Data Dasar Kesehatan Ibu

DATA DASAR KIA TAHUN 2023
Bayi Bumil
Bumil Bulin/
Nama Lahir Bayi Bayi Resti Bumil Resti Balita
Bayi Bumil Sasara Bulin Bufas Balita
No Desa/Puskesm Jml Penduduk Hidup Sasaran Resti Sasara Resti Sasara Sasara
Rumus Rumus n Rumus Sasaran Rumus
as 2022 manual Rumus n Rumus n n real
manual manual
manual manual
0.15 1.10 0.20 1.05
1 Karasgede 2,522 39 39.00 39 5.85 6 42.90 43 8.6 9 40.95 41 156 143
2 Jolotundo 3,344 53 53.00 53 7.95 8 58.30 58 11.6 12 55.65 56 212 208
3 Sendangcoyo 2,322 17 17.00 17 2.55 3 18.70 19 3.8 4 17.85 18 68 126
4 Ngargomulyo 346 7 7.00 7 1.05 1 7.70 7 1.4 2 7.35 7 28 9
5 Kajar 1,733 20 20.00 20 3.00 3 22.00 22 4.4 4 21.00 21 80 99
6 Selopuro 5,216 56 56.00 56 8.40 8 61.60 62 12.4 12 58.80 59 224 211
7 Sumbergirang 6,947 64 64.00 64 9.60 10 70.40 70 14.0 14 67.20 67 256 290
8 Karangturi 3,285 26 26.00 26 3.90 4 28.60 29 5.8 6 27.30 27 104 148
9 Babagan 2,759 37 37.00 37 5.55 5 40.70 41 8.2 8 38.85 39 148 138
10 Dorokandang 3,783 42 42.00 42 6.30 6 46.20 46 9.2 9 44.10 44 168 183
11 Gedongmulyo 5,582 51 51.00 51 7.65 8 56.10 56 11.2 11 53.55 54 204 216
12 Soditan 4,334 43 43.00 43 6.45 6 47.30 47 9.4 9 45.15 45 172 177
13 Ngemplak 3,708 34 34.00 34 5.10 5 37.40 37 7.4 7 35.70 35 136 161
14 Sendangasri 2,941 41 41.00 41 6.15 6 45.10 45 9.0 9 43.05 43 164 143
15 Gowak 1,533 19 19.00 19 2.85 3 20.90 21 4.2 4 19.95 20 76 75
16 Sriombo 1,951 18 18.00 18 2.70 3 19.80 20 4.0 4 18.90 19 72 91
17 Binangun 2,296 17 17.00 17 2.55 2 18.70 19 3.8 4 17.85 18 68 106
18 Bonang 2,157 25 25.00 25 3.75 4 27.50 28 5.6 6 26.25 26 100 104
19 Tasiksono 805 12 12.00 12 1.80 2 13.20 13 2.6 3 12.60 13 48 42
20 Dasun 979 19 19.00 19 2.85 3 20.90 21 4.2 4 19.95 20 76 57
21 - - - - 0 - - - 0 - 0 - 0 - -
22 - - - - 0 - - - 0 - 0 - 0 - -
23 - - - - 0 - - - 0 - 0 - 0 - -
- -
Jumlah 58,543 640 642.2 640 96 96 704 704 140.8 141 672.00 672 2,560 2,727
Penghitungan Sasaran
Sasaran Bayi : LH 2022
Sasaran Bayi Resti : 15% x sasaran bayi
Sasaran Ibu Hamil : 1,1 x sasaran bayi
Sasaran Bumil Resti : 20 % x sasaran ibu
Sasaran Ibu Bersalin : 1,05 x sasaran bayi
Sasaran Ibu Nifas : 1,05 x sasaran bayi
Balita : data balita riil 2022 (0-59bl)
PUS
Sasaran
(Proyeksi PUS
jml Manual
Penduduk
*17%)
0.17
428.74 344
568.48 594
394.74 377
58.82 60
294.61 284
886.72 640
1,180.99 766
558.45 257
469.03 377
643.11 525
948.94 633
736.78 480
630.36 404
499.97 583
260.61 229
331.67 268
390.32 315
366.69 307
136.85 148
166.43 171
- -
- -
- -
-
9,952.31 7,762
DATA DASAR PUSKESMAS
KABUPATEN : REMBANG
PUSKESMAS : LASEM
TAHUN : 2023 0
NO SASARAN TAHUN 2023

Jml. Lahir
Desa/
Pendudu Hidup Bumil Neo BALIT
Puskesmas
k 2022 BUMIL Resti BULIN BAYI Resti A
PUS
1 Karasgede 2,522 39 43 9 41 39 6 143 344 #REF!

2 Jolotundo 3,344 53 58 12 56 53 8 208 594 #REF!
3 Sendangcoyo 2,322 17 19 4 18 17 3 126 377 #REF!
4 Ngargomulyo 346 7 7 2 7 7 1 9 60 #REF!
5 Kajar 1,733 20 22 4 21 20 3 99 284 #REF!
6 Selopuro 5,216 56 62 12 59 56 8 211 640 1797 #REF!
7 Sumbergirang 6,947 64 70 14 67 64 10 290 766 3700 #REF!
8 Karangturi 3,285 26 29 6 27 26 4 148 257 #REF!
9 Babagan 2,759 37 41 8 39 37 5 138 377 #REF!
10 Dorokandang 3,783 42 46 9 44 42 6 183 525 #REF!
11 Gedongmulyo 5,582 51 56 11 54 51 8 216 633 #REF!
12 Soditan 4,334 43 47 9 45 43 6 177 480 #REF!
13 Ngemplak 3,708 34 37 7 35 34 5 161 404 2218 #REF!
14 Sendangasri 2,941 41 45 9 43 41 6 143 583 #REF!
15 Gowak 1,533 19 21 4 20 19 3 75 229 #REF!
16 Sriombo 1,951 18 20 4 19 18 3 91 268 #REF!
17 Binangun 2,296 17 19 4 18 17 2 106 315 #REF!
18 Bonang 2,157 25 28 6 26 25 4 104 307 #REF!
19 Tasiksono 805 12 13 3 13 12 2 42 148 #REF!
20 Dasun 979 19 21 4 20 19 3 57 171 #REF!
#REF!
#REF!
#REF!
24 #REF!
TOTAL 58,543 640 704 141 672 640 96 2,727 7,762 #REF!
Penghitungan Sasaran
Sasaran Bayi : LH 2022
Sasaran Bayi Re: 15% x sasaran bayi
Sasaran Ibu Ham: 1,1 x sasaran bayi
Sasaran Bumil R: 20 % x sasaran ibu
Sasaran Ibu Bers: 1,05 x sasaran bayi
Sasaran Ibu Nifa: 1,05 x sasaran bayi
Anak Balita : data Anak balita riil 2020 (12-59bl)
PUS : Sesuai Pendataan Puskesmas
LAPORAN BULANAN KIA
PUSKESMAS : LASEM
BULAN : JANUARI
TAHUN : 2023
Jumlah Kunjungan
Data Pernikahan/ Catin dengan
SASARAN PENDATAAN
Catin resiko
Sisa Hamil Bulan Lalu

Kunjungan
Σ Bumil Real
NO DESA K1
Pernikahan ≤ 19 tahun
Pernikahan > 19 tahun
catin hamil usia <19 th

Total Data Pernikahan
catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 5 2 2 4 0 0 4 4 0 0 0 11 13 0 0 5 0 5 0 0 0 0 0 5 0 5 5 0 0 2
2 Jolotundo 58 12 56 53 8 208 594 5 4 4 0 0 0 0 0 0 0 0 21 21 0 0 5 0 5 0 0 0 0 0 5 3 5 5 0 0 4
3 Sendangcoy 19 4 18 17 3 126 377 4 4 4 1 0 0 1 1 0 0 0 16 16 0 0 4 0 4 0 0 0 0 0 4 0 4 4 0 0 2
4 Ngargomuly 7 2 7 7 1 9 60 2 0 0 0 0 0 0 0 0 0 0 1 3 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0 1
5 Kajar 22 4 21 20 3 99 284 1 1 1 1 0 0 1 1 0 0 0 6 6 0 0 1 0 1 0 0 0 0 0 1 1 1 1 0 0 2
6 Selopuro 62 12 59 56 8 211 640 12 7 7 0 0 0 0 0 0 0 0 27 32 0 0 12 0 12 0 0 0 0 0 12 5 12 12 0 0 3
7 Sumbergira 70 14 67 64 10 290 766 11 9 9 1 0 0 1 1 0 0 0 32 34 0 0 9 0 9 0 0 2 0 2 11 2 9 9 0 0 2
8 Karangturi 29 6 27 26 4 148 257 4 2 2 0 0 0 0 0 0 0 0 14 16 0 0 4 0 4 0 0 0 0 0 4 0 4 4 0 0 2
9 Babagan 41 8 39 37 5 138 377 3 4 4 1 0 0 1 1 0 0 0 14 13 0 0 3 0 3 0 0 0 0 0 3 0 3 3 0 0 1
10 Dorokandan 46 9 44 42 6 183 525 2 3 3 2 0 0 2 2 0 0 0 19 18 0 0 1 0 1 0 0 1 0 1 2 0 1 1 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 8 6 6 2 0 0 2 2 0 0 0 24 26 0 0 6 0 6 0 0 2 0 2 8 0 6 6 0 0 3
12 Soditan 47 9 45 43 6 177 480 6 8 8 2 0 0 2 2 0 0 0 25 23 0 0 4 0 4 0 0 2 0 2 6 4 4 4 0 0 1
13 Ngemplak 37 7 35 34 5 161 404 5 3 3 1 0 0 1 1 0 0 0 13 15 0 0 5 0 5 0 0 0 0 0 5 3 5 5 0 0 3
14 Sendangasri 45 9 43 41 6 143 583 6 2 2 1 0 0 1 1 0 0 0 14 18 0 0 6 0 6 0 0 0 0 0 6 2 6 6 0 0 1
15 Gowak 21 4 20 19 3 75 229 1 3 3 4 1 0 4 4 0 1 0 10 8 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 3
16 Sriombo 20 4 19 18 3 91 268 4 3 3 2 0 0 2 2 0 0 0 11 12 0 0 2 0 2 0 0 2 0 2 4 1 2 2 0 0 3
17 Binangun 19 4 18 17 2 106 315 1 5 5 4 4 3 1 4 0 2 0 9 5 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 2
18 Bonang 28 6 26 25 4 104 307 3 2 2 1 0 0 1 1 0 0 0 8 9 0 0 0 3 3 0 0 0 0 0 3 1 3 3 0 0 1
19 Tasiksono 13 3 13 12 2 42 148 1 2 2 0 0 0 0 0 0 0 0 8 6 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 4
20 Dasun 21 4 20 19 3 57 171 1 3 3 0 0 0 0 0 0 0 0 12 9 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 2
#gid=1238255570&range=F11
0 0 0 0 0
Jumlah 704 141 672 640 96 2727 7762 85 73 73 27 5 3 24 27 0 3 0 295 303 0 0 72 4 76 0 0 9 0 9 85 23 76 76 0 0 42
Kom s/d bl. Lalu
Kom s/d bl. ini 704 141 672 640 96 2727 7762 85 73 73 27 5 3 24 27 0 3 0 295 303 0 0 72 4 76 0 0 9 0 9 85 23 76 76 0 0 42
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan Kunjungan Nifas
Persalinan
Status
Fe Bumil KEK Linakes di Faskes
TT
Total
Nakes Non Nakes Persali KF 1 KF 4
Meninggal saat hamil

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Bumil Bumil Diperiksa LiLA (LiLA (6-48 jam) (29 - 42 hr)
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
K6 Mendapa konsumsi T5 <
Puskesmas
Puskesmas
Puskesmas
t Tablet Tablet FE 23,5
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 2 2 2 2 2 5 5 2 0 2 2 0 0 0 2 0 2 0 0 2 1 1 0 2 1 0 0 0 2 0 0 2 0 0 0 0 0 2
0 4 4 4 4 4 5 5 0 0 4 4 0 0 0 4 0 4 0 0 4 3 1 0 4 1 0 0 0 4 0 0 4 0 0 4 0 4 4
0 2 2 2 2 2 4 4 0 0 4 4 0 0 0 4 0 4 0 0 4 3 1 0 4 0 0 0 0 4 0 0 4 0 0 1 0 1 4
0 1 1 1 1 1 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 0 0 0 0 0 0
0 2 2 2 2 2 1 1 1 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 1
0 3 3 3 3 3 12 12 4 0 7 7 0 0 0 7 4 3 0 0 7 7 0 0 7 0 0 0 4 3 0 0 7 0 0 4 0 4 7
0 2 2 2 2 2 11 11 2 1 8 9 0 0 0 9 2 7 0 0 9 6 3 0 9 0 0 0 2 7 0 0 9 0 0 7 0 7 9
0 2 2 2 2 2 4 4 0 0 2 2 0 0 0 2 0 2 0 0 2 1 1 0 2 0 0 0 0 2 0 0 2 0 0 1 0 1 2
0 1 1 1 1 1 3 3 0 0 4 4 0 0 0 4 2 2 0 0 4 2 2 0 4 0 0 0 2 2 0 0 4 0 0 2 0 2 4
0 0 0 0 0 0 2 2 1 0 3 3 0 0 0 3 0 3 0 0 3 2 1 0 3 0 0 0 0 3 0 0 3 0 0 1 0 1 3
0 3 3 3 3 3 8 8 1 0 6 6 0 0 0 6 0 4 0 2 6 5 1 0 6 0 0 0 0 4 0 2 6 0 0 3 0 3 6
0 1 1 1 1 1 6 6 0 0 8 8 0 0 0 8 2 5 0 1 8 7 1 0 8 0 0 0 2 5 0 1 8 0 0 1 0 1 8
0 3 3 3 3 3 5 5 2 0 3 3 0 0 0 3 1 2 0 0 3 1 2 0 3 0 0 0 1 2 0 0 3 0 0 0 0 0 3
0 1 1 1 1 1 6 6 2 0 2 2 0 0 0 2 1 0 0 1 2 2 0 0 2 0 0 0 1 0 0 1 2 0 0 1 0 1 2
0 3 3 3 3 3 1 1 0 0 3 3 0 0 0 3 0 3 0 0 3 1 2 0 3 0 0 0 0 3 0 0 3 0 0 1 0 1 3
0 3 3 3 3 3 4 4 0 0 3 3 0 0 0 3 1 2 0 0 3 2 1 0 3 0 0 0 1 2 0 0 3 0 0 0 0 0 3
0 2 2 2 2 2 1 1 0 0 5 5 0 0 0 5 2 3 0 0 5 4 1 0 5 0 0 0 2 3 0 0 5 0 0 5 0 5 5
0 1 1 1 1 1 3 3 1 0 2 2 0 0 0 2 0 2 0 0 2 0 2 0 2 0 0 0 0 2 0 0 2 0 0 2 0 2 2
0 4 4 4 4 4 1 1 0 0 2 2 0 0 0 2 1 1 0 0 2 1 1 0 2 1 0 0 1 1 0 0 2 0 0 0 0 0 2
0 2 2 2 2 2 1 1 0 0 3 3 0 0 0 3 1 2 0 0 3 2 0 1 3 1 0 0 1 2 0 0 3 0 0 1 0 1 3
0 42 42 42 42 42 85 85 16 1 72 73 0 0 0 73 17 52 0 4 73 51 21 1 73 4 0 0 17 52 0 4 73 0 0 34 0 34 73
0 42 42 42 42 42 85 85 16 1 72 73 0 0 0 73 17 52 0 4 73 51 21 1 73 4 0 0 17 52 0 4 73 0 0 34 0 34 73
Kunj. Neo
BBL Resiko
Jumlah Kelahiran IMD SHK BBLR Gemelli Prematur
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
1 1 2 0 0 0 2 1 1 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 1 0 0 1 2 0 0 1 0
3 1 4 0 0 0 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 1 0 0 1 4 0 0 3 0
3 1 4 0 0 0 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 1 0 0 1 4 0 0 3 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 1 0 0 1 1 0 0 0 0
4 3 7 0 0 0 7 7 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 1 0 1 1 2 0 1 4 1 2 0 0 3 7 0 0 4 0
6 3 9 0 0 0 9 6 3 2 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 4 0 0 6 0 3 0 0 3 9 0 0 6 0
1 1 2 0 0 0 2 1 1 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 1 0 0 1 2 0 0 1 0
1 3 4 0 0 0 4 2 2 0 0 0 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 1 0 0 3 4 0 0 0 0
3 0 3 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 0 0 3 0
4 2 6 0 0 0 6 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 4 0 1 0 1 2 6 0 0 4 0
4 4 8 0 0 0 8 7 1 0 1 1 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 4 1 3 0 0 4 8 0 0 4 0
1 2 3 0 0 0 3 2 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 0 2 3 0 0 1 0
2 0 2 0 0 0 2 2 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 0 0 0 0 2 0 0 2 0
3 0 3 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 0 0 3 0
2 1 3 0 0 0 3 2 1 0 0 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 0 2 1 0 0 0 1 3 0 0 2 0
3 2 5 0 0 0 5 4 1 1 0 1 1 0 1 2 1 0 1 1 0 1 0 0 0 1 0 1 2 1 0 0 3 0 2 0 0 2 5 0 0 3 0
2 0 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 2 0 0 2 0
2 0 2 0 0 0 2 0 2 1 1 2 0 0 0 2 1 0 1 1 0 1 0 0 0 1 0 1 1 1 0 0 2 0 0 0 0 0 2 0 0 2 0
2 1 3 0 0 0 3 3 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 0 1 0 0 1 3 0 0 2 0
47 26 73 0 0 0 73 52 21 7 2 9 4 1 5 14 3 0 3 4 0 4 0 0 0 3 0 3 10 33 0 4 47 5 20 0 1 26 73 0 0 46 0
47 26 73 0 0 0 73 52 21 7 2 9 4 1 5 14 3 0 3 4 0 4 0 0 0 3 0 3 10 33 0 4 47 5 20 0 1 26 73 0 0 46 0
KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
KN 3 Kematian Ibu Kematian Bayi dan Balita K1 K4
Jml Total Kematian Kematian Balita
Bayi Usia 1-5 th
Nifas
Bersalin (bayi lahir
Normal (≥11 g/dl)
Normal (≥11 g/dl)

P 0 - 6 hari 7-28 hari 29 hr - 11 bln Tida
sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
L P Jml L P Jml L P Jml L P Jml L P Jml Hb
Jaringan
Hb
Jejaring
RS
1 0 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 2 0 2 0 0 2 0 5
3 0 0 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 4 4 0 0 0 4 0 5
3 0 0 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 2 0 0 0 2 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0 2
0 0 0 1 0 1 1 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 2 2 0 0 0 2 0 1
4 0 0 3 0 3 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 0 0 0 3 3 0 0 0 3 0 12
6 0 0 3 0 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 9 2 0 0 2 2 0 0 0 2 0 11
1 0 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 2 0 0 0 2 0 4
0 0 0 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 1 0 0 1 1 0 0 0 1 0 3
3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2
4 0 0 2 0 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 8 0 0 0 3 3 0 0 0 3 0 8
4 0 0 4 0 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 1 0 0 0 1 0 6
1 0 0 2 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 4 1 0 0 3 3 0 0 0 3 0 5
2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 1 0 0 0 1 0 6
3 0 0 0 0 0 3 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 3 2 1 0 0 3 0 1
2 0 0 1 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 1 0 0 3 2 1 0 0 3 0 4
3 0 0 2 0 2 5 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 2 1 1 0 0 2 0 1
2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 1 1 0 0 0 1 0 3
2 0 0 0 0 0 2 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 4 4 0 0 0 4 0 1
2 0 0 1 0 1 3 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 2 2 0 0 0 2 0 1
0
46 0 0 25 0 25 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 80 5 0 0 42 37 5 0 0 42 0 85
46 0 0 25 0 25 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 80 5 0 0 42 37 5 0 0 42 0 85
Gula
(GD)
Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
GD
g/dl
>140
1
4
1
6
5
6
8
2
3
4
1
2
4
5
5
11
12
Diperiksa Gol Darah
1
4
1
6
5
6
8
2
3
4
1
2
4
5
5
11
12
Diperiksa
1
4
1
6
5
6
8
2
3
4
1
2
4
5
5
11
12
Grade 0
(K1)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil
Grade 1
Palpasi Gondok
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Grade 2
Ibu Hamil Datang dengan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HIV(+)
Ibu Hamil dites HIV
1
4
1
6
5
6
8
2
3
4
11
12
1
2
4
5
5
Ibu Hamil Hasil Tes HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Ibu Hamil Mendapat ART
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Persal Pervaginam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Persal
dari Ibu ke Anak (PPIA)
HIV(+)
Pencegahan Penularan HIV
Perabdominam
Ibu Hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil(SC)mendapatkan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelambu
Ibu Hamil Diperiksa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Mikroskopis/RDT
Ibu Hamil Malaria (+)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pencegahan
Malaria Dalam
Ibu Hamil dapat Kina/

Kehamilan (PMDK)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ACT
Ibu Hamil diperiksa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dahak
Ibu Hamil Hasil Dahak
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TB(+)
TB dalam
Kehamilan
Obat**
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Integrasi Program
Ibu Hamil diperiksa
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
Ankylostoma
Ibu Hamil Hasil Tes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diperiksa IMS
1
4
1
6
5
6
8
2
3
4
11
12
1
2
4
5
5
Ibu Hamil Hasil Tes IMS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diperiksa

1
4
1
6
5
6
8
2
3
4
11
12
1
2
4
5
5
Hepatitis B
0 Ibu Hamil Hasil Tes Hep
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diperiksa Swab

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Covid-19
Kehamilan
Hasil Test (-)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Puskesmas yang melaksanakan

1
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
kelas ibu hamil

Jumlah Kelas Ibu Hamil yang
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
terbentuk
Jumlah Ibu Hamil yang mengikuti
5
12
10
15
12
0
15
0
10
14
17
28
6
3
0
15
10
kelas ibu hamil

Jumlah suami/keluarga yang
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
mengikuti kelas ibu hamil

Jumlah bidan yang melakukan kelas
Pelaksanaan kelas ibu hamil
1
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
ibu hamil
0
1
1
1
1
0
0
0
0
0
0
1
1
1
0
0
1
kelas ibu balita

Jumlah Kelas Ibu Balita yang
0
1
1
1
1
0
1
1
0
0
1
1
1
1
1
0
1
terbentuk
balita
Jumlah Ibu Balita yang mengikuti

0
20
15
15
15
0
0
0
0
0
0
15
15
12
0
0
15
kelas ibu Balita

Pelaksanaan kelas ibu
0
1
1
1
1
0
0
0
0
0
0
1
1
1
0
0
1
ibu balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
kelas PUS Resti

Jumlah Kelas PUS Resti yang
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
terbentuk
Jumlah PUS Resti yang mengikuti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
kelas PUS Resti

Pelaksanaan PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas Catin
Pelaksana
0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 1 1 10 0 1 0 0 0 0 0 0 0 0 0
0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 8 0 1 0 1 0 0 0 1 0 0 0
0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 9 0 1 0 1 0 0 0 1 0 0 0
0 85 85 85 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 1 0 0 85 0 0 85 1 0 0 0 0 17 20 199 0 17 8 14 122 8 1 3 15 1 0
0 85 85 85 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 1 0 0 85 0 0 85 1 0 0 0 0 17 20 199 0 17 8 14 122 8 1 3 15 1 0
Jumlah Kelas Catin yang terbentuk
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
Jumlah Catin yang mengikuti kelas
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
Pelaksanaan kelas catin

Catin
0
0
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 LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : JANUARI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko
Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 Akses
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Akses
K1 oleh Dokter
Total K1 Murni
%
Bumil dg 4T
Puskesmas
Puskesmas
Total
%
%
Jaringan
Jaringan
K1
Jejaring
Jejaring
RS
RS
1 Karasgede 43 9 41 39 6 143 344 5 2 2 4 0 0 4 4 0 0 0 11 13 0 0 5 0 5 12 0 0 0 0 0 0 5 12 0 5 100
2 Jolotundo 58 12 56 53 8 208 594 5 4 4 0 0 0 0 0 0 0 0 21 21 0 0 5 0 5 9 0 0 0 0 0 0 5 9 3 5 100
3 Sendangcoy 19 4 18 17 3 126 377 4 4 4 1 0 0 1 1 0 0 0 16 16 0 0 4 0 4 21 0 0 0 0 0 0 4 21 0 4 100
4 Ngargomuly 7 2 7 7 1 9 60 2 0 0 0 0 0 0 0 0 0 0 1 3 0 0 2 0 2 29 0 0 0 0 0 0 2 29 0 2 100
5 Kajar 22 4 21 20 3 99 284 1 1 1 1 0 0 1 1 0 0 0 6 6 0 0 1 0 1 5 0 0 0 0 0 0 1 5 1 1 100
6 Selopuro 62 12 59 56 8 211 640 12 7 7 0 0 0 0 0 0 0 0 27 32 0 0 12 0 12 19 0 0 0 0 0 0 12 19 5 12 100
7 Sumbergira 70 14 67 64 10 290 766 11 9 9 1 0 0 1 1 0 0 0 32 34 0 0 9 0 9 13 0 0 2 0 2 3 11 16 2 9 82
8 Karangturi 29 6 27 26 4 148 257 4 2 2 0 0 0 0 0 0 0 0 14 16 0 0 4 0 4 14 0 0 0 0 0 0 4 14 0 4 100
9 Babagan 41 8 39 37 5 138 377 3 4 4 1 0 0 1 1 0 0 0 14 13 0 0 3 0 3 7 0 0 0 0 0 0 3 7 0 3 100
10 Dorokandan 46 9 44 42 6 183 525 2 3 3 2 0 0 2 2 0 0 0 19 18 0 0 1 0 1 2 0 0 1 0 1 2 2 4 0 1 50
11 Gedongmuly 56 11 54 51 8 216 633 8 6 6 2 0 0 2 2 0 0 0 24 26 0 0 6 0 6 11 0 0 2 0 2 4 8 14 0 6 75
12 Soditan 47 9 45 43 6 177 480 6 8 8 2 0 0 2 2 0 0 0 25 23 0 0 4 0 4 9 0 0 2 0 2 4 6 13 4 4 67
13 Ngemplak 37 7 35 34 5 161 404 5 3 3 1 0 0 1 1 0 0 0 13 15 0 0 5 0 5 14 0 0 0 0 0 0 5 14 3 5 100
14 Sendangasri 45 9 43 41 6 143 583 6 2 2 1 0 0 1 1 0 0 0 14 18 0 0 6 0 6 13 0 0 0 0 0 0 6 13 2 6 100
15 Gowak 21 4 20 19 3 75 229 1 3 3 4 1 0 4 4 0 1 0 10 8 0 0 1 0 1 5 0 0 0 0 0 0 1 5 0 1 100
16 Sriombo 20 4 19 18 3 91 268 4 3 3 2 0 0 2 2 0 0 0 11 12 0 0 2 0 2 10 0 0 2 0 2 10 4 20 1 2 50
17 Binangun 19 4 18 17 2 106 315 1 5 5 4 4 3 1 4 0 2 0 9 5 0 0 0 1 1 5 0 0 0 0 0 0 1 5 1 1 100
18 Bonang 28 6 26 25 4 104 307 3 2 2 1 0 0 1 1 0 0 0 8 9 0 0 0 3 3 11 0 0 0 0 0 0 3 11 1 3 100
19 Tasiksono 13 3 13 12 2 42 148 1 2 2 0 0 0 0 0 0 0 0 8 6 0 0 1 0 1 8 0 0 0 0 0 0 1 8 0 1 100
20 Dasun 21 4 20 19 3 57 171 1 3 3 0 0 0 0 0 0 0 0 12 9 0 0 1 0 1 5 0 0 0 0 0 0 1 5 0 1 100
Komulatif 704 141 672 640 96 2727 7762 85 73 73 27 5 3 24 27 0 3 0 295 303 0 0 72 4 76 11 0 0 9 0 9 1 85 12 23 76 11

Pelayanan
Jenis
Jml Persalinan
Persalinan
Fe Bumil Status TT KEK
Linakes di Faskes
Total
Nakes Non Nakes Persali %
K4 nan Tindakan
Jumlah Jumlah KEK
K6 USG Dokter
Diperiksa LiLA
Bumil Bumil (LiLA
Normal
K6 % % Mendapa % konsumsi % T5 % <
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
K1 USG Dokter
% t Tablet Tablet FE 23,5 % %
Lainnya
Puskesmas
Puskesmas
% FE 90 90 cm) %
SC
Jaringan
Jaringan
Total K4
Jejaring
Jejaring
Total
RS
RS
5 100 0 0 2 0 2 5 2 5 2 100 2 5 2 5 5 12 0 2 0 2 2 5 0 0 0 0 2 5 0 2 0 0 2 5 1 1 0
5 100 0 0 4 0 4 7 4 7 4 100 4 7 4 7 5 9 0 0 0 4 4 7 0 0 0 0 4 7 0 4 0 0 4 7 3 1 0
4 100 0 0 2 0 2 11 2 11 2 100 2 11 2 11 4 21 0 0 0 4 4 22 0 0 0 0 4 22 0 4 0 0 4 22 3 1 0
2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 100 0 0 2 0 2 9 2 9 2 100 2 9 2 9 1 5 0 1 0 1 1 5 0 0 0 0 1 5 0 1 0 0 1 5 1 0 0
12 100 0 0 3 0 3 5 3 5 3 100 3 5 3 5 12 19 0 4 0 7 7 12 0 0 0 0 7 12 4 3 0 0 7 12 7 0 0
9 82 0 0 2 0 2 3 2 3 2 100 2 3 2 3 11 16 2 2 1 8 9 13 0 0 0 0 9 13 2 7 0 0 9 13 6 3 0
4 100 0 0 2 0 2 7 2 7 2 100 2 7 2 7 4 14 0 0 0 2 2 7 0 0 0 0 2 7 0 2 0 0 2 7 1 1 0
3 100 0 0 1 0 1 2 1 2 1 100 1 2 1 2 3 7 0 0 0 4 4 10 0 0 0 0 4 10 2 2 0 0 4 10 2 2 0
1 50 0 0 0 0 0 0 0 0 0 - 0 0 0 0 2 4 1 1 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 2 1 0
6 75 0 0 3 0 3 5 3 5 3 100 3 5 3 5 8 14 2 1 0 6 6 11 0 0 0 0 6 11 0 4 0 2 6 11 5 1 0
4 67 0 0 1 0 1 2 1 2 1 100 1 2 1 2 6 13 2 0 0 8 8 18 0 0 0 0 8 18 2 5 0 1 8 18 7 1 0
5 100 0 0 3 0 3 8 3 8 3 100 3 8 3 8 5 14 0 2 0 3 3 9 0 0 0 0 3 9 1 2 0 0 3 9 1 2 0
6 100 0 0 1 0 1 2 1 2 1 100 1 2 1 2 6 13 0 2 0 2 2 5 0 0 0 0 2 5 1 0 0 1 2 5 2 0 0
1 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 1 5 0 0 0 3 3 15 0 0 0 0 3 15 0 3 0 0 3 15 1 2 0
2 50 0 0 3 0 3 15 3 15 3 100 3 15 3 15 4 20 2 0 0 3 3 16 0 0 0 0 3 16 1 2 0 0 3 16 2 1 0
1 100 0 0 2 0 2 11 2 11 2 100 2 11 2 11 1 5 0 0 0 5 5 28 0 0 0 0 5 28 2 3 0 0 5 28 4 1 0
3 100 0 0 1 0 1 4 1 4 1 100 1 4 1 4 3 11 0 1 0 2 2 8 0 0 0 0 2 8 0 2 0 0 2 8 0 2 0
1 100 0 0 4 0 4 31 4 31 4 100 4 31 4 31 1 8 0 0 0 2 2 15 0 0 0 0 2 15 1 1 0 0 2 15 1 1 0
1 100 0 0 2 0 2 10 2 10 2 100 2 10 2 10 1 5 0 0 0 3 3 15 0 0 0 0 3 15 1 2 0 0 3 15 2 0 1
76 11 0 0 42 0 42 6 42 42 6 42 6 42 6 85 12 9 16 1 72 73 11 0 0 0 0 73 11 17 52 0 4 73 11 51 21 1
BBL Resiko
Hasil Akhir Kehamilan Kunjungan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 1 KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(6-48 jam) (29 - 42 hr)
Dilakukan
Abortus
Jumlah
Pindah
Partus
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Puskesmas
Jumlah
Jumlah
Total KF 1
Total KF 4
% % % %
RS
RS
L P L P
Jaringan
Jaringan
Jejaring
Jejaring
RS
RS
2 1 0 0 0 2 0 0 2 5 0 0 0 0 0 0 2 5 1 1 2 5 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 1 0 0 0 4 0 0 4 7 0 0 4 0 4 7 4 7 3 1 4 8 0 0 0 0 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 4 0 0 4 22 0 0 1 0 1 6 4 22 3 1 4 24 0 0 0 0 4 3 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 0 0 0 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 1 0 0 1 5 0 0 0 0 0 0 1 5 0 1 1 5 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 4 3 0 0 7 12 0 0 4 0 4 7 7 12 4 3 7 13 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
9 0 0 0 2 7 0 0 9 13 0 0 7 0 7 10 9 13 6 3 9 14 0 0 0 0 9 6 3 2 0 2 0 0 0 2 22 0 0 0 0 0 0
2 0 0 0 0 2 0 0 2 7 0 0 1 0 1 4 2 7 1 1 2 8 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 2 2 0 0 4 10 0 0 2 0 2 5 4 10 1 3 4 11 0 0 0 0 4 2 2 0 0 0 2 0 2 2 50 0 0 0 0 0 0
3 0 0 0 0 3 0 0 3 7 0 0 1 0 1 2 3 7 3 0 3 7 0 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 4 0 2 6 11 0 0 3 0 3 6 6 11 4 2 6 12 0 0 0 0 6 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 0 0 0 2 5 0 1 8 18 0 0 1 0 1 2 8 18 4 4 8 19 0 0 0 0 8 7 1 0 1 1 0 1 1 2 25 0 0 0 0 0 0
3 0 0 0 1 2 0 0 3 9 0 0 0 0 0 0 3 9 1 2 3 9 0 0 0 0 3 2 1 1 0 1 0 0 0 1 33 0 0 0 0 0 0
2 0 0 0 1 0 0 1 2 5 0 0 1 0 1 2 2 5 2 0 2 5 0 0 0 0 2 2 0 1 0 1 0 0 0 1 50 0 0 0 0 0 0
3 0 0 0 0 3 0 0 3 15 0 0 1 0 1 5 3 15 3 0 3 16 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 1 2 0 0 3 16 0 0 0 0 0 0 3 16 2 1 3 17 0 0 0 0 3 2 1 0 0 0 1 0 1 1 33 0 0 0 1 0 1
5 0 0 0 2 3 0 0 5 28 0 0 5 0 5 28 5 28 3 2 5 29 0 0 0 0 5 4 1 1 0 1 1 0 1 2 40 1 0 1 1 0 1
2 0 0 0 0 2 0 0 2 8 0 0 2 0 2 8 2 8 2 0 2 8 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 1 0 0 1 1 0 0 2 15 0 0 0 0 0 0 2 15 2 0 2 17 0 0 0 0 2 0 2 1 1 2 0 0 0 2 100 1 0 1 1 0 1
3 1 0 0 1 2 0 0 3 15 0 0 1 0 1 5 3 15 2 1 3 16 0 0 0 0 3 3 0 1 0 1 0 0 0 1 33 0 0 0 0 0 0
73 4 0 0 17 52 0 4 73 11 0 0 34 0 34 5 73 11 47 26 73 11 0 0 0 0 73 52 21 7 2 9 4 1 5 14 19 3 0 3 4 0 4
Kunj. Neo KEMATIAN
Gemelli Prematur
KN I KN 3 Kematian Ibu Kematian Bayi dan Balita
Bersalin (bayi lahir sampai 2

Nifas
L P L P 0 - 6 hari 7-28 hari
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
TOTAL
Hamil
jam)
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
> 6 Jam
< 6 jam
Puskesmas
Puskesmas
Puskesmas
Puskesmas
L P Jml L P
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 2 5 0 0 1 0 1 0 0 1 0 1 2 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 3 0 1 0 0 1 4 8 0 0 3 0 3 0 0 1 0 1 4 8 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 3 0 1 0 0 1 4 24 0 0 3 0 3 0 0 1 0 1 4 24 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 5 0 0 0 0 0 0 0 1 0 1 1 5 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 1 2 0 1 4 1 2 0 0 3 7 13 0 0 4 0 4 0 0 3 0 3 7 13 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 4 0 0 6 0 3 0 0 3 9 14 0 0 6 0 6 0 0 3 0 3 9 14 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 2 8 0 0 1 0 1 0 0 1 0 1 2 8 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 1 2 1 0 0 3 4 11 0 0 0 0 0 0 0 2 0 2 2 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 7 0 0 3 0 3 0 0 0 0 0 3 7 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 1 4 0 1 0 1 2 6 12 0 0 4 0 4 0 0 2 0 2 6 12 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 2 0 1 4 1 3 0 0 4 8 19 0 0 4 0 4 0 0 4 0 4 8 19 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 1 0 2 0 0 2 3 9 0 0 1 0 1 0 0 2 0 2 3 9 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 1 2 0 0 0 0 0 2 5 0 0 2 0 2 0 0 0 0 0 2 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 16 0 0 3 0 3 0 0 0 0 0 3 16 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 0 2 1 0 0 0 1 3 17 0 0 2 0 2 0 0 1 0 1 3 17 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 2 1 0 0 3 0 2 0 0 2 5 29 0 0 3 0 3 0 0 2 0 2 5 29 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 2 8 0 0 2 0 2 0 0 0 0 0 2 8 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 1 1 0 0 2 0 0 0 0 0 2 17 0 0 2 0 2 0 0 0 0 0 2 17 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 0 0 2 0 1 0 0 1 3 16 0 0 2 0 2 0 0 1 0 1 3 16 0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 3 10 33 0 4 47 5 20 0 1 26 73 11 0 0 46 0 46 0 0 25 0 25 71 11 0 0 0 0 0 0 0 0 0 0
KEMATIAN Hb Integrasi Program
Gula
Protein Palpasi Gondok
Darah Pencegahan
urin TM III (K1)
(GD) Pencegahan Penularan HIV Malaria Dalam TB dalam Kecacingan dalam
n Bayi dan Balita K1 K4
dari Ibu ke Anak (PPIA) Kehamilan Kehamilan Kehamilan
Diperiksa Gol Darah

Jml Total Kematian Kematian Balita (PMDK)
Ibu Hamil mendapatkan Kina/

Bayi Usia 1-5 th Ibu Hamil
Ibu Hamil Hasil Dahak TB(+)

Ibu Hamil Hasil Tes HIV (+)
Ibu Hamil diperiksa Dahak

Ibu Hamil mendapatkan

Hasil HIV(+)

-28 hari 29 hr - 11 bln
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Normal (≥11 g/dl)
Normal (≥11 g/dl)
Mikroskopis/RDT
Tida
Ankylostoma (+)
Persal Perabdominam
Diperiksa Hb
Diperiksa Hb
Tidak
Ankylostoma
Persal Pervaginam
(<11 g/dl)
(<11 g/dl)
Positif (+)
k GD
Diperiksa
Diperiksa
Diperiksa
kelambu
(<8 g/dl)
(<8 g/dl)
Anemia
Anemia
Anemia
Anemia
Obat**
HIV(+)
Diper
ACT
Dipe >140
Grade 0
Grade 1
Grade 2
iksa
riksa g/dl
(SC)
Hb
Jml L P Jml L P Jml L P Jml Hb
0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 2 0 2 0 0 2 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 4 4 0 0 0 4 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 2 0 0 0 2 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0 2 0 2 2 2 0 0 0 2 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 2 2 0 0 0 2 0 1 0 1 1 1 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 0 12 12 0 0 0 3 3 0 0 0 3 0 12 0 12 12 12 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 11 9 2 0 0 2 2 0 0 0 2 0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 2 0 0 0 2 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 2 1 0 0 1 1 0 0 0 1 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 8 8 0 0 0 3 3 0 0 0 3 0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 1 0 0 0 1 0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 5 4 1 0 0 3 3 0 0 0 3 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 1 0 0 0 1 0 6 0 6 6 6 0 0 0 6 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 3 2 1 0 0 3 0 1 0 1 1 1 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 0 4 3 1 0 0 3 2 1 0 0 3 0 4 0 4 4 4 0 0 0 4 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 2 1 1 0 0 2 0 1 0 1 1 1 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 0 3 3 0 0 0 1 1 0 0 0 1 0 3 0 3 3 3 0 0 0 3 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 4 4 0 0 0 4 0 1 0 1 1 1 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 0 1 1 0 0 0 2 2 0 0 0 2 0 1 0 1 1 1 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 0 85 80 5 0 0 42 37 5 0 0 42 0 85 0 85 85 85 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 1 0
hamilan
Ibu Hamil diobati
ngan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
1
6
5
6
8
2
3
4
11
12
1
2
4
5
5
Ibu Hamil Hasil Tes IMS (+)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati
Pencegahan IMS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diperiksa Hepatitis
4
1
6
5
6
8
2
3
4
11
12
1
2
4
5
5
B
Ibu Hamil Hasil Tes Hep B (+)
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Kehamilan
Hepatitis B
Ibu Hamil diobati Pencegahan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Covid-19
Kehamilan
Hasil Test (-)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Puskesmas yang melaksanakan kelas ibu
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
hamil
Jumlah Kelas Ibu Hamil yang terbentuk
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Jumlah Ibu Hamil yang mengikuti kelas
12
10
15
12
0
15
0
10
14
17
28
6
3
0
15
10
ibu hamil
Jumlah suami/keluarga yang mengikuti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
Jumlah bidan yang melakukan kelas ibu
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
hamil
1
1
1
1
0
0
0
0
0
0
1
1
1
0
0
1
balita
Jumlah Kelas Ibu Balita yang terbentuk
1
1
1
1
0
1
1
0
0
1
1
1
1
1
0
1
balita
Jumlah Ibu Balita yang mengikuti kelas
20
15
15
15
0
0
0
0
0
0
15
15
12
0
0
15
ibu Balita
1
1
1
1
0
0
0
0
0
0
1
1
1
0
0
1
balita
Puskesmas yang melaksanakan kelas
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
PUS Resti
Jumlah Kelas PUS Resti yang terbentuk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Jumlah PUS Resti yang mengikuti kelas
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
PUS Resti
Jumlah bidan yang melakukan kelas PUS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
Jumlah Catin yang mengikuti kelas Catin

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Catin
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 1 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 3 0 0 0 0 0 1 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 0 0 0 0 1 1 8 0 1 0 1 0 0 0 1 0 0 0 0 0 0
0 1 0 0 1 0 0 0 0 0 1 1 9 0 1 0 1 0 0 0 1 0 0 0 0 0 0
0 85 0 0 85 1 0 0 0 0 17 20 199 0 17 8 14 122 8 1 3 15 1 0 1 0 0
LAPORAN BULANAN KIA
PUSKESMAS : LASEM
BULAN : FEBRUARI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko

Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 5 1 1 0 0 0 0 0 0 0 0 13 17 0 0 5 0 5 0 0 0 0 0 5 0 5 5 0 0
2 Jolotundo 58 12 56 53 8 208 594 3 3 3 0 0 0 0 0 0 0 0 21 21 0 0 2 0 2 0 0 1 0 1 3 1 3 3 0 0
3 Sendangcoyo 19 4 18 17 3 126 377 1 2 2 0 0 0 0 0 0 0 0 16 15 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0
4 Ngargomulyo 7 2 7 7 1 9 60 0 1 1 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 2 1 1 0 0 0 0 0 0 0 0 6 7 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0
6 Selopuro 62 12 59 56 8 211 640 2 3 3 4 1 1 3 4 0 1 0 32 31 0 0 2 0 2 0 0 0 0 0 2 1 2 2 0 0
7 Sumbergirang 70 14 67 64 10 290 766 1 3 5 0 0 0 0 0 0 0 0 34 30 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0
8 Karangturi 29 6 27 26 4 148 257 1 2 2 0 0 0 0 0 0 0 0 16 15 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0
9 Babagan 41 8 39 37 5 138 377 4 1 1 0 0 0 0 0 0 0 0 13 16 0 0 4 0 4 0 0 0 0 0 4 0 4 4 0 0
10 Dorokandang 46 9 44 42 6 183 525 1 1 1 0 0 0 0 0 0 0 0 18 18 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0
11 Gedongmulyo 56 11 54 51 8 216 633 5 2 2 1 0 0 1 1 0 0 0 26 29 0 0 4 0 4 0 0 1 0 1 5 0 5 5 0 0
12 Soditan 47 9 45 43 6 177 480 4 1 1 2 0 0 2 2 0 0 0 23 26 0 0 4 0 4 0 0 0 0 0 4 0 4 4 0 0
13 Ngemplak 37 7 35 34 5 161 404 5 1 1 0 0 0 0 0 0 0 0 15 19 0 0 5 0 5 0 0 0 0 0 5 3 5 5 0 0
14 Sendangasri 45 9 43 41 6 143 583 4 1 1 0 0 0 0 0 0 0 0 18 21 0 0 4 0 4 0 0 0 0 0 4 2 4 4 0 0
15 Gowak 21 4 20 19 3 75 229 1 2 2 1 0 0 1 1 0 0 0 8 7 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0
16 Sriombo 20 4 19 18 3 91 268 1 7 7 1 0 0 1 1 0 0 0 12 6 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0
17 Binangun 19 4 18 17 2 106 315 1 1 1 0 0 0 0 0 0 0 0 5 5 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0
18 Bonang 28 6 26 25 4 104 307 3 0 0 1 0 0 1 1 0 0 0 9 12 0 0 1 2 3 0 0 0 0 0 3 1 3 3 1 0
19 Tasiksono 13 3 13 12 2 42 148 2 1 1 0 0 0 0 0 0 0 0 6 7 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0
20 Dasun 21 4 20 19 3 57 171 2 1 1 0 0 0 0 0 0 0 0 9 10 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0
#gid=1238255570&range=F11
0 0 0 0 0
Jumlah 704 141 672 640 96 2727 7762 48 35 37 10 1 1 9 10 0 1 0 303 314 0 0 42 2 44 0 0 4 0 4 48 8 48 48 1 0
Kom s/d bl. Lalu 85 73 73 27 5 3 24 27 0 3 0 0 0 72 4 76 0 0 9 0 9 85 23 76 76 0 0
Kom s/d bl. ini 704 141 672 640 96 2727 7762 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0
Pelayanan
Jenis
Persalinan
Status
TT
Total

K4 Jumlah Jumlah KEK nan Tindakan
K6 USG Dokter
Diperiksa LiLA
Bumil Bumil (LiLA (6-48 jam) (29 - 42 hr)
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
1 0 1 1 1 1 1 5 5 0 0 1 1 0 0 0 1 0 1 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 0 0 2 0 2
4 0 4 4 4 4 4 3 3 0 0 3 3 0 0 0 3 0 3 0 0 3 0 3 0 3 0 0 0 0 3 0 0 3 0 0 3 0 3
2 0 2 2 2 2 2 1 1 0 0 2 2 0 0 0 2 0 2 0 0 2 2 0 0 2 0 0 0 0 2 0 0 2 0 0 3 0 3
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1
1 0 1 1 1 1 1 2 2 0 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 2 2 1 0 3 3 0 0 0 3 0 3 0 0 3 0 3 0 3 0 0 0 0 3 0 0 3 0 0 7 0 7
5 0 5 5 5 5 5 1 1 0 0 3 3 0 0 0 3 0 3 0 0 3 1 2 0 3 2 0 0 0 3 0 0 3 0 0 9 0 9
2 0 2 2 2 2 2 1 1 0 0 2 2 0 0 0 2 0 2 0 0 2 1 1 0 2 0 0 0 0 2 0 0 2 0 0 2 0 2
1 0 1 1 1 1 1 4 4 1 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1
3 0 3 3 3 3 3 1 1 1 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 3 0 3
5 0 5 5 5 5 5 5 5 1 0 2 2 0 0 0 2 1 1 0 0 2 2 0 0 2 0 0 0 1 1 0 0 2 0 0 2 0 2
4 0 4 4 4 4 4 4 4 0 0 1 1 0 0 0 1 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 8 0 8
4 0 4 4 4 4 4 5 5 1 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 3 0 3
3 0 3 3 3 3 3 4 4 0 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 2 0 2
2 0 2 2 2 2 2 1 1 1 0 2 2 0 0 0 2 0 2 0 0 2 1 1 0 2 0 0 0 0 2 0 0 2 0 0 2 0 2
3 0 3 3 3 3 3 1 1 0 0 7 7 0 0 0 7 1 5 0 1 7 4 3 0 7 0 0 0 1 5 0 1 7 0 0 7 0 7
1 0 1 1 1 1 1 1 1 0 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 1 1 1 1 3 3 0 0 0 0 0 0 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 1 1 1 1 1 2 2 0 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 2 0 2
1 0 1 1 1 1 1 2 2 0 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 3 0 3
43 0 44 44 44 44 44 48 48 6 0 35 35 0 0 0 35 6 27 0 2 35 21 14 0 35 2 0 0 6 27 0 2 35 0 0 62 0 62
42 0 42 42 42 42 42 85 85 16 1 72 73 0 0 0 73 17 52 0 4 73 51 21 1 73 4 0 0 17 52 0 4 73 0 0 34 0 34
85 0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96

Kunj. Neo
BBL Resiko
Stunting
KN I
LH LM L P L P L P L
Bufas Dapat Vit A
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
RS
RS
RS
1 1 0 1 0 0 0 1 0 1 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 1 0 0 1
3 1 2 3 0 0 0 3 0 3 0 1 1 0 2 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 2 0 0 2 3 0 0 1
2 2 0 2 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 2 0 0 2 0 0 0 0 0 2 0 0 2
1 1 0 1 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 1
1 0 1 1 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 1 0 1 1 0 0 0
3 1 2 3 0 0 0 3 0 3 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 2 0 0 2 3 0 0 1
3 1 2 3 0 0 0 3 1 2 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 2 0 2 3 0 0 1
2 1 1 2 0 0 0 2 1 1 0 1 1 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 2 0 0 1
1 1 0 1 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 1 0 0 1 0 0 0 0 0 1 0 0 1
1 0 1 1 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 1 0 0 0 1 1 0 0 0
2 1 1 2 0 0 0 2 2 0 1 0 1 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 2 0 0 1
1 0 1 1 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 0 1 1 1 0 0 0
1 1 0 1 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 1 0 0 1 0 0 0 0 0 1 0 0 1
1 0 1 1 0 0 0 1 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0
2 1 1 2 0 0 0 2 1 1 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 1 0 0 1 2 0 0 1
7 5 2 7 0 0 0 7 4 3 1 0 1 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 1 2 1 1 5 0 2 0 0 2 7 0 0 5
1 1 0 1 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 1 0 0 0 1 0 0 0 0 0 1 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 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 0 0 1 1 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1
1 1 0 1 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 1 0 0 1 0 0 0 0 0 1 0 0 1
35 20 15 35 0 0 0 35 20 15 3 3 6 2 3 5 11 0 2 2 0 2 2 0 0 0 0 0 0 2 14 3 1 20 3 8 3 1 15 35 0 0 20
73 47 26 73 0 0 0 73 52 21 7 2 9 4 1 5 14 3 0 3 4 0 4 0 0 0 3 0 3 10 33 0 4 47 5 20 0 1 26 73 0 0 46
108 67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66

KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

L P 0 - 6 hari 7-28 hari 29 hr - 11 bln Tida
sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
Jejaring
RS
0 1 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 5 5 0 0 0 1 1 0 0 0 1 0
0 1 0 0 2 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 4 4 0 0 0 4 0
0 2 0 0 7 0 7 9 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 2 2 0 0 0 2 0
0 1 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0
0 1 0 0 2 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0
0 1 0 0 2 0 2 3 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 5 3 2 0 0 5 0
0 1 0 0 1 0 1 2 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 2 2 0 0 0 2 0
0 1 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 4 4 0 0 0 1 1 0 0 0 1 0
0 0 0 0 1 0 1 1 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 3 3 0 0 0 3 0
0 1 0 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 5 4 1 0 0 5 0
0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 4 4 0 0 0 4 0
0 1 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 5 5 0 0 0 4 4 0 0 0 4 0
0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3 0
0 1 0 0 1 0 1 2 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 2 1 1 0 0 2 0
0 5 0 0 2 0 2 7 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 3 3 0 0 0 3 0
0 1 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 1 1 0 0 0 1 1 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 0 0 0 0 0 0 0 3 3 0 0 0 1 1 0 0 0 1 0
0 1 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 2 2 0 0 0 1 1 0 0 0 1 0
0 1 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 2 2 0 0 0 1 1 0 0 0 1 0
0
0 20 0 0 22 0 22 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 48 0 0 0 44 40 4 0 0 44 0
0 46 0 0 25 0 25 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 80 5 0 0 42 37 5 0 0 42 0
0 66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0

1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Diperiksa
Gula
(GD)
Darah
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
GD
g/dl
>140
1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Diperiksa Gol Darah
1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Diperiksa
1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Grade 0
(K1)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil
Grade 1
Palpasi Gondok
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Grade 2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HIV(+)
1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Persal Pervaginam
Persal
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HIV(+)
Perabdominam
Ibu Hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelambu
Ibu Hamil Diperiksa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Mikroskopis/RDT
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pencegahan
Malaria Dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dahak
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TB(+)
TB dalam
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Obat**
Integrasi Program
Ibu Hamil diperiksa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ankylostoma
Ibu Hamil Hasil Tes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ankylostoma (+)
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati

Kecacingan dalam
1
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
dalam
Syphilis
Kehamilan /
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati

Pencegahan IMS
1
Ibu Hamil diperiksa
1
1
4
5
4
5
1
4
1
1
2
2
0
1
3
5
Hepatitis B
Ibu Hamil Hasil Tes Hep
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
B (+)
dalam
Kehamilan
Hepatitis B
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pencegahan
Ibu Hamil diobati

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)

dalam
Covid-19
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (-)

1
1
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
kelas ibu hamil

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
terbentuk
5
7
0
7
1
0
10
15
15
15
15
15
15
23
32
15
15
kelas ibu hamil

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1
1
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
ibu hamil
0
1
1
1
1
0
1
1
0
0
1
1
1
1
0
0
1
kelas ibu balita

0
1
1
1
1
0
1
1
0
0
1
1
1
1
1
0
1
terbentuk
balita

0
0
0
0
0
0
20
15
15
15
15
15
15
15
15
14
15
kelas ibu Balita

0
1
1
1
1
0
1
1
0
0
1
1
1
1
0
0
1
ibu balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
kelas PUS Resti

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
terbentuk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
kelas PUS Resti

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
PUS Resti
3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 1 0 0 0 0 1 1 10 0 1 0 0 0 0 0 0 0 0
2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 1 1 7 0 1 0 1 0 0 0 1 0 0
2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 1 1 10 0 1 0 1 0 0 0 1 0 0
48 1 48 48 48 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 48 2 0 0 0 0 18 20 232 0 18 11 14 169 11 1 3 15 1
85 0 85 85 85 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 1 0 0 85 0 0 85 1 0 0 0 0 17 20 199 0 17 8 14 122 8 1 3 15 1
133 1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas Catin
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
0
0
0
0
Catin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 0
0 1 0 0
0 2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : LASEM
BULAN : FEBRUARI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko
Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
Anak Balita K1 Murni K1 Akses
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Akses
K1 oleh Dokter
Total K1 Murni
Bumil dg 4T
Puskesmas
Puskesmas
Total
%
%
Jaringan
Jaringan
K1
Jejaring
Jejaring
RS
RS
1 Karasgede 43 9 41 39 6 143 344 10 3 3 4 0 0 4 4 0 0 0 13 19 0 0 10 0 10 23 0 0 0 0 0 0 10 23 0 10
2 Jolotundo 58 12 56 53 8 208 594 8 7 7 0 0 0 0 0 0 0 0 21 21 0 0 7 0 7 12 0 0 1 0 1 2 8 14 4 8
3 Sendangcoyo 19 4 18 17 3 126 377 5 6 6 1 0 0 1 1 0 0 0 16 15 0 0 4 0 4 21 0 0 1 0 1 5 5 26 0 5
4 Ngargomulyo 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 3 4 0 0 2 0 2 29 0 0 0 0 0 0 2 29 0 2
5 Kajar 22 4 21 20 3 99 284 3 2 2 1 0 0 1 1 0 0 0 6 7 0 0 3 0 3 14 0 0 0 0 0 0 3 14 1 3
6 Selopuro 62 12 59 56 8 211 640 14 10 10 4 1 1 3 4 0 1 0 32 36 0 0 14 0 14 23 0 0 0 0 0 0 14 23 6 14
7 Sumbergirang 70 14 67 64 10 290 766 12 12 14 1 0 0 1 1 0 0 0 34 32 0 0 10 0 10 14 0 0 2 0 2 3 12 17 2 10
8 Karangturi 29 6 27 26 4 148 257 5 4 4 0 0 0 0 0 0 0 0 16 17 0 0 5 0 5 17 0 0 0 0 0 0 5 17 0 5
9 Babagan 41 8 39 37 5 138 377 7 5 5 1 0 0 1 1 0 0 0 13 15 0 0 7 0 7 17 0 0 0 0 0 0 7 17 0 7
10 Dorokandang 46 9 44 42 6 183 525 3 4 4 2 0 0 2 2 0 0 0 18 17 0 0 2 0 2 4 0 0 1 0 1 2 3 7 0 2
11 Gedongmulyo 56 11 54 51 8 216 633 13 8 8 3 0 0 3 3 0 0 0 26 31 0 0 10 0 10 18 0 0 3 0 3 5 13 23 0 11
12 Soditan 47 9 45 43 6 177 480 10 9 9 4 0 0 4 4 0 0 0 23 24 0 0 8 0 8 17 0 0 2 0 2 4 10 21 4 8
13 Ngemplak 37 7 35 34 5 161 404 10 4 4 1 0 0 1 1 0 0 0 15 21 0 0 10 0 10 27 0 0 0 0 0 0 10 27 6 10
14 Sendangasri 45 9 43 41 6 143 583 10 3 3 1 0 0 1 1 0 0 0 18 25 0 0 10 0 10 22 0 0 0 0 0 0 10 22 4 10
15 Gowak 21 4 20 19 3 75 229 2 5 5 5 1 0 5 5 0 1 0 8 5 0 0 2 0 2 10 0 0 0 0 0 0 2 10 0 2
16 Sriombo 20 4 19 18 3 91 268 5 10 10 3 0 0 3 3 0 0 0 12 7 0 0 3 0 3 15 0 0 2 0 2 10 5 25 1 3
17 Binangun 19 4 18 17 2 106 315 2 6 6 4 4 3 1 4 0 2 0 5 1 0 0 0 1 1 5 0 0 1 0 1 5 2 11 1 2
18 Bonang 28 6 26 25 4 104 307 6 2 2 2 0 0 2 2 0 0 0 9 13 0 0 1 5 6 21 0 0 0 0 0 0 6 21 2 6
19 Tasiksono 13 3 13 12 2 42 148 3 3 3 0 0 0 0 0 0 0 0 6 5 0 0 3 0 3 23 0 0 0 0 0 0 3 23 0 3
20 Dasun 21 4 20 19 3 57 171 3 4 4 0 0 0 0 0 0 0 0 9 7 0 0 3 0 3 14 0 0 0 0 0 0 3 14 0 3
Komulatif 704 141 672 640 96 2727 7762 133 108 110 37 6 4 33 37 0 4 0 303 322 0 0 114 6 120 17 0 0 13 0 13 2 133 19 31 124
ungan Pelayanan
Jenis
Jml Persalinan
Persalinan
an Fe Bumil Status TT KEK
Linakes di Faskes
Total
K4 nan Tindakan
Jumlah Jumlah KEK
K6 USG Dokter
Diperiksa LiLA
Bumil Bumil (LiLA
Normal
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
K1 USG Dokter
% % t Tablet Tablet FE 23,5 % %

Puskesmas
Puskesmas
% FE 90 90 cm) %
SC
Jaringan
Jaringan
Total K4
Jejaring
Jejaring
Total
RS
RS
100 10 100 0 0 3 0 3 7 3 7 3 100 3 7 3 7 10 23 0 2 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2
100 8 100 0 0 8 0 8 14 8 14 8 100 8 14 8 14 8 14 1 0 0 7 7 13 0 0 0 0 7 13 0 7 0 0 7 13 3 4
100 5 100 0 0 4 0 4 21 4 21 4 100 4 21 4 21 5 26 1 0 0 6 6 33 0 0 0 0 6 33 0 6 0 0 6 33 5 1
100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29 0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0
100 3 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 3 14 0 1 0 2 2 10 0 0 0 0 2 10 0 2 0 0 2 10 2 0
100 14 100 0 0 3 0 3 5 3 5 3 100 3 5 3 5 14 23 0 5 0 10 10 17 0 0 0 0 10 17 4 6 0 0 10 17 7 3
83 10 83 0 0 7 0 7 10 7 10 7 100 7 10 7 10 12 17 2 2 1 11 12 18 0 0 0 0 12 18 2 10 0 0 12 18 7 5
100 5 100 0 0 4 0 4 14 4 14 4 100 4 14 4 14 5 17 0 0 0 4 4 15 0 0 0 0 4 15 0 4 0 0 4 15 2 2
100 7 100 0 0 2 0 2 5 2 5 2 100 2 5 2 5 7 17 0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2
67 2 67 0 0 3 0 3 7 3 7 3 100 3 7 3 7 3 7 1 2 0 4 4 9 0 0 0 0 4 9 1 3 0 0 4 9 3 1
85 11 85 0 0 8 0 8 14 8 14 8 100 8 14 8 14 13 23 3 2 0 8 8 15 0 0 0 0 8 15 1 5 0 2 8 15 7 1
80 8 80 0 0 5 0 5 11 5 11 5 100 5 11 5 11 10 21 2 0 0 9 9 20 0 0 0 0 9 20 2 5 0 2 9 20 8 1
100 10 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 10 27 0 3 0 4 4 11 0 0 0 0 4 11 1 3 0 0 4 11 2 2
100 10 100 0 0 4 0 4 9 4 9 4 100 4 9 4 9 10 22 0 2 0 3 3 7 0 0 0 0 3 7 2 0 0 1 3 7 3 0
100 2 100 0 0 5 0 5 24 5 24 5 100 5 24 5 24 2 10 0 1 0 5 5 25 0 0 0 0 5 25 0 5 0 0 5 25 2 3
60 3 60 0 0 6 0 6 30 6 30 6 100 6 30 6 30 5 25 2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4
100 2 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 2 11 1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1
100 6 100 1 0 1 0 2 7 2 7 2 100 2 7 2 7 6 21 0 1 0 2 2 8 0 0 0 0 2 8 0 2 0 0 2 8 0 2
100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23 0 0 0 3 3 23 0 0 0 0 3 23 2 1 0 0 3 23 2 1
100 3 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 3 14 0 0 0 4 4 20 0 0 0 0 4 20 1 3 0 0 4 20 3 0
18 124 18 1 0 85 0 86 12 86 86 12 86 12 86 12 133 19 13 22 1 107 108 16 0 0 0 0 108 16 23 79 0 6 108 16 72 35

Jenis BBL Resiko
rsalinan Stunting
KF 1 KF 4
Tindakan LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(6-48 jam) (29 - 42 hr)
Dilakukan
Abortus
Jumlah
Pindah
Partus
Tidak
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Lainnya
Jumlah
Jumlah
Puskesmas
Puskesmas
Jumlah
Jumlah
Total KF 1
Total KF 4
% % % %
RS
RS
L P L P
Jaringan
Jaringan
Jejaring
Jejaring
RS
RS
0 3 1 0 0 0 3 0 0 3 7 0 0 2 0 2 5 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 7 1 0 0 0 7 0 0 7 13 0 0 7 0 7 13 7 13 4 3 7 13 0 0 0 0 7 3 4 0 1 1 0 2 2 3 43 0 0 0 0 0
0 6 0 0 0 0 6 0 0 6 33 0 0 4 0 4 22 6 33 5 1 6 35 0 0 0 0 6 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0 0 1 14 0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0
0 2 0 0 0 0 2 0 0 2 10 0 0 1 0 1 5 2 10 0 2 2 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 4 6 0 0 10 17 0 0 11 0 11 19 10 17 5 5 10 18 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 0 1 1 0
0 12 2 0 0 2 10 0 0 12 18 0 0 16 0 16 24 12 18 7 5 12 19 0 0 0 0 12 7 5 2 0 2 0 0 0 2 17 0 1 1 0 1
0 4 0 0 0 0 4 0 0 4 15 0 0 3 0 3 11 4 15 2 2 4 15 0 0 0 0 4 2 2 0 1 1 0 1 1 2 50 0 0 0 0 0
0 5 0 0 0 2 3 0 0 5 13 0 0 3 0 3 8 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0
0 4 0 0 0 1 3 0 0 4 9 0 0 4 0 4 9 4 9 3 1 4 10 0 0 0 0 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 1 5 0 2 8 15 0 0 5 0 5 9 8 15 5 3 8 16 0 0 0 0 8 7 1 1 0 1 1 0 1 2 25 0 0 0 0 0
0 9 0 0 0 2 5 0 2 9 20 0 0 9 0 9 20 9 20 4 5 9 21 0 0 0 0 9 8 1 0 1 1 0 1 1 2 22 0 0 0 0 0
0 4 0 0 0 1 3 0 0 4 11 0 0 3 0 3 9 4 11 2 2 4 12 0 0 0 0 4 3 1 1 0 1 0 0 0 1 25 0 0 0 0 0
0 3 0 0 0 2 0 0 1 3 7 0 0 3 0 3 7 3 7 2 1 3 7 0 0 0 0 3 3 0 1 0 1 1 0 1 2 67 0 0 0 0 0
0 5 0 0 0 0 5 0 0 5 25 0 0 3 0 3 15 5 25 4 1 5 26 0 0 0 0 5 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 2 7 0 1 10 53 0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1
0 6 0 0 0 3 3 0 0 6 33 0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0
0 2 0 0 0 0 2 0 0 2 8 0 0 2 0 2 8 2 8 2 0 2 8 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 0 0 2 1 0 0 3 23 0 0 2 0 2 15 3 23 3 0 3 25 0 0 0 0 3 1 2 2 1 3 0 0 0 3 100 1 0 1 1 0
1 4 1 0 0 1 3 0 0 4 20 0 0 4 0 4 20 4 20 3 1 4 21 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0
1 108 6 0 0 23 79 0 6 108 16 0 0 96 0 96 14 108 16 67 41 108 17 0 0 0 0 108 72 36 10 5 15 6 4 10 25 23 3 2 5 4 2

Kunj. Neo KEMA
Resiko
Gemelli Prematur
unting
KN I KN 3 Kematian Ibu Kematian Bayi dan

Nifas
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
TOTAL
Hamil
Total
jam)
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
> 6 Jam
< 6 jam
Puskesmas
Puskesmas
Puskesmas
Puskesmas
L P Jml L
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0 0 4 0 3 0 0 3 7 13 0 0 4 0 4 0 0 3 0 3 7 13 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 5 0 1 0 0 1 6 35 0 0 5 0 5 0 0 8 0 8 13 76 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 1 14 0 0 1 0 1 0 0 0 0 0 1 14 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 2 2 10 0 0 0 0 0 0 0 2 0 2 2 10 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 1 3 0 1 5 1 4 0 0 5 10 18 0 0 5 0 5 0 0 5 0 5 10 18 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 2 4 1 0 7 0 3 2 0 5 12 19 0 0 7 0 7 0 0 5 0 5 12 19 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 2 0 2 0 0 2 4 15 0 0 2 0 2 0 0 2 0 2 4 15 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 0 3 1 0 0 0 1 4 10 0 0 3 0 3 0 0 1 0 1 4 10 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0 1 5 1 1 0 1 3 8 16 0 0 5 0 5 0 0 3 0 3 8 16 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 2 0 1 4 1 3 0 1 5 9 21 0 0 4 0 4 0 0 5 0 5 9 21 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 0 0 2 0 2 0 0 2 4 12 0 0 2 0 2 0 0 2 0 2 4 12 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 1 2 1 0 0 0 1 3 7 0 0 2 0 2 0 0 1 0 1 3 7 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0 0 4 0 1 0 0 1 5 26 0 0 4 0 4 0 0 1 0 1 5 26 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 2 8 0 0 2 0 2 0 0 0 0 0 2 8 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 1 1 1 0 3 0 0 0 0 0 3 25 0 0 3 0 3 0 0 0 0 0 3 25 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 2 0 0 3 0 1 0 0 1 4 21 0 0 3 0 3 0 0 1 0 1 4 21 0 0 0 0 0 0 0 0 0
6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 17 0 0 66 0 66 0 0 47 0 47 113 18 0 0 0 0 0 0 0 0 0
Gula
Darah Pencegahan
urin TM III (K1)
(GD) Pencegahan Penularan HIV Malaria Dalam TB dalam Kecacingan
matian Bayi dan Balita K1 K4
dari Ibu ke Anak (PPIA) Kehamilan Kehamilan Kehami
Diperiksa Gol Darah





Hasil HIV(+)

7-28 hari 29 hr - 11 bln
Ibu Hamil Diperiksa

Ibu Hamil dites HIV
Ibu Hamil diperiksa

Normal (≥11 g/dl)
Normal (≥11 g/dl)
Mikroskopis/RDT
Tida
Persal Perabdominam
Diperiksa Hb
Diperiksa Hb
Tidak
Ankylostoma
Persal Pervaginam
(<11 g/dl)
(<11 g/dl)
Positif (+)
k GD
Diperiksa
Diperiksa
Diperiksa
kelambu
(<8 g/dl)
(<8 g/dl)
Anemia
Anemia
Anemia
Anemia
Obat**
HIV(+)
Diper
ACT
Dipe >140
Grade 0
Grade 1
Grade 2
iksa
riksa g/dl
(SC)
Hb
P Jml L P Jml L P Jml L P Jml Hb
0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 3 1 2 0 0 3 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 8 8 0 0 0 8 8 0 0 0 8 0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 4 4 0 0 0 4 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 3 3 0 0 0 3 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 3 3 0 0 0 3 0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 12 10 2 0 0 7 5 2 0 0 7 0 12 0 12 12 12 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 4 4 0 0 0 4 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 7 6 1 0 0 2 2 0 0 0 2 0 7 0 7 7 7 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 3 3 0 0 0 3 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 8 7 1 0 0 8 0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 5 5 0 0 0 5 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 7 7 0 0 0 7 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 4 4 0 0 0 4 0 10 1 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 5 3 2 0 0 5 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 5 4 1 0 0 6 5 1 0 0 6 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 2 1 0 0 3 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 2 2 0 0 0 2 0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 3 3 0 0 0 3 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133 1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1

m
Ibu Hamil Hasil Tes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ankylostoma (+)
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
Kecacingan dalam
5
2
10
10
10
13
3
7
5
12
14
3
2
5
8
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Syphilis
Kehamilan /
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
Pencegahan IMS
5
2
10
10
10
13
3
7
5
12
14
3
2
5
8
10
B
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
dalam
Kehamilan
Hepatitis B
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pencegahan
Ibu Hamil diobati
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)
dalam
Covid-19
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (-)
2
2
2
2
0
2
1
2
2
2
2
2
2
0
2
2
hamil
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0
4
0
22
17
30
27
30
15
25
29
40
60
13
30
25
ibu hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil

2
2
2
2
0
2
1
2
2
2
2
2
2
0
2
2
hamil
2
2
2
2
0
1
1
0
0
1
2
2
2
0
0
2
balita
2
2
2
2
0
2
2
0
0
2
2
2
2
2
0
2

balita
0
0
0
0
0
40
30
30
30
15
15
15
30
30
26
30
ibu Balita
2
2
2
2
0
1
1
0
0
1
2
2
2
0
0
2
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
PUS Resti
0 Jumlah bidan yang melakukan kelas PUS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
0
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
0
0
0
0
Catin
0
0 0 2 0 0 2 0 0 0 0 0 2 2 10 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 0 0 6 1 0 0 0 0 2 2 20 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 3 0 0 0 0 0 2 2 15 0 2 0 2 0 0 0 2 0 0 0 0 0 0
0 0 3 0 0 3 0 0 0 0 0 2 2 19 0 2 0 2 0 0 0 2 0 0 0 0 0 0
0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0 2 0 0

LAPORAN BULANAN KIA
PUSKESMAS : LASEM
BULAN : MARET
TAHUN : 2023
Jumlah Kunjungan Pelayanan

SASARAN PENDATAAN
Catin resiko

Kunjungan Fe Bumil
Σ Bumil Real
NO DESA K1

catin dengan anemia
K4 Jumlah
K6 USG Dokter
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
PUS
K1 oleh Dokter
K6 Mendapa
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
t Tablet
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Total K4
FE 90
Jejaring
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 3 0 0 0 0 0 0 0 0 0 0 17 19 0 0 2 0 2 0 0 1 0 1 3 0 3 3 0 0 2 0 2 2 2 2
2 Jolotundo 58 12 56 53 8 208 594 3 5 5 0 0 0 0 0 0 0 0 21 19 0 0 2 0 2 0 0 1 0 1 3 1 3 3 0 0 4 0 4 4 4 4
3 Sendangcoyo 19 4 18 17 3 126 377 1 3 4 0 0 0 0 0 0 0 0 15 13 0 0 1 0 1 0 0 0 0 0 1 1 1 1 0 0 3 0 3 3 3 3
4 Ngargomulyo 7 2 7 7 1 9 60 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 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 1 2 2 0 0 0 0 0 0 0 0 7 6 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 6 1 1 0 0 0 0 0 0 0 0 31 35 0 0 6 0 6 0 0 0 0 0 6 1 6 6 0 0 2 0 2 2 2 2
7 Sumbergirang 70 14 67 64 10 290 766 4 8 7 0 0 0 0 0 0 0 0 30 26 0 0 3 0 3 0 0 1 0 1 4 1 4 4 0 0 5 0 5 5 5 5
8 Karangturi 29 6 27 26 4 148 257 5 3 3 0 0 0 0 0 0 0 0 15 17 0 0 5 0 5 0 0 0 0 0 5 1 5 5 0 0 2 0 2 2 2 2
9 Babagan 41 8 39 37 5 138 377 3 0 0 1 0 0 1 1 0 0 0 16 17 0 0 3 0 3 0 0 0 0 0 3 0 3 3 0 0 3 0 3 3 3 3
10 Dorokandang 46 9 44 42 6 183 525 1 4 4 0 0 0 0 0 0 0 0 18 15 0 0 1 0 1 0 0 0 0 0 1 1 1 1 0 0 7 0 7 7 7 7
11 Gedongmulyo 56 11 54 51 8 216 633 5 5 5 1 0 0 1 1 0 0 0 29 29 0 0 5 0 5 0 0 0 0 0 5 1 5 5 0 0 3 0 3 3 3 3
12 Soditan 47 9 45 43 6 177 480 4 5 5 1 0 0 1 1 0 0 0 26 25 0 0 3 0 3 0 0 1 0 1 4 1 4 4 0 0 9 0 9 9 9 9
13 Ngemplak 37 7 35 34 5 161 404 3 3 3 3 1 0 3 3 1 0 0 19 19 0 0 3 0 3 0 0 0 0 0 3 0 3 3 0 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 1 4 4 1 0 0 1 1 0 0 0 21 18 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 5 0 5 5 5 5
15 Gowak 21 4 20 19 3 75 229 2 2 2 0 0 0 0 0 0 0 0 7 7 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0 2 0 2 2 2 2
16 Sriombo 20 4 19 18 3 91 268 3 0 0 0 0 0 0 0 0 0 0 6 9 0 0 3 0 3 0 0 0 0 0 3 0 3 3 0 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 2 0 0 0 0 0 0 0 0 0 0 5 7 0 0 2 0 2 0 0 0 0 0 2 0 2 2 0 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 1 1 1 0 0 1 1 0 0 0 12 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 2 2
19 Tasiksono 13 3 13 12 2 42 148 0 2 2 0 0 0 0 0 0 0 0 7 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 2 2 0 0 0 0 0 0 0 0 10 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 4 4 4
#gid=1238255570&range=F11
0 0 0 0 0
Jumlah 704 141 672 640 96 2727 7762 47 50 50 8 1 0 8 8 1 0 0 314 307 0 0 43 0 43 0 0 4 0 4 47 8 47 47 2 0 51 0 53 53 53 53
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85 0 86 86 86 86
Kom s/d bl. ini 180 158 160 45 7 4 41 45 1 4 0 617 621 0 0 157 6 163 0 0 17 0 17 180 39 171 171 3 0 136 0 139 139 139 139
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan Kunjungan Nifas Jumlah Kelahiran IMD SHK
Persalinan
Status
TT
Total

nan Tindakan LH LM L P
Bufas Dapat Vit A

Jumlah KEK
Total Kelahiran
Diperiksa LiLA
(6-48 jam) (29 - 42 hr)
Dilakukan
Bumil (LiLA
Abortus
Normal
Pindah
Partus
Tidak
Total
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
konsumsi T5 <
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Tablet FE 23,5
Lainnya
Jumlah
Jumlah
Total KF 1
Total KF 4
Jumlah
Jumlah
SC
RS
RS
Jaringan
Jaringan
Jaringan
90 cm) L P L P
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
2 3 3 1 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 3 0 0 5 5 0 0 0 5 0 5 0 0 5 2 3 0 5 0 0 0 0 5 0 0 5 0 0 5 0 5 5 3 2 5 0 0 0 5 4 1 0 0 0 0 0 0 0
3 1 1 0 0 3 3 0 0 0 3 1 2 0 0 3 2 1 0 3 0 0 0 1 2 0 0 3 0 0 2 0 2 3 2 2 4 0 0 0 4 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 0 0 0 0 0 0 0 0 0 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 0 2 2 0 0 0 2 1 1 0 0 2 2 0 0 2 0 0 0 1 1 0 0 2 0 0 2 0 2 2 1 1 2 0 0 0 2 2 0 1 0 1 0 0 0 1
2 6 6 1 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 0 1 0 1 0 0 0 1
5 4 4 1 0 8 8 0 0 0 8 1 7 0 0 8 5 3 0 8 0 0 0 1 7 0 0 8 0 0 3 0 3 8 4 3 7 1 0 1 8 4 3 0 0 0 0 0 0 0
2 5 5 1 0 3 3 0 0 0 3 1 2 0 0 3 1 2 0 3 0 0 0 1 2 0 0 3 0 0 2 0 2 3 1 2 3 0 0 0 3 1 2 0 0 0 1 1 2 2
3 3 3 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 1 1 0 0 4 4 0 0 0 4 0 4 0 0 4 2 2 0 4 0 0 0 0 4 0 0 4 0 0 1 0 1 4 3 1 4 0 0 0 4 2 2 0 0 0 0 0 0 0
3 5 5 1 0 5 5 0 0 0 5 1 4 0 0 5 4 1 0 5 0 0 0 1 4 0 0 5 0 0 2 0 2 5 2 3 5 0 0 0 5 4 1 0 0 0 0 0 0 0
9 4 4 0 0 5 5 0 0 0 5 1 4 0 0 5 2 3 0 5 0 0 0 1 4 0 0 5 0 0 1 0 1 5 3 2 5 0 0 0 5 2 3 0 0 0 1 0 1 1
0 3 3 0 0 3 3 0 0 0 3 1 2 0 0 3 2 1 0 3 0 0 0 0 3 0 0 3 0 0 2 0 2 3 2 1 3 0 0 0 3 2 1 0 1 1 1 0 1 2
5 1 1 0 0 4 4 0 0 0 4 1 1 0 2 4 3 1 0 4 0 0 0 1 1 0 2 4 0 0 1 0 1 4 4 0 4 0 0 0 4 3 1 4 0 4 0 0 0 4
2 2 2 0 0 2 2 0 0 0 2 0 2 0 0 2 2 0 0 2 0 0 0 0 2 0 0 2 0 0 2 0 2 2 1 1 2 0 0 0 2 2 0 0 0 0 0 0 0 0
0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1 1 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 2 0 1 0 1 2 1 0 1 2 0 0 0 0 1 0 1 2 0 0 1 0 1 2 2 0 2 0 0 0 2 2 0 0 1 1 0 0 0 1
4 0 0 0 0 2 2 0 0 0 2 0 2 0 0 2 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 0 2 1 1 2 0 0 0 2 2 0 0 0 0 0 0 0 0
53 47 47 5 0 50 50 0 0 0 50 10 37 0 3 50 32 17 1 50 3 1 0 9 38 0 3 50 0 0 27 0 27 50 31 19 50 1 0 1 51 34 16 6 2 8 3 1 4 12
86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108 67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25
139 180 180 27 1 157 158 0 0 0 158 33 116 0 9 158 104 52 2 158 9 1 0 32 117 0 9 158 0 0 123 0 123 158 98 60 158 1 0 1 159 106 52 16 7 23 9 5 14 37
Kunj. Neo KEMATIAN
BBL Resiko
BBLR Gemelli Prematur
Stunting
Nifas

L P L P L P 0 - 6 hari 7-28 hari 29 hr - 11 bln
sampai 2 jam)
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
Jumlah
TOTAL
Hamil
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
> 6 Jam
< 6 jam
L P Jml L P Jml L P
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1 0 1 0 0 0 1 0 1 0 3 0 0 3 0 2 0 0 2 5 0 0 2 0 2 0 0 2 0 2 4 0 0 0 0 0 1 0 1 0 0 0 0 0
1 1 2 1 1 2 1 1 2 1 1 2 1 1 0 0 2 0 2 0 0 2 4 0 0 2 0 2 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 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 1 0 1 0 0 1 2 0 0 1 0 1 0 0 1 0 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 1 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 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 0 0 0 0 4 0 0 4 0 3 0 0 3 7 0 0 4 0 4 0 0 3 0 3 7 0 0 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 1 1 0 0 2 3 0 0 1 0 1 0 0 2 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 3 0 1 0 0 1 4 0 0 3 0 3 0 0 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 1 2 0 0 3 5 0 0 2 0 2 0 0 3 0 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 0 0 0 3 0 0 3 1 1 0 0 2 5 0 0 3 0 3 0 0 2 0 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 1 0 0 0 1 3 0 0 2 0 2 0 0 1 0 1 3 0 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 2 4 0 0 0 0 0 4 0 0 4 0 4 0 0 0 0 0 4 0 0 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 1 0 0 1 2 0 0 1 0 1 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 1 0 0 1 0 1 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 0 0 0 0 1 0 1 2 0 0 0 0 0 2 0 0 2 0 2 0 0 0 0 0 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 0 0 1 0 1 0 0 1 2 0 0 1 0 1 0 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0
2 1 3 2 1 3 1 1 2 2 1 3 5 23 0 3 31 4 15 0 0 19 50 0 0 30 0 30 0 0 17 0 17 47 0 0 0 0 0 1 0 1 0 0 0 0 0
3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0 66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0
5 3 8 6 3 9 1 1 2 5 1 6 17 70 3 8 98 12 43 3 2 60 158 0 0 96 0 96 0 0 64 0 64 160 0 0 0 0 0 1 0 1 0 0 0 0 0
Hb Integrasi Program
Protein Gula Darah
Palpasi Gondok (K1) Pencegahan IMS
urin TM III (GD) Pencegahan Malaria Pencegahan
Pencegahan Penularan HIV dari Ibu ke TB dalam Kecacingan dalam dalam
Diperiksa Gol Darah

K1 K4 Dalam Kehamilan Hepatitis B dalam
Anak (PPIA) Kehamilan Kehamilan Kehamilan /
Jml Total Kematian Kematian Balita (PMDK) Kehamilan
Syphilis


Hasil

HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil diperiksa

Ibu Hamil dites HIV
Ibu Hamil diperiksa
Ibu Hamil diperiksa

hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)
Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Pervaginam
Diperiksa Hb
Diperiksa Hb
Ankylostoma
Hepatitis B
(<11 g/dl)
(<11 g/dl)
Tidak Tidak GD
Positif (+)
Perabdominam
Diperiksa
Diperiksa
Diperiksa
kelambu
(<8 g/dl)
(<8 g/dl)
Anemia
Anemia
Anemia
Anemia
Obat**
Dahak
HIV(+)
TB(+)
B (+)
ACT
Diperik Diperik >140
(+)
(+)
Grade 0
Grade 1
Grade 2
Persal
(SC)
sa Hb sa Hb g/dl
Jml L P Jml L P Jml
0 0 0 0 0 0 0 3 3 0 0 0 2 2 0 0 0 2 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0
0 1 0 1 0 0 0 3 3 0 0 0 4 4 0 0 0 4 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0
0 0 0 0 0 0 0 1 1 0 0 0 3 3 0 0 0 3 0 1 0 1 1 1 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 1 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 6 6 0 0 0 2 2 0 0 0 2 0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0
0 0 0 0 0 0 0 4 4 0 0 0 5 5 0 0 0 5 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0
0 0 0 0 0 0 0 5 5 0 0 0 2 1 1 0 0 2 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5 1
0 0 0 0 0 0 0 3 3 0 0 0 3 2 1 0 0 3 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0
0 0 0 0 0 0 0 1 1 0 0 0 7 7 0 0 0 7 0 1 0 1 1 1 0 0 0 1 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 5 5 0 0 0 3 2 1 0 0 3 0 5 0 5 5 5 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5 0
0 0 0 0 0 0 0 4 4 0 0 0 9 9 0 0 0 9 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0
0 0 0 0 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 3 0
0 0 0 0 0 0 0 1 1 0 0 0 5 5 0 0 0 5 0 1 0 1 1 1 0 0 0 1 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 2 2 0 0 0 2 1 1 0 0 2 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0
0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0
0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0 0 2 2 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 4 3 1 0 0 4 0 0 0 0 0 0 0 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 1 0 0 0 47 46 1 0 0 53 48 5 0 0 53 2 47 0 47 47 47 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 1 0 0 47 0 0 47 1
0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133 1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3
0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139 2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4
hamilan
cegahan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
itis B dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)
dalam
Covid-19
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (-)
1
1
1
1
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
kelas ibu hamil
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
terbentuk
9
7
7
6
7
0
0
6
2
0
10
15
15
15
15
15
15
25
15
15
kelas ibu hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
0
1
0
1
1
1
1
1
1
0
1
1
ibu hamil
1
1
0
0
1
1
1
1
0
0
0
0
0
1
1
1
1
0
0
1
kelas ibu balita
1
1
0
0
1
1
1
1
0
1
1
0
0
1
1
1
1
1
0
1
terbentuk
balita
0
0
0
0
0
0
0
0
0
15
15
20
15
15
15
15
20
15
15
15
kelas ibu Balita
1
1
0
0
1
1
1
1
0
0
0
0
0
1
1
1
1
0
0
1
ibu balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
kelas PUS Resti

1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
terbentuk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
kelas PUS Resti

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas Catin
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
0
0
0
0
0
0
0
Catin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0 0 0 0 17 20 199 0 17 11 14 175 11 1 3 10 1 0 1 0 0
0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0 2 0 0
0 0 0 0 52 60 630 0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : LASEM
BULAN : MARET
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko
Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 Akses
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Akses
K1 oleh Dokter
Total K1 Murni
Bumil dg 4T
Puskesmas
Puskesmas
Total
%
%
Jaringan
Jaringan
K1
Jejaring
Jejaring
RS
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 17 25 0 0 12 0 12 28 0 0 1 0 1 2 13 30 0 13
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 21 19 0 0 9 0 9 16 0 0 2 0 2 3 11 19 5 11
3 Sendangcoyo 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 15 12 0 0 5 0 5 26 0 0 1 0 1 5 6 32 1 6
4 Ngargomulyo 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 2 3 0 0 2 0 2 29 0 0 0 0 0 0 2 29 0 2
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 7 7 0 0 4 0 4 18 0 0 0 0 0 0 4 18 1 4
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 31 39 0 0 20 0 20 32 0 0 0 0 0 0 20 32 7 20
7 Sumbergirang 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 30 24 0 0 13 0 13 19 0 0 3 0 3 4 16 23 3 14
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 15 18 0 0 10 0 10 34 0 0 0 0 0 0 10 34 1 10
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 16 19 0 0 10 0 10 24 0 0 0 0 0 0 10 24 0 10
10 Dorokandang 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 18 14 0 0 3 0 3 7 0 0 1 0 1 2 4 9 1 3
11 Gedongmulyo 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 29 34 0 0 15 0 15 27 0 0 3 0 3 5 18 32 1 16
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 26 26 0 0 11 0 11 23 0 0 3 0 3 6 14 30 5 12
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 19 25 0 0 13 0 13 35 0 0 0 0 0 0 13 35 6 13
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 21 25 0 0 11 0 11 24 0 0 0 0 0 0 11 24 4 11
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 7 4 0 0 4 0 4 19 0 0 0 0 0 0 4 19 0 4
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 6 4 0 0 6 0 6 30 0 0 2 0 2 10 8 40 1 6
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 5 3 0 0 2 1 3 16 0 0 1 0 1 5 4 21 1 4
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 12 15 0 0 1 5 6 21 0 0 0 0 0 0 6 21 2 6
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 7 4 0 0 3 0 3 23 0 0 0 0 0 0 3 23 0 3
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 10 6 0 0 3 0 3 14 0 0 0 0 0 0 3 14 0 3
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 314 326 0 0 157 6 163 25 0 0 17 0 17 3 180 27 39 171
ungan Pelayanan
Jenis
Jml Persalinan
Persalinan
an Fe Bumil Status TT KEK
Linakes di Faskes
Total
K4 nan Tindakan
Jumlah Jumlah KEK
K6 USG Dokter
Diperiksa LiLA
Bumil Bumil (LiLA
Normal
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
K1 USG Dokter
% % t Tablet Tablet FE 23,5 % %

Puskesmas
Puskesmas
% FE 90 90 cm) %
SC
Jaringan
Jaringan
Total K4
Jejaring
Jejaring
Total
RS
RS
100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30 1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2
100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19 2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7
100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32 1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2
100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29 0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0
100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18 0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0
100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32 0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3
88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23 3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8
100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34 0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4
100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24 0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2
75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9 1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3
89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32 3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2
86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30 3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4
100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35 0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3
100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24 0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1
100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19 0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3
75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40 2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4
100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21 1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1
100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21 0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2
100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23 0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1
100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14 0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0
26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27 17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52
Jenis BBL Resiko
rsalinan Stunting
KF 1 KF 4
Tindakan LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(6-48 jam) (29 - 42 hr)
Dilakukan
Abortus
Jumlah
Pindah
Partus
Tidak
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Lainnya
Jumlah
Jumlah
Puskesmas
Puskesmas
Jumlah
Jumlah
Total KF 1
Total KF 4
% % % %
RS
RS
L P L P
Jaringan
Jaringan
Jejaring
Jejaring
RS
RS
0 3 2 0 0 0 3 0 0 3 7 0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 12 1 0 0 0 12 0 0 12 21 0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0
0 9 0 0 0 1 8 0 0 9 50 0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1
0 1 0 0 0 0 1 0 0 1 14 0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0
0 4 0 0 0 1 3 0 0 4 19 0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0
0 11 1 0 0 5 6 0 0 11 19 0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0
0 20 2 0 0 3 17 0 0 20 30 0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1
0 7 0 0 0 1 6 0 0 7 26 0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0
0 5 1 1 0 2 3 0 0 5 13 0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0
0 8 0 0 0 1 7 0 0 8 18 0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 13 0 0 0 2 9 0 2 13 24 0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0
0 14 0 0 0 3 9 0 2 14 31 0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0
0 7 0 0 0 1 6 0 0 7 20 0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0
0 7 0 0 0 3 1 0 3 7 16 0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0
0 7 0 0 0 0 7 0 0 7 35 0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 2 7 0 1 10 53 0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1
0 6 0 0 0 3 3 0 0 6 33 0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0
0 3 0 0 0 1 2 0 0 3 12 0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0
1 5 1 0 0 2 2 0 1 5 38 0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0
1 6 1 0 0 1 5 0 0 6 30 0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0
2 158 9 1 0 32 117 0 9 158 25 0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3

Kunj. Neo KEM
Resiko
Gemelli Prematur
unting
KN I KN 3 Kematian Ibu Kematian Bayi da

Nifas
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
TOTAL
Hamil
Total
jam)
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
> 6 Jam
< 6 jam
Puskesmas
Puskesmas
Puskesmas
Puskesmas
L P Jml L
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21 0 0 0 0 0 1 0 1 0
2 1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88 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 1 14 0 0 1 0 1 0 0 0 0 0 1 14 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32 0 0 0 0 0 0 0 0 0
9 1 1 2 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27 0 0 0 0 0 1 0 1 0
Gula
Darah Pencegahan
urin TM III (K1)
(GD) Pencegahan Penularan HIV Malaria Dalam TB dalam Kecacingan
matian Bayi dan Balita K1 K4
dari Ibu ke Anak (PPIA) Kehamilan Kehamilan Kehami
Diperiksa Gol Darah





Hasil HIV(+)

7-28 hari 29 hr - 11 bln
Ibu Hamil Diperiksa

Ibu Hamil dites HIV
Ibu Hamil diperiksa

Normal (≥11 g/dl)
Normal (≥11 g/dl)
Mikroskopis/RDT
Tida
Persal Perabdominam
Diperiksa Hb
Diperiksa Hb
Tidak
Ankylostoma
Persal Pervaginam
(<11 g/dl)
(<11 g/dl)
Positif (+)
k GD
Diperiksa
Diperiksa
Diperiksa
kelambu
(<8 g/dl)
(<8 g/dl)
Anemia
Anemia
Anemia
Anemia
Obat**
HIV(+)
Diper
ACT
Dipe >140
Grade 0
Grade 1
Grade 2
iksa
riksa g/dl
(SC)
Hb
P Jml L P Jml L P Jml L P Jml Hb
0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5 0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12 0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7 0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5 0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12 0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11 0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14 0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7 0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9 0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6 0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4 2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139 2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2
m
Ibu Hamil Hasil Tes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ankylostoma (+)
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
Kecacingan dalam
8
4
11
13
14
18
4
10
10
16
20
4
2
6
11
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Syphilis
Kehamilan /
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
Pencegahan IMS
8
4
11
13
14
18
4
10
10
16
20
4
2
6
11
13
B
1
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
dalam
Kehamilan
Hepatitis B
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pencegahan
Ibu Hamil diobati
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)
dalam
Covid-19
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (-)
3
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
0
6
0
28
24
45
42
45
15
40
44
55
85
19
45
40
ibu hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil

3
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3

balita
0
0
0
0
0
60
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0 Jumlah bidan yang melakukan kelas PUS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 0 4 0 0 4 0 0 0 0 0 3 3 17 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 0 0 6 1 0 0 0 0 3 3 30 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 3 0 0 0 0 0 3 3 22 0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 3 0 0 3 0 0 0 0 0 3 3 28 0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 180 0 0 180 4 0 0 0 0 52 60 630 0 52 30 42 466 30 3 9 40 3 0 3 0 0

LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : APRIL
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko

Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : APRIL
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko
Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 Akses
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Akses
K1 oleh Dokter
Total K1 Murni
%
Bumil dg 4T
Puskesmas
Puskesmas
Total
%
%
Jaringan
Jaringan
K1
Jejaring
Jejaring
RS
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0 0 1 0 1 2 13 30 0 13 100
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0 0 2 0 2 3 11 19 5 11 100
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0 0 1 0 1 5 6 32 1 6 100
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0 0 0 0 0 0 2 29 0 2 100
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0 0 0 0 0 0 4 18 1 4 100
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0 0 0 0 0 0 20 32 7 20 100
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0 0 3 0 3 4 16 23 3 14 88
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0 0 0 0 0 0 10 34 1 10 100
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0 0 0 0 0 0 10 24 0 10 100
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0 0 1 0 1 2 4 9 1 3 75
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0 0 3 0 3 5 18 32 1 16 89
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0 0 3 0 3 6 14 30 5 12 86
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0 0 0 0 0 0 13 35 6 13 100
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0 0 0 0 0 0 11 24 4 11 100
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0 0 0 0 0 0 4 19 0 4 100
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0 0 2 0 2 10 8 40 1 6 75
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0 0 1 0 1 5 4 21 1 4 100
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0 0 0 0 0 0 6 21 2 6 100
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0 0 0 0 0 0 3 23 0 3 100
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0 0 0 0 0 0 3 14 0 3 100
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 -
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 -
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 -
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0 0 17 0 17 3 180 27 39 171 26
Pelayanan
Jenis
Jml Persalinan
Persalinan
Fe Bumil Status TT KEK
Linakes di Faskes
Total
K4 nan Tindakan
Jumlah Jumlah KEK
K6 USG Dokter
Diperiksa LiLA
Bumil Bumil (LiLA
Normal
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
K1 USG Dokter
% t Tablet Tablet FE 23,5 % %
Lainnya
Puskesmas
Puskesmas
% FE 90 90 cm) %
SC
Jaringan
Jaringan
Total K4
Jejaring
Jejaring
Total
RS
RS
13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30 1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0
11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19 2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0
6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32 1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0
2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29 0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0
4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18 0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0
20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32 0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0
14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23 3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0
10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34 0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0
10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24 0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0
3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9 1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0
16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32 3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0
12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30 3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0
13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35 0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0
11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24 0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0
4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19 0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0
6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40 2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0
4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21 1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0
6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21 0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0
3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23 0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1
3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14 0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 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 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 - 0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0
0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 - 0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0
171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27 17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2
BBL Resiko
Stunting
KF 1 KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(6-48 jam) (29 - 42 hr)
Dilakukan
Abortus
Jumlah
Pindah
Partus
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Puskesmas
Jumlah
Jumlah
Total KF 1
Total KF 4
% % % %
RS
RS
L P L P
Jaringan
Jaringan
Jejaring
Jejaring
RS
RS
3 2 0 0 0 3 0 0 3 7 0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 1 0 0 0 12 0 0 12 21 0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
9 0 0 0 1 8 0 0 9 50 0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
1 0 0 0 0 1 0 0 1 14 0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
4 0 0 0 1 3 0 0 4 19 0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
11 1 0 0 5 6 0 0 11 19 0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
20 2 0 0 3 17 0 0 20 30 0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
7 0 0 0 1 6 0 0 7 26 0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
5 1 1 0 2 3 0 0 5 13 0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
8 0 0 0 1 7 0 0 8 18 0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 2 9 0 2 13 24 0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
14 0 0 0 3 9 0 2 14 31 0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
7 0 0 0 1 6 0 0 7 20 0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
7 0 0 0 3 1 0 3 7 16 0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
7 0 0 0 0 7 0 0 7 35 0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 2 7 0 1 10 53 0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
6 0 0 0 3 3 0 0 6 33 0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
3 0 0 0 1 2 0 0 3 12 0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 1 0 0 2 2 0 1 5 38 0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
6 1 0 0 1 5 0 0 6 30 0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
158 9 1 0 32 117 0 9 158 25 0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo KEMATIAN
Gemelli Prematur

Nifas
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
TOTAL
Hamil
jam)
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
> 6 Jam
< 6 jam
Puskesmas
Puskesmas
Puskesmas
Puskesmas
L P Jml L P
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21 0 0 0 0 0 1 0 1 0 0
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88 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 1 14 0 0 1 0 1 0 0 0 0 0 1 14 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27 0 0 0 0 0 1 0 1 0 0
Gula
Darah Pencegahan
urin TM III (K1)
(GD) Pencegahan Penularan HIV Malaria Dalam TB dalam Kecacingan dalam
n Bayi dan Balita K1 K4
dari Ibu ke Anak (PPIA) Kehamilan Kehamilan Kehamilan
Diperiksa Gol Darah





Hasil HIV(+)

-28 hari 29 hr - 11 bln
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Normal (≥11 g/dl)
Normal (≥11 g/dl)
Mikroskopis/RDT
Tida
Ankylostoma (+)
Persal Perabdominam
Diperiksa Hb
Diperiksa Hb
Tidak
Ankylostoma
Persal Pervaginam
(<11 g/dl)
(<11 g/dl)
Positif (+)
k GD
Diperiksa
Diperiksa
Diperiksa
kelambu
(<8 g/dl)
(<8 g/dl)
Anemia
Anemia
Anemia
Anemia
Obat**
HIV(+)
Diper
ACT
Dipe >140
Grade 0
Grade 1
Grade 2
iksa
riksa g/dl
(SC)
Hb
Jml L P Jml L P Jml L P Jml Hb
0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5 0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12 0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7 0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1 0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5 0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12 0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5 0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11 0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14 0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7 0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9 0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6 0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3 0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4 2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7 0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139 2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0
hamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
ngan dalam
8
4
11
13
14
18
4
10
10
16
20
4
2
6
11
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
dalam
Syphilis
Kehamilan /
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati
Pencegahan IMS
8
4
11
13
14
18
4
10
10
16
20
4
2
6
11
13
B
1
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
dalam
Kehamilan
Hepatitis B
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ibu Hamil diobati Pencegahan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (+)
dalam
Covid-19
Kehamilan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hasil Test (-)
3
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
0
6
0
28
24
45
42
45
15
40
44
55
85
19
45
40
ibu hamil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3

balita
0
0
0
0
0
60
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0 Puskesmas yang melaksanakan kelas
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 4 0 0 4 0 0 0 0 0 3 3 17 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 6 0 0 6 1 0 0 0 0 3 3 30 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 3 0 0 0 0 0 3 3 22 0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 0 0 3 0 0 0 0 0 3 3 28 0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 180 0 0 180 4 0 0 0 0 52 60 630 0 52 30 42 466 30 3 9 40 3 0 3 0 0

LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : MEI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko

Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : MEI
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Kunjungan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K6 % % Mendapa % konsumsi % T5 %
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
% % t Tablet Tablet FE
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Persalinan
KEK
Linakes di Faskes
Total
Nakes Non Nakes Persali % KF 1

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
Kunjungan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Kematian Ibu Kematian Bayi dan Balita K1 K4
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Integrasi Program Pelaksanaan kelas ibu hamil
Gula
Darah Pencegahan Pencegahan IMS Pencegahan

urin TM III (K1) Covid-19
(GD) Pencegahan Penularan HIV Malaria Dalam TB dalam Kecacingan dalam dalam Hepatitis B

dalam
dari Ibu ke Anak (PPIA) Kehamilan Kehamilan Kehamilan Kehamilan / dalam
Diperiksa Gol Darah
Kehamilan
(PMDK) Syphilis Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
aksanaan kelas ibu hamil
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : JUNI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko

Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : JUNI
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Kunjungan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
Kunjungan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : JULI
TAHUN : 2023
Jumlah Kunjungan
SASARAN PENDATAAN
Catin resiko

Kunjungan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : JULI
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunJulgan Pelayanan
KunJulgan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunJulgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunJulgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : AGUSTUS
TAHUN : 2023
Jumlah KunJulgan
SASARAN PENDATAAN
Catin resiko

KunJulgan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunJulgan Nifas
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : AGUSTUS
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunAgsgan Pelayanan
KunAgsgan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunAgsgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunAgsgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : SEPTEMBER
TAHUN : 2023
Jumlah KunAgsgan
SASARAN PENDATAAN
Catin resiko

KunAgsgan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunAgsgan Nifas
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : SEPTEMBER
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunSepgan Pelayanan
KunSepgan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunSepgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunSepgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : OKTOBER
TAHUN : 2023
Jumlah KunSepgan
SASARAN PENDATAAN
Catin resiko

KunSepgan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunSepgan Nifas
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : OKTOBER
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunOktgan Pelayanan
KunOktgan Fe Bumil Status TT
K1
K4
Jumlah Jumlah
K6 USG Dokter
K1 Akses
Bumil Bumil
K1 USG Dokter
Total K1 Akses
K1 oleh Dokter
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunOktgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunOktgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : NOVEMBER
TAHUN : 2023
Jumlah KunOktgan
SASARAN PENDATAAN
Catin resiko

KunOktgan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
Bumil
Bumil
K1 USG Dokter
Bulin
Bulin
PUS
Bayi
Bayi
K1 oleh Dokter
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunOktgan Nifas
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

Jumlah Jumlah KEK
K6 USG Dokter
Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : NOVEMBER
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunNovgan Pelayanan
KunNovgan Fe Bumil Status TT
K1
K4
K6 USG DNover
Jumlah Jumlah
K1 Akses
Bumil Bumil
K1 USG DNover
K1 oleh DNover
Total K1 Akses
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunNovgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunNovgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : DESEMBER
TAHUN : 2023
Jumlah KunNovgan
SASARAN PENDATAAN
Catin resiko

KunNovgan
Σ Bumil Real
NO DESA K1

catin dengan anemia

K4
catin dg KEK
K1 Murni K1 Akses
Bumil Resti
Anak Balita
PUS Resti
Neo Resti
K1 USG DNover
K1 oleh DNover
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1
Bumil dg 4T
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Total K1
Total K1
Jejaring
Jejaring
Akses
Murni
RS
RS
RS
1 Karasgede 43 9 41 39 6 143 344 0 0 0 0 0 0 0
2 Jolotundo 58 12 56 53 8 208 594 0 0 0 0 0 0 0
3 Sendangcoy 19 4 18 17 3 126 377 0 0 0 0 0 0 0
4 Ngargomuly 7 2 7 7 1 9 60 0 0 0 0 0 0 0
5 Kajar 22 4 21 20 3 99 284 0 0 0 0 0 0 0
6 Selopuro 62 12 59 56 8 211 640 0 0 0 0 0 0 0
7 Sumbergira 70 14 67 64 10 290 766 0 0 0 0 0 0 0
8 Karangturi 29 6 27 26 4 148 257 0 0 0 0 0 0 0
9 Babagan 41 8 39 37 5 138 377 0 0 0 0 0 0 0
10 Dorokandan 46 9 44 42 6 183 525 0 0 0 0 0 0 0
11 Gedongmuly 56 11 54 51 8 216 633 0 0 0 0 0 0 0
12 Soditan 47 9 45 43 6 177 480 0 0 0 0 0 0 0
13 Ngemplak 37 7 35 34 5 161 404 0 0 0 0 0 0 0
14 Sendangasri 45 9 43 41 6 143 583 0 0 0 0 0 0 0
15 Gowak 21 4 20 19 3 75 229 0 0 0 0 0 0 0
16 Sriombo 20 4 19 18 3 91 268 0 0 0 0 0 0 0
17 Binangun 19 4 18 17 2 106 315 0 0 0 0 0 0 0
18 Bonang 28 6 26 25 4 104 307 0 0 0 0 0 0 0
19 Tasiksono 13 3 13 12 2 42 148 0 0 0 0 0 0 0
20 Dasun 21 4 20 19 3 57 171 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0#gid=1238255570&range=F11
0 0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
Jumlah 661 0 631 601 90 2584 7418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kom s/d bl. Lalu 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Kom s/d bl. ini 133 108 110 37 6 4 33 37 0 4 0 303 314 0 0 114 6 120 0 0 13 0 13 133 31 124 124 1 0 85
Pelayanan
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunNovgan Nifas
Persalinan
Status
TT
Total

K4 nan Tindakan
Bufas Dapat Vit A

K6 USG DNover
Jumlah Jumlah KEK

Abortus
Normal
Pindah
Partus
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
Puskesmas
Puskesmas
Puskesmas
Lainnya
Total KF 1
Total KF 4
SC
Jaringan
Jaringan
Jaringan
Total K4
FE 90 90 cm)
Jejaring
Jejaring
Jejaring
Jejaring
Total
RS
RS
RS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 86 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108
0 86 86 86 86 133 133 22 1 107 108 0 0 0 108 23 79 0 6 108 72 35 1 108 6 0 0 23 79 0 6 108 0 0 96 0 96 108

Kunj. Neo
BBL Resiko
Stunting
KN I KN
LH LM L P L P L P L
Total Kelahiran
Jumlah KN 1
Dilakukan
Jumlah
Jumlah
Jumlah
Tidak
Total
Total
L P L P L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Jumlah
Jumlah
Jumlah
Jumlah
RS
RS
Jaringan
Jaringan
Jaringan
L P L P
Jejaring
Jejaring
Jejaring
RS
RS
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0
67 41 108 0 0 0 108 72 36 10 5 15 6 4 10 25 3 2 5 4 2 6 0 0 0 3 0 3 12 47 3 5 67 8 28 3 2 41 108 0 0 66 0

KEMATIAN Hb
Gula
Protein
Darah
urin TM III
(GD)
Bayi Usia 1-5 th
Nifas
Normal (≥11 g/dl)
Normal (≥11 g/dl)

sampai 2 jam)
Jumlah KN 3
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
Positif (+)
k
Diperiksa
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
Dipe
iksa
Sub Total
Sub Total
Puskesmas
riksa
> 6 Jam
< 6 jam
Jaringan
Hb
Jejaring
RS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 5 0 0 86 77 9 0 0 86 0 133
66 0 0 47 0 47 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 128 0 0 86 77 0 0 86 0 133

Gula
(GD)
Darah
GD
g/dl
>140
Diperiksa Gol Darah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Diperiksa
Grade 0
(K1)
Hasil
Grade 1
Palpasi Gondok
Grade 2
HIV(+)
Ibu Hamil dites HIV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(+)
Persal Pervaginam
Persal
HIV(+)
Perabdominam
Ibu Hamil
kelambu
Ibu Hamil Diperiksa
Mikroskopis/RDT
Pencegahan
Malaria Dalam

Kehamilan (PMDK)
ACT
Ibu Hamil diperiksa
Dahak
TB(+)
TB dalam
Kehamilan
Obat**
Integrasi Program
Ibu Hamil diperiksa

Ankylostoma
Ibu Hamil Hasil Tes
Ankylostoma (+)
Kehamilan
Ibu Hamil diobati

Kecacingan dalam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

(+)
dalam
Syphilis
Kehamilan /
Ibu Hamil diobati

Pencegahan IMS
Ibu Hamil diperiksa

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hepatitis B
B (+)
dalam
Kehamilan
Hepatitis B
Pencegahan
Ibu Hamil diobati

Hasil Test (+)
dalam
Covid-19
Kehamilan
Hasil Test (-)

kelas ibu hamil
terbentuk
kelas ibu hamil
ibu hamil
kelas ibu balita
terbentuk
balita

kelas ibu Balita
ibu balita
kelas PUS Resti
terbentuk
kelas PUS Resti
PUS Resti
kelas Catin
Pelaksana
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0
1 133 133 133 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 1 0 0 133 0 0 133 3 0 0 0 0 35 40 431 0 35 19 28 291 19 2 6 30 2 0


Catin

Catin
0 0 0
2 0 0
2 0 0
LAPORAN BULANAN KIA
PUSKESMAS : REMBANG
BULAN : DESEMBER
TAHUN : 2023

SASARAN PENDATAAN
Catin resiko
Σ Bumil Real
NO DESA K1

catin dengan anemia
catin dg KEK
K1 Murni K1 A
Anak Balita
Bumil Resti
PUS Resti
Neo Resti
Bumil
Bumil
Bulin
Bulin
PUS
Bayi
Bayi
PUS
Total K1 Murni
Puskesmas
Puskesmas
%
Jaringan
Jejaring
RS
1 Karasgede 43 9 41 39 6 143 344 13 3 3 4 0 0 4 4 0 0 0 0 8 0 0 12 0 12 28 0
2 Jolotundo 58 12 56 53 8 208 594 11 12 12 0 0 0 0 0 0 0 0 0 -2 0 0 9 0 9 16 0
3 Sendangcoy 19 4 18 17 3 126 377 6 9 10 1 0 0 1 1 0 0 0 0 -3 0 0 5 0 5 26 0
4 Ngargomuly 7 2 7 7 1 9 60 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 2 0 2 29 0
5 Kajar 22 4 21 20 3 99 284 4 4 4 1 0 0 1 1 0 0 0 0 0 0 0 4 0 4 18 0
6 Selopuro 62 12 59 56 8 211 640 20 11 11 4 1 1 3 4 0 1 0 0 8 0 0 20 0 20 32 0
7 Sumbergira 70 14 67 64 10 290 766 16 20 21 1 0 0 1 1 0 0 0 0 -6 0 0 13 0 13 19 0
8 Karangturi 29 6 27 26 4 148 257 10 7 7 0 0 0 0 0 0 0 0 0 3 0 0 10 0 10 34 0
9 Babagan 41 8 39 37 5 138 377 10 5 5 2 0 0 2 2 0 0 0 0 3 0 0 10 0 10 24 0
10 Dorokandan 46 9 44 42 6 183 525 4 8 8 2 0 0 2 2 0 0 0 0 -4 0 0 3 0 3 7 0
11 Gedongmuly 56 11 54 51 8 216 633 18 13 13 4 0 0 4 4 0 0 0 0 5 0 0 15 0 15 27 0
12 Soditan 47 9 45 43 6 177 480 14 14 14 5 0 0 5 5 0 0 0 0 0 0 0 11 0 11 23 0
13 Ngemplak 37 7 35 34 5 161 404 13 7 7 4 1 0 4 4 1 0 0 0 6 0 0 13 0 13 35 0
14 Sendangasri 45 9 43 41 6 143 583 11 7 7 2 0 0 2 2 0 0 0 0 4 0 0 11 0 11 24 0
15 Gowak 21 4 20 19 3 75 229 4 7 7 5 1 0 5 5 0 1 0 0 -3 0 0 4 0 4 19 0
16 Sriombo 20 4 19 18 3 91 268 8 10 10 3 0 0 3 3 0 0 0 0 -2 0 0 6 0 6 30 0
17 Binangun 19 4 18 17 2 106 315 4 6 6 4 4 3 1 4 0 2 0 0 -2 0 0 2 1 3 16 0
18 Bonang 28 6 26 25 4 104 307 6 3 3 3 0 0 3 3 0 0 0 0 3 0 0 1 5 6 21 0
19 Tasiksono 13 3 13 12 2 42 148 3 5 5 0 0 0 0 0 0 0 0 0 -3 0 0 3 0 3 23 0
20 Dasun 21 4 20 19 3 57 171 3 6 6 0 0 0 0 0 0 0 0 0 -4 0 0 3 0 3 14 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0
Komulatif 661 0 631 601 90 2584 7418 180 158 160 45 7 4 41 45 1 4 0 0 12 0 0 157 6 163 25 0
Jumlah KunDesgan Pelayanan
KunDesgan Fe Bumil Status TT
K1
K4
K6 USG DDeser
Jumlah Jumlah
K1 Akses
Bumil Bumil
K1 USG DDeser
K1 oleh DDeser
Total K1 Akses
Bumil dg 4T
Puskesmas
Total FE 90 90
%
%
%
Jaringan
Jaringan
Total K4
K1
Jejaring
Jejaring
RS
RS
0 1 0 1 2 13 30 0 13 100 13 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 13 30
0 2 0 2 3 11 19 5 11 100 11 100 0 0 12 0 12 21 12 21 12 100 12 21 12 21 11 19
0 1 0 1 5 6 32 1 6 100 6 100 0 0 7 0 7 37 7 37 7 100 7 37 7 37 6 32
0 0 0 0 0 2 29 0 2 100 2 100 0 0 1 0 1 14 1 14 1 100 1 14 1 14 2 29
0 0 0 0 0 4 18 1 4 100 4 100 0 0 3 0 3 14 3 14 3 100 3 14 3 14 4 18
0 0 0 0 0 20 32 7 20 100 20 100 0 0 5 0 5 8 5 8 5 100 5 8 5 8 20 32
0 3 0 3 4 16 23 3 14 88 14 88 0 0 12 0 12 17 12 17 12 100 12 17 12 17 16 23
0 0 0 0 0 10 34 1 10 100 10 100 0 0 6 0 6 21 6 21 6 100 6 21 6 21 10 34
0 0 0 0 0 10 24 0 10 100 10 100 0 0 5 0 5 12 5 12 5 100 5 12 5 12 10 24
0 1 0 1 2 4 9 1 3 75 3 75 0 0 10 0 10 22 10 22 10 100 10 22 10 22 4 9
0 3 0 3 5 18 32 1 16 89 16 89 0 0 11 0 11 20 11 20 11 100 11 20 11 20 18 32
0 3 0 3 6 14 30 5 12 86 12 86 0 0 14 0 14 30 14 30 14 100 14 30 14 30 14 30
0 0 0 0 0 13 35 6 13 100 13 100 0 0 7 0 7 19 7 19 7 100 7 19 7 19 13 35
0 0 0 0 0 11 24 4 11 100 11 100 0 0 9 0 9 20 9 20 9 100 9 20 9 20 11 24
0 0 0 0 0 4 19 0 4 100 4 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 4 19
0 2 0 2 10 8 40 1 6 75 6 75 0 0 6 0 6 30 6 30 6 100 6 30 6 30 8 40
0 1 0 1 5 4 21 1 4 100 4 100 0 0 3 0 3 16 3 16 3 100 3 16 3 16 4 21
0 0 0 0 0 6 21 2 6 100 6 100 3 0 1 0 4 14 4 14 4 100 4 14 4 14 6 21
0 0 0 0 0 3 23 0 3 100 3 100 0 0 5 0 5 38 5 38 5 100 5 38 5 38 3 23
0 0 0 0 0 3 14 0 3 100 3 100 0 0 7 0 7 33 7 33 7 100 7 33 7 33 3 14
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 0 0 0 - 0 - 0 0 - 0 - 0 0 0 0 0 - 0 - 0 - 0 - 0 - 0 -
0 17 0 17 3 180 27 39 171 26 171 26 3 0 136 0 139 21 139 139 21 139 21 139 21 180 27
Jenis
Jml Persalinan Hasil Akhir Kehamilan KunDesgan Nifas
Persalinan
KEK
Linakes di Faskes
Total

nan Tindakan
KEK
Diperiksa LiLA
(LiLA (6-48 jam)
Abortus
Normal
Pindah
Partus
<
≤ 19 tahun
≤ 19 tahun
> 19 tahun
> 19 tahun
Sub atotal
Sub Total
23,5 % %
Lainnya
Puskesmas
Puskesmas
cm)
Total KF 1
% %
SC
Jaringan
Jaringan
Jejaring
Jejaring
Total
RS
RS
1 3 0 3 3 7 0 0 0 0 3 7 0 3 0 0 3 7 1 2 0 3 2 0 0 0 3 0 0 3 7
2 0 0 12 12 21 0 0 0 0 12 21 0 12 0 0 12 21 5 7 0 12 1 0 0 0 12 0 0 12 21
1 0 0 9 9 50 0 0 0 0 9 50 1 8 0 0 9 50 7 2 0 9 0 0 0 1 8 0 0 9 50
0 0 0 1 1 14 0 0 0 0 1 14 0 1 0 0 1 14 1 0 0 1 0 0 0 0 1 0 0 1 14
0 1 0 4 4 19 0 0 0 0 4 19 1 3 0 0 4 19 4 0 0 4 0 0 0 1 3 0 0 4 19
0 6 0 11 11 19 0 0 0 0 11 19 5 6 0 0 11 19 8 3 0 11 1 0 0 5 6 0 0 11 19
3 3 1 19 20 30 0 0 0 0 20 30 3 17 0 0 20 30 12 8 0 20 2 0 0 3 17 0 0 20 30
0 1 0 7 7 26 0 0 0 0 7 26 1 6 0 0 7 26 3 4 0 7 0 0 0 1 6 0 0 7 26
0 1 0 5 5 13 0 0 0 0 5 13 2 3 0 0 5 13 3 2 0 5 1 1 0 2 3 0 0 5 13
1 2 0 8 8 18 0 0 0 0 8 18 1 7 0 0 8 18 5 3 0 8 0 0 0 1 7 0 0 8 18
3 3 0 13 13 24 0 0 0 0 13 24 2 9 0 2 13 24 11 2 0 13 0 0 0 2 9 0 2 13 24
3 0 0 14 14 31 0 0 0 0 14 31 3 9 0 2 14 31 10 4 0 14 0 0 0 3 9 0 2 14 31
0 3 0 7 7 20 0 0 0 0 7 20 2 5 0 0 7 20 4 3 0 7 0 0 0 1 6 0 0 7 20
0 2 0 7 7 16 0 0 0 0 7 16 3 1 0 3 7 16 6 1 0 7 0 0 0 3 1 0 3 7 16
0 1 0 7 7 35 0 0 0 0 7 35 0 7 0 0 7 35 4 3 0 7 0 0 0 0 7 0 0 7 35
2 0 0 10 10 53 0 0 0 0 10 53 2 7 0 1 10 53 6 4 0 10 0 0 0 2 7 0 1 10 53
1 0 0 6 6 33 0 0 0 0 6 33 3 3 0 0 6 33 5 1 0 6 0 0 0 3 3 0 0 6 33
0 1 0 3 3 12 0 0 0 0 3 12 1 2 0 0 3 12 1 2 0 3 0 0 0 1 2 0 0 3 12
0 0 0 5 5 38 0 0 0 0 5 38 2 2 0 1 5 38 3 1 1 5 1 0 0 2 2 0 1 5 38
0 0 0 6 6 30 0 0 0 0 6 30 1 5 0 0 6 30 5 0 1 6 1 0 0 1 5 0 0 6 30
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 - 0 0 0 - 0 - 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 -
17 27 1 157 158 25 0 0 0 0 158 25 33 116 0 9 158 25 104 52 2 158 9 1 0 32 117 0 9 158 25
BBL Resiko
KunDesgan Nifas Jumlah Kelahiran IMD SHK BBLR
Stunting
KF 4
LH LM L P L P
Bufas Dapat Vit A
Total Kelahiran
(29 - 42 hr)
Dilakukan
Jumlah
Tidak
Total
Total
% % L P
(PB <48 cm)
(PB <47 cm)

Puskesmas
Puskesmas
Jumlah
Jumlah
Puskesmas
Jumlah
Jumlah
Total KF 4
% % %
RS
RS
L P L P
Jaringan
Jejaring
RS
0 0 3 0 3 7 3 7 2 1 3 8 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 12 21 12 21 7 5 12 23 0 0 0 0 12 7 5 0 1 1 0 2 2 3 25 1 0 1 1 0 1
0 0 6 0 6 33 9 50 7 3 10 59 0 0 0 0 10 7 3 0 0 0 0 0 0 0 0 1 1 2 1 1 2
0 0 1 0 1 14 1 14 1 0 1 14 0 0 0 0 1 0 1 0 1 1 0 0 0 1 100 0 0 0 0 0 0
0 0 3 0 3 14 4 19 1 3 4 20 0 0 0 0 4 4 0 1 0 1 0 0 0 1 25 0 0 0 0 0 0
0 0 11 0 11 19 11 19 6 5 11 20 0 0 0 0 11 8 3 1 0 1 0 0 0 1 9 1 0 1 1 0 1
0 0 19 0 19 28 20 30 11 8 19 30 1 0 1 2 20 11 8 2 0 2 0 0 0 2 11 0 1 1 0 1 1
0 0 5 0 5 19 7 26 3 4 7 27 0 0 0 0 7 3 4 0 1 1 1 2 3 4 57 0 0 0 0 0 0
0 0 4 0 4 10 5 13 2 3 5 14 0 0 0 0 5 3 2 0 0 0 2 0 2 2 40 0 0 0 0 0 0
0 0 5 0 5 11 8 18 6 2 8 19 0 0 0 0 8 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 13 13 24 7 6 13 25 0 0 0 0 13 11 2 1 0 1 1 0 1 2 15 0 0 0 0 0 0
0 0 10 0 10 22 14 31 7 7 14 33 0 0 0 0 14 10 4 0 1 1 1 1 2 3 21 0 0 0 0 0 0
0 0 5 0 5 14 7 20 4 3 7 21 0 0 0 0 7 5 2 1 1 2 1 0 1 3 43 0 0 0 0 0 0
0 0 4 0 4 9 7 16 6 1 7 17 0 0 0 0 7 6 1 5 0 5 1 0 1 6 86 0 0 0 0 0 0
0 0 5 0 5 25 7 35 5 2 7 37 0 0 0 0 7 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 0 7 37 10 53 7 3 10 56 0 0 0 0 10 6 4 1 0 1 1 0 1 2 20 0 1 1 1 1 2
0 0 6 0 6 33 6 33 4 2 6 35 0 0 0 0 6 5 1 1 0 1 1 0 1 2 33 1 0 1 1 0 1
0 0 3 0 3 12 3 12 3 0 3 12 0 0 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 3 23 5 38 5 0 5 42 0 0 0 0 5 3 2 2 2 4 0 0 0 4 80 1 0 1 1 0 1
0 0 4 0 4 20 6 30 4 2 6 32 0 0 0 0 6 6 0 1 0 1 0 0 0 1 17 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 0 0 0 - 0 - 0 0 0 - 0 0 0 - 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0
0 0 123 0 123 19 158 25 98 60 158 26 1 0 1 0 159 106 52 16 7 23 9 5 14 37 23 5 3 8 6 3 9

Kunj. Neo
Gemelli Prematur
KN I KN 3
L P L P
Jumlah KN 1
Jumlah KN 3
Jumlah
Jumlah
L P L P % %
Sub Total
Sub Total
Sub Total
Sub Total
Puskesmas
Puskesmas
Puskesmas
Puskesmas
Jaringan
Jaringan
Jaringan
Jaringan
Jejaring
Jejaring
Jejaring
Jejaring
RS
RS
RS
RS
0 0 0 0 0 0 0 2 0 0 2 0 1 0 0 1 3 8 0 0 2 0 2 0 0 1 0 1 3 8
0 0 0 1 0 1 0 7 0 0 7 0 5 0 0 5 12 23 0 0 6 0 6 0 0 5 0 5 11 21
1 1 2 1 1 2 1 6 0 0 7 0 3 0 0 3 10 59 0 0 7 0 7 0 0 8 0 8 15 88
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 14 0 0 1 0 1 0 0 0 0 0 1 14
0 0 0 0 0 0 1 0 0 0 1 0 2 1 0 3 4 20 0 0 1 0 1 0 0 3 0 3 4 20
0 0 0 1 0 1 2 3 0 1 6 1 4 0 0 5 11 20 0 0 6 0 6 0 0 5 0 5 11 20
0 0 0 0 0 0 2 8 1 0 11 0 6 2 0 8 19 30 0 0 11 0 11 0 0 8 0 8 19 30
0 0 0 0 0 0 0 3 0 0 3 1 3 0 0 4 7 27 0 0 3 0 3 0 0 4 0 4 7 27
0 0 0 0 0 0 0 2 0 0 2 2 1 0 0 3 5 14 0 0 1 0 1 0 0 2 0 2 3 8
0 0 0 0 0 0 0 6 0 0 6 1 1 0 0 2 8 19 0 0 6 0 6 0 0 2 0 2 8 19
0 0 0 0 0 0 0 6 0 1 7 2 3 0 1 6 13 25 0 0 7 0 7 0 0 6 0 6 13 25
0 0 0 0 0 0 1 5 0 1 7 2 4 0 1 7 14 33 0 0 7 0 7 0 0 7 0 7 14 33
0 0 0 0 0 0 1 3 0 0 4 1 2 0 0 3 7 21 0 0 4 0 4 0 0 3 0 3 7 21
0 0 0 0 0 0 2 1 0 3 6 1 0 0 0 1 7 17 0 0 6 0 6 0 0 1 0 1 7 17
0 0 0 0 0 0 0 5 0 0 5 0 2 0 0 2 7 37 0 0 5 0 5 0 0 2 0 2 7 37
0 0 0 0 0 0 1 4 1 1 7 1 2 0 0 3 10 56 0 0 7 0 7 0 0 3 0 3 10 56
0 0 0 1 0 1 3 1 0 0 4 0 2 0 0 2 6 35 0 0 4 0 4 0 0 2 0 2 6 35
0 0 0 0 0 0 1 2 0 0 3 0 0 0 0 0 3 12 0 0 3 0 3 0 0 0 0 0 3 12
0 0 0 1 0 1 1 2 1 1 5 0 0 0 0 0 5 42 0 0 5 0 5 0 0 0 0 0 5 42
0 0 0 0 0 0 1 3 0 0 4 0 2 0 0 2 6 32 0 0 4 0 4 0 0 2 0 2 6 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 -
0 0 0 0 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 5 1 6 17 70 3 8 98 12 43 3 2 60 158 26 0 0 96 0 96 0 0 64 0 64 160 27
KEMATIAN Hb
Protein
urin TM III
Bayi Usia 1-5 th
Nifas
0 - 6 hari 7-28 hari 29 hr - 11 bln
Normal (≥11 g/dl)
Normal (≥11 g/dl)

Tida
Diperiksa Hb
Diperiksa Hb
Tidak
(<11 g/dl)
(<11 g/dl)
k
Diperiksa
(<8 g/dl)
(<8 g/dl)
TOTAL
Anemia
Anemia
Anemia
Anemia
Diper
Hamil
jam)
Dipe
iksa
riksa
> 6 Jam
Hb
< 6 jam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 0 0 0 5 3 2 0 0 5
0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 11 11 0 0 0 12 12 0 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 3 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 14 2 0 0 12 10 2 0 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 1 0 0 5 4 1 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 10 10 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 11 9 2 0 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 14 14 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 11 2 0 0 7 7 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 9 9 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 7 4 3 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 5 1 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 3 2 1 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 4 4 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 5 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 7 6 1 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 0 0 0 180 174 6 0 0 139 125 14 0 0 139

Gula


dalam
Diperiksa Gol Darah
Kehamilan

Ibu Hamil




Hasil HIV(+)
Ibu Hamil Hasil Tes

Ibu Hamil Diperiksa
Ibu Hamil dites HIV
Ibu Hamil diperiksa

Mikroskopis/RDT
Ibu Hamil diobati
Ibu Hamil diobati
Ibu Hamil diobati

Ankylostoma (+)
Persal Perabdominam
Hasil Test (+)

Hasil Test (-)
Ankylostoma
Persal Pervaginam
Positif (+)
GD
Diperiksa
Diperiksa
kelambu
Obat**
HIV(+)
ACT
>140
B
Grade 0
Grade 1
Grade 2
g/dl
(SC)
ibu hamil
hamil
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0 3 3 40
0 11 0 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 1 0 0 0 0 3 3 45
0 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 0 0 0 0 3 0
0 2 0 2 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 3 3 6
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 19
0 20 0 20 20 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 3 3 85
0 16 0 16 16 16 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 0 0 16 0 0 0 0 0 3 3 55
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 1 0 0 0 0 3 3 44
0 10 0 10 10 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0 3 3 40
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 1 3 15
0 18 0 18 18 18 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18 0 0 0 0 0 3 3 45
0 14 0 14 14 14 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 0 0 3 0
0 13 0 13 13 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 0 0 13 0 0 0 0 0 3 3 42
0 11 1 11 11 11 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0 3 3 45
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 24
0 8 0 8 8 8 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 1 0 0 0 0 3 3 28
0 4 0 4 4 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 3 3 17
2 6 0 6 6 6 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 1 0 0 0 0 3 3 30
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 22
0 3 0 3 3 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 3 3 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 180 1 180 180 180 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 2 0 0 180 0 0 180 4 0 0 0 0 52 60 630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
kelas ibu hamil
3
3
3
0
3
1
3
3
3
3
3
3
0
3
3
hamil
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
3
3
3
0
3
3
0
0
3
3
3
3
3
0
3
balita
0
0
0
0
0
45
45
45
15
15
30
50
45
41
45
ibu Balita
3
3
3
0
1
1
0
0
2
3
3
3
0
0
3
balita
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
PUS Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Resti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Catin
0
0 3 3 3 60 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 3 1 3 15 1 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 52 30 42 466 30 3 9 40 3 0 3 0 0

Data Dasar Kesehatan Ibu

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DATA DASAR KIA TAHUN 2023

NO SASARAN TAHUN 2023

1 Karasgede 2,522 39 43 9 41 39 6 143 344 #REF!

Sisa Hamil Bulan Lalu

Pernikahan > 19 tahun

catin hamil usia <19 th

catin dengan anemia

Kom s/d bl. Lalu

Meninggal saat hamil

Bufas Dapat Vit A

Bumil Bumil Diperiksa LiLA (LiLA (6-48 jam) (29 - 42 hr)

(PB <48 cm)

(PB <47 cm)

Normal (≥11 g/dl)

Normal (≥11 g/dl)

Ibu Hamil dapat Kina/

Ibu Hamil diperiksa

Ibu Hamil diobati

Ibu Hamil diperiksa IMS

Ibu Hamil Hasil Tes IMS

Ibu Hamil diobati

Ibu Hamil diperiksa

Ibu Hamil diobati

Ibu Hamil diperiksa Swab

Hasil Test (+)

Hasil Test (-)

Puskesmas yang melaksanakan

kelas ibu hamil

kelas ibu hamil

mengikuti kelas ibu hamil

kelas ibu balita

Jumlah Ibu Balita yang mengikuti

kelas ibu Balita

kelas PUS Resti

kelas PUS Resti

Pelaksanaan kelas catin

Sisa Hamil Bulan Lalu

Pernikahan > 19 tahun

catin hamil usia <19 th

catin dengan anemia

Komulatif 704 141 672 640 96 2727 7762 85 73 73 27 5 3 24 27 0 3 0 295 303 0 0 72 4 76 11 0 0 9 0 9 1 85 12 23 76 11

% t Tablet Tablet FE 23,5 % %

Bufas Dapat Vit A

(PB <48 cm)

(PB <47 cm)

Bersalin (bayi lahir sampai 2

Diperiksa Gol Darah

Ibu Hamil mendapatkan Kina/

Ibu Hamil Hasil Dahak TB(+)

Ibu Hamil diperiksa Dahak

Ibu Hamil Mendapat ART

Ibu Hamil mendapatkan

Ibu Hamil Malaria (+)

Ibu Hamil Hasil Tes

Ibu Hamil diperiksa

Normal (≥11 g/dl)

Hasil Test (-)

Jumlah Ibu Balita yang mengikuti kelas

Jumlah PUS Resti yang mengikuti kelas

Jumlah Catin yang mengikuti kelas Catin

Jumlah bidan yang melakukan kelas

Sisa Hamil Bulan Lalu

Pernikahan > 19 tahun