04 Feb 2022
OKT NOV DES
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
BULAN JANUARI
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
(5.19% Balita) Bernapas TOTAL
LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
P2 ISPA
BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
BATUK BKN PNEUMONIA dihitun
g
1-4 TH TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH JLH JLH ada JLH JLH JLH JLH JLH
LK PR LK PR TDDK LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 0 1 1 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 2 2 0 0 0 0 0 2 2 4 0
0 1 1 2 1 1 2 2 0 0 0 0 0 2 2 4 0
0 0 0 0 0 0 0 0 0 0 2 1 3 0
1 1 1 2 2 1 3 3 0 0 0 0 0 2 2 4 0
1 2 3 5 2 4 6 6 0 0 0 0 0 3 4 7 0
0 3 3 6 3 3 6 6 0 0 0 0 0 1 5 6 0
2 3 1 4 5 1 6 6 0 0 0 0 0 3 3 0
0 2 2 4 2 2 4 4 0 0 0 0 0 2 2 0
0 8 1 9 8 1 9 9 0 0 0 0 0 4 4 8 0
0 1 1 1 0 1 1 0 0 0 0 0 1 1 0
1 3 1 4 4 1 5 5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
7 24 14 38 30 15 45 45 0 0 0 0 0 0 0 0 0 21 22 43 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
BULAN FEBRUARI
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMON
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
(5.19% Balita) Bernapas TOTAL JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
2 ISPA
ANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
BATUK BKN PNEUMONIA dihitun
g
1-4 TH TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH JLH ada JLH JLH JLH JLH JLH
LK PR LK PR TDDK LK PR LK PR LK PR LK PR LK PR
2 2 0 2 2 2 0 0 0 0 0 4 2 6 0
1 1 1 0 1 1 0 0 0 0 0 2 2 0
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 0 1 1 0 0 0 0 0 1 1 0
0 0 1 1 1 0 0 0 0 0 2 2 0
0 0 0 0 0 0 0 0 0 0 2 2 4 0
1 1 1 1 2 2 0 0 0 0 0 1 2 3 0
1 1 0 1 1 1 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 1 4 5 0
1 1 3 0 3 3 0 0 0 0 0 3 4 7 0
0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 2 1 3 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 2 0
5 4 9 8 6 14 14 0 0 0 0 0 0 0 0 0 14 20 34 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BULAN MARET
……………………...………
NIP
LAPORAN BULANAN PROGR
PUSKESMAS KINTOM KABUPA
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 1 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
USKESMAS KINTOM KABUPATEN BANGGAI
0 0 0 0 0 0
0 0 0 0 0 1 1 2
0 0 0 0 0 2 2
0 0 0 0 0 3 1 4
0 0 0 0 0 4 4
0 0 0 0 0 6 4 10
0 0 0 0 0 2 2 4
0 0 0 0 0 2 1 3
0 0 0 0 0 2 2
0 0 0 0 0 1 1 2
0 0 0 0 0 3 6 9
0 0 0 0 0 1 4 5
0 0 0 0 0 2 2
0 0 0 0 0 6 1 7
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 33 23 56 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN APRIL
……………………...………
NIP
LAPORAN BULANAN PROGR
PUSKESMAS KINTOM KABUPA
0 0 0 0
0 0 0 0
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 0 0 1 0
0 0 0 0
0 0 0 0
2 0 0 0 2
2 0 0 2 0
0 0 0 0
0 0 0 0
0 3 2 0 0 0 0 0 0 3 2
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
USKESMAS KINTOM KABUPATEN BANGGAI
0 0 0 0 0 2 1 3
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 2 2
0 0 0 0 0 2 2
0 0 0 0 0 2 1 3
0 0 0 0 0 1 1 2
0 0 0 0 0 4 4
0 0 0 0 0 5 5 10
0 0 0 0 0 0
0 0 0 0 0 3 3
0 0 0 0 0 7 4 11
0 0 0 0 0 1 1
0 0 0 0 0 2 3 5
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25 21 46 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN MEI
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 0 0 0 0
0 0 0 0 0 0.00 0 5 5 0 5 5
0 0 0 0 0 #DIV/0! 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 5 5 0 5 5
Mengetahui
as……………………………..….
…...………………………………
Juml
ah yg
dihit JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
ung
nafa Bkn
s/ <1 TH 1-4 TH TOTAL Pneumonia JLH Pneumonia JLH
ada JLH JLH JLH
TDD LK PR LK PR LK PR LK PR LK PR
K
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BULAN JUNI
……………………...…………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 1 1
0 0 0 0 0 0.00 1 1
0 0 0 0 0 0.00 1 1
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 1 1
0 0 0 0 0 0.00 2 2
0 0 0 0 0 0.00 1 1
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 0 0 0 0 0.00 5 2 7
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
P
PA
GGAI
Jumla
h yg JLH KEMATIAN BALITA KARENA PNEUMONIA
BATUK BKN PNEUMONIA dihitu
1-4 TH TOTAL ng <1 TH 1-4 TH TOTAL
nafas
JLH JLH / ada JLH JLH JLH
LK PR LK PR TDDK LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0
1 1 1 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 1 4 4 1 5 5 0 0 0 0 0
1 1 1 1 2 2 0 0 0 0 0
1 1 2 1 2 3 3 0 0 0 0 0
1 1 2 1 1 2 2 0 0 0 0 0
3 3 3 1 4 4 0 0 0 0 0
1 5 6 3 5 8 8 0 0 0 0 0
0 1 0 1 1 0 0 0 0 0
2 2 0 2 2 2 0 0 0 0 0
2 2 0 2 2 2 0 0 0 0 0
1 1 0 1 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 14 24 15 16 31 31 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
ISPA ≥ 5 TH
Bkn
Pneumonia Pneumonia
JLH JLH
LK PR LK PR
0 0
0 0
0 0
1 5 6 0
3 5 8 0
3 1 4 0
2 4 6 0
5 2 7 0
7 7 0
1 1 0
3 4 7 0
6 2 8 0
1 1 0
0 0
1 1 0
31 25 56 0 0 0
0
BULAN JULI
……………………...………
NIP
LAPORAN BULANAN PROG
PUSKESMAS KINTOM KABUP
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
dihitung
% <1 TH 1-4 TH TOTAL nafas / ada
TOTAL JLH JLH JLH TDDK
LK PR LK PR LK PR
0 0.00 0 0 0 0 0 0
0 0.00 0 2 2 0 2 2 2
0 0.00 0 1 1 1 0 1 1
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 2 2 2 0 2 2
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 0 1 1 0 1 1 1
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 1 0 1 2
0 0.00 0 0 0 0 0 0
0 0.00 0 2 2 2 0 2 2
0 #DIV/0! 0 0 0 0 0 0
0 0.00 0 0 0 6 4 10 6 4 10 11
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 2 2
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 2 3
0 0 0 0 0 2 2 4
0 0 0 0 0 1 1 2
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 2 2 4
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 8 10 18 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN AGUSTUS
……………………...………
NIP
LAPORAN BULANAN PRO
PUSKESMAS KINTOM KABU
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
dihitung nafas /
% <1 TH 1-4 TH TOTAL ada TDDK
TOTAL JLH JLH JLH
LK PR LK PR LK PR
0 0.00 0 0 0 0 0 0
0 0.00 1 1 1 1 2 0 2 2
0 0.00 0 1 1 1 0 1 1
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 #DIV/0! 0 0 0 0 0 0
0 0.00 1 0 1 2 1 3 3 1 4 4
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 2 3 5
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 1 1 2
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 2 2
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 7 5 12 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN SEPTEMBER
……………………...………
NIP
LAPORAN BULANAN PRO
PUSKESMAS KINTOM KABU
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
dihitung
<1 TH 1-4 TH TOTAL nafas / ada
%
TOTAL JLH JLH JLH TDDK
LK PR LK PR LK PR
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 1 1 1 2 3 1 3 4 4
0 0.00 1 1 1 1 1 1 2 2
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 2 2 2 0 2 2
0 0.00 0 0 0 0 0 0
0 0.00 0 1 1 1 0 1 1
0 #DIV/0! 0 0 0 0 0 0
0 0.00 0 2 2 5 4 9 5 6 11 11
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 2 2
0 0 0 0 0 3 3
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 9 3 12 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
Pneumonia Balita Kesukaran <1 TH
pddk) (10% Balita) Bernapas
LK
……………………...………
NIP
LAPORAN BULANAN PRO
PUSKESMAS KINTOM KABU
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
dihitung
<1 TH 1-4 TH TOTAL nafas / ada
%
TOTAL JLH JLH JLH TDDK
LK PR LK PR LK PR
0 0.00 0 0 0 0 0
0 0.00 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 0 0 0 0 0
0 0.00 0 0 0 0 0
0 0.00 0 0 0 0 0
0 0.00 1 1 0 1 0 1 1
0 0.00 0 3 2 5 3 2 5 5
0 0.00 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 1 1 1 1 1 1 2 2
0 0.00 0 1 1 2 1 1 2 2
0 0.00 2 2 1 1 2 1 3 4 4
0 0.00 0 0 0 0 0
0 #DIV/0! 0 1 1 1 0 1
0 0.00 2 2 4 6 7 13 8 9 17 16
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 1 1 2
0 0 0 0 0 2 2
0 0 0 0 0 2 2
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 1 2
0 0 0 0 0 0 0 0 0 5 9 14 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN NOVEMBER
……………………...………
NIP
LAPORAN BULANAN PRO
PUSKESMAS KINTOM KABU
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
dihitung
<1 TH 1-4 TH TOTAL nafas / ada
%
TOTAL JLH JLH JLH TDDK
LK PR LK PR LK PR
0 0.00 0 0 0 0 0
0 0.00 0 0 0 0 0
0 0.00 0 1 1 0 1 1 1
0 0.00 0 2 2 2 0 2 2
0 0.00 0 1 1 1 0 1 1
0 0.00 1 1 1 1 2 1 2 3 2
0 0.00 0 2 2 2 0 2 2
0 0.00 0 1 1 2 1 1 2 4
0 0.00 0 1 1 2 1 1 2 2
0 0.00 1 1 2 0 1 1 2
0 0.00 0 2 2 0 2 2 2
0 0.00 0 1 1 0 1 1 1
0 0.00 0 0 0 0 0
0 0.00 0 0 0 0 0
0 #DIV/0! 0 0 0 0 0
0 0.00 1 2 3 8 7 15 9 9 18 17
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
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
0 0 0 0 0 0
0 0 0 0 0 2 1 3
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
BULAN DESEMBER
……………………...………
NIP
LAPORAN BULANAN PRO
PUSKESMAS KINTOM KABU
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
NEMUAN PENDERITA
H BATUK BKN PNEUMONIA Jumlah yg
<1 TH 1-4 TH TOTAL dihitung nafas
% / ada TDDK
TOTAL JLH JLH JLH
LK PR LK PR LK PR
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0
0 #DIV/0! 0 0 0 0 0 0
0 0.00 0 0 0 0 0 0 0 0 0 0
JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
PA ≥ 5 TH
Pneumonia
JLH
PR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
REKAPITULASI LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
BULAN JANUARI - DESEMBER 2013
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATU
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
(5.19% Balita) Bernapas TOTAL
LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
ISPA
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
BATUK BKN PNEUMONIA dihitun
g
1-4 TH TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH JLH JLH ada JLH JLH JLH JLH JLH
LK PR LK PR TDDK LK PR LK PR LK PR LK PR LK PR
1 1 5 6 1 6 7 7 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0
3 3 4 7 5 5 10 10 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0
0 2 3 5 2 3 5 5 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0
4 6 2 8 10 2 12 12 0 0 0 0 0 0 0 0 0 7 12 19 0 0 0
2 4 3 7 6 3 9 10 0 0 0 0 0 0 0 0 0 12 10 22 0 0 0
5 6 6 12 6 11 17 16 0 0 0 0 0 0 0 0 0 16 13 29 0 0 0
2 5 6 11 7 6 13 13 0 0 0 0 0 0 0 0 0 11 14 25 0 0 0
4 11 8 19 11 12 23 25 0 0 0 0 0 0 0 0 0 17 14 31 0 0 0
4 9 14 23 11 16 27 27 0 0 0 0 0 0 0 0 0 20 11 31 0 0 0
6 6 4 10 11 5 16 14 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0
3 2 9 11 5 9 14 14 0 0 0 0 0 0 0 0 0 11 21 32 0 0 0
3 15 6 21 18 6 24 25 0 0 0 0 0 0 0 0 0 26 22 48 0 0 0
2 4 2 6 4 4 8 8 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0
4 11 11 22 15 11 26 27 0 0 0 0 0 0 0 0 0 10 5 15 0 0 0
0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
43 86 83 169 113 99 212 213 0 0 0 0 0 0 0 0 0 156 142 298 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS KINTOM KABUPATEN BANGGAI
BULAN ………………………. TAHUN ……………
REALISASI PENEMUAN PENDERITA
Jml Target Jmlh JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
Kunjungan
PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA Jmlh
Pddk Penemuan dihitung Bkn
JLH Usia Penderita Balita <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH TOTAL <1 TH 1-4 TH TOTAL Pneumonia
NO DESA napas/ Pneumonia
PDDK Balita Pneumonia Batuk &/ % ada
(10% Balita (5.19% Kesukaran TOTAL JLH JLH JLH JLH JLH JLH JLH JLH
pddk) Balita) Bernapas LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR TDDK LK PR LK PR LK PR LK PR LK PR
1 BABANG BUYANGGE
2 KALOLOS
3 TANGKIAN
4 MANYULA
5 ULING
6 KINTOM
7 SAMADOYA
8 DIMPALON
9 SOLAN
10 MENDONO
11 SOLAN BARU
12 MONDONUN
13 DIMPALON BARU
14 PADANG
15 LUAR WILAYAH
JUMLAH
……………………………………………………………. …………………………………………..
NIP. NIP.