 0 0 0 0 0 0 0

3 TROMBOL 1 1 1 1 2 1 0 0 9 0 0 2 1

4 PARE 1 1 1 1 0 0 6 0 0 1 1

5 JEKANI 1 1 2 0 0 0 6 0 0 2 0

6 KEDAWUNG 1 1 1 1 0 0 6 0 0 1 1

7 JAMBANGAN 1 1 1 2 1 4 0 0 15 0 0 1 4

8 GEMANTAR 1 1 1 1 6 0 0 1 1

9 SUMBEREJO 1 1 1 2 1 0 0 15 0 0 2 1
JUMLAH
1 1 3 2 3 1 2 2 3 6 10 10 0 0 0 0 10 10

Mengetahui Mondokan, 31 September 2020

Kepala UPTD Puskesmas Mondokan Pengelola Program

dr.Movira Wuryanti Wardhani.M.Kes Sri Hartini.AMK

NIP. 19740413 200502 2 001 NIP.
Ket: P/M Penderita / Mati
L / P Laki/ Perempuan
Jml Pend. Diberi : Orangnya
Penderita yg diberi zink adalah Balita,
& setiap penderita diberi sepuluh(10) tablet
 REKAPITULASI PENYAKIT PNEUMONIA

PUSKESMAS : MONDOKAN
KABUPATEN : SRAGEN
BULAN : Agustus
TAHUN : 2020

JUMLAH KEMATIAN ISPA ( > 5 TAHUN)

JUMLAH PNEUMONIA BATUK BUKAN
PNEUMONIA JUMLAH BALITA KARENA
JUMLAH PDDK SASARAN BERAT PNEUMONIA
TARGET PNEUMONIA
PENDUDU USIA (10% %
56 % BUKAN
NO NAMA DESA K BALITA Balita) PNEUM
PNEUMO
(10% Pddk) 1-4 1-4 1-4 1-4 JUML 1 - 4 JUML ONIA
< 1 TH < 1 TH < 1 TH TOTAL < 1 TH <1 TH NIA
TH TH TH TH AH TH AH
TO
Tot Tot Tot TOT
L P L P L P LP TA L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
al al al AL
L
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
1 SONO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 TEMPELREJO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 TROMBOL 0 0 0 0 0 0 0 0 NIHIL 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PARE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 JEKANI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KEDAWUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 JAMBANGAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 GEMANTAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUMBEREJO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, Mondokan, 30 Agustus 2020

Kepala UPTD Puskesmas Mondokan Pengelola Program P2 ISPA

Sri Hartini
dr.Movira Wuryanti Wardhani.M.Kes NIP.
NIP.19740413 200502 2 001
REKAPITULASI PENDERITA DIARE DI SARANA KESEHATAN DAN KADER
PUSKESMAS : MONDOKAN
KABUPATEN : SRAGEN
PROPINSI : JAWA TENGAH
BULAN : JANUARI 2017
PENDERITA DIARE YG DITEMUKAN DI SARANA
PENDERITA DIARE YG DITEMU
KESEHATAN JML
DESA 0-1TH 1-4TH 5-14TH >15TH JUMLAH PENDERITA 0-1TH 1-4TH 5-14TH
DIBERI
L P L P L P L P L P ORALIZINK RL L P L P L
SONO 0 0 1 1 0 0 2 2 3 3 6 2 0 0 0 0 0 0
TEMPELREJO 0 0 1 1 0 0 0 1 1 2 3 2 0 0 0 0 0 0
TROMBOL 1 0 0 0 0 0 1 1 2 1 3 1 0 0 0 0 0 0
PARE 0 0 1 2 0 0 1 1 2 3 5 3 0 0 0 0 0 0
JEKANI 0 0 1 0 1 2 1 0 3 2 5 1 0 0 0 0 0 0
KEDAWUNG 0 0 0 1 0 0 1 0 1 1 2 1 0 0 0 0 0 0
JAMBANGAN 1 0 1 1 1 1 1 0 4 2 6 3 0 0 0 0 0 0
GEMANTAR 0 0 1 0 1 0 0 0 2 0 2 1 0 0 0 0 0 0
SMBREJO 0 0 1 1 0 0 1 0 2 1 3 2 0 0 0 0 0 0
JUMLAH 2 0 7 7 3 3 8 5 20 15 35 16 0 0 0 0 0 0
Kepala Puskesmas Mondokan

drg. Budhi Wibowo

NIP. 19690322 200212 1 003
ENDERITA DIARE YG DITEMUKAN KADER/POSYD TTL PEND SARKES & JML PEMAKAIAN
KDR
5-14TH >15TH JUMLAH DIBERI ORALIT
ORALIT
P L P L P L P SARKES KDR
0 0 0 0 0 0 3 4 36 0
0 0 0 0 0 0 1 2 18 0
0 0 0 0 0 0 1 1 18 0
0 0 0 0 0 0 2 1 30 0
0 0 0 0 0 0 1 2 30 0
0 0 0 0 0 0 0 1 12 0
0 0 0 0 0 0 4 2 36 0
0 0 0 0 0 0 2 0 12 0
0 0 0 0 0 0 2 1 18 0
0 0 0 0 0 0 16 14 210 0
 JML PEND DIARE JML MENINGGAL LAB KOLERA

ZINK RL
TD D R/S DB L P UMUR PX POS
50 0 7 0 0 0 0 0 0 0
20 0 3 0 0 0 0 0 0 0
10 0 2 0 0 0 0 0 0 0
30 0 3 0 0 0 0 0 0 0
35 0 3 0 0 0 0 0 0 0
10 0 1 0 0 0 0 0 0 0
10 0 6 0 0 0 0 0 0 0
35 0 2 0 0 0 0 0 0 0
25 0 3 0 0 0 0 0 0 0
225 0 30 0 0 0 0 0 0 0
Pelapor

Suparjo, AMK
NIP.19650827 198803 1 008