Kabupaten Kecamatan Puskesmas Desa Posyandu

ULUNAMBO 1 BAHONSINAU

PADALA'A 2 MAWAR

KOFALAGADI 3 MELATI

MOROPAITONG
4 ASOKA
AN

TAFAGAPI 5 ANGGREK

WAWONGKOL
ONO 6 INIAMPU'U 2

TORUKUNO 7 INIAMPU'U
ULUNAMBO
TEREBINO 8 EDELWEIS

NGAPAEA 9 SEDAP MALAM

ULUNIPA 10 BOUEGENVILLE

BURANGA 11 TERATAI

PADEI DARAT 12 AGAR LAUT

KARANG
PADEI LAUT 13 BAHAGIA

SAMARENGGA 14 IKAN SEGAR

MENUI DONGKALAN 15 MUTIARA HATI

KEPULAUAN

MASADIAN 16 BINTANG BAHARI

PULAU TIGA 17 SAMATURU

PULAU TENGAH 18 TENGAH INDAH

MATANO 19 KASIH BUNDA

TANJUNG
HARAPAN 20 HARAPAN JAYA

TANJUNG 21 CAHAYA TIRAM

TIRAM
Tanjung TANONA 22 TANONA CERDAS
Harapan
MATARAPE 23 MATANGKASE

MBOKITTA 24 KASIH KITA

 Tanjung
Harapan

LALEMO 25 CITRA

PULAU DUA 26 ANUTAMEMONG

DARAT

BUNGINTENDE 27 SUNU SUPER

SAINOA 28 CUMI-CUMI

KALEROANG 29 MAWAR

LAKOMBULO 30 SEJAHTERA

BUNGINGKELA 31 INTI SARI

JAWI-JAWI 32 SARINA

BUTON 33 MELATI

KOBURU 34 RUMPUT LAUT

PAKU 35 SENTOSA

BAKALA 36 TUNAS KELAPA

BUAJANGKA 37 MELATI PUTIH

WARU-WARU 38 MENANTI

PADABALE 39 SERUNI
BUNGKU
SELATAN Kaleroang
PADO-PADO 40 CAMAR LAUT

PULAU BAPA 41 INGIN MAJU

PO'O 42 SUKA DAMAI

POARO 43 INGIN DAMAI

LAMONTOLI 44 CEMPAKA

BOELIMAU 45 GURITA
 PANIMBAWAN
46 KUDA LAUT
G

UMBELE LAMA 47 PADAKKAUANG

PULAU DUA 48 MEMBANGUN

UMBELE 49 MERPATI

POLEWALI 50 TAMAN LAUT

SAMBALAGI 51 KALIMAS

LAROENAI 52 ASOKA

53 DAHLIA

BULELENG 54 PELITA HARAPAN

55 PELITA BAKTI

TORETE 56 KEMUNING

BUNGKU
PESISIR Lafeu 57 MAWAR I
LAFEU
58 MAWAR II

TANDAOLEO 59 ANGGREK

ONE ETE 60 TERPADU

TANGOFA 61 JAMBU MENTE

WEREA 62 FLAMBOYAN

PUNGKEU 63 SAYANG IBU

64 MAWAR
ONE PUTE
JAYA
65 PASIR PUTIH

BAHOMOTEF 66
KAMBOJA
E
 67 ALAMANDA
BAHOMOAHI
UNGU

ULULERE 68 CEMPAKA

BUNGKU
TIMUR BAHOMOTEFE KOLONO 69 MELATI

GERESA 70 SAKURA

LAROUE 71 CAMELIA

72 SAKURA
NAMBO
INDAH

UNSONGI 73 PINANG HIAS

LAHUAFU 74 VURING

HARAPAN
LELE 75 BUNDA

HARAPAN
DAMPALA 76
BANGSA

SIUMBATU 77 TUNAS HARAPAN

78 SEHAT
SEJAHTERA I
LALAMPU
SEHAT
79 SEJAHTERA II

80 BINA HARAPAN I
BAHODOPI

MOROWALI 81 BINA HARAPAN II

HARAPAN
82
BAHAGIA I
KEUREA
83 HARAPAN
BAHAGIA II

BINA SEJAHTERA
84 I
BAHODOPI BAHODOPI
BINA SEJAHTERA
BAHOMAKMUR 85 II

BINA SEJAHTERA
86
III

87 SEHAT BERSAMA
I

FATUFIA
 SEHAT BERSAMA
FATUFIA 88
II

89 SAYANG IBU

90 KASIH IBU I
LABOTA
91 KASIH IBU II

KASIH SAYANG
MAKARTI JAYA 92 IBU

PADABAHO 93 TUNAS MUDA

BETE-BETE 94 BUNGA BANGSA

95 FLAMBOYAN
LANONA
96 LATULIP

BAHOMANTE 97 CAMPAKA
SARI

98 AIR MANCUR
FONUASINGK BAHOMOLEO
O
99 MAWAR
MERAH

BAHOMOHONI 100 KEMUNING

BENTE 101 MAWAR

IPI 102 DAHLIA

BAHORURU 103 KEMUNING

MATANSALA 104 SEROJA

BUNGKU
TENGAH BUNGI 105 ASTER

MATANO 106 ALAMANDA

LAMBEREA 107 ASOKA

MARSAOLEH 108 NUSA INDAH

BUNGKU
 BUNGKU TOFOISO 109 BOGENVIL

MENDUI 110 ANGGREK

SAKITA 111 ASTER MERAH

TOFUTI 112 BOGENVIL

BAHOTOBUNGK
U 113 ANYELIR

TUDUAA 114 MEKAR

PUUNGKOILU 115 MELATI

116 PELANGI (BH.

EA)
KAMBOJA
BAHOE 117 (UPT.
REKO REKO
KABERA)

118 KASTURI (UPT.

BAHOEA)

119 SAKURA
(WOSU)
WOSU
KELAPA
120 KUNING (UPT
WOSU)

LAROBENU 121 SIRI HIAS

122 SERUNI
(UMPANGA)
BUNGKU
BARAT WOSU UMPANGA
123 DAHLIA (UPT.
UMPANGA)

TOPOGARO 124 FLAMBOYAN

TONDO 125 SUPLIR

AMBUNU 126 MATAHARI

MARGA 127 LESTARI

MULYA

UEDAGO 128 MAWAR

129 ANGGREK
WATA
PUTIH
 BAHONSUAI 130 ANGGREK

PARILANGKE 131 ANTHURIUM

SAMARENDA 132 MATAHARI

ATANANGA 133 KENANGA

LASAMPI 134 BONGENVILE

PEBATAE 135 MAWAR

BUMI RAYA BAHONSUAI KARAUPA 136 ASTER

UMBELE 137 SERUNI

PEBOTOA 138 TERATAI

HARAPAN 139 KAMBOJA

JAYA

BERINGIN 140 TULIP

JAYA

LAMBELU 141 MELATI

LIMBO 142 ANYELIR

MAKMUR

143 MELATI
PUNTARI
MAKMUR
144 NUSA INDAH

SAMPEANTA 145
CEMPAKA
BA

146 TRI PANCA #REF!

LAANTULA 147 BINTANG #REF!

JAYA BAHARI

148 PELANGI #REF!

BUMI 149 ANYELIR

HARAPAN
WITAPONDA
LAANTULA
JAYA
EMEA 150 BONSAI
WITAPONDA
LAANTULA
JAYA

151 ANGGREK
UNGKAYA
152 PKS

MOAHINO 153 MELATI

SOLONSA 154 BUNGA SAWIT

JAYA

155 MATAHARI
SOLONSA
156 AL AMIEN

133 156

Alat ukur berat badan misal dacin/bathroom scale

Alat ukur tinggi badan misal meteran/panjang badan/microtise
Alat ukur perkembangan misal APE
Kondisi diisi kondisi alat di posyandu baik bisa digunakan atau rusak tidak bisa digunakan atau pinjam dari puskesmas

TOGA, Penanggulangan penyakit atau kegiatan tambahan kesehatan lain sesuai dengan kebutuhan dan kesepakatan masyarakat, Jika Ya diisi = 1 dan Jika Tidak Diisi = 0

Kolom 13 : Diisi Jenis, Jumlah dan Kondisi alat pemantauan Pertumbuhan dan perkembangan yang dimiliki Posyandu
Kolom 14 : Diisi Ya atau Tidak Posyandu melakukan sekurang-kurangnya 1 kegiatan pengembangan seperti kesehatan remaja, kesehatan usia kerja, kesehatan lanjut usia,

Kolom 15 : Disi Kegiatan Pengembangan yang dilakukan

Kolom 16 : Diisi jumlah Kriteria yang dicapai posyandu
 KRITERIA 1 : DOKUMEN KEBIJAKAN GERMAS

LAPORAN KABUPATEN/KOTA
INDIKATOR PERSENTASE KABUPATEN/KOTA YANG MENERAPKAN KEBIJAKAN GERMAS

Tahun : XXXX
Nama Provinsi : YYYY
Nama Kab/Kota : ZZZZ
Dokumentasi
Bentuk/Jenis Kebijakan Kebijakan (pdf)
(Perda/Perbup-Perwali/Kep Waktu Terbit Pejabat
No Kab/Kota Judul Kebijakan Nomor Kebijakan Ruang Lingkup Kebijakan dilampirkan (0 =
Bupati-Walikota/Intruksi Bupati- Kebijakan Penandatangan
1 2 3
Walikota/SE Bupati-Walikota) 4 5 6 7 8 BELUM DILAMPIRKAN,
9 1=
SUDAH DILAMPIRKAN)
1 1

dst

Cara Pengisian Matrik :

Kolom 1 : Diisi Sesuai Nomor Urut
Kolom 2 : Diisi Nama Kabupaten/Kota
Kolom 3 : Diisi Bentuk/Jenis Kebijakan atau Regulasi yang Dikeluarkan (Perda/Perbup-Perwali/Kep Bupati-Walikota/Intruksi Bupati-Walikota/SE Bupati-Walikota)
Kolom 4 : Diisi Judul Kebijakan, sesuai dengan Dokumen Kebijakan yang dikeluarkan
Kolom 5 : Diisi Nomor Kebijakan
Kolom 6 : Diisi Waktu, Tanggal dan Tahun Dikeluarkannya Kebijakan
Kolom 7 : Diisi Pejabat yang Menandatangani Kebijakan (Walikota, Sekda, dll)
kolom 8 : Diisi ruang lingkup kebijakan
Kolom 9 : Diisi 0, Jika belum melampirkan Dokumentasi Kebijakan (pdf). Diisi 1, Jika sudah melampirkan Dokumentasi Kebijakan (pdf).
 KRITERIA 2 : PELAKSANAAN KEBIJAKAN GERMAS

LAPORAN KABUPATEN/KOTA
INDIKATOR PERSENTASE KABUPATEN/KOTA YANG MENERAPKAN KEBIJAKAN GERMAS

Tahun : XXXX
Nama Provinsi : YYYY
Nama Kab/Kota : ZZZZ

Waktu Pelaksanaaan
Kegiatan
Penggerakan Mendukung 5 Klaster Dokumentasi
Dokumentasi Surat
Keputusan Masyarakat Germas (Edukasi dan Perilaku Kegiatan
Kegiatan Sehat, Aktivitas Fisik, Pangan Penggerakan
Nama Surat Keputusan Gerakan/Forum (pdf) Lintas Sektor yang terlibat dalam
No Kab/Kota Penggerakan Sehat dan Perbaikan Gizi, Deteksi Masyarakat (pdf)
Tim Gerakan/Forum dilampirkan Kegiatan Penggerakan Masyarakat
Masyarakat Dini Penyakit dan Kesehatan dilampirkan
(0 = BELUM Lingkungan) (0 = BELUM
DILAMPIRKAN, 1 = SUDAH (0 = BELUM
MENDUKUNG 5 KLASTER, 1 = DILAMPIRKAN, 1 = SUDAH
DILAMPIRKAN) SUDAH MENDUKUNG 5 KLASTER) DILAMPIRKAN)

1 2 3 4 5 6 7 8 9
1

dst

Cara Pengisian Matrik :

Kolom 1 : Diisi Sesuai Nomor Urut
Kolom 2 : Diisi Nama Kabupaten/Kota
Kolom 3 : Diisi Urutan Kegiatan Penggerakan Masyarakat yang dilakukan (Gerakan Pertama, Gerakan Kedua, Gerakan Ketiga, dst)
Kolom 4 : Diisi Nama Surat Keputusan Tim terkait Gerakan/Forum yang dilakukan
Kolom 5 : Diisi 0, Jika belum melampirkan Dokumentasi Surat Keputusan Tim Gerakan/Forum (pdf). Diisi 1, Jika sudah melampirkan Dokumentasi Surat Keputusan Tim Gerakan/Forum (pdf).
Kolom 6 : Diisi Waktu Pelaksanaaan Kegiatan Penggerakan Masyarakat
Kolom 7 : Diisi 0, Jika Penggerakan Masyarakat yang dilakukan belum mendukung 5 Klaster GERMAS. Diisi 1, Jika Penggerakan Masyarakat yang dilakukan mendukung 5 Klaster GERMAS.
Kolom 8 : Diisi Nama Lintas Sektor yang terlibat dalam pelaksanaan kegiatan Penggerakan Masyarakat
Kolom 9 : Diisi 0, Jika belum melampirkan Dokumentasi Kegiatan Penggerakan Masyarakat (pdf). Diisi 1, Jika sudah melampirkan Dokumentasi Kegiatan Penggerakan Masyarakat (pdf).
KAB/KOTA : (diisi nama Kabupaten/Kota)
INDIKATOR : PRESENTASE KABUPATEN KOTA DENGAN MINIMAL 80 % POSYANDU AKTIF
TRIWULAN I

KRITERIA 2:
KRITERIA 1: Posyandu memiliki kader
KAB/KOTA Melakukan kegiatan rutin Posyandu minimal 10 kali/tahun adalah Posyandu minimal 5 orang yang disahkan
KEC PUSKES Desa No. Nama Posyandu melakukan kegiatan hari buka Posyandu minimal 10 kali/tahun dalam bulan berbeda dengan surat keputusan
(1 = buka; 0=tidak) Kepala Desa/Kelurahan
(1 = Ya; 0 =Tidak)

1 2 3 4 5 6 7 8 9 10

Jan

Angka 1 jika Angka 1 jika

posyandu buka JUMLAH jumlah kader
Jan Feb Mar Apr Mei Jun Jul Ags Sep Ok Nov Des ≥10 kali, Angka 0 KADER
≥5, angka 0 jika Cakupan
jika posyandu POSYANDU jumlah <5
buka <10 kali
Gizi (D/S) Imunisasi=…
KIA = ...%
=…..% ....% KB = …...%

ULUNAMBO 1 BAHONSINAU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 100.00% 0 100 74%

PADALA'A 2 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 88.37% 0 0 76%

KOFALAGADI 3 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 96.43% 0 0 68%

MOROPAITONG
4 ASOKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 89.47% 0 0 66%
AN

TAFAGAPI 5 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 90.48% 0 0 76%

WAWONGKOL
ONO 6 INIAMPU'U 2 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 79.07% 0 0 79%

TORUKUNO 7 INIAMPU'U 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.46% 0 0 100%

TEREBINO 8 EDELWEIS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 82.50% 0 0 54%

NGAPAEA 9 SEDAP MALAM 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 84.85% 0 0 88%

ULUNIPA 10 BOUEGENVILLE 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 85.29% 0 0 78%

BURANGA 11 TERATAI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 62.50% 0 0 92%

PADEI DARAT 12 AGAR LAUT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.14% 0 0 67%

MENUI
KEPULAUAN ULUNAMBO
 MENUI
KEPULAUAN ULUNAMBO
KARANG
PADEI LAUT 13 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 84.21% 0 0 79%
BAHAGIA

SAMARENGGA 14 IKAN SEGAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 84.42% 0 0 92%

DONGKALAN 15 MUTIARA HATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 78.05% 0 0 79%

MASADIAN 16 BINTANG BAHARI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.00% 0 0 93%

PULAU TIGA 17 SAMATURU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 93.40% 0 0 84%

PULAU TENGAH 18 TENGAH INDAH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 58%

MATANO 19 KASIH BUNDA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 79%

TANJUNG 20 HARAPAN JAYA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 80%

HARAPAN
TANJUNG
21 CAHAYA TIRAM 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 71%
TIRAM

TANONA 22 TANONA CERDAS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 68.42% 0 0 53%

MATARAPE 23 MATANGKASE 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 79%

MBOKITTA 24 KASIH KITA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 75%

KALEROANG 25 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 76.19% 0 0 75%

LAKOMBULO 26 SEJAHTERA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 71.43% 0 0 93%

BUNGINGKELA 27 INTI SARI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 86.89% 0 0 78%

JAWI-JAWI 28 SARINA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 71.05% 0 0 71%

BUTON 29 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 50.60% 0 0 75%

KOBURU 30 RUMPUT LAUT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 80.60% 0 0 68%

PAKU 31 SENTOSA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 72.09% 0 0 29%

BAKALA 32 TUNAS KELAPA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 68.13% 0 0 77%

BUAJANGKA 33 MELATI PUTIH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 78.95% 0 0 71%

WARU-WARU 34 MENANTI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 64.91% 0 0 70%

PADABALE 35 SERUNI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 95,,24% 1 0 63%

BUNGKU
KALEROANG
 PADO-PADO 36 CAMAR LAUT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 93.75% 0 0 76%

PULAU BAPA 37 INGIN MAJU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 80.00% 0 0 104%

BUNGKU
SELATAN KALEROANG
PO'O 38 SUKA DAMAI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 77.78% 0 0 93%

POARO 39 INGIN DAMAI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 86.84% 0 0 32%

LAMONTOLI 40 CEMPAKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 79.25% 0 0 99%

BUNGINTENDE 41 SUNU SUPER 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 79.59% 0 0 99%

SAINOA 42 CUMI-CUMI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 63.11% 0 0 82%

BOELIMAU 43 GURITA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 95.83% 0 0 58%

PANIMBAWAN
G 44 KUDA LAUT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 74.29% 0 0 94%

UMBELE LAMA 45 PADAKKAUANG 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 77.78% 0 0 83%

PULAU DUA 46 MEMBANGUN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 96.00% 0 0 54%

UMBELE 47 MERPATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.89% 0 0 76%

POLEWALI 48 TAMAN LAUT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 76.92% 0 0 45%

LALEMO 49 CITRA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0 100%

PULAU DUA
50 ANUTAMEMONG 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 95.24% 0 0 98%
DARAT

SAMBALAGI 51 KALIMAS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 57.80% 0 0 63%

LAROENAI 52 ASOKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 94.90% 0 0 76%

53 DAHLIA 1 1 1 1 1 1 1 1 1 1 1 5 1 0 0 0

BULELENG 54 PELITA HARAPAN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 85.80% 0 0 83%

55 PELITA BAKTI 1 1 1 1 1 1 1 1 1 1 1 5 1 0 0 0

TORETE 56 KEMUNING 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 43.50% 0 0 75%

BUNGKU
PESISIR LAFEU
BUNGKU
PESISIR LAFEU 57 MAWAR I 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
LAFEU 32.20% 69%
58 MAWAR II 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

TANDAOLEO 59 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 42.10% 0 0 56%

ONE ETE 60 TERPADU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 63.60% 0 0 65%

TANGOFA 61 JAMBU MENTE 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 43.80% 0 0 96%

WEREA 62 FLAMBOYAN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 120.00% 0 0 82%

PUNGKEU 63 SAYANG IBU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 85.00% 0 0 77%

64 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
ONE PUTE 83.65% 73%
JAYA
65 PASIR PUTIH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

BAHOMOTEF 66 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 90.67% 0 0 60%

KAMBOJA 1
E

67 ALAMANDA 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 84.06% 0 0 63%

BAHOMOAHI 1
UNGU

ULULERE 68 CEMPAKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 89.81% 0 0 59%

BUNGKU
TIMUR BAHOMOTEFE KOLONO 69 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.81% 0 0 65%

GERESA 70 SAKURA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 80.82% 0 0 78%

LAROUE 71 CAMELIA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.51% 0 0 57%

72 SAKURA 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 86.96% 0 0 65%

NAMBO 1
INDAH

UNSONGI 73 PINANG HIAS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 88.52% 0 0 84%

LAHUAFU 74 VURING 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.86% 0 0 59%

HARAPAN
LELE 75 BUNDA
1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 75.38% 0 0 56%

HARAPAN
DAMPALA 76 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 55.56% 0 0 51%
BANGSA

SIUMBATU 77 TUNAS HARAPAN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 48.85% 0 0 67%

 SEHAT
78 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
SEJAHTERA I
LALAMPU 68.66% 43%
79 SEHAT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
SEJAHTERA II

80 BINA HARAPAN I 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

BAHODOPI 66.38% 81%

MOROWALI 81 BINA HARAPAN II 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

HARAPAN
82 BAHAGIA I
1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
KEUREA 49.59% 43%
HARAPAN
83 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
BAHAGIA II

84 BINA SEJAHTERA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 66.38% 0 0

I
BAHODOPI BAHODOPI
BAHOMAKMUR 85 BINA SEJAHTERA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0 49%
II

BINA SEJAHTERA
86 III
1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

SEHAT BERSAMA
87 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
I

SEHAT BERSAMA
FATUFIA 88 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 78.87% 0 0 59%
II

89 SAYANG IBU 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

90 KASIH IBU I 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

LABOTA 39.81% 42%
91 KASIH IBU II 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

KASIH SAYANG
MAKARTI JAYA 92 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 83.61% 0 0 71%
IBU

PADABAHO 93 TUNAS MUDA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 95.00% 0 0 47%

BETE-BETE 94 BUNGA BANGSA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 59.76% 0 0 46%

95 FLAMBOYAN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
LANONA 86.00%
96 LATULIP 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

BAHOMANTE 97 CAMPAKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 93.00% 0 0

SARI

98 AIR MANCUR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

BAHOMOLEO 95.00%
 BAHOMOLEO 95.00%
99 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0
MERAH

BAHOMOHONI 100 KEMUNING 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 50.00% 0 0

BENTE 101 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 57.00% 0 0

IPI 102 DAHLIA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 73.00% 0 0

BAHORURU 103 KEMUNING 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 59.00% 0 0

MATANSALA 104 SEROJA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 69.00% 0 0

BUNGKU
TENGAH BUNGKU BUNGI 105 ASTER 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 51.00% 0 0

MATANO 106 ALAMANDA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 50.00% 0 0

LAMBEREA 107 ASOKA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 76.00% 0 0

MARSAOLEH 108 NUSA INDAH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 50.00% 0 0

TOFOISO 109 BOGENVIL 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 87.00% 0 0

MENDUI 110 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 87.00% 0 0

SAKITA 111 ASTER MERAH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 53.00% 0 0

TOFUTI 112 BOGENVIL 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 90.00% 0 0

BAHOTOBUNGK
113 ANYELIR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.00% 0 0
U

TUDUAA 114 MEKAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.00% 0 0

PUUNGKOILU 115 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.00% 0 0

116 PELANGI (BH. 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 56.33% 0 0

EA)
KAMBOJA
BAHOE 117 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 67.43% 0 0
(UPT. 1
REKO REKO
KABERA)

118 KASTURI (UPT. 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 70.73% 0 0

BAHOEA)

119 SAKURA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 75.00% 0 0

(WOSU)
WOSU
 WOSU
KELAPA
120 KUNING (UPT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 76.00% 0 0
WOSU)

LAROBENU 121 SIRI HIAS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 54.64% 0 0

122 SERUNI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 60.49% 0 0

(UMPANGA)
BUNGKU
BARAT WOSU UMPANGA
123 DAHLIA (UPT. 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 100.00% 0 0
UMPANGA)

TOPOGARO 124 FLAMBOYAN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0.71% 0 0

TONDO 125 SUPLIR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 37.35% 0 0

AMBUNU 126 MATAHARI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 42.86% 0 0

MARGA 127 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 59.57% 0 0

LESTARI 1
MULYA

UEDAGO 128 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 75.00% 0 0

129 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 91.43% 0 0

WATA 1
PUTIH

BAHONSUAI 130 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 97.73% 0 0 73%

PARILANGKE 131 ANTHURIUM 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 70.31% 0 0 82%

SAMARENDA 132 MATAHARI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 76.14% 0 0 67%

ATANANGA 133 KENANGA 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.89% 0 0 71%

LASAMPI 134 BONGENVILE 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 81.82% 0 0 78%

PEBATAE 135 MAWAR 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 97.03% 0 0 88%

BUMI RAYA BAHONSUAI KARAUPA 136 ASTER 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 63.16% 0 0 81%

UMBELE 137 SERUNI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.43% 0 0 88%

PEBOTOA 138 TERATAI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 61.76% 0 0 72%

HARAPAN 139 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 83.16% 0 0 86%

KAMBOJA 1
JAYA

BERINGIN 140 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 71.05% 0 0 86%

TULIP 1
JAYA
 LAMBELU 141 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 95.70% 0 0 89%

LIMBO 142 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 63.18% 0 0 90%

ANYELIR 1
MAKMUR

143 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

PUNTARI 87.56%
MAKMUR
144 NUSA INDAH 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

SAMPEANTA 145 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 76.47% 0 0

CEMPAKA 1
BA

146 TRI PANCA 1 1 1 1 1 1 1 1 1 1 1 5 1 0 ### 0 0

LAANTULA 147 BINTANG 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 91.88% 0 0

JAYA BAHARI

148 PELANGI 1 1 1 1 1 1 1 1 1 1 1 5 1 0 0 0

BUMI 149 1 1 1 1 1 1 1 1 1 1 1 5 100% 0 60.36% 0 0

ANYELIR 1
HARAPAN
WITAPONDA
LAANTULA
JAYA
EMEA 150 BONSAI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 80.23% 0 0

151 ANGGREK 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

UNGKAYA 83.52%
152 PKS 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

MOAHINO 153 MELATI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 82.61% 0 0

SOLONSA 154 BUNGA SAWIT 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 89.05% 0 0

JAYA

155 MATAHARI 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

SOLONSA 93.83%
156 AL AMIEN 1 1 1 1 1 1 1 1 1 1 1 5 1 100% 0 0 0

Jumlah Jumlah
Jumlah Posyandu:
Kecamatan: 9 Puskesmas: 9

Kolom 1 Diisi nama Kabupaten/Kota

Kolom 2 Diisi nama Kecamatan
Kolom 3 Diisi nama Puskesmas
Kolom 4 Diisi nama Desa
Kolom 5 Diisi nomor urutan
Kolom 6 Diisi nama Posyandu
Kolom 7 Diisi 1 jika pad Kolom 7: Diisi Jumlah posyandu buka >10 x
Kolom 8 Kolom sudah menggunakan rumus. Angka 1 jika posyandu buka ≥ 3, angka 0 jika posyandu buka <3
Kolom 9 Diisi Jumlah Kader yang ada
Kolom 10 Kolom sudah menggunakan rumus. Angka 1 jika jumlah kader posyandu ≥5 , angka 0 jika jumlah kader posyandu <5
Kolom 11 Diisi jumlah cakupan masing2 program
Kolom 12 Kolom sudah menggunakan rumus. Memenuhi kriteria jika setiap bulan (selama 3 bulan) terisi Ya atau 1
Kolom 13 Diisi 1 jika memilki alat timbang, alat ukur panjang badang dan alat pantau perkembangan. Diisi kondisi alat yang terdapat di Posyandu baik/rusak/pinjam
Kolom 14 Kolom sudah menggunakan rumus. Angka 1 jika memiliki alat timbang, alat ukur tinggi dan alat ukur perkembangan. Angka 0 jika tidak memenuhi.
Kolom 15 Diisi dengan jenis kegiatan pengembangan yang ada di posyandu. Apabila ada lebih dari satu, ditulis dalam koma. Misal : TOGA, Lansia, PAUD
Kolom 16 Diisi 1 jika terdapat kegiatan pengembangan di Posyandu, 0 jika tidak terdapat kegiatan pengembangan
Kolom 17 Kolom sudah menggunakan rumus. Memenuhi kriteria jika setiap kriteria terisi ya atau 1, angka 0 jika ada salah satu kriteria tidak terpenuhi

Alat ukur berat badan misal dacin/bathroom scale

Alat ukur tinggi badan misal meteran/panjang badan/microtise
Alat ukur perkembangan misal APE
Kondisi diisi kondisi alat di posyandu baik bisa digunakan atau rusak tidak bisa digunakan atau pinjam dari puskesmas

TOGA, Penanggulangan penyakit atau kegiatan tambahan kesehatan lain sesuai dengan kebutuhan dan kesepakatan masyarakat, Jika Ya diisi = 1 dan Jika Tidak Diisi = 0

Kolom 13 : Diisi Jenis, Jumlah dan Kondisi alat pemantauan Pertumbuhan dan perkembangan yang dimiliki Posyandu
Kolom 14 : Diisi Ya atau Tidak Posyandu melakukan sekurang-kurangnya 1 kegiatan pengembangan seperti kesehatan remaja, kesehatan usia kerja, kesehatan lanjut usia,

Kolom 15 : Disi Kegiatan Pengembangan yang dilakukan

Kolom 16 : Diisi jumlah Kriteria yang dicapai posyandu
 Feb Mar Apr

Ya/ Tidak Cakupan Ya/ Tidak Cakupan Ya/ Tidak Cakupan

Angka 1 jika Angka 1 jika Angka 1 jika

cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....%
angka 0 jika KB = …...% angka 0 jika KB = …...% angka 0 jika KB = …...%
cakupan <50% cakupan <50% cakupan <50%

0 0 100% 0 98.26% 0 0 73.6% 0 0 100% 0 68.57% 0 100 1 74.0% 0 0 100% 0 97.14% 0 100 1 74.0% 0

0 0 100% 0 79.07% 0 0 76.0% 0 0 100% 0 79.07% 0 0 76.0% 0 0 100% 0 74.42% 0 0 76.0% 0

0 0 100% 0 89.29% 0 0 68.0% 0 0 100% 0 96.43% 0 0 68.0% 0 0 100% 0 89.29% 0 0 68.0% 0

0 0 100% 0 63.16% 0 0 66.0% 0 0 100% 0 81.58% 0 0 66.0% 0 0 100% 0 89.47% 0 0 66.0% 0

0 0 100% 0 90.48% 0 0 76.0% 0 0 100% 0 80.95% 0 0 76.0% 0 0 100% 0 85.71% 0 0 76.0% 0

0 0 100% 0 81.40% 0 0 79.0% 0 0 100% 0 97.67% 0 0 79.0% 0 0 100% 0 97.67% 0 0 79.0% 0

0 0 100% 0 70.27% 0 0 100.0% 0 0 100% 0 100.00% 0 0 100.0% 0 0 100% 0 80.77% 0 0 100.0% 0

0 0 100% 0 97.56% 0 0 54.0% 0 0 100% 0 87.50% 0 0 54.0% 0 0 100% 0 95.00% 0 0 54.0% 0

0 0 100% 0 69.77% 0 0 88.0% 0 0 100% 0 90.70% 0 0 88.0% 0 0 100% 0 97.67% 0 0 88.0% 0

0 0 100% 0 67.65% 0 0 78.0% 0 0 100% 0 77.94% 0 0 78.0% 0 0 100% 0 89.71% 0 0 78.0% 0

0 0 100% 0 81.25% 0 0 92.0% 0 0 100% 0 87.50% 0 0 92.0% 0 0 100% 0 93.75% 0 0 92.0% 0

0 0 100% 0 94.92% 0 0 67.0% 0 0 100% 0 81.36% 0 0 67.0% 0 0 100% 0 96.61% 0 0 67.0% 0

0 0 100% 0 71.28% 0 0 79.0% 0 0 100% 0 82.98% 0 0 79.0% 0 0 100% 0 88.30% 0 0 79.0% 0

0 0 100% 0 64.94% 0 0 92.0% 0 0 100% 0 74.03% 0 0 92.0% 0 0 100% 0 84.42% 0 0 92.0% 0

0 0 100% 0 97.56% 0 0 79.0% 0 0 100% 0 82.00% 0 0 79.0% 0 0 100% 0 95.12% 0 0 79.0% 0

0 0 100% 0 99.20% 0 0 93.0% 0 0 100% 0 92.00% 0 0 93.0% 0 0 100% 0 72.00% 0 0 93.0% 0

0 0 100% 0 52.99% 0 0 84.0% 0 0 100% 0 92.45% 0 0 84.0% 0 0 100% 0 89.62% 0 0 84.0% 0

0 0 100% 0 100.00% 0 0 58.0% 0 0 100% 0 77.55% 0 0 58.0% 0 0 100% 0 100.00% 0 0 58.0% 0

0 0 100% 0 94.12% 0 0 79.0% 0 0 100% 0 94.44% 0 0 79.0% 0 0 100% 0 100.00% 0 0 79.0% 0

0 0 100% 0 96.77% 0 0 80.0% 0 0 100% 0 64.52% 0 0 80.0% 0 0 100% 0 93.55% 0 0 80.0% 0

0 0 100% 0 93.75% 0 0 71.0% 0 0 100% 0 69.57% 0 0 71.0% 0 0 100% 0 100.00% 0 0 71.0% 0

0 0 100% 0 97.22% 0 0 53.0% 0 0 100% 0 61.11% 0 0 53.0% 0 0 100% 0 88.89% 0 0 53.0% 0

0 0 100% 0 96.00% 0 0 79.0% 0 0 100% 0 86.21% 0 0 79.0% 0 0 100% 0 100.00% 0 0 79.0% 0

0 0 100% 0 88.89% 0 0 75.0% 0 0 100% 0 85.19% 0 0 75.0% 0 0 100% 0 66.67% 0 0 75.0% 0

0 0 100% 0 123.60% 0 0 76.4% 0 0 100% 0 92.13% 0 0 76.4% 0 0 100% 0 93.26% 0 0 76.4% 0

0 0 100% 0 82.93% 0 0 92.8% 0 0 100% 0 70.73% 0 0 92.8% 0 0 100% 0 33.33% 0 0 92.8% 0

0 0 100% 0 114.89% 0 0 78.2% 0 0 100% 0 114.89% 0 0 78.2% 0 0 100% 0 100.00% 0 0 78.2% 0

0 0 100% 0 96.43% 0 0 71.2% 0 0 100% 0 100.00% 0 0 71.2% 0 0 100% 0 92.86% 0 0 71.2% 0

0 0 100% 0 75.00% 0 0 75.0% 0 0 100% 0 76.47% 0 0 75.0% 0 0 100% 0 69.12% 0 0 75.0% 0

0 0 100% 0 176.92% 0 0 65.8% 0 0 100% 0 146.15% 0 0 65.8% 0 0 100% 0 138.46% 0 0 65.8% 0

0 0 100% 0 106.06% 0 0 29.4% 0 0 100% 0 90.91% 0 0 29.4% 0 0 100% 0 70.73% 0 0 29.4% 0

0 0 100% 0 101.28% 0 0 77.5% 0 0 100% 0 91.03% 0 0 77.5% 0 0 100% 0 181.82% 0 0 77.5% 0

0 0 100% 0 111.11% 0 0 70.8% 0 0 100% 0 104.44% 0 0 70.8% 0 0 100% 0 77.78% 0 0 70.8% 0

0 0 100% 0 91.11% 0 0 70.1% 0 0 100% 0 75.56% 0 0 70.1% 0 0 100% 0 127.59% 0 0 70.1% 0

0 0 100% 0 108.33% 0 0 65.0% 0 0 100% 0 83.33% 0 0 65.0% 0 0 100% 0 58.82% 0 0 65.0% 0

0 0 100% 0 124.39% 0 0 75.7% 0 0 100% 0 107.32% 0 0 75.7% 0 0 100% 0 333.33% 0 0 75.7% 0

0 0 100% 0 123.53% 0 0 106.1% 0 0 100% 0 129.41% 0 0 106.1% 0 0 100% 0 51.22% 0 0 106.1% 0

0 0 100% 0 100.00% 0 0 100.0% 0 0 100% 0 100.00% 0 0 100.0% 0 0 100% 0 83.33% 0 0 100.0% 0

0 0 100% 0 137.93% 0 0 33.3% 0 0 100% 0 124.14% 0 0 33.3% 0 0 100% 0 82.22% 0 0 33.3% 0

0 0 100% 0 102.44% 0 0 99.1% 0 0 100% 0 102.44% 0 0 99.1% 0 0 100% 0 127.59% 0 0 99.1% 0

0 0 100% 0 108.11% 0 0 101.1% 0 0 100% 0 5.41% 0 0 101.1% 0 0 100% 0 0.00% 0 0 101.1% 0

0 0 100% 0 62.22% 0 0 82.2% 0 0 100% 0 83.33% 0 0 82.2% 0 0 100% 0 75.56% 0 0 82.2% 0

0 0 100% 0 187.18% 0 0 58.1% 0 0 100% 0 169.23% 0 0 58.1% 0 0 100% 0 158.54% 0 0 58.1% 0

0 0 100% 0 108.33% 0 0 94.7% 0 0 100% 0 113.33% 0 0 94.7% 0 0 100% 0 192.59% 0 0 94.7% 0

0 0 100% 0 118.92% 0 0 83.3% 0 0 100% 0 81.08% 0 0 83.3% 0 0 100% 0 100.00% 0 0 83.3% 0

0 0 100% 0 151.35% 0 0 54.1% 0 0 100% 0 154.04% 0 0 54.1% 0 0 100% 0 76.67% 0 0 54.1% 0

0 0 100% 0 136.00% 0 0 75.7% 0 0 100% 0 172.00% 0 0 75.7% 0 0 100% 0 89.19% 0 0 75.7% 0

0 0 100% 0 165.52% 0 0 45.5% 0 0 100% 0 155.17% 0 0 45.5% 0 0 100% 0 143.24% 0 0 45.5% 0

0 0 100% 0 122.22% 0 0 100.0% 0 0 100% 0 148.15% 0 0 100.0% 0 0 100% 0 120.00% 0 0 100.0% 0

0 0 100% 0 283.33% 0 0 100.0% 0 0 100% 0 308.33% 0 0 100.0% 0 0 100% 0 208.33% 0 0 100.0% 0

0 0 100% 0 63.80% 0 0 63% 0 0 100% 0 66.00% 0 0 63.00% 0 0 100% 0 57.40% 0 0 73.00% 0

0 0 100% 0 120.00% 0 0 76% 0 0 100% 0 105.70% 0 0 76.00% 0 0 100% 0 85.70% 0 0 89.00% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 76.00% 0 0 83% 0 0 100% 0 83.50% 0 0 83.00% 0 0 100% 0 75.20% 0 0 95.00% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 41.00% 0 0 75% 0 0 100% 0 68.90% 0 0 75.00% 0 0 100% 0 34.40% 0 0 88.00% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0
43.00% 69% 30.80% 69.00% 33.30% 80.00%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 48.60% 0 0 56% 0 0 100% 0 40.00% 0 0 83.00% 0 0 100% 0 45.70% 0 0 86.00% 0

0 0 100% 0 85.00% 0 0 65% 0 0 100% 0 100.00% 0 0 65.00% 0 0 100% 0 95.00% 0 0 69.00% 0

0 0 100% 0 76.30% 0 0 96% 0 0 100% 0 85.50% 0 0 96.00% 0 0 100% 0 78.90% 0 0 111.00% 0

0 0 100% 0 136.80% 0 0 82% 0 0 100% 0 100.00% 0 0 82.00% 0 0 100% 0 121.10% 0 0 100.00% 0

0 0 100% 0 94.70% 0 0 77% 0 0 100% 0 73.70% 0 0 77.00% 0 0 100% 0 78.90% 0 0 97.00% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

97.12% 95.15% 92.23%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 97.93% 0 0 0 0 100% 0 89.89% 0 0 0 0 100% 0 92.70% 0 0 0

0 0 100% 0 97.10% 0 0 0 0 100% 0 91.18% 0 0 0 0 100% 0 92.65% 0 0 0

0 0 100% 0 97.22% 0 0 0 0 100% 0 94.00% 0 0 0 0 100% 0 92.00% 0 0 0

0 0 100% 0 99.30% 0 0 0 0 100% 0 89.45% 0 0 0 0 100% 0 87.16% 0 0 0

0 0 100% 0 94.52% 0 0 0 0 100% 0 88.24% 0 0 0 0 100% 0 89.71% 0 0 0

0 0 100% 0 97.70% 0 0 0 0 100% 0 95.45% 0 0 0 0 100% 0 93.18% 0 0 0

0 0 100% 0 96.74% 0 0 0 0 100% 0 95.56% 0 0 0 0 100% 0 94.44% 0 0 0

0 0 100% 0 96.72% 0 0 0 0 100% 0 95.00% 0 0 0 0 100% 0 91.67% 0 0 0

0 0 100% 0 97.67% 0 0 0 0 100% 0 95.24% 0 0 0 0 100% 0 94.05% 0 0 0

0 0 100% 0 56% 0 0 56.4% 0 0 100% 0 55.40% 0 0 53.33% 0 0 100% 0 37.84% 0 0 54.4% 0

0 0 100% 0 51% 0 0 50.8% 0 0 100% 0 105.00% 0 0 52.94% 0 0 100% 0 57.50% 0 0 54.6% 0

0 0 100% 0 67% 0 0 66.7% 0 0 100% 0 81.25% 0 0 68.35% 0 0 100% 0 89.29% 0 0 68.7% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0
43% 42.5% 61.59% 43.21% 49.00% 44.6%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

81% 80.7% 94.85% 78.36% 89.71% 81.6%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

43% 42.5% 47.11% 43.21% 50.00% 44.3%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 49% 0 0 49.2% 0 0 100% 0 64.83% 0 0 49.32% 0 0 100% 0 66.10% 0 0 49.3% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 59% 0 0 59.1% 0 0 100% 0 48.67% 0 0 60.30% 0 0 100% 0 45.58% 0 0 59.6% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

42% 41.9% 30.77% 42.38% 31.56% 42.8%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 71% 0 0 71.0% 0 0 100% 0 112.39% 0 0 71.75% 0 0 100% 0 78.76% 0 0 72.5% 0

0 0 100% 0 47% 0 0 47.0% 0 0 100% 0 103.92% 0 0 51.26% 0 0 100% 0 74.51% 0 0 54.6% 0

0 0 100% 0 46% 0 0 46.2% 0 0 100% 0 55.05% 0 0 33.53% 0 0 100% 0 29.36% 0 0 35.6% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

98.00% 81.87% 84.00% 81.87% 79.00% 105.0%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 97.00% 0 0 97.42% 0 0 100% 0 94.00% 0 0 98.71% 0 0 100% 0 98.00% 0 0 100.0% 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

98.00% 87.84% 106.00% 89.59% 94.00% 89.0%
 98.00% 87.84% 106.00% 89.59% 94.00% 89.0%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 0 0

0 0 100% 0 85.00% 0 0 61.8% 0 0 100% 0 71.00% 0 0 61.82% 0 0 100% 0 50.00% 0 0 63.0% 0

0 0 100% 0 86.00% 0 0 56.3% 0 0 100% 0 71.00% 0 0 56.29% 0 0 100% 0 61.00% 0 0 63.0% 0

0 0 100% 0 95.00% 0 0 70.5% 0 0 100% 0 79.00% 0 0 71.31% 0 0 100% 0 71.00% 0 0 72.0% 0

0 0 100% 0 83.00% 0 0 60.2% 0 0 100% 0 75.00% 0 0 60.20% 0 0 100% 0 44.00% 0 0 63.0% 0

0 0 100% 0 86.00% 0 0 70.6% 0 0 100% 0 79.00% 0 0 71.52% 0 0 100% 0 63.00% 0 0 82.0% 0

0 0 100% 0 88.00% 0 0 35.7% 0 0 100% 0 77.00% 0 0 35.66% 0 0 100% 0 51.00% 0 0 37.0% 0

0 0 100% 0 81.00% 0 0 75.8% 0 0 100% 0 76.00% 0 0 74.51% 0 0 100% 0 53.00% 0 0 75.0% 0

0 0 100% 0 83.00% 0 0 65.8% 0 0 100% 0 88.00% 0 0 65.26% 0 0 100% 0 65.00% 0 0 69.0% 0

0 0 100% 0 82.00% 0 0 67.0% 0 0 100% 0 70.00% 0 0 66.96% 0 0 100% 0 55.00% 0 0 64.0% 0

0 0 100% 0 93.00% 0 0 63.7% 0 0 100% 0 82.00% 0 0 65.19% 0 0 100% 0 80.00% 0 0 74.0% 0

0 0 100% 0 93.00% 0 0 53.6% 0 0 100% 0 85.00% 0 0 55.95% 0 0 100% 0 57.00% 0 0 63.0% 0

0 0 100% 0 89.00% 0 0 87.4% 0 0 100% 0 80.00% 0 0 86.97% 0 0 100% 0 61.00% 0 0 84.0% 0

0 0 100% 0 89.00% 0 0 67.2% 0 0 100% 0 84.00% 0 0 68.80% 0 0 100% 0 71.00% 0 0 77.0% 0

0 0 100% 0 81.00% 0 0 79.2% 0 0 100% 0 86.00% 0 0 81.60% 0 0 100% 0 76.00% 0 0 84.0% 0

0 0 100% 0 95.00% 0 0 73.7% 0 0 100% 0 104.00% 0 0 75.00% 0 0 100% 0 102.00% 0 0 72.0% 0

0 0 100% 0 93.00% 0 0 73.5% 0 0 100% 0 101.00% 0 0 75.76% 0 0 100% 0 95.00% 0 0 75.0% 0

0 0 100% 0 27.86% 0 0 0 0 100% 0 66.67% 0 0 0 0 100% 0 73.50% 0 0 0

0 0 100% 0 66.67% 0 0 0 0 100% 0 78.26% 0 0 0 0 100% 0 52.17% 0 0 0

0 0 100% 0 31.71% 0 0 0 0 100% 0 71.43% 0 0 0 0 100% 0 80.00% 0 0 0

0 0 100% 0 23.59% 0 0 0 0 100% 0 16.33% 0 0 0 0 100% 0 44.22% 0 0 0

0 0 100% 0 23.59% 0 0 0 0 100% 0 16.33% 0 0 0 0 100% 0 44.22% 0 0 0

0 0 100% 0 40.87% 0 0 0 0 100% 0 43.75% 0 0 0 0 100% 0 76.04% 0 0 0

0 0 100% 0 55.10% 0 0 0 0 100% 0 52.44% 0 0 0 0 100% 0 57.32% 0 0 0

0 0 100% 0 65.22% 0 0 0 0 100% 0 89.47% 0 0 0 0 100% 0 105.26% 0 0 0

0 0 100% 0 61.14% 0 0 0 0 100% 0 80.14% 0 0 0 0 100% 0 95.89% 0 0 0

0 0 100% 0 66.23% 0 0 0 0 100% 0 62.50% 0 0 0 0 100% 0 53.13% 0 0 0

0 0 100% 0 28.12% 0 0 0 0 100% 0 50.00% 0 0 0 0 100% 0 27.50% 0 0 0

0 0 100% 0 73.47% 0 0 0 0 100% 0 89.02% 0 0 0 0 100% 0 84.15% 0 0 0

0 0 100% 0 70.27% 0 0 0 0 100% 0 112.90% 0 0 0 0 100% 0 100.00% 0 0 0

0 0 100% 0 108.20% 0 0 0 0 100% 0 115.69% 0 0 0 0 100% 0 117.65% 0 0 0

0 0 100% 0 100.00% 0 0 72.7% 0 0 100% 0 97.59% 0 0 72.72% 0 0 100% 0 76.92% 0 95.12% 0 72.7% 0

0 0 100% 0 100.00% 0 0 81.7% 0 0 100% 0 93.33% 0 0 81.81% 0 0 100% 0 68.25% 0 96.77% 0 81.1% 0

0 0 100% 0 100.00% 0 0 67.1% 0 0 100% 0 91.95% 0 0 67.08% 0 0 100% 0 77.27% 0 90.91% 0 67.1% 0

0 0 100% 0 100.00% 0 0 70.8% 0 0 100% 0 92.31% 0 0 70.75% 0 0 100% 0 53.66% 0 84.21% 0 50.0% 0

0 0 100% 0 100.00% 0 0 78.4% 0 0 100% 0 96.72% 0 0 78.42% 0 0 100% 0 49.21% 0 96.67% 0 78.4% 0

0 0 100% 0 100.00% 0 0 87.9% 0 0 100% 0 98.64% 0 0 88.27% 0 0 100% 0 66.40% 0 97.95% 0 88.3% 0

0 0 100% 0 100.00% 0 0 84.7% 0 0 100% 0 100.00% 0 0 84.72% 0 0 100% 0 80.65% 0 94.12% 0 84.7% 0

0 0 100% 0 100.00% 0 0 86.7% 0 0 100% 0 98.77% 0 0 86.66% 0 0 100% 0 48.28% 0 75.95% 0 86.7% 0

0 0 100% 0 100.00% 0 0 72.7% 0 0 100% 0 84.85% 0 0 74.72% 0 0 100% 0 82.46% 0 96.88% 0 74.2% 0

0 0 100% 0 100.00% 0 0 72.3% 0 0 100% 0 89.13% 0 0 732.34% 0 0 100% 0 55.43% 0 93.83% 0 73.2% 0

0 0 100% 0 100.00% 0 0 86.2% 0 0 100% 0 90.91% 0 0 86.22% 0 0 100% 0 62.82% 0 94.68% 0 86.2% 0
0 0 100% 0 100.00% 0 0 88.5% 0 0 100% 0 98.98% 0 0 89.25% 0 0 100% 0 57.01% 0 89.90% 0 89.3% 0

0 0 100% 0 100.00% 0 0 90.7% 0 0 100% 0 93.56% 0 0 91.18% 0 0 100% 0 48.62% 0 96.97% 0 91.6% 0

0 0 100% 0 98.60% 0 0 0 0 100% 0 90.96% 0 0 0 0 100% 0 0 95.12% 0 0

85.17%
0 0 100% 0 98.60% 0 0 0 0 100% 0 90.96% 0 0 0 0 100% 0 0 95.12% 0 0

0 0 100% 0 76.23% 0 0 0 0 100% 0 78.90% 0 0 0 0 100% 0 87.63% 0 95.12% 0 0

0 ### 0 0 0 100% ### 0 0 0 100% ### 95.12% 0

0 100% ### 99.31% 0 0 0 100% ### 79.94% 0 0 0 100% ### 91.69% 95.12% 0

0 ### 0 0 0 100% ### 0 0 0 100% ### 95.12% 0

0 0 100% 0 98.17% 0 0 0 0 100% 0 95.63% 0 0 0 0 100% 0 87.42% 0 95.12% 0 0

0 0 100% 0 57.95% 0 0 0 0 100% 0 89.63% 0 0 0 0 100% 0 89.09% 0 95.12% 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 95.12% 0 0

90.49% 85.07% 86.15%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 95.12% 0 0

0 0 100% 0 85.71% 0 0 0 0 100% 0 95.38% 0 0 0 0 100% 0 91.89% 0 95.12% 0 0

0 0 100% 0 71.52% 0 0 0 0 100% 0 96.58% 0 0 0 0 100% 0 81.03% 0 95.12% 0 0

0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 95.12% 0 0

72.63% 90.05% 97.14%
0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 100% 0 0 95.12% 0 0
 LAPORAN KABUPATEN/KOTA
INDIKATOR PRESENTASE KABUPATEN KOTA DENGAN MINIMAL 80 % POSYANDU AKTIF
TRIWULAN I TA 2021

KRITERIA 3 :
Cakupan minimal 50% sasaran posyandu mendapatkan masing-masing layanan KIA, Gizi, Imunisasi dan KB di Posyandu, puskesmas atau fasilitas kesehatan lainnya

11

Mei Juni Juli

Ya/ Tidak Cakupan Ya/ Tidak Cakupan Ya/ Tidak Cakupan Ya/ Tidak

Angka 1 jika Angka 1 jika Angka 1 jika Angka 1 jika

cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%,
angka 0 jika KB = …...% angka 0 jika KB = …...% angka 0 jika KB = …...% angka 0 jika
cakupan <50% cakupan <50% cakupan <50% cakupan <50%

0 100% 0 97.14% 0 U 1 74.0% 0 0 100% 0 97.14% 0 10000.00% 1 74% 0 0 100% 0 42.7 0 100 1 74% 0 0

0 100% 0 83.72% 0 0 76.0% 0 100% 0 83.72% 0 0 76% 0 0 100% 0 97.6 1 0 76% 0 0

0 100% 0 92.86% 0 0 68.0% 0 100% 0 92.86% 0 0 68% 0 0 100% 0 97.4 1 1 68% 0 0

0 100% 0 89.47% 0 0 66.0% 0 0% 0 89.47% 0 0 66% 0 0 100% 0 95.8 1 0 66% 0 0

0 100% 0 100.00% 0 0 76.0% 0 100% 0 100.00% 0 0 76% 0 0 100% 0 94.10% 0 0 76% 0 0

0 100% 0 93.02% 0 0 79.0% 0 100% 0 150.00% 0 0 79% 0 0 100% 0 96.20% 0 0 79% 0 0

0 100% 0 96.15% 0 0 100.0% 0 100% 0 103.40% 0 0 100% 0 0 100% 0 96.60% 0 0 100% 0 0

0 100% 0 97.50% 0 0 54.0% 0 100% 0 53.30% 0 0 54% 0 0 100% 0 55.60% 0 0 54% 0 0

0 100% 0 97.67% 0 0 88.0% 0 100% 0 176.50% 0 0 88% 0 0 100% 0 94.10% 0 0 88% 0 0

0 100% 0 62.32% 0 0 78.0% 0 100% 0 140.00% 0 0 78% 0 0 100% 0 97.80% 0 0 92% 0 0

0 100% 0 68.75% 0 0 92.0% 0 100% 0 110.30% 0 0 92% 0 0 100% 0 96.60% 0 0 78% 0 0

0 100% 0 81.36% 0 0 67.0% 0 100% 0 101.90% 0 0 67% 0 0 100% 0 98.10% 0 0 67% 0 0

0 100% 0 82.98% 0 0 79.0% 0 100% 0 122.00% 0 0 79% 0 0 100% 0 98.30% 0 0 79% 0 0

0 100% 0 79.22% 0 0 92.0% 0 100% 0 77.30% 0 0 92% 0 0 100% 0 86.40% 0 0 92% 0 0

0 100% 0 78.05% 0 0 79.0% 0 0% 0 43.50% 0 0 79% 0 0 100% 0 94.40% 0 0 75% 0 0

0 100% 0 76.80% 0 0 93.0% 0 100% 0 132.40% 0 0 93% 0 0 100% 0 98.60% 0 0 93% 0 0

0 100% 0 82.08% 0 0 84.0% 0 100% 0 777.80% 0 0 84% 0 1 100% 0 88.90% 0 0 84% 0 0

0 100% 0 100.00% 0 0 58.0% 0 100% 0 89.40% 0 0 58% 0 0 100% 0 89.40% 0 0 58% 0 0

0 100% 0 100.00% 0 0 79.0% 0 100% 0 170.00% 0 0 79% 0 0 100% 0 95.00% 0 0 79% 0 0

0 100% 0 90.32% 0 0 80.0% 0 100% 0 180.00% 0 0 80% 0 0 100% 0 95.00% 0 0 80% 0 0

0 100% 0 100.00% 0 0 71.0% 0 100% 0 233.30% 0 0 71% 0 0 100% 0 88.90% 0 0 71% 0 0

0 100% 0 77.78% 0 0 53.0% 0 100% 0 22.00% 0 0 53% 0 0 100% 0 22.00% 0 0 53% 0 0

0 100% 0 100.00% 0 0 79.0% 0 100% 0 48.80% 0 0 79% 0 0 100% 0 97.60% 0 0 79% 0 0

0 100% 0 100.00% 0 0 75.0% 0 100% 0 43.50% 0 0 75% 0 0 100% 0 87.00% 0 0 79% 0 0

0 100% 0 67.42% 0 0 78.1% 0 100% 0 93.26% 0 0 80% 0 0 100% 0 88.70% 0 0 80% 0 0

0 100% 0 29.49% 0 0 97.5% 0 100% 0 56.10% 0 0 98% 0 0 100% 0 70.73% 0 0 98% 0 0

0 100% 0 82.98% 0 0 78.2% 0 100% 0 85.11% 0 0 78% 0 0 100% 0 110.64% 0 0 78% 0 0

0 100% 0 71.43% 0 0 79.7% 0 100% 0 96.43% 0 0 80% 0 0 100% 0 96.43% 0 0 81% 0 0

0 100% 0 64.71% 0 0 75.0% 0 100% 0 66.18% 0 0 76% 0 0 100% 0 63.24% 0 0 77% 0 0

1 100% 0 123.08% 0 0 68.4% 0 100% 0 115.38% 0 0 68% 0 0 100% 0 146.15% 0 0 68% 0 0

0 100% 0 60.98% 0 0 32.5% 0 100% 0 93.94% 0 0 31% 0 0 100% 0 93.94% 0 0 33% 0 0

1 100% 0 157.58% 0 0 76.9% 0 100% 0 78.21% 0 0 77% 0 0 100% 0 79.49% 0 0 77% 0 0

0 100% 0 82.22% 0 0 67.0% 0 100% 0 95.56% 0 0 67% 0 0 100% 0 95.56% 0 0 67% 0 0

0 100% 0 117.24% 0 0 70.1% 0 100% 0 73.33% 0 0 70% 0 0 100% 0 82.22% 0 0 70% 0 0

0 100% 0 64.71% 0 0 106.1% 0 100% 0 91.67% 0 0 60% 0 0 100% 0 91.67% 0 0 62% 0 0

1 100% 0 0.00% 0 0 92.6% 0 100% 0 0.00% 0 0 93% 0 0 100% 0 0.00% 0 0 93% 0 0

0 100% 0 48.78% 0 0 106.1% 0 100% 0 123.53% 0 0 106% 0 0 100% 0 123.53% 0 0 124% 0 0

0 100% 0 100.00% 0 0 56.4% 0 100% 0 100.00% 0 0 56% 0 0 100% 0 100.00% 0 0 56% 0 0

0 100% 0 82.22% 0 0 26.7% 0 100% 0 131.03% 0 0 27% 0 0 100% 0 124.14% 0 0 27% 0 0

1 100% 0 124.14% 0 0 99.1% 0 100% 0 75.61% 0 0 99% 0 0 100% 0 0.00% 0 0 99% 0 0

0 100% 0 0.00% 0 0 101.1% 0 100% 0 0.00% 0 0 103% 0 0 100% 0 0.00% 0 0 103% 0 0

0 100% 0 77.78% 0 0 82.2% 0 100% 0 0.00% 0 0 82% 0 0 100% 0 0.00% 0 0 82% 0 0

1 100% 0 180.49% 0 0 58.1% 0 100% 0 187.18% 0 0 58% 0 0 100% 0 210.26% 0 0 58% 0 0

1 100% 0 203.70% 0 0 70.3% 0 100% 0 91.67% 0 0 73% 0 0 100% 0 93.33% 0 0 75% 0 0

0 100% 0 97.44% 0 0 61.0% 0 100% 0 97.30% 0 0 61% 0 0 100% 0 102.70% 0 0 61% 0 0

0 100% 0 85.00% 0 0 39.5% 0 100% 0 121.62% 0 0 41% 0 0 100% 0 137.84% 0 0 43% 0 0

0 100% 0 72.97% 0 0 76.1% 0 100% 0 160.00% 0 0 79% 0 0 100% 0 112.00% 0 0 79% 0 0

0 100% 0 127.03% 0 0 45.5% 0 100% 0 168.97% 0 0 45% 0 0 100% 0 144.83% 0 0 47% 0 0

1 100% 0 132.00% 0 0 91.7% 0 100% 0 118.52% 0 0 92% 0 0 100% 0 0.00% 0 0 92% 0 0

1 100% 0 250.00% 0 0 50.0% 0 100% 0 250.00% 0 0 55% 0 0 100% 0 166.67% 0 0 55% 0 0

0 100% 0 70.20% 0 0 74.4% 0 100% 0 51.10% 0 0 74% 0 0 100% 0 42.60% 0 0 75% 0 0

0 100% 0 97.10% 0 0 89.2% 0 100% 0 82.90% 0 0 89% 0 0 100% 0 54.30% 0 0 95% 0 0

0 100% 0 0 0 0 100% 0 71.10% 0 0 94% 0 0 100% 0 67.80% 0 0 0 0

0 100% 0 71.90% 0 0 94.5% 0 100% 0 71.10% 0 0 94% 0 0 100% 0 67.80% 0 0 94% 0 0

0 100% 0 0 0 0 100% 0 71.10% 0 0 94% 0 0 1 67.80% 0 0 0 0

0 100% 0 19.70% 0 0 87.4% 0 100% 0 65.60% 0 0 89% 0 0 100% 0 54.10% 0 0 87% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 25.60% 0 0 0 0
21.40% 80.5% 30.80% 81% 82%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 25.60% 0 0 0 0

0 100% 0 31.40% 0 0 85.7% 0 100% 0 57.10% 0 0 86% 0 0 100% 0 51.40% 0 0 86% 0 0

0 100% 0 75.00% 0 0 200.0% 0 100% 0 90.00% 0 0 72% 0 0 100% 0 85.00% 0 0 72% 0 0

0 100% 0 84.20% 0 0 111.6% 0 100% 0 90.80% 0 0 100% 0 0 100% 0 84.20% 0 0 100% 0 0

1 100% 0 131.60% 0 0 97.0% 0 100% 0 89.50% 0 0 97% 0 0 100% 0 78.90% 0 0 100% 0 0

0 100% 0 73.70% 0 0 90.3% 0 100% 0 68.40% 0 0 67% 0 0 100% 0 84.20% 0 0 87% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 96.12% 0 0 0 0

97.09% 99.03%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 96.12% 0 0 0 0

0 100% 0 97.19% 0 0 0 100% 0 97.75% 0 0 0 0 100% 0 95.51% 0 0 0 0

0 100% 0 97.06% 0 0 0 100% 0 98.53% 0 0 0 0 100% 0 97.06% 0 0 0 0

0 100% 0 96.00% 0 0 0 100% 0 98.00% 0 0 0 0 100% 0 97.00% 0 0 0 0

0 100% 0 85.78% 0 0 0 100% 0 89.45% 0 0 0 0 100% 0 85.32% 0 0 0 0

0 100% 0 95.59% 0 0 0 100% 0 98.53% 0 0 0 0 100% 0 98.53% 0 0 0 0

0 100% 0 97.73% 0 0 0 100% 0 97.73% 0 0 0 0 100% 0 98.86% 0 0 0 0

0 100% 0 96.67% 0 0 0 100% 0 97.78% 0 0 0 0 100% 0 97.78% 0 0 0 0

0 100% 0 95.00% 0 0 0 100% 0 98.33% 0 0 0 0 100% 0 96.67% 0 0 0 0

0 100% 0 97.62% 0 0 0 100% 0 98.81% 0 0 0 0 100% 0 98.81% 0 0 0 0

0 100% 0 29.73% 0 0 55.0% 0 100% 0 47.30% 0 0 0 0 100% 0 50.00% 0 0 57% 0 0

0 100% 0 87.50% 0 0 52.9% 0 100% 0 126.25% 0 0 0 0 100% 0 91.25% 0 0 53% 0 0

0 100% 0 76.79% 0 0 69.7% 0 100% 0 119.64% 0 0 0 0 100% 0 74.11% 0 0 72% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 74.17% 0 0 0 0
63.58% 44.6% 90.07% 46%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 74.17% 0 0 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 104.41% 0 0 0 0

83.82% 82.3% 180.15% 83%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 104.41% 0 0 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 65.29% 0 0 0 0

47.93% 44.6% 100.00% 90%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 65.29% 0 0 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 68.22% 0 0 0 0

0 100% 0 63.56% 0 0 49.3% 0 100% 0 113.98% 0 0 0 0 100% 0 68.22% 0 0 50% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 68.22% 0 0 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 28.76% 0 0 0 0

0 100% 0 40.27% 0 0 60.6% 0 100% 0 62.39% 0 0 0 0 100% 0 28.76% 0 0 61% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 28.76% 0 0 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 31.76% 0 0 0 0

23.08% 42.8% 75.15% 44%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 31.76% 0 0 0 0

0 100% 0 78.76% 0 0 72.9% 0 100% 0 115.04% 0 0 0 0 100% 0 79.65% 0 0 70% 0 0

0 100% 0 72.55% 0 0 55.5% 0 100% 0 141.18% 0 0 0 0 100% 0 76.47% 0 0 57% 0 0

0 100% 0 40.37% 0 0 51.3% 0 100% 0 85.32% 0 0 0 0 100% 0 40.37% 0 0 54% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 73.00% 0 0 0 0

92.00% 105.0% 90.00% 73% 73%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 73.00% 0 0 0 0

0 100% 0 99.00% 0 0 100.0% 0 100% 0 91.00% 0 0 100% 0 0 100% 0 87.00% 0 0 100% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 108.00% 0 0 89% 0 0

103.00% 90.0% 104.00% 89%
 103.00% 90.0% 104.00% 89%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 108.00% 0 0 89% 0 0

0 100% 0 74.00% 0 0 65.0% 0 100% 0 75.00% 0 0 64% 0 0 100% 0 61.00% 0 0 64% 0 0

0 100% 0 77.00% 0 0 62.0% 0 100% 0 99.00% 0 0 62% 0 0 100% 0 109.00% 0 0 62% 0 0

0 100% 0 83.00% 0 0 72.0% 0 100% 0 80.00% 0 0 71% 0 0 100% 0 69.00% 0 0 71% 0 0

0 100% 0 74.00% 0 0 64.0% 0 100% 0 74.00% 0 0 64% 0 0 100% 0 63.00% 0 0 86% 0 0

0 100% 0 76.00% 0 0 83.0% 0 100% 0 76.00% 0 0 84% 0 0 100% 0 82.00% 0 0 86% 0 0

0 100% 0 64.00% 0 0 39.0% 0 100% 0 64.00% 0 0 37% 0 0 100% 0 51.00% 0 0 37% 0 0

0 100% 0 64.00% 0 0 75.0% 0 100% 0 64.00% 0 0 75% 0 0 100% 0 64.00% 0 0 75% 0 0

0 100% 0 78.00% 0 0 70.0% 0 100% 0 80.00% 0 0 71% 0 0 100% 0 66.00% 0 0 71% 0 0

0 100% 0 78.00% 0 0 65.0% 0 100% 0 78.00% 0 0 65% 0 0 100% 0 59.00% 0 0 65% 0 0

0 100% 0 83.00% 0 0 73.0% 0 100% 0 83.00% 0 0 71% 0 0 100% 0 83.00% 0 0 71% 0 0

0 100% 0 79.00% 0 0 55.0% 0 100% 0 85.00% 0 0 56% 0 0 100% 0 74.00% 0 0 56% 0 0

0 100% 0 79.00% 0 0 84.0% 0 100% 0 76.00% 0 0 84% 0 0 100% 0 76.00% 0 0 84% 0 0

0 100% 0 76.00% 0 0 77.0% 0 100% 0 85.00% 0 0 77% 0 0 100% 0 85.00% 0 0 77% 0 0

0 100% 0 86.00% 0 0 94.0% 0 100% 0 83.00% 0 0 94% 0 0 100% 0 87.00% 0 0 94% 0 0

0 100% 0 102.00% 0 0 73.0% 0 100% 0 107.00% 0 0 72% 0 0 100% 0 98.00% 0 0 72% 0 0

0 100% 0 97.00% 0 0 74.0% 0 100% 0 95.00% 0 0 75% 0 0 100% 0 104.00% 0 0 75% 0 0

0 100% 0 70.09% 0 0 64.61% 0 100% 0 64.96% 0 0 66% 0 0 100% 0 73.50% 0 0 66% 0 0

0 100% 0 65.22% 0 0 85.71% 0 100% 0 65.22% 0 0 87% 0 0 100% 0 26.09% 0 0 87% 0 0

0 100% 0 82.86% 0 0 69.23% 0 100% 0 65.71% 0 0 69% 0 0 100% 0 62.86% 0 0 69% 0 0

0 100% 0 41.04% 0 0 59.31% 0 100% 0 33.47% 0 0 60% 0 0 100% 0 42.60% 0 0 60% 0 0

0 100% 0 41.04% 0 0 59.31% 0 100% 0 33.47% 0 0 60% 0 0 100% 0 42.60% 0 0 60% 0 0

0 100% 0 40.63% 0 0 0.00% 0 100% 0 63.54% 0 0 69% 0 0 100% 0 59.38% 0 0 70% 0 0

0 100% 0 68.29% 0 0 60.59% 0 100% 0 67.07% 0 0 61% 0 0 100% 0 56.10% 0 0 61% 0 0

0 100% 0 110.53% 0 0 76.92% 0 100% 0 110.53% 0 0 82% 0 0 100% 0 110.53% 0 0 82% 0 0

0 100% 0 108.22% 0 0 84.33% 0 100% 0 108.22% 0 0 84% 0 0 100% 0 100.00% 0 0 84% 0 0

0 100% 0 60.94% 0 0 0.00% 0 100% 0 76.56% 0 0 84% 0 0 100% 0 60.94% 0 0 84% 0 0

0 100% 0 25.00% 0 0 0.00% 0 100% 0 45.00% 0 0 8% 0 0 100% 0 58.75% 0 0 8% 0 0

0 100% 0 59.76% 0 0 96.84% 0 100% 0 64.63% 0 0 97% 0 0 100% 0 65.85% 0 0 97% 0 0

0 100% 0 87.10% 0 0 53.70% 0 100% 0 93.55% 0 0 56% 0 0 100% 0 93.55% 0 0 54% 0 0

0 100% 0 100.00% 0 0 82.98% 0 100% 0 94.12% 0 0 83% 0 0 100% 0 88.24% 0 0 83% 0 0

1 100% 0 91.03% 0 0 72.7% 0 100% 0 78.57% 0 0 73% 0 0 100% 0 78.21% 0 0 84% 0 0

1 100% 0 82.54% 0 0 82.0% 0 100% 0 98.36% 0 0 82% 0 0 100% 0 87.30% 0 0 74% 0 0

1 100% 0 90.91% 0 0 67.1% 0 100% 0 100.00% 0 0 66% 0 0 100% 0 71.21% 0 0 75% 0 0

0 100% 0 73.17% 0 0 50.0% 0 100% 0 96.97% 0 0 51% 0 0 100% 0 68.29% 0 0 48% 0 0

1 100% 0 84.13% 0 0 78.4% 0 100% 0 76.27% 0 0 79% 0 0 100% 0 74.60% 0 0 100% 0 0

1 100% 0 100.00% 0 0 87.9% 0 100% 0 93.06% 0 0 88% 0 0 100% 0 79.20% 0 0 108% 0 0

1 100% 0 90.32% 0 0 87.5% 0 100% 0 94.29% 0 0 92% 0 0 100% 0 93.55% 0 0 88% 0 0

1 100% 0 77.01% 0 0 86.7% 0 100% 0 89.87% 0 0 87% 0 0 100% 0 68.97% 0 0 115% 0 0

1 100% 0 94.74% 0 0 74.2% 0 100% 0 98.89% 0 0 71% 0 0 100% 0 80.70% 0 0 88% 0 0

1 100% 0 85.87% 0 0 74.0% 0 100% 0 96.77% 0 0 74% 0 0 100% 0 98.91% 0 0 93% 0 0

1 100% 0 93.59% 0 0 86.2% 0 100% 0 91.76% 0 0 86% 0 0 100% 0 88.46% 0 0 104% 0 0

1 100% 0 77.57% 0 0 90.4% 0 100% 0 91.67% 0 0 91% 0 0 100% 0 69.16% 0 0 112% 0 0

1 100% 0 90.06% 0 0 92.3% 0 100% 0 80.53% 0 0 93% 0 0 100% 0 70.17% 0 0 106% 0 0

0 100% 0 0 0 0 0 0 0 0 0 100% 0 47.17% 0 0 94% 0 0

69.81% 100% 72.17%
0 100% 0 0 0 0 0 0 0 0 0 100% 0 47.17% 0 0 94% 0 0

0 100% 0 64.75% 0 0 0 100% 0 52.46% 0 0 0 0 100% 0 54.92% 0 0 96% 0 0

0 100% ### 0 0 0 100% ### 0.00% 0% 0 100% 44.79% 0 82% 0

0 100% ### 78.47% 0 0 0 100% ### 62.85% 0.00% 0% 0 100% 44.79% 0 82% 0

0 100% ### 0 0 0 100% ### 0.00% 0% 0 100% 44.79% 0 82% 0

0 100% 0 79.88% 0 0 0 100% 0 65.24% 0 0 0 0 100% 0 46.95% 0 0 96% 0 0

0 100% 0 40.00% 0 0 0 100% 0 62.56% 0 0 0 0 100% 0 59.49% 0 0 78% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 55.88% 0 0 81% 0 0

88.66% 89.08%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 55.88% 0 0 81% 0 0

0 100% 0 74.36% 0 0 0 100% 0 80.77% 0 0 0 0 100% 0 67.95% 0 0 91% 0 0

0 100% 0 64.85% 0 0 0 100% 0 61.82% 0 0 0 0 100% 0 53.94% 0 0 83% 0 0

0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 88.41% 0 0 36% 0 0

126.09% 89.13%
0 100% 0 0 0 0 100% 0 0 0 0 0 100% 0 88.41% 0 0 36% 0 0
as kesehatan lainnya

Agustus September Oktober

Cakupan Ya/ Tidak Cakupan Ya/ Tidak Cakupan Ya/ Tidak

Angka 1 jika Angka 1 jika Angka 1 jika

KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….%
KB = …...% angka 0 jika KB = …...% angka 0 jika KB = …...% angka 0 jika
cakupan <50% cakupan <50% cakupan <50%

100% 0 33.0% 0 100 1 73.6% 0 0 0 10000.00% 1 100 1 100 1 0 0 10000.00% 1 100 1 100 1 0 0

100% 0 219.5% 0 0 75.7% 0 1 0 0 0 0 0 0 0 0 0 0 0

100% 0 97.4% 0 0 67.6% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 95.8% 0 0 66.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 94.1% 0 0 76.2% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 96.2% 0 0 79.1% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 96.6% 0 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 98.9% 0 0 54.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 88.2% 0 0 87.5% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 97.8% 0 0 91.5% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 93.1% 0 0 78.1% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 96.2% 0 0 66.9% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 96.6% 0 0 79.5% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 97.0% 0 0 91.7% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 94.4% 0 0 75.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 95.8% 0 0 93.2% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0.8% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 91.5% 0 0 57.7% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 79.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 79.6% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 71.4% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 53.3% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 92.7% 0 0 78.7% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 94.2% 0 0 79.3% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 80% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 98% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 78% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 81% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 77% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 68% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 33% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 77% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 67% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 70% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 62% 0 0 0 0 0 0 0 0 0 0 0 0 0
100% 0 0 0 93% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 124% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 56% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 27% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 99% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 103% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 82% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 58% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 75% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 61% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 43% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 79% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 47% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 92% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 55% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 70.2% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 88.6% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 73.6% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 73.6% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 73.6% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 57.4% 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100% 0 29.9% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 29.9% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 1 0 0 #VALUE! 0 0 0 0 0 0 0 0 0 0 0

100% 0 90.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 94.7% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 110.5% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 97.2% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 91.7% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 56.7% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 1 #VALUE! 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 93.0% 0 0 73.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 93.0% 0 0 73.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 99.0% 0 0 100.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 98.0% 0 0 89.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 98.0% 0 0 89.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 82.0% 0 0 66.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 98.0% 0 0 64.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 93.0% 0 0 72.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 82.0% 0 0 63.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 82.0% 0 0 85.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 81.0% 0 0 46.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 82.0% 0 0 75.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 92.0% 0 0 70.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 81.0% 0 0 63.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 80.0% 0 0 71.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 81.0% 0 0 54.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 83.0% 0 0 85.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 88.0% 0 0 76.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 90.0% 0 0 93.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 98.0% 0 0 69.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 104.0% 0 0 77.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 72.7% 0 0 67.4% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 47.8% 0 0 87.3% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 82.9% 0 0 69.2% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 63.4% 0 0 0.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 63.4% 0 0 59.3% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 63.5% 0 0 70.2% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 51.2% 0 0 62.9% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 105.3% 0 0 82.4% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 102.1% 0 0 84.3% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 38.8% 0 0 11.6% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 38.8% 0 0 82.6% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 80.5% 0 0 96.8% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 106.5% 0 0 53.7% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 109.8% 0 0 83.0% 0 0 0 0 0 0 0 0 0 0 0 0 0

100% 0 0 0 72.7% 0 0 100% 0 97.66% 0 0 0 0 100% 0 83.47% 0 0 0 0 0

100% 0 0 0 83.9% 0 0 100% 0 84.85% 0 0 0 0 100% 0 87.50% 0 0 0 0 0

100% 0 0 0 65.2% 0 0 100% 0 84.81% 0 0 0 0 100% 0 76.14% 0 0 0 0 0

100% 0 0 0 50.6% 0 0 100% 0 92.68% 0 0 0 0 100% 0 100.00% 0 0 0 0 0

100% 0 0 0 78.0% 0 0 100% 0 88.14% 0 0 0 0 100% 0 81.82% 0 0 0 0 0

100% 0 0 0 90.6% 0 0 100% 0 81.21% 0 0 0 0 100% 0 88.12% 0 0 0 0 0

100% 0 0 0 87.5% 0 0 100% 0 92.68% 0 0 0 0 100% 0 94.74% 0 0 0 0 0

100% 0 0 0 87.1% 0 0 100% 0 79.27% 0 0 0 0 100% 0 95.71% 0 0 0 0 0

100% 0 0 0 70.9% 0 0 100% 0 90.32% 0 0 0 0 100% 0 77.94% 0 0 0 0 0

100% 0 0 0 74.5% 0 0 100% 0 78.85% 0 0 0 0 100% 0 91.58% 0 0 0 0 0

100% 0 0 0 85.7% 0 0 100% 0 78.31% 0 0 0 0 100% 0 73.68% 0 0 0 0 0

100% 0 0 0 91.9% 0 0 100% 0 85.98% 0 0 0 0 100% 0 83.87% 0 0 0 0 0

100% 0 0 0 93.3% 0 0 100% 0 80.00% 0 0 0 0 100% 0 88.56% 0 0 0 0 0

100% 0 0 0 94.0% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 94.0% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 97.1% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0.0% 0 82.1% 0 100% 0.00% 0 0 0 100% 0.00% 0 0 0 0

100% 0.0% 0 82.1% 0 100% 0.00% 0 0 0 100% 0.00% 0 0 0 0

100% 0.0% 0 82.1% 0 100% 0.00% 0 0 0 100% 0.00% 0 0 0 0

100% 0 0 0 96.0% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 78.2% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 82.5% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 82.5% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 90.8% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 82.3% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 35.7% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

100% 0 0 0 35.7% 0 0 100% 0 0 0 0 0 100% 0 0 0 0 0 0

 KRITERIA 5:
Posyandu melakukan sekurang-kura
KRITERIA 4 : kegiatan pengembangan seperti keseha
posyandu memiliki alat pemantauan pertumbuhan dan
perkembangan berupa alat timbang berat badan dan tinggi badan kesehatan usia kerja, kesehatan lanjut
serta alat ukur perkembangan Penanggulangan penyakit atau kegiata
kesehatan lain sesuai dengan kebutu
kesepakatan masyarakat

12 13 14 15

November Desember
Alat
Memenuhi
kriteria jika Alat Ukur Alat ukur Kondisi Angka 1 jika memiliki
setiap bulan Timbang Tinggi Perkemban (tulis : alat timbang, alat ukur Nama Kegiatan
Berat Badan Badan (1 gan (1 = baik tinggi dan alat ukur Pengembangan (tulis :
Cakupan Ya/ Tidak Cakupan Ya/ Tidak (selama 12
bulan) terisi Ya (1 = ada, = ada, ada, 0=tdk atau perkembangan. Angka nama kegiatannya)
0=tdk ada) 0=tdk ada) rusak) 0 jika tidak memenuhi.
atau 1 ada)
Angka 1 jika Angka 1 jika
Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%, KIA = ….% Gizi (D/S) =…..% Imunisasi=…....% cakupan ≥50%,
KB = …...% angka 0 jika KB = …...% angka 0 jika
cakupan <50% cakupan <50%

100 1 100 1 100 1 0 0 100 1 100 1 100 1 1 1 1 1 1 baik 1 Posyandu Lansia

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 , 0 0 0 0 0 #VALUE! 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 #VALUE! 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 #VALUE! 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 #VALUE! 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
 KRITERIA 5:
melakukan sekurang-kurangnya 1
gembangan seperti kesehatan remaja, POSYANDU AKTIF
sia kerja, kesehatan lanjut usia, TOGA, (jika semua kriteria
gan penyakit atau kegiatan tambahan terpenuhi)
n lain sesuai dengan kebutuhan dan
kesepakatan masyarakat

16 17

Tulis Angka 1 jika Angka 1 jika semua

memiliki kegiatan kriteria terpenuhi.
pengembangan. Angka 0 Angka 0 jika salah
jika tidak memiliki satu kriteria tidak
kegiatan pengembangan. terpenuhi

1 1

#VALUE!

0
0

0
 0

#VALUE!
 0

#VALUE!

#VALUE!

0
0

0
0

0
0

0
 0

Jumlah Posyandu Aktif #VALUE!

Angka 1 Jika total
Posyandu Aktif >80%
berarti Kab/Kotaaktif
%posyandu #VALUE!
(Jumlah posyandu aktif/jumlah posyandu yang ada)x 100%
memenuhi kriteria
indikator Posyandu Aktif,
Angka 0 jika kurang dari
80% #VALUE!
 LAPORAN KABUPATEN/KOTA
INDIKATOR PRESENTASE KAB/KOTA MELAKSANAKAN PEMBINAAN POSYANDU AKTIF
TRIWULAN I TA 2021
Provinsi : Sulawesi
KAB/KOTA :
INDIKATOR :

KRITERIA 1: KRITERIA 2: KRITERIA 3 : KRITERIA 4 : KRITERIA 5: PEMBINAAN

Memiliki Pokjanal yang Mengadakan pertemuan rutin setiap Melakukan peningkatan kapasitas bagi Memiliki dan menggunakan sistim dalam Posyandu aktif minimal 50% POSYANDU
keanggotaannya terdiri dari lintas tahun minimal 2 kali untuk membahas petugas puskesmas dan kader yang berasal melakukan pelaporan kegiatan Posyandu (1 = Ya; 0 =Tidak) AKTIF
sektor terkait pengembangan perencanaan dan evaluasi pelaporan desa/kelurahan di wilayah kabupaten/Kota. sehingga tersedia laporan posyandu (jika semua
poyandu tingkat kab/kota kegiatan (1 = Ya; 0 =Tidak) seperti SIP online dan atau Pantau kriteria =1)
disahkan melalui keputusan Posyandu
Bupati/Walikota

KAB/KOTA

Ya/Tidak Ada Melakukan/Tidak Mengunakan/Tidak

NOMOR DAN Ya/Tidak
(1 = Ada; TANGGAL SK Ada/Tidak Ada (1 = KETERANGAN Melakukan (1 KETERANGAN Menggunakan (1 = KETERANGAN (1 = Ya, 0 KETERANGAN
0 =Tidak Ada; 0 =Tidak Ada) =melakukan; 0 menggunakan; 0
Ada) POKJANAL =Tidak melakukan) =Tidak menggunakan) =Ada)

1 2 3 4 5 6 7 8 9 10 11 12

188.4.45/
KEP.058/DPMDP3A/ #REF! #REF! #VALUE!
2019

morowali 1 1 1 1

Cara Mengisi Matrik :

Kolom 1: Diisi Nama Kabupaten/Kota

Kolom 2 : Diisi 1 jika Memiliki Pokjanal yang keanggotaannya terdiri dari lintas sektor terkait pengembangan poyandu tingkat kab/kota disahkan melalui keputusan Bupati/Walikota, diisi 0 jika tidak memiliki pokjanal posyandu
Kolom 3 : Diisi Nomor dan Tanggal SK Pokjanal
Kolom 4 : Diisi 1 jika mengadakan pertemuan rutin setiap tahun minimal 2 kali untuk membahas perencanaan dan evaluasi pelaporan kegiatan, diisi 0 jika tidak ada pertemuan rutin
Kolom 5 : Diisi hasil pertemuan rutin. Ditulis Laporan Kegiatan atau Rencana Kegiatan atau Hasil Evaluasi
Kolom 6 : Diisi 1 jika melakukan peningkatan kapasitas bagi petugas puskesmas dan kader yang berasal desa/kelurahan di wilayah kabupaten/Kota, diisi 0 jika tidak melakukan
Kolom 7 : Diisi daftar Petugas dan kader yang dilatih
Kolom 8 : Diisi 1 jika menggunakan sistim dalam melakukan pelaporan kegiatan Posyandu sehingga tersedia laporan posyandu seperti SIP online dan atau Si Cakep, diisi 0 jika tidak menggunakan
Kolom 9 : Diisi sistem pelaporan yang digunakan misal SIP online dan atau Si Cakep
Kolom 10 : Diisi 1 jika Kabupaten/Kota memiliki Posyandu aktif minimal 50%, diisi 0 jika tidak memiliki Posyandu aktif minimal 50%
Kolom 11 : Diisi Jumlah capaian posyandu aktif sesuai hasil Indikator Posyandu aktif (dari sheet Form KabKotaPosyandu Aktif TW1)
Kolom 12 : Kolom menggunakan rumus. Angka 1 jika seluruh kriteria Pembinaan Posyandu aktif terpenuhi, angka 0 jika ada salah satu kriteria tidak terpenuhi
 LAPORAN KABUPATEN/KOTA LOKUS STUNTING
Memiliki regulasi dan dokumen strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting

Tahun : xxxx
Nama Provinsi : xxxx
Nama Kab/Kota : xxxx

Muatan yang tertuang dalam Regulasi

Memasukkan strategi Memasukka Memasukkan Memuat penjelasan Mencantumkan arahan agar

untuk Komunikasi n integrasi kegiatan keterlibatan OPD terkait, OPD terkait menganggarkan
Perubahan Perilaku Germas Komunikasi Antar yang mendukung alokasi anggaran untuk Dokumen Strategi
Bentuk/Jenis Kebijakan (Behavioral Change Pribadi implementasi strategi mendukung implementasi Dokumen Strategi Komunikasi Perubahan
(Perda/Perbup- Pejabat Communication/BCC) di (Interpersonal Komunikasi Perubahan strategi Komunikasi Perubahan Dokumentasi Regulasi (pdf) Komunikasi Perubahan Perilaku Percepatan
NO KAB/KOTA Perwali/Kep Bupati- Judul Nomor Regulasi Waktu Terbit Penandatanga daerah; meliputi Communication/IP Perilaku Percepatan Perilaku Percepatan dilampirkan Perilaku Percepatan Pencegahan Stunting
Walikota/Intruksi Regulasi Regulasi n sasaran, pesan, saluran, C) (sebagai salah Pencegahan Stunting Pencegahan Stunting (0 = BELUM DILAMPIRKAN, Pencegahan Stunting (pdf) dilampirkan
Bupati-Walikota/SE dan pemantauan- satu kegiatan dari 1 = SUDAH DILAMPIRKAN) (0= Belum Ada; 1 = Sudah (0 = BELUM
Bupati-Walikota) evaluasi strategi BCC) Ada) DILAMPIRKAN, 1 = SUDAH
DILAMPIRKAN)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 xxx Perbup xxxx 002/…......./2019 2 Desember Bupati 1 1 1 1 1 1 1 1

2019

Cara Pengisian Matrik :

Kolom 1 : Diisi Sesuai Nomor Urut
Kolom 2 : Diisi Nama Kabupaten/Kota
Kolom 3 : Diisi Bentuk/Jenis Kebijakan atau Regulasi yang Dikeluarkan (Perda/Perbup-Perwali/Kep Bupati-Walikota/Intruksi Bupati-Walikota/SE Bupati-Walikota)
Kolom 4 : Diisi Judul Regulasi, sesuai dengan Dokumen Regulasi yang dikeluarkan
Kolom 5 : Diisi Nomor Regulasi yang dikeluarkan
Kolom 6 : Diisi Waktu, Tanggal dan Tahun Dikeluarkannya Regulais
Kolom 7 : Diisi Pejabat yang Menandatangani Regulasi (Walikota, Sekda, dll)
Kolom 8 : Diisi angka 1 jika regulasi Memasukkan strategi untuk Komunikasi Perubahan Perilaku (Behavioral Change Communication/BCC) di daerah; meliputi sasaran, pesan, saluran, dan pemantauan-evaluasi
Kolom 9 : Diisi angka 1 jika regulasi Memasukkan integrasi Germas
Kolom 10 : Diisi angka 1 jika regulasi Memasukkan kegiatan Komunikasi Antar Pribadi (Interpersonal Communication/IPC) (sebagai salah satu kegiatan dari strategi BCC)
Kolom 11 : Diisi angka 1 jika regulasi Memuat penjelasan keterlibatan OPD terkait, yang mendukung implementasi strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting
Kolom 12 : Diisi angka 1 jika regulasi Mencantumkan arahan agar OPD terkait menganggarkan alokasi anggaran untuk mendukung implementasi strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting
Kolom 13 : Diisi 0, Jika belum melampirkan Dokumentasi Regulasi (pdf). Diisi 1, Jika sudah melampirkan Dokumentasi Kebijakan (pdf).
Kolom 14 : Diisi 0 jika belum memiliki dokumen Strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting; Diisi 1 jika sudah memiliki dokuman Strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting
Kolom 15 : Diisi 0, Jika belum melampirkan Dokumen Strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting (pdf). Diisi 1, Jika sudah melampirkan dokumen Strategi Komunikasi Perubahan Perilaku Percepatan Pencegahan Stunting (pdf)
 LAPORAN KABUPATEN/KOTA LOKUS STUNTING
INDIKATOR Jumlah petugas kesehatan (bidan, perawat, gizi, promkes, sanitasi) atau kader yang dilatih/diorientasi Komunikasi Antar Pribadi (KAP)

Tahun : xxxx
Nama Provinsi : xxxx
Nama Kab/Kota : xxxx

Jumlah Sasaran Jumlah Petugas Kesehatan Puskesmas yang Telah Dilatih/Diorientasi KAP
Jumlah Sasaran
No Kab/Kota Puskesmas Petugas Kesehatan Puskesmas Kader yang akan Jumlah Kader yang Telah
yang akan Dilatih/Diorientasi Dilatih/Diorientasi KAP Dilatih/Diorientasi KAP
KAP Bidan Perawat Gizi Promkes Sanitasi/Kesling

1 2 3 4 5 6 7 8 9 10 11
1

Cara Pengisian Matrik :

Kolom 1 : Diisi Sesuai Nomor Urut
Kolom 2 : Diisi Nama Kabupaten/Kota
Kolom 3 : Diisi Nama Puskesmas
Kolom 4 : Diisi Jumlah Sasaran Petugas Kesehatan Puskesmas yang akan Dilatih/Diorientasi KAP sesuai yang tertuang dalam dokumen strakom atau yang telah ditentukan
Kolom 5 : Diisi Jumlah Petugas Kesehatan (Bidan) Puskesmas yang Telah Dilatih/Diorientasi KAP
Kolom 6 : Diisi Jumlah Petugas Kesehatan (Perawat) Puskesmas yang Telah Dilatih/Diorientasi KAP
Kolom 7 : Diisi Jumlah Petugas Kesehatan (Gizi) Puskesmas yang Telah Dilatih/Diorientasi KAP
Kolom 8 : Diisi Jumlah Petugas Kesehatan (Promkes) Puskesmas yang Telah Dilatih/Diorientasi KAP
Kolom 9 : Diisi Jumlah Petugas Kesehatan (Sanitasi/Kesling) Puskesmas yang Telah Dilatih/Diorientasi KAP
Kolom 10 : Diisi Jumlah Sasaran Kader yang akan Dilatih/Diorientasi KAP sesuai yang tertuang dalam dokumen strakom atau yang telah ditentukan
Kolom 11 : Diisi Jumlah Kader yang telah Dilatih/Diorientasi KAP
 LAPORAN KABUPATEN/KOTA LOKUS STUNTING
Kabupaten/Kota melaksanakan Komunikasi Antar Pribadi di minimal 70% desa lokus
Tahun : xxx
Nama Provinsi : xxx
Nama Kab/Kota : xxx

LOKUS KEGIATAN IMPLEMENTASI KOMUNIKASI ANTAR PRIBADI OLEH PETUGAS KESEHATAN (BIDAN, PERAWAT, GIZI, 70% DESA
DESA/KELURAHAN
NO KAB/KOTA KECAMATAN STUNTING PROMKES, SANITASI) ATAU KADER REKAPITULASI MELAKUKAN KAP
TAHUN LANGKAH 4 STBM/ KELAS IBU KELAS IBU PLA KUNJUNGAN PENYULUHAN (1 = Ya; 0 =Tidak)
NAMA STATUS KONSELING
POSYANDU PEMICUAN HAMIL BALITA MALARIA RUMAH KELOMPOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Cara Pengisian Matrik :

Kolom 1 : Diisi sesuai nomor urut
Kolom 2 : Diisi nama Kabupaten/Kota
Kolom 3 : Diisi nama kecamatan
Kolom 4 : Diisi nama desa/kelurahan
Kolom 5 : Diisi status: desa atau kelurahan
Kolom 6 : Diisi tahun lokus stunting
Kolom 7 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada kegiatan penyuluhan di langkah 4 di Posyandu setiap bulan minimal 8 kali setahun
Kolom 8 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada kegiatan pemicuan di masyarakat dengan tujuan agar masyarakat tidak buang air besar sembarangan (1 kali dlm 1 tahun)
Kolom 9 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan penyuluhan kelompok yang dilakukan saat pelaksanaan kelas ibu hamil minimal 1 bulan sekali
Kolom 10 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan penyuluhan yang dilakukan pada kelas ibu balita minimal 1 bulan sekali
Kolom 11 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan pengendalian malaria dengan melibatkan partsipasi masyarakat
Kolom 12 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan konseling kesehatan yang dilakukan oleh nakes minimal 4 kali dalam sebulan di desa atau di pelayanan kesehatan
Kolom 13 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan yang dilakukan saat nakes dan atau kader melakukan kunjungan rumah untuk memberi
informasi/edukasi kesehatan terkait faktor risiko stunting minimal 1 bulan sekali
Kolom 14 : Diisi angka 1 jika jika desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada Kegiatan yang dilakukan oleh tenaga
kesehatan dan atau kader saat melaksanakan penyuluhan kelompok kepada masyarakat minimal 1 bulan sekali, misalnya di forum-forum kesehatan
Kolom 15 : Diisi angka 1 jika dalam periode 1 tahun desa telah melaksanakan KAP oleh petugas kesehatan atau kader kepada kelompok sasaran pada salah satu kegiatan di kolom 8-14
Kolom 16 : Diisi angka 1 jika 70% desa lokus stunting melaksanakan KAP