Lap. Pws Kia Ambulu 2018

BULAN AGUSTUS
puskesmas RS BPM Pustu Polindes Luar wilayah Luar Kab skiring tb

DESA
L P L P L P L P L P L P L P + -
AMBULU 0 2 5 2 0 2 0 0 0 0
TEGALSARI 2 1 4 3 2 0 0 0 0 0
KARANG ANYAR 1 1 8 2 3 2 1 0 0 0
total 3 4 17 7 5 4 1 0 0 0 0 0 0 0
Pencegahan Penularan HIV dari ibu ke anak DUKUN
a. bumil b. Bumil c. Bumil d. Bumil e. Bulin f. Bulin g. Bayi h. Bayi i. Bayi j. Bayi Jumlah Dukun Dukun Dukun
yg yg HIV HIV HIV di HIV di lahir HIV ARV HIV ditest Dukun bermitra bermitra tidak
ditawar ditest positif dirujuk faskes faskes hidup kotrim HIV aktif tidak aktif bermitra
kan normal tindaka dr ibu
n HIV
15 15 0 0 0 0 0 0 0 0 0 0 0 0
11
4 15
9 9 0 0 0 0 0 0 0 0 0 0 0 0
30 30 0 0 0 0 0 0 0 0 0 0 0 0
23
7 30
54 54 0 0 0 0 0 0 0 0 0 0 0 0
Kematian Bayi
0-6 hari 7-28 hari 29 hari - 11 bulan
Kelain
Kelainan lain- an lain- Pneu Kelainan Tetan Kelainan Lain-
BBLR Asfiksi TN Sepsis BBLR Asfiksi TN Sepsis diare Saluran Malaria
bawaan lain bawaa lain monia us Syaraf lain
Cerna
n
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
1
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
MTBS Kematian balita 12-59 bln
Balita Apras
Jml Balita Jml balita di paripurna paripurna Pneum Campa Dema
Diare Malaria Difteri Lain-lain
sakit MTBS onia k m
L P L P L P L P L P L P L P L P L P L P L P
16 16 16 16 33 34 13 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 14 14 14 22 26 13 7
2 2 2 2 11 8 0 2
7 6 7 6 14 15 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 6 7 6 14 15 3 3
7 6 7 6 41 29 8 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 2 3 2 41 29 8 12
4 4 4 4
MTBS Kematian balita 12-59 bln
Balita Apras
Jml Balita Jml balita di paripurna paripurna Pneum Campa Dema
Diare Malaria Difteri Lain-lain
sakit MTBS onia k m
30 28 30 28 88 78 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0
januari
Hb KEK Protein urine Gula darah
Diperik Anemi Anemi Diperik KEK (GD)
Diperik Positif Diperik GD > a. b.
sa Hb a (8-11 a (<8 sa LILA (LILA < sa (+) sa 140 Hypere Kegugu
NO URAIAN mg/dl) mg/dl) 23.5 g/dl mesis ran
cm)
Ambulu 20 8 0 20 0 20 0 20 0 0 0
Tegalsari 11 7 0 11 0 11 0 11 0 0 0
K Anyar 29 10 0 29 0 29 0 29 0 0 1
JUMLAH 60 25 0 60 0 60 0 60 0 0 1
februari
Ambulu 15 4 0 15 0 15 0 15 0 0 0
Tegalsari 9 2 0 9 0 9 0 9 0 0 0
K Anyar 30 6 0 30 0 30 0 30 0 0 0
JUMLAH 54 12 0 54 0 54 0 54 0 0 0
maret
Ambulu 17 0 0 17 0 17 0 17 0 0 0
Tegalsari 13 0 0 13 0 13 0 13 0 0 0
K Anyar 19 0 0 19 0 19 0 19 0 0 0
JUMLAH 49 0 0 49 0 49 0 49 0 0 0
april
Ambulu 18 18 0 18 0 18 0 18 0 0 0
Tegalsari 15 15 0 13 2 15 0 15 0 0 0
K Anyar 19 19 0 19 0 19 0 19 0 0 0
JUMLAH 52 52 0 50 2 52 0 52 0 0 0
mei
Ambulu 14 0 0 14 0 14 0 14 0 0 0
Tegalsari 14 0 0 14 0 14 0 14 0 0 0
K Anyar 26 0 0 25 1 26 0 26 0 0 1
JUMLAH 54 0 0 53 1 54 0 54 0 0 1
juni
Ambulu 17 0 0 17 0 17 0 17 0 0 0
Tegalsari 13 0 0 12 1 13 0 13 0 0 0
K Anyar 17 0 0 16 1 17 0 17 0 0 1
JUMLAH 47 0 0 45 2 47 0 47 0 0 1
juli
Ambulu 20 0 0 20 0 20 0 20 0 0 1
Tegalsari 15 0 0 15 0 15 0 15 0 0 0
K Anyar 24 0 0 24 1 24 0 24 0 0 1
JUMLAH 59 0 0 59 1 59 0 59 0 0 2
agustus
Ambulu 21 0 0 21 0 21 0 21 0 0 0
Tegalsari 22 0 0 22 0 22 0 22 0 0 0
K Anyar 23 0 0 23 1 23 0 23 0 0 2
JUMLAH 66 0 0 66 1 66 0 66 0 0 2
september
Ambulu 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
oktober
Ambulu 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
nopember
Ambulu 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
desember
Ambulu 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
Kasus maternal ditemukan Persali Jenis Persalinan
c. d. e. f. g. h. i. AIDS j. TB k. l. lain- nan Persali Persali a. b.
Eklama Perdar Perda Perda Partus Infeks malaria lain dukun nan nan Drip Vakum
si/Pree ahan rahan rahan lama i norma dg
klamas kehami persal nifas l opera
i lan inan nakes si
0 0 0 0 0 0 0 0 0 3 0 13 1 0 0
0 0 0 0 0 0 0 0 0 2 0 11 0 0 0
0 0 0 0 1 0 0 0 0 12 0 24 5 0 0
0 0 0 0 1 0 0 0 0 17 0 48 6 0 0
0 0 0 0 0 0 0 0 0 4 0 10 4 0 0
0 0 0 0 0 0 0 0 0 5 0 5 5 0 0
3 0 0 0 2 0 0 0 0 6 0 19 5 0 0
3 0 0 0 2 0 0 0 0 15 0 34 14 0 0
0 0 0 0 0 0 0 0 0 6 0 13 4 0 0
0 0 0 0 0 0 0 0 0 3 0 12 2 0 0
1 0 0 0 1 0 0 0 0 5 0 23 6 0 0
1 0 0 0 1 0 0 0 0 14 0 48 12 0 0
0 0 0 0 0 0 0 0 0 4 0 11 1 0 0
0 0 0 0 0 0 0 0 0 3 0 12 2 0 0
0 0 0 0 0 0 0 0 0 8 0 20 7 0 0
0 0 0 0 0 0 0 0 0 15 0 43 10 0 0
0 0 0 0 0 0 0 0 0 8 0 20 8 0 0
0 0 0 0 0 0 0 0 0 3 0 14 1 0 0
1 0 0 0 0 0 0 0 0 4 0 19 3 1 0
1 0 0 0 0 0 0 0 0 15 0 53 12 1 0
0 0 0 0 0 0 0 0 0 7 0 7 4 0 0
0 0 0 0 0 0 0 0 0 3 0 12 2 0 0
0 0 0 0 1 0 0 0 0 7 0 17 4 0 0
0 0 0 0 1 0 0 0 0 17 0 36 10 0 0
0 0 0 0 0 0 0 0 0 7 0 13 7 0 0
0 0 0 0 0 0 0 0 0 4 0 14 2 0 0
0 0 0 0 0 0 0 0 0 4 0 16 4 0 0
0 0 0 0 0 0 0 0 0 15 0 43 13 0 0
0 0 0 0 0 0 0 0 0 4 0 7 4 0 0
1 0 0 0 0 0 0 0 0 4 0 8 4 0 0
0 0 0 0 2 0 0 0 0 3 0 14 3 0 0
1 0 0 0 2 0 0 0 0 11 0 29 11 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
nis Persalinan Kematia Kematia Kematia Kematia Kunjungan bumil DDRT Komplik
c. d. n n n Bulin n Bufas a. K1 b. K1 c. K4 a. b. asi
Curatag Placent maternal maternal murni Masyar Nakes kebidan
e a diaudit akat an
manual
0 0 0 0 0 0 20 16 15 1 3 3
0 0 0 0 0 0 11 11 10 2 2 2
0 0 0 0 0 0 29 21 27 5 4 14
0 0 0 0 0 0 60 48 52 8 9 19
0 0 0 0 0 0 15 13 17 0 3 4
0 0 0 0 0 0 9 8 13 0 0 5
0 0 0 0 0 0 30 27 22 1 7 11
0 0 0 0 0 0 54 48 52 1 10 20
0 0 0 0 0 0 17 16 28 0 4 6
0 0 0 0 0 0 13 13 12 0 4 3
0 0 0 0 0 0 19 17 22 0 6 7
0 0 0 0 0 0 49 46 62 0 14 16
0 0 0 0 0 0 18 16 19 0 3 4
0 0 0 0 0 0 15 14 15 0 2 3
0 0 0 0 0 0 19 17 24 2 3 8
0 0 0 0 0 0 52 47 58 2 8 15
0 0 0 0 0 0 14 14 20 0 0 8
0 0 0 0 0 0 14 13 13 1 4 3
0 0 0 0 0 0 26 26 19 0 7 6
0 0 0 0 0 0 54 53 52 1 11 17
0 0 0 0 0 0 17 17 14 0 1 7
0 0 0 0 0 0 13 12 11 0 2 3
0 0 0 0 0 0 17 14 19 1 0 9
0 0 0 0 0 0 47 43 44 1 3 19
0 0 0 0 0 0 20 20 10 1 0 8
0 0 0 0 0 0 15 15 13 1 1 4
0 0 0 0 0 0 24 24 28 2 4 5
0 0 0 0 0 0 59 59 51 4 5 17
0 0 0 0 0 0 21 21 13 1 7 4
0 0 0 0 0 0 22 22 17 0 1 5
0 0 0 0 0 0 23 17 17 2 2 7
0 0 0 0 0 0 66 60 47 3 10 16
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Pelayan Bumil P4K Pencega
an ibu risti yg a. Bumil b. Bumil c. d. e. bulin f. bulin dg g. bayi dg a. bumil b. Bumil
nifas ditanga ANC ikut Dukung bumil didampi KB pasca IMD yg yg ditest
ni didampi tabulin an dpt ngi salin ditawarka
ngi ambula donor suami n
suami n desa darah
21 4 20 0 6 0 14 2 14 20 20
15 4 11 0 0 0 9 0 9 11 11
23 9 29 0 0 0 23 0 23 29 29
59 17 60 0 6 0 46 2 46 60 60
14 3 15 0 0 0 10 0 10 15 15
11 0 9 0 0 0 2 0 2 9 9
29 8 15 0 0 0 20 0 20 30 30
54 11 39 0 0 0 32 0 32 54 54
14 4 17 0 0 0 11 0 11 17 17
10 3 13 0 0 0 8 0 8 13 13
24 6 19 0 0 0 23 0 23 19 19
48 13 49 0 0 0 42 0 42 49 49
17 3 18 0 3 0 11 3 11 18 18
16 2 15 0 0 0 14 5 14 15 15
28 5 19 0 0 0 20 0 20 19 19
61 10 52 0 3 0 45 8 45 52 52
12 0 14 0 14 0 13 0 13 14 14
14 5 14 0 14 0 9 0 9 14 14
27 7 26 0 26 0 16 0 19 26 26
53 12 54 0 54 0 38 0 41 54 54
29 1 17 0 17 0 7 0 7 17 17
17 2 13 0 13 0 12 0 12 13 13
23 1 17 0 17 0 16 0 16 17 17
69 4 47 0 47 0 35 0 35 47 47
11 1 20 0 20 0 11 0 13 20 20
14 2 15 0 15 0 8 0 14 15 15
21 6 24 0 24 0 12 0 16 24 24
46 9 59 0 59 0 31 0 43 59 59
20 8 21 0 21 0 4 0 5 21 21
16 1 22 0 22 0 5 0 8 22 22
20 4 23 0 23 0 8 0 12 23 23
56 13 66 0 66 0 17 0 25 66 66
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
c. Bumil d. Bumil e. Bulin f. Bulin g. Bayi h. Bayi i. Bayi HIV j. Bayi Jumlah Dukun
HIV positif HIV HIV di HIV di lahir HIV ARV kotrim ditest HIV Dukun bermitra
dirujuk faskes faskes hidup dr aktif
normal tindakan ibu 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
DUKUN
Dukun Dukun
bermitra tidak
tidak aktif bermitra
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
januari
Jumlah lahir Jumlah lahir Jumlah Bayi Jumlah Bayi
Jml BBLR Jml Gemeli
hidup mati Prematur di SHK
NO URAIAN
L P L P L P L P L P L P
Ambulu 6 8 0 0 0 0 1 0 0 0 0 0
Tegalsari 3 8 0 0 0 1 0 1 0 0 0 0
K Anyar 17 11 0 1 0 0 0 0 0 0 0 0
JUMLAH 26 27 0 1 0 1 1 1 0 0 0 0
februari
Ambulu 3 11 0 0 0 0 1 0 0 0 0 0
Tegalsari 3 7 0 0 0 1 0 1 0 0 0 0
K Anyar 14 10 0 0 0 1 0 1 0 0 0 0
JUMLAH 20 28 0 0 0 2 1 2 0 0 0 0
maret
Ambulu 12 5 0 0 0 0 0 0 0 0 0 0
Tegalsari 7 6 0 1 0 0 0 0 0 0 0 0
K Anyar 13 17 0 0 0 0 2 0 2 0 0 0
JUMLAH 32 28 0 1 0 0 2 0 2 0 0 0
april
Ambulu 8 4 0 0 0 0 0 0 0 0 0 0
Tegalsari 7 7 0 0 0 0 0 0 0 0 0 0
K Anyar 17 10 0 0 0 1 0 1 0 0 0 0
JUMLAH 32 21 0 0 0 1 0 1 0 0 0 0
mei
Ambulu 17 11 0 0 0 0 0 0 0 0 0 0
Tegalsari 8 7 0 0 0 0 0 0 0 0 0 0
K Anyar 13 10 0 0 0 0 0 0 0 0 0 0
JUMLAH 38 28 0 0 0 0 0 0 0 0 0 0
juni
Ambulu 6 5 0 0 0 0 0 0 0 0 0 0
Tegalsari 8 6 0 0 0 0 0 0 0 0 0 0
K Anyar 11 10 0 0 0 0 1 0 0 0 0 0
JUMLAH 25 21 0 0 0 0 1 0 0 0 0 0
juli
Ambulu 7 12 0 0 0 0 0 0 0 0 0 0
Tegalsari 10 6 0 0 0 0 0 0 0 0 0 0
K Anyar 10 10 0 0 0 0 0 0 0 0 0 0
JUMLAH 27 28 0 0 0 0 0 0 0 0 0 0
agustus
Ambulu 4 6 1 0 0 0 0 0 0 0 0 0
Tegalsari 8 4 0 0 0 1 0 1 0 0 0 0
K Anyar 13 5 0 0 0 1 0 1 2 0 0 0
JUMLAH 25 15 1 0 0 2 0 2 2 0 0 0
september
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
oktober
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
nopember
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
desember
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
Kasus neonatal yg ditemukan
a. Trauma c. BBLR < e. Tetanus f. Kelainan
b. Asfiksis d. Infeksi g. HK(+) h. Lain-lain
lahir 2500 gr neonatorum bawaan
L P L P L P L P L P L P L P L
0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 1 1 0 0 0 0 0 0 0 0 0 0 4
0 0 1 1 1 1 0 0 0 0 0 0 0 0 5
0 1 0 0 1 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 1 0 0 0 0 0 0 0 0 1
0 0 1 2 0 1 0 0 0 0 0 1 0 0 4
0 1 1 2 1 2 0 0 0 0 0 1 0 0 6
0 0 1 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 1
0 0 0 0 2 0 0 0 0 0 0 0 0 0 1
0 0 1 0 2 0 0 0 0 0 0 0 0 0 5
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 3
0 0 2 0 0 1 0 0 0 0 0 0 0 0 2
0 0 2 0 0 1 0 0 0 0 0 0 0 0 7
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
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 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0 0 0 0 2
0 0 0 2 1 0 0 0 0 0 0 0 0 0 2
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 1
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 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 0 0 0 0 0 0 0 0 2
0 0 0 0 2 2 0 0 0 0 0 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasus neonatal 0-6 hari
h. Lain-lain b. Asfiksis d. Infeksi g. HK(+)
P L P L P L P L P L P L P L P
1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
3 0 0 1 1 0 0 0 0 0 0 0 0 0 0
4 0 0 1 1 1 1 0 0 0 0 0 0 0 0
3 0 1 0 0 1 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 0 0 1 2 0 1 0 0 0 0 0 1 0 0
8 0 1 1 2 1 2 0 0 0 0 0 1 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
4 0 0 0 0 2 0 0 0 0 0 0 0 0 0
5 0 0 1 0 2 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 1 0 0 0 0 0 0 0 0
3 0 0 2 0 0 1 0 0 0 0 0 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 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
2 0 0 0 1 1 0 0 0 0 0 0 0 0 0
3 0 0 0 2 1 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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
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 1 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. lain-lain b. Asfiksis d. Infeksi g. HK(+)
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
4 3 0 0 0 0 0 0 0 0 0 0 0 0 0
5 4 0 0 0 0 0 0 0 0 0 0 0 0 0
1 3 0 0 0 0 0 0 0 0 0 0 0 0 0
1 3 0 0 0 0 0 0 0 0 0 0 0 0 0
4 2 0 0 0 0 0 0 0 0 0 0 0 0 0
6 8 0 0 0 0 0 0 0 0 0 0 0 0 0
3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 0 0 0 0 0 0 0 0 0 0 0 0 0
5 5 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
3 1 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
7 3 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0
2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
5 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
2 3 0 0 0 0 0 0 0 0 0 0 0 0 0
2 5 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
5 7 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 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
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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasus neonatal 29 hari - 11 bulan
g. HK(+) g. lain-lain b. Asfiksis d. Infeksi g. HK(+)
P L P L P L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan bayi Neonatal komplikasi
Jml kematian
b. KN a. Trauma c. BBLR <
g. HK(+) g. lain-lain bayi diaudit a. KN1 murni b. Asfiksis d. Infeksi
lengkap lahir 2500 gr
0 0 0 0 0 6 8 6 8 0 0 0 0 1 0 0
0 0 0 0 0 3 8 3 8 0 0 0 0 0 1 0
0 0 0 0 0 17 11 15 10 0 0 1 1 0 0 0
0 0 0 0 0 26 27 24 26 0 0 1 1 1 1 0
0 0 0 0 0 3 11 3 11 0 1 0 0 1 0 0
0 0 0 0 0 3 7 3 7 0 0 0 0 0 1 0
0 0 0 0 0 14 10 14 10 0 0 1 2 0 1 0
0 0 0 0 0 20 28 20 28 0 1 1 2 1 2 0
0 0 0 0 0 12 5 5 8 0 0 1 0 0 0 0
0 0 0 0 0 7 6 6 7 0 0 0 0 0 0 0
0 0 0 0 0 13 17 13 14 0 0 0 0 2 0 0
0 0 0 0 0 32 28 24 29 0 0 1 0 2 0 0
0 0 0 0 0 7 5 9 6 0 0 0 0 0 0 0
0 0 0 0 0 5 9 4 10 0 0 0 0 0 0 0
0 0 0 0 0 16 11 14 15 0 0 2 0 0 1 0
0 0 0 0 0 28 25 27 31 0 0 2 0 0 1 0
0 0 0 0 0 12 16 22 5 0 0 0 0 0 0 0
0 0 0 0 0 5 10 11 4 0 0 0 0 0 0 0
0 0 0 0 0 10 13 15 7 0 0 0 0 0 0 0
0 0 0 0 0 27 39 48 16 0 0 0 0 0 0 0
0 0 0 0 0 6 5 6 5 0 0 0 0 0 0 0
0 0 0 0 0 8 6 8 6 0 0 0 1 0 0 0
0 0 0 0 0 11 10 14 8 0 0 0 1 1 0 0
0 0 0 0 0 25 21 28 19 0 0 0 2 1 0 0
0 0 0 0 0 7 12 7 11 0 0 0 0 0 0 0
0 0 0 0 0 10 6 10 6 0 0 0 0 0 0 0
0 0 0 0 0 10 10 11 11 0 0 0 0 0 0 0
0 0 0 0 0 27 28 28 28 0 0 0 0 0 0 0
0 0 0 0 0 4 6 4 6 0 0 0 0 0 0 0
0 0 0 0 0 8 4 8 4 0 0 0 0 0 1 0
0 0 0 0 0 13 5 13 5 0 0 0 0 2 1 0
0 0 0 0 0 25 15 25 15 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Neonatal komplikasi yg ditangani
Kunjungan
e. Tetanus f. Kelainan Bayi di DDTK
d. Infeksi g. HK(+) g. lain-lain bayi paripurna 0-6 hari
neonatorum bawaan
Asfiks
P L P L P L P L P L P L P BBLR i
0 0 0 0 0 0 0 1 1 2 5 2 5 0 0
0 0 0 0 0 0 0 0 0 5 4 5 4 0 0
0 0 0 0 0 0 0 4 3 10 10 10 10 0 0
0 0 0 0 0 0 0 5 4 17 19 17 19 0 0
0 0 0 0 0 0 0 1 3 1 6 1 6 0 0
0 0 0 0 0 0 0 1 3 4 6 4 6 0 0
0 0 0 0 1 0 0 4 2 7 9 7 9 0 0
0 0 0 0 1 0 0 6 8 12 21 12 21 0 0
0 0 0 0 0 0 0 3 1 11 6 11 6 0 0
0 0 0 0 0 0 0 1 0 7 7 7 7 0 0
0 0 0 0 0 0 0 1 4 7 13 7 13 0 0
0 0 0 0 0 0 0 5 5 25 26 25 26 0 0
0 0 0 0 0 0 0 2 2 14 9 14 9 0 0
0 0 0 0 0 0 0 3 1 6 6 6 6 0 0
0 0 0 0 0 0 0 2 0 8 11 8 11 0 0
0 0 0 0 0 0 0 7 3 28 26 28 26 0 0
0 0 0 0 0 0 0 3 5 6 13 13 6 0 0
0 0 0 0 0 0 0 0 0 3 10 6 7 0 0
0 0 0 0 0 0 0 2 1 9 7 12 4 0 0
0 0 0 0 0 0 0 5 6 18 30 31 17 0 0
0 0 0 0 0 0 0 0 1 8 6 8 6 0 0
0 0 0 0 0 0 0 0 0 4 9 4 9 0 0
0 0 0 0 0 0 0 2 2 6 8 6 8 0 0
0 0 0 0 0 0 0 2 3 18 23 18 23 0 0
0 0 0 0 0 0 0 2 5 8 7 8 7 0 0
0 0 0 0 0 0 0 1 0 5 5 5 5 0 0
0 0 0 0 0 0 0 2 2 6 6 6 6 0 0
0 0 0 0 0 0 0 5 7 19 18 19 18 0 0
0 0 0 0 0 0 0 3 0 8 6 8 6 0 0
0 0 0 0 0 0 0 0 0 8 7 8 7 1 0
0 0 0 0 0 0 0 2 0 13 9 13 9 0 0
0 0 0 0 0 0 0 5 0 29 22 29 22 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kematian Bayi
0-6 hari 7-28 hari 29 hari - 11 bulan
Kelai
Kelainan
Sepsi nan lain- Kelainan lain- Pneumoni Tetan
TN s bawa lain BBLR Asfiksi TN Sepsis bawaan lain a diare Saluran us
Cerna
an
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 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 1 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 hari - 11 bulan
Kelainan Lain-
Syaraf Malaria lain
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
januari
Penyimpangan SDIDTK BALITA
Jumlah
Jumlah TK
kematian Jumlah b. KPSP
Jumlah TK yg a. LKA tidak c. TDL
NO URAIAN anak balita dilakukan penyimpan
dikunjungi normal gangguan
1-4 thn SDIDTK gan
L P L P L P L P L P L P L
Ambulu 33 30 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
februari
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 6 11 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 6 11 0 0 0 0 0
maret
Ambulu 33 30 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
april
Ambulu 33 30 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 12 11 0 0 0 0 0
K Anyar 0 0 0 0 0 0 7 10 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 19 21 0 0 0 0 0
mei
Ambulu 33 30 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
juni
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
juli
Ambulu 33 30 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
agustus
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
september
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
oktober
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
nopember
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
desember
Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0
Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0
K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
enyimpangan SDIDTK BALITA Penyimpangan SDIDTK APRAS
e. MME Jumlah b. KPSP

c. TDL d. TDD Balita yg a. LKA tidak c. TDL d. TDD
mungkin ada dilakukan penyimpan
gangguan gangguan gangguan dirujuk SDIDTK normal gan gangguan gangguan
P L P L P L P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 4 0 0 0 0 0 0 0 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 6 6 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
APRAS MTBS Kematian balita 12
e. MME Balita Apras
mungkin Apras yg Jml Balita Jml balita di paripurna paripurna Diare Pneumonia Malaria
ada dirujuk sakit MTBS
gangguan
L P L P L P L P L P L P L P L P L
0 0 0 0 15 8 15 8 33 42 9 2 0 0 0 0 0
0 0 0 0 9 8 9 8 15 18 1 2 0 0 0 0 0
0 0 0 0 7 7 7 7 39 22 6 7 0 0 0 0 0
0 0 0 0 31 23 31 23 87 82 16 11 0 0 0 0 0
0 0 0 0 16 16 16 16 33 34 13 9 0 0 0 0 0
0 0 0 0 7 6 7 6 14 15 3 3 0 0 0 0 0
0 0 0 0 7 6 7 6 41 29 8 12 0 0 0 0 0
0 0 0 0 30 28 30 28 88 78 24 24 0 0 0 0 0
0 0 0 0 13 14 13 14 40 31 9 10 0 0 0 0 0
0 0 0 0 6 7 6 7 23 25 5 7 0 0 0 0 0
0 0 0 0 5 6 5 6 39 32 15 3 0 0 0 0 0
0 0 0 0 24 27 24 27 102 88 29 20 0 0 0 0 0
0 0 0 0 2 2 2 2 38 42 8 12 0 0 0 0 0
0 0 0 0 3 4 3 4 38 32 10 10 0 0 0 0 0
0 0 0 0 9 8 9 8 45 37 12 7 0 0 0 0 0
0 0 0 0 14 14 14 14 121 111 30 29 0 0 0 0 0
0 0 0 0 9 15 9 15 37 43 9 6 0 0 0 0 0
0 0 0 0 6 6 6 6 25 28 6 7 0 0 0 0 0
0 0 0 0 7 5 7 5 48 34 9 7 0 0 0 0 0
0 0 0 0 22 26 22 26 110 105 24 20 0 0 0 0 0
0 0 0 0 13 8 13 8 39 31 7 9 0 0 0 0 0
0 0 0 0 7 7 7 7 24 30 8 7 0 0 0 0 0
0 0 0 0 4 4 4 4 42 45 14 9 0 0 0 0 0
0 0 0 0 24 19 24 19 105 106 29 25 0 0 0 0 0
0 0 0 0 9 14 9 14 30 26 9 10 0 0 0 0 0
0 0 0 0 6 6 6 6 25 27 5 11 0 0 0 0 0
0 0 0 0 7 9 7 9 40 43 5 15 0 0 0 0 0
0 0 0 0 22 29 22 29 95 96 19 36 0 0 0 0 0
0 0 0 0 12 16 12 16 32 27 14 10 0 0 0 0 0
0 0 0 0 6 4 6 4 30 26 5 5 0 0 0 0 0
0 0 0 0 4 5 4 5 32 41 9 12 0 0 0 0 0
0 0 0 0 22 25 22 25 94 94 28 27 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kematian balita 12-59 bln
Malaria Campak Demam Difteri Lain-lain
P L P L P L P L P
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
januari
Hb KEK Protein urine Gula darah
Diperik Anemi Anemi Diperik KEK (GD)
Diperik Positif Diperik GD > a. b.
sa Hb a (8-11 a (<8 sa LILA (LILA < sa (+) sa 140 Hypere Kegugu
NO URAIAN mg/dl) mg/dl) 23.5 g/dl mesis ran
cm)
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 53 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
BPM/DPS 0 0 0 7 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
Pkm 60 25 0 0 0 60 0 60 0 0 1
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 60 25 0 60 0 60 0 60 0 0 1
februari
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 36 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 5 0 0 0 0 0 0 0
Pkm 0 0 0 13 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 54 12 0 0 0 54 0 54 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 54 12 0 54 0 54 0 54 0 0 0
maret
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 38 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 10 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 49 0 0 1 0 49 0 49 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 49 0 0 49 0 49 0 49 0 0 0
april
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 36 2 4 0 4 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 1 0 0 0 0 0 0 0
Pkm 0 0 0 13 0 4 0 4 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 52 52 0 0 0 44 0 44 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 52 52 0 50 2 52 0 52 0 0 0
mei
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 21 1 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 32 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 54 0 0 0 0 54 0 54 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 1
JUMLAH 54 0 0 53 1 54 0 54 0 0 1
juni
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 41 2 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
BPM/DPS 0 0 0 4 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
Pkm 47 0 0 0 0 47 0 47 0 0 1
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 47 0 0 45 2 47 0 47 0 0 1
juli
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 47 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 3 0 0 0 0 0 0 0
Pkm 0 0 0 9 1 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 59 0 0 0 0 59 0 59 0 0 1
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 1
JUMLAH 59 0 0 59 1 59 0 59 0 0 2
agustus
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 66 1 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 66 0 0 0 0 66 0 66 0 0 2
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 66 0 0 66 1 66 0 66 0 0 2
september
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
oktober
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
nopember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
desember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
Kasus maternal ditemukan Persal Jenis Persalinan
c. d. e. f. g. h. i. AIDS j. TB k. l. lain- inan Persal Persal a. b.
Eklama Perdar Perda Perda Partus Infeks malaria lain duku inan inan Drip Vakum
si/Pree ahan rahan rahan lama i n norm dg
klamas kehami persal nifas al opera
i lan inan nakes si
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 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 0 0 0 0 2 0 18 0 0 0
0 0 0 0 1 0 0 0 0 15 0 16 6 0 0
0 0 0 0 1 0 0 0 0 17 0 48 6 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 0 0 0 0 0 0 0 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 0 0 0 0 0 0 7 0 0 0
3 0 0 0 2 0 0 0 0 15 0 13 14 0 0
3 0 0 0 2 0 0 0 0 15 0 34 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
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 16 0 0 0
1 0 0 0 1 0 0 0 0 14 0 16 12 0 0
1 0 0 0 1 0 0 0 0 14 0 48 12 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 11 0 0 0
0 0 0 0 0 0 0 0 0 15 0 14 10 0 0
0 0 0 0 0 0 0 0 0 15 0 43 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 29 0 0 0
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 8 0 0 0
1 0 0 0 0 0 0 0 0 14 0 15 12 1 0
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0 0 0 0 1 0 0 0 0 4 0 18 0 0 0
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0 0 0 0 1 0 0 0 0 17 0 36 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 16 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 15 0 0 0
0 0 0 0 0 0 0 0 0 15 0 12 13 0 0
0 0 0 0 0 0 0 0 0 15 0 43 13 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 7 0 0 0
1 0 0 0 2 0 0 0 0 11 0 12 11 0 0
1 0 0 0 2 0 0 0 0 11 0 29 11 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
nis Persalinan Kematia Kematia Kematia Kematia Kunjungan bumil DDRT Komplik
c. d. n n n Bulin n Bufas a. K1 b. K1 c. K4 a. b. asi
Curatag Placent maternal maternal murni Masyar Nakes kebidan
e a diaudit akat an
manual
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 48 39 52 8 7 0
0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 3
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0 0 0 0 0 0 60 48 52 8 9 19
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 23 19 52 1 6 0
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0 0 0 0 0 0 54 48 52 1 10 20
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0 0 0 0 0 0 38 33 58 2 8 0
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0 0 0 0 0 0 59 59 51 4 5 17
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 66 60 47 3 10 0
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0 0 0 0 0 0 0 #NAME? 0 0 0 0
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0 0 0 0 0 0 0 #NAME? 0 0 0 0
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Pelayan Bumil P4K Pencegahan Pe
an ibu risti yg a. Bumil b. Bumil c. d. e. bulin f. bulin g. bayi a. bumil b. Bumil c. Bumil
nifas ditanga ANC ikut Dukung bumil didampi dg KB dg IMD yg yg ditest HIV
ni didampi tabulin an dpt ngi pasca ditawar positif
ngi ambula donor suami salin kan
suami n desa darah
59 0 0 0 0 0 0 0 0 21 0 0
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d. Bumil e. Bulin f. Bulin g. Bayi h. Bayi i. Bayi HIV j. Bayi Jumlah Dukun Dukun
HIV HIV di HIV di lahir HIV ARV kotrim ditest HIV Dukun bermitra bermitra
dirujuk faskes faskes hidup dr aktif tidak aktif
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KUN
Dukun
tidak
bermitra
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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Jumlah lahir Jumlah lahir Jumlah Bayi Jumlah Bayi
Jml BBLR Jml Gemeli a. Trauma
hidup mati Prematur di SHK
lahir
NO URAIAN
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 2 0 0 0 0 0 0 0 0 0 0 0
BPM/DPS 6 6 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 8 9 0 1 0 0 0 0 0 0 0 0 0
RS Pemerintah 12 10 0 0 0 1 1 1 0 0 0 0 0
JUMLAH 26 27 0 1 0 1 1 1 0 0 0 0 0
februari
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 1 1 0 0 0 0 0 0 0 0 0 0 0
Pkm 9 3 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 2 5 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
8 19 0 0 0 2 1 2 0 0 0 0 0
JUMLAH 20 28 0 0 0 2 1 2 0 0 0 0 0
maret
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 1 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 7 8 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 10 6 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
14 14 0 1 0 0 2 0 2 0 0 0 0
JUMLAH 32 28 0 1 0 0 2 0 2 0 0 0 0
april
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 1 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 8 9 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 7 4 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
16 8 0 0 0 1 0 1 0 0 0 0 0
JUMLAH 32 21 0 0 0 1 0 1 0 0 0 0 0
mei
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 1 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 17 12 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 5 3 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
15 13 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 38 28 0 0 0 0 0 0 0 0 0 0 0
juni
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
BPM/DPS 6 5 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 10 8 0 0 0 0 1 0 0 0 0 0 0
RS Pemerintah
9 8 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 25 21 0 0 0 0 1 0 0 0 0 0 0
juli
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 9 7 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 7 7 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
11 14 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 27 28 0 0 0 0 0 0 0 0 0 0 0
agustus
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 1 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 5 4 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 3 4 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
16 7 1 0 0 2 0 2 2 0 0 0 0
JUMLAH 25 15 1 0 0 2 0 2 2 0 0 0 0
september
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
oktober
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
nopember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah
0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
desember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Trauma c. BBLR < e. Tetanus f. Kelainan a. Trauma
b. Asfiksis d. Infeksi g. HK(+) h. Lain-lain
lahir 2500 gr neonatorum bawaan lahir
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 5 4 0
0 1 1 1 1 0 0 0 0 0 0 0 0 5 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 1 2 0 0 0 0 0 1 0 0 6 8 0
1 1 2 1 2 0 0 0 0 0 1 0 0 6 8 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 0 0 0 0 4 5 0
0 1 0 2 0 0 0 0 0 0 0 0 0 5 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 7 3 0
0 2 0 0 1 0 0 0 0 0 0 0 0 7 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 5 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 5 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0 0 0 0 2 3 0
0 0 2 1 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 5 7 0
0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 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 5 0 0
0 0 0 2 2 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Trauma c. BBLR < e. Tetanus f. Kelainan a. Trauma
b. Asfiksis d. Infeksi g. HK(+) g. lain-lain
lahir 2500 gr neonatorum bawaan lahir
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 5 4 0
0 1 1 1 1 0 0 0 0 0 0 0 0 5 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 1 2 0 0 0 0 0 1 0 0 6 8 0
1 1 2 1 2 0 0 0 0 0 1 0 0 6 8 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 0 0 0 0 4 5 0
0 1 0 2 0 0 0 0 0 0 0 0 0 5 5 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 0 1 0 0 0 0 0 0 0 0 7 3 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tetanus
a. Trauma c. BBLR < f. Kelainan a. Trauma
b. Asfiksis d. Infeksi neonatoru g. HK(+) g. lain-lain
lahir 2500 gr bawaan lahir
m
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasus neonatal 29 hari - 11 bulan
Jml kematian
c. BBLR < 2500 e. Tetanus f. Kelainan bayi diaudit
b. Asfiksis d. Infeksi g. HK(+) g. lain-lain
gr neonatorum bawaan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan bayi Neonatal komplikasi yg ditangani
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bayi diaudit a. KN1 b. KN a. Trauma c. BBLR < 2500 e. Tetanus f. Kelainan
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0 18 25 24 26 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0
0 25 15 25 15 0 0 0 0 2 2 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 3 4 3 4 0 0 0 0 0 0 0
0 0 0 0 14 15 14 15 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kematian Bayi
7-28 hari 29 hari - 11 bulan
Kelainan lain- Pneumoni Kelainan Kelainan Lain-

Asfiksi TN Sepsis diare Saluran Tetanus Malaria
bawaan lain a Syaraf lain
Cerna
0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
januari
Penyimpangan SDIDTK BALIT
Jumlah
Jumlah TK yg kematian Jumlah b. KPSP
Jumlah TK a. LKA tidak c. TDL
NO URAIAN dikunjungi anak balita dilakukan penyimpan
1-4 thn SDIDTK normal gan gangguan
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 33 30 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
BPM/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
februari
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 6 11 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 6 11 0 0 0 0 0
maret
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 33 30 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
april
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 33 30 0 0 0 0 19 21 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 19 21 0 0 0 0 0
mei
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 33 30 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
juni
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
juli
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 33 30 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 30 0 0 0 0 0 0 0 0 0 0 0
agustus
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
september
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
oktober
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
nopember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
desember
Rumah pasien 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu 0 0 0 0 0 0 0 0 0 0 0 0 0
Polindes 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0
Pkm 0 0 0 0 0 0 0 0 0 0 0 0 0
BPS/DPS 0 0 0 0 0 0 0 0 0 0 0 0 0
RB 0 0 0 0 0 0 0 0 0 0 0 0 0
RS Pemerintah 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyimpangan SDIDTK BALITA Penyimpangan SDIDTK APRAS
e. MME Jumlah a. LKA b. KPSP

c. TDL d. TDD Balita yg c. TDL d. TDD
mungkin ada dilakukan tidak penyimpan
gangguan gangguan gangguan dirujuk SDIDTK normal gan gangguan gangguan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K APRAS MTBS Kematian balita 12-59 bln
e. MME Balita Apras
Jml Jml
mungkin Apras yg paripurna paripurna Pneumoni
Balita balita di Diare Malaria Campak Demam
ada dirujuk sakit MTBS a
gangguan
L P L P L P L P L P L P L P L P L P L P L
0 0 0 0 0 0 0 0 13 15 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 24 17 24 17 74 67 12 11 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 5 5 5 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 31 23 31 23 87 82 16 11 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 24 22 24 22 77 70 24 22 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 2 2 11 8 0 2 0 0 0 0 0 0 0 0 0
0 0 0 0 4 4 4 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 30 28 30 28 88 78 24 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 23 25 23 25 102 88 29 20 0 0 0 0 0 0 0 0 0
0 0 0 0 1 2 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 0 0 0 24 27 24 27 102 88 29 20 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 9 9 9 9 121 111 30 29 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 3 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 14 14 121 111 30 29 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 13 20 13 20 110 105 24 20 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 7 5 7 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 0 0 0 0 0 0 0 0
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0 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 26 22 26 110 105 24 20 0 0 0 0 0 0 0 0 0
0 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 18 23 18 87 88 22 19 0 0 0 0 0 0 0 0 0
0 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 1 18 18 7 6 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 24 19 24 19 105 106 29 25 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 16 21 16 21 86 89 16 35 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 2 2 9 7 3 1 0 0 0 0 0 0 0 0 0
0 0 0 0 4 6 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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 29 22 29 95 96 19 36 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 19 21 19 21 66 56 18 17 0 0 0 0 0 0 0 0 0
0 0 0 0 1 2 1 2 7 9 4 2 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 2 2 21 29 6 8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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 25 22 25 94 94 28 27 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
alita 12-59 bln
Demam Difteri Lain-lain
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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LAPORAN PWS KIA (INDIKATOR KESEHATAN IBU)
PUSKESMAS : AMBULU
BULAN : AGUSTUS 2018
K1 K4 DDRT MASYARAKAT
SASARAN
NO PUSKESMAS PENCAPAIAN KOM PENCAPAIAN KOM PENCAPAIAN KOM
BUMIL
BUMIL RISTI BULIN BULAN BULAN R BULAN BULAN BULAN BULAN
20% JML % JML % JML
LALU INI LALU INI LALU INI
R R
1 Ambulu 235 47 225 121 21 142 60.43 123 13 136 57.87 2 1 3
2 Tegalsari 182 37 173 90 22 112 61.54 87 17 104 57.14 4 0 4
3 K Anyar 250 49 238 164 23 187 74.80 161 17 178 71.20 11 2 13
JUMLAH 667 133 636 375 66 441 66.12 371 47 418 62.67 17 3 20
T MASYARAKAT DDRT NAKES
KOM PENCAPAIAN KOM
BULAN BULAN R
% JML %
LALU INI
R
1.28 14 7 21 8.94
2.20 15 1 16 8.79
5.20 31 2 33 13.20
3.00 60 10 70 10.49
KOMPLIKASI KEBIDANAN DITANGANI
PENCAPAIAN KOM
BULAN BULAN R
JML %
LALU INI
40 4 44 93.62
23 5 28 75.68
60 7 67 136.73
123 16 139 104.51
PERSALINAN NAKES DI FASILITAS
PERSALINAN OLEH NAKES PELAYANAN IBU NIFAS
KESEHATAN
PENCAPAIAN KOM PENCAPAIAN KOM PENCAPAIAN KOM VI
TK
BULAN BULAN R BULAN BULAN R BULAN BULAN
JML % JML % JML %
LALU INI LALU INI LALU INI
116 11 127 56.44 116 11 127 56.44 118 20 138 61.33

94 12 106 61.27 94 12 106 61.27 97 16 113 65.32
173 17 190 79.83 173 17 190 79.83 175 20 195 81.93
383 40 423 66.51 383 40 423 66.51 390 56 446 70.13
LAPORAN PWS KIA (INDIKATOR KESEHATAN BAYI)
PUSKESMAS : AMBULU
BULAN AGUSTUS 2018
NEONATUS
SASARAN Lahir Hidup Riil Lahir Mati
KN 1 MURNI
NO DESA PENCAPAIAN KUMULATIF
LAHIR HIDUP NEO RISTI 15 % BAYI Bulan ini Bulan ini
BLN LALU BLN INI JML R
L P L+ P L P L+P L P L+P L P L+P L P L+P L P L+ P L P L+ P L % P % L+P %
1 Ambulu 105 109 214 16 16 32 105 102 207 4 6 10 1 0 1 53 62 115 4 6 10 57 54.29 68 62.39 125 58.41
2 Tegalsari 81 84 165 12 13 25 80 79 159 8 4 12 0 0 0 41 52 93 8 4 12 49 60.49 56 66.67 105 70.52
3 K Anyar 112 115 227 17 17 34 111 109 220 13 5 18 0 0 0 91 82 173 13 5 18 104 92.86 87 75.65 191 84.14
JUMLAH 298 308 606 45 46 91 296 290 586 25 15 40 1 0 1 185 196 381 25 15 40 210 70.47 211 68.51 421 69.47
NEONATUS
NEONATAL KOMPLIKASI YANG DITANGANI
KN LENGKAP
PENCAPAIAN KUMULATIF PENCAPAIAN KUMULATIF
BLN LALU BLN INI JML R BLN LALU BLN INI JML R
L P L+ P L P L+ P L % P % L+P % L P L+ P L P L+ P L % P % L+P %
58 54 112 4 6 10 62 59.05 60 55.05 122 57.01 15 19 34 3 0 3 18 114.29 19 116.21 37 115.63
45 48 93 8 4 12 53 65.43 52 61.90 105 63.64 6 7 13 0 1 1 6 49.38 8 63.49 14 56.00
96 75 171 13 5 18 109 97.32 80 69.57 189 83.26 24 21 45 4 1 5 28 166.67 22 127.54 50 146.84
199 177 376 25 15 40 224 75.17 192 62.34 416 68.65 45 47 92 7 2 9 52 116.33 49 106.06 101 110.93
CAKUPAN KUNJUNGAN BAYI (PARIPURNA)
PENCAPAIAN KUMULATIF
BLN LALU BLN INI JML R
L P L+ P L P L+ P L % P % L+P %
50 52 15 8 6 14 58 55.24 58 53.21 116 56.04
34 47 10 8 7 15 42 51.85 54 64.29 96 60.38
53 64 12 13 9 22 66 58.93 73 63.48 139 63.18
137 163 37 29 22 51 166 55.70 185 60.06 351 59.90
LAHIR HIDUP LAHIR MATI TOTAL TOTAL
L P L P KELAHIRANPERSALINAN
4 6 1 0 11 11
8 4 0 0 12 12
13 5 0 0 18 17
25 15 1 0 41 40
LAPORAN PWS KIA (INDIKATOR KESEHATAN ANAK)
PUSKESMAS : AMBULU
BULAN : : AGUSTUS 2017
SASARAN CAKUPAN BALITA
NO PUSKESMAS PENCAPAIAN
ANAK PRA SEKOLAH ANAK BALITA BALITA
BLN LALU BLN INI
L P L+ P L P L+ P L P L+P L P L+ P L P L+ P L
1 Ambulu 116 110 226 436 422 858 540 524 1064 300 301 601 40 33 73 340
2 Tegalsari 90 85 175 336 326 662 417 404 821 198 222 420 38 33 71 236
3 K Anyar 124 117 241 464 449 913 575 558 1133 347 306 653 45 50 95 392
JUMLAH 330 312 642 1236 1197 2433 1532 1486 3018 845 829 1674 123 116 239 968
KUPAN BALITA
KUMULATIF
JML R
% P % L+P %
62.96 334 63.74 674 63.35
56.59 255 63.12 491 59.81
68.17 356 63.80 748 66.02
63.19 945 63.59 1913 63.39
CAKUPAN ANAK BALITA CAKUPAN ANAK PRA SEKOLAH
PENCAPAIAN KUMULATIF PENCAPAIAN

BLN LALU BLN INI JML R BLN LALU BLN INI
L P L+P L P L+P L % P % L+P % L P L+ P L P L+ P L
250 249 499 32 27 59 282 64.68 276 65.40 558 65.03 64 58 122 14 10 24 78
164 175 339 30 26 56 194 57.74 201 61.66 395 59.67 38 47 85 5 5 10 43
294 242 536 32 41 73 326 70.26 283 63.03 609 66.70 69 60 129 9 12 21 78
708 666 1374 94 94 188 802 64.89 760 63.49 1562 64.20 171 165 336 28 27 55 199
PRA SEKOLAH ( PARIPURNA )
KUMULATIF
JML R
% P % L+P %
67.24 68 61.82 146 64.60
47.78 52 61.18 95 54.29
62.90 72 61.54 150 62.24
60.30 192 61.54 391 60.90
FORMAT LAPORAN MATERNAL (LB3KIA)
PUSKESMAS : AMBULU
Hb KEK Protein urine Gula darah (GD)
Diperiksa Anemia Anemia Diperiksa KEK (LILA Diperiksa Positif (+) Diperiksa GD > 140 Hypereme
NO DESA Hb (8-11 (<8 LILA < 23.5 cm) g/dl sis
mg/dl) mg/dl)
1 2 3 4 5 6 7 8 9 10 11 12
1 Ambulu 21 0 0 21 0 21 0 21 0 0
2 Tegalsari 22 0 0 22 0 22 0 22 0 0
3 K Anyar 23 0 0 23 1 23 0 23 0 0
JUMLAH 66 0 0 66 1 66 0 66 0 0
Kasus maternal ditemukan
Abortus Eklamasi/ Perdarahan Perdarahan
Preeklama kehamilan persalinan
si
13 14 15 16
0 0 0 0
0 1 0 0
2 0 0 0
2 1 0 0
us maternal ditemukan Jenis Persalinan
Perdaraha Partus Infeksi AIDS TB malaria lain- Persalinan Persalinan Tindakan Persalin
n nifas lama lain normal dg operasi an
nakes Placenta Dukun
Drip Vakum Curatage
manual
17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 4 7 4 0 0 0 0 0
0 0 0 0 0 0 4 8 4 0 0 0 0 0
0 2 0 0 0 0 3 14 3 0 0 0 0 0
0 2 0 0 0 0 11 29 11 0 0 0 0 0
CEK DATA
K1 Hb LILA
21 21 21
22 22 22
23 23 23
66 66 66
FORMAT LAPORAN NEONATAL (LB3KIA)
PUSKESMAS : AMBULU
Jumlah bayi Jumlah Bayi di Tetanus Kelainan
NO DESA Prematur SHK Trauma BBLR <
Asfiksis Infeksi neonatoru HK(+) Lain-lain
lahir 2500 gr bawaan
m
1 Ambulu 0 0 0 0 0 0 0 0 0 3
2 Tegalsari 1 0 0 0 1 0 0 0 0 0
3 K Anyar 1 0 0 0 3 0 0 0 0 2
JUMLAH 2 0 0 0 4 0 0 0 0 5
Neonatal CFR (crude fertility rate)
Komplikasi yg JUMLAH JUMLAH
ditangani KASUS KEMATIAN 0- %
NEONATAL 28 HARI
3 3 0 0.00
1 1 1 100.00
5 5 0 0.00
9 9 1 11.11
FORMAT LAPORAN MATERNAL (LB3KIA)
PUSKESMAS : AMBULU
BULAN : JANUARI 2017
Penyimpangan SDIDTK BALITA Penyimpangan SDIDTK APRAS MTBS
Jumlah Jumlah
balita LKA KPSP TDL TDD MME Balita apras LKA KPSP TDL TDD MME Jml Jml
NO DESA
dilakukan tidak penyimp ganggua ganggua mungkin yg dilakukan tidak penyimp ganggu ganggu
mungkin Apras yg
Balita balita di
SDIDTK normal angan n n ada dirujuk SDIDTK normal angan an an ada dirujuk sakit MTBS
gangguan gangguan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 23
2 Tegalsari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 17
3 K Anyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 54
LAPORAN KEMATIAN NEONATAL, BAYI DAN BALITA
PUSKESMAS : AMBULU
Sebab kematian neonatal 0-6 hari Sebab kemati
Jumlah Jumlah Jumlah
NO DESA Kematian Kematian Kematian
Neonatal Neonatal Kelainan lain- Neonatal
BBLR Asfiksi TN Sepsis BBLR
(0-28 hr) (0-6 hr) bawaan lain (7-28 hr)
1 2 3 4 5 6 7 8 9 10 11 12
1 Ambulu 0 0 0 0 0 0 0 0 0 0
2 Tegalsari 1 1 1 0 0 0 0 0 0 0
3 K Anyar 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 1 0 0 0 0 0 0 0
Sebab kematian neonatal 7-28 hari
Kematian
post
Kelainan lain- neonatal
Asfiksi TN Sepsis
bawaan lain (29 hr - 11
bln)
13 14 15 16 17 18
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Sebab kematian neonatal 29 hari - 11 bulan Kematian balita 12-59
Jumlah
Kematian
Kelainan Kelaina kematian balita (12-
Pneum Tetanu Pneum
diare Saluran n Malaria Lain-lain bayi (0-11 59 bln) Diare Malaria
onia Cerna s Syaraf bln) onia
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0
Lain-
Campak Demam Difteri
lain
31 32 33 34
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
PUSKESMAS :AMBULU
BULAN JANUARI 2018
IBU HAMIL Ibu HIV Bersalin di Fasilitas Kesehatan Bayi yang lahir dari Ibu HIV Positif
Target
Ibu
Sasaran
Sasaran Hamil K1 Ibu Hamil yang Ibu Hamil yang Ibu Hamil HIV Ibu hamil ANC yang Secara
Secara
Bayi Lahir ARV Kotrimoxazol
Ibu Capaian
NO NAMA DESA Penduduk yang Ditawarkan Tes Dites HIV Positif
HIV positif dirujuk Total
Pervaginam
Perabdomina
hidup Profilaksis Profilaksis
Dites HIV
Hamil K1 2017 HIV ke layanan ART m
2017 ditawark
2017
an Tes
HIV
Abs % Abs % Abs % Abs % Abs % Abs % Abs % Abs % Abs % Abs % Abs %
1 Ambulu 14,537 239 20 20 20 100 20 100 - - - #DIV/0! - #DIV/0! - #DIV/0! - ### - ### - ### - ### - ###
2 Tegalsari 15,493 254 11 11 11 100 11 100 - - - #DIV/0! - #DIV/0! - #DIV/0! - ### - ### - ### - ### - ###
3 K Anyar 11,229 184 29 29 29 100 29 100 - - - #DIV/0! - #DIV/0! - #DIV/0! - ### - ### - ### - ### - ###
JUMLAH 41,259 677 60 60 60 100 60 100 - - - #DIV/0! - #DIV/0! - #DIV/0! - ### - ### - ### - ### - ###
DATA IBU
Hb KEK Protein Gula Kasus
Diperiksa Anemia Anemia Diperiksa KEK (LILA urine
Diperiksa Positif (+) darah
Diperiksa GD > 140 maternal
Hypereme Keguguran Eklamasi/ Perdaraha Perdaraha Perdaraha Partus Infeksi i. AIDS j. TB k. malaria
Hb (8-11 (<8 mg/dl) LILA < 23.5 cm) (GD) g/dl ditemuka
sis Preeklama n n n nifas lama
mg/dl) n si kehamilan persalinan
NO URAIAN
1 JANUARI 60 25 0 60 0 60 0 60 0 0 1 0 0 0 0 1 0 0 0 0
2 FEBRUARI 54 12 0 54 0 54 0 54 0 0 0 3 0 0 0 2 0 0 0 0
3 MARET 49 0 0 49 0 49 0 49 0 0 0 1 0 0 0 1 0 0 0 0
4 APRIL 52 52 0 50 2 52 0 52 0 0 0 0 0 0 0 0 0 0 0 0
5 MEI 54 0 0 53 1 54 0 54 0 0 1 1 0 0 0 0 0 0 0 0
6 JUNI 47 0 0 45 2 47 0 47 0 0 1 0 0 0 0 1 0 0 0 0
7 JULI 59 0 0 59 1 59 0 59 0 0 2 0 0 0 0 0 0 0 0 0
8 AGUSTUS 66 0 0 66 1 66 0 66 0 0 2 1 0 0 0 2 0 0 0 0
9 SEPTEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 OKTOBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 NOPEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DESEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 441 89 0 436 7 441 0 441 0 0 7 6 0 0 0 7 0 0 0 0
DATA BAYI
NO URAIAN Jumlah lahir hidup Jumlah lahir mati Jumlah Bayi PrematurJml BBLR Jml Gemeli Jumlah Bayi di SHK Kasus neonatal yg ditemukan
a. Trauma lahir b. Asfiksis c. BBLR < 2500 gr d. Infeksi
L P L P L P L P L P L P L P L P L P L P
1 JANUARI 26 27 0 1 0 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0
2 FEBRUARI 20 28 0 0 0 2 1 2 0 0 0 0 0 1 1 2 1 2 0 0
3 MARET 32 28 0 1 0 0 2 0 2 0 0 0 0 0 1 0 2 0 0 0
4 APRIL 32 21 0 0 0 1 0 1 0 0 0 0 0 0 2 0 0 1 0 0
5 MEI 38 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 JUNI 25 21 0 0 0 0 1 0 0 0 0 0 0 0 0 2 1 0 0 0
7 JULI 27 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 AGUSTUS 25 15 1 0 0 2 0 2 2 0 0 0 0 0 0 0 2 2 0 0
9 SEPTEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 OKTOBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 NOPEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DESEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 225 196 1 2 0 6 5 6 4 0 0 0 0 1 5 5 7 6 0 0
DATA BALITA
NO URAIAN Jumlah TK Jumlah TK yg Jumlah kematian Penyimpangan SDIDTK BALITA
dikunjungi anak balita 1-4 thn Jumlah dilakukan SDIDa. LKA tidak normal b. KPSP penyimpanganc. TDL gangguan d. TDD gangguan e. MME mungkin ada Balita yg dirujuk
L P L P L P L P L P L P L P L P L P L P
1 JANUARI 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 FEBRUARI 0 0 0 0 0 0 6 11 0 0 0 0 0 0 0 0 0 0 0 0
3 MARET 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 APRIL 33 30 0 0 0 0 19 21 0 0 0 0 0 0 0 0 0 0 0 0
5 MEI 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 JUNI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 JULI 33 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 AGUSTUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SEPTEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 OKTOBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 NOPEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DESEMBER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 165 150 0 0 0 0 25 32 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Persalinan Kunjungan bumil DDRT P4K
l. lain-lain Persalinan Persalinan Persalinan a. Drip b. Vakum c. d. Kematian Kematian Kematian Kematian a. K1 b. K1 c. K4 a. b. Nakes Komplikas Pelayanan Bumil risti a. Bumil b. Bumil
dukun normal dg operasi Curatage Placenta maternal maternal Bulin Bufas murni Masyarak i ibu nifas yg ANC ikut
nakes manual diaudit at kebidanan ditangani didamping tabulin
i suami
17 0 48 6 0 0 0 0 0 0 0 0 60 48 52 8 9 19 59 17 60 0
15 0 34 14 0 0 0 0 0 0 0 0 54 48 52 1 10 20 54 11 39 0
14 0 48 12 0 0 0 0 0 0 0 0 49 46 62 0 14 16 48 13 49 0
15 0 43 10 0 0 0 0 0 0 0 0 52 47 58 2 8 15 61 10 52 0
15 0 53 12 1 0 0 0 0 0 0 0 54 53 52 1 11 17 53 12 54 0
17 0 36 10 0 0 0 0 0 0 0 0 47 43 44 1 3 19 69 4 47 0
15 0 43 13 0 0 0 0 0 0 0 0 59 59 51 4 5 17 46 9 59 0
11 0 29 11 0 0 0 0 0 0 0 0 66 60 47 3 10 16 56 13 66 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 0 334 88 1 0 0 0 0 0 0 0 441 404 418 20 70 139 446 89 426 0
e. Tetanus neonatoru f. Kelainan bawaan g. HK(+) h. Lain-lain a. Trauma lahir b. Asfiksis c. BBLR < 2500 gr d. Infeksi e. Tetanus neonatoru f. Kelainan bawaan g. HK(+)
0 0 0 0 0 0 5 4 0 0 1 1 1 1 0 0 0 0 0 0 0 0
0 0 0 1 0 0 6 8 0 1 1 2 1 2 0 0 0 0 0 1 0 0
0 0 0 0 0 0 5 5 0 0 1 0 2 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 7 3 0 0 2 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 3 0 0 0 2 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 40 36 0 1 5 5 7 6 0 0 0 0 0 1 0 0
Penyimpangan SDIDTK APRAS MTBS Balita paripurna Apras paripurna
Jumlah dilakukan SDIDa. LKA tidak normal b. KPSP penyimpanganc. TDL gangguan d. TDD gangguan e. MME mungkin ada Apras yg dirujuk Jml Balita sakit Jml balita di MTBS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 23 31 23 87 82 16 11
3 3 0 0 0 0 0 0 0 0 0 0 0 0 30 28 30 28 88 78 24 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 27 24 27 102 88 29 20
6 6 0 0 0 0 0 0 0 0 0 0 0 0 14 14 14 14 121 111 30 29
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 26 22 26 110 105 24 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 19 24 19 105 106 29 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 29 22 29 95 96 19 36
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 25 22 25 94 94 28 27
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 9 0 0 0 0 0 0 0 0 0 0 0 0 189 191 189 191 802 760 199 192
c. d. bumil e. bulin f. bulin dg g. bayi dg a. bumil b. Bumil c. Bumil d. Bumil e. Bulin f. Bulin g. Bayi h. Bayi i. Bayi HIV j. Bayi Jumlah Dukun Dukun Dukun
Dukungan dpt donor didamping KB pasca IMD yg yg ditest HIV positif HIV HIV di HIV di lahir HIV ARV kotrim ditest HIV Dukun bermitra bermitra tidak
ambulan darah i suami salin ditawarka dirujuk faskes faskes hidup dr aktif tidak aktif bermitra
desa n normal tindakan ibu HIV
6 0 46 2 46 60 60 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 0 32 54 54 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 0 42 49 49 0 0 0 0 0 0 0 0 0 0 0 0
3 0 45 8 45 52 52 0 0 0 0 0 0 0 0 0 0 0 0
54 0 38 0 41 54 54 0 0 0 0 0 0 0 0 0 0 0 0
47 0 35 0 35 47 47 0 0 0 0 0 0 0 0 0 0 0 0
59 0 31 0 43 59 59 0 0 0 0 0 0 0 0 0 0 0 0
66 0 17 0 25 66 66 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 0 286 10 309 441 441 0 0 0 0 0 0 0 0 0 0 0 0
Kasus neonatal 7-28 hari Kasus neonatal 29 hari - 11 bulan
g. lain-lain a. Trauma lahir b. Asfiksis c. BBLR < 2500 gr d. Infeksi e. Tetanus neonatoru f. Kelainan bawaan g. HK(+) g. lain-lain a. Trauma lahir b. Asfiksis c. BBLR < 2500 gr
L P L P L P L P L P L P L P L P L P L P L P L P
5 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 8 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
5 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diare Pneumonia Malaria Campak Demam Difteri Lain-lain
L P L P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jml kematian bayi Kunjungan bayi Neonatal komplikasi yg ditangani
d. Infeksi e. Tetanus neonatoru f. Kelainan bawaan g. HK(+) g. lain-lain diaudit a. KN1 murni b. KN lengkap a. Trauma lahir b. Asfiksis c. BBLR < 2500 gr d. Infeksi
L P L P L P L P L P L P L P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0 0 26 27 24 26 0 0 1 1 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 20 28 20 28 0 1 1 2 1 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 32 28 24 29 0 0 1 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 28 25 27 31 0 0 2 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 27 39 48 16 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 25 21 28 19 0 0 0 2 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 27 28 28 28 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 25 15 25 15 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 210 211 224 192 0 1 5 5 7 6 0 0
Kunjungan bayi parip Bayi di DDTK Kematian Bayi
e. Tetanus neonatoru f. Kelainan bawaan g. HK(+) g. lain-lain 0-6 hari 7-28 hari
L P L P L P L P L P L P BBLR Asfiksi TN SepsisKelainan bawaan
lain-lain BBLR Asfiksi TN SepsisKelainan bawaan
lain-lain
0 0 0 0 0 0 5 4 17 19 17 19 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 6 8 12 21 12 21 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 5 5 25 26 25 26 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 7 3 28 26 28 26 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 6 18 30 31 17 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 3 18 23 18 23 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 7 19 18 19 18 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 29 22 29 22 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 0 0 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 40 36 166 185 179 172 1 0 0 0 0 1 0 0 0 0 1 0
29 hari - 11 bulan
Pneumonia diare
Kelainan Saluran Cerna
TetanusKelainan SyarafMalaria Lain-lain
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN BBLR
PUSKESMAS : AMBULU
Penyebab BBLR Penyebab BBLR MENINGGAL
NAMA BAYI / NAMA KMK / MENIN KMK / Premat
NO TGL LAHIR BB LAHIR Tempat Persalinan HIDUP KET
ORANG TUA Bumil KEK Hamil Prematur Gemeli GGAL Bumil Hamil Gemeli TGL TEMPAT
KEK ur
Aterm Aterm
1 By Ny Dian Ekasari 8/27/2018 BB: 1900 RS HUSADA 1 1 1 8/28/2018
Tn Lasyukur (LAKI-LAKI) TB: 42 NS: 24 A
2 By Ny Septiana 8/20/2018 BB: 21350 RSUD SOEBANDI 1
Tn Erfan Hadi PEREMPUAN TB: 45 NS: 36
3 By Ny Siti Endang 8/1/2018 BB: 1900 RSUD BALUNG 1 1
Dodi Sri TB: 43 NS: 37
4 By Ny Siti Endang 8/1/2018 BB: 2100 RSUD BALUNG 1 1
Dodi Sri TB: 45 NS: 37
LAPORAN KEMATIAN BAYI
PUSKESMAS : AMBULU
LAHIR MASA KEMATIAN PENYEBAB MENINGGAL
NO NAMA ALAMAT KET
HIDUP MATI 0-7 hari 8-28 29 hr-11 BBLR Asfiksi Infeksi Kelainan Trauma TN lain- TGL TEMPAT
hari bln bawaan lahir lain
1 By Ny Dwi Nur Amalia NS: 8 1 1 1 8/17/2018 RS BINA SEHAT IUFD
Tn Bustomi
2 By Ny Dian Eka Sari NS: 24 A 1 1 1 8/28/2018 RS HUSADA PREMATUR
Tn Lasyukur BBLR
LAPORAN KEMATIAN BALITA (UMUR 12-59 BULAN)
PUSKESMAS : ….
BULAN : JANUARI 2017
PENYEBAB
NAMA
NO NAMA ORANG ALAMAT UMUR Gizi Kecelakaa Kelainan
TUA ISPA GE DBD
buruk n bawaan
1
2
PUSKESMAS : ….
BULAN : FEBRUARI 2017
PENYEBAB
NAMA
TUA ISPA GE DBD
buruk n bawaan
1
2
PUSKESMAS : ….
BULAN : MARET 2017
PENYEBAB
NAMA
TUA ISPA GE DBD
buruk n bawaan
1
2
PUSKESMAS : ….
BULAN : APRIL 2017
PENYEBAB
NAMA
TUA ISPA GE DBD
buruk n bawaan
1
2
PUSKESMAS : ….
BULAN : MEI 2017
PENYEBAB
NAMA
TUA ISPA GE DBD
buruk n bawaan
1
2
PUSKESMAS : ….
BULAN : JUNI 2017
PENYEBAB
NAMA
NO NAMA ORANG ALAMAT UMUR
TUA
NAMA
TUA ISPA GE DBD
buruk n bawaan
1
2
MENINGGAL
lain- KET
TGL TEMPAT
lain
MENINGGAL
lain- KET
TGL TEMPAT
lain
MENINGGAL
lain- KET
TGL TEMPAT
lain
MENINGGAL
lain- KET
TGL TEMPAT
lain
MENINGGAL
lain- KET
TGL TEMPAT
lain
MENINGGAL
KET
lain- KET
TGL TEMPAT
lain
DATA KELAHIRAN GEMELI
KAB. JEMBER TH 2018
NO PUSKESMAS NAMA/ ORANG TUA L/P ALAMAT TANGGAL LAHIR
MARET
1 AMBULU By.Ny. Lulik Maulida/Sugeng L/L K Anyar III NS:37 23-Mar-18
AGUSTUS
2 AMBULU By.Ny. Siti Endang/Dodi Sri L/L K Anyar III NS:37 8/1/2018
LAPORAN BULANAN KIA
BULAN JANUARI TAHUN 2017
KABUPATEN : JEMBER
Puskesmas yang ada/ yang lapor :
Puskesmas PONED yang ada/ yang lapor :
Pustu yang ada/ yang lapor :
Polindes yang ada/ yang lapor :
BPS/ DPS yang ada/ yang lapor :
RS Pemerintah & Swasta yang ada/ yang lapor :
RB yang ada/ yang lapor :
TEMPAT PELAYANAN
NO KEGIATAN Rumah Posyandu Polindes Pustu Pkm
Pasien
1 2 3 4 5 6 7
A MATERNAL
1 Jumlah ibu hamil dg Hb < 11 gr% 0 0 0 0 60
2 Kasus Maternal ditemukan
a. Hyperemesis 0 0 0 0 0
b. Keguguran 0 0 0 0 1
c. Eklamsi/ Preeklamsi 0 0 0 0 0
d. Perdarahan Kehamilan 0 0 0 0 0
e. Perdarahan Persalinan 0 0 0 0 0
f. Perdarahan Nifas 0 0 0 0 0
g. Partus Lama 0 0 0 0 0
h. Infeksi 0 0 0 0 0
i. Aids 0 0 0 0 0
j. TB 0 0 0 0 0
k. Malaria 0 0 0 0 0
l. Lain-lain 0 0 0 0 2
3 Persalinan Dukun 0 0 0 0 0
4 Persalinan Normal 0 0 0 2 0
5 Persalinan dengan Operasi 0 0 0 0 0
6 Persalinan dengan Tindakan
a. Drip 0 0 0 0 0
b. Vakum 0 0 0 0 0
c. Curatage 0 0 0 0 0
d. Placenta Manual 0 0 0 0 0
7 Kematian Maternal 0 0 0 0 0
8 Kematian Maternal diaudit 0 0 0 0 0
B PERINATAL & BAYI L P L P L P L P L P
1 Jumlah Lahir Hidup 0 0 0 0 0 0 0 2 0 0
2 Jumlah Lahir Mati 0 0 0 0 0 0 0 0 0 0
3 Jumlah Bayi Prematur
a. BBLR 0 0 0 0 0 0 0 0 0 0
b. Gemeli 0 0 0 0 0 0 0 0 0 0
4 Kasus Neonatal yang Ditemukan
b4 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b4 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b4 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b4 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b4 e. Tetanus Neonatorum 0 0 0 0 0 0 0 0 0 0
b4 f. Kelainan Bawaan 0 0 0 0 0 0 0 0 0 0
b4 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
5 Kematian Neonatal 0 - 7 hari
b5 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b5 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b5 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b5 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b5 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
b6 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b6 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b6 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b6 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b6 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0
Jumlah Kematian Bayi (termasuk
Neonatal)
8 Jumlah Kematian Bayi diaudit
C ANAK BALITA & APRAS
1 Jumlah TK 33 30 0
2 Jumlah TK dikunjungi 0
3 0 0 0 0 0 0 0 0 0 0
Jumlah Kematian Anak Balita (1-4
tahun)
4 Penyimpangan Tumbuh Kembang
yg Ditemukan
a. LKA tidak normal 0 0 0 0 0 0 0 0 0 0
b. KPSP penyimpangan 0 0 0 0 0 0 0 0 0 0
c. TDL gangguan 0 0 0 0 0 0 0 0 0 0
d. TDD gangguan 0 0 0 0 0 0 0 0 0 0
e. MME mungkin ada gangguan 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0
Balita dan Apras dengan
Penyimpangan Tumbuh Kembang
yg dirujuk ke RS
6 Jumlah Anak Balita di Deteksi 13 15 74 67 0 0 0 0 0 0
Tumbuh Kembang
7 4 0 12 11 0 0 0 0 0 0
Jumlah Apras di Deteksi Tumbuh
Kembang
8 4 3 15 14 0 0 0 0 0 0
Jumlah Bayi di Deteksi Tumbuh
Kembang
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN PEBRUARI TAHUN 2018
KABUPATEN : JEMBER
PROPINSI :
Puskesmas yang ada/ yang lapor : 1
Puskesmas PONED yang ada/ yang lapor : 1
Pustu yang ada/ yang lapor : 2
Polindes yang ada/ yang lapor : 3
BPS/ DPS yang ada/ yang lapor : 8
RS Pemerintah & Swasta yang ada/ yang lapor : 1
RB yang ada/ yang lapor : 1
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
i. Aids 0 0 0 0 0
j. TB 0 0 0 0 0
a. Drip 0 0 0 0 0
b. Vakum 0 0 0 0 0
c. Curatage 0 0 0 0 0
d. Placenta Manual 0 0 0 0 0
7 Kematian Maternal 0 0 0 0 0
8 Kematian Maternal diaudit 0 0 0 0 0
a. BBLR 0 0 0 0 0 0 0 0 0 0
b. Gemeli 0 0 0 0 0 0 0 0 0 0
b4 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b4 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b4 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b4 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b4 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
5 Kematian Neonatal 0 - 7 hari 0 0 0 0 0 0 0 0 0 0
b5 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b5 b. Asfiksia 0 1 1 2 0 0 0 0 0 0
b5 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b5 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b5 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
b6 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b6 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b6 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b6 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b6 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0
Jumlah Kematian Bayi (termasuk
Neonatal)
1 Jumlah TK 0
2 Jumlah TK dikunjungi 0
3 0 0 0 0 0 0 0 0 0 0
Jumlah Kematian Anak Balita (1-4
tahun)
4 Penyimpangan Tumbuh Kembang
yg Ditemukan
c. TDL gangguan 0 0 0 0 0 0 0 0 0 0
d. TDD gangguan 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0
Balita dan Apras dengan
Penyimpangan Tumbuh Kembang
yg dirujuk ke RS
Tumbuh Kembang
7 0 0 24 22 0 2 0 0 0 0
Jumlah Apras di Deteksi Tumbuh
Kembang
8 2 6 10 12 0 0 0 0 0 0
Jumlah Bayi di Deteksi Tumbuh
Kembang
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA
BULAN MARET TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
i. Aids 0 0 0 0 0
j. TB 0 0 0 0 0
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
8 Kematian Maternal diaudit
3 Jumlah Bayi Prematur 0 0 0 0 0 0 0 0 0 0
b4 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b4 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b4 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b4 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b4 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
b5 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b5 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b5 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b5 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b5 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
b6 a. Trauma Lahir 0 0 0 0 0 0 0 0 0 0
b6 b. Asfiksia 0 0 0 0 0 0 0 0 0 0
b6 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0 0
b6 d. Infeksi 0 0 0 0 0 0 0 0 0 0
b6 g. Lain-lain 0 0 0 0 0 0 0 0 0 0
7 Jumlah Kematian Bayi 0 0 0 0 0 0 0 0 0 0
(termasuk Neonatal)
8 Jumlah Kematian Bayi diaudit 0 0 0 0 0 0 0 0 0 0
1 Jumlah TK 33 30
2 Jumlah TK dikunjungi 0 0
3 Jumlah Kematian Anak Balita 0 0 0 0 0 0 0 0 0 0
(1-4 tahun)
4 Penyimpangan Tumbuh
Kembang yg Ditemukan
c. TDL gangguan 0 0 0 0 0 0 0 0 0 0
d. TDD gangguan 0 0 0 0 0 0 0 0 0 0
5 Balita dan Apras dengan 0 0 0 0 0 0 0 0 0 0
Penyimpangan Tumbuh
Kembang yg dirujuk ke RS
6 Bayi diDDtk 0 0 25 26 0 0 0 0 0 0
c6 Tumbuh Kembang
8 Jumlah Apras di Deteksi 0 0 29 20 0 0 0 0 0 0
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN APRIL TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
i. Aids 0 0 0 0 0
j. TB 0 0 0 0 0
3 Persalinan Dukun 0
5 Persalinan dengan Operasi
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
1 Jumlah Lahir Hidup 0 0 0 0 1 0 0 0
2 Jumlah Lahir Mati 0 0 0 0
3 Jumlah Bayi Prematur 0 0 0 0 0 0 0 0 0 0
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 c. BBLR<2500 gram
b4 d. Infeksi
b4 e. Tetanus Neonatorum
b4 f. Kelainan Bawaan
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi 0
b5 g. Lain-lain 0
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
7 Jumlah Kematian Bayi 0
(termasuk Neonatal)
8 Jumlah Kematian Bayi diaudit 0 0 0 0 0 0 0 0 0 0
1 Jumlah TK 33 30
3 Jumlah Kematian Anak Balita
(1-4 tahun)
a. LKA tidak normal
b. KPSP penyimpangan
c. TDL gangguan
d. TDD gangguan
e. MME mungkin ada gangguan
5 Balita dan Apras dengan
Penyimpangan Tumbuh
6 Jumlah Anak Bayi di Deteksi 27 27
Tumbuh Kembang
7 Jumlah Anak Balita di Deteksi 121 111
c6 Tumbuh Kembang
8 Jumlah Apras di Deteksi 30 29
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN MEI TAHUN 2016
KABUPATEN : JEMBER
PROPINSI
Puskesmas yang ada/ yang lapor 1
Puskesmas PONED yang ada/ yang lapor 1
Pustu yang ada/ yang lapor 2
Polindes yang ada/ yang lapor 3
BPS/ DPS yang ada/ yang lapor 8
RS Pemerintah & Swasta yang ada/ yang lapor 1
RB yang ada/ yang lapor 1
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL 54
1 Jumlah ibu hamil dg Hb < 11 gr%
a. Hyperemesis
b. Keguguran
c. Eklamsi/ Preeklamsi
d. Perdarahan Kehamilan
e. Perdarahan Persalinan
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal 1
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
1 Jumlah Lahir Hidup 1 0
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
7 Jumlah Kematian Bayi
(termasuk Neonatal)
1 Jumlah TK 33 30
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
Tumbuh Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA
BULAN JUNI TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
1 Jumlah ibu hamil dg Hb < 11 gr% 47
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
1 Jumlah Lahir Hidup
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 c. BBLR<2500 gram 1 0
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 0 0
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
Tumbuh Kembang
7 Jumlah Anak Balita di Deteksi 87 88 18 18
c6 Tumbuh Kembang
8 Jumlah Apras di Deteksi 22 19 7 6
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN JULI TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
a. Hyperemesis
b. Keguguran 1
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 101 109
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
c6 Tumbuh Kembang
7 Jumlah Balita di Deteksi 100 102
c7 Tumbuh Kembang
Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN AGUSTUS TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 104 109
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
6 Jumlah Bayi di Deteksi Tumbuh 20 25
Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN SEPTEMBER TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 33 30
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
6 Jumlah bayi di Deteksi Tumbuh 24 31
Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN OKTOBER TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 33 30
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN NOPEMBER TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK
2 Jumlah TK dikunjungi
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
LAPORAN BULANAN KIA

BULAN DESEMBER TAHUN 2016
KABUPATEN : JEMBER
PROPINSI :
TEMPAT PELAYANAN
Pasien
1 2 3 4 5 6 7
A MATERNAL 50
1 Jumlah ibu hamil dg Hb < 11 gr%
a. Hyperemesis
b. Keguguran
f. Perdarahan Nifas
g. Partus Lama
h. Infeksi
i. Aids
j. TB
k. Malaria
l. Lain-lain
3 Persalinan Dukun
4 Persalinan Normal
a. Drip
b. Vakum
c. Curatage
d. Placenta Manual
7 Kematian Maternal
2 Jumlah Lahir Mati
b4 a. Trauma Lahir
b4 b. Asfiksia
b4 d. Infeksi
b4 g. Lain-lain 1 1
b5 a. Trauma Lahir
b5 b. Asfiksia
b5 d. Infeksi
b5 g. Lain-lain
b6 a. Trauma Lahir
b6 b. Asfiksia
b6 d. Infeksi
b6 g. Lain-lain
(termasuk Neonatal)
1 Jumlah TK 33 30
(1-4 tahun)
a. LKA tidak normal
c. TDL gangguan
d. TDD gangguan
Penyimpangan Tumbuh
Kembang
c6 Tumbuh Kembang
c7 Tumbuh Kembang
Keterangan :
L : Laki-laki
P : Perempuan.
ANAN KIA
TAHUN 2017
AT PELAYANAN
Pkm BPS/ RB RS TOTAL
Pemerintah/
PONED DPS swasta
8 9 10 11 12
0 0 0 0 60
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 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 15 17
0 0 0 0 0
18 12 0 16 48
0 0 0 6 6
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
L P L P L P L P L P TOTAL
8 9 6 6 0 0 12 10 26 27 53
0 1 0 0 0 0 0 0 0 1 1
0 1 0 1 1
0 0 0 0 0 0 1 1 1 1 2
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 1 1 2
0 0 0 0 0 0 1 1 1 1 2
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 4 5 4 9
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 33 30 63
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 87 82 169
0 0 0 0 0 0 0 0 16 11 27
0 0 0 0 0 0 0 0 19 17 36
ANAN KIA
TAHUN 2018
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
0 0 0 0 54
0
0 0 0 0 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 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 15 15
0 0 0 0 0
7 12 0 13 34
0 0 0 14 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
2 5 9 3 0 0 8 19 20 28 48
0 0 0 0 0 0 0 0 0 0 0
0 2 0 2 2
0 0 0 0 0 0 1 2 1 2 3
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 1 2 1 2 3
0 0 0 0 0 0 1 2 1 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 1 0 1 1
0 0 0 0 0 0 6 8 6 8 14
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 1 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 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 88 78 166
0 0 0 0 0 0 0 0 24 24 48
0 0 0 0 0 0 0 0 12 18 30
KEPALA SEKSI KESGA
AGUS SULISTINAH,Amd.Keb
NIP. 19710809 199103 2 002
ANAN KIA
AHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
0 0 0 0 49
0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 14 14
0 0 0 0 0
16 15 0 16 48
0 0 0 12 12
0
0 0 0
0 0 0
0 0 0 Linakes
0 0 0 60
0 0 0 Ttl Persalinan
0 0 0 60
10 6 7 8 0 0 14 14 32 28 60 By LH+LM
0 0 0 0 0 0 0 1 0 1 1 61
0 0 0 0 0 0 0 0 0 0 0 Gemelli
0 2
0 0 0 0 0 0 0 0 0 0 0 Kematian 0-7
0 0 0 0 0 0 1 0 1 0 1 0
0 0 0 0 0 0 2 0 2 0 2 Kematian 8-28
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 Kematian By
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 4 5 4 5 9 Kasus Neo
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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
33 30 63
0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 25 26 51
0 0 0 0 0 0 0 0 102 88 190
0 0 0
0 0 0 0 0 0 0 0 29 20 49
0 0 0
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
AHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
0 0 0 0 52
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 15 15
0
11 17 0 14 43
10 10
0
0 0 0 0
0 0 0 0
0 0 0 0 Linakes
0 0 0 0 53
0 Ttl Persalinan
0 53
7 4 8 9 0 0 16 8 32 21 53 By LH+LM
0 0 0 0 0 0 0 0 53
0 0 0 0 0 0 0 1 0 1 1 Gemelli
0 0 0
0 0 0 Kematian 0-7
0 0 2 0 2 0 2 0
0 1 0 1 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 0
7 3 7 3 10 Kasus Neo
0 0 0 0 0 0 0 0 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 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0
33 30 63
0 0 0
0
0
0
0
0
0
0
27 27 54
0 0
121 111 232
0 0 0
30 29 59
0 0
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
HUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
54
0
17
0 0
0 1 1
0 1 1
0
0
0
0
0
0
0
0
1 14 15
0
8 29 15 53
12 12
1
1 1
0
0 Linakes
0 66
0 Ttl Persalinan
0 66
5 3 17 12 15 13 38 28 66 By LH+LM
0 0 0 0 66
0 0 0 Gemelli
12 0
0 0 0 Kematian 0-7
0 0 0 0 0
0 0 0 0 0 Kematian 8-28
0 0 0 0
0 1 1 Kematian By
0 0 0 0
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
33 30 63
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
31 17 48
110 105 215
24 20 44
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
HUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
47
12
0
1 1
0
0
0
0
1 1
0
0
0
0
0 10 10
0
18 11 7 36
10 10
0
0
0
0 Linakes
0 46
0 Ttl Persalinan
0 46
10 8 6 5 9 8 25 21 46 By LH+LM
0 0 0 46
0 0 0 Gemelli
8 0
0 0 0 Kematian 0-7
0 2 0 2 2 0
1 0 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 0
2 3 2 3 5 Kasus Neo
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
18 23 41
105 106 211
29 25 54
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
HUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
59
0
0
1
1 1
0
0
0
0
0
0
0
0
3 3
0
13 9 1 23
11 11
0
0
0
0 Linakes
0 34
Ttl Persalinan
0 34
7 6 6 3 5 7 18 16 34 By LH+LM
0 0 0 34
0 0 0 Gemelli
5 6 11 0
0 0 0 Kematian 0-7
1 1 1 1 2 0
1 1 0 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 0
3 5 3 5 8 Kasus Neo
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
101 109 210
68 79 147
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 3 5
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
13 26 39
0 0 0
100 102 202
0 0 0
20 23 43
0 0 0
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
TAHUN 2016
AT PELAYANAN
Pemerintah/
Pemerintah/
PONED DPS swasta
8 9 10 11 12
74
0
0
0
1 1
0
0
0
1 1
0
0
0
0
1 1 2
0
23 17 40
11 11
0
0
0
0 Linakes
0 51
Ttl Persalinan
51
9 14 12 4 6 5 27 23 50 By LH+LM
1 1 0 1 51
0 0 0 Gemelli
5 2 7 0
0 0 0 Kematian 0-7
1 1 1 1 2 1
1 1 0 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 -1
3 1 3 1 4 Kasus Neo
1 0 1 7
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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
104 109 213

71 79 150
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 25 45
93 84 177
34 46 80
KEPALA SEKSI KESGA
NIP. 19710809 199103 2 002
ANAN KIA
R TAHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
62
0
0
0
1 1
0
0
0
0
0
0
0
0
1 2 3
0
18 9 8 35
7 7
0
0
0
0 Linakes
0 42
Ttl Persalinan
42
9 9 6 3 7 7 22 19 41 By LH+LM
1 0 1 1 42
0 0 0 Gemelli
5 2 7 0
0 0 0 Kematian 0-7
1 1 1 1 2 1
1 1 0 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 -1
3 1 3 1 4 Kasus Neo
0 1 1 7
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 1 0
33 30 60
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
24 31 55
69 37 106
23 27 50
KEPALA SEKSI KESGA
NIP. 19571106 198112 2 001
ANAN KIA
TAHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
60
2
1 1
1 1
0
0
0
0
0
0
0
0
0
0
0
31 8 5 44
7 7
1
1 1
0
0 Linakes
0 52
Ttl Persalinan
52
15 16 2 6 5 9 22 31 53 By LH+LM
0 0 0 53
0 0 0 Gemelli
4 7 11 1
0 0 0 Kematian 0-7
1 1 1 1 2 0
1 1 1 1 2 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 0
2 5 2 5 7 Kasus Neo
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
33 30 63
19 12 31
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
31 27 58
86 97 183
24 35 59
KEPALA SEKSI KESGA
NIP. 19571106 198112 2 001
ANAN KIA
TAHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
62
2
0
0
0
0
0
0
0
0
0
0
0
2 2
0
23 8 4 35
19 19
0
0
0
0 Linakes
0 54
0 Ttl Persalinan
54
10 14 5 2 15 8 30 24 54 By LH+LM
0 0 0 54
0 0 0 Gemelli
11 8 19 0
0 0 0 Kematian 0-7
3 1 3 1 4 0
1 0 1 1 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 0
0 0 0 19
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
28 23 51
89 95 184
32 24 56
KEPALA SEKSI KESGA
NIP. 19571106 198112 2 001
ANAN KIA
TAHUN 2016
AT PELAYANAN
Pemerintah/
PONED DPS swasta
8 9 10 11 12
0
2
0
0
0
0
0
0
0
0
0
0
0
2 2
0
37 10 5 52
9 9
0
0
0
0 Linakes
0 61
Ttl Persalinan
61
18 20 7 3 6 7 31 30 61 By LH+LM
0 0 0 61
0 0 0 Gemelli
2 3 5 0
0 0 0 Kematian 0-7
0 0 0 0
0 0 0 Kematian 8-28
0 0 0 0
0 0 0 Kematian By
0 0 0 12
1 2 2 3 5 Kasus Neo
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7 5 12
7 5 12
33 30 63
17 8 25
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
27 20 47
89 83 172
20 24 44
KEPALA SEKSI KESGA
NIP. 19571106 198112 2 001
619
3 7 10 8 11 19
0 0 0 0 0 0 0 0 0
48
3 7 10 8 11 19
0 0 0 0 0 0 0 0 0
aki 31
0 0 0 0 5 4
0 0 0 0 0 0
LAPORAN SEMESTER I KIA
BULAN JANUARI S/D JUNI TAHUN 2018
KABUPATEN :
PROPINSI :
NO KEGIATAN TRIWULAN I TRIWULAN II TOTAL
A MATERNAL
1 Jumlah ibu hamil dg Hb < 11 gr% 163 153 316
2 Kasus Maternal ditemukan 0
a. Hyperemesis 0 0 0
b. Keguguran 1 2 3
c. Eklamsi/ Preeklamsi 4 1 5
d. Perdarahan Kehamilan 0 0 0
e. Perdarahan Persalinan 0 0 0
f. Perdarahan Nifas 0 0 0
g. Partus Lama 4 1 5
h. Infeksi 0 0 0
i. Aids 0 0 0
j. TB 0 0 0
k. Malaria 0 0 0
l. Lain-lain 46 40 86
3 Persalinan Dukun 0 0 0
4 Persalinan Normal 130 132 262
5 Persalinan dengan Operasi 32 32 64
6 Persalinan dengan Tindakan 0 0 0
a. Drip 0 1 1
b. Vakum 0 0 0
c. Curatage 0 0 0 Linakes
d. Placenta Manual 0 0 0 262
7 Kematian Maternal 0 0 0 Ttl Persalinan
8 Kematian Maternal diaudit 0 0 0 326
B PERINATAL & BAYI L P L+P L P L+P L P L+P L P TOTAL
1 Jumlah Lahir Hidup 78 83 161 95 70 165 173 153 326 By LH+LM
3 Jumlah Bayi Prematur 0 3 3 0 1 0 0 4 4 Gemelli
4 Kasus Neonatal yang Ditemukan 0 0 0 0 0 0 0 0 0 0
b4 a. Trauma Lahir 0 1 1 0 0 0 0 1 1 Kematian 0-7
b4 b. Asfiksia 3 3 6 2 2 1 5 5 10 2 iufd
b4 c. BBLR<2500 gram 4 3 7 1 1 2 5 4 9 Kematian 8-28
b4 d. Infeksi 0 0 0 0 0 0 0 0 0 1 ancepal
b4 e. Tetanus Neonatorum 0 0 0 0 0 0 0 0 0 Kematian By
b4 g. Lain-lain 16 17 33 14 12 26 30 29 59 Kasus Neo
b5 a. Trauma Lahir 0 1 0 0 0 0 0 0 0
b5 b. Asfiksia 0 0 0 0 0 0 0 0 0
b5 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0
b5 d. Infeksi 0 0 0 0 0 0 0 0 0
b5 e. Tetanus Neonatorum 0 0 0 0 0 0 0 0 0
b5 f. Kelainan Bawaan 0 0 0 0 0 0 0 0 0
b5 g. Lain-lain 1 0 1 0 0 0 1 0 1
6 Kematian Neonatal 8 - 28 hari 0 0 0 0 0 0 0 0 0
b6 a. Trauma Lahir 0 0 0 0 0 0 0 0 0
b6 b. Asfiksia 0 0 0 0 0 0 0 0 0
b6 c. BBLR<2500 gram 0 0 0 0 0 0 0 0 0
b6 d. Infeksi 0 0 0 0 0 0 0 0 0
b6 e. Tetanus Neonatorum 0 0 0 0 0 0 0 0 0
b6 f. Kelainan Bawaan 0 0 0 0 0 0 0 0 0
b6 g. Lain-lain 0 0 0 0 0 0 0 0 0
7 Jumlah Kematian Bayi 1 0 1 0 0 0 1 0 1
(termasuk Neonatal) 0 0 0 0 0 0 0 0 0
8 Jumlah Kematian Bayi diaudit 0 0 0 0 0 0 0 0 0
C ANAK BALITA & APRAS 0 0 0 0 0 0 0 0 0
1 Jumlah TK 66 60 126 66 60 126 132 120 252
2 Jumlah TK dikunjungi 0 0 0 0 0 0 0 0 0
3 Jumlah Kematian Anak Balita 0 0 0 0 0 0 0 0 0
(1-4 tahun) 0 0 0 0 0 0 0 0 0
4 Penyimpangan Tumbuh 0 0 0 0 0 0 0 0 0
Kembang yg Ditemukan 0 0 0 0 0 0 0 0 0
a. LKA tidak normal 0 0 0 0 0 0 0 0 0
b. KPSP penyimpangan 0 0 0 0 0 0 0 0 0
c. TDL gangguan 0 0 0 0 0 0 0 0 0
d. TDD gangguan 0 0 0 0 0 0 0 0 0
e. MME mungkin ada gangguan 0 0 0 0 0 0 0 0 0
5 Balita dan Apras dengan 0 0 0 0 0 0 0 0 0
Penyimpangan Tumbuh 0 0 0 0 0 0 0 0 0
Kembang yg dirujuk ke RS 0 0 0 0 0 0 0 0 0
6 Jumlah Anak Bayi di Deteksi 56 64 120 76 67 143 132 131 263
Tumbuh Kembang 0 0 0 0 0 0 0 0 0
7 Jumlah Anak Balita di Deteksi 277 248 525 336 322 658 613 570 1183
c6 Tumbuh Kembang 0 0 0 0 0 0 0 0 0
8 Jumlah Apras di Deteksi 69 55 124 83 74 157 152 129 281
c7 Tumbuh Kembang 0 0 0 0 0 0 0 0 0
Keterangan :
L : Laki-laki KEPALA SEKSI KESGA
P : Perempuan.
NIP. 19710809 199103 2 002
Jumlah TK yg Jumlah kematian Pe
Jumlah TK Jumlah dilakukan b. KPSP
NO URAIAN dikunjungi anak balita 1-4 thn a. LKA tidak normal
SDIDTK penyimpangan
L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13
1 JANUARI 0 0 0 0 0 0 0 0 0 0 0
2 FEBRUARI 0 0 0 0 0 0 0 0 0 0 0
3 MARET 438 445 405 415 0 0 21 28 0 0 0
4 APRIL 101 109 68 79 0 0 31 27 0 0 0
5 MEI 101 109 68 79 0 0 9 2 0 0 0
6 JUNI 101 109 68 79 0 0 10 6 0 0 0
SEMESTER 1 741 772 609 652 0 0 71 63 0 0 0
Jumlah TK yg Jumlah kematian Pe
Jumlah TK dikunjungi anak balita 1-4 thn Jumlah dilakukan b. KPSP
NO URAIAN a. LKA tidak normal
SDIDTK penyimpangan
L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13
1 JULI 101 109 68 79 0 0 8 9 0 0 0
2 AGUSTUS 104 109 71 79 0 0 0 0 0 0 0
3 SEPTEMBER 33 30 0 0 0 0 0 0 0 0 0
4 OKTOBER 33 30 19 12 0 0 19 12 0 0 0
5 NOVEMBER 0 0 0 0 0 0 0 0 0 0 0
6 DESEMBER 33 30 17 8 0 0 17 8 0 0 0
SEMESTER 2 304 308 175 178 0 0 44 29 0 0 0
JANUARI-DESEMBER 1045 1080 784 830 0 0 115 92 0 0 0
Penyimpangan SDIDTK BALITA Pen
b. KPSP e. MME mungkin ada Jumlah dilakukan b. KPSP
c. TDL gangguan d. TDD gangguan Balita yg dirujuk a. LKA tidak normal
yimpangan gangguan SDIDTK penyimpangan
P L P L P L P L P L P L P L
14 15 16 17 18 19 20 21 22 23 24 25 26 27
0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 0
0 0 0 0 0 0 0 0 0 6 2 0 0 0
0 0 0 0 0 0 0 0 0 2 1 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 13 10 0 0 0
Penyimpangan SDIDTK BALITA Pen
b. KPSP c. TDL gangguan d. TDD gangguan e. MME mungkin ada Balita yg dirujuk Jumlah dilakukan a. LKA tidak normal b. KPSP
yimpangan gangguan SDIDTK penyimpangan
14 15 16 17 18 19 20 21 22 23 24 25 26 27
0 0 0 0 0 0 0 0 0 5 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 4 0 0 0
0 0 0 0 0 0 0 0 0 10 7 0 0 0
0 0 0 0 0 0 0 0 0 23 17 0 0 0
Penyimpangan SDIDTK APRAS MTBS
b. KPSP e. MME mungkin ada Balita paripurna
c. TDL gangguan d. TDD gangguan Apras yg dirujuk Jml Balita sakit Jml balita di MTBS
yimpangan gangguan
28 29 30 31 32 33 34 35 36 37 38 39 40 41
0 0 0 0 0 0 0 0 0 69 59 69 59 96
0 0 0 0 0 0 0 0 0 67 79 67 79 96
0 0 0 0 0 0 0 0 0 35 32 85 63 109
0 0 0 0 0 0 0 0 0 18 17 15 33 110
0 0 0 0 0 0 0 0 0 38 35 28 30 111
0 0 0 0 0 0 0 0 0 31 37 28 35 116
0 0 0 0 0 0 0 0 0 258 259 292 299 638
Penyimpangan SDIDTK APRAS MTBS
b. KPSP e. MME mungkin ada Balita paripurna
c. TDL gangguan d. TDD gangguan Apras yg dirujuk Jml Balita sakit Jml balita di MTBS
yimpangan gangguan
28 29 30 31 32 33 34 35 36 37 38 39 40 41
0 0 0 0 0 0 0 0 0 40 29 37 27 100
0 0 0 0 0 0 0 0 0 30 29 23 23 93
0 0 0 0 0 0 0 0 0 25 24 22 34 69
0 0 0 0 0 0 0 0 0 33 33 30 31 86
0 0 0 0 0 0 0 0 0 31 36 28 34 89
0 0 0 0 0 0 0 0 0 26 29 26 29 89
0 0 0 0 0 0 0 0 0 185 180 166 178 526
0 0 0 0 0 0 0 0 0 443 439 458 477 1164
a paripurna Apras paripurna
Diare Pneumonia Malaria Campak Demam Difteri
42 43 44 45 46 47 48 49 50 51 52 53 54 55
91 17 28 0 0 0 0 0 0 0 0 0 0 0
68 24 25 0 0 0 0 0 0 0 0 0 0 0
97 24 32 0 0 0 0 0 0 0 0 0 0 0
99 23 28 0 0 0 0 0 0 0 0 0 0 0
106 35 28 0 0 0 0 0 0 0 0 0 0 0
109 41 42 0 0 0 0 0 0 0 0 0 0 0
570 164 183 0 0 0 0 0 0 0 0 0 0 0
a paripurna Apras paripurna
Diare Pneumonia Malaria Campak Demam Difteri
42 43 44 45 46 47 48 49 50 51 52 53 54 55
102 20 23 0 0 0 0 0 0 0 0 0 0 0
84 34 46 0 0 0 0 0 0 0 0 0 0 0
37 23 27 0 0 0 0 0 0 0 0 0 0 0
97 24 35 0 0 0 0 0 0 0 0 0 0 0
95 32 24 0 0 0 0 0 0 0 0 0 0 0
83 20 24 0 0 0 0 0 0 0 0 0 0 0
498 153 179 0 0 0 0 0 0 0 0 0 0 0
1068 317 362 0 0 0 0 0 0 0 0 0 0 0
Difteri Lain-lain
P L P
56 57 58
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Difteri Lain-lain
P L P
56 57 58
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
PUSKESMAS : AMBULU
BULAN : : DESEMBER 2017
SASARAN
NO PUSKESMAS PENCAPAIAN
ANAK PRA SEKOLAH ANAK BALITA BALITA
BLN LALU BLN INI
L P L+ P L P L+ P L P L+P L P L+ P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 JANUARI 325 312 637 1216 2472 3688 1556 1511 3067 0 0 0 120 115
2 FEBRUARI 325 312 637 1216 2472 3688 1556 1511 3067 120 115 235 122 100
3 MARET 325 312 637 1216 2472 3688 1556 1511 3067 122 100 222 135 132
4 APRIL 325 312 637 1216 2472 3688 1556 1511 3067 135 132 267 138 124
5 MEI 325 312 637 1216 2472 3688 1556 1511 3067 138 124 262 129 135
6 JUNI 325 312 637 1216 2472 3688 1556 1511 3067 129 135 264 144 133
7 JULI 325 312 637 1216 2472 3688 1556 1511 3067 144 133 277 113 128
8 AGUSTUS 325 312 637 1216 2472 3688 1556 1511 3067 113 128 241 113 109
9 SEPTEMBER 325 312 637 1216 2472 3688 1556 1511 3067 113 109 222 93 68
10 OKTOBER 325 312 637 1216 2472 3688 1556 1511 3067 93 68 161 117 124
11 NOVEMBER 325 312 637 1216 2472 3688 1556 1511 3067 117 124 241 117 118
12 DESEMBER 325 312 637 1216 2472 3688 1556 1511 3067 117 118 235 116 103
CAKUPAN BALITA CAKUPAN ANAK BALITA
KUMULATIF PENCAPAIAN KUMULATIF
N INI JML R BLN LALU BLN INI JML

L+ P L % P % L+P % L P L+P L P L+P L % P
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
235 120 38.46 115 35.38 235 36.89 0 0 0 96 91 187 96 7.9 91
222 242 16.06 215 13.78 457 14.9 96 91 187 96 68 164 192 15.8 159
267 377 25.02 347 22.24 724 23.61 96 68 164 109 97 206 301 24.77 256
262 515 34.17 417 30 986 32.1 109 97 206 110 99 209 411 33.83 355
264 644 206.41 606 38.85 1250 40.75 110 99 209 111 106 217 522 42.96 461
277 788 52.29 739 47.37 1527 49.78 111 106 217 116 109 225 683 52.51 570
241 901 59.79 867 57.53 1768 57.65 116 109 225 100 102 202 738 60.74 672
222 1014 67.29 976 62.56 1990 64.88 100 102 202 93 84 177 813 68.4 756
161 1107 73.46 1044 66.92 2151 70.13 93 84 177 69 37 106 900 74.07 793
241 1224 81.22 1168 74.87 2392 77.99 69 37 106 86 97 183 986 81.15 890
235 1341 88.98 1286 82.43 2627 85.65 86 97 183 86 97 183 1072 88.23 987
219 1457 96.68 1389 89.03 2846 92.79 86 97 183 89 83 172 1161 95.56 1070
CAKUPAN ANAK PRA SEKOLAH ( PARIPURNA )
KUMULATIF PENCAPAIAN KUMULATIF

JML R BLN LALU BLN INI JML R
% L+P % L P L+ P L P L+ P L % P % L+P %
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
7.24 187 7.56 0 0 0 17 28 45 17 5.45 28 8.62 45 7.06
12.65 351 14.2 17 28 45 24 25 49 41 13.14 53 16.31 94 14.76
20.37 557 22.53 24 25 49 24 32 56 65 20.83 85 26.15 150 23.55
28.24 766 30.99 24 32 56 23 28 51 88 28.21 113 34.77 201 31.55
36.67 983 39.77 23 28 51 35 28 63 123 39.42 141 43.38 264 41.44
45.35 1208 39.39 35 28 63 41 42 83 164 52.56 183 56.31 347 54.47
53.46 1410 57.04 41 42 83 20 23 43 184 58.97 206 63.38 390 61.22
60.14 1587 64.2 20 23 43 34 46 80 218 69.87 252 77.54 470 73.78
63.09 1693 68.49 34 46 80 23 27 50 241 77.24 279 85.85 520 81.63
70.8 1876 75.89 23 27 50 24 35 59 265 84.93 314 96.61 579 90.89
78.52 2059 83.29 24 35 59 32 24 56 297 95.19 338 104 635 99.69
85.12 2231 90.25 32 24 56 20 24 44 317 101.6 362 111.38 679 106.59
DATA IBU
Hb KEK Protein Gula
urine darah
(GD)
Diperiksa Anemia Anemia Diperiksa KEK (LILA Diperiksa Positif (+) Diperiksa
Hb (8-11 (<8 LILA < 23.5
mg/dl) mg/dl) cm)
NO URAIAN
1 JANUARI 60 25 0 60 0 60 0 60
2 FEBRUARI 54 12 0 54 0 54 0 54
3 MARET 49 0 0 49 0 49 0 49
TRIBULAN I 163 37 0 163 0 163 0 163
4 APRIL 52 52 0 50 2 52 0 52
5 MEI 54 0 0 53 1 54 0 54
6 JUNI 47 0 0 45 2 47 0 47
TRIBULAN II 153 52 0 148 5 153 0 153
7 JULI 0 0 0 0 0 0 0 0
8 AGUSTUS 0 0 0 0 0 0 0 0
9 SEPTEMBE 0 0 0 0 0 0 0 0
TRIBULAN III 0 0 0 0 0 0 0 0
10 OKTOBER 0 0 0 0 0 0 0 0
11 NOPEMBER 0 0 0 0 0 0 0 0
12 DESEMBER 0 0 0 0 0 0 0 0
TRIBULAN IV 0 0 0 0 0 0 0 0
TOTAL 316 89 0 311 5 316 0 316
Kasus
maternal
ditemuka
n
GD > 140 Hyperem Kegugura Eklamasi/ Perdarah Perdarah Perdarah Partus Infeksi i. AIDS
g/dl esis n Preeklam an an an nifas lama
asi kehamila persalina
n n
0 0 1 0 0 0 0 1 0 0
0 0 0 3 0 0 0 2 0 0
0 0 0 1 0 0 0 1 0 0
0 0 1 4 0 0 0 4 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 0 0 0 1 0 0
0 0 2 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 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 5 0 0 0 5 0 0
Jenis Persalinan
j. TB k. malaria l. lain-lain Persalina Persalina Persalina a. Drip b. Vakum c. d.

n dukun n normal n dg Curatage Placenta
nakes operasi manual
0 0 17 0 48 0 0 0 0 0
0 0 15 0 34 0 0 0 0 0
0 0 14 0 48 0 0 0 0 0
0 0 46 0 130 0 0 0 0 0
0 0 15 0 43 10 0 0 0 0
0 0 15 0 53 12 1 0 0 0
0 0 17 0 36 10 0 0 0 0
0 0 47 0 132 32 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 0 93 0 262 32 1 0 0 0
Kunjungan bumil DDRT
Kematian Kematian Kematian Kematian a. K1 b. K1 c. K4 a. b. Nakes Komplikas
maternal maternal Bulin Bufas murni Masyarak i
diaudit at kebidana
n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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 47 58 2 8 15
0 0 0 0 54 53 52 1 11 17
0 0 0 0 47 43 44 1 3 19
0 0 0 0 153 143 154 4 22 51
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 153 143 154 4 22 51
P4K Pencegahan Penularan HIV d
Pelayana Bumil risti a. Bumil b. Bumil c. d. bumil e. bulin f. bulin dg g. bayi dg a. bumil
n ibu yg ANC ikut Dukungan dpt donor didampin KB pasca IMD yg
nifas ditangani didampin tabulin ambulan darah gi suami salin ditawarka
gi suami desa n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
61 10 52 0 3 0 45 8 45 52
53 12 54 0 54 0 38 0 41 54
69 4 47 0 47 0 35 0 35 47
183 26 153 0 104 0 118 8 121 153
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
183 26 153 0 104 0 118 8 121 153
DUKUN
Pencegahan Penularan HIV dari ibu ke anak

b. Bumil c. Bumil d. Bumil e. Bulin f. Bulin g. Bayi h. Bayi i. Bayi HIV j. Bayi Jumlah
yg ditest HIV HIV HIV di HIV di lahir HIV ARV kotrim ditest HIV Dukun
positif dirujuk faskes faskes hidup dr
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0 0
153 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
153 0 0 0 0 0 0 0 0 0
Dukun Dukun Dukun
bermitra bermitra tidak
aktif tidak aktif bermitra
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

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BULAN AGUSTUS

puskesmas RS BPM Pustu Polindes Luar wilayah Luar Kab skiring tb

e. MME Jumlah b. KPSP

Malaria Campak Demam Difteri Lain-lain

Kelainan lain- Pneumoni Kelainan Kelainan Lain-

e. MME Jumlah a. LKA b. KPSP

Demam Difteri Lain-lain

KOM PENCAPAIAN KOM

116 11 127 56.44 116 11 127 56.44 118 20 138 61.33

SASARAN CAKUPAN BALITA

PENCAPAIAN KUMULATIF PENCAPAIAN

Diare Pneumonia Malaria Campak Demam Difteri Lain-lain

LAPORAN KEMATIAN BALITA (UMUR 12-59 BULAN)

LAPORAN KEMATIAN BALITA (UMUR 12-59 BULAN)

LAPORAN KEMATIAN BALITA (UMUR 12-59 BULAN)

LAPORAN KEMATIAN BALITA (UMUR 12-59 BULAN)

NO PUSKESMAS NAMA/ ORANG TUA L/P ALAMAT TANGGAL LAHIR

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

LAPORAN BULANAN KIA

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

110 105 215

KEPALA SEKSI KESGA

105 106 211

KEPALA SEKSI KESGA

104 109 213

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

KEPALA SEKSI KESGA

NO KEGIATAN TRIWULAN I TRIWULAN II TOTAL

KUMULATIF PENCAPAIAN KUMULATIF

N INI JML R BLN LALU BLN INI JML

KUMULATIF PENCAPAIAN KUMULATIF

j. TB k. malaria l. lain-lain Persalina Persalina Persalina a. Drip b. Vakum c. d.

Pencegahan Penularan HIV dari ibu ke anak

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