RENCANA ANGGARAN BELANJA DANA ALOKASI KHUSUS (DAK) FISIK

PENGUATAN LAYANAN MATERNAL NEONATAL DI PUSKESMAS

TAHUN ANGGARAN 2023

RINCIAN
URAIAN KOMPONEN
RINCIAN MENU PERHITUNGAN KEBUTUHAN
NO. LOKASI KEGIATAN
KEGIATAN Harga Per DANA
Uraian Komponen Vol @ Harga Jumlah Volume
Paket
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
ALAT 1 Unit 52,100,000 52,100,000
PEEP
KEGAWATDARURATA PUSKESMAS JOHAN Infant T Piece system 1 Unit 56,259,843 56,259,843
1 1
N MATERNAL PAHLAWAN Laringoskop Neonatus Bilah Lurus 3
NEONATAL 1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
2 PUSKESMAS SUAK RIBEE Infant T Piece system 1 Unit 56,259,843 56,259,843
Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
PUSKESMAS COT Infant T Piece system 1 Unit 56,259,843 56,259,843
3
SEUMEUREUNG Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
PUSKESMAS KUTA Infant T Piece system 1 Unit 56,259,843 56,259,843
4
PADANG LAYUNG Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
PUSKESMAS DRIEN Infant T Piece system 1 Unit 56,259,843 56,259,843
5
RAMPAK Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
6 PUSKESMAS KUALA BHEE Infant T Piece system 1 Unit 56,259,843 56,259,843
Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
PUSKESMAS PASI MALI Infant T Piece system 1 Unit 56,259,843 56,259,843
7
(WOYLA BARAT) Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
 1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
8 PUSKESMAS TANGKEH Infant T Piece system 1 Unit 56,259,843 56,259,843
Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
9 PUSKESMAS PEUREUMEU Infant T Piece system 1 Unit 56,259,843 56,259,843
Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
1 Paket 329,620,643 Rp 329,620,643
Baby Suction Pump portable 1 Unit 40,503,000 40,503,000
Infant T piece resuscitator dengan
1 Unit 52,100,000 52,100,000
PEEP
10 PUSKESMAS MEUREUBO Infant T Piece system 1 Unit 56,259,843 56,259,843
Laringoskop Neonatus Bilah Lurus 3
1 Unit 9,715,800 9,715,800
ukuran
Meja resusitasi dengan pemanas
1 Unit 136,997,000 136,997,000
(Infant Radiant Warmer)
Resusitator manual dan sungkup 1 Unit 34,045,000 34,045,000
JUMLAH KEBUTUHAN DANA Rp 3,296,206,430

PUSKESMAS JOHAN 1 Paket 217,550,000 Rp 217,550,000

2 USG 2 DIMENSI 1
PAHLAWAN
USG 2 Dimensi 1 Unit 217,550,000 217,550,000

1 Paket 217,550,000 Rp 217,550,000

2 PUSKESMAS SUAK RIBEE
USG 2 Dimensi 1 Unit 217,550,000 217,550,000

1 Paket 217,550,000 Rp 217,550,000

3 PUSKESMAS TANGKEH
USG 2 Dimensi 1 Unit 217,550,000 217,550,000

JUMLAH KEBUTUHAN DANA Rp 652,650,000

TOTAL USULAN KEBUTUHAN DANA Rp 3,948,856,430

Meulaboh, 20 Juni 2022

Kepala Dinas Kesehatan
Kabupaten Aceh Barat

SYARIFAH JUNAIDAH, SKM, M.Si

Pembina Tk. I/ NIP. 19641205 198812 2 001