Anda di halaman 1dari 143

Tj.

Agung 45 46 41 38 1 1 1 1

Sukaraya 50 50 50 46 3 6 4 9

Kemalaraja 19 19 46 45 0 0 0 0

Sekar Jaya 20 20 27 13 1 0 1 1

Tj. Baru 20 20 23 13 6 0 6 0

Batumarta 32 32 28 27 3 1 5 4

Lubuk Bata 37 37 46 27 0 0 0 0

Peninjauan 33 33 27 24 0 0 0 0

Lubuk Ruk 16 16 20 14 4 3 7 4

Kedaton 11 11 12 13 2 0 2 0

Karya Mukt 24 24 30 30 7 0 9 0

Pengaringa 12 12 9 13 0 0 0 0

Ulak Panda 40 40 35 35 0 1 0 1

Pengandon 33 33 10 11 0 0 0 0

Muara Jaya 10 10 6 13 10 0 10 0

Mendingin 13 13 9 9 0 0 0 0

Penyandin 6 6 4 10 3 2 3 2

Tj. Lengka 46 46 30 30 14 15 14 15

467 468 453 411 54 29 62 37


0
0 8 8
0
0
0
0
0
0
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : JANUARI
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

JML JML KUM KUM KUM KUM KUM KUM KUM NAKES
NO Puskesmas JML BAYI
BUMIL BULIN
BLN BLN INI BLN BLN INI BLN BLN INI BLN BLN INI BLN BLN INI BLN BLN INI BLN BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU
ABS %

1 Tj. Agung 730 697 674 0 9 9 1.23 0 19 19 2.60 0 30 30 4.11 0 18 18 2.47 0 28 28 3.84 0 22 22 3.01 0 22 22 3.01 0 9 9 6.16

2 Sukaraya 640 611 590 0 7 7 1.09 0 48 48 7.50 0 55 55 8.59 0 49 49 7.66 0 49 49 7.66 0 48 48 7.50 0 48 48 7.50 0 8 8 6.25

3 Kemalaraja 634 604 583 0 52 52 8.20 0 49 49 7.75 0 51 51 8.07 0 48 48 7.59 0 44 44 6.96 0 44 44 6.96 0 44 44 6.96 0 3 3 2.37

4 Sekar Jaya 352 336 324 0 37 37 10.51 0 11 11 3.13 0 37 37 10.51 0 15 15 4.26 0 11 11 3.13 0 3 3 0.85 0 3 3 0.85 0 9 9 12.78

5 Tj. Baru 435 416 401 0 5 5 1.15 0 19 19 4.37 0 24 24 5.52 0 24 24 5.52 0 24 24 5.52 0 24 24 5.52 0 29 29 6.67 0 0 0 0.00

6 Batumarta II 626 597 577 0 12 12 1.92 0 36 36 5.75 0 47 47 7.51 0 30 30 4.79 0 35 35 5.59 0 29 29 4.63 0 28 28 4.47 0 7 7 5.59

7 Lubuk Batang 617 589 567 0 17 17 2.76 0 31 31 5.02 0 12 12 1.94 0 64 64 10.37 0 40 40 6.48 0 22 22 3.57 0 22 22 3.57 0 11 11 8.91

8 Peninjauan 394 376 362 0 0 0 0.00 0 36 36 9.14 0 34 34 8.63 0 31 31 7.87 0 30 30 7.61 0 29 29 7.36 0 27 27 6.85 0 2 2 2.54

9 Lubuk Rukam 262 251 241 0 8 8 3.05 0 13 13 4.96 0 14 14 5.34 0 23 23 8.78 0 14 14 5.34 0 17 17 6.49 0 11 11 4.20 0 11 11 20.99

10 Kedaton 251 239 231 0 0 0 0.00 0 25 25 9.96 0 25 25 9.96 0 21 21 8.37 0 17 17 6.77 0 14 14 5.58 0 14 14 5.58 0 3 3 5.98

11 Karya Mukti 469 447 431 0 0 0 0.00 0 42 42 8.96 0 20 20 4.26 0 23 23 4.90 0 25 25 5.33 0 18 18 3.84 0 25 25 5.33 0 12 12 12.79

12 Pengaringan 188 180 173 0 5 5 2.66 0 17 17 9.04 0 22 22 11.70 0 22 22 11.70 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 3 3 7.98

13 Ulak Pandan 374 358 345 0 16 16 4.28 0 16 16 4.28 0 20 20 5.35 0 20 20 5.35 0 3 3 4.01 0 0 0 0.00 0 19 19 5.08 0 19 19 25.40

14 Pengandonan 206 196 190 0 25 25 12.14 0 8 8 3.88 0 17 17 8.25 0 4 4 1.94 0 3 3 1.46 0 4 4 1.94 0 3 3 1.46 0 5 5 12.14

15 Muara Jaya 151 145 138 0 0 0 0.00 0 11 11 7.28 0 11 11 7.28 0 11 11 7.28 0 11 11 7.28 0 11 11 7.28 0 11 11 7.28 0 4 4 13.25

16 Mendingin 198 189 183 0 8 8 4.04 0 6 6 3.03 0 4 4 2.02 0 20 20 10.10 0 9 9 4.55 0 7 7 3.54 0 10 10 5.05 0 1 1 2.53

17 Penyandingan 270 257 250 0 37 37 13.70 0 8 8 2.96 0 6 6 2.22 0 8 8 2.96 0 7 7 2.59 0 8 8 2.96 0 8 8 2.96 0 10 10 18.52

18 Tj. Lengkayap 577 551 532 0 3 3 0.52 0 38 38 6.59 0 31 31 5.37 0 23 23 3.99 0 26 26 4.51 0 23 23 3.99 0 24 24 4.16 0 20 20 17.33

JUMLAH 7374 7039 6792 0 241 241 3.27 0 433 433 5.87 0 460 460 6.24 0 454 454 6.16 0 376 376 5.10 0 323 323 4.38 0 348 348 4.72 0 137 137 9.29
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : FEBRUARI
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

JML JML KUM KUM KUM KUM KUM KUM KUM NAKES
NO Puskesmas JML BAYI
BUMIL BULIN
BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU
ABS %

1 Tj. Agung 730 697 674 9 26 35 4.79 19 29 48 6.58 30 32 62 8.49 18 25 43 5.89 28 21 49 6.71 22 26 48 6.58 22 33 55 7.53 9 5 14 9.59

2 Sukaraya 640 611 590 7 4 11 1.72 48 49 97 15.16 55 53 108 16.88 49 55 104 16.25 49 55 104 16.25 48 48 96 15.00 48 48 96 15.00 8 7 15 11.72

3 Kemalaraja 634 604 583 52 46 98 15.46 49 46 95 14.98 51 46 97 15.30 48 43 91 14.35 44 41 85 13.41 44 40 84 13.25 44 41 85 13.41 3 0 3 2.37

4 Sekar Jaya 352 336 324 37 34 71 20.17 11 17 28 7.95 37 34 71 20.17 15 20 35 9.94 11 11 22 6.25 3 9 12 3.41 3 6 9 2.56 9 4 13 18.47

5 Tj. Baru 435 416 401 5 10 15 3.45 19 18 37 8.51 24 18 42 9.66 24 18 42 9.66 24 18 42 9.66 24 18 42 9.66 29 26 55 12.64 0 0 0 0.00

6 Batumarta II 626 597 577 12 9 21 3.35 36 33 69 11.02 47 39 86 13.74 30 49 79 12.62 35 34 69 11.02 29 35 64 10.22 28 37 65 10.38 7 7 14 11.18

7 Lubuk Batang 617 589 567 17 23 40 6.48 31 34 65 10.53 12 31 43 6.97 64 31 95 15.40 40 35 75 12.16 22 35 57 9.24 22 26 48 7.78 11 16 27 21.88

8 Peninjauan 394 376 362 0 0 0 0.00 36 37 73 18.53 34 37 71 18.02 31 35 66 16.75 30 35 65 16.50 29 34 63 15.99 27 33 60 15.23 2 1 3 3.81

9 Lubuk Rukam 262 251 241 8 7 15 5.73 13 14 27 10.31 14 14 28 10.69 23 14 37 14.12 14 19 33 12.60 17 12 29 11.07 11 14 25 9.54 11 8 19 36.26

10 Kedaton 251 239 231 0 1 1 0.40 25 32 57 22.71 25 30 55 21.91 21 28 49 19.52 17 24 41 16.33 14 20 34 13.55 14 18 32 12.75 3 12 15 29.88

11 Karya Mukti 469 447 431 0 5 5 1.07 42 34 76 16.20 20 27 47 10.02 23 15 38 8.10 25 17 42 8.96 18 11 29 6.18 25 19 44 9.38 12 9 21 22.39

12 Pengaringan 188 180 173 5 2 7 3.72 17 15 32 17.02 22 17 39 20.74 22 17 39 20.74 0 12 12 6.38 0 0 0 0.00 0 0 0 0.00 3 2 5 13.30

13 Ulak Pandan 374 358 345 16 28 44 11.76 16 23 39 10.43 20 21 41 10.96 20 21 41 10.96 3 1 4 1.07 0 0 0 0.00 19 18 37 9.89 19 16 35 46.79

14 Pengandonan 206 196 190 25 10 35 16.99 8 6 14 6.80 17 10 27 13.11 4 5 9 4.37 3 6 9 4.37 4 5 9 4.37 3 5 8 3.88 5 3 8 19.42

15 Muara Jaya 151 145 138 0 0 0 0.00 11 10 21 13.91 11 11 22 14.57 11 11 22 14.57 11 11 22 14.57 11 11 22 14.57 11 11 22 14.57 4 0 4 13.25

16 Mendingin 198 189 183 8 0 8 4.04 6 7 13 6.57 4 2 6 3.03 20 14 34 17.17 9 7 16 8.08 7 7 14 7.07 10 5 15 7.58 1 8 9 22.73

17 Penyandingan 270 257 250 37 23 60 22.22 8 5 13 4.81 6 6 12 4.44 8 4 12 4.44 7 3 10 3.70 8 5 13 4.81 8 5 13 4.81 10 7 17 31.48

18 Tj. Lengkayap 577 551 532 3 1 4 0.69 38 43 81 14.04 31 35 66 11.44 23 25 48 8.32 26 24 50 8.67 23 23 46 7.97 24 16 40 6.93 20 17 37 32.06

JUMLAH 7374 7039 6792 241 229 470 6.37 433 452 885 12.00 460 463 923 12.52 454 430 884 11.99 376 374 750 10.17 323 339 662 8.98 348 361 709 9.61 137 122 259 17.56
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : MARET
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

JML JML KUM KUM KUM KUM KUM KUM KUM NAKES
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU
ABS %

1 Tj. Agung 730 697 674 26 37 72 9.86 29 22 70 9.59 32 34 96 13.15 25 30 73 10.00 21 31 80 10.96 26 23 71 9.73 33 31 86 11.78 5 6 20 13.70

2 Sukaraya 640 611 590 4 4 15 2.34 49 49 146 22.81 53 53 161 25.16 55 53 157 24.53 55 53 157 24.53 48 49 145 22.66 48 49 145 22.66 7 8 23 17.97

3 Kemalaraja 634 604 583 46 49 147 23.19 46 49 144 22.71 46 49 146 23.03 43 46 137 21.61 41 44 129 20.35 40 44 128 20.19 41 44 129 20.35 0 0 3 2.37

4 Sekar Jaya 352 336 324 34 28 99 28.13 17 15 43 12.22 34 23 94 26.70 20 19 54 15.34 11 14 36 10.23 9 9 21 5.97 6 5 14 3.98 4 6 19 26.99

5 Tj. Baru 435 416 401 10 14 29 6.67 18 13 50 11.49 18 13 55 12.64 18 13 55 12.64 18 13 55 12.64 18 13 55 12.64 26 26 81 18.62 0 0 0 0.00

6 Batumarta II 626 597 577 9 5 26 4.15 33 32 101 16.13 39 28 114 18.21 49 29 108 17.25 34 30 99 15.81 35 32 96 15.34 37 20 85 13.58 7 9 23 18.37

7 Lubuk Batang 617 589 567 23 13 53 8.59 34 32 97 15.72 31 37 80 12.97 31 40 135 21.88 35 32 107 17.34 35 32 89 14.42 26 32 80 12.97 16 15 42 34.04

8 Peninjauan 394 376 362 0 0 0 0.00 37 32 105 26.65 37 31 102 25.89 35 29 95 24.11 35 27 92 23.35 34 26 89 22.59 33 26 86 21.83 1 1 4 5.08

9 Lubuk Rukam 262 251 241 7 16 31 11.83 14 15 42 16.03 14 11 39 14.89 14 11 48 18.32 19 9 42 16.03 12 9 38 14.50 14 10 35 13.36 8 8 27 51.53

10 Kedaton 251 239 231 1 0 1 0.40 32 22 79 31.47 30 20 75 29.88 28 28 77 30.68 24 22 63 25.10 20 26 60 23.90 18 30 62 24.70 12 6 21 41.83

11 Karya Mukti 469 447 431 5 5 10 2.13 34 28 104 22.17 27 30 77 16.42 15 25 63 13.43 17 23 65 13.86 11 14 43 9.17 19 12 56 11.94 9 14 35 37.31

12 Pengaringan 188 180 173 2 1 8 4.26 15 15 47 25.00 17 16 55 29.26 17 16 55 29.26 12 17 29 15.43 0 0 0 0.00 0 0 0 0.00 2 4 9 23.94

13 Ulak Pandan 374 358 345 28 0 44 11.76 23 40 79 21.12 21 40 81 21.66 21 40 81 21.66 1 40 44 11.76 0 27 27 7.22 18 27 64 17.11 16 2 37 49.47

14 Pengandonan 206 196 190 10 15 50 24.27 6 13 27 13.11 10 14 41 19.90 5 11 20 9.71 6 12 21 10.19 5 9 18 8.74 5 6 14 6.80 3 6 14 33.98

15 Muara Jaya 151 145 138 0 1 1 0.66 10 9 30 19.87 11 10 32 21.19 11 11 33 21.85 11 11 33 21.85 11 11 33 21.85 11 11 33 21.85 0 0 4 13.25

16 Mendingin 198 189 183 0 0 8 4.04 7 5 18 9.09 2 3 9 4.55 14 8 42 21.21 7 4 20 10.10 7 12 26 13.13 5 7 22 11.11 8 1 10 25.25

17 Penyandingan 270 257 250 23 35 95 35.19 5 5 18 6.67 6 11 23 8.52 4 7 19 7.04 3 6 16 5.93 5 3 16 5.93 5 3 16 5.93 7 8 25 46.30

18 Tj. Lengkayap 577 551 532 1 0 4 0.69 43 32 113 19.58 35 30 96 16.64 25 29 77 13.34 24 29 79 13.69 23 18 64 11.09 16 15 55 9.53 17 0 37 32.06

JUMLAH 7374 7039 6792 229 223 693 9.40 452 428 1313 17.81 463 453 1376 18.66 430 445 1329 18.02 374 417 1167 15.83 339 357 1019 13.82 361 354 1063 14.42 122 94 353 23.94

2006
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : APRIL
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 37 42 114 15.62 22 15 85 11.64 34 31 127 17.40 30 22 95 13.01 31 35 115 15.75 23 18 89 12.19 31 24 110 15.07 6 8 28 19.18

2 Sukaraya 640 611 590 4 52 67 10.47 49 49 195 30.47 53 52 213 33.28 53 53 210 32.81 53 48 205 32.03 49 48 193 30.16 49 48 193 30.16 8 9 32 25.00

3 Kemalaraja 634 604 583 49 49 196 30.91 49 23 167 26.34 49 47 193 30.44 46 45 182 28.71 44 45 174 27.44 44 45 173 27.29 44 45 174 27.44 0 2 5 3.94

4 Sekar Jaya 352 336 324 28 19 118 33.52 15 13 56 15.91 23 19 113 32.10 19 19 73 20.74 14 11 47 13.35 9 12 33 9.38 5 7 21 5.97 6 1 20 28.41

5 Tj. Baru 435 416 401 14 19 48 11.03 13 14 64 14.71 13 14 69 15.86 13 14 69 15.86 13 14 69 15.86 13 14 69 15.86 26 21 102 23.45 0 0 0 0.00

6 Batumarta II 626 597 577 5 4 30 4.79 32 41 142 22.68 28 31 145 23.16 29 27 135 21.57 30 38 137 21.88 32 32 128 20.45 20 34 119 19.01 9 13 36 28.75

7 Lubuk Batang 617 589 567 13 17 70 11.35 32 31 128 20.75 37 20 100 16.21 40 51 186 30.15 32 26 133 21.56 32 26 115 18.64 32 33 113 18.31 15 9 51 41.33

8 Peninjauan 394 376 362 0 5 5 1.27 32 37 142 36.04 31 37 139 35.28 29 34 129 32.74 27 30 122 30.96 26 30 119 30.20 26 30 116 29.44 1 7 11 13.96

9 Lubuk Rukam 262 251 241 16 11 42 16.03 15 8 50 19.08 11 9 48 18.32 11 10 58 22.14 9 14 56 21.37 9 8 46 17.56 10 10 45 17.18 8 1 28 53.44

10 Kedaton 251 239 231 0 0 1 0.40 22 13 92 36.65 20 13 88 35.06 28 15 92 36.65 22 16 79 31.47 26 17 77 30.68 30 17 79 31.47 6 3 24 47.81

11 Karya Mukti 469 447 431 5 12 22 4.69 28 21 125 26.65 30 22 99 21.11 25 24 87 18.55 23 30 95 20.26 14 13 56 11.94 12 14 70 14.93 14 10 45 47.97

12 Pengaringan 188 180 173 1 2 10 5.32 15 12 59 31.38 16 14 69 36.70 16 14 69 36.70 17 10 39 20.74 0 17 17 9.04 0 0 0 0.00 4 5 14 37.23

13 Ulak Pandan 374 358 345 0 0 44 11.76 40 40 119 31.82 40 40 121 32.35 40 40 121 32.35 40 40 84 22.46 27 36 63 16.84 27 36 100 26.74 2 0 37 49.47

14 Pengandonan 206 196 190 15 5 55 26.70 13 15 42 20.39 14 5 46 22.33 11 13 33 16.02 12 14 35 16.99 9 3 21 10.19 6 2 16 7.77 6 1 15 36.41

15 Muara Jaya 151 145 138 1 3 4 2.65 9 10 40 26.49 10 9 41 27.15 11 10 43 28.48 11 11 44 29.14 11 11 44 29.14 11 11 44 29.14 0 0 4 13.25

16 Mendingin 198 189 183 0 0 8 4.04 5 4 22 11.11 3 5 14 7.07 8 10 52 26.26 4 6 26 13.13 12 9 35 17.68 7 5 27 13.64 1 2 12 30.30

17 Penyandingan 270 257 250 35 35 130 48.15 5 5 23 8.52 11 11 34 12.59 7 7 26 9.63 6 6 22 8.15 3 3 19 7.04 3 3 19 7.04 8 8 33 61.11

18 Tj. Lengkayap 577 551 532 0 0 4 0.69 32 46 159 27.56 30 30 126 21.84 29 24 101 17.50 29 38 117 20.28 18 26 90 15.60 15 18 73 12.65 0 6 43 37.26

JUMLAH 7374 7039 6792 223 275 968 13.13 428 397 1710 23.19 453 409 1785 24.21 445 432 1761 23.88 417 432 1599 21.68 357 368 1387 18.81 354 358 1421 19.27 94 85 438 29.70
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : MEI
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 42 47 161 22.05 15 24 109 14.93 31 25 152 20.82 22 30 125 17.12 35 42 157 21.51 18 19 108 14.79 24 27 137 18.77 8 6 34 23.29

2 Sukaraya 640 611 590 52 53 120 18.75 49 50 245 38.28 52 53 266 41.56 53 52 262 40.94 48 50 255 39.84 48 50 243 37.97 48 50 243 37.97 9 6 38 29.69

3 Kemalaraja 634 604 583 49 46 242 38.17 23 20 187 29.50 47 44 237 37.38 45 42 224 35.33 45 42 216 34.07 45 42 215 33.91 45 42 216 34.07 2 0 5 3.94

4 Sekar Jaya 352 336 324 19 20 138 39.20 13 12 68 19.32 19 19 132 37.50 19 16 89 25.28 11 14 61 17.33 12 9 42 11.93 7 8 29 8.24 1 6 26 36.93

5 Tj. Baru 435 416 401 19 28 76 17.47 14 22 86 19.77 14 22 91 20.92 14 22 91 20.92 14 22 91 20.92 14 22 91 20.92 21 22 124 28.51 0 0 0 0.00

6 Batumarta II 626 597 577 4 6 36 5.75 41 34 176 28.12 31 41 186 29.71 27 34 169 27.00 38 35 172 27.48 32 36 164 26.20 34 29 148 23.64 13 9 45 35.94

7 Lubuk Batang 617 589 567 17 10 80 12.97 31 27 155 25.12 20 24 124 20.10 51 37 223 36.14 26 41 174 28.20 26 27 142 23.01 33 24 137 22.20 9 5 56 45.38

66 Peninjauan 394 376 362 5 7 12 3.05 37 34 176 44.67 37 34 173 43.91 34 33 162 41.12 30 33 155 39.34 30 32 151 38.32 30 31 147 37.31 7 4 15 19.04

9 Lubuk Rukam 262 251 241 11 9 51 19.47 8 14 64 24.43 9 11 59 22.52 10 9 67 25.57 14 16 72 27.48 8 8 54 20.61 10 8 53 20.23 1 2 30 57.25

10 Kedaton 251 239 231 0 0 1 0.40 13 2 94 37.45 13 29 117 46.61 15 29 121 48.21 16 28 107 42.63 17 25 102 40.64 17 25 104 41.43 3 7 31 61.75

11 Karya Mukti 469 447 431 12 11 33 7.04 21 29 154 32.84 22 17 116 24.73 24 23 110 23.45 30 31 126 26.87 13 20 76 16.20 14 16 86 18.34 10 10 55 58.64

12 Pengaringan 188 180 173 2 0 10 5.32 12 15 74 39.36 14 15 84 44.68 14 10 79 42.02 10 13 52 27.66 17 10 27 14.36 0 17 17 9.04 5 9 23 61.17

13 Ulak Pandan 374 358 345 0 0 44 11.76 40 33 152 40.64 40 27 148 39.57 40 27 148 39.57 40 27 111 29.68 36 27 90 24.06 36 22 122 32.62 0 3 40 53.48

14 Pengandonan 206 196 190 5 29 84 40.78 15 29 71 34.47 5 29 75 36.41 13 15 48 23.30 14 15 50 24.27 3 15 36 17.48 2 15 31 15.05 1 7 22 53.40

15 Muara Jaya 151 145 138 3 0 4 2.65 10 22 62 41.06 9 10 51 33.77 10 9 52 34.44 11 10 54 35.76 11 11 55 36.42 11 11 55 36.42 0 3 7 23.18

16 Mendingin 198 189 183 0 0 8 4.04 4 9 31 15.66 5 1 15 7.58 10 15 67 33.84 6 4 30 15.15 9 4 39 19.70 5 11 38 19.19 2 0 12 30.30

17 Penyandingan 270 257 250 35 51 181 67.04 5 8 31 11.48 11 8 42 15.56 7 13 39 14.44 6 8 30 11.11 3 5 24 8.89 3 8 27 10.00 8 7 40 74.07

18 Tj. Lengkayap 577 551 532 0 0 4 0.69 46 39 198 34.32 30 32 158 27.38 24 32 133 23.05 38 34 151 26.17 26 27 117 20.28 18 19 92 15.94 6 7 50 43.33

JUMLAH 7374 7039 6792 275 317 1285 17.43 397 423 2133 28.93 409 441 2226 30.19 432 448 2209 29.96 432 465 2064 27.99 368 389 1776 24.08 358 385 1806 24.49 85 91 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : JUNI
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 47 161 22.05 24 109 14.93 25 152 20.82 30 125 17.12 42 157 21.51 19 108 14.79 27 137 18.77 6 34 23.29

2 Sukaraya 640 611 590 53 120 18.75 50 245 38.28 53 266 41.56 52 262 40.94 50 255 39.84 50 243 37.97 50 243 37.97 6 38 29.69

3 Kemalaraja 634 604 583 46 242 38.17 20 187 29.50 44 237 37.38 42 224 35.33 42 216 34.07 42 215 33.91 42 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 20 138 39.20 12 68 19.32 19 132 37.50 16 89 25.28 14 61 17.33 9 42 11.93 8 29 8.24 6 26 36.93

5 Tj. Baru 435 416 401 28 76 17.47 22 86 19.77 22 91 20.92 22 91 20.92 22 91 20.92 22 91 20.92 22 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 6 36 5.75 34 176 28.12 41 186 29.71 34 169 27.00 35 172 27.48 36 164 26.20 29 148 23.64 9 45 35.94

7 Lubuk Batang 617 589 567 10 80 12.97 27 155 25.12 24 124 20.10 37 223 36.14 41 174 28.20 27 142 23.01 24 137 22.20 5 56 45.38

8 Peninjauan 394 376 362 7 12 3.05 34 176 44.67 34 173 43.91 33 162 41.12 33 155 39.34 32 151 38.32 31 147 37.31 4 15 19.04

9 Lubuk Rukam 262 251 241 9 51 19.47 14 64 24.43 11 59 22.52 9 67 25.57 16 72 27.48 8 54 20.61 8 53 20.23 2 30 57.25

10 Kedaton 251 239 231 0 1 0.40 2 94 37.45 29 117 46.61 29 121 48.21 28 107 42.63 25 102 40.64 25 104 41.43 7 31 61.75

11 Karya Mukti 469 447 431 11 33 7.04 29 154 32.84 17 116 24.73 23 110 23.45 31 126 26.87 20 76 16.20 16 86 18.34 10 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 15 74 39.36 15 84 44.68 10 79 42.02 13 52 27.66 10 27 14.36 17 17 9.04 9 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 33 152 40.64 27 148 39.57 27 148 39.57 27 111 29.68 27 90 24.06 22 122 32.62 3 40 53.48

14 Pengandonan 206 196 190 29 84 40.78 29 71 34.47 29 75 36.41 15 48 23.30 15 50 24.27 15 36 17.48 15 31 15.05 7 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 22 62 41.06 10 51 33.77 9 52 34.44 10 54 35.76 11 55 36.42 11 55 36.42 3 7 23.18

16 Mendingin 198 189 183 0 8 4.04 9 31 15.66 1 15 7.58 15 67 33.84 4 30 15.15 4 39 19.70 11 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 51 181 67.04 8 31 11.48 8 42 15.56 13 39 14.44 8 30 11.11 5 24 8.89 8 27 10.00 7 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 39 198 34.32 32 158 27.38 32 133 23.05 34 151 26.17 27 117 20.28 19 92 15.94 7 50 43.33

JUMLAH 7374 7039 6792 317 0 1285 17.43 423 0 2133 28.93 441 0 2226 30.19 448 0 2209 29.96 465 0 2064 27.99 389 0 1776 24.08 385 0 1806 24.49 91 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : JULI
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : AGUSTUS
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : SEPTEMBER
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : OKTOBER
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : NOPEMBER
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LAPORAN PELAYANAN KESEHATAN IBU HAMIL
FI / SMH / 2021
KABUPATEN OGAN KOMERING ULU
KABUPATEN : OGAN KOMERING ULU
BULAN : DESEMBER
K1 Akses K1 Murni K2 K3 K4 K5 K6 DETEKSI FAKTOR RESIKO

KUM KUM KUM KUM KUM KUM KUM NAKES


JML JML
NO Puskesmas JML BAYI
BUMIL BULIN BLN BLN BLN BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI BLN INI KUM
LALU LALU LALU LALU LALU LALU LALU BLN
ABS % ABS % ABS % ABS % ABS % ABS % ABS % BLN INI
LALU ABS %

1 Tj. Agung 730 697 674 0 161 22.05 0 109 14.93 0 152 20.82 0 125 17.12 0 157 21.51 0 108 14.79 0 137 18.77 0 34 23.29

2 Sukaraya 640 611 590 0 120 18.75 0 245 38.28 0 266 41.56 0 262 40.94 0 255 39.84 0 243 37.97 0 243 37.97 0 38 29.69

3 Kemalaraja 634 604 583 0 242 38.17 0 187 29.50 0 237 37.38 0 224 35.33 0 216 34.07 0 215 33.91 0 216 34.07 0 5 3.94

4 Sekar Jaya 352 336 324 0 138 39.20 0 68 19.32 0 132 37.50 0 89 25.28 0 61 17.33 0 42 11.93 0 29 8.24 0 26 36.93

5 Tj. Baru 435 416 401 0 76 17.47 0 86 19.77 0 91 20.92 0 91 20.92 0 91 20.92 0 91 20.92 0 124 28.51 0 0 0.00

6 Batumarta II 626 597 577 0 36 5.75 0 176 28.12 0 186 29.71 0 169 27.00 0 172 27.48 0 164 26.20 0 148 23.64 0 45 35.94

7 Lubuk Batang 617 589 567 0 80 12.97 0 155 25.12 0 124 20.10 0 223 36.14 0 174 28.20 0 142 23.01 0 137 22.20 0 56 45.38

8 Peninjauan 394 376 362 0 12 3.05 0 176 44.67 0 173 43.91 0 162 41.12 0 155 39.34 0 151 38.32 0 147 37.31 0 15 19.04

9 Lubuk Rukam 262 251 241 0 51 19.47 0 64 24.43 0 59 22.52 0 67 25.57 0 72 27.48 0 54 20.61 0 53 20.23 0 30 57.25

10 Kedaton 251 239 231 0 1 0.40 0 94 37.45 0 117 46.61 0 121 48.21 0 107 42.63 0 102 40.64 0 104 41.43 0 31 61.75

11 Karya Mukti 469 447 431 0 33 7.04 0 154 32.84 0 116 24.73 0 110 23.45 0 126 26.87 0 76 16.20 0 86 18.34 0 55 58.64

12 Pengaringan 188 180 173 0 10 5.32 0 74 39.36 0 84 44.68 0 79 42.02 0 52 27.66 0 27 14.36 0 17 9.04 0 23 61.17

13 Ulak Pandan 374 358 345 0 44 11.76 0 152 40.64 0 148 39.57 0 148 39.57 0 111 29.68 0 90 24.06 0 122 32.62 0 40 53.48

14 Pengandonan 206 196 190 0 84 40.78 0 71 34.47 0 75 36.41 0 48 23.30 0 50 24.27 0 36 17.48 0 31 15.05 0 22 53.40

15 Muara Jaya 151 145 138 0 4 2.65 0 62 41.06 0 51 33.77 0 52 34.44 0 54 35.76 0 55 36.42 0 55 36.42 0 7 23.18

16 Mendingin 198 189 183 0 8 4.04 0 31 15.66 0 15 7.58 0 67 33.84 0 30 15.15 0 39 19.70 0 38 19.19 0 12 30.30

17 Penyandingan 270 257 250 0 181 67.04 0 31 11.48 0 42 15.56 0 39 14.44 0 30 11.11 0 24 8.89 0 27 10.00 0 40 74.07

18 Tj. Lengkayap 577 551 532 0 4 0.69 0 198 34.32 0 158 27.38 0 133 23.05 0 151 26.17 0 117 20.28 0 92 15.94 0 50 43.33

JUMLAH 7374 7039 6792 0 0 1285 17.43 0 0 2133 28.93 0 0 2226 30.19 0 0 2209 29.96 0 0 2064 27.99 0 0 1776 24.08 0 0 1806 24.49 0 0 529 35.87
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM

KUM BLN BLN INI BLN BLN INI BLN BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU
ABS % (ABS) (ABS)

0 0 0 0.00 0 53 53 7.86 0 51 51 7.57 0 51 51 7.57 0 0 7

0 0 0 0.00 0 51 51 8.64 0 51 51 8.64 0 51 51 8.64 2 3 0

0 0 0 0.00 0 61 61 10.61 0 61 61 10.61 0 61 61 10.61 0 0 3

0 0 0 0.00 0 28 28 8.64 0 26 26 8.02 0 21 21 6.48 2 1 4

0 0 0 0.00 0 29 29 7.23 0 29 29 7.23 0 22 22 5.49 0 0 0

0 0 0 0.00 0 39 39 6.76 0 39 39 6.76 0 25 25 4.33 2 0 4

0 0 0 0.00 0 41 41 7.23 0 40 40 7.05 0 35 35 6.17 1 1 6

0 0 0 0.00 0 30 30 8.29 0 28 28 7.73 0 27 27 7.46 0 0 1

0 0 0 0.00 0 13 13 5.39 0 13 13 5.39 0 16 16 6.64 3 1 2

0 0 0 0.00 0 11 11 4.76 0 11 11 4.76 0 11 11 4.76 2 0 4

0 0 0 0.00 0 29 29 6.73 0 29 29 6.73 0 29 29 6.73 2 0 9

0 0 0 0.00 0 13 13 7.51 0 13 13 7.51 0 13 13 7.51 0 0 3

0 0 0 0.00 0 0 0 0.00 0 7 12 7.00 0 19 19 5.51 0 0 0

0 0 0 0.00 0 6 6 3.16 0 6 6 3.16 0 4 4 2.11 0 0 6

0 0 0 0.00 0 7 7 5.07 0 7 7 5.07 0 12 12 8.70 0 0 1

0 0 0 0.00 0 8 8 4.37 0 8 8 4.37 0 8 8 4.37 0 0 0

0 0 0 0.00 0 11 11 4.40 0 11 11 4.40 0 11 11 4.40 0 1 7

0 0 0 0.00 0 42 42 7.89 0 42 42 7.89 0 42 42 7.89 10 6 2

0 0 0 0.00 0 472 472 6.95 0 472 477 7.02 0 458 458 6.74 24 13 59
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU
ABS % (ABS) (ABS)

0 0 0 0.00 53 43 96 14.24 51 43 94 13.95 51 43 94 13.95 1 1 18

0 0 0 0.00 51 51 102 17.29 51 51 102 17.29 51 51 102 17.29 3 6 6

0 0 0 0.00 61 59 120 20.58 61 58 119 20.41 61 57 118 20.24 0 0 0

0 0 0 0.00 28 24 52 16.05 26 22 48 14.81 21 19 40 12.35 1 0 4

0 0 0 0.00 29 25 54 13.47 29 25 54 13.47 22 19 41 10.22 6 0 3

0 0 0 0.00 39 27 66 11.44 39 26 65 11.27 25 38 63 10.92 3 1 6

0 0 0 0.00 41 38 79 13.93 40 37 77 13.58 35 34 69 12.17 0 0 9

0 0 0 0.00 30 33 63 17.40 28 33 61 16.85 27 31 58 16.02 0 0 1

0 0 0 0.00 13 17 30 12.45 13 17 30 12.45 16 11 27 11.20 4 3 8

0 0 0 0.00 11 22 33 14.29 11 22 33 14.29 11 22 33 14.29 2 0 9

0 0 0 0.00 29 27 56 12.99 29 27 56 12.99 29 27 56 12.99 7 0 10

0 0 0 0.00 13 15 28 16.18 13 15 28 16.18 13 15 28 16.18 0 0 0

0 16 16 21.39 0 0 0 0.00 7 7 19 5.51 19 33 52 15.07 0 1 2

0 0 0 0.00 6 11 17 8.95 6 11 17 8.95 4 5 9 4.74 0 0 6

0 0 0 0.00 7 13 20 14.49 7 13 20 14.49 12 7 19 13.77 10 0 0

0 0 0 0.00 8 10 18 9.84 8 10 18 9.84 8 10 18 9.84 0 0 3

0 0 0 0.00 11 12 23 9.20 11 12 23 9.20 11 10 21 8.40 3 2 11

0 0 0 0.00 42 37 79 14.85 42 37 79 14.85 42 37 79 14.85 14 15 2

0 16 16 1.08 472 464 936 13.78 472 466 943 13.88 458 469 927 13.65 54 29 98
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU
ABS % (ABS) (ABS)

0 0 0 0.00 43 41 137 20.33 43 41 135 20.03 43 40 134 19.88 0 0 23

0 0 0 0.00 51 50 152 25.76 51 49 151 25.59 51 49 151 25.59 4 9 8

0 0 0 0.00 59 46 166 28.47 58 45 164 28.13 57 43 161 27.62 0 0 1

0 0 0 0.00 24 27 79 24.38 22 25 73 22.53 19 22 62 19.14 0 1 4

0 0 0 0.00 25 23 77 19.20 25 23 77 19.20 19 14 55 13.72 4 0 4

0 0 0 0.00 27 27 93 16.12 26 28 93 16.12 38 28 91 15.77 5 4 10

0 0 0 0.00 38 47 126 22.22 37 47 124 21.87 34 42 111 19.58 0 0 15

0 0 0 0.00 33 27 90 24.86 33 27 88 24.31 31 25 83 22.93 0 0 1

0 0 0 0.00 17 20 50 20.75 17 20 50 20.75 11 14 41 17.01 7 4 9

0 0 0 0.00 22 12 45 19.48 22 12 45 19.48 22 16 49 21.21 2 0 15

0 0 0 0.00 27 28 84 19.49 27 28 84 19.49 27 28 84 19.49 9 0 26

0 0 0 0.00 15 9 37 21.39 15 9 37 21.39 15 9 37 21.39 0 0 1

16 0 16 21.39 0 35 35 10.14 7 34 53 15.36 33 34 86 24.93 0 0 3

0 0 0 0.00 11 10 27 14.21 11 10 27 14.21 5 11 20 10.53 0 0 6

0 0 0 0.00 13 6 26 18.84 13 6 26 18.84 7 13 32 23.19 0 0 0

0 0 0 0.00 10 9 27 14.75 10 9 27 14.75 10 9 27 14.75 0 0 8

0 0 0 0.00 12 7 30 12.00 12 7 30 12.00 10 9 30 12.00 3 2 14

0 0 0 0.00 37 30 109 20.49 37 30 109 20.49 37 30 109 20.49 14 15 2

16 0 16 1.08 464 454 1390 20.47 466 450 1393 20.51 469 436 1363 20.07 48 35 150

52
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0 0.00 43 45 182 27.00 41 45 180 26.71 40 45 179 26.56 0 0 28

0 0 0 0.00 51 50 202 34.24 49 50 201 34.07 49 50 201 34.07 7 11 8

0 0 0 0.00 59 45 211 36.19 45 44 208 35.68 43 44 205 35.16 0 0 0

0 0 0 0.00 24 21 100 30.86 25 19 92 28.40 22 16 78 24.07 1 1 2

0 0 0 0.00 25 21 98 24.44 23 21 98 24.44 14 17 72 17.96 4 1 5

0 4 4 3.19 27 32 125 21.66 28 32 125 21.66 28 28 119 20.62 5 4 14

0 0 0 0.00 38 37 163 28.75 47 36 160 28.22 42 39 150 26.46 0 0 23

0 0 0 0.00 33 33 123 33.98 27 33 121 33.43 25 31 114 31.49 0 0 8

0 0 0 0.00 17 16 66 27.39 20 16 66 27.39 14 13 54 22.41 7 4 15

0 0 0 0.00 22 11 56 24.24 12 11 56 24.24 16 19 68 29.44 1 0 18

0 0 0 0.00 27 24 108 25.06 28 24 108 25.06 28 24 108 25.06 9 0 38

0 0 0 0.00 15 12 49 28.32 9 12 49 28.32 9 12 49 28.32 0 0 1

0 0 16 21.39 0 40 75 21.74 34 40 93 26.96 34 40 126 36.52 0 0 9

0 0 0 0.00 11 33 60 31.58 10 33 60 31.58 11 11 31 16.32 0 0 6

0 0 0 0.00 13 10 36 26.09 6 10 36 26.09 13 6 38 27.54 7 0 0

0 0 0 0.00 10 13 40 21.86 9 13 40 21.86 9 13 40 21.86 0 0 9

0 0 0 0.00 12 7 37 14.80 7 7 37 14.80 9 9 39 15.60 3 2 13

0 0 0 0.00 37 46 155 29.14 30 43 152 28.57 30 43 152 28.57 15 22 2

0 4 20 1.36 464 496 1886 27.77 450 489 1882 27.71 436 460 1823 26.84 59 45 199
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0 0.00 43 35 217 32.20 45 35 215 31.90 45 35 214 31.75 0 0 32

0 0 0 0.00 51 51 253 42.88 50 51 252 42.71 50 51 252 42.71 8 15 13

0 0 0 0.00 59 43 254 43.57 44 43 251 43.05 44 43 248 42.54 0 0 11

0 0 0 0.00 24 21 121 37.35 19 21 113 34.88 16 21 99 30.56 0 1 2

0 0 0 0.00 25 25 123 30.67 21 25 123 30.67 17 20 92 22.94 9 0 9

4 6 10 7.99 27 41 166 28.77 32 41 166 28.77 28 36 155 26.86 6 4 21

0 0 0 0.00 38 44 207 36.51 36 43 203 35.80 39 44 194 34.22 0 0 24

0 0 0 0.00 33 34 157 43.37 33 34 155 42.82 31 31 145 40.06 0 0 10

0 0 0 0.00 17 21 87 36.10 16 20 86 35.68 13 27 81 33.61 16 9 17

0 0 0 0.00 22 18 74 32.03 11 18 74 32.03 19 23 91 39.39 1 0 19

0 0 0 0.00 27 32 140 32.48 24 31 139 32.25 24 31 139 32.25 6 0 29

0 0 0 0.00 15 15 64 36.99 12 15 64 36.99 12 15 64 36.99 0 0 9

0 0 16 21.39 0 35 110 31.88 40 35 128 37.10 40 35 161 46.67 0 0 10

0 0 0 0.00 11 18 78 41.05 33 18 78 41.05 11 33 64 33.68 0 0 0

0 0 0 0.00 13 12 48 34.78 10 12 48 34.78 6 10 48 34.78 0 3 1

0 0 0 0.00 10 11 51 27.87 13 11 51 27.87 13 11 51 27.87 0 0 9

0 0 0 0.00 12 10 47 18.80 7 9 46 18.40 9 9 48 19.20 4 2 0

0 0 0 0.00 37 43 198 37.22 43 43 195 36.65 43 43 195 36.65 16 22 19

4 6 26 1.76 464 509 2395 35.26 489 505 2387 35.14 460 518 2341 34.47 66 56 235
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 35 215 31.90 35 214 31.75 0

0 0 0.00 51 253 42.88 51 252 42.71 51 252 42.71 0

0 0 0.00 59 254 43.57 43 251 43.05 43 248 42.54 0

0 0 0.00 24 121 37.35 21 113 34.88 21 99 30.56 0

0 0 0.00 25 123 30.67 25 123 30.67 20 92 22.94 0

6 10 7.99 27 166 28.77 41 166 28.77 36 155 26.86 0

0 0 0.00 38 207 36.51 43 203 35.80 44 194 34.22 0

0 0 0.00 33 157 43.37 34 155 42.82 31 145 40.06 0

0 0 0.00 17 87 36.10 20 86 35.68 27 81 33.61 0

0 0 0.00 22 74 32.03 18 74 32.03 23 91 39.39 0

0 0 0.00 27 140 32.48 31 139 32.25 31 139 32.25 0

0 0 0.00 15 64 36.99 15 64 36.99 15 64 36.99 0

0 16 21.39 0 110 31.88 35 128 37.10 35 161 46.67 0

0 0 0.00 11 78 41.05 18 78 41.05 33 64 33.68 0

0 0 0.00 13 48 34.78 12 48 34.78 10 48 34.78 0

0 0 0.00 10 51 27.87 11 51 27.87 11 51 27.87 0

0 0 0.00 12 47 18.80 9 46 18.40 9 48 19.20 0

0 0 0.00 37 198 37.22 43 195 36.65 43 195 36.65 0

6 0 26 1.76 464 0 2395 35.26 505 0 2387 35.14 518 0 2341 34.47 0 0 0
LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 0

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 0


LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 0

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 0


LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 0

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 0


LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 0

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 0


LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 0

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 0


LEMBAR 1

DETEKSI FAKTOR RESIKO KUNJ. NEONATUS (KN1) KUNJ. NEONATUS (KN2) KUNJ. NEO LENGKAP (KN3)
BUMIL
NON NAKES KUM KUM KUM
BLN BLN BLN
KUM BLN INI BLN INI BLN INI Bumil Anemia Bumil Anemia
BLN LALU LALU LALU
BLN INI ABS % ABS % ABS % Trimester 1 Trimester 3 KEK (ABS)
LALU ABS % (ABS) (ABS)

0 0 0.00 43 217 32.20 0 215 31.90 0 214 31.75 0

0 0 0.00 51 253 42.88 0 252 42.71 0 252 42.71 0

0 0 0.00 59 254 43.57 0 251 43.05 0 248 42.54 0

0 0 0.00 24 121 37.35 0 113 34.88 0 99 30.56 0

0 0 0.00 25 123 30.67 0 123 30.67 0 92 22.94 0

0 10 7.99 27 166 28.77 0 166 28.77 0 155 26.86 14

0 0 0.00 38 207 36.51 0 203 35.80 0 194 34.22 0

0 0 0.00 33 157 43.37 0 155 42.82 0 145 40.06 0

0 0 0.00 17 87 36.10 0 86 35.68 0 81 33.61 0

0 0 0.00 22 74 32.03 0 74 32.03 0 91 39.39 0

0 0 0.00 27 140 32.48 0 139 32.25 0 139 32.25 0

0 0 0.00 15 64 36.99 0 64 36.99 0 64 36.99 0

0 16 21.39 0 110 31.88 0 128 37.10 0 161 46.67 0

0 0 0.00 11 78 41.05 0 78 41.05 0 64 33.68 0

0 0 0.00 13 48 34.78 0 48 34.78 0 48 34.78 0

0 0 0.00 10 51 27.87 0 51 27.87 0 51 27.87 0

0 0 0.00 12 47 18.80 0 46 18.40 0 48 19.20 0

0 0 0.00 37 198 37.22 0 195 36.65 0 195 36.65 0

0 0 26 1.76 464 0 2395 35.26 0 0 2387 35.14 0 0 2341 34.47 0 0 14


LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
LALU LALU LALU LALU
L P L P L P ABS % L P L P L P ABS % ABS % ABS % ABS % ABS %

0 0 28 25 28 25 53 7.60 0 0 0 0 0 0 0 0.00 0 1 1 0.68 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 53 7.60 53

0 0 21 30 21 30 51 8.35 0 0 0 0 0 0 0 0.00 0 3 3 2.34 0 2 2 2.26 0 1 1 0.78 0 1 1 1.13 51 8.35 51

0 0 24 25 24 25 49 8.11 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 49 8.11 49

0 0 15 13 15 13 28 8.33 0 0 0 0 0 0 0 0.00 0 5 5 7.10 0 1 1 2.06 0 2 2 2.84 0 1 1 2.06 28 8.33 28

0 0 15 14 15 14 29 6.97 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 29 6.97 29

0 0 24 16 24 16 40 6.70 0 0 0 0 0 0 0 0.00 0 6 6 4.79 0 1 1 1.16 0 4 4 3.19 0 0 0 0.00 40 6.70 39

0 0 19 22 19 22 41 6.96 0 0 0 0 0 0 0 0.00 0 6 6 4.86 0 1 1 1.18 0 4 4 3.24 0 1 1 1.18 41 6.96 41

0 0 16 14 16 14 30 7.98 0 0 0 0 0 0 0 0.00 0 3 3 3.81 0 0 0 0.00 0 1 1 1.27 0 0 0 0.00 30 7.98 30

0 0 5 8 5 8 13 5.18 0 0 0 0 0 0 0 0.00 0 5 5 9.54 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 13 5.18 13

0 0 6 5 6 5 11 4.60 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 11 4.60 11

0 0 12 17 12 17 29 6.49 0 0 0 0 0 0 0 0.00 0 5 5 5.33 0 2 2 3.09 0 5 5 5.33 0 2 2 3.09 29 6.49 29

0 0 8 5 8 5 13 7.22 0 0 0 0 0 0 0 0.00 0 3 3 7.98 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 13 7.22 13

0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 18 18 34.78 0 19 19 25.40 0 0 0 0.00 0 0.00 0

0 0 4 2 4 2 6 3.06 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 6 3.06 6

0 0 5 2 5 2 7 4.83 0 0 0 0 0 0 0 0.00 0 5 5 16.56 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 7 4.83 7

0 0 1 7 1 7 8 4.23 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 8 4.23 8

0 0 7 4 7 4 11 4.28 0 0 0 0 0 0 0 0.00 0 4 4 7.41 0 1 1 2.67 0 1 1 1.85 0 0 0 0.00 11 4.28 11

0 0 23 19 23 19 42 7.62 0 0 0 0 0 0 0 0.00 0 10 10 8.67 0 1 1 1.25 0 1 1 0.87 0 0 0 0.00 42 7.62 42

0 0 233 228 233 228 461 6.55 0 0 0 0 0 0 0 0.00 0 56 56 3.80 0 27 27 2.65 0 38 38 2.58 0 5 5 0.49 461 6.55 460

461 1475
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
LALU LALU LALU LALU
L P L P L P ABS % L P L P L P ABS % ABS % ABS % ABS % ABS %

28 25 25 18 53 43 96 13.77 0 0 0 0 0 0 0 0.00 1 0 1 0.68 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 96 13.77 96

21 30 22 29 43 59 102 16.69 0 0 0 0 0 0 0 0.00 3 2 5 3.91 2 2 4 4.52 1 0 1 0.78 1 0 1 1.13 102 16.69 102

24 25 22 23 46 48 94 15.56 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 94 15.56 94

15 13 15 9 30 22 52 15.48 0 0 0 0 0 0 0 0.00 5 2 7 9.94 1 1 2 4.12 2 2 4 5.68 1 1 2 4.12 52 15.48 52

15 14 12 13 27 27 54 12.98 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 54 12.98 54

24 16 19 8 43 24 67 11.22 0 0 0 1 0 1 1 0.17 6 3 9 7.19 1 0 1 1.16 4 3 7 5.59 0 0 0 0.00 68 11.39 67

19 22 13 25 32 47 79 13.41 0 0 0 0 0 0 0 0.00 6 9 15 12.16 1 1 2 2.35 4 6 10 8.10 1 0 1 1.18 79 13.41 79

16 14 16 17 32 31 63 16.76 0 0 0 0 0 0 0 0.00 3 2 5 6.35 0 0 0 0.00 1 1 2 2.54 0 0 0 0.00 63 16.76 63

5 8 7 10 12 18 30 11.95 0 0 0 0 0 0 0 0.00 5 7 12 22.90 0 2 2 5.53 0 4 4 7.63 0 0 0 0.00 30 11.95 30

6 5 11 11 17 16 33 13.81 0 0 0 0 0 0 0 0.00 0 4 4 7.97 0 3 3 8.66 0 1 1 1.99 0 0 0 0.00 33 13.81 33

12 17 20 9 32 26 58 12.98 0 0 0 0 0 0 0 0.00 5 10 15 15.99 2 1 3 4.64 5 8 13 13.86 2 1 3 4.64 58 12.98 56

8 5 11 4 19 9 28 15.56 0 0 0 0 0 0 0 0.00 3 2 5 13.30 0 0 0 0.00 0 2 2 5.32 0 0 0 0.00 28 15.56 28

0 0 7 7 7 7 14 3.91 0 0 1 2 1 2 3 0.84 0 4 4 5.35 18 4 22 42.51 19 1 20 26.74 0 1 1 1.93 17 4.75 16

4 2 8 5 12 7 19 9.69 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 19 9.69 19

5 2 6 7 11 9 20 13.79 0 0 0 0 0 0 0 0.00 5 4 9 29.80 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 20 13.79 20

1 7 6 4 7 11 18 9.52 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 18 9.52 17

7 4 4 9 11 13 24 9.34 0 0 0 0 0 0 0 0.00 4 3 7 12.96 1 2 3 8.00 1 2 3 5.56 0 0 0 0.00 24 9.34 24

23 19 19 18 42 37 79 14.34 0 0 0 0 0 0 0 0.00 10 7 17 14.73 1 2 3 3.76 1 2 3 2.60 0 0 0 0.00 79 14.34 79

233 228 243 226 476 454 930 13.21 0 0 1 3 1 3 4 0.06 56 59 115 7.80 27 18 45 4.42 38 32 70 4.75 5 3 8 0.79 934 13.27 929

934
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
LALU LALU LALU LALU
L P L P L P ABS % L P L P L P ABS % ABS % ABS % ABS % ABS %

25 18 21 19 74 62 136 19.51 0 0 0 1 0 1 1 0.14 0 0 1 0.68 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 137 19.66 137

22 29 24 26 67 85 152 24.88 0 0 0 0 0 0 0 0.00 2 2 7 5.47 2 3 7 7.91 0 1 2 1.56 0 0 1 1.13 152 24.88 151

22 23 23 23 69 71 140 23.18 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 140 23.18 140

15 9 12 15 42 37 79 23.51 0 0 0 0 0 0 0 0.00 2 6 13 18.47 1 1 3 6.17 2 1 5 7.10 1 0 2 4.12 79 23.51 79

12 13 13 10 40 37 77 18.51 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 77 18.51 77

19 8 14 14 57 38 95 15.91 0 1 0 0 0 1 1 0.17 3 8 17 13.58 0 2 3 3.47 3 8 15 11.98 0 1 1 1.16 96 16.08 95

13 25 25 22 57 69 126 21.39 0 0 0 0 0 0 0 0.00 9 6 21 17.02 1 1 3 3.53 6 6 16 12.97 0 1 2 2.35 126 21.39 126

16 17 12 15 44 46 90 23.94 0 0 0 0 0 0 0 0.00 2 1 6 7.61 0 0 0 0.00 1 1 3 3.81 0 0 0 0.00 90 23.94 90

7 10 10 10 22 28 50 19.92 0 0 0 0 0 0 0 0.00 7 2 14 26.72 2 1 3 8.30 4 1 5 9.54 0 0 0 0.00 50 19.92 50

11 11 7 5 24 21 45 18.83 0 0 0 0 0 0 0 0.00 4 2 6 11.95 3 2 5 14.43 1 1 2 3.98 0 1 1 2.89 45 18.83 45

20 9 16 14 48 40 88 19.69 0 0 0 0 0 0 0 0.00 10 10 25 26.65 1 1 4 6.19 8 6 19 20.26 1 2 5 7.73 88 19.69 84

11 4 2 7 21 16 37 20.56 0 0 0 0 0 0 0 0.00 2 3 8 21.28 0 2 2 7.71 2 3 5 13.30 0 0 0 0.00 37 20.56 37

7 7 14 21 21 28 49 13.69 1 2 0 0 1 2 3 0.84 4 4 8 10.70 4 0 22 42.51 1 2 22 29.41 1 1 2 3.86 52 14.53 51

8 5 6 4 18 11 29 14.80 0 0 0 0 0 0 0 0.00 0 1 1 2.43 0 1 1 3.51 0 0 0 0.00 0 0 0 0.00 29 14.80 29

6 7 2 4 13 13 26 17.93 0 0 0 0 0 0 0 0.00 4 0 9 29.80 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 26 17.93 26

6 4 7 2 14 13 27 14.29 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 27 14.29 27

4 9 3 3 14 16 30 11.67 0 0 0 0 0 0 0 0.00 3 1 8 14.81 2 0 3 8.00 2 0 3 5.56 0 0 0 0.00 30 11.67 30

19 18 17 13 59 50 109 19.78 0 0 0 0 0 0 0 0.00 7 0 17 14.73 2 0 3 3.76 2 0 3 2.60 0 0 0 0.00 109 19.78 109

243 226 228 227 704 681 1385 19.68 1 3 0 1 1 4 5 0.07 59 46 161 10.92 18 14 59 5.79 32 30 100 6.78 3 6 14 1.37 1390 19.75 1383

1390
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 23 22 97 84 181 25.97 0 1 1 0 1 1 2 0.29 0 0 1 0.68 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 183 26.26 183

22 29 22 28 89 113 202 33.06 0 0 0 0 0 0 0 0.00 2 3 10 7.81 3 3 10 11.30 1 2 4 3.13 0 1 2 2.26 202 33.06 201

22 23 11 8 80 79 159 26.32 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 159 26.32 159

15 9 13 7 55 44 99 29.46 0 0 0 0 0 0 0 0.00 6 2 15 21.31 1 0 3 6.17 1 0 5 7.10 0 0 2 4.12 99 29.46 99

12 13 9 11 49 48 97 23.32 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 97 23.32 97

19 8 17 15 74 53 127 21.27 0 0 0 0 0 1 1 0.17 8 7 24 19.17 2 2 5 5.78 8 1 16 12.78 1 1 2 2.31 128 21.44 126

13 25 16 21 73 90 163 27.67 0 0 0 0 0 0 0 0.00 6 7 28 22.69 1 0 3 3.53 6 5 21 17.02 1 0 2 2.35 163 27.67 163

16 17 15 18 59 64 123 32.71 0 0 0 0 0 0 0 0.00 1 7 13 16.50 0 0 0 0.00 1 0 3 3.81 0 0 0 0.00 123 32.71 123

7 10 9 7 31 35 66 26.29 0 0 0 0 0 0 0 0.00 2 1 15 28.63 1 0 3 8.30 1 1 6 11.45 0 0 0 0.00 66 26.29 66

11 11 5 6 29 27 56 23.43 0 0 0 0 0 0 0 0.00 2 2 8 15.94 2 3 8 23.09 1 0 2 3.98 1 0 1 2.89 56 23.43 56

20 9 14 10 62 50 112 25.06 0 0 0 0 0 0 0 0.00 10 4 29 30.92 1 2 6 9.28 6 3 22 23.45 2 1 6 9.28 112 25.06 108

11 4 7 5 28 21 49 27.22 0 0 0 0 0 0 0 0.00 3 1 9 23.94 2 0 2 7.71 3 1 6 15.96 0 0 0 0.00 49 27.22 49

7 7 21 19 42 47 89 24.86 0 0 0 0 1 2 3 0.84 4 3 11 14.71 0 3 25 48.31 2 0 22 29.41 1 0 2 3.86 92 25.70 89

8 5 20 13 38 24 62 31.63 0 0 0 0 0 0 0 0.00 1 0 1 2.43 1 0 1 3.51 0 0 0 0.00 0 0 0 0.00 62 31.63 62

6 7 2 8 15 21 36 24.83 0 0 0 0 0 0 0 0.00 0 0 9 29.80 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 36 24.83 36

6 4 8 5 22 18 40 21.16 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 40 21.16 40

4 9 3 3 17 19 36 14.01 0 0 0 0 0 0 0 0.00 1 1 9 16.67 0 0 3 8.00 0 0 3 5.56 0 0 0 0.00 36 14.01 36

19 18 27 19 86 69 155 28.13 0 0 0 0 0 0 0 0.00 0 4 21 18.20 0 1 4 5.01 0 1 4 3.47 0 0 0 0.00 155 28.13 152

243 226 242 225 946 906 1852 26.31 0 1 1 0 2 4 6 0.09 46 42 203 13.76 14 14 73 7.17 30 14 114 7.73 6 3 17 1.67 1858 26.40 1845

468
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 14 21 111 105 216 30.99 1 0 0 0 1 1 2 0.29 0 0 1 0.68 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 218 31.28 218

22 29 25 25 114 138 252 41.24 0 0 0 0 0 0 0 0.00 3 3 13 10.16 3 3 13 14.69 2 0 4 3.13 1 0 2 2.26 252 41.24 251

22 23 21 22 101 101 202 33.44 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 202 33.44 202

15 9 12 10 67 54 121 36.01 0 0 0 0 0 0 0 0.00 2 2 17 24.15 0 2 5 10.29 0 0 5 7.10 0 0 2 4.12 121 36.01 121

12 13 14 12 63 60 123 29.57 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 123 29.57 123

19 8 21 20 95 73 168 28.14 0 0 0 0 0 1 1 0.17 7 11 35 27.96 2 2 7 8.09 1 10 26 20.77 1 0 2 2.31 169 28.31 167

13 25 24 20 97 110 207 35.14 0 0 0 0 0 0 0 0.00 7 3 31 25.12 0 1 4 4.70 5 2 23 18.64 0 2 4 4.70 207 35.14 207

16 17 16 18 75 82 157 41.76 0 0 0 0 0 0 0 0.00 7 6 19 24.11 0 3 3 5.52 0 3 6 7.61 0 0 0 0.00 157 41.76 157

7 10 11 10 42 45 87 34.66 0 0 0 0 0 0 0 0.00 1 3 18 34.35 0 2 5 13.83 1 2 8 15.27 0 0 0 0.00 87 34.66 87

11 11 8 10 37 37 74 30.96 0 0 0 0 0 0 0 0.00 2 4 12 23.90 3 2 10 28.86 0 0 2 3.98 0 0 1 2.89 74 30.96 74

20 9 16 16 78 66 144 32.21 0 0 0 0 0 0 0 0.00 4 7 36 38.38 2 4 10 15.47 3 5 27 28.78 1 3 9 13.92 144 32.21 139

11 4 10 5 38 26 64 35.56 0 0 0 0 0 0 0 0.00 1 0 9 23.94 0 0 2 7.71 1 0 6 15.96 0 0 0 0.00 64 35.56 64

7 7 22 13 64 60 124 34.64 0 0 0 0 1 2 3 0.84 3 0 11 14.71 3 0 25 48.31 0 0 22 29.41 0 0 2 3.86 127 35.47 124

8 5 12 6 50 30 80 40.82 0 0 0 0 0 0 0 0.00 0 1 2 4.85 0 1 2 7.02 0 1 1 2.43 0 0 0 0.00 80 40.82 80

6 7 7 5 22 26 48 33.10 0 0 0 0 0 0 0 0.00 0 0 9 29.80 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 48 33.10 48

6 4 8 3 30 21 51 26.98 0 0 0 0 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 51 26.98 51

4 9 10 2 27 21 48 18.68 0 0 0 0 0 0 0 0.00 1 2 11 20.37 0 3 6 16.00 0 1 4 7.41 0 1 1 2.67 47 18.29 44

19 18 28 16 114 85 199 36.12 0 0 0 0 0 0 0 0.00 4 6 27 23.40 1 2 6 7.52 1 4 8 6.93 0 0 0 0.00 199 36.12 196

243 226 279 234 1225 1140 2365 33.60 1 0 0 0 2 4 6 0.09 42 48 251 17.02 14 25 98 9.62 14 28 142 9.63 3 6 23 2.26 2370 33.67 2353
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 3 13 10.16 3 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 2 17 24.15 2 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 11 35 27.96 2 7 8.09 10 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 3 31 25.12 1 4 4.70 2 23 18.64 2 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 6 19 24.11 3 3 5.52 3 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 3 18 34.35 2 5 13.83 2 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 4 12 23.90 2 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 7 36 38.38 4 10 15.47 5 27 28.78 3 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 1 2 4.85 1 2 7.02 1 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 2 11 20.37 3 6 16.00 1 4 7.41 1 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 6 27 23.40 2 6 7.52 4 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 48 0 251 17.02 25 0 98 9.62 28 0 142 9.63 6 0 23 2.26 2370 33.67 2353
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353

2371
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353

2371
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353
LEMBAR 2

PERSALINAN CAKUPAN PENANGANAN KOMPLIKASI RUJUKAN KASUS RESTI


VIT.A BUFAS
NAKES NON NAKES OBSTETRI NEONATAL MATERNAL NEONATAL
KIE ASI
BLN LALU BLN INI ABS KUM BLN LALU BLN INI ABS KUM KUM KUM KUM KUM
BLN BLN BLN BLN
BLN INI BLN INI BLN INI BLN INI Abs %
L P L P L P ABS % L P L P L P ABS % LALU ABS % LALU ABS % LALU ABS % LALU ABS %

25 18 111 105 216 30.99 0 0 1 1 2 0.29 0 1 0.68 0 0 0.00 0 0 0.00 0 0 0.00 218 31.28 218

22 29 114 138 252 41.24 0 0 0 0 0 0.00 0 13 10.16 0 13 14.69 0 4 3.13 0 2 2.26 252 41.24 251

22 23 101 101 202 33.44 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 202 33.44 202

15 9 67 54 121 36.01 0 0 0 0 0 0.00 0 17 24.15 0 5 10.29 0 5 7.10 0 2 4.12 121 36.01 121

12 13 63 60 123 29.57 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 123 29.57 123

19 8 95 73 168 28.14 0 0 0 1 1 0.17 0 35 27.96 0 7 8.09 0 26 20.77 0 2 2.31 169 28.31 167

13 25 97 110 207 35.14 0 0 0 0 0 0.00 0 31 25.12 0 4 4.70 0 23 18.64 0 4 4.70 207 35.14 207

16 17 75 82 157 41.76 0 0 0 0 0 0.00 0 19 24.11 0 3 5.52 0 6 7.61 0 0 0.00 157 41.76 157

7 10 42 45 87 34.66 0 0 0 0 0 0.00 0 18 34.35 0 5 13.83 0 8 15.27 0 0 0.00 87 34.66 87

11 11 37 37 74 30.96 0 0 0 0 0 0.00 0 12 23.90 0 10 28.86 0 2 3.98 0 1 2.89 74 30.96 74

20 9 78 66 144 32.21 0 0 0 0 0 0.00 0 36 38.38 0 10 15.47 0 27 28.78 0 9 13.92 144 32.21 139

11 4 38 26 64 35.56 0 0 0 0 0 0.00 0 9 23.94 0 2 7.71 0 6 15.96 0 0 0.00 64 35.56 64

7 7 64 60 124 34.64 0 0 1 2 3 0.84 0 11 14.71 0 25 48.31 0 22 29.41 0 2 3.86 127 35.47 124

8 5 50 30 80 40.82 0 0 0 0 0 0.00 0 2 4.85 0 2 7.02 0 1 2.43 0 0 0.00 80 40.82 80

6 7 22 26 48 33.10 0 0 0 0 0 0.00 0 9 29.80 0 0 0.00 0 0 0.00 0 0 0.00 48 33.10 48

6 4 30 21 51 26.98 0 0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 51 26.98 51

4 9 27 21 48 18.68 0 0 0 0 0 0.00 0 11 20.37 0 6 16.00 0 4 7.41 0 1 2.67 47 18.29 44

19 18 114 85 199 36.12 0 0 0 0 0 0.00 0 27 23.40 0 6 7.52 0 8 6.93 0 0 0.00 199 36.12 196

243 226 0 0 1225 1140 2365 33.60 0 0 0 0 2 4 6 0.09 0 0 251 17.02 0 0 98 9.62 0 0 142 9.63 0 0 23 2.26 2370 33.67 2353

Persalinan-(kematian ibu +lahir mati dan kemat neo)


KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
hari) hari)
Abs % Abs % Abs % Abs % Abs % Abs %

0 53 53 7.60 0 53 53 7.60 0 53 53 7.60 0 52 52 7.46 2 11 12 5 4 32 53 0 0 47 47 6.44 0 38 38 5.21 0

0 51 51 8.35 0 51 51 8.35 0 51 51 8.35 0 42 42 6.87 0 6 19 20 11 56 43 10 0 56 56 8.75 0 48 48 7.50 0

0 49 49 8.11 0 49 49 8.11 0 45 45 7.45 0 47 47 7.78 0 0 0 26 23 49 49 0 0 49 49 7.75 0 44 44 6.96 0

0 28 28 8.33 0 26 26 7.74 0 22 22 6.55 0 12 12 3.57 1 4 11 8 9 32 15 0 0 37 37 10.51 0 8 8 2.27 0

0 29 29 6.97 0 29 29 6.97 0 22 22 5.29 0 21 21 5.05 0 0 17 19 14 50 29 0 0 29 29 6.67 0 24 24 5.52 0

0 39 39 6.53 0 39 39 6.53 0 31 31 5.19 0 20 20 3.35 0 4 8 18 12 42 36 3 0 38 38 6.07 0 28 28 4.47 0

0 41 41 6.96 0 40 40 6.79 0 36 36 6.11 0 12 12 2.04 0 3 16 18 11 48 41 0 0 48 48 7.78 0 21 21 3.40 0

0 30 30 7.98 0 28 28 7.45 0 27 27 7.18 0 25 25 6.65 0 0 2 13 21 36 30 0 0 36 36 9.14 0 30 30 7.61 0

0 13 13 5.18 0 13 13 5.18 0 15 15 5.98 0 10 10 3.98 0 4 5 4 4 17 13 0 0 21 21 8.02 0 15 15 5.73 0

0 11 11 4.60 0 11 11 4.60 0 11 11 4.60 0 8 8 3.35 0 0 0 9 16 25 11 0 0 25 25 9.96 0 15 15 5.98 0

0 29 29 6.49 0 29 29 6.49 0 28 28 6.26 0 28 28 6.26 0 2 15 8 17 42 29 0 0 42 42 8.96 0 36 36 7.68 0

0 13 13 7.22 0 13 13 7.22 0 0 0 0.00 0 0 0 0.00 0 0 5 10 7 22 13 0 0 22 22 11.70 0 0 0 0.00 0

0 0 0 0.00 0 2 2 0.56 0 16 16 4.47 0 16 16 4.47 0 17 17 45 0 79 14 0 0 21 21 6.09 0 0 0 0.00 0

0 6 6 3.06 0 6 6 3.06 0 4 4 2.04 0 0 0 0.00 2 6 9 10 3 28 6 0 0 20 20 9.71 0 4 4 1.94 0

0 7 7 4.83 0 7 7 4.83 0 7 7 4.83 0 12 12 8.28 0 0 0 4 6 10 7 0 0 11 11 7.28 0 11 11 7.28 0

0 8 8 4.23 0 8 8 4.23 0 8 8 4.23 0 8 8 4.23 3 7 2 2 3 14 8 0 0 8 8 4.04 0 9 9 4.55 0

0 11 11 4.28 0 9 9 3.50 0 9 9 3.50 0 7 7 2.72 0 0 9 15 10 34 7 0 0 15 15 5.56 0 9 9 3.33 0

0 42 42 7.62 0 42 42 7.62 0 42 42 7.62 0 42 42 7.62 0 10 21 9 1 41 43 0 0 41 41 7.11 0 37 37 6.41 0

0 460 460 6.54 0 455 455 6.46 0 427 427 6.07 0 362 362 5.14 8 74 168 243 172 657 447 13 0 566 566 7.68 0 377 377 5.11 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
hari) hari)
Abs % Abs % Abs % Abs % Abs % Abs %

53 43 96 13.77 53 43 96 13.77 53 43 96 13.77 52 43 95 13.63 4 22 25 14 5 66 96 0 47 29 76 10.41 38 21 59 8.08 34

51 51 102 16.69 51 51 102 16.69 51 51 102 16.69 42 46 88 14.40 0 11 37 37 23 108 86 16 56 53 109 17.03 48 49 97 15.16 11

49 46 95 15.73 49 46 95 15.73 45 43 88 14.57 47 44 91 15.07 0 0 0 25 21 46 46 0 49 46 95 14.98 44 41 85 13.41 1

28 24 52 15.48 26 22 48 14.29 22 20 42 12.50 12 10 22 6.55 1 11 25 25 16 77 59 0 37 34 71 20.17 8 14 22 6.25 15

29 25 54 12.98 29 25 54 12.98 22 19 41 9.86 21 19 40 9.62 7 8 12 16 9 45 54 0 29 10 39 8.97 24 18 42 9.66 15

39 28 67 11.22 39 27 66 11.06 31 31 62 10.39 20 37 57 9.55 0 9 20 34 27 90 63 4 38 31 69 11.02 28 41 69 11.02 10

41 38 79 13.41 40 37 77 13.07 36 37 73 12.39 12 36 48 8.15 0 13 45 56 37 151 79 0 48 58 106 17.18 21 26 47 7.62 7

30 33 63 16.76 28 33 61 16.22 27 31 58 15.43 25 30 55 14.63 0 0 2 26 45 73 63 0 36 37 73 18.53 30 35 65 16.50 8

13 17 30 11.95 13 17 30 11.95 15 11 26 10.36 10 13 23 9.16 0 6 11 17 12 46 27 0 21 22 43 16.41 15 18 33 12.60 7

11 22 33 13.81 11 22 33 13.81 11 19 30 12.55 8 14 22 9.21 0 0 0 24 33 57 33 0 25 32 57 22.71 15 21 36 14.34 5

29 29 58 12.98 29 29 58 12.98 28 29 57 12.75 28 27 55 12.30 0 2 20 27 27 76 56 0 42 34 76 16.20 36 17 53 11.30 11

13 15 28 15.56 13 15 28 15.56 0 13 13 7.22 0 0 0 0.00 0 0 12 15 12 39 13 0 22 17 39 20.74 0 12 12 6.38 0

0 17 17 4.75 2 17 19 5.31 16 17 33 9.22 16 17 33 9.22 0 2 15 6 11 34 37 3 21 28 49 13.10 0 21 21 5.61 0

6 9 15 7.65 6 9 15 7.65 4 8 12 6.12 0 6 6 3.06 0 7 11 14 6 38 7 0 20 9 29 14.08 4 5 9 4.37 1

7 13 20 13.79 7 13 20 13.79 7 13 20 13.79 12 7 19 13.10 0 0 0 4 7 11 7 0 11 10 21 13.91 11 11 22 14.57 0

8 10 18 9.52 8 10 18 9.52 8 10 18 9.52 8 10 18 9.52 4 8 7 3 6 24 18 0 8 7 15 7.58 9 7 16 8.08 4

11 13 24 9.34 9 13 22 8.56 9 13 22 8.56 7 11 18 7.00 0 0 8 14 7 29 17 3 15 14 29 10.74 9 8 17 6.30 4

42 36 78 14.16 42 36 78 14.16 42 36 78 14.16 42 36 78 14.16 0 30 28 25 1 84 37 0 41 43 84 14.56 37 24 61 10.57 26

460 469 929 13.20 455 465 920 13.07 427 444 871 12.37 362 406 768 10.91 16 129 278 382 305 1094 798 26 566 514 1080 14.65 377 389 766 10.39 159
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
hari) hari)
Abs % Abs % Abs % Abs % Abs % Abs %

43 41 137 19.66 43 41 137 19.66 43 40 136 19.51 43 38 133 19.08 5 31 35 24 11 101 137 0 29 22 98 13.42 21 31 90 12.33 33

51 50 152 24.88 51 50 152 24.88 51 50 152 24.88 46 46 134 21.93 0 16 50 59 36 161 104 16 53 53 162 25.31 49 51 148 23.13 9

46 46 141 23.34 46 46 141 23.34 43 45 133 22.02 44 45 136 22.52 0 0 0 27 22 49 46 0 46 46 141 22.24 41 41 126 19.87 3

24 27 79 23.51 22 24 72 21.43 20 22 64 19.05 10 13 35 10.42 1 9 14 13 5 41 54 0 34 21 92 26.14 14 19 41 11.65 12

25 23 77 18.51 25 23 77 18.51 19 13 54 12.98 19 13 53 12.74 7 8 19 20 9 56 77 0 10 14 53 12.18 18 13 55 12.64 25

28 28 95 15.91 27 29 95 15.91 31 31 93 15.58 37 27 84 14.07 0 11 31 44 30 116 90 4 31 37 106 16.93 41 30 99 15.81 13

38 46 125 21.22 37 46 123 20.88 37 43 116 19.69 36 27 75 12.73 0 14 40 55 50 159 126 0 58 45 151 24.47 26 32 79 12.80 7

33 27 90 23.94 33 27 88 23.40 31 25 83 22.07 30 24 79 21.01 0 0 5 35 65 105 90 0 37 32 105 26.65 35 27 92 23.35 12

17 20 50 19.92 17 20 50 19.92 11 15 41 16.33 13 14 37 14.74 0 6 15 29 24 74 50 0 22 18 61 23.28 18 9 42 16.03 4

22 12 45 18.83 22 12 45 18.83 19 12 42 17.57 14 13 35 14.64 0 0 0 33 46 79 45 0 32 22 79 31.47 21 29 65 25.90 12

29 30 88 19.69 29 30 88 19.69 29 30 87 19.46 27 30 85 19.02 0 2 25 34 44 105 83 0 34 28 104 22.17 17 24 77 16.42 16

15 9 37 20.56 15 9 37 20.56 13 15 28 15.56 0 13 13 7.22 0 0 18 20 17 55 13 0 17 16 55 29.26 12 17 29 15.43 0

17 35 52 14.53 17 35 54 15.08 17 35 68 18.99 17 35 68 18.99 0 5 22 19 19 65 72 3 28 40 89 23.80 21 27 48 12.83 12

9 10 25 12.76 9 10 25 12.76 8 11 23 11.73 6 11 17 8.67 0 7 11 14 5 37 10 0 9 15 44 21.36 5 12 21 10.19 1

13 6 26 17.93 13 6 26 17.93 13 6 26 17.93 7 13 32 22.07 0 0 0 3 7 10 7 0 10 9 30 19.87 11 11 33 21.85 0

10 9 27 14.29 10 9 27 14.29 10 9 27 14.29 10 9 27 14.29 4 10 8 3 7 28 27 0 7 5 20 10.10 7 4 20 10.10 8

13 4 28 10.89 13 7 29 11.28 13 7 29 11.28 11 10 28 10.89 0 0 7 14 12 33 18 2 14 10 39 14.44 8 5 22 8.15 5

36 30 108 19.60 36 30 108 19.60 36 30 108 19.60 36 30 108 19.60 0 47 37 31 1 116 30 0 43 32 116 20.10 24 29 90 15.60 18

469 453 1382 19.63 465 454 1374 19.52 444 439 1310 18.61 406 411 1179 16.75 17 166 337 477 410 1390 1079 25 514 465 1545 20.95 389 411 1177 15.96 190
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

41 45 182 26.11 41 45 182 26.11 40 45 181 25.97 38 45 178 25.54 11 40 49 34 19 142 182 0 22 42 140 19.18 31 35 125 17.12 31

50 51 203 33.22 50 51 203 33.22 50 51 203 33.22 46 46 180 29.46 0 20 68 80 45 213 104 16 53 52 214 33.44 51 48 196 30.63 9

46 18 159 26.32 46 18 159 26.32 45 18 151 25.00 45 18 154 25.50 0 0 1 68 20 89 18 0 46 22 163 25.71 41 20 146 23.03 1

27 19 98 29.17 24 17 89 26.49 22 17 81 24.11 13 14 49 14.58 1 11 16 11 5 43 62 0 21 19 111 31.53 19 17 58 16.48 14

23 21 98 23.56 23 21 98 23.56 13 17 71 17.07 13 11 64 15.38 7 8 40 33 16 97 97 0 14 19 72 16.55 13 14 69 15.86 23

28 32 127 21.27 29 32 127 21.27 31 27 120 20.10 27 30 114 19.10 0 14 48 59 40 161 121 5 37 45 151 24.12 30 43 142 22.68 10

46 37 162 27.50 46 37 160 27.16 43 39 155 26.32 27 47 122 20.71 0 16 50 70 59 195 126 0 45 48 199 32.25 32 33 112 18.15 11

27 33 123 32.71 27 33 121 32.18 25 32 115 30.59 24 32 111 29.52 0 0 6 41 95 142 123 0 32 37 142 36.04 27 30 122 30.96 15

20 16 66 26.29 20 16 66 26.29 15 14 55 21.91 14 12 49 19.52 0 7 15 31 27 80 64 0 18 21 82 31.30 9 14 56 21.37 7

12 11 56 23.43 12 11 56 23.43 12 11 53 22.18 13 12 47 19.67 0 0 0 40 52 92 56 0 22 13 92 36.65 29 17 82 32.67 3

30 24 112 25.06 30 24 112 25.06 30 24 111 24.83 30 24 109 24.38 0 4 29 45 52 130 105 0 28 22 126 26.87 24 30 107 22.81 15

9 12 49 27.22 9 12 49 27.22 15 9 37 20.56 13 15 28 15.56 0 0 18 28 23 69 49 0 16 14 69 36.70 17 10 39 20.74 0

35 40 92 25.70 35 40 94 26.26 35 40 108 30.17 35 0 68 18.99 0 11 37 38 32 118 112 3 40 40 129 34.49 27 36 84 22.46 11

10 33 58 29.59 10 33 58 29.59 11 11 34 17.35 11 10 27 13.78 0 7 11 14 5 37 49 0 15 4 48 23.30 12 3 24 11.65 3

6 10 36 24.83 6 10 36 24.83 6 10 36 24.83 13 6 38 26.21 0 0 11 14 19 44 7 0 9 13 43 28.48 11 11 44 29.14 0

9 13 40 21.16 9 13 40 21.16 9 13 40 21.16 9 13 40 21.16 5 11 10 4 11 36 40 0 5 4 24 12.12 4 6 26 13.13 3

4 4 32 12.45 7 7 36 14.01 7 7 36 14.01 10 10 38 14.79 0 0 7 14 12 33 18 2 10 10 49 18.15 5 5 27 10.00 0

30 44 152 27.59 30 44 152 27.59 30 44 152 27.59 30 44 152 27.59 0 60 49 52 1 162 44 0 32 46 162 28.08 29 38 128 22.18 21

453 463 1845 26.21 454 464 1838 26.11 439.00 429 1739.00 24.71 411 389 1568 22.28 24 209 465 676 533 1883 1377 26 465 471 2016 27.34 411 410 1587 21.52 177
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

45 35 217 31.13 45 35 217 31.13 45 35 216 30.99 45 33 211 30.27 16 51 64 43 21 179 218 0 42 47 187 25.62 35 42 167 22.88 32

51 50 253 41.41 51 50 253 41.41 51 50 253 41.41 46 47 227 37.15 0 24 84 101 57 266 204 16 52 53 267 41.72 48 50 246 38.44 9

18 43 202 33.44 18 43 202 33.44 18 43 194 32.12 18 41 195 32.28 0 0 1 194 47 242 41 0 22 46 209 32.97 20 42 188 29.65 2

19 22 120 35.71 17 20 109 32.44 17 20 101 30.06 14 18 67 19.94 1 12 16 13 5 46 78 0 19 20 131 37.22 17 20 78 22.16 10

21 25 123 29.57 21 25 123 29.57 17 20 91 21.88 11 16 80 19.23 2 7 58 55 26 146 123 0 19 28 100 22.99 14 22 91 20.92 20

32 41 168 28.14 32 41 168 28.14 27 42 162 27.14 30 31 145 24.29 0 22 61 69 49 201 162 5 45 40 191 30.51 43 35 177 28.27 9

37 41 203 34.47 37 41 201 34.13 39 40 195 33.11 47 37 159 26.99 0 19 65 85 71 240 207 0 48 36 235 38.09 33 24 136 22.04 6

33 34 157 41.76 33 34 155 41.22 32 33 148 39.36 32 33 144 38.30 0 0 9 48 119 176 157 0 37 34 176 44.67 30 33 155 39.34 13

16 21 87 34.66 16 20 86 34.26 14 27 82 32.67 12 23 72 28.69 0 7 26 45 44 122 87 0 21 21 103 39.31 14 16 72 27.48 6

11 18 74 30.96 11 18 74 30.96 11 18 71 29.71 12 18 65 27.20 0 0 0 53 68 121 74 0 13 29 121 48.21 17 28 110 43.82 4

24 31 143 31.99 24 31 143 31.99 24 31 142 31.77 24 31 140 31.32 0 6 42 58 66 172 134 0 22 38 164 34.97 30 31 138 29.42 13

12 15 64 35.56 12 15 64 35.56 9 12 49 27.22 15 9 37 20.56 0 0 19 35 30 84 64 0 14 15 84 44.68 10 13 52 27.66 4

40 35 127 35.47 40 35 129 36.03 40 35 143 39.94 0 35 103 28.77 0 11 60 61 47 179 112 3 40 33 162 43.32 36 22 106 28.34 8

33 18 76 38.78 33 18 76 38.78 11 33 67 34.18 10 33 60 30.61 0 7 11 14 5 37 49 0 4 29 77 37.38 3 30 54 26.21 2

10 12 48 33.10 10 12 48 33.10 10 12 48 33.10 6 10 48 33.10 0 0 18 23 25 66 7 0 13 22 65 43.05 11 9 53 35.10 0

13 11 51 26.98 13 11 51 26.98 13 11 51 26.98 13 11 51 26.98 5 13 11 6 16 46 51 0 4 9 33 16.67 6 4 30 15.15 2

4 12 44 17.12 7 12 48 18.68 7 12 48 18.68 10 10 48 18.68 0 0 14 19 15 48 26 1 10 7 56 20.74 5 7 34 12.59 0

44 43 195 35.39 44 43 195 35.39 44 43 195 35.39 44 43 195 35.39 0 77 59 61 1 198 43 0 46 39 201 34.84 38 34 162 28.08 28

463 507 2352 33.41 464 504 2342 33.27 429.00 517 2256.00 32.05 389 479 2047 29.08 24 256 618 983 712 2569 1837 25 471 546 2562 34.74 410 462 2049 27.79 168
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

35 217 31.13 35 217 31.13 35 216 30.99 33 211 30.27 16 51 64 43 21 179 218 0 47 187 25.62 42 167 22.88 22

50 253 41.41 50 253 41.41 50 253 41.41 47 227 37.15 0 24 84 101 57 266 204 16 53 267 41.72 50 246 38.44 9

43 202 33.44 43 202 33.44 43 194 32.12 41 195 32.28 0 0 1 194 47 242 41 0 46 209 32.97 42 188 29.65 3

22 120 35.71 20 109 32.44 20 101 30.06 18 67 19.94 1 12 16 13 5 46 78 0 20 131 37.22 20 78 22.16 10

25 123 29.57 25 123 29.57 20 91 21.88 16 80 19.23 2 7 58 55 26 146 123 0 28 100 22.99 22 91 20.92 26

41 168 28.14 41 168 28.14 42 162 27.14 31 145 24.29 0 22 61 69 49 201 162 5 40 191 30.51 35 177 28.27 11

41 203 34.47 41 201 34.13 40 195 33.11 37 159 26.99 0 19 65 85 71 240 207 0 36 235 38.09 24 136 22.04 6

34 157 41.76 34 155 41.22 33 148 39.36 33 144 38.30 0 0 9 48 119 176 157 0 34 176 44.67 33 155 39.34 18

21 87 34.66 20 86 34.26 27 82 32.67 23 72 28.69 0 7 26 45 44 122 87 0 21 103 39.31 16 72 27.48 3

18 74 30.96 18 74 30.96 18 71 29.71 18 65 27.20 0 0 0 53 68 121 74 0 29 121 48.21 28 110 43.82 3

31 143 31.99 31 143 31.99 31 142 31.77 31 140 31.32 0 6 42 58 66 172 134 0 38 164 34.97 31 138 29.42 13

15 64 35.56 15 64 35.56 12 49 27.22 9 37 20.56 0 0 19 35 30 84 64 0 15 84 44.68 13 52 27.66 1

35 127 35.47 35 129 36.03 35 143 39.94 35 103 28.77 0 11 60 61 47 179 112 3 33 162 43.32 22 106 28.34 8

18 76 38.78 18 76 38.78 33 67 34.18 33 60 30.61 0 7 11 14 5 37 49 0 29 77 37.38 30 54 26.21 20

12 48 33.10 12 48 33.10 12 48 33.10 10 48 33.10 0 0 18 23 25 66 7 0 22 65 43.05 9 53 35.10 0

11 51 26.98 11 51 26.98 11 51 26.98 11 51 26.98 5 13 11 6 16 46 51 0 9 33 16.67 4 30 15.15 0

12 44 17.12 12 48 18.68 12 48 18.68 10 48 18.68 0 0 14 19 15 48 26 1 7 56 20.74 7 34 12.59 2

43 195 35.39 43 195 35.39 43 195 35.39 43 195 35.39 0 77 59 61 1 198 43 0 39 201 34.84 34 162 28.08 41

507 0 2352 33.41 504 0 2342 33.27 517.00 0 2256.00 32.05 479 0 2047 29.08 24 256 618 983 712 2569 1837 25 546 0 2562 34.74 462 0 2049 27.79 196
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0.00 0 2256.00 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0.00 0 2256.00 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0 0 2256 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0 0 2256 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0 0 2256 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0
KF 1 KF 2 KF 3 KF 4 (KF LENGKAP) IMUNISASI (ABS)
FE 1 FE 3 ASI EKSKLUSIF
(6 jam - 48 jam) 3-7 hr) (8-28 hr) (29-42 hr) SKRINING STATUS IMUNISASI TT BUMIL HB 0

Kum Kum Kum Kum Kum Kum


(0-7 (8-28
Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu Bln Ini T1 T2 T3 T4 T5 T2+ Bln Lalu Bln Ini Bln Lalu Bln Ini Bln Lalu
Abs % Abs % Abs % Abs % hari) hari) Abs % Abs %

0 217 31.13 0 217 31.13 0 216 30.99 0 211 30.27 16 51 64 43 21 179 218 0 0 187 25.62 0 167 22.88 0

0 253 41.41 0 253 41.41 0 253 41.41 0 227 37.15 0 24 84 101 57 266 204 16 0 267 41.72 0 246 38.44 0

0 202 33.44 0 202 33.44 0 194 32.12 0 195 32.28 0 0 1 194 47 242 41 0 0 209 32.97 0 188 29.65 0

0 120 35.71 0 109 32.44 0 101 30.06 0 67 19.94 1 12 16 13 5 46 78 0 0 131 37.22 0 78 22.16 0

0 123 29.57 0 123 29.57 0 91 21.88 0 80 19.23 2 7 58 55 26 146 123 0 0 100 22.99 0 91 20.92 0

0 168 28.14 0 168 28.14 0 162 27.14 0 145 24.29 0 22 61 69 49 201 162 5 0 191 30.51 0 177 28.27 0

0 203 34.47 0 201 34.13 0 195 33.11 0 159 26.99 0 19 65 85 71 240 207 0 0 235 38.09 0 136 22.04 0

0 157 41.76 0 155 41.22 0 148 39.36 0 144 38.30 0 0 9 48 119 176 157 0 0 176 44.67 0 155 39.34 0

0 87 34.66 0 86 34.26 0 82 32.67 0 72 28.69 0 7 26 45 44 122 87 0 0 103 39.31 0 72 27.48 0

0 74 30.96 0 74 30.96 0 71 29.71 0 65 27.20 0 0 0 53 68 121 74 0 0 121 48.21 0 110 43.82 0

0 143 31.99 0 143 31.99 0 142 31.77 0 140 31.32 0 6 42 58 66 172 134 0 0 164 34.97 0 138 29.42 0

0 64 35.56 0 64 35.56 0 49 27.22 0 37 20.56 0 0 19 35 30 84 64 0 0 84 44.68 0 52 27.66 0

0 127 35.47 0 129 36.03 0 143 39.94 0 103 28.77 0 11 60 61 47 179 112 3 0 162 43.32 0 106 28.34 0

0 76 38.78 0 76 38.78 0 67 34.18 0 60 30.61 0 7 11 14 5 37 49 0 0 77 37.38 0 54 26.21 0

0 48 33.10 0 48 33.10 0 48 33.10 0 48 33.10 0 0 18 23 25 66 7 0 0 65 43.05 0 53 35.10 0

0 51 26.98 0 51 26.98 0 51 26.98 0 51 26.98 5 13 11 6 16 46 51 0 0 33 16.67 0 30 15.15 0

0 44 17.12 0 48 18.68 0 48 18.68 0 48 18.68 0 0 14 19 15 48 26 1 0 56 20.74 0 34 12.59 0

0 195 35.39 0 195 35.39 0 195 35.39 0 195 35.39 0 77 59 61 1 198 43 0 0 201 34.84 0 162 28.08 0

0 0 2352 33.41 0 0 2342 33.27 0 0 2256 32.05 0 0 2047 29.08 24 256 618 983 712 2569 1837 25 0 0 2562 34.74 0 0 2049 27.79 0

salinan-(kematian ibu +lahir mati dan kemat neo)


LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML JML NEONATAL
SEBAB KEMATIAN LAHIR LAHIR JML TN BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
BBLR
HIDUP MATI (ABS)
(ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

34 34 10.09 0 53 53 7.86 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 11 3.73 0 51 51 8.64 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 1 0.35 0 49 49 8.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 15 9.26 0 25 25 7.72 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 15 7.48 0 18 18 4.49 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 10 3.47 0 28 28 4.85 0 0 0 0 0 0 0 0 0 0 0 0 4 39 1 0 0 0 0 0 0 0 0 0 0 0 0 0

7 7 2.47 0 41 41 7.23 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 8 4.42 0 30 30 8.29 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 7 5.81 0 12 12 4.98 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 5 4.33 0 11 11 4.76 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 11 5.10 0 25 25 5.80 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 0 13 13 7.51 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 0 0 0 0.00 0 0 0 0 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 1.05 0 6 6 3.16 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 0 7 7 5.07 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 4 4.37 0 8 8 4.37 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 4 3.20 0 11 11 4.40 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0

26 26 9.77 0 42 42 7.89 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0

159 159 4.68 0 430 430 6.33 0 0 0 0 0 0 0 0 0 0 0 0 5 411 1 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, JANUARI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD JML JML NEONATAL
JML
SEBAB KEMATIAN LAHIR LAHIR JML TN BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
BBLR
HIDUP MATI (ABS)
(ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

33 67 19.88 53 43 96 14.24 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 20 6.78 51 51 102 17.29 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 4 1.37 49 46 95 16.30 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 27 16.67 25 21 46 14.20 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0

25 40 19.95 18 25 43 10.72 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 23 7.97 28 21 49 8.49 0 0 0 0 0 0 0 0 0 0 0 0 5 67 1 0 0 0 0 0 0 0 0 0 0 0 0 0

7 14 4.94 41 38 79 13.93 0 0 0 0 0 0 0 0 0 0 0 0 5 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 20 11.05 30 33 63 17.40 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 11 9.13 12 14 26 10.79 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 17 14.72 11 22 33 14.29 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 27 12.53 25 28 53 12.30 0 0 0 0 0 0 0 0 0 0 0 0 2 56 2 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 13 15 28 16.18 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 12 6.96 0 14 14 4.06 0 0 0 0 0 0 0 0 0 0 0 0 2 16 1 0 0 0 0 0 0 0 0 0 0 0 0 0

1 2 2.11 6 6 12 6.32 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 7 13 20 14.49 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 12 13.11 8 10 18 9.84 0 0 0 0 0 0 0 0 0 0 0 0 0 17 1 0 0 0 0 0 0 0 0 0 0 0 0 0

5 9 7.20 11 13 24 9.60 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0

18 44 16.54 42 36 78 14.66 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0

190 349 10.28 430 449 879 12.94 0 0 0 0 0 0 0 0 0 0 0 0 14 929 5 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, FEBRUARI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML JML NEONATAL
SEBAB KEMATIAN LAHIR LAHIR JML TN BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

31 98 29.08 43 31 127 18.84 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 29 9.83 51 50 152 25.76 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 1 0 0 0 0 0 0 0 0 0 0 0

1 5 1.72 46 46 141 24.19 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 41 25.31 21 24 70 21.60 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0

23 63 31.42 25 23 66 16.46 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 33 11.44 21 20 69 11.96 0 0 0 0 0 0 0 0 0 0 0 0 6 95 1 0 0 0 0 0 0 0 0 0 0 0 0 0

11 25 8.82 38 46 125 22.05 0 0 0 0 0 0 0 0 0 0 0 0 5 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 35 19.34 33 27 90 24.86 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 18 14.94 14 18 44 18.26 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 20 17.32 22 12 45 19.48 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 42 19.49 28 28 81 18.79 0 0 0 0 0 0 0 0 0 0 0 0 2 84 4 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 15 9 37 21.39 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 23 13.33 14 23 37 10.72 0 0 0 0 0 0 0 0 0 0 0 0 2 52 0 0 1 0 0 0 0 0 1 0 0 0 0 0

3 5 5.26 6 10 22 11.58 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 13 6 26 18.84 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 15 16.39 10 9 27 14.75 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 9 7.20 13 4 28 11.20 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0

21 65 24.44 36 21 99 18.61 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0

177 526 15.49 449 407 1286 18.93 0 0 0 0 0 0 0 0 0 0 0 0 15 1385 5 0 2 0 0 0 0 0 1 0 0 0 0 0

Mengetahui, BATURAJA, MARET 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

32 130 38.58 31 45 172 25.52 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 38 12.88 50 50 202 34.24 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 1 0 0 0 0 0 0 0 0 0 0 0

2 7 2.40 46 18 159 27.27 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 51 31.48 24 19 89 27.47 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0

20 83 41.40 23 20 86 21.45 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 42 14.56 20 27 96 16.64 0 0 0 0 0 0 0 0 0 0 0 0 8 127 1 0 1 0 0 0 0 0 0 0 0 0 0 0

6 31 10.93 46 37 162 28.57 0 0 0 0 0 0 0 0 0 0 0 0 6 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 48 26.52 27 33 123 33.98 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 24 19.92 18 16 60 24.90 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 24 20.78 12 11 56 24.24 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 55 25.52 28 24 105 24.36 0 0 0 0 0 0 0 0 0 0 0 0 3 108 4 0 0 0 0 0 0 0 0 0 0 0 0 0

4 4 4.62 9 11 48 27.75 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 31 17.97 23 25 62 17.97 0 0 0 0 0 0 0 0 0 0 0 0 3 91 1 0 2 0 0 0 0 0 1 0 1 0 0 0

2 7 7.37 10 33 55 28.95 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 6 10 36 26.09 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 17 18.58 9 13 40 21.86 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 9 7.20 4 4 32 12.80 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0

28 93 34.96 21 39 138 25.94 0 0 0 0 0 0 0 0 0 0 0 0 0 152 3 0 0 0 0 0 0 0 0 0 0 0 0 0

168 694 20.44 407 435 1721 25.34 0 0 0 0 0 0 0 0 0 0 0 0 20 1849 9 0 4 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, APRIL 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

22 152 45.10 45 35 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 47 15.93 50 50 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

3 10 3.43 18 43 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 61 37.65 19 19 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

26 109 54.36 20 26 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 53 18.37 27 25 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

6 37 13.05 37 40 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

18 66 36.46 33 34 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 27 22.41 16 15 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 27 23.38 11 18 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 68 31.55 24 28 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

1 5 5.78 11 15 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 39 22.61 25 25 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

20 27 28.42 33 18 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0.00 10 12 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 17 18.58 13 11 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 11 8.80 4 9 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

41 134 50.38 39 41 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

196 890 26.21 435 464 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, MEI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 35 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 50 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 43 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 19 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 26 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 25 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 40 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 34 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 15 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 18 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 28 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 15 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 25 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 18 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 12 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 11 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 9 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 41 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 464 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, JUNI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, JULI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, AGUSTUS 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, SEPTEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, OKTOBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, NOPEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 3

JUMLAH KEMATIAN IBU MATERNAL (ABS) SEBAB KEMATIAN (ABS)


JML KEMATIAN
ASI EKSKLUSIF IMD
JML JML NEONATAL
SEBAB KEMATIAN JML BBLR ASFIKSIA TN INFEKSI MSLH LAKTASI
LAHIR LAHIR JML TN
BBLR
HIDUP MATI (ABS)
Kum Kum PERDARAHAN HDK INFEKSI GG PDRN DRH GG MTABOLIK LAIN-LAIN (ABS)
(ABS) (ABS)
Bln Ini Bln Lalu Bln Ini 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR 0-7 HR 8-28 HR
Abs % Abs % FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH FSLT RMH

152 45.10 0 207 30.71 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0

47 15.93 0 252 42.71 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 1 0 0 0 0 0 0 0 0 0 0 0

10 3.43 0 202 34.65 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 37.65 0 108 33.33 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0

109 54.36 0 112 27.93 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0

53 18.37 0 121 20.97 0 0 0 0 0 0 0 0 0 0 0 0 8 168 1 0 1 0 0 0 0 0 0 0 0 0 0 0

37 13.05 0 202 35.63 0 0 0 0 0 0 0 0 0 0 0 0 6 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0

66 36.46 0 157 43.37 0 0 0 0 0 0 0 0 0 0 0 0 3 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 22.41 0 75 31.12 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 23.38 0 74 32.03 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0

68 31.55 0 133 30.86 0 0 0 0 0 0 0 0 0 0 0 0 6 140 4 0 1 0 0 0 0 0 0 0 0 0 0 0

5 5.78 0 63 36.42 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 22.61 0 87 25.22 0 0 0 0 0 0 0 0 0 0 0 0 3 126 1 0 2 0 0 0 0 0 1 0 1 0 0 0

27 28.42 0 73 38.42 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0.00 0 48 34.78 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 18.58 0 51 27.87 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 8.80 0 41 16.40 0 1 0 0 0 0 0 0 0 0 0 0 0 47 1 0 2 0 0 0 0 0 0 0 0 0 0 0

134 50.38 0 179 33.65 0 0 0 0 0 0 0 0 0 0 0 0 0 196 3 0 0 0 0 0 0 0 0 0 0 0 0 0

0 890 26.21 0 0 2185 32.17 0 1 0 0 0 0 0 0 0 0 0 0 26 2361 10 0 7 0 0 0 0 0 1 0 1 0 0 0

Mengetahui, BATURAJA, DESEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program Kesehatan Ibu

(............................) (.................................)
NIP. ............................... NIP. .........................................
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil, bersalin& nifas Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 3 3 0.41 0 0 0 0.00 0 0 0

0 0 0 11 11 1.72 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 10 10 1.60 0 0 0 0.00 0 1 1

0 0 0 16 16 2.59 0 0 0 0.00 0 0 0

0 0 0 10 10 2.54 0 0 0 0.00 0 0 0

0 0 0 24 24 9.16 0 0 0 0.00 0 0 0

0 0 0 6 6 2.39 0 0 0 0.00 0 0 0

0 0 0 6 6 1.28 0 0 0 0.00 0 0 0

0 0 0 2 2 1.06 0 0 0 0.00 0 0 0

0 0 0 5 5 1.34 0 0 0 0.00 0 0 0

0 0 0 2 2 0.97 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 8 8 4.04 0 0 0 0.00 0 0 0

0 0 0 13 13 4.81 0 0 0 0.00 0 0 0

0 0 0 25 25 4.33 0 0 0 0.00 0 0 0

0 0 0 141 141 1.91 0 0 0 0.00 0 1 1

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil, bersalin& nifas Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 3 1 4 0.55 0 0 0 0.00 0 0 0

0 0 11 12 23 3.59 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 2 2 0.46 0 0 0 0.00 0 0 0

0 0 10 3 13 2.08 0 0 0 0.00 0 0 1

0 0 16 10 26 4.21 0 0 0 0.00 0 0 0

0 0 10 6 16 4.06 0 0 0 0.00 0 0 0

0 0 24 5 29 11.07 0 0 0 0.00 0 0 0

0 0 6 12 18 7.17 0 0 0 0.00 0 0 0

0 0 6 0 6 1.28 0 0 0 0.00 0 0 0

0 0 2 0 2 1.06 0 0 0 0.00 0 0 0

0 0 5 0 5 1.34 0 0 0 0.00 0 0 0

0 0 2 1 3 1.46 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 8 7 15 7.58 0 0 0 0.00 0 0 0

0 0 13 7 20 7.41 0 0 0 0.00 0 0 0

0 0 25 24 49 8.49 0 0 0 0.00 0 0 0

0 0 141 90 231 3.13 0 0 0 0.00 0 0 1

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil, bersalin& nifas Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 1 0 4 0.55 0 0 0 0.00 0 0 0

1 0 12 15 38 5.94 0 1 1 0.16 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 2 2 4 0.92 0 0 0 0.00 0 0 0

0 0 3 10 23 3.67 0 0 0 0.00 0 0 1

0 0 10 4 30 4.86 0 0 0 0.00 0 0 0

0 0 6 0 16 4.06 0 0 0 0.00 0 0 0

0 0 5 4 33 12.60 0 0 0 0.00 0 0 0

0 0 12 12 30 11.95 0 0 0 0.00 0 0 0

0 0 0 4 10 2.13 0 0 0 0.00 0 0 0

0 0 0 0 2 1.06 0 0 0 0.00 0 0 0

0 0 0 0 5 1.34 0 0 0 0.00 0 0 0 0.802139 0 0 0


0 0 1 0 3 1.46 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 7 5 20 10.10 0 0 0 0.00 0 0 0

0 0 7 2 22 8.15 0 0 0 0.00 0 0 0

0 0 24 32 81 14.04 0 0 0 0.00 0 0 0

1 0 90 90 321 4.35 0 1 1 0.01 0 0 1

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 0 4 0.55 0 0 0 0.00 0 0 0

1 0 15 20 58 9.06 1 0 1 0.16 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 2 13 17 3.91 0 0 0 0.00 0 0 0

1 0 10 14 37 5.91 0 0 0 0.00 0 0 1

0 0 4 5 35 5.67 0 0 0 0.00 0 0 0

0 0 0 0 16 4.06 0 0 0 0.00 0 0 0

0 0 4 2 35 13.36 0 0 0 0.00 0 0 0

0 0 12 3 33 13.15 0 0 0 0.00 0 0 0

0 0 4 7 17 3.62 0 0 0 0.00 0 0 0

0 0 0 0 2 1.06 0 0 0 0.00 0 0 0

0 0 0 0 5 1.34 0 0 0 0.00 0 0 0

0 0 0 0 3 1.46 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 5 4 24 12.12 0 0 0 0.00 0 0 0

0 0 2 2 24 8.89 0 0 0 0.00 0 0 0

0 0 32 19 100 17.33 0 0 0 0.00 0 0 0

2 0 90 89 410 5.56 1 0 1 0.01 0 0 1

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 0 4 0.55 0 0 0 0.00 0 0 0

1 0 20 21 79 12.34 0 0 1 0.16 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 13 16 33 7.59 0 0 0 0.00 0 0 0

1 0 14 21 58 9.27 0 0 0 0.00 0 0 1

0 0 5 4 39 6.32 0 0 0 0.00 0 0 0

0 0 0 0 16 4.06 0 0 0 0.00 0 3 3

0 0 2 0 35 13.36 0 0 0 0.00 0 0 0

0 0 3 3 36 14.34 0 0 0 0.00 0 0 0

1 0 7 9 26 5.54 0 0 0 0.00 0 0 0

0 0 0 0 2 1.06 0 0 0 0.00 0 0 0

0 0 0 0 5 1.34 0 0 0 0.00 0 0 0

0 0 0 0 3 1.46 0 0 0 0.00 0 0 0

0 0 0 0 0 0.00 0 0 0 0.00 0 0 0

0 0 4 9 33 16.67 0 0 0 0.00 0 0 0

2 0 2 6 30 11.11 0 0 0 0.00 0 0 0

0 0 19 37 137 23.74 0 0 0 0.00 0 0 0

5 0 89 126 536 7.27 0 0 1 0.01 0 3 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 21 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 16 33 7.59 0 0 0.00 0 0

1 0 21 58 9.27 0 0 0.00 0 1

0 0 4 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 3 36 14.34 0 0 0.00 0 0

1 0 9 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 9 33 16.67 0 0 0.00 0 0

2 0 6 30 11.11 0 0 0.00 0 0

0 0 37 137 23.74 0 0 0.00 0 0

5 0 126 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
LEMBAR 4

Ibu Hamil Sudah Di Vaksin Covit Ibu Hamil Positif Covit Ibu Hamil dgn PRE-Eklamsi

LAIN2 KUM KUM KUM


BLN
BLN INI BLN LALU BLN INI BLN LALU BLN INI
LALU
0-7 HR 8-28 HR ABS % ABS % ABS

0 0 0 4 0.55 0 0 0.00 0 0

1 0 0 79 12.34 0 1 0.16 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 7.59 0 0 0.00 0 0

1 0 0 58 9.27 0 0 0.00 0 1

0 0 0 39 6.32 0 0 0.00 0 0

0 0 0 16 4.06 0 0 0.00 0 3

0 0 0 35 13.36 0 0 0.00 0 0

0 0 0 36 14.34 0 0 0.00 0 0

1 0 0 26 5.54 0 0 0.00 0 0

0 0 0 2 1.06 0 0 0.00 0 0

0 0 0 5 1.34 0 0 0.00 0 0

0 0 0 3 1.46 0 0 0.00 0 0

0 0 0 0 0.00 0 0 0.00 0 0

0 0 0 33 16.67 0 0 0.00 0 0

2 0 0 30 11.11 0 0 0.00 0 0

0 0 0 137 23.74 0 0 0.00 0 0

5 0 0 0 536 7.27 0 0 1 0.01 0 0 4

2021
FORM 1 (ANC)

KABUPATEN : OKU
BULAN : JANUARI
TAHUN :2022

MPUNYAI BK. KIA K1 Akses K1 Murni K2 K3 K4


JLH JML IBU
N0 PUSKESMAS
PENDUDUK HAMIL
ABS % ABS % ABS % ABS % ABS % ABS %

1 Tj. Agung 37780 730 28 3.84 9 1.23 19 2.60 30 4.11 18 2.47 28 3.84

2 Sukaraya 33157 640 55 8.59 7 1.09 48 7.50 55 8.59 49 7.66 49 7.66

3 Kemalaraja 32777 634 101 15.93 52 8.20 49 7.73 51 8.04 48 7.57 44 6.94

4 Sekar Jaya 18221 352 48 13.64 37 10.51 11 3.13 37 10.51 15 4.26 11 3.13

5 Tj. Baru 22533 435 24 5.52 5 1.15 19 4.37 24 5.52 24 5.52 24 5.52

6 Batumarta II 32392 626 48 7.67 12 1.92 36 5.75 47 7.51 30 4.79 35 5.59

7 Lubuk Batang 31932 617 48 7.78 17 2.76 31 5.02 12 1.94 64 10.37 40 6.48

8 Peninjauan 20412 394 36 9.14 - 0.00 36 9.14 34 8.63 31 7.87 30 7.61

9 Lubuk Rukam 13568 262 21 8.02 8 3.05 13 4.96 14 5.34 23 8.78 14 5.34

10 Kedaton 12978 251 25 9.96 - 0.00 25 9.96 25 9.96 21 8.37 17 6.77

11 Karya Mukti 24269 469 42 8.96 - 0.00 42 8.96 20 4.26 23 4.90 25 5.33

12 Pengaringan 9724 188 22 11.70 5 2.66 17 9.04 22 11.70 22 11.70 0 0.00

13 Ulak Pandan 19395 374 32 8.56 16 4.28 16 4.28 20 5.35 20 5.35 3 0.80

14 Pengandonan 10685 206 33 16.02 25 12.14 8 3.88 17 8.25 4 1.94 3 1.46

15 Muara Jaya 7796 151 11 7.28 - 0.00 11 7.28 11 7.28 11 7.28 11 7.28

16 Mendingin 10254 198 14 7.07 8 4.04 6 3.03 4 2.02 20 10.10 9 4.55

17 Penyandingan 13983 270 45 16.67 37 13.70 8 2.96 6 2.22 8 2.96 7 2.59

18 Tj. Lengkayap 29885 577 41 7.11 3 0.52 38 6.59 31 5.37 23 3.99 26 4.51

JUMLAH 381,741 7,374 674 9.14 241 3.27 433 5.87 460 6.24 454 6.16 376 5.10

Mengetahui Kepala Puskesmas

Nama
NIP.
K5 K6 TT 1 TT2+ Fe 1 Fe3 DETEKSI RISIKO (ABS
T2 T3 T4 T5
ABS % ABS % ABS % ABS % ABS % ABS % NAKES %

22 3.01 22 3.01 2 0.27 11 12 5 4 32 4.38 47 6.44 38 5.21 9 6.16

48 7.50 48 7.50 0 0.00 6 19 20 11 56 8.75 56 8.75 48 7.50 8 6.25

44 6.94 44 6.94 0 0.00 0 0 26 23 49 7.73 49 7.73 44 6.94 3 2.37

3 0.85 3 0.85 1 0.28 4 11 8 9 32 9.09 37 10.51 8 2.27 9 12.78

24 5.52 29 6.67 0 0.00 0 17 19 14 50 11.49 29 6.67 24 5.52 0 0.00

29 4.63 28 4.47 0 0.00 4 8 18 12 42 6.71 38 6.07 28 4.47 7 5.59

22 3.57 22 3.57 0 0.00 3 16 18 11 48 7.78 48 7.78 21 3.40 11 8.91

29 7.36 27 6.85 0 0.00 0 2 13 21 36 9.14 36 9.14 30 7.61 2 2.54

17 6.49 11 4.20 0 0.00 4 5 4 4 17 6.49 21 8.02 15 5.73 11 20.99

14 5.58 14 5.58 0 0.00 0 0 9 16 25 9.96 25 9.96 15 5.98 3 5.98

18 3.84 25 5.33 0 0.00 2 15 8 17 42 8.96 42 8.96 36 7.68 12 12.79

0 0.00 0 0.00 0 0.00 0 5 10 7 22 11.70 22 11.70 0 0.00 3 7.98

0 0.00 19 5.08 0 0.00 17 17 45 0 79 21.12 21 5.61 0 0.00 19 25.40

4 1.94 3 1.46 2 0.97 6 9 10 3 28 13.59 20 9.71 4 1.94 5 12.14

11 7.28 11 7.28 0 0.00 0 0 4 6 10 6.62 11 7.28 11 7.28 4 13.25

7 3.54 10 5.05 3 1.52 7 2 2 3 14 7.07 8 4.04 9 4.55 1 2.53

8 2.96 8 2.96 0 0.00 0 9 15 10 0.00 15 5.56 9 3.33 10 18.52

23 3.99 24 4.16 0 0.00 10 21 9 1 41 7.11 41 7.11 37 6.41 20 17.33

323 4.38 348 4.72 8 0.11 74 168 243 172 623 8.45 566 7.68 377 5.11 137 9.29

Baturaja,
Pengelola Pro
DETEKSI RISIKO (ABS) RUJUKAN KASUS RESTI (ABS)

MASY. % MAT % NEO %

0 0.00 0 0.00 0 0.00

0 0.00 1 0.78 1 1.13

0 0.00 0 0.00 0 0.00

0 0.00 2 2.84 1 2.06

0 0.00 0 0.00 0 0.00

0 0.00 4 3.19 0 0.00

0 0.00 4 3.24 1 1.18

0 0.00 1 1.27 0 0.00

0 0.00 0 0.00 0 0.00

0 0.00 0 0.00 0 0.00

0 0.00 5 5.33 2 3.09

0 0.00 0 0.00 0 0.00

0 0.00 19 25.40 0 0.00

0 0.00 0 0.00 0 0.00

0 0.00 0 0.00 0 0.00

0 0.00 0 0.00 0 0.00

0 0.00 1 1.85 0 0.00

0 0.00 1 0.87 0 0.00

- 0.00 38 2.58 5 0.49

Baturaja, 2021
Pengelola Program

Nama
NIP.
FORM 2 (PERSALINAN DAN NIFAS)
KABUPATEN : OKU
BULAN : JANUARI
TAHUN : 2022

CAK. PENANGANAN
PERSALINAN NAKES PERSALINAN NON KOMP VITAMIN A NIFAS
JML IBU JML IBU NAKES
NO Puskesmas JML BAYI
HAMIL BERSALIN
OBSTETRI KF1

ABS % PN % PN NON ABS % ABS % ABS % ABS


FASYANKES FASYANKES
1 Tj. Agung 730 697 674 53 7.60 53 7.60 - 0 - 1 0.684932 53 7.60 53

2 Sukaraya 640 611 590 51 8.35 51 8.35 - 0 - 3 2.34375 51 8.35 51

3 Kemalaraja 634 604 583 49 8.11 49 8.11 - 0 - 0 0 49 8.11 49

4 Sekar Jaya 352 336 324 28 8.33 28 8.33 - 0 - 5 7.102273 28 8.33 28

5 Tj. Baru 435 416 401 29 6.97 29 6.97 - 0 - 0 0 29 6.97 29

6 Batumarta II 626 597 577 40 6.70 40 6.70 - 0 - 6 4.792332 40 6.70 39

7 Lubuk Batang 617 589 567 41 6.96 41 6.96 - 0 - 6 4.862237 41 6.96 41

8 Peninjauan 394 376 362 30 7.98 30 7.98 - 0 - 3 3.807107 30 7.98 30

9 Lubuk Rukam 262 251 241 13 5.18 13 5.18 - 0 - 5 9.541985 13 5.18 13

10 Kedaton 251 239 231 11 4.60 11 4.60 - 0 - 0 0 11 4.60 11

11 Karya Mukti 469 447 431 29 6.49 29 6.49 - 0 - 5 5.33049 29 6.49 29

12 Pengaringan 188 180 173 13 7.22 13 7.22 - 0 - 3 7.978723 13 7.22 13

13 Ulak Pandan 374 358 345 0 - - - - 0 - 0 0 0 - 0

14 Pengandonan 206 196 190 6 3.06 6 3.06 - 0 - 0 0 6 3.06 6

15 Muara Jaya 151 145 138 7 4.83 7 4.83 - 0 - 5 16.55629 7 4.83 7

16 Mendingin 198 189 183 8 4.23 8 4.23 - 0 - 0 0 8 4.23 8

17 Penyandingan 270 257 250 11 4.28 11 4.28 - 0 - 4 7.407407 11 4.28 11

18 Tj. Lengkayap 577 551 532 42 7.62 29 5.26 13 0 - 10 8.665511 42 7.62 42

JUMLAH 7,374 7,039 6,792 461 6.55 448 6.36 13 - - 56 3.797125 461 6.55 460

Mengetahui Kepala Puskesmas

Nama
NIP.
CAKUPAN KUNJUNGAN NIFAS
IMD

KF1 KF2 KF3 KF4

% ABS % ABS % ABS % ABS %

7.60 53 7.60 53 7.60 52 7.46 53 7.86

8.35 51 8.35 51 8.35 42 6.87 51 8.64

8.11 49 8.11 45 7.45 47 7.78 49 8.40

8.33 26 7.74 22 6.55 12 3.57 25 7.72

6.97 29 6.97 22 5.29 21 5.05 18 4.49

6.53 39 6.53 31 5.19 20 3.35 28 4.85

6.96 40 6.79 36 6.11 12 2.04 41 7.23

7.98 28 7.45 27 7.18 25 6.65 30 8.29

5.18 13 5.18 15 5.98 10 3.98 12 4.98

4.60 11 4.60 11 4.60 8 3.35 11 4.76

6.49 29 6.49 28 6.26 28 6.26 25 5.80

7.22 13 7.22 0 - 0 - 13 7.51

- 2 0.56 16 4.47 16 4.47 0 0.00

3.06 6 3.06 4 2.04 0 - 6 3.16

4.83 7 4.83 7 4.83 12 8.28 7 5.07

4.23 8 4.23 8 4.23 8 4.23 8 4.37

4.28 9 3.50 9 3.50 7 2.72 11 4.40

7.62 42 7.62 42 7.62 42 7.62 42 7.89

6.54 455 6.46 427 6.07 362 5.14 430 6.330978

Baturaja, 2021
Pengelola Program

Nama
NIP.
FORM 3 (SUMBER DAYA)

KABUPATEN : OKU
BULAN : JANUARI
TAHUN :2022

JUMLAH PUSKESMAS

JML PKM PERAWATAN


RUMAH
NO Puskesmas JUMLAH JUMLA JUMLAH JML DESA JML PKM TUNGGU JML PKM JML PKM DG
JML DESA JUMLAH POSKESD H POSKEST MELAKSANA MELAKSA KELAHIR TOTAL MEMILIKI
MAMPU MAMPU RUANG JML PKM
POSYANDU ES POSKES REN KAN P4K NAKAN PKM DOKTER JMLH BERSALIN PKRT
TAL P4K AN UMUM GADAR PONED

1 Tj. Agung 12 36 12 - - 12 1 - 1 1 - - - - 1
2 Sukaraya 3 16 3 - - 3 1 - 1 1 - - - 1 1
3 Kemalaraja 3 23 1 - - 3 1 - 1 1 - - - 1 1
4 Sekar Jaya 4 16 4 - - 4 1 - 1 1 1 - - - 1
5 Tj. Baru 3 22 5 - - 3 1 - 1 1 - - - 1 1
6 Batumarta II 7 36 6 - 1 7 1 - 1 1 - - 1 1 1
7 Lubuk Batang 15 33 20 - 1 15 1 - 1 1 - - - - 1
8 Peninjauan 9 15 9 - - 9 1 - 1 1 2 1 2 9 1
9 Lubuk Rukam 9 10 9 - - 9 1 - 1 1 - - - 1 1
10 Kedaton 8 15 14 - - 8 1 - 1 1 - - - 1
11 Karya Mukti 6 38 5 - 1 6 1 - 1 1 3 1 1 1 1
12 Pengaringan 10 10 10 - - 10 1 1 1 1 1 1 - - 1
13 Ulak Pandan 11 12 11 - 3 11 1 - 1 1 6 2 4 - 1
14 Pengandonan 10 49 8 - - 10 1 - 1 1 1 1 1 1
15 Muara Jaya 7 21 7 - - 7 1 - 1 1 - - 1 1
16 Mendingin 7 8 7 1 - 7 1 - 1 1 - - - 1
17 Penyandingan 11 12 11 - - 11 1 - 1 1 - - - - 1
18 Tj. Lengkayap 30 22 4 0 22 30 1 1 1 1 0 0 1 1 1

JUMLAH 165 394 146 1 28 165 18 2 18 18 14 10 18 18

Ket :
Puskesmas Mampu Penanganan Kegawatdaruratan Metrnal Neonatal :
Puskesmas dengan tempat tidur (Puskesmas Rawat Inap) yang mampu melakukan penanganan kegawatdaruratan obstetri dan neonatal dasar yang siap 24 ja
Rs Mampu melakukan penanganan kasus rujukan komplikasi dan kegawatdaruratan maternal dan neonatal (gadar) :
RS yang memiliki fasilitas dan kemampuan penanganan kasus rujukan komplikasi dan kegawatdaruratan maternal dan neonatal bagi ibu hamil, bersalin, nifas
FORM 3 (SUMBER DAYA)

KABUPATEN
BULAN
TAHUN

JUMLAH PUSKESMAS RUMAH SAKIT JUMLAH FASYANKES MAMPUNYAN KB SESUAI


RS PEMERINTAH RS SWASTA STANDAR
JML DESA
JML PKM YANG JML PKM JML PKM JML RS JMLH RS
NO Puskesmas MELAKSANA MELAKSANA MAMPU MELAKSANAKAN MAMPU MAMPU JMLH RS RSU
POSKESD JML
KAN KELAS KAN KELAS PP-KtP SUPERVISI JML RSU JML RSIA JML RSU JML RSIA GADAR PONEK PPT/PKT PEMERINT PKM PUSTU
BUMIL FASILITATIF AH ES TOTAL
BUMIL

1 Tj. Agung 1 - 1 - - - - - - - - 1 - - 1
2 Sukaraya 1 3 1 1 - - - - - - - - 1 1 3 5
3 Kemalaraja 1 3 - 1 1 - 1 2 1 3 - - 1 1 - 2
4 Sekar Jaya 1 4 - 1 - - - - - - - - 1 1 2 4
5 Tj. Baru 1 12 - 1 - - - - - - - - 1 3 5 9
6 Batumarta II 1 7 - 1 - - - - - - - - 1 3 7 11
7 Lubuk Batang 1 20 1 1 - - - - - - - - 1 5 15 21
8 Peninjauan 1 9 9 1 - - - - - - - - 1 5 9 15
9 Lubuk Rukam 1 9 - 1 - - - - - - - 1 2 9 12
10 Kedaton 1 15 - 1 - - - - - - - 1 1 13 15
11 Karya Mukti 1 6 - 1 - - - - - - - - 1 4 5 10
12 Pengaringan 1 10 - 1 - - - - - - - 1 2 10 13
13 Ulak Pandan 1 11 - 1 - - - - - - - - 1 2 11 14
14 Pengandonan 1 12 - 1 - - - - - - - 1 - 10 11
15 Muara Jaya 1 7 - 1 - - - - - - - - 1 22 7 30
16 Mendingin 1 - 1 - - - - - - - - 1 - - 1
17 Penyandingan 1 11 1 1 - - - - - - - - 1 2 11 14
18 Tj. Lengkayap 1 1 1 1 0 0 0 0 0 0 0 1 1 26 29 57

JUMLAH 18 13 18 1 - 1 2 3 - 1 18 80 146 245

Ket :
Puskesmas Mampu Penanganan Kegawatdaruratan Metrnal Neonatal :
bstetri dan neonatal
Puskesmasdasar
dengan
yangtempat
siap 24 tidur
jam sehari
(Puskesmas
dan 7 hari
Rawatseminggu
Inap) yang mampu melakukan penanganan kegawatdaruratan obstetri dan neonatal dasar yang siap 24 jam se
Rs Mampu melakukan penanganan kasus rujukan komplikasi dan kegawatdaruratan maternal dan neonatal (gadar) :
an neonatal RS
bagi
yang
ibu memiliki
hamil, bersalin,
fasilitasnifas,
dan kemampuan
dan bayi barupenanganan
lahir yang siap
kasus
24rujukan
jam sehari
komplikasi
dan 7 hari
danseminggu.
kegawatdaruratan maternal dan neonatal bagi ibu hamil, bersalin, nifas, dan
FORM 3 (SUMBER DAYA)

KABUPATEN
BULAN
TAHUN

DOKTER UMU (DU) DOKTER SPESIALIS BIDAN DUKUN BERANAK

JML BIDAN JML BDD JML BDD JML


NO Puskesmas JML JML DU DI JML SpOG JML SpA JML SpAN JML TOTAL JML BIDAN JML DUKUN
DI DESA TINGGAL PUNYA
TOTAL DU PKM (OBGYN) (ANAK) (ANASTESI) BIDAN DI PKM (BDD) DI DESA BIDAN KIT DUKUN BERMITR
A

1 Tj. Agung 1 2 0 0 0 106 67 39 5 12 8 7


2 Sukaraya 14 3 - - - 33 26 7 1 2 3 3
3 Kemalaraja 15 5 - - - 22 22 - - - - -
4 Sekar Jaya - - - - - 55 25 30 - - - -
5 Tj. Baru 5 5 - - - 38 16 22 1 1 3 3
6 Batumarta II 4 3 - - - 74 32 42 28 15 16 15
7 Lubuk Batang 5 5 - - - 110 46 64 40 23 14 17
8 Peninjauan 3 3 - - - 47 26 21 19 21 9 9
9 Lubuk Rukam 3 3 - - - 40 17 23 16 2 5 5
10 Kedaton - - - - - 13 - 13 13 13 10 10
11 Karya Mukti 5 5 - - - 57 16 41 35 11 20 20
12 Pengaringan 2 2 - - - 42 30 12 10 10 3 3
13 Ulak Pandan - - - - - 27 8 19 19 19 12 11
14 Pengandonan 2 2 - - - 25 15 10 9 9 1 1
15 Muara Jaya 1 1 - - - 23 16 7 7 7 9 7
16 Mendingin - - - - - 0 - - - - - -
17 Penyandingan 1 1 - - - 39 14 25 11 11 14 4
18 Tj. Lengkayap 3 0 0 0 63 71 39 32 31 39 29

JUMLAH 64 40 - - 63 822 415 407 245 195 156 115

Ket :
Puskesmas Mampu Penanganan Kegawatdaruratan Metrnal Neonatal : Baturaja, 2021
Pengelolakegawatdaruratan
Puskesmas dengan tempat tidur (Puskesmas Rawat Inap) yang mampu melakukan penanganan Program obstetri dan neonatal dasar ya
Rs Mampu melakukan penanganan kasus rujukan komplikasi dan kegawatdaruratan maternal dan neonatal (gadar) :
Nama
RS yang memiliki fasilitas dan kemampuan penanganan kasus rujukan komplikasi dan kegawatdaruratan maternal dan neonatal bagi ibu hamil, be
NIP.
FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : JANUARI
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH < 20
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0 0 0 0 0 0 0 0
2 Sukaraya 0 0 0 0 0 0 0 0 0
3 Kemalaraja 0 0 0 0 0 0 0 0 0
4 Sekar Jaya 0 0 0 0 0 0 0 0 0
5 Tj. Baru 0 0 0 0 0 0 0 0 0
6 Batumarta II 0 0 0 0 0 0 0 0 0
7 Lubuk Batang 0 0 0 0 0 0 0 0 0
8 Peninjauan 0 0 0 0 0 0 0 0 0
9 Lubuk Rukam 0 0 0 0 0 0 0 0 0
10 Kedaton 0 0 0 0 0 0 0 0 0
11 Karya Mukti 0 0 0 0 0 0 0 0 0
12 Pengaringan 0 0 0 0 0 0 0 0 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 0 0
15 Muara Jaya 0 0 0 0 0 0 0 0 0
16 Mendingin 0 0 0 0 0 0 0 0 0
17 Penyandingan 0 0 0 0 0 0 0 0 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : FEBRUARI
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0 0 0 0 0 0 0 0
2 Sukaraya 0 0 0 0 0 0 0 0 0
3 Kemalaraja 0 0 0 0 0 0 0 0 0
4 Sekar Jaya 0 0 0 0 0 0 0 0 0
5 Tj. Baru 0 0 0 0 0 0 0 0 0
6 Batumarta II 0 0 0 0 0 0 0 0 0
7 Lubuk Batang 0 0 0 0 0 0 0 0 0
8 Peninjauan 0 0 0 0 0 0 0 0 0
9 Lubuk Rukam 0 0 0 0 0 0 0 0 0
10 Kedaton 0 0 0 0 0 0 0 0 0
11 Karya Mukti 0 0 0 0 0 0 0 0 0
12 Pengaringan 0 0 0 0 0 0 0 0 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 0 0
15 Muara Jaya 0 0 0 0 0 0 0 0 0
16 Mendingin 0 0 0 0 0 0 0 0 0
17 Penyandingan 0 0 0 0 0 0 0 0 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : MARET
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0 0 0 0 0 0 0 0
2 Sukaraya 0 0 0 0 0 0 0 0 0
3 Kemalaraja 0 0 0 0 0 0 0 0 0
4 Sekar Jaya 0 0 0 0 0 0 0 0 0
5 Tj. Baru 0 0 0 0 0 0 0 0 0
6 Batumarta II 0 0 0 0 0 0 0 0 0
7 Lubuk Batang 0 0 0 0 0 0 0 0 0
8 Peninjauan 0 0 0 0 0 0 0 0 0
9 Lubuk Rukam 0 0 0 0 0 0 0 0 0
10 Kedaton 0 0 0 0 0 0 0 0 0
11 Karya Mukti 0 0 0 0 0 0 0 0 0
12 Pengaringan 0 0 0 0 0 0 0 0 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 0 0
15 Muara Jaya 0 0 0 0 0 0 0 0 0
16 Mendingin 0 0 0 0 0 0 0 0 0
17 Penyandingan 0 0 0 0 0 0 0 0 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : APRIL
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
tahun tahun tahun JUMLAH tahun tahun tahun JUMLAH tahun
1 Tj. Agung 0 0 0 0 0 0 0 0 0
2 Sukaraya 0 0 0 0 0 0 0 0 0
3 Kemalaraja 0 0 0 0 0 0 0 0 0
4 Sekar Jaya 0 0 0 0 0 0 0 0 0
5 Tj. Baru 0 0 0 0 0 0 0 0 0
6 Batumarta II 0 0 0 0 0 0 0 0 0
7 Lubuk Batang 0 0 0 0 0 0 0 0 0
8 Peninjauan 0 0 0 0 0 0 0 0 0
9 Lubuk Rukam 0 0 0 0 0 0 0 0 0
10 Kedaton 0 0 0 0 0 0 0 0 0
11 Karya Mukti 0 0 0 0 0 0 0 0 0
12 Pengaringan 0 0 0 0 0 0 0 0 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 0 0
15 Muara Jaya 0 0 0 0 0 0 0 0 0
16 Mendingin 0 0 0 0 0 0 0 0 0
17 Penyandingan 0 0 0 0 0 0 0 0 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : MEI
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH < 20
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0 0 0 0 0 0 0 0
2 Sukaraya 0 0 0 0 0 0 0 0 0
3 Kemalaraja 0 0 0 0 0 0 0 0 0
4 Sekar Jaya 0 0 0 0 0 0 0 0 0
5 Tj. Baru 0 0 0 0 0 0 0 0 0
6 Batumarta II 0 0 0 0 0 0 0 0 0
7 Lubuk Batang 0 0 0 0 0 0 0 0 0
8 Peninjauan 0 0 0 0 0 0 0 0 0
9 Lubuk Rukam 0 0 0 0 0 0 0 0 0
10 Kedaton 0 0 0 0 0 0 0 0 0
11 Karya Mukti 0 0 0 0 0 0 0 0 0
12 Pengaringan 0 0 0 0 0 0 0 0 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 0 0
15 Muara Jaya 0 0 0 0 0 0 0 0 0
16 Mendingin 0 0 0 0 0 0 0 0 0
17 Penyandingan 0 0 0 0 0 0 0 0 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : JUNI
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH < 20
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : JULI
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : AGUSTUS
TAHUN :2022
KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
tahun tahun tahun JUMLAH tahun tahun tahun JUMLAH tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : SEPTEMBER
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : OKTOBER
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
tahun tahun tahun JUMLAH tahun tahun tahun JUMLAH tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN ; NOVEMBER
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : DESEMBER
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 < 20 20-34 ≥35 < 20
JUMLAH JUMLAH
tahun tahun tahun tahun tahun tahun tahun
1 Tj. Agung 0 0
2 Sukaraya 0 0
3 Kemalaraja 0 0
4 Sekar Jaya 0 0
5 Tj. Baru 0 0
6 Batumarta II 0 0
7 Lubuk Batang 0 0
8 Peninjauan 0 0
9 Lubuk Rukam 0 0
10 Kedaton 0 0
11 Karya Mukti 0 0
12 Pengaringan 0 0
13 Ulak Pandan 0 0
14 Pengandonan 0 0
15 Muara Jaya 0 0
16 Mendingin 0 0
17 Penyandingan 0 0
18 Tj. Lengkayap 0 0
JUMLAH 0 0 0 0 0 0 0 0 0

FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN :
TAHUN :2022

KEMATIAN IBU
JUMLAH KEMATIAN IBU HAMIL JUMLAH KEMATIAN IBU BERSALIN JUMLAH KEMAT
NO Puskesmas
< 20 20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH < 20
tahun tahun tahun tahun tahun tahun tahun
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
16 0 0 0
17 0 0 0
18 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
tahun tahun JUMLAH tahun tahun tahun 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 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program
Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.
KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
tahun tahun JUMLAH tahun tahun tahun 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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
tahun tahun JUMLAH tahun tahun tahun 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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
Baturaja, 2021
Pengelola Program

Nama
NIP.

KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 < 20 20-34 ≥35
JUMLAH JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.
KEMATIAN IBU
JUMLAH KEMATIAN IBU NIFAS JUMLAH TOTAL KEMATIAN IBU
20-34 ≥35 JUMLAH < 20 20-34 ≥35 JUMLAH
tahun tahun tahun tahun tahun
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0

Baturaja, 2021
Pengelola Program

Nama
NIP.
FORM 4 (KEMATIAN)
KABUPATEN : OKU
BULAN : JANUARI
TAHUN :2022

KEADAAN BAYI SAAT LAHI


PENYEBAB KEMATIAN IBU
LAHIR HIDUP LAHIR
TOTAL KEMATIAN
NO DESA IBU
HIPERTENSI GGN SIST PEREDARAN GGN METABOLIK
PERDARAHAN INFEKSI DARAH (JANTUNG, LAIN-LAIN L P TOTAL L
D'KEHAMILAN (DM,DLL)
STROKE,DLL)
1 Tj. Agung 0 0 0 0 0 0 0 28 25 53 0
2 Sukaraya 0 0 0 0 0 0 0 21 30 51 0
3 Kemalaraja 0 0 0 0 0 0 0 24 25 49 0
4 Sekar Jaya 0 0 0 0 0 0 0 15 13 28 0
5 Tj. Baru 0 0 0 0 0 0 0 15 14 29 0
6 Batumarta II 0 0 0 0 0 0 0 24 16 40 1
7 Lubuk Batang 0 0 0 0 0 0 0 19 22 41 0
8 Peninjauan 0 0 0 0 0 0 0 16 14 30 0
9 Lubuk Rukam 0 0 0 0 0 0 0 5 8 13 0
10 Kedaton 0 0 0 0 0 0 0 6 5 11 0
11 Karya Mukti 0 0 0 0 0 0 0 12 17 29 0
12 Pengaringan 0 0 0 0 0 0 0 8 5 13 0
13 Ulak Pandan 0 0 0 0 0 0 0 0 0 0 0
14 Pengandonan 0 0 0 0 0 0 0 4 2 6 0
15 Muara Jaya 0 0 0 0 0 0 0 5 2 7 0
16 Mendingin 0 0 0 0 0 0 0 1 7 8 0
17 Penyandingan 0 0 0 0 0 0 0 7 4 11 0
18 Tj. Lengkayap 0 0 0 0 0 0 0 23 19 42 0
JUMLAH 0 0 0 0 0 0 0 233 228 461 1

Ket:
Dinas kesehatan kab/kota yang menyelenggarakan AMP minimal 1 x setiap 3 bulan : Pen
kab/kota yang melaksanakan pengkajian kasus kematian ibu, kematian neonatal, dan lahir mati setiap 3 bulan sekali.

Kolom Dinkes Kab/Kota yang melaksanakan AMP diisi dengan jumlah pelaksanaan AMP di setiap Triwulan
KEADAAN BAYI SAAT LAHIR (ABS) DINKES KAB/KOTA MELAKSANAKAN AMP MINIMAL 1 X SETIAP 3
JUMLAH BULAN
LAHIR MATI
PUSKESMAS YG
MELAKSANAKAN
P TOTAL AMP TW I TW II TW III TW IV

0 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 1 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
- 0 1 0 0 0 0
0 1 18 0 0 0 0

Pengelola Program

Nama
NIP.
FORM 5 (ANTENATAL TERPADU)
KABUPATEN : OKU
BULAN : JANUARI
TAHUN : 2022
HB KEK Protein urin Gula Darah (GD)

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA)

Ibu Hamil HIV(+


NO Puskesmas Anemia
Diperiks Anemia Diperiksa KEK (LiLA < GD >140 Bumil
a HB (8-11 (<8 mg/dl) LiLA 23,5 cm) Diperiksa Positif (+) Diperiksa g/dl Bumil Bumil Bumil Persalina
mg/dl) Datang dg ditawarkan Bumil dites Hasil Mendap n
HIV Tes HIV
HIV(+) Tes HIV (+) at ART Pervagin
am

1 Tj. Agung 9 3 0 9 7 28 0 28 0 0 9 9 0 0 0

2 Sukaraya 7 3 16 7 - - - - - - 7 7 - - -

3 Kemalaraja 52 6 16 52 7 28 3 31 - 3 52 52 - - 1

4 Sekar Jaya 37 3 - 37 4 37 - - - - 37 37 - - -

5 Tj. Baru 5 - - 5 - 29 - 29 - - 5 5 - - -

6 Batumarta II 12 2 - 12 4 16 - 16 - - 12 12 - - -

7 Lubuk Batang 17 2 - 17 6 48 - 48 - - 17 17 - - -

8 Peninjauan 0 - - - 1 - - - - - 0 0 - - -

9 Lubuk Rukam 8 7 - 8 2 8 - 8 - - 8 8 - - -

10 Kedaton 0 2 - - 4 - - 25 - - 0 0 - - -

11 Karya Mukti 0 2 - - 9 - - 42 - - 0 0 - - -

12 Pengaringan 5 - - 5 3 22 - 22 - - 5 5 - - -

13 Ulak Pandan 16 - - 16 - - - - - - 16 16 - - -

14 Pengandonan 25 - - 25 6 - - - - - 25 25 - - -

15 Muara Jaya 0 - - - 1 11 - 11 - - 0 0 - - -

16 Mendingin 8 - - 8 - 8 - 8 - - 8 8 - - -

17 Penyandingan 37 - - 37 7 37 - - - - 37 37 - - -

18 Tj. Lengkayap 3 16 0 3 2 41 0 41 0 0 3 3 0 0 0

JUMLAH 241 46 32 241 63 313 3 309 - 3 241 241 - - 1


FORM 5 (ANTENATAL TERPADU)
KABUPATEN
BULAN
TAHUN
Integrasi Program

an Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria Dalam Kehamilan (PMDK) TB dalam Kehamilan Kecacingan dalam Kehamilan Pencegahan IMS dalam Kehamilan

Ibu Hamil HIV(+)


NO Puskesmas
Bumil Bumil Bumil Bumil Bumil Bumil Ibu Hamil Ibu Hamil Ibu Hamil
Persalinan mendapat Diperiksa Malaria mendapat diperiksa Hasil Obat** diperiksa Hasil Tes Ibu Hamil Ibu Hamil Hasil Tes IMS Ibu Hamil
Perabdomina kelambu Mikroskopis/ (+) Kina/ ACT Dahak
Dahak
Ankylostoma
Ankylostoma diobati diperiksa IMS
(+)
diobati
n (SC) RDT TB(+) (+)

1 Tj. Agung 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 Sukaraya - - - - - - - - - - - - - -

3 Kemalaraja 3 3 3 1 3 - - - - - - - - 3

4 Sekar Jaya - - - - - - - - - - - - - -

5 Tj. Baru - - - - - - - - - - - - - -

6 Batumarta II - - 12 - - - - - - - - 12 - -

7 Lubuk Batang - - - - - 48 - - 48 - - 48 - -

8 Peninjauan 2 - - - - - - - - - - 18 - -

9 Lubuk Rukam - - - - - - - - - - - 21 - -

10 Kedaton - - 25 - - - - - - - - - - -

11 Karya Mukti - - - - - - - - - - - - - -

12 Pengaringan - - - - - - - - - - - - - -

13 Ulak Pandan - - - - - - - - - - - - - -

14 Pengandonan - - - - - - - - - - - 12 - -

15 Muara Jaya - - 11 - - - - - 11 - - 11 - -

16 Mendingin - - 8 - - 8 - - 8 - - 8 - -

17 Penyandingan - - - - - - - - - - - 37 - -

18 Tj. Lengkayap 0 0 41 0 0 0 0 0 41 0 0 41 0 0

JUMLAH 5 3 100 1 3 56 - - 108 - - 208 - 3


FORM 5 (ANTENATAL TERPADU)
KABUPATEN
BULAN
TAHUN
Pelaksanaan Kelas Ibu Hamil

Pencegahan Hep B dalam Kehamilan

Jumlah Ibu Jumlah bidan


Puskesmas yang Jumlah Hamil yang Jumlah suami/ yang
NO Puskesmas Kelas Ibu keluarga yang
Ibu Hamil Ibu Hamil melaksanakan Hamil yang mengikuti melakukan
Hasil Tes Ibu Hamil kelas ibu hamil mengikuti kelas
diperiksa terbentuk kelas ibu ibu hamil kelas ibu
Hepatitis B diobati hamil hamil
Hepatitis B (+)

1 Tj. Agung 9 0 0 1 14 97 30 32

2 Sukaraya 7 - - 1 6 55 - 9

3 Kemalaraja 52 3 7 1 17 97 30 32

4 Sekar Jaya 37 - - 1 3 35 - 3

5 Tj. Baru 5 - - 1 - - - -

6 Batumarta II 12 - - 1 6 41 - 29

7 Lubuk Batang 17 - - 1 3 48 48 44

8 Peninjauan 0 - - 1 15 18 10 15

9 Lubuk Rukam 8 - - 1 8 24 6 15

10 Kedaton 0 - - 1 - - - -

11 Karya Mukti 0 - - 1 8 42 24 12

12 Pengaringan 5 - - 1 10 22 - 10

13 Ulak Pandan 16 - - 1 11 17 - 11

14 Pengandonan 25 - - 1 12 64 1 14

15 Muara Jaya 0 11 - 1 7 11 7 7

16 Mendingin 8 - - 1 8 8 7 8

17 Penyandingan 37 - - 1 16 37 - 23

18 Tj. Lengkayap 3 0 0 1 42 41 0 44

JUMLAH 241 14 7 18 186 657 163 308

Baturaja, 2021
Pengelola Program

Nama
NIP.
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : JANUARI Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 697 1720 502 110 17 39 1 3 0 0 2 60 0.93 1170 3242 175 490 80 20 71 5248 81.71 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 23 0 0 0 0 0 38 0.72
6423
2 Sukaraya 5637 611 897 170 61 16 25 2 3 0 0 9 46 0.82 1717 1487 273 222 8 5 186 3898 69.15 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

3 Kemalaraja 604 1102 606 496 35 75 5 9 0 0 11 124 2.25 1139 2347 267 176 25 1 558 4513 81.91 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 23 0 0 0 0 0 38 0.84
5510
4 Sekar Jaya 336 429 164 36 7 15 8 0 0 0 7 30 0.97 451 887 83 113 3 3 47 1587 51.23 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 13 93 1 0 0 1 6 114 7.18
3098
5 Tj. Baru 416 512 308 124 6 23 0 0 0 0 4 29 0.76 45 60 1 0 0 0 0 106 2.77 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00
3831
6 Batumarta II 597 685 525 140 11 33 1 4 0 0 4 49 0.89 1198 2258 128 861 74 47 203 4769 86.60 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 9 10 0 3 0 0 2 24 0.50
5507
7 Lubuk Batang 589 1588 1523 328 12 29 0 1 0 0 0 42 0.77 507 2150 329 964 13 1 32 3996 73.61 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00
5428
8 Peninjauan 376 314 462 61 7 23 0 0 0 0 0 30 0.86 638 1022 0 283 20 2 10 1975 56.92 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 12 24 0 0 0 0 0 36 1.82
3470
9 Lubuk Rukam 2307 251 689 554 163 3 14 2 1 0 1 21 21 0.91 142 1241 39 246 14 2 41 1725 74.79 0 0 0 0 0 0 0 0 0.00 0 3 0 0 0 0 3 6 0.35 3 14 2 1 1 0 0 21 1.22

10 Kedaton 239 261 394 394 4 13 0 3 0 0 0 20 0.91 323 987 35 251 2 0 89 1687 76.46 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 2 16 0 2 0 0 0 20 1.19
2206
11 Karya Mukti 447 962 571 224 5 27 0 0 0 0 1 32 0.78 435 1797 59 463 42 10 145 2951 71.53 1 1 0 0 0 0 0 2 0.07 0 0 0 0 0 0 0 0 0.00 2 15 0 0 0 0 1 18 0.61
4126
12 Pengaringan 1653 180 183 102 44 12 19 0 0 0 0 0 31 1.88 40 112 0 0 0 0 0 152 9.19 0 0 0 0 0 0 0 0 0.00 0 1 0 0 0 0 0 1 0.66 0 0 0 0 0 0 0 0 0.00

13 Ulak Pandan 358 1214 543 543 20 30 2 8 0 0 1 60 1.82 286 725 15 208 42 0 5 1281 38.85 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 17 2 13 0 2 0 48 3.75
3297
14 Pengandonan 196 172 51 14 2 2 0 0 0 0 1 4 0.22 210 601 35 188 18 1 41 1094 60.23 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00
1816
15 Muara Jaya 145 293 23 26 26 34 1 22 0 0 33 83 6.26 41 50 0 38 0 0 35 164 12.37 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00
1325
16 Mendingin 1743 189 189 426 240 2 5 0 0 0 0 0 7 0.40 440 807 1 91 3 0 14 1356 77.79 4 4 0 0 0 0 0 8 0.59 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

17 Penyandingan 257 1218 522 227 0 5 0 2 0 0 0 7 0.29 442 1262 57 439 26 3 61 2290 96.34 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00
2377
18 Tj. Lengkayap 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 761 2235 174 633 7 2 44 3856 75.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 1 0 1 0 0 0 2 0.05
5080
JUMLAH 64834 7039 14063 7996 3453 512 1150 24 299 0 1 96 1986 3.06 9985 23270 1671 5666 377 97 1582 42648 65.78 5 5 0 0 0 0 0 10 0.02 0 4 0 0 0 0 3 7 0.02 85 236 5 20 1 3 9 359 0.84
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : FEBRUARI Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 32 70 1 3 0 0 3 106 1.65 1177 3255 175 493 80 20 71 5271 82.07 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 26 39 0 0 0 0 0 65 1.23

2 Sukaraya 5637 611 897 170 61 28 44 5 9 1 0 16 87 1.54 1727 1510 275 230 9 5 192 3948 70.04 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 0.03

3 Kemalaraja 5510 604 1102 606 496 35 75 5 9 0 0 11 124 2.25 1139 2347 267 176 25 1 558 4513 81.91 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 23 0 0 0 0 0 38 0.84

4 Sekar Jaya 3098 336 429 164 36 7 18 6 0 1 0 9 32 1.03 459 907 83 114 3 3 49 1618 52.23 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 92 1 0 0 1 6 115 7.11

5 Tj. Baru 3831 416 512 308 124 16 8 1 2 0 0 3 27 0.70 58 173 8 33 4 4 11 291 7.60 11 1 0 0 0 0 0 12 4.12 0 0 0 0 0 0 0 0 0.00 5 4 0 0 0 0 0 9 3.09

6 Batumarta II 5507 597 685 525 140 35 71 1 8 1 0 8 116 2.11 1204 2280 128 860 74 47 205 4798 87.13 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 21 0 4 0 0 3 42 0.88

7 Lubuk Batang 5428 589 1588 1523 328 20 61 1 7 0 0 0 89 1.64 507 2164 326 946 13 1 30 3987 73.45 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

8 Peninjauan 3470 376 314 462 61 7 49 0 0 0 0 0 56 1.61 615 1051 0 283 20 2 10 1981 57.09 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 35 24 0 0 0 0 0 59 2.98

9 Lubuk Rukam 2307 251 689 554 163 5 19 2 1 2 0 1 29 1.26 144 1241 38 246 16 2 41 1728 74.92 0 0 0 0 0 0 0 0 0.00 0 6 0 0 0 0 0 6 0.35 5 19 2 1 1 0 0 28 1.62

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 322 986 35 240 2 0 89 1674 75.88 2 0 0 0 0 0 0 2 0.12 0 0 0 0 0 0 0 0 0.00 7 37 0 16 0 0 0 60 3.58

11 Karya Mukti 4126 447 962 571 224 10 43 0 0 0 0 2 53 1.28 441 1807 59 462 42 10 148 2969 71.96 1 1 0 0 0 0 0 2 0.07 1 0 0 0 0 0 0 1 0.03 4 27 0 1 0 0 1 33 1.11

12 Pengaringan 1653 180 183 102 44 20 40 0 0 0 0 0 60 3.63 78 193 0 2 0 0 1 274 16.58 0 0 0 0 0 0 0 0 0.00 0 3 0 0 0 0 0 3 1.09 0 0 0 0 0 0 0 0 0.00

13 Ulak Pandan 3297 358 1214 543 543 35 55 2 9 0 0 1 101 3.06 373 895 24 277 42 0 7 1618 49.07 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 17 2 13 0 2 0 48 2.97

14 Pengandonan 1816 196 172 51 14 2 2 0 0 0 0 1 4 0.22 203 591 36 193 18 1 47 1089 59.95 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

15 Muara Jaya 1325 145 293 23 26 40 51 1 36 0 0 33 128 9.66 62 71 0 57 0 0 54 244 18.41 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

16 Mendingin 1743 189 189 426 240 9 9 0 0 0 0 0 18 1.03 440 807 1 91 3 0 14 1356 77.79 9 9 0 0 0 0 0 18 1.33 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

17 Penyandingan 2377 257 1218 522 227 0 14 0 4 0 0 0 18 0.76 442 1259 57 438 26 3 61 2286 96.17 1 1 0 0 0 0 0 2 0.09 0 0 0 0 0 0 0 0 0.00 0 12 0 3 0 0 0 15 0.66

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 761 2235 174 633 7 2 44 3856 75.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 1 0 1 0 0 0 2 0.05

JUMLAH 64834 7039 14063 7996 3453 636 1404 27 334 5 0 90 2406 3.71 10152 23772 1686 5774 384 101 1632 43501 67.10 24 12 0 0 0 0 0 36 0.08 1 9 0 0 0 0 0 10 0.02 140 316 5 39 1 3 11 515 1.18
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : MARET Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 50 97 1 7 0 0 5 155 2.41 1189 3257 175 501 80 20 73 5295 82.44 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 33 54 0 1 0 0 0 88 1.66

2 Sukaraya 5637 611 897 170 61 45 59 6 11 1 0 24 122 2.16 1742 1532 278 234 11 5 201 4003 71.02 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 0.02

3 Kemalaraja 5510 604 1102 606 496 35 75 5 9 0 0 11 124 2.25 1139 2347 267 176 25 1 558 4513 81.91 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 23 0 0 0 0 0 38 0.84

4 Sekar Jaya 3098 336 429 164 36 8 18 5 1 0 0 9 32 1.03 465 918 83 114 3 3 47 1633 52.72 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 92 1 0 0 1 6 115 7.04

5 Tj. Baru 3831 416 512 308 124 8 13 0 5 0 0 5 26 0.68 32 321 7 128 3 4 14 509 13.29 11 1 0 0 0 0 0 12 2.36 0 0 0 0 0 0 0 0 0.00 1 3 0 1 0 0 0 5 0.98

6 Batumarta II 5507 597 685 525 140 56 121 1 15 1 0 13 194 3.52 1210 2304 128 865 74 47 205 4833 87.77 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 29 47 0 6 0 0 3 85 1.76

7 Lubuk Batang 5428 589 1588 1523 328 30 93 6 9 0 0 3 138 2.54 513 2191 328 950 13 1 33 4029 74.22 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

8 Peninjauan 3470 376 314 462 61 33 49 0 0 0 0 0 82 2.36 616 1051 0 283 20 2 10 1982 57.12 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 64 24 0 0 0 0 0 88 4.44

9 Lubuk Rukam 2307 251 689 554 163 5 25 2 1 2 0 1 35 1.52 145 1246 37 246 16 2 41 1733 75.13 0 0 0 0 0 0 0 0 0.00 0 5 1 0 0 0 0 6 0.35 5 19 2 1 1 0 0 28 1.62

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 322 982 35 243 2 0 89 1673 75.83 2 0 0 0 0 0 0 2 0.12 0 0 0 0 0 0 0 0 0.00 4 33 0 11 0 0 0 48 2.87

11 Karya Mukti 4126 447 962 571 224 15 53 0 2 0 0 1 70 1.70 440 1714 59 463 42 10 149 2877 69.73 1 1 0 0 0 0 0 2 0.07 1 0 0 0 0 0 0 1 0.03 8 33 0 1 0 0 2 44 1.53

12 Pengaringan 1653 180 183 102 44 29 63 0 0 0 0 0 92 5.57 113 266 0 6 0 0 1 386 23.35 0 0 0 0 0 0 0 0 0.00 0 3 0 0 0 0 0 3 0.78 0 0 0 0 0 0 0 0 0.00

13 Ulak Pandan 3297 358 1214 543 543 35 55 2 9 0 0 1 101 3.06 329 895 24 277 42 0 7 1574 47.74 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 17 2 13 0 2 0 48 3.05

14 Pengandonan 1816 196 172 51 14 2 2 0 0 0 0 1 4 0.22 203 591 36 193 18 1 47 1089 59.95 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

15 Muara Jaya 1325 145 293 23 26 47 58 1 44 0 0 41 150 11.32 75 84 0 71 0 0 68 298 22.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

16 Mendingin 1743 189 189 426 240 3 6 0 0 0 0 0 9 0.52 440 807 1 91 3 0 14 1356 77.79 11 17 0 0 0 0 0 28 2.06 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

17 Penyandingan 2377 257 1218 522 227 0 22 0 6 0 0 0 28 1.18 432 1258 56 424 26 3 61 2260 95.07 1 1 0 0 0 0 0 2 0.09 0 0 0 0 0 0 0 0 0.00 10 22 1 18 0 0 0 51 2.26

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 761 2235 174 633 7 2 44 3856 75.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 1 0 1 0 0 0 2 0.05

JUMLAH 64834 7039 14063 7996 3453 736 1584 31 365 4 0 117 2720 4.20 10166 23999 1688 5898 385 101 1662 43899 67.71 26 20 0 0 0 0 0 46 0.10 1 8 1 0 0 0 0 10 0.02 198 368 6 53 1 3 12 641 1.46
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : APRIL Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 70 125 1 7 0 0 6 203 3.16 1199 3268 175 500 81 20 74 5317 82.79 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 43 71 0 2 0 0 0 116 2.18

2 Sukaraya 5637 611 897 170 61 60 78 8 15 1 0 36 162 2.87 1766 1560 280 237 11 5 227 4086 72.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 0.02

3 Kemalaraja 5510 604 1102 606 496 47 90 14 19 0 0 11 170 3.09 1159 2399 272 185 25 1 569 4610 83.67 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 59 98 9 10 0 0 0 176 3.82

4 Sekar Jaya 3098 336 429 164 36 10 20 5 1 0 0 12 36 1.16 471 930 83 114 3 2 47 1650 53.27 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 92 1 0 0 1 6 115 6.97

5 Tj. Baru 3831 416 512 308 124 22 14 1 0 0 0 12 37 0.97 127 277 0 0 0 0 34 438 11.43 11 1 0 0 0 0 0 12 2.74 0 0 0 0 0 0 0 0 0.00 1 3 0 1 0 0 0 5 1.14

6 Batumarta II 5507 597 685 525 140 86 174 1 24 1 0 19 286 5.19 1227 2339 128 870 74 47 208 4893 88.86 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

7 Lubuk Batang 5428 589 1588 1523 328 198 0 0 198 23 198 0 617 11.37 513 2191 328 950 13 1 33 4029 74.22 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 64 0 0 0 0 0 0 64 1.59

8 Peninjauan 3470 376 314 462 61 33 81 0 0 0 0 0 114 3.29 616 1046 0 283 20 2 10 1977 56.97 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 64 61 0 0 0 0 0 125 6.32

9 Lubuk Rukam 2307 251 689 554 163 9 34 3 1 2 0 1 49 2.12 147 1249 38 245 16 2 41 1738 75.35 0 0 0 0 0 0 0 0 0.00 0 7 1 0 0 0 0 8 0.46 9 31 3 2 1 0 0 46 2.65

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 322 982 35 243 2 0 89 1673 75.83 2 0 0 0 0 0 0 2 0.12 0 0 0 0 0 0 0 0 0.00 4 33 0 11 0 0 0 48 2.87

11 Karya Mukti 4126 447 962 571 224 22 73 0 1 0 0 5 96 2.33 451 1830 59 462 42 10 150 3004 72.81 1 1 0 0 0 0 0 2 0.07 1 0 0 0 0 0 0 1 0.03 10 38 0 3 0 0 4 55 1.83

12 Pengaringan 1653 180 183 102 44 29 63 0 0 0 0 0 92 5.57 113 266 0 6 0 0 1 386 23.35 0 0 0 0 0 0 0 0 0.00 0 3 0 0 0 0 0 3 0.78 0 0 0 0 0 0 0 0 0.00

13 Ulak Pandan 3297 358 1214 543 543 59 85 2 8 0 0 5 154 4.67 341 802 15 208 42 0 5 1413 42.86 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 17 2 13 0 2 0 48 3.40

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 219 431 35 192 18 1 44 940 51.75 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

15 Muara Jaya 1325 145 293 23 26 62 73 1 58 0 0 55 194 14.64 96 104 0 92 0 0 89 381 28.75 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 1 13 0 2 0 0 1 17 4.46

16 Mendingin 1743 189 189 426 240 7 6 0 0 0 0 0 13 0.75 70 77 0 0 0 0 0 147 8.43 11 17 0 0 0 0 0 28 19.05 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

17 Penyandingan 2377 257 1218 522 227 2 29 0 6 0 0 0 37 1.56 431 1250 56 415 26 3 61 2242 94.32 1 1 0 0 0 0 0 2 0.09 0 0 0 0 0 0 0 0 0.00 13 34 1 25 0 0 0 73 3.26

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 761 2235 174 633 7 2 44 3856 75.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 1 0 1 0 0 0 2 0.05

JUMLAH 64834 7039 14063 7996 3453 ### 1744 38 588 27 198 165 3651 5.63 10029 23236 1678 5635 380 96 1726 42780 65.98 26 20 0 0 0 0 0 46 0.11 1 10 1 0 0 0 0 12 0.03 297 492 16 70 1 3 12 891 2.08

250
-1119
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : MEI Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 1202 3279 175 502 81 20 105 5364 83.52 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 55 84 0 3 0 0 0 142 2.65

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 1786 1585 282 238 11 5 239 4146 73.55 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 1 1 0.02

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 1156 2396 269 182 24 0 566 4593 83.36 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 56 95 6 7 0 0 0 164 3.57

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 488 905 89 115 3 2 47 1649 53.24 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 15 92 1 0 0 1 6 115 6.97

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 110 166 0 18 0 0 15 309 8.07 8 1 0 0 0 0 0 9 2.91 0 0 0 0 0 0 0 0 0.00 4 7 0 0 0 0 0 11 3.56

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 1234 2352 128 873 74 47 208 4916 89.27 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 39 67 0 6 0 0 4 116 2.36

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 536 2241 328 960 13 1 33 4112 75.75 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 13 21 0 0 0 0 0 34 0.83

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 619 1048 0 293 20 2 10 1992 57.41 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 92 76 0 8 0 0 4 180 9.04

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 147 1255 38 245 16 2 41 1744 75.61 0 0 0 0 0 0 0 0 0.00 0 8 1 0 0 0 0 9 0.52 9 35 3 3 1 0 0 51 2.92

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 322 982 35 243 2 0 89 1673 75.83 2 0 0 0 0 0 0 2 0.12 0 0 0 0 0 0 0 0 0.00 4 33 0 11 0 0 0 48 2.87

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 450 1837 60 460 42 10 152 3011 72.98 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 12 43 0 4 0 0 3 62 2.06

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 365 962 0 43 0 0 14 1384 83.72 1 1 0 0 0 0 0 2 0.14 0 13 0 0 0 0 0 13 0.94 13 105 0 0 0 0 0 118 8.53

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 363 830 15 212 42 0 5 1467 44.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 14 17 2 13 0 2 0 48 3.27

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 224 455 35 196 18 1 45 974 53.62 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 131 140 0 127 0 0 124 522 39.39 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 1 13 0 2 0 0 1 17 3.26

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 69 69 0 0 0 0 0 138 7.92 7 4 0 0 0 0 0 11 7.97 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 431 1247 56 412 26 3 61 2236 94.06 1 1 0 0 0 0 0 2 0.09 0 0 0 0 0 0 0 0 0.00 13 47 1 31 0 0 0 92 4.11

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 761 2235 174 633 7 2 44 3856 75.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0.00 0 1 0 1 0 0 0 2 0.05

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 10394 23984 1684 5752 379 95 1798 44086 68.00 19 7 0 0 0 0 0 26 0.06 0 21 1 0 0 0 0 22 0.05 340 736 13 89 1 3 19 ### 2.72
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : JUNI Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : JULI Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : AGUSTUS Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : SEPTEMBER Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : OKTOBER Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : NOPEMBER Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
PWS KB TK. KABUPATEN
TAHUN 2021

PWS KB/08
KABUPATEN : OGAN KOMERING ULU
BULAN : DESEMBER Lembar 1
PESERTA KB BARU PESERTA KB AKTIF KEGAGALAN KOMPLIKASI DROP OUT
JUMLAH
PUS ALKI
JUMLAH (Anemia/
JMLH JMLH JUMLAH

Kondom

Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant

Imp lant
NO Puskesmas PUS LILA/

Suntik

Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW

MOW
PUS BULIN PUS 4T

MOP

MOP

MOP

MOP

MOP
IUD

IUD

IUD

IUD

IUD
GAKIN Peny ∑ % ∑ % ∑ % ∑ % ∑ %

Pil

Pil

Pil

Pil

Pil
Kronis/
IMS)

1 Tj. Agung 6423 697 1720 502 110 87 149 1 10 1 0 7 248 3.86 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 55 84 0 3 0 0 0 142 ###

2 Sukaraya 5637 611 897 170 61 76 95 10 19 1 0 43 201 3.57 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 1 1 ###

3 Kemalaraja 5510 604 1102 606 496 44 87 11 16 0 0 9 158 2.87 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 56 95 6 7 0 0 0 164 ###

4 Sekar Jaya 3098 336 429 164 36 10 23 5 2 0 0 13 40 1.29 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 15 92 1 0 0 1 6 115 ###

5 Tj. Baru 3831 416 512 308 124 23 25 0 5 0 0 16 53 1.38 0 0.00 8 1 0 0 0 0 0 9 ### 0 0 0 0 0 0 0 0 ### 4 7 0 0 0 0 0 11 ###

6 Batumarta II 5507 597 685 525 140 98 202 1 34 1 0 19 336 6.10 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 39 67 0 6 0 0 4 116 ###

7 Lubuk Batang 5428 589 1588 1523 328 63 171 6 14 0 0 5 254 4.68 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 13 21 0 0 0 0 0 34 ###

8 Peninjauan 3470 376 314 462 61 36 92 0 15 0 0 0 143 4.12 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 92 76 0 8 0 0 4 180 ###

9 Lubuk Rukam 2307 251 689 554 163 11 57 3 2 2 0 1 75 3.25 0 0.00 0 0 0 0 0 0 0 0 ### 0 8 1 0 0 0 0 9 ### 9 35 3 3 1 0 0 51 ###

10 Kedaton 2206 239 261 394 394 8 36 0 3 0 0 0 47 2.13 0 0.00 2 0 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 4 33 0 11 0 0 0 48 ###

11 Karya Mukti 4126 447 962 571 224 31 76 0 0 0 0 6 107 2.59 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 12 43 0 4 0 0 3 62 ###

12 Pengaringan 1653 180 183 102 44 33 77 0 14 0 0 0 124 7.50 0 0.00 1 1 0 0 0 0 0 2 ### 0 13 0 0 0 0 0 13 ### 13 105 0 0 0 0 0 118 ###

13 Ulak Pandan 3297 358 1214 543 543 73 103 2 9 0 0 5 187 5.67 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 14 17 2 13 0 2 0 48 ###

14 Pengandonan 1816 196 172 51 14 5 24 0 4 0 0 1 33 1.82 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

15 Muara Jaya 1325 145 293 23 26 76 88 1 65 0 0 71 230 17.35 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 1 13 0 2 0 0 1 17 ###

16 Mendingin 1743 189 189 426 240 11 11 0 0 0 0 0 22 1.26 0 0.00 7 4 0 0 0 0 0 11 ### 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ###

17 Penyandingan 2377 257 1218 522 227 2 40 0 9 0 0 0 51 2.15 0 0.00 1 1 0 0 0 0 0 2 ### 0 0 0 0 0 0 0 0 ### 13 47 1 31 0 0 0 92 ###

18 Tj. Lengkayap 5080 551 1635 550 222 327 739 2 243 0 0 2 1311 25.80 0 0.00 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 ### 0 1 0 1 0 0 0 2 ###

JUMLAH 64834 7039 14063 7996 3453 ### 2095 42 464 5 0 198 3620 5.58 0 0 0 0 0 0 0 0 0.00 19 7 0 0 0 0 0 26 ### 0 21 1 0 0 0 0 22 ### 340 736 13 89 1 3 19 ### ###
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
15 35 1 3 0 0 2 56 8.03 396 909 68 170 18 9 34 1604 93.26 86 279 10 50 8 0 10 443 88.25 25 62 0 13 0 0 4 104 94.55 100 100 0 10 0 100 100 0 10 0 0 0 0 0 0

16 25 2 3 0 0 9 55 9.00 12 17 2 2 0 0 9 42 4.68 2 4 0 1 0 0 4 11 6.47 0 2 0 0 0 0 0 2 3.279 105 0 4 10 23 53 0 2 3 17 52 0 2 7 6

39 86 4 8 0 0 13 150 24.83 549 1096 87 191 18 9 60 2010 ### 98 307 23 51 8 0 14 501 82.67 26 67 1 13 0 0 4 111 22.38 570 505 16 59 124 202 153 3 21 17 368 352 13 38 107

5 14 0 0 0 5 22 46 13.69 30 44 1 19 0 0 5 99 23.08 7 6 0 2 0 0 6 21 12.80 6 6 0 0 0 5 29 46 127.8 230 180 6 14 26 103 73 0 7 5 127 107 6 7 21

6 15 0 0 0 0 0 21 5.05 45 60 0 1 0 0 0 106 20.70 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 100 1 0 45 0 100 1 0 45 0 0 0 0 0

8 9 1 1 0 0 1 20 3.35 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 815 122 10 168 360 0 50 0 30 0 815 72 10 138 360

12 30 0 1 0 0 0 43 7.30 125 357 144 366 2 0 11 1005 63.29 0 7 55 171 12 5 7 257 16.87 13 33 3 9 0 0 4 62 18.9 320 480 6 6 48 0 0 0 0 0 320 480 6 6 48

7 23 0 0 0 0 0 30 7.98 68 92 0 39 2 3 4 208 66.24 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 13 1 1 0 0 0 15 5.98 38 131 4 42 1 0 2 218 31.64 32 142 7 28 1 0 3 213 38.45 11 53 1 6 0 0 1 72 44.17 300 800 0 12 4 131 383 0 4 1 169 417 0 8 3

3 12 0 3 0 0 0 18 7.53 55 118 7 31 0 0 16 227 86.97 82 189 12 30 0 0 17 330 83.76 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 26 0 0 0 0 1 31 6.94 85 225 1 113 7 0 22 453 47.09 39 124 4 79 13 1 18 278 48.69 19 80 2 24 1 0 2 128 57.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 15 0 0 0 0 0 16 8.89 0 0 0 0 0 0 0 0 0.00 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 0 0 0 0 0 0 0 0

8 13 0 0 0 0 0 21 5.87 127 235 7 47 10 0 8 434 35.75 8 8 0 3 0 0 0 19 3.50 5 7 1 3 0 0 1 17 3.131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 3 0 0 0 0 1 6 3.06 76 157 4 12 0 0 3 252 146.51 0 3 0 6 0 0 0 9 17.65 0 1 1 0 0 0 0 2 14.29 90 150 0 0 5 11 8 0 0 3 79 142 0 0 2

0 7 0 0 0 0 0 7 4.83 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 140 140 1 0 0 140 140 1 0 0 0 0 0 0 0

2 5 0 0 0 0 0 7 3.70 37 30 0 0 0 0 0 67 35.45 22 14 0 0 0 0 0 36 8.45 36 24 0 0 0 0 0 60 25 140 140 0 0 0 140 114 0 0 0 0 26 0 0 0

0 5 0 2 0 0 0 7 2.72 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 184 59 0 16 110 52 38 0 8 44 132 21 0 8 66

9 22 0 11 0 0 0 42 7.62 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 520 473 26 50 38 520 473 26 50 38 0 0 0 0 0

137 358 9 33 0 5 49 591 8.40 1988 4215 399 1292 70 21 241 8226 58.49 568 1481 147 567 52 9 94 2918 36.49 238 559 18 105 2 5 57 984 28.5 3514 3249 70 345 783 1452 1632 33 133 170 2062 1617 37 212 613

Mengetahui, BATURAJA, JANUARI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
28 64 1 4 0 0 3 100 14.35 402 916 68 170 18 9 35 1618 94.07 86 279 10 50 8 0 10 443 88.25 25 62 0 13 0 0 4 104 94.55 100 100 0 70 0 100 100 0 70 0 0 0 0 0 0

28 44 5 9 1 0 16 103 16.86 15 31 3 6 2 0 12 69 7.69 2 6 0 1 0 0 4 13 7.65 1 2 0 0 0 0 0 3 4.918 88 62 2 21 54 52 60 2 7 18 36 2 0 14 36

39 86 4 8 0 0 13 150 24.83 549 1096 87 191 18 9 60 2010 ### 98 307 23 51 8 0 14 501 82.67 26 67 1 13 0 0 4 111 22.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 15 0 0 1 5 24 51 15.18 30 44 1 19 0 0 7 101 23.54 7 7 0 2 0 0 6 22 13.41 6 16 0 0 0 5 29 56 155.6 230 180 6 14 26 103 76 0 7 3 127 104 6 7 23

13 4 0 0 0 0 11 28 6.73 26 27 0 14 0 0 13 80 15.63 5 21 11 3 2 2 0 44 14.29 21 7 0 0 0 0 0 28 22.58 60 90 6 3 72 60 80 1 3 46 0 10 5 0 26

11 23 1 3 0 0 1 39 6.53 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 815 72 10 138 360 520 55 0 65 234 295 17 10 73 126

19 63 1 3 0 0 1 87 14.77 125 357 144 367 2 0 11 1006 63.35 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 320 480 3 6 72 270 410 1 2 72 50 70 2 4 0

7 49 0 0 0 0 0 56 14.89 71 92 0 39 2 3 4 211 67.20 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 19 1 1 0 0 0 22 8.76 38 130 4 42 1 0 2 217 31.49 32 142 7 28 1 0 3 213 38.45 11 53 1 6 0 0 1 72 44.17 144 417 0 7 3 95 264 0 2 0 49 153 0 5 3

7 32 0 5 0 0 0 44 18.41 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 37 0 0 0 0 2 48 10.74 88 229 1 93 7 0 24 442 45.95 41 114 4 82 13 1 20 275 48.16 21 82 2 24 1 0 4 134 59.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 19 0 0 0 0 0 20 11.11 0 0 0 0 0 0 0 0 0.00 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 0 0 0 0 0 0 0 0

22 32 0 1 0 0 0 55 15.36 187 314 7 54 19 0 8 589 48.52 149 241 4 30 0 0 0 424 78.08 68 116 3 16 0 0 3 206 37.94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 3 0 0 0 0 1 6 3.06 76 157 4 12 0 0 3 252 146.51 0 3 0 6 0 0 0 9 17.65 0 1 1 0 0 0 0 2 14.29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 20 0 0 0 0 0 20 13.79 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 140 140 1 0 0 140 140 1 0 0 0 0 0 0 0

9 9 0 0 0 0 0 18 9.52 25 23 0 0 0 0 0 48 25.40 14 11 0 0 0 0 0 25 5.87 23 21 0 0 0 0 0 44 18.33 140 140 0 0 0 52 75 0 0 0 88 65 0 0 0

0 14 0 4 0 0 0 18 7.00 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 222 59 0 13 94 52 36 0 5 41 170 23 0 8 53

29 32 0 18 0 0 0 79 14.34 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 520 473 26 50 38 520 473 26 50 38 0 0 0 0 0

231 565 13 56 2 5 72 944 13.41 2032 4273 400 1297 81 21 262 8366 59.49 845 2135 178 598 54 11 96 3917 48.99 312 684 20 118 2 5 61 1202 34.81 2779 2213 54 322 719 1964 1769 31 211 452 815 444 23 111 267

Mengetahui, BATURAJA, FEBRUARI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
42 96 1 7 0 0 5 151 21.66 405 923 68 170 18 9 37 1630 94.77 86 280 10 50 8 0 12 446 88.84 25 63 0 13 0 0 4 105 95.45 100 50 0 18 0 100 50 0 18 0 0 0 0 0 0

45 59 6 11 1 0 24 146 23.90 24 40 5 7 2 0 17 95 10.59 5 8 1 1 0 0 6 21 12.35 1 3 0 0 0 0 1 5 8.197 36 2 0 14 36 33 2 0 3 12 3 0 0 11 24

23 67 3 6 0 0 13 112 18.54 546 1095 105 206 18 19 124 2113 ### 103 322 23 51 8 0 12 519 85.64 37 75 11 22 0 0 4 149 30.04 101 5 5 0 0 43 5 0 0 0 58 0 5 0 0

9 13 0 0 0 5 24 51 15.18 32 44 1 19 0 0 6 102 23.78 7 7 0 2 0 0 6 22 13.41 6 16 0 0 0 5 29 56 155.6 230 180 6 14 26 78 76 0 7 5 152 104 6 7 21

5 11 0 2 0 0 4 22 5.29 174 104 0 1 0 0 0 279 54.49 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 0 0 0 0 0 0 0 0

6 18 1 2 0 0 0 27 4.52 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 295 17 10 73 126 295 17 10 39 126 0 0 0 34 0

29 95 4 7 0 0 4 139 23.60 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 350 210 7 24 0 220 110 2 12 0 130 100 5 12 0

35 49 0 0 0 0 0 84 22.34 79 108 2 49 6 3 11 258 82.17 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 25 1 1 1 0 0 29 11.55 38 129 4 42 2 0 4 219 31.79 34 154 7 33 1 0 3 232 41.88 11 53 1 6 0 0 1 72 44.17 200 140 0 10 0 147 112 0 5 0 53 28 0 5 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 48 0 2 0 0 1 62 13.87 79 230 1 93 7 0 24 434 45.11 41 128 5 78 12 1 18 283 49.56 21 82 2 24 1 0 4 134 59.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 32 0 0 0 0 0 35 19.44 0 3 0 0 0 0 0 3 1.64 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 0 0 0 0 0 0 0 0

29 41 0 0 0 0 0 70 19.55 149 257 7 47 10 0 8 478 39.37 18 20 0 3 0 0 0 41 7.55 16 20 1 3 0 0 1 41 7.551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 9 0 0 0 0 0 10 5.10 76 157 4 12 0 0 3 252 146.51 0 3 0 6 0 0 0 9 17.65 0 1 1 0 0 0 0 2 14.29 80 123 0 17 2 80 123 0 17 2 0 0 0 0 0

0 26 0 0 0 0 0 26 17.93 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 140 140 1 0 0 140 140 1 0 0 0 0 0 0 0

3 6 0 0 0 0 0 9 4.76 25 23 0 0 0 0 0 48 25.40 14 11 0 0 0 0 0 25 5.87 23 21 0 0 0 0 0 44 18.33 140 105 0 0 0 40 79 0 0 0 100 26 0 0 0

0 22 0 6 0 0 0 28 10.89 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 340 146 0 18 127 108 93 0 7 56 232 53 0 11 71

42 43 0 24 0 0 0 109 19.78 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 520 473 26 50 38 520 473 26 50 38 0 0 0 0 0

288 685 16 71 2 5 75 1142 16.22 2153 4329 422 1303 77 31 328 8643 61.46 719 1937 165 569 51 9 96 3546 44.35 250 591 28 114 2 5 60 1050 30.41 2532 1591 55 238 355 1804 1280 39 158 239 728 311 16 80 116

Mengetahui, BATURAJA, MARET 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
60 116 1 7 1 0 6 191 27.40 407 930 68 170 18 9 38 1640 95.35 86 281 10 50 8 0 12 447 89.04 25 63 0 13 0 0 4 105 95.45 100 100 0 0 0 100 100 0 0 0 0 0 0 0 0

60 78 8 15 1 0 36 198 32.41 27 44 5 7 2 0 21 106 11.82 5 10 1 2 1 0 7 26 15.29 1 5 0 0 0 0 1 7 11.48 100 80 5 20 24 45 49 2 4 12 55 31 3 16 12

23 67 3 6 0 0 13 112 18.54 546 1095 105 206 18 19 124 2113 ### 103 322 23 51 8 0 12 519 85.64 37 75 11 22 0 0 4 149 30.04 158 100 5 10 69 56 65 1 4 12 102 35 4 6 57

8 15 0 0 0 5 23 51 15.18 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 16 0 0 0 5 29 56 155.6 230 180 6 14 26 78 76 0 7 5 152 104 6 7 21

25 9 1 0 0 0 15 50 12.02 213 150 0 0 0 0 0 363 70.90 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 150 150 0 20 24 150 150 0 20 24 0 0 0 0 0

41 54 1 10 0 0 9 115 19.26 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 300 800 0 134 0 140 440 0 70 0 160 360 0 64 0

29 95 4 7 0 0 4 139 23.60 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

35 86 0 0 0 0 0 121 32.18 79 108 2 49 6 3 11 258 82.17 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 35 2 1 1 0 0 44 17.53 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 1 6 0 0 1 72 44.17 200 300 0 0 0 144 198 0 0 0 56 102 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

16 56 0 1 0 0 1 74 16.55 87 229 1 93 7 0 24 441 45.84 41 128 5 78 12 1 18 283 49.56 21 82 2 24 1 0 4 134 59.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 32 0 0 0 0 0 35 19.44 0 3 0 0 0 0 0 3 1.64 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

48 62 0 0 0 0 0 110 30.73 163 282 7 47 10 0 8 517 42.59 19 31 0 3 0 0 0 53 9.76 23 28 1 3 0 0 1 56 10.31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 25 0 4 0 0 0 33 16.84 9 19 4 11 0 0 3 46 26.74 0 2 0 4 0 0 0 6 11.76 0 1 0 0 0 0 0 1 7.143 5 24 0 4 0 5 24 0 4 0 0 0 0 0 0

10 26 0 0 0 0 0 36 24.83 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 140 140 1 0 0 140 140 1 0 0 0 0 0 0 0

7 6 0 0 0 0 0 13 6.88 23 20 0 0 0 0 0 43 22.75 16 16 0 0 0 0 0 32 7.51 23 19 0 0 0 0 0 42 17.5 140 105 0 0 0 70 77 0 0 0 70 28 0 0 0

2 29 0 6 0 0 0 37 14.40 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 340 146 0 18 127 108 93 0 7 56 232 53 0 11 71

57 52 0 45 0 0 0 154 27.95 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 520 473 26 50 38 520 473 26 50 38 0 0 0 0 0

437 868 20 105 3 5 107 1545 21.95 2150 4268 422 1300 77 31 334 8582 61.03 724 1956 165 568 52 9 99 3573 44.68 257 599 27 114 2 5 60 1064 30.81 2383 2598 43 270 308 1556 1885 30 166 147 827 713 13 104 161

Mengetahui, BATURAJA, APRIL 2021


Kepala UPTD Puskesmas.................................. 27 Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 125 140 0 0 0 125 140 0 0 0 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 55 31 3 16 12 19 26 2 4 7 36 5 1 12 5

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 156 97 3 8 67 54 62 0 2 11 102 35 3 6 56

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 230 180 6 14 26 78 76 0 7 5 152 104 6 7 21

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 150 150 0 20 24 150 150 0 20 24 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 155 340 0 64 0 80 180 0 33 0 75 160 0 31 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 430 278 15 86 48 300 150 4 75 0 130 128 11 11 48

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 200 600 0 40 0 165 403 0 15 0 35 197 0 25 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 240 240 0 12 0 240 240 0 12 0 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 140 140 1 0 0 140 140 1 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 105 105 0 0 0 69 69 0 0 0 36 36 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 272 335 0 24 126 85 105 0 9 56 187 230 0 15 70

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 520 473 26 50 38 520 473 26 50 38 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 2778 3109 54 334 341 2025 2214 33 227 141 753 895 21 107 200

Mengetahui, BATURAJA, MEI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, JUNI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, JULI 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, AGUSTUS 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, SEPTEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, OKTOBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, NOPEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
Lembar 2
PESERTA KB PASCA PERSALINAN PESERTA KB AKTIF GAKIN PESERTA KB AKTIF 4T PESERTA KB AKTIF ALKI PEMANTAUAN PERSEDIAAN ALAT KONTRASEPSI
Penerimaan Pengeluaran Sisa
Kondom

Kondom

Kondom

Kondom
Imp lant

Imp lant

Imp lant

Imp lant
Suntik

Suntik

Suntik

Suntik
MOW

MOW

MOW

MOW
MOP

MOP

MOP

MOP

Kondom

Kondom

Kondom
IUD

IUD

IUD

IUD

Imp lant

Imp lant

Imp lant
∑ % ∑ % ∑ % ∑ %
Pil

Pil

Pil

Pil

Suntik

Suntik

Suntik
IUD

IUD

IUD
Pil

Pil

Pil
70 138 1 7 1 0 7 224 32.14 410 936 68 170 18 9 39 1650 95.93 87 281 10 50 8 0 12 448 89.24 25 63 0 13 0 0 4 105 95.45 0 0 0 0 0

76 95 10 19 1 0 43 244 39.93 29 49 5 7 2 0 26 118 13.15 6 11 1 3 1 0 8 30 17.65 1 6 0 1 0 0 1 9 14.75 0 0 0 0 0

21 64 0 3 0 0 11 99 16.39 543 1092 102 203 17 17 121 2095 ### 100 319 21 49 7 0 10 506 83.50 34 72 10 20 0 0 3 139 28.02 0 0 0 0 0

10 14 0 1 0 5 24 54 16.07 32 43 1 19 0 0 7 102 23.78 7 7 0 2 0 0 6 22 13.41 6 6 0 0 0 5 29 46 127.8 0 0 0 0 0

25 3 0 0 0 0 4 32 7.69 84 80 0 0 0 0 27 191 37.30 47 27 22 0 0 0 0 96 31.17 25 11 1 3 0 0 0 40 32.26 0 0 0 0 0

47 75 1 13 0 0 10 146 24.46 1 3 0 0 0 0 0 4 0.58 1 3 0 0 0 0 0 4 0.76 0 2 0 0 0 0 0 2 1.429 0 0 0 0 0

53 159 4 10 0 0 4 230 39.05 126 359 144 367 2 0 11 1009 63.54 137 422 71 171 12 5 7 825 54.17 13 33 3 9 0 0 4 62 18.9 0 0 0 0 0

38 86 0 15 0 0 0 139 36.97 55 93 2 41 6 3 7 207 65.92 79 108 2 49 6 3 11 258 55.84 9 14 1 11 0 0 0 35 57.38 0 0 0 0 0

7 53 2 1 1 0 0 64 25.50 38 129 4 41 2 0 4 218 31.64 36 155 7 33 1 0 5 237 42.78 11 53 2 6 0 0 1 73 44.79 0 0 0 0 0

4 25 0 3 0 0 0 32 13.39 55 113 7 31 0 0 16 222 85.06 82 184 12 28 0 0 17 323 81.98 74 178 7 19 0 0 11 289 73.35 0 0 0 0 0

15 65 0 1 0 0 1 82 18.34 89 230 1 93 7 0 24 444 46.15 41 117 5 78 12 1 18 272 47.64 21 83 2 24 1 0 4 135 60.27 0 0 0 0 0

8 54 0 0 0 0 0 62 34.44 2 21 0 4 0 0 2 29 15.85 6 20 0 0 0 0 2 28 27.45 6 5 0 0 0 0 2 13 29.55 0 0 0 0 0

74 77 0 0 0 0 0 151 42.18 174 293 7 47 10 0 8 539 44.40 23 32 0 3 0 0 0 58 10.68 23 27 1 3 0 0 1 55 10.13 0 0 0 0 0

4 11 0 3 0 0 0 18 9.18 41 43 4 19 0 0 3 110 63.95 10 23 0 11 0 0 0 44 86.27 0 1 0 0 0 0 0 1 7.143 0 0 0 0 0

17 31 0 0 0 0 0 48 33.10 21 32 0 23 0 0 28 104 35.49 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 4 0 0 0 0 0 11 5.82 19 17 0 0 0 0 0 36 19.05 13 15 0 0 0 0 0 28 6.57 22 19 0 0 0 0 0 41 17.08 0 0 0 0 0

2 40 0 9 0 0 0 51 19.84 224 531 42 144 12 0 32 985 80.87 74 183 6 28 2 0 4 297 56.90 14 30 1 7 1 0 1 54 23.79 0 0 0 0 0

74 69 0 51 0 0 0 194 35.21 99 178 32 92 0 0 7 408 24.95 38 104 28 69 2 0 0 241 43.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0

552 ### 18 136 3 5 104 1881 26.72 2042 4242 419 1301 76 29 362 8471 60.24 787 2011 185 574 51 9 100 3717 46.49 284 603 28 116 2 5 61 1099 31.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui, BATURAJA, DESEMBER 2021


Kepala UPTD Puskesmas.................................. Pengelola Program KB

(.........................................................) (...................................................)
NIP. NIP.
FORM 6 (KB)
PROVINSI : SUMATERA SELATAN
BULAN : JANUARI
TAHUN : 2022

SASARAN

KB AKTIF KB PASCA PERSALINAN PUS 4T ber-KB KOMPLIKASI


NO Puskesmas JUMLAH JUMLAH
JUMLAH PUS BULIN PUS 4T
Abs % Abs % Abs % Abs %

1 Tj. Agung 6423 697 502 5248 81.7 56 0.9 443 88.2 0 0.0
2 Sukaraya 5637 611 170 3898 69.2 55 1.0 11 6.5 0 0.0
3 Kemalaraja 5510 604 606 4513 81.9 150 2.7 501 82.7 0 0.0
4 Sekar Jaya 3098 336 164 1587 51.2 46 1.5 21 12.8 0 0.0
5 Tj. Baru 3831 416 308 106 2.8 21 0.5 0 0.0 0 0.0
6 Batumarta II 5507 597 525 4769 86.6 20 0.4 4 0.8 0 0.0
7 Lubuk Batang 5428 589 1,523 3996 73.6 43 0.8 257 16.9 0 0.0
8 Peninjauan 3470 376 462 1975 56.9 30 0.9 258 55.8 0 0.0
9 Lubuk Rukam 2307 251 554 1725 74.8 15 0.7 213 38.4 6 0.3
10 Kedaton 2206 239 394 1687 76.5 18 0.8 330 83.8 0 0.0
11 Karya Mukti 4126 447 571 2951 71.5 31 0.8 278 48.7 0 0.0
12 Pengaringan 1653 180 102 152 9.2 16 1.0 0 0.0 1 0.7
13 Ulak Pandan 3297 358 543 1281 38.9 21 0.6 19 3.5 0 0.0
14 Pengandonan 1816 196 51 1094 60.2 6 0.3 9 17.6 0 0.0
15 Muara Jaya 1325 145 23 164 12.4 7 0.5 0 0.0 0 0.0
16 Mendingin 1743 189 426 1356 77.8 7 0.4 36 8.5 0 0.0
17 Penyandingan 2377 257 522 2290 96.3 7 0.3 297 56.9 0 0.0
18 Tj. Lengkayap 5080 551 550 3856 75.9 42 0.8 241 43.8 0 0.0

JUMLAH 64,834 7,039 7,996 42,648 65.8 591 0.9 2,918 36.5 7 0.0

Baturaja
KEGAGALAN DROP OUT

Abs % Abs %

0 0.0 38 0.7
0 0.0 0 0.0
0 0.0 38 0.8
0 0.0 114 7.2
0 0.0 0 0.0
0 0.0 24 0.5
0 0.0 0 0.0
0 0.0 36 1.8
0 0.0 21 1.2
0 0.0 20 1.2
2 0.1 18 0.6
0 0.0 0 0.0
0 0.0 48 3.7
0 0.0 0 0.0
0 0.0 0 0.0
8 0.6 0 0.0
0 0.0 0 0.0
0 0.0 2 0.1

10 0.0 359 0.8

Baturaja, 2021
Pengelola ProgramPalembang, DESEMBER 2016
Kepala Seksi Bindal Kesdas

Nama
NIP. dr. Lisa Marniyati
FORM 6 (KB)
PROVINSI : SUMATERA SELATAN
BULAN : JANUARI
TAHUN : 2022

JML PESERTA KB AKTIF CARA MODERN

KONDOM

KONDOM
IMPLAN
NO Puskesmas JUMLAH PUS

SUNTIK

MOW
AKDR

MOP
PIL
%

%
1 Tj. Agung 6,423 71 1.11 1170 18.22 3242 50.48 175 2.72 490 7.63 80 1.25 20 0.31 2

2 Sukaraya 5,637 186 3.30 1717 30.46 1487 26.38 273 4.84 222 3.94 8 0.14 5 0.09 9

3 Kemalaraja 5,510 558 10.13 1139 20.67 2347 42.60 267 4.85 176 3.19 25 0.45 1 0.02 13

4 Sekar Jaya 3,098 47 1.52 451 14.56 887 28.64 83 2.68 113 3.65 3 0.10 3 0.10 22

5 Tj. Baru 3,831 0 0.00 45 1.17 60 1.57 1 0.03 0 0.00 0 0.00 0 0.00 0

6 Batumarta II 5,507 203 3.69 1198 21.76 2258 41.01 128 2.32 861 15.64 74 1.34 47 0.85 1

7 Lubuk Batang 5,428 32 0.59 507 9.34 2150 39.61 329 6.06 964 17.76 13 0.24 1 0.02 0

8 Peninjauan 3,470 10 0.29 638 18.39 1022 29.45 0 0.00 283 8.16 20 0.58 2 0.06 0

9 Lubuk Rukam 2,307 41 1.78 142 6.16 1241 53.80 39 1.69 246 10.67 14 0.61 2 0.09 0

10 Kedaton 2,206 89 4.03 323 14.64 987 44.74 35 1.59 251 11.38 2 0.09 0 0.00 0

11 Karya Mukti 4,126 145 3.51 435 10.54 1797 43.56 59 1.43 463 11.22 42 1.02 10 0.24 1

12 Pengaringan 1,653 0 0.00 40 2.42 112 6.78 0 0.00 0 0.00 0 0.00 0 0.00 0

13 Ulak Pandan 3,297 5 0.15 286 8.67 725 21.99 15 0.45 208 6.31 42 1.27 0 0.00 0

14 Pengandonan 1,816 41 2.26 210 11.56 601 33.09 35 1.93 188 10.35 18 0.99 1 0.06 1

15 Muara Jaya 1,325 35 2.64 41 3.09 50 3.77 35 2.64 38 2.87 0 0.00 0 0.00 0

16 Mendingin 1,325 14 1.06 440 33.20 50 3.77 0 0.00 38 2.87 3 0.23 0 0.00 0

17 Penyandingan 2,377 61 2.57 440 18.51 807 33.95 1 0.04 91 3.83 26 1.09 0 0.00 0

18 Tj. Lengkayap 5,080 61 1.20 442 8.70 1262 24.84 57 1.12 439 8.64 26 0.51 3 0.06 0

JUMLAH 64,416 1,599 2.48 9,664 15.00 21,085 32.73 1,532 2.38 5,071 7.87 396 0.61 95 0.15 49
JML PESERTA KB PASCA PERSALINAN CARA MODERN

IMPLAN
SUNTIK

MOW
AKDR

MOP
PIL
%

%
0.03 15 0.23 35 0.54 1 0.02 3 0.05 0 0.00 0 0.00

0.16 16 0.28 25 0.44 2 0.04 3 0.05 0 0.00 0 0.00

0.24 39 0.71 86 1.56 4 0.07 8 0.15 0 0.00 0 0.00

0.71 5 0.16 14 0.45 0 0.00 0 0.00 0 0.00 5 0.16

0.00 6 0.16 15 0.39 0 0.00 0 0.00 0 0.00 0 0.00

0.02 8 0.15 9 0.16 1 0.02 1 0.02 0 0.00 0 0.00

0.00 12 0.22 30 0.55 0 0.00 1 0.02 0 0.00 0 0.00

0.00 7 0.20 23 0.66 0 0.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 13 0.56 1 0.04 1 0.04 0 0.00 0 0.00

0.00 3 0.14 12 0.54 0 0.00 3 0.14 0 0.00 0 0.00

0.02 4 0.10 26 0.63 0 0.00 0 0.00 0 0.00 0 0.00

0.00 1 0.06 15 0.91 0 0.00 0 0.00 0 0.00 0 0.00

0.00 8 0.24 13 0.39 0 0.00 0 0.00 0 0.00 0 0.00

0.06 2 0.11 3 0.17 0 0.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 7 0.53 0 0.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 5 0.38 0 0.00 0 0.00 0 0.00 0 0.00

0.00 2 0.08 5 0.21 0 0.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 5 0.10 0 0.00 2 0.04 0 0.00 0 0.00

0.08 128 0.20 341 0.53 9 0.01 22 0.03 - 0.00 5.0 0.01

Baturaja, 2022
Pengelola Program

Nama
PUSKESMAS YG TELAH KIRIM LAPORAN BULAN JANUARI 2022

LAPOR
LAPORAN LAPORA LAPORAN AN
Puskesmas IBU N ANAK BALPRAS CATIN

Tanjung Agung 0 1 0 1 0 1 1 7 18 23
Kemalaraja 2 3 4 4 3 6 9 0 6 8
Sukaraya 0 0 0 0 0 0 0 3 3 3
Sekar Jaya 2 1 0 0 1 1 1 4 4 4
Tanjung Baru 0 6 4 6 0 0 0 0 3 4
Batumarta II 2 3 5 5 0 1 4 4 6 10
Lubuk Batang 1 0 0 0 1 1 1 6 9 15
Lubuk Rukam 0 0 0 0 0 0 0 1 1 1
Peninjauan 3 4 7 7 1 3 4 2 8 9
Kedaton 2 2 2 2 0 0 0 4 9 15
Karya Mukti 2 7 9 9 0 0 0 9 10 26
Pengaringan 0 0 0 0 0 0 0 3 3 3
Ulak Pandan 0 0 0 0 0 1 1 0 2 3
Pengandonan 0 0 0 0 0 0 0 6 6 6
Muara Jaya 0 10 0 10 0 0 0 1 1 1
Mendingin 0 0 0 0 0 0 0 0 3 8
Penyandingan 0 3 3 3 1 2 2 7 11 14
Tj Lengkayap 10 14 14 14 6 15 15 2 2 2
24 54 61 13 31 38 59 105 155

86 279 10 50 8 0 10 86 280 10
2 6 0 1 0 0 4 5 8 1
98 307 23 51 8 0 14 103 322 23
7 7 0 2 0 0 6 7 7 0
5 21 11 3 2 2 0 5 21 11
1 3 0 0 0 0 0 1 3 0
137 422 71 171 12 5 7 137 422 71
79 108 2 49 6 3 11 79 108 2
32 142 7 28 1 0 3 34 154 7
82 184 12 28 0 0 17 82 184 12
41 114 4 82 13 1 20 41 128 5
0 0 0 0 0 0 0 0 0 0
149 241 4 30 0 0 0 149 241 4
0 3 0 6 0 0 0 0 3 0
0 0 0 0 0 0 0 0 0 0
14 11 0 0 0 0 0 14 11 0
74 183 6 28 2 0 4 74 183 6
38 104 28 69 2 0 0 38 104 28

855 2179 180


Kondom
Imp lant

Imp lant
Suntik

Suntik
MOW

MOP
IUD

IUD
Pil
Tanjung Agung 1170 3242 175 490 80 20 71 1177 3255 175
Kemalaraja 1717 1487 273 222 8 5 186 1727 1510 275
Sukaraya 1139 2347 267 176 25 1 558 1139 2347 267
Sekar Jaya 451 887 83 113 3 3 47 459 907 83
Tanjung Baru 45 60 1 0 0 0 0 58 173 8
Batumarta II 1198 2258 128 861 74 47 203 1204 2280 128
Lubuk Batang 507 2150 329 964 13 1 32 507 2164 326
Lubuk Rukam 638 1022 0 283 20 2 10 615 1051 0
Peninjauan 142 1241 39 246 14 2 41 144 1241 38
Kedaton 323 987 35 251 2 0 89 322 986 35
Karya Mukti 435 1797 59 463 42 10 145 441 1807 59
Pengaringan 40 112 0 0 0 0 0 78 193 0
Ulak Pandan 286 725 15 208 42 0 5 373 895 24
Pengandonan 210 601 35 188 18 1 41 203 591 36
Muara Jaya 41 50 0 38 0 0 35 62 71 0
Mendingin 440 807 1 91 3 0 14 440 807 1
Penyandingan 442 1262 57 439 26 3 61 442 1259 57
Tj Lengkayap 761 2235 174 633 7 2 44 761 2235 174
9985 23270 1671 5666 377 97 1582 10152 23772 1686

Imp lant
Suntik

MOW
IUD
Pil

5317 5295 5317 116 5201 1189 3257 175 501 80


4086 4003 4086 1 4085 1742 1532 278 234 11
4610 4513 4610 176 4434 1139 2347 267 176 25
1650 1633 1650 115 1535 465 918 83 114 3
438 509 509 5 433 32 321 7 128 3
4893 4833 4893 0 4893 1210 2304 128 865 74
4029 4029 4029 64 3965 513 2191 328 950 13
1977 1982 1982 125 1852 616 1051 0 283 20
1738 1733 1738 46 1692 145 1246 37 246 16
1673 1673 1673 48 1625 322 982 35 243 2
3004 2877 3004 55 2949 440 1714 59 463 42
386 386 386 0 386 113 266 0 6 0
1413 1574 1574 48 1365 329 895 24 277 42
940 1089 1089 0 940 203 591 36 193 18
381 298 381 17 364 75 84 0 71 0
147 147 147 0 147 440 807 1 91 3
2242 2260 2260 73 2169 432 1258 56 424 26
3856 3856 3856 2 3854 761 2235 174 633 7
42780 43184 41889
404
50 8 0 12
1 0 0 6
51 8 0 14
2 0 0 6
3 2 2 0
0 0 0 0
171 12 5 7
49 6 3 11
33 1 0 3
28 0 0 17
82 13 1 20
0 0 0 0
30 0 0 0
6 0 0 0
0 0 0 0
0 0 0 0
28 2 0 4
69 2 0 0

603 54 11 100 3982


Kondom
MOW

MOP

493 80 20 71 1189 3257 175 501 80 20 73


230 9 5 192 1742 1532 278 234 11 5 201
176 25 1 558 1139 2347 267 176 25 1 558
114 3 3 49 465 918 83 114 3 3 47 2
33 4 4 11 32 321 7 128 3 4 14 26 1 1
860 74 47 205 1210 2304 128 865 74 47 205
946 13 1 30 513 2191 328 950 13 1 33
283 20 2 10 616 1051 0 283 20 2 10
246 16 2 41 145 1246 37 246 16 2 41
240 2 0 89 322 982 35 243 2 0 89
462 42 10 148 93 440 1714 59 463 42 10 149
2 0 0 1 113 266 0 6 0 0 1
277 42 0 7 0 329 895 24 277 42 0 7
193 18 1 47 203 591 36 193 18 1 47
57 0 0 54 75 84 0 71 0 0 68
91 3 0 14 440 807 1 91 3 0 14
438 26 3 61 432 1258 56 424 26 3 61 42648
633 7 2 44 761 2235 174 633 7 2 44 43501
5774 384 101 1632 10166 23999 1688 5898 385 101 1662 43899
Kondom

Kondom
Imp lant
Suntik

MOW
MOP

MOP
IUD
Pil

20 73 1199 3268 175 500 81 20 74


5 201 1766 1560 280 237 11 5 227
1 558 1159 2399 272 185 25 1 569
3 47 471 930 83 114 3 2 47
4 14 127 277 0 0 0 0 34
47 205 1227 2339 128 870 74 47 208
1 33 513 2191 328 950 13 1 33
2 10 616 1046 0 283 20 2 10
2 41 147 1249 38 245 16 2 41
0 89 322 982 35 243 2 0 89
10 149 451 1830 59 462 42 10 150
0 1 113 266 0 6 0 0 1
0 7 341 802 15 208 42 0 5
1 47 219 431 35 192 18 1 44
0 68 96 104 0 92 0 0 89
0 14 70 77 0 0 0 0 0
3 61 431 1250 56 415 26 3 61
2 44 761 2235 174 633 7 2 44
853
398

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