KABUPATEN : ACEH BARAT DAYA

PUSKESMAS : SUSOH
KECAMATAN : SUSOH
BULAN : AGUSTUS 2019

Sasaran Lansia Jumlah Kunjungan Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69

Jumlah Jumlah
Jumlah
No Nama Desa Posyandu
Kelompok Panti
Lansia Wredha
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) Jumlah
Jumlah
B L B L (%) B L B L
(B+L)
(B+L)
1 2 3 4 5 6

1 Ujung Padang 1 1 28 27 55 12 14 26 7 3 10 47 44 91 2 5 7 13 3 5 8

2 Gelima Jaya 15 15 30 15 21 36 8 7 15 38 43 81 4 27 31 103 0 2 2

3 Pulau Kayu 94 75 169 11 12 23 7 6 13 112 93 205 1 15 32 48 28 6 8 14

4 Padang Baru 99 76 175 40 41 81 21 22 43 160 139 299 30 65 95 54 17 21 38

5 Pawoh 1 1 28 17 45 13 13 26 5 8 13 46 38 84 13 39 52 116 10 15 25

6 Durian Rampak 1 1 45 55 100 28 36 64 9 24 33 82 115 197 8 43 51 51 12 10 22

7 Pantai Perak 56 49 105 18 19 37 12 13 25 86 81 167 6 15 21 20 3 7 10

8 Padang Hilir 1 13 20 33 22 8 30 4 11 15 39 39 78 12 11 23 70 5 1 11 17

9 Gadang 18 32 50 19 20 39 5 4 9 42 56 98 1 4 22 27 54 6 8 14

10 Tangah 44 47 91 22 28 50 13 44 57 79 119 198 3 10 13 14 5 0 5

11 Kepala Bandar 48 57 105 21 22 43 13 14 27 82 93 175 8 17 25 24 0 2 2

12 Pinang 1 10 19 29 14 12 26 4 14 18 28 45 73 4 16 20 69 4 7 11

13 Baharu 1 1 14 19 33 12 13 25 5 5 10 31 37 68 5 6 11 33 4 1 5

14 Rumah Panjang 1 15 14 29 12 17 29 6 14 20 33 45 78 1 9 10 34 4 1 5

15 Kedai Susoh 12 14 26 2 9 11 3 5 8 17 28 45 3 6 9 35 7 2 9

16 Durian Jangek 1 14 13 27 14 13 27 7 9 16 35 35 70 3 6 9 33 1 1 2

17 Rumah II lapis 1 1 12 21 33 7 9 16 2 3 5 21 33 54 3 3 6 18 1 1 2

18 Palak Hulu 5 9 14 4 7 11 4 3 7 13 19 32 3 18 21 150 2 2 4

19 Palak Hilir 17 14 31 9 8 17 9 9 18 35 31 66 2 4 6 19 1 0 1 2

20 Barat 1 23 56 79 13 16 29 7 17 24 43 89 132 10 5 15 19 0 3 3

JUMLAH 10 5 0 610 649 1259 308 338 646 151 235 386 1069 1222 2291 2 139 0 359 500 40 1 90 1 108 200

Mengetahui
Kepala Puskesmas

Edwar Tri Saputra,SKM

Nip: 19740611 200012 1 002
 FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT PUSKESMAS

ungan Lansia Kegiatan sehari-hari

> 70 Total Kunjungan Kunjungan Lansia Kemandirian Lansia IMT

Ggn ME
Total ( L + P ) L P Total ( L + P ) 45 - > 70 > 60 A B C Lebih Normal
Jumlah
(%) B L B L (B (%) L P (L+P) (%) L P (L+P) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P (L+P) (%)
+L)
7 8 9

31 0 0 0 0 5 10 15 16.483516 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

6 1 3 4 26.666667 5 32 37 45.679012 3 3 0.00 0.00 0.00 0 0 0 0

61 2 1 3 23.076923 24 41 65 31.707317 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

47 10 13 23 53.488372 57 99 156 52.173913 2 2 0.00 0.00 0.00 0 0 0 0

96 4 3 7 53.846154 27 57 84 100 2 2 0.00 0.00 0.00 0 0 0 0

34 0 1 1 3.030303 20 54 74 37.563452 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

27 0 1 1 4 9 23 32 19.161677 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

57 3 4 7 46.666667 20 27 47 60.25641 2 2 0.00 0.00 0.00 0 0 0 0

36 1 0 1 11.111111 12 30 42 42.857143 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

10 1 2 3 5.2631579 9 12 21 10.606061 1 1 0.00 0.00 0.00 0 0 0 0

5 4 0 4 14.814815 12 19 31 17.714286 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

42 6 4 10 55.555556 14 27 41 56.164384 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

20 0 2 2 20 9 9 18 26.470588 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

17 0 2 2 10 5 12 17 21.794872 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

82 0 1 1 12.5 10 9 19 42.222222 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

7 4 3 7 43.75 8 10 18 25.714286 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

13 0 0 0 0 4 4 8 14.814815 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

36 1 1 2 28.571429 6 21 27 84.375 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

12 3 3 6 33.333333 6 8 14 21.212121 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

10 0 0 0 0 10 8 18 13.636364 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0 0

31 0 40 0 44 84 21.761658 269 511 780 34.046268 4 6 10 0 0.00 0 0.00 0 0.00 0 0 0 0 0 0 0 0

 Jumlah Lansia dengan Kelainan

Tekanan Darah
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal
Kurang Tinggi Normal Rendah

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) (%) L P (L+P)

10 11 12 13 14 15

0 0 0 0 1 0 1 6.666667 4 10 14 93.33333 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 1 5 6 16.21622 4 30 34 91.89189 0 0 0 0 0 0 6 6 16.21622 1 1 2.702703 0

0 0 0 0 2 3 5 7.692308 22 38 60 92.30769 0 0 0 0 0 0 2 2 4 6.153846 0 0 0

0 0 0 0 8 15 23 14.74359 51 84 135 86.53846 0 0 0 0 2 2 1.282051 2 4 6 3.846154 2 2 1.282051 0

0 0 0 0 2 12 14 16.66667 27 45 72 85.71429 0 0 0 0 1 1 1.190476 3 6 9 10.71429 1 1 1.190476 0

0 0 0 0 3 10 13 17.56757 17 44 61 82.43243 0 0 0 0 0 0 4 4 5.405405 0 0 0

0 0 0 0 2 4 6 18.75 7 19 26 81.25 0 0 0 0 0 0 0 0 1 1 3.125 0

0 0 0 0 0 4 4 8.510638 23 24 47 100 0 0 0 0 0 0 2 3 5 10.6383 0 0 0

0 0 0 0 2 3 5 11.90476 10 27 37 88.09524 0 0 0 0 1 1 2.380952 1 3 4 9.52381 1 1 2.380952 0

0 0 0 0 0 1 1 4.761905 9 12 21 100 0 0 0 0 0 0 3 7 10 47.61905 0 0 0

0 0 0 0 0 4 4 12.90323 12 15 27 87.09677 0 0 0 0 0 0 3 3 9.677419 0 0 0

0 0 0 0 3 8 11 26.82927 11 19 30 73.17073 0 0 0 0 2 2 4.878049 2 5 7 17.07317 0 0 0

0 0 0 0 4 0 4 22.22222 5 9 14 77.77778 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 1 5.882353 5 11 16 94.11765 0 0 0 0 0 0 3 3 17.64706 0 0 0

0 0 0 0 0 0 0 0 10 9 19 100 0 0 0 0 0 0 1 1 5.263158 0 0 0

0 0 0 0 2 4 6 33.33333 2 6 8 44.44444 0 0 0 0 1 1 5.555556 0 0 0 0 0

0 0 0 0 1 0 1 12.5 5 4 9 112.5 0 0 0 0 0 0 1 1 12.5 0 0 0

0 0 0 0 0 4 4 14.81481 5 16 21 77.77778 0 0 0 0 0 0 1 3 4 14.81481 1 1 2 7.407407 0

0 0 0 0 0 0 0 0 5 5 10 71.42857 0 0 0 0 0 0 1 1 7.142857 1 1 7.142857 0

0 0 0 0 1 1 2 11.11111 9 12 21 116.6667 0 0 0 0 0 0 1 1 2 11.11111 0 0 0

0 0 0 0 32 79 111 14.23077 243 439 682 87.4359 0 0 0 0 0 0 1 6 7 0.897436 17 53 70 8.974359 3 6 9 1.153846 0 0 0

 Pengobatan
Konseling
Jumlah
jal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan Kunjungan Ket.
Lansia Wredha dibina
Rumah
B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

16 17 18 19 20 21 22 24 25 26 27 28

0 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 1.538462 0 0 0 0 0 0

0 0 0 1 1 0.641026 1 1 0.641026 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 1.351351 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 2 4.255319 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 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 2.439024 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 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 5.555556 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 4 2 6 0.769231 2 0 2 0.25641 0 0 0 0 0 0 0 0 0 0 0 0 0