FORMAT ISIAN LAPORAN KELUARGA SEHAT

Jml. Bayi yg mendapat Jml. Balita (lebih besar 2- Jml. Usia Produktif (15-
Jml. Bayi (0-2 Th) Jml. Anak (6-14 Th)
NO NAMA POSYANDU ASI Eklusif (0-6 bln) 5 Th) Th)

2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021
1 BANYUWANGI 3 2 3 3 2 2 3 3 3 2 3 3 15 25 19 23 41 42

2 MULYASARI 6 6 2 2 6 5 2 1 6 6 2 2 67 67 65 65 131 131

3 TERATAI 1 2 0 0 1 2 0 0 1 2 0 0 38 38 37 37 70 69

4 SINAR MULYA 0 2 3 0 0 1 8 0 0 2 3 0

5 BALDA TOYIBAH 3 5 1 1 2 5 1 1 3 5 1 1 28 28 26 26

6 WARGI SALUYU

7 SENTA BAKTI 4 1 2 2 3 1 2 1 4 1 2 2 30 30 28 28 80 79

8 KENCANA BAKTI 1 4 0 2 1 3 0 1 1 4 0 2 16 17 15 21 67 67

9 RIMBA SETIA 4 2 3 2 5 6 0 0 15 14 15 14 40 29 37 36 146 112

JUMLAH
T

a Produktif (15-64 Jml. Pasangan Usia

Jml. Lansia (≥ 65 Th) Jml. Peserta KB Aktif
Th) Subur (PUS)

2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022
38 37 12 18 21 15 20 21 15 18 20 21 15 18

130 130 40 40 39 39 81 81 78 78 80 80 78 78

71 72 33 32 31 32 72 72 73 72 70 70 71 72

31 31 32 32

78 76 47 45 45 46 80 80 76 76 80 80 76 76

67 67 44 44 44 44 87 87 73 83 83 83 83 83

146 115 18 13 18 13 64 64 56 56 40 44 44 51
 Jml. Bayi/BALITA Yg
Jml. Bayi Lahir Berat
Jml. Ibu Hamil Jml. Ibu Menyusui Jml. Bayi Lahir Prematur Jml. BALITA Kurang Gizi Rutin Pemeriksaan setiap
Badan Rendah
Bulan
2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022
3 2 3 3 2 2 3 3 0 0 0 0 0 0 0 0 30 21 22 27

6 6 2 2 6 5 2 1 0 0 0 0 0 0 0 0 20 20 32 32

1 2 0 0 1 2 0 0 0 0 0 0 0 0 0 0 17 15 15 15

0 2 8 0 0 1 8 0 0 0 0 0 0 0 0 0 40 40 41 41

3 5 1 1 2 1 1 1 0 0 0 1 0 0 0 1 20 20 23 22

4 1 2 2 3 1 2 1 0 0 0 1 0 0 0 1 28 25 35 32

1 4 0 2 1 3 0 1 0 0 1 0 0 0 1 0 25 25 23 23

4 2 3 2 18 2 3 2 0 0 0 0 0 0 0 0 35 36 25 32
 Jml. Ibu Hamil Yg Rutin
Jml. Kehamilan Yg Tidak Jml. Ibu Melahirkan Dgn
Memeriksakan
Direncanakan Jarak Terlalu Dekat
Kehamilannya Setiap
Periodik
2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022
0 0 0 0 0 0 0 0 3 2 3 3

0 0 0 0 0 0 0 0 6 6 2 2

0 0 0 0 0 0 0 0 1 2 0 0

0 1 0 0 0 0 0 0 0 2 8 0

0 0 0 0 0 0 0 0 3 5 1 1

0 0 0 1 0 0 0 1 4 1 2 2

0 0 0 0 0 0 0 0 1 4 0 2

1 0 1 0 1 0 1 0 4 2 3 2
 Jml. Persalinan Yg
Jml. Bayi dan Balita Yg Jml. Kematian Bayi dan Jml. Kasus Kebakaran Jml. Rumah Semi
Ditolong Tenaga Jml. Kematian Ibu Nifas
Mendapat Imunisasi Balita Rumah Tangga Permanen dan Kayu
Kesehatan
2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022
3 2 3 3 1 0 0 0 3 2 3 3 0 0 0 0 1 0 0 0 96 96 96 96

0 1 0 1 0 0 0 0 6 6 2 2 0 0 0 0 0 0 0 0 64 64 64 64

1 2 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 68 68 68 68

0 2 6 0 0 0 0 0 0 2 8 0 0 1 0 0 0 0 0 0

2 4 1 1 0 0 0 0 3 5 1 1 0 0 1 0 0 0 0 0 96 96 96 96

1 0 1 0 0 0 0 0 4 1 2 2 0 0 0 0 0 0 0 0 157 157 157 157

0 0 0 0 0 0 0 0 1 4 0 2 0 0 1 0 0 0 0 0 145 145 145 145

0 0 2 2 0 0 0 0 35 36 25 32 0 0 0 0 0 0 0 0 129 129 130 130

 Jml. Kasus Penyakit Jml. Bayi Lahir Cukup
Jml. Bayi Lahir Sehat
Menular Bulan

2021 2021 2022 2022 2021 2021 2022 2022 2021 2021 2022 2022
0 0 0 0 3 2 3 3 3 2 3 3

0 0 0 0 6 6 2 2 6 6 2 2

0 0 0 0 1 2 0 0 1 2 0 0

0 0 0 0 0 2 8 0 0 2 8 0

0 0 0 0 3 5 1 1 3 5 1 1

0 0 0 0

0 0 0 0 4 1 2 2 4 1 2 2

0 0 0 0 1 4 0 2 1 4 0 2

0 0 0 0 5 2 4 2 5 2 4 2