Kepemilikan
Jenis
No. Puskesmas Desa/ Kelurahan Nama ODGJ Alamat Tempat, Tanggal Lahir
Kelamin
NIK JKN
Januari
Diagnosis
Diagnosis Penemuan Kasus
Keperawata Obat Yang Diberikan Penyebab Pemasungan Jenis Pasung
Medis Tgl/ Bulan/Tahun
Perawat ke Rumah
Jumlah Kunjungan
Jumlah Kunjungan
n
Keperawatan
ODGJ ke PKM
Diagnosa
ODGJ
(10) (11) (12) (13) (14) (15) (16) (17) (18)
F20 3 Hallop, THP, Rispi 4/11/2016 1 1 3 1 1
Jumlah Kunjungan
0
(19)
Rumah oleh KKJ
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
Februari
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Rumah oleh KKJ
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
Maret
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Rumah oleh KKJ
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
April
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
Mei
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
Juni
1
Juni
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Rumah oleh KKJ
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM 1.2 DATA KUNJUNGAN ODGJ PASUNG
Juli
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Rumah oleh KKJ
Diagnosa
3
(16)
Keperawatan
Jumlah Kunjungan
1
(17)
ODGJ ke PKM
Agustus
Jumlah Kunjungan
1
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
0
(19)
Diagnosa
(16)
Keperawatan
Jumlah Kunjungan
(17)
ODGJ ke PKM
September
Jumlah Kunjungan
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
(19)
Diagnosa
(16)
Keperawatan
Jumlah Kunjungan
(17)
ODGJ ke PKM
Oktober
Jumlah Kunjungan
Perawat ke Rumah
(18)
ODGJ
K
SUME AR
Jumlah Kunjungan
(19)
(16)
Keperawatan
Jumlah Kunjungan
(17)
ODGJ ke PKM
November
Jumlah Kunjungan
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
(19)
Rumah oleh KKJ
Diagnosa
(16)
Keperawatan
Jumlah Kunjungan
(17)
ODGJ ke PKM
Desember
Jumlah Kunjungan
Perawat ke Rumah
(18)
ODGJ
Jumlah Kunjungan
(19)
Rumah oleh KKJ
1
Status Perawatan
Januari
Alasan
1
Status Perawatan
TAHUN: 2021
Februari
Alasan
DINAS KESEHATAN
Status Perawatan
Email : Dinkes. Sumenep @ telkom.net
Maret
Alasan
PEMERINTAH KABUPATEN SUMENEP
Status Perawatan
KOHORT PELAYANAN KESEHATAN JIWA PASUNG
April
Alasan
1
Status Perawatan
Mei
Alasan
1
Status Perawatan
Juni
Alasan
1
Status Perawatan
Juli
Alasan
Alamat: Jalan Ahmad Yani Nomor 118 Kota Surabaya Telp. (031) 8280715 / 8280910 / 8299056 Fax. (031) 8290423 / 8299056
Status Perawatan
Agustus
Status Perawatan ODGJ Pasung di Rumah
Alasan
Status Perawatan
September
Alasan
(20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21)
23 / 8299056
Status Perawatan
November
Alasan
Status Perawatan
Desember
Alasan
Status Perawatan
Januari
Alasan
Status Perawatan
Februari
Alasan
Status Perawatan
1.3 STATUS PERAWATAN ODGJ PASUNG
Maret
Alasan
Status Perawatan
April
Alasan
Status Perawatan
Mei
Alasan
Status Perawatan
Juni
Alasan
Status Perawatan
Juli
Alasan
Status Perawatan
(20) (21) (20) (21) (20) (21) (22) (23) (22) (23) (22) (23) (22) (23) (22) (23) (22) (23) (22) (23) (22)
Agustus
Status Perawatan ODGJ Pasung di Rujuk
2.1 IDENTIT
Kepemilikan
NIK JKN
Maret
Jumlah Kunjungan ODGJ ke PKM
Diagnosis Keperawatan
Diagnosis Keperawatan
Diagnosis Obat Yang Diberikan Penemuan Kasus tgl/
Keperawatan bulan/tahun
Rumah ODGJ
Rumah ODGJ
KKJ
KKJ
(11) (12) (13) (14) (15) (16) (17) (14) (15) (16) (17) (14) (15)
2 Alprazolam 1/11/2016 2 0 0 0 2 0 0 0 2 0
3 Resperidone, THP 1/9/2018 7 0 1 0 7 0 1 0 7 0
6 Resperidone, THP, ZPZ 10/25/2016 6 1 1 0 6 1 1 0 6 1
2 Alprazolam 4/28/2017 2 0 0 0 2 0 0 0 2 0
1 Hallop, THP 1/15/2016 6 0 0 0 6 0 0 0 6 0
7 Resperidone, THP 3/2/2017 6 1 1 0 6 1 1 0 6 1
3 Resperidone, THP 3/15/2017 7 0 1 0 7 0 1 0 7 0
1 Resperidone, THP 4/12/2017 7 0 1 0 7 0 1 0 7 0
1 Resperidone, THP 2/2/2017 7 0 1 0 7 0 1 0 7 0
1 Resperidone, THP 2/2/2017 7 0 1 0 7 0 1 0 7 0
6 BC 1/18/2018 6 0 0 0 6 0 0 0 6 0
2 - 1/31/2018 2 0 0 0 2 0 0 0 2 0
5 Carbamazepine 3/27/2017 5 0 0 0 5 0 0 0 5 0
7 Kutoin 5/12/2016 5 0 0 0 5 0 0 0 5 0
2 Alprazolam, Amitriptilin 4/15/2017 2 0 0 0 2 0 0 0 2 0
2 Alprazolam, Amitriptilin 7/5/2017 2 0 0 0 2 0 0 0 2 0
6 BC 1/18/2018 6 0 0 0 6 0 0 0 6 0
1 THP, CPZ 50 1/19/2018 1 0 1 0 1 0 1 0 1 0
6 Becefort 1/15/2018 6 0 0 0 6 0 0 0 6 0
2 Amitriptyline 1/15/2016 5 0 0 0 5 0 0 0 5 0
5 Resperidone, THP 3/3/2016 5 0 1 0 5 0 1 0 5 0
1 Hallop 2/15/2018 1 0 1 0 1 0 1 0 1 0
1 - 2/15/2018 5 0 0 0 5 0 0 0 5 0
6 - 2/15/2018 5 0 0 0 5 0 0 0 5 0
6 Alprazolam, Amitriptilin 2/22/2018 2 0 0 0 2 0 0 0 2 0
2 Alprazolam 2/28/2018 2 0 0 0 2 0 0 0 2 0
2 Amitriptyline 3/21/2018 7 0 1 0 7 0 1 0 7 0
6 - 3/23/2018 6 0 0 0 6 0 0 0 6 0
3 THP, Respiridone 7/15/2018 1 0 0 0 1 0 0 0 1 0
7 Alprazolam 8/12/2018 7 0 0 0 7 0 0 0 7 0
2 BC 8/15/2018 6 0 0 0 6 0 0 0 6 0
1 Respiridone, THP 11/5/2018 1 0 0 0 1 0 0 0 1 0
3 Hallop, THP, CP2 11/1/2018 7 0 1 0 7 0 1 0 7 0
1 BC 11/15/2018 1 0 1 0 1 0 1 0 1 0
1 Respiridone, THP 11/15/2018 1 0 1 0 1 0 1 0 1 0
6 - 11/11/2018 6 0 0 0 6 0 0 0 6 0
5 Carbamazepine 11/10/2018 5 0 0 0 5 0 0 0 5 0
2 Alpazolam, Anitriptilne 11/21/2018 2 0 0 0 2 0 0 0 2 0
6 - 11/25/2018 6 0 0 0 6 0 0 0 6 0
1 CPZ, THP 12/12/2018 1 0 1 0 1 0 1 0 1 0
1 Respiridone, THP 12/13/2018 7 0 0 0 7 0 0 0 7 0
6 Inj. Depakol 12/5/2018 6 0 0 0 6 0 0 0 6 0
1 Halloperidol 1/26/2019 7 0 0 0 7 0 0 0 7 0
6 - 1/16/2019 7 0 0 0 7 0 0 0 7 0
1 Amitriptyline 3/13/2019 5 0 0 0 5 0 0 0 5 0
6 Becefort, 3/20/2019 6 0 0 0 6 0 0 0 6 0
2 Sandepril, Clobazam 3/5/2019 2 0 0 0 2 0 0 0 2 0
6 Hallop 7/13/2019 6 0 0 0 6 0 0 0 6 0
5 - 12/08/2019 5 0 0 0 5 0 0 0 5 0
2 Clobazam, Lansoprasol, BC 11/16/2019 5 0 0 0 5 0 0 0 5 0
2 Clobazam, Lansoprasol, BC 11/25/2019 5 0 0 0 5 0 0 0 5 0
2 Respiridone, THP 1/5/2020 7 0 0 0 7 0 0 0 7 0
3 - 7/4/2020 1 0 0 0 1 0 0 0 1 0
2 - 9/4/2020 5 0 0 0 5 0 0 0 5 0
6 - 1/4/2021 6 0 0 0 6 0 0 0 6 0
1 Clozapin, THP 21/04/2021 0 0 0 0 0 0 0 0 0 0
2.2 DATA KUNJUNGAN ODGJ NON PASUNG
Agustus
Maret
April
Juni
Mei
Juli
Jumlah Kunjungan ODGJ ke PKM
Diagnosis Keperawatan
Diagnosis Keperawatan
Diagnosis Keperawatan
Diagnosis Keperawatan
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
KKJ
KKJ
KKJ
KKJ
KKJ
KKJ
(16) (17) (14) (15) (16) (17) (14) (15) (16) (17) (14) (15) (16) (17) (14) (15) (16) (17) (14) (15) (16) (17)
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
1 0 6 1 1 0 6 1 1 0 6 1 1 0 6 1 1 0 6 1 1 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
1 0 6 1 1 0 6 1 1 0 6 1 1 0 6 1 1 0 6 1 1 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
1 0 5 0 1 0 5 0 1 0 5 0 1 0 5 0 1 0 5 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0
0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0
1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0 7 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0
0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0 2 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0 7 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0
0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0
0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0 6 0 0 0
0 0 1 1 1 0 1 1 1 0 1 1 1 0 1 1 1 0 1 1 1 0
PEMERINTAH PROVINSI JAWA TIMUR
DINAS KESEHATAN
Alamat: Jalan Ahmad Yani Nomor 118 Kota Surabaya Telp. (031) 8280715 / 8280910 / 8299056 Fax. (031) 8290423 / 829905
Website : http://dinkes.jatimprov.go.id Email : info@dinkesjatim.go.id
November
Desember
Februari
Oktober
Januari
Maret
Jumlah Kunjungan ODGJ ke PKM
Diagnosis Keperawatan
Diagnosis Keperawatan
Diagnosis Keperawatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
Rumah ODGJ
Alasan
Alasan
Alasan
KKJ
KKJ
KKJ
KKJ
(14) (15) (16) (17) (14) (15) (16) (17) (14) (15) (16) (17) (14) (15) (16) (17) (18) (19) (18) (19) (18) (19)
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
6 1 1 0 6 1 1 0 6 1 1 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
6 1 1 0 6 1 1 0 6 1 1 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 0 1 0 1 0 1
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
5 0 1 0 5 0 1 0 5 0 1 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
1 0 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0
7 0 0 0 7 0 0 0 7 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
1 0 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0
7 0 1 0 7 0 1 0 7 0 1 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0
7 0 0 0 7 0 0 0 7 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
7 0 0 0 7 0 0 0 7 0 0 0 1 0 1 0 1 0
7 0 0 0 7 0 0 0 7 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
2 0 0 0 2 0 0 0 2 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
7 0 0 0 7 0 0 0 7 0 0 0 1 0 1 0 1 0
1 0 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0
5 0 0 0 5 0 0 0 5 0 0 0 1 0 1 0 1 0
6 0 0 0 6 0 0 0 6 0 0 0 1 0 1 0 1 0
1 1 1 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0
290423 / 8299056
September
November
Desember
Februari
Agustus
Oktober
Januari
April
Juni
Mei
Juli
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Pengobatan
Status Perawatan
Status Perawatan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
(18) (19) (18) (19) (18) (19) (18) (19) (18) (19) (18) (19) (18) (19) (18) (19) (18) (19) (20) (21) (20) (21)
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1.4 1.4
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 2 2
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 4 4
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 2 2
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1.4 1.4
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 1
1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0
2.4 PELAYANAN KESEHATAN JIWA ODGJ NON PASUNG SETIAP BULAN 2.5 TINGK
September
November
Desember
Februari
Oktober
Agustus
Januari
Maret
April
Juni
Mei
Juli
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Status Perawatan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
Alasan
(20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (20) (21) (22) (22)
1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 3 3
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2 2 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
4 4 4 4 4 4 4 4 4 4 4
1 1 1 1 1 1 1 1 1 4 4
2 2 2 2 2 2 2 2 2 3 3
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 4 4
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 2 2
1 1 1 1 1 1 1 1 1 4 4
1 1 1 1 1 1 1 1 1 4 4
1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 3 3
1 1 1 1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1 1 0 0
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Maret
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ April
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Mei
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Juni
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Juli
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Agustus
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ September
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ Oktober
2.5 TINGKAT KEMANDIRIAN ODGJ NON PASUNG
3
2
3
3
3
3
2
2
2
3
2
3
4
4
3
3
2
3
3
1
3
3
1
2
3
Tingkat Kemandirian ODGJ November
(23) (24) (23) (24) (23) (24) (23) (24) (23) (24) (23) (24)
(25)
RUJUK BALIK
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
(26)
ODGJ NON PASUNG
2.7 STATUS KEMATIAN
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
MENINGGAL
1
1
1
1
1
1
1
1
PEMERINTAH PROVINSI JAWA TIMUR
DINAS KESEHATAN
Alamat: Jalan Ahmad Yani Nomor 118 Kota Surabaya Telp. (031) 8280715 / 8280910 / 829
Website : http://dinkes.jatimprov.go.id Email : info@dinkesjati
No. Puskesmas Desa/ Kelurahan Nama dan Gelar Pendidikan Terakhir No. Handphone
U KESEHATAN JIWA
KOTA : SUMENEP
VEMBER 2021
Jumlah Anggota Posyandu Kesehatan Jiwa Status Perawatan Anggota Posyandu Kesehatan Jiwa
ODGJ Non Pasung Total Care Partial Care Mandiri Produktif
(8) (9) (10) (11) (12)