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LAPORAN BULANAN

REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA


KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN FEBRUARI 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 1 3 0 0 0 0 0 0 0 0 1 3 4
2 Kumulatif s.d. bulan ini 1 3 0 0 0 0 0 0 0 0 1 3 4
II Asal Pasien :
1 Datang sendiri 1 3 0 0 0 0 0 0 0 0 1 3 4
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 2 0 0 0 0 0 0 0 0 0 2 2
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 1 0 0 0 1 1 0 0 0 0 1 0 1
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 1 1 0 0 0 0 0 0 0 0 1 1 2
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 1 1 0 0 0 0 0 0 0 0 1 1 2
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 1 0 0 0 1 1
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Mengetahui : Wekmidar, 28 FEBRUARI 2019


Kepala Puskesmas Wekmidar Pengelola Program

Blasius Bria Nahak, SKM Modesta Elfrida Ade, Amd. Kep


NIP. 19770624 199603 1 004 NIP ._
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JUNI 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 1 1 0 0 0 0 0 0 0 0 1 1 2
II Asal Pasien :
1 Datang sendiri 1 1 0 0 0 0 0 0 0 0 1 1 2
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 1 0 0 0 0 0 0 0 0 0 1 0 1
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 1 0 0 0 0 0 0 0 0 0 1 0 1
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 1 1 0 0 0 0 0 0 0 0 1 1 2
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 1 1 0 0 0 0 0 0 0 0 1 1 2
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 1 1 0 0 0 0 0 0 0 0 1 1 2
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 1 0 0 0 0 0 1 0 0 0 2 2
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 30 Juni 2019


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JULI 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 1 1 0 0 0 0 0 0 0 0 1 1 2
II Asal Pasien :
1 Datang sendiri 1 1 0 0 0 0 0 0 0 0 1 1 2
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 1 0 0 0 0 0 0 0 0 0 1 0 1
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 1 0 0 0 0 0 0 0 0 0 1 0 1
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 1 1 0 0 0 0 0 0 0 0 1 1 2
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 1 1 0 0 0 0 0 0 0 0 1 1 2
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 1 1 0 0 0 0 0 0 0 0 1 1 2
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 1 0 0 0 0 0 1 0 0 0 2 2
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 31 Juli 2019


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN AGUSTUS 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 1 1 0 0 0 0 0 1 0 0 1 2 3
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 31 Agustus 2019


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN SEPTEMBER 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 1 1 0 0 0 0 0 1 0 0 1 2 3
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 30 September 2019


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN OKTOBER 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 1 1 0 0 0 0 0 1 0 0 1 2 3
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

a.n Kepala Puskesmas Wekmidar Wekmidar, 31 Oktober 2019


KTU Pengelola Program

Silvestra Seran, A.Md. Kep


NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN NOVEMBER 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 1 1 0 0 0 0 0 1 0 0 1 2 3
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

a.n Kepala Puskesmas Wekmidar Wekmidar, 30 November 2019


KTU Pengelola Program

Silvestra Seran, A.Md. Kep


NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN DESEMBER 2019

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

a.n Kepala Puskesmas Wekmidar Wekmidar, 08 Januari 2020


KTU Pengelola Program

Silvestra Seran, A.Md. Kep


NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JULI 2019

Desa Desa Desa


Desa Lotas Desa Muke
Wekmidar Raisamane Saenama
No. ELEMEN DATA
L P L P L P L P L

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 1 1 0 0 0 0 0 0 0
II Asal Pasien :
1 Datang sendiri 1 1 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0
7 25 - 49 thn 1 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0
6 25 - 49 thn 1 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 1 1 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 1 1 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 1 1 0 0 0 0 0 0 0
2. Hasil Post. 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0
Meninggal 0 1 0 0 0 0 0 1 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0
3. Faskes lainnya
ARINGNYA

Desa Muke Total

P L P L+P

0 0 0 0
0 1 1 2

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

0 0 0 0
0 0 2 2
0 0 0 0
0 0 0 0
0 0 0 0
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JULI 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 1 0 0 0 0 0 0 0 0 0 1 1
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 1 0 0 0 0 0 0 0 0 0 1 1
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 1 0 0 0 0 0 0 0 0 0 1 1
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 31 Juli 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JULI 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P
I Total Penderita HIV/AIDS :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 23 Juli 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JULI 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 23 Juli 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 00
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN AGUSTUS 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 25 Agustus 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN SEPTEMBER 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 25 September 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN OKTOBER 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 28 Oktober 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN NOVEMBER 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 1 0 0 0 0 0 0 0 0 0 1 1
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 25 November 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN DESEMBER 2020

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 21 Desember 2020


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006
LAPORAN BULANAN
REKAPITULASI PENDERITA HIV/AIDS DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MALAKA / PUSKESMAS WEKMIDAR
BULAN JANUARI 2021

Desa Desa Desa


Desa Lotas Desa Muke Total
No. ELEMEN DATA Wekmidar Raisamane Saenama
L P L P L P L P L P L P L+P

I Total Penderita HIV/AIDS :


1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 1 0 0 0 0 0 0 0 0 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman LSM / Kader 0 0 0 0 0 0 0 0 0 0 0 0 0
III Diagnosa/Penderita HIV/AIDS :
1 HIV
2 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 AIDS
1 0 - 5 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 - 9 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
3 10 - 14 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
4 15 - 19 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
5 20 - 24 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
6 25 - 49 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ≥ 50 thn 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Faktor Risiko :
1 Homoseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Pengguna narkoba suntik 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Biseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Perinatal 0 0 0 0 0 0 0 0 0 0 0 0 0
5
Seks Multi Partner/Heteroseksual 0 0 0 0 0 0 0 0 0 0 0 0 0
V Kondisi Pasien : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dalam pengobatan 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Terminally ill 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ART (Bukan Kumulatif) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 IO (Infeksi Opportunity) 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Kelompok Risti :
1 WPS (Wanita Pekerja Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
2 PPS (Pria Pelanggan Seks) 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Waria 0 0 0 0 0 0 0 0 0 0 0 0 0
4 LSL (Laki-laki Seks dengan laki-laki) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 WBP (Warga Binaan Lapas) 0 0 0 0 0 0 0 0 0 0 0 0 0
6 IDU (Pengguna Narkoba ) 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pasangan Risti 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Mengikuti VCT 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Mengikuti VCT & Menerima 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Hasil Post. 0 0 0 0 0 0 0 0 0 0 0 0 0
IX Kondisi Penderita :
Sembuh 0 0 0 0 0 0 0 0 0 0 0 0 0
Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0
XI Dirujuk ke : 0 0 0 0 0 0 0 0 0 0 0 0 0
1. RS 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Faskes lainnya

Kepala Puskesmas Wekmidar Wekmidar, 25 Januari 2021


Pengelola Program

Blasius Bria Nahak, SKM Silvestra Seran, A.Md. Kep


NIP. 19770624 199603 1 004 NIP :19890730 201903 2 006

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