NO INDIKATOR TARGET CAPAIAN

1
2
3
4 KELUARGA SEHAT 2% 13%
5 PEMBINAAN KELUARGA SEHAT 100% 100%
6 POSYANDU AKTIF 80% 33.33%

7
8
9
10
11
12
 RENCANA KEGIATAN 2020

PEMELIHARAAN KELUARGA SEHAT

INTERVENSI LANJUT KELUARGA TIDAK SEHAT DAN PRASEHAT
1. MONITORING PEMBINAAN STRATA POSYANDU MADYA ( 7 POSYANDU )
2. MONITORING PEMBINAAN STRATA POSYANDU PURNAMA ( 2 POSYANDU )
3. REFRESHING KADER
4. LOMBA KADER
 HASIL VERIVIKASI PIS-PK
NAMA PUSKESMAS : SIMARMATA
JADWAL (BULAN) : AGUSTUS 2019

MASALAH SESUAI INDIKATOR PIS-PK

NO NAMA KK DESA PEMBINAAN AWAL VERIFIKASI IKS KELUARGA KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 SEBELUM SESUDAH
1 HALOMOAN H SIBORO DOSROHA 0N N N N N N 0 1 1 1N 0N N N N N N 1 1 1 1N 60.0 80.0
2 JOSEN SIMANIHURUK DOSROHA N N N N N N 0 0 1 0 1N N N N N N N 0 1 1 0 1N 40.0 60.0
3 JAUMBANG SIMANIHURUK DOSROHA N N N N N N N 0 1 0 1N N N N N N N N 0 1 0 1N 50.0 50.0
4 KAROLUS NAINGGOLAN DOSROHA 1 1 1 1 1N N 0 0 1 1N 1 1 1 1 1N N 0 0 1 1N 77.8 77.8
5 Karmiden Manik DOSROHA 0 1 1N 1N N 0 0 0 0N 1 1 1N 1N N 0 0 0 1N 37.5 62.5
6 Gabe Sijabat DOSROHA N N N N 0N N 0 0 0 1N N N N N 1N N 0 0 1 1N 25.0 60.0
7 Sabam Sijabat DOSROHA 1N N N 1N N 0 0 1 1N 1N N N 1N N 0 0 1 1N 66.7 66.7
8 Marulak Sijabat DOSROHA N N N N N N N 0 0 0 0N N N N N N N N 0 1 1 1N 0.0 75.0
9 JHONRICO NAINGGOLAN DOSROHA 1 1 1 1 1N N 0 0 1 1N 1 1 1 1N N N 0 1 1 1N 77.8 87.5
10 Esti Sihaloho DOSROHA N N N N N N 0 0 0 1 1N N N N N N N 1 0 1 1 1N 40.0 80.0
11 Anton Simanihuruk DOSROHA N N N 0 1 1 1N N N N N N N N N N N N 0 1 1 1N 75.0 75.0
12 SARIA SIHALOHO DOSROHA N N N N N 1 0 1 0 1 1N N N N N N 1 1 1 0 1 1N 66.7 83.3
13 EDIS SIMANIHURUK DOSROHA 1N N N N N N 0 0 1 1N 1N N N N N N 0 0 1 1N 60.0 60.0
14 SENTINA SIHALOHO DOSROHA N N N N N N N 1 1 1 1N N N N N N N N 1 1 1 1N 100.0 100.0
15 MARULUNG SINABUTAR DOSROHA N N N N N N N 1 1 0 1N 1N N N N N N 1 1 1 1N 75.0 100.0
16 JADEMAK NAINGGOLAN DOSROHA 0N N N N N N 0 1 1 1N N N N N N N N 1 1 1 1N 60.0 100.0
17 HAOTMA L.SITUNGKIR DOSROHA N N N N N N N 1 1 0 1N N N N N N N N 1 1 1 1N 75.0 100.0
18 OJAHAN SIJABAT DOSROHA 0N N N N N 0 1 1 1 1N 1N N N N N 1 1 1 1 1N 66.7 100.0
19 BERLIANA SINABUTAR DOSROHA N N N N N N 0 1 1 1 1N N N N N N N N 1 1 1 1N 80.0 100.0
20 DERMAWATI SIJABAT DOSROHA N N N N N N 0 1 1 1 1N N N N N N N N 1 1 1 1N 80.0 100.0
21 Dosner Sijabat DOSROHA 1N N N N N N 0 1 0 1N 1N N N N N N 1 1 1 1N 60.0 100.0
22 Tambun Gultom DOSROHA N N N N N N N 1 0 0 1N N N N N N N N 1 1 0 1N 50.0 75.0
23 Hendri Sijabat DOSROHA 1N N N N N N 0 1 1 1 0 1N N N N N N 0 0 1 1 1 66.7 66.7
24 Biliater Sijabat DOSROHA N N N N N N N N 1 1 1 1 N N N N N 0N 1 1 1 1 1 100.0 83.3
25 Rismawati Sijabat DOSROHA N N N N N N N 1 0 1 1N N N N N N N N 1 1 1 1N 75.0 100.0
26 Sahala Sijabat DOSROHA N N N N N N N 0 1 1 1N N N N N N N N 0 0 1 1N 75.0 50.0

27 ARNOLDSITORUS SIMARMATA N N N N N N N 0 1 1 1N N N N N N N N 1 1 1 1N 75.0 100.0

28 LASMI SIMARMATA SIMARMATA N N N N N 1 0 0 1 1 1N N N N N N 1 0 0 1 1 1N 66.7 66.7
29 WILMAR SIMARMATA SIMARMATA N N N N N 1 0 0 0 1 1N N N N N N 1 0 0 1 1 1N 50.0 66.7
30 TOGU SIMARMATA SIMARMATA N N N N N N N 1 0 0 0N N N N N N N N 1 0 1 1N 25.0 75.0
31 NAMBUN H.SINAGA SIMARMATA 1N N N Y N N 0 0 1 1N 1N N N 1N N 0 0 1 1N 60.0 66.7
32 ROBERT SINAGA SIMARMATA 1N N N N N 0 0 1 1 1N 1N N N N N N 1 1 1 1N 66.7 100.0
33 RYFANTO SIMARMATA N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75.0
34 SIHAR MANIK SIMARMATA N N N N N N N 0 0 1 1N 1N N N N N N 0 1 1 1N 50.0 80.0
36 PAKKAT SINAGA SIMARMATA 1N N N N N N 0 1 1 1N 1N N N N N N 0 0 1 1N 80.0 60.0
37 KASIANAR SIMARMATA SIMARMATA 1N N N N N N 0 0 1 1N N N N N N N N 0 0 1 1N 60.0 50.0
38 JAUMUR SIMANJORANG SIMARMATA N N N N N N N 0 1 1 1N N N N N N N N 1 1 1 1N 75.0 100.0
39 SAHAT SIANAGA SIMARMATA N N N N N N N 0 1 1 1N 0N N N N N N 0 1 1 1N 75.0 83.3
43 LITCAI DARWIN SINURAT SIMARMATA 0N N N 1 N N 0 1 1N N N N N N N N 0 0 1 1N 60.0 50.0
44 SARDIHOT SIMARMATA SIMARMATA N N N N N N N 0 0 1 1N N N N N N N N 0 1 1 1 0 50.0 60.0
46 JAROMAN SIMARMATA SIMARMATA N N N N N N N 0 1 1 1 0 N N N N N N N 0 1 1 0N 60.0 50.0
47 EFENDI SIMARMATA SIMARMATA N N N N N N N 0 1 1 0N 1N N N N N N 0 1 1 1N 50.0 80.0
48 WALSIUS SITINDAON SIMARMATA 1N N N N N N 0 1 1 1N N N N N N 1N 0 1 1 1N 80.0 80.0
49 ELIANTO SIHOMBING SIMARMATA N N N N N 0N 0 1 1 1N N N N N N 1N 0 1 1 1N 60.0 80.0
50 MEIJI H NAINGGOLAN SIMARMATA N N N N 1N N 0 0 1 1N N N N N N 1N 0 1 1 1N 60.0 80.0
51 NIMROD MANAHAN SINURAT SIMARMATA N N N N N N N 0 0 1 1N N N N N 1N N 0 0 1 1N 50.0 60.0
53 RAMLI H SIMRMATA SIMARMATA N N N N 1N N 0 0 1 1N N N N N N N N 0 0 1 1N 60.0 50.0
54 MARUHUM PASARIBU SIMARMATA N N N N N N N 0 1 0 1N 0 1 1 1 1N N 0 0 1 1N 50.0 66.7
55 EDWARD NAPITU SIMARMATA N N N N N N N 0 0 1 1N N N N N N N N 0 1 1 1N 50.0 75.0
56 TIOM AMBARITA SIMARMATA N N N N N N 0 1 0 1 1N N N N N N N N 0 0 1 1N 60.0 50.0
61 HOTBEN SIMARMATA SIMARMATA N N N N N N N 0 0 1 1N N N N N N N 1 0 0 1 1N 50.0 60.0
62 JUARDI ANTONIUUS MANIK SIMARMATA N N N N N N 0 0 1 1 1N N N N N N N N 0 1 1 1N 60.0 75.0
65 Hotmainta sihaloho SIMARMATA N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75.0
66 ROHANNA MALAU SIMARMATA N N N N N N N 1 0 1 1N N N N N N N N 1 0 1 1N 75.0 75.0

67 TORUS PANGIHUTAN SIANTURI CINTADAME 0N N N N N N 0 1 1 1N 0N N N N N N 0 1 1 1N 60.0 60

68 MARJAN MALAU CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
 69 TIARA TURNIP CINTADAME 0N N N N N N 1 0 1 1N N N N N N N N 1 1 1 1N 60.0 100
70 ADI TURNIP CINTADAME 1N N 1 1N N 0 1 0 0N 1N N 1 1N N 0 1 1 1N 57.1 85.7
71 SAUT MARULI TUA CINTADAME 1N N N N N N 0 0 1 1N 1N N N N N N 0 1 1 1N 60.0 80.0
72 ISRAK MIRZA CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75.0
73 RUBIAH SIDAURUK CINTADAME N N N N N N 0 1 0 1 1N N N N N N N 0 1 0 1 1N 60.0 60.0
74 PARASIAN SINAGA CINTADAME 0N N N 0N N 1 1 1 1N 1N N N 1N N 1 1 1 1N 66.7 100.0
75 BERMAN MALAU II CINTADAME N N N N N N N 1 0 1 1N N N N N N N N 1 1 1 1N 75.0 100.0
76 BRIANTO LIKE TUA TURNIP CINTADAME 0 1 1 1 1N N 0 0 1 1N 0 1 1 1 1N N 0 0 1 1N 66.7 66.7
77 RIA YUNITA MALAU CINTADAME N N N N N N N 1 0 1 1N N N N N N N N 1 0 1 1N 75.0 75.0
78 PANGURURAN SIDAURUK CINTADAME N N N N N N N 1 0 1 1N N N N N N N N 1 1 1 1N 75.0 100.0
79 KAMAN SIDAURUK CINTADAME 0N N N N N N 0 1 1 1N 0N N N N N N 0 1 1 1N 60.0 60.0
80 MAKDIN SIHALOHO CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75.0
81 CANDRO SITUMORANG CINTADAME N N N N N N N 1 0 1 1N N N N N N N N 1 0 1 1N 75.0 75.0
82 ROMA REJEKINA SITUMORANG CINTADAME N N N N N N N 1 1 1 0N N N N N N N N 1 1 1 0N 75.0 75.0
83 MASDON MALAU CINTADAME 1 1 1 0 1N N 0 1 0 1N N N N 0 1N N 0 1 0 1N 66.7 50.0
84 Tianar Sitinjak CINTADAME N N N N N N N 1 1 1 0N N N N N N N N 1 1 1 0N 75.0 75.0
85 Soripada Sinaga CINTADAME 0 1 1 1 1N N 0 0 1 1N 1 1 1 1 1N N 0 0 1 1N 75.0 77.8
86 RAULI MANIK CINTADAME N N N N 1N N 0 1 1 1N N N N N 1N N 0 1 1 1N 80.0 80.0
87 JUDER TURNIP CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 1 1 1 1N 75.0 100
88 KESMAN TURNIP CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
89 ROYANTONO R.TURNIP CINTADAME 1N N N N N N 0 1 1 1N 1N N N N N N 0 1 1 1N 80.0 80
90 JAULIM TIRNIP CINTADAME N N N N N N 1 0 1 1 1N N N N N N N 1 0 1 1 1N 80.0 80
91 NASIB SIDAURUK CINTADAME 1N N N 0 0 1 0 0 1 1N 1N N N 1N N 0 0 1 1N 44.4 66.7
92 SEBASTIAN APUNG CINTADAME 1N N N 0N 0 1 0 1 1N 1N N N 0N 1 1 1 1 1N 57.1 85.7
93 KARDO NAPITU CINTADAME 1 1N 0 1N N 1 0 0 1N 1 1N 0 1N N 1 0 0 1N 62.5 62.5
94 LOSSEN MANIK CINTADAME N N N N 1N N 0 0 1 1N N N N N 1N N 0 0 1 1N 60.0 60
95 Mulaster Turnip CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
96 Polmer Bintaria Turnip CINTADAME 0 1 1 1 1N N 0 0 1 1N 1 1 1 1 1N N 1 0 1 1N 66.7 88.9
97 Maruli Ambarida CINTADAME 0N N N N N N 0 1 1 1N 1N N N N N N 0 1 1 1N 60.0 80
99 Doga Sinabariba CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 1 1 1 1N 75.0 100
100 saragi Tua Turnip CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
101 Kasima Silalahi CINTADAME N N N N N N N 1 1 0 1N N N N N N N N 1 0 1 1N 75.0 75
102 Bronson Malau CINTADAME N N N N N N 0 1 0 1 1N N N N N N N 0 1 0 1 1N 60.0 60
103 Alber Malau CINTADAME N N N N N N N 0 1 1 1N N N N N N N 0 1 0 1 1N 75.0 60
104 Nahrowi CINTADAME N N N N N N N 1 0 1 1N N N N N N N N 1 1 1 1N 75.0 100
105 Tiur Turnip CINTADAME N N N N N N 0 1 0 1 1N N N N N N N 0 1 1 1 1N 60.0 80
106 Ramasta Malau CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
107 Padot turnip CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
108 Marihot Turnip CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
109 Tiurma Sianturi CINTADAME N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75
110 Kariden Manik CINTADAME 1N N N N N N 0 0 1 1N 1N N N N N N 0 0 1 1N 60.0 60.0

111 LEDIN SITUMORANG SIHUSAPI 1N 1 0 1N N 0 0 1 1N 1N 1N 1N N 0 0 1 1N 62.5 71.4

112 TIODOR SIMARMATA SIHUSAPI N N N N N N N 1 0 1 1N N N N N N N N N 1 0 1N 75.0 50.0
113 JESRON AMBARITA SIHUSAPI 1N N N 1N N 0 0 1 1N 1N N N 1N N 0 0 1 1N 66.7 66.7
114 JONNI SIMARMATA SIHUSAPI 1 1N N 1N N 0 0 0 1N 1N N N 1N N 0 0 1 1N 57.1 66.7
115 ARDINA SIMARMATA SIHUSAPI N N N N N N 1 1 1 0 1N N N N N N N 1 1 1 1 1N 80.0 100.0
116 PARDOMUAN SIMARMATA SIHUSAPI 1 1 1 1 1N N 0 0 0 1N 1 1 1 1 1N N 0 0 0 1N 66.7 66.7
117 ERWIN SIMARMATA SIHUSAPI 1N N N 1 1N 0 0 0 1N 1N N N 1 1N 0 1 0 1N 57.1 71.4
118 RASNI SIMANIHURUK SIHUSAPI N N N N N 0N 1 1 0 1N N N N N N 1N 1 1 1 1N 60.0 100.0
119 PENDI AMBARITA SIHUSAPI 1N N N N N N 0 1 0 1N 1N N N N N N 0 1 0 1N 60.0 60.0
120 MILLER SIHALAHI SIHUSAPI N N N N N N N 0 1 1 1N N N N N N N N 0 0 1 1N 75.0 50.0
121 RULI SIMARMATA SIHUSAPI N N N N N N N 1 1 0 1N N N N N N N N 1 1 1 1N 75.0 100.0
122 RATOGA AMBARITA SIHUSAPI 1 1 1 1N N N 0 1 0 1N 1 1 1 1N N N 0 1 1 1N 75.0 87.5
123 RIDUAN AMBARITA SIHUSAPI N N N N 1N N 1 0 0 1N N N N N 1N N 1 0 0 1N 60.0 60.0
124 LANCON SIMARMATA SIHUSAPI 1N N N N N N 1 0 0 1N 1N N N N N N 1 0 1 1N 60.0 80.0
125 JHONY GOKNER AMBARITA SIHUSAPI N N N N N N N 0 1 1 1N N N N N N N N 0 1 1 1N 75.0 75.0
126 AMAN SILALAHI SIHUSAPI N N N N N N N 1 0 1 1N N N N N N N N 1 0 1 1N 75.0 75.0

MENGETAHUI,
KEPALA PUSKESMAS SIMARMATA

(dr. Buha MB Purba )

NIP. 19810905 201412 1 001
NO INDIKATOR TARGET CAPAIAN RENCANA KEGIATAN 2020
1
2
3
4
5
6
7
8
9
10
11
12