RT : 10
RW : 05
Dusun : 03
Hub dengan KK
No.
KK NAMA KK No. JIWA NAMA JIWA
0-11bln 1-5. 6-10. 11-15. 16-20. 21-25. 26-30. 31-35. 36-40. 41-50. 51-55. 56-60. 61-65. 66-70. 71-75. >75 L
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1
1
1 1
1
1
1
1 1
1 1
1
1 1
1
1 1
1 1
1 1
1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1 1
1
1
1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1
1
1 1
0 9 3 7 12 10 10 3 2 10 4 2 1 2 0 4 38
JK Kondisi AGAMA Pendidikan Terakhir Pekerjaan
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
41 79 0 14 0 0 0 0 0 65 9 18 25 9 12 4 19 0 0 0 0
erjaan Akseptor Imunisasi Balita Stunting Masalah Balita Ibu Hamil
TB Ya Tdk BCG DPT1 DPT2 DPT3 Pol1 Pol2 Pol3 Hb1 Hb2 Hb3 Cpk Ada Tdk ada Tdk K1
1 1 1
1 1
1
1
1 1
1 1
1
1
1
1
1
1
1 1 1
1 1
1 1
1
1
1
1 1
1
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
1 1
1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1 1 1 1 1 1 1 1 1 1 1 1 1
1 1
1
1
1
1
1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1
1
1
1
1
1
1
1 1
1
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
61 8 9 8 8 8 8 8 8 8 8 8 8 8 0 11 1 9 0
Ibu Hamil Lansia Kes Lansia Resp TBC HT DM WC T4 Sampah T4 Sampah
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1
1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 7 9 7 0 3 14 0 16 3 14 1 16 4 13 2 15 0 2
T4 Sampah Keb Rumah Kondisi Rumah Jika Sakit Askes/KIS Vaksinasi Cov 19 B. Pengkajian Mal
1.Sakit
Ber B C K Per Sem tdk Blm 1 2 3
Rs Pusk Dr Nakes Lain ada tidak Ya
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1
1
1
1
1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1 1 1 1 1 1
1
1
1 1 1 1 1
1
1
1
1 1 1 1 1
1
1
1 1 1 1 1
1 1 1 1 1
1
1
1
1
1
0 2 13 2 0 0 17 2 16 0 0 1 16 2 29 0 5 1 3
Keluar Lengan Obat Gantung Parit/
B. Pengkajian Malaria Kepemilikan Kelambu Genangan Air
Malam Panjang Nyamuk Pakain Selokan
1.Sakit 2.Pergi 3. Obat Ya Jentik Jentik
Ya Tdk Tdk Ya Tdk Ya Tdk Ya Tdk
Tdk Ya Tdk ya tdk Digun Tdk Gun ada Tdk ada
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
14 0 16 0 15 0 17 9 0 9 1 15 1 16 12 5 5 12 0
Parit/ Dinding Kelembab
Rawa Semak Kwt Kasa Langit Pencahayan Ventilasi
Selokan Rapat an
Jentik Jentik
ada Tdk Ada tdk Ya Tdk ya tdk Baik tdk Ya Tdk Baik Tdk
Tdk ada Tdk
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
17 4 13 17 0 1 16 14 3 9 8 14 3 7 10 4 13
Mahasiswa Pengkaji Masalah Kes Lainnya yg ditemukan
Johniyanto U. Y. R. Hiotensi