REKAP HASIL DATA SURVEY MAWAS DIRI TAHUN 2020

A. Akses pelayanan dan pembiayaan

no. Pertanyaan Data Keluarga B. KESEH
kesehatan
POSYANDU

penyebab
responden nama KK penghasilan/bln A.1 A.2 A.3 A.4 B.1 B.2 B.3 B.4 alasan jika b B.5 sebutkan jika a B.6 B.7 B.8 B.9
jika a

1 ? agus mulyana a a b a a b b b a a

2 MAWAR 9 Karsim Rp1,000,000 d b c a b

3 Enang Rp1,500,000 c b c a a a b a
4 Subur Makmur Rp2,000,000 c b c c a a b b a

5 Oyok Sumiati Rp1,000,000 d b c a b

6 Setia budi Rp1,000,000 d b c a a a b a a a

7 Asan Rp1,000,000 c b c a

8 Acep Parta Rp1,000,000 d b c a b

9 Nurmawati Rp1,000,000 d b c c a a b b a a

10 Saptini Rp1,000,000 a b c a b

11 Lili Darmili Rp1,000,000 d b c b

12 Darma Saputra Rp1,000,000 d b c a a b b a a

13 MAWAR 3 Asep Rp1,700,000 a a A.3 c b

14 Komar Rp750,000 a a c c

15 Sulaeman Rp700,000 a a a c b b

16 Iman Rp700,000 a b a a b a a a

17 Ali Nadi Rp650,000 a b b a

18 Dede Supardi Rp600,000 a b b c b

19 Andi Subandi Rp2,900,000 a b b a a

20 Bachtiar a a b a

21 Dodi Hardianto P Rp3,000,000 a a b c

22 oyok kusmana Rp3,000,000 a b b a b

23 Aji Adnan Kusmaeni Rp1,500,000 a b a b b a b b a a

24 MAWAR 14 Rastam Rp3,000,000 a a b c a b b a b b

25 Ajis Raswan Rp2,000,000 a a b a b b a b a a

26 Muhajir Rp3,000,000 a a b a a b b a b b a a
27 Maming Mardiana Rp1,800,000 d b c a b b b b b a a
28 Arif fajar Rp4,000,000 a a b a b b a b b a a
29 Warta Putra Rp5,000,000 a b b a b b

30 Aji Setiaji Rp3,000,000 a a b a b b b a b b a a

31 Karma Rp2,500,000 a a b c a b b a b b a a
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
 70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
JUMLAH 0 0 Rp52,300,000 0 0 0 0 0 0 0 0 0 0 0 0 0
20

B. KESEHATAN IBU DAN ANAK, GIZI DAN IMUNISASI C. SURVEILAN

alasan
alasan tindakan usia alasan jika alasan jika hiperte camp hepati cacar
alasan jika b B.10 B.11 B.12 alasan jika b B.13 jenis KB alasan B.14 jika B.15 B.16 B.17 bapil diare DBD TBC Thifus Gatal2 DM
jika b jika a menikah tidak tidak nsi ak tis air
tidak

belum alasan jika

b a b lapar a tidak a b 1

a pil a b a b b b Kartini b b b b b b b b
b b a suntik a b a b b b b b b b b b b b b
b b a a pil a b a b b b b b b b b b b b b

Oyok
Sumiat
a b a b i b b b b b b b b b b

kurang
cukup untuk
a a a pil a b membeli a b b b b b b b b b b b b

a b a b b b Neman b b b b b b b

a pil a b a b b b b b b b b b b b b

a b a a pil a b a b b b b b b b b b b b b
kadang-
b kadang b a b b b Saptini b b b b b b b b

a a b a b b b b b b b b b b b b

a b a a suntik a b a b b b b b b b b b b b b

a a b b b b b b b b b b b b

Sumia
a a a b b b b b b b ti b b b b

a a a b b b b b b b yuyun b b b b

a a b a a a b b b b b b b Ratna b b Ratna b
Herya Ali
a a a b b Ijah b b nto b nadi b b b b
Meria
b a a a b b b b b b b m b b b b

a a a a b b b andi b b b metty b b b b
a b a b b b icih b b b b b b b b

st siti
patona paton
h ah b b b b b b b b b
a a a b b b b b b b b b b b b

a b a a b a a b b b b b b b b b b b b
a b a b a a a b b b b b b b a b b b b

a b a b a a a b b b b b b b b b b b b
a b a b 20th a a a b b b b b b b b b b rafael b
a b a b a a a b b b b b b b b b b b b
a b a b a a a a b b b b b b b b b b b

a b a b a a a a Arfian b b b b b b b b b b
a b a b a a a b a b b b b b a b b b b
0 0 0 0 0 0 0 0 1 0 0 0 0 0
 D. RUMAH DAN LINGKUNGAN E. PERILAKU ANGGOTA KELUARGA

Pneum alasan lainnya lainnya alasan jika alasan alasan

D.1 D.2 D.3 Jika d lainnya : D.4 D.5 D.6 D.7 D.8 D.9 D.10 D.11 D.12 D.13 D.14 D.15 D.16 D.17 D.18 D.19 D.20 D.21 D.22 E.1 E.2 E.3 E.4 E.5 E.6 E.7 E.8 E.9
oni jika c jika d jika e c jika c jika c

250 a d pompa listrik a a b c c b a a a a E.14 b a a b c bau c b b b a a b b a a a a

b 3x7 c a c b b b a b a b a b a a a a a
b 25x7 b a c a b b a c b b c b d a b a d c b b a b a b a a a a a
b 3x7 a a a a b c a b b b b a c a a a b c a b a a a b a a a a

tdk ada
b 3x7 b a c b b b a b a b b b d a b a d c halaman a a b b a b a a a a a

b 2x5 b a c a b b c b b b b b b a b a a c a a a b a b a a a a a

b 3x5 b a c a b b a b b b b b b a b a d c c b a a b a b a a a a a
sumur dari
b 4x5 c d tetangga b b b a c a b b b c b b a d b c a b a a a b a a a a a

b 2,5x5 b a c b b b a b b b b b b a b a d c a a a b a b a a a a b

b 3x5 b a c b b b a c b b b b b a b a d c a a a b a a a a a a a

b 2,5x7 b a c b b b a c b b c c c a a b a d c b b a a a b a a a a a

tdk ada
b 3x10 b a c a b b e b b b b b a a b a d b c halaman b b a b a b a a a a a

dibakar
dikebun
b 100 b a a a b c b c sendiri b b b a e b a a a c a b b a a a b a a a a a

bikin got
b 35 b d beli d orang a a b c e sendiri b a a a a d a b a a a b b b a a a b a a a a a

b 15 c d beli d orang a c a b d b b a b a a b c a d a b b b a a a b b a a a a

b 30 b d beli d orang a b a b d b a a a a d b b a d a c b b a a a b b a a a a

b 64 b d beli d orang a a b b d b b a b a e b a a b c a b b b a a b a a a a a

b 45 b d beli d orang a a b c d a b a b a e a a a d c b a b b a a b a a a a a

b 54 b a c a b c d b a a a a e b a a b a a b b b a a b a a a a a
b 100 a a a a b c d c b b a a e a a a a c a b b a a a b a a b a

b a a a a b c c b a a a e b a a b c c b b a a a b a a b a a
b 90 b d beli d orang a a b c d c b a b a e b a a b c a b b a a a b a a a a a

b 90 b d beli d orang a a b c d c b a b a e b b a b c a b b b a a b a a a b a
b 7x10 a a a a b c c a a a a a e a a a a a c b a b a a b b a a a a

b 5x4,5 a a a a b c c a a a a a c b b a a c c b b b a a b a a a b a
b 97 a a a a b c d b a a b a e b a a b c c a a a a a b a a a b a
b a a a b c d b a a b c a a a c c c a b a a a b b a a a a
b a a a b b c b a a b a d b a a c c c b b a a a b a a a a a

b a a b a b c b a a b a b b a a c c c b b a a a b b a a b a
a 8x10 a a a a b c c a a a a a e a a a a a c b a b a a b b a a a a
0 970 0 0 0 0 0 0 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. KEAMANAN DAN
PERILAKU ANGGOTA KELUARGA F. EKONOMI H. KESEHATAN REMAJA I. KESEHATAN LANSIA
TRANSPORTASI

E.10 E.11 E.12 E.13 E.14 E.15 E.16 F.1 F.2 F.3 F.4 F.5 F.6 G.1 G.2 H.1 H.2 H.3 H.4 H.5 H.6 H.7 I.1 I.2 I.3 I.4 keluhan

a a a b a a b c c a b b b a b b b b
batuk
a a a b b a b a a b b b b a c c b b a b a b a c menahun
a a a a a a b c b b b b b a c
a a a a a a b c b b b b b a c

batuk
a a a b a a b c b b b b a c a b b a b a b a a c menahun

a a a a a a b c b b b b a a c

a a a a a a b c b b b b b b d a b b a b a b a a b pusing

a a a a b b b c b b b b b a c

a b a a b a b a a b b b b a c

b a a b a a b a a b b b b a c a b b a b a b

b b a b a b b c b b b b b a c a b b a b a b

a b a b a a b a b b b b b a c c b b a b a b

pusing-
a a a b a a b c c b b b b a b a a d pusing

a b a b a a b a a b b b b b d a a b gatal

a a a b a a b a a b b b b a d a a b gatal

a a a a a a b a b b b a b a b b a a a a a b gatal
bengkak
a a a b a a b a b b b b b a b a a d kaki
pusing-
a a a b a a b a a b b b b a b a a b pusing
pusing-
a a a b a a a a b a a b a a c a a b pusing
b b a a a a b a a b b b b a b b b b hipertensi

a a a b a a b c c b b b b a c
a a a b a a b a b a a a b a b b a b c b b b a a b gatal

a a a b a a b a b a a a b a b b a b b b a a d pusing gatal
a a a a a a a c b b b b b a b b a b a a a a b a dm

a a a a a a a a b b b b b a b b b b a a a a a b a dm
a a a b a b b c c b b b b a b b a b a b b b b b a kolestrol
a a a b a a a a a b b b b a b
a a a b a a b b b a a b b a b b b b a b a a

a a a b a a b b b a a b b a b b b b a b a a
a a a b a a a c c b b b b a b b a b a a a a b b
0 0 0 0 0 0 0
REKAP HASIL
DATA SURVEY
MAWAS DIRI
TAHUN 2020

A. Akses
no. pelayanan dan
Data Keluarga B. KESEHATAN IBU DAN ANAK, GIZI DAN IMUNISASI
Pertanyaan pembiayaan
kesehatan
POSYANDU alasan jika sebutkan penyebab alasan tindakan usia
responden nama KK penghasilan/bln A.1 A.2 A.3 A.4 B.1 B.2 B.3 B.4 B.5 B.6 B.7 B.8 B.9 alasan jika b B.10 B.11 B.12 alasan jika b B.13 jenis KB
b jika a jika a jika b jika a menikah

1 ? agus mulyana a a b a a b b b a a b a

2 DAHLIA 6 Toni Nurahman Rp2,000,000 a a b a a a b b a a b a suntik

3 Deden Dahlan Rp8,000,000 a a b a a a b b a a a suntik

ingin
puting kecil jadi langsung
4 Suwito Rp5,000,000 a a b a a a b b b susah b pnya anak

ingin
langsung
5 Saman Rp2,000,000 d a b a a a b a a a b b pnya anak

6 Nurdin Rp2,000,000 d a b a a b b a b b a b kerja a suntik

7 Supriatna Rp2,000,000 a a b b a mow

sdh
8 Didi Kurniadi d a c a b menopause
9 Sunaryo Rp5,000,000 a a b a a a suntik

tdk ad yg
11 Galih Rp2,000,000 a a b c a a b b a a b antar b a a suntik
12 DAHLIA 1 Sugih a a b c b
13 Endang Rp5,000,000 a a b a a b b b b a a a b b b hamil

14 Bangbang Rp5,000,000 a a b a a a b b a a a b b tdk ad air susunya a

15 Rochni Triyana Rp4,500,000 a a b a b b ingin hamil

16 Muhamad Romadon Rp4,500,000 a a b a a a b b a a a b a b

17 Sutisna Rp8,000,000 a a b a b b ingin hamil

18 Iyan Surya Agung Rp6,000,000 a a b b a b b a b b a a a b a b ingin hamil

19 Suryadi a a a c b

20 Jajang Koswara Rp4,500,000 a a b a b b ingin hamil 18th

21 Kasman Rp5,000,000 a a b c a a 12th

22 Iwan Rp1,500,000 a a b a a a b b a a a a b a

23 DAHLIA 5 Johan Johana Rp3,000,000 a b b a a a a a

24 Dede Cahyadil d a c a a

25 Handoyo a b b c a a a a a b a a a b a a

26 Ade taryadi a a b c a a a a b b a a a b a a

27 Hengky Firmansyah Rp5,000,000 a a b b b b a b a a a b a b

28 Dian a c b a a a a prematur b a a b

29 Ilham Fudholi a a b a b b tdk keluar air susu

30 Irpansyah Rp500,000 a a b c a b b a a a b a a

31 Entis Sutisna Rp5,000,000 a a b b a a b a a a a b a a pil kb 23

32 Abdul Karim Rp2,000,000 a a c a a b b a b b a a a b a a

33 Suryamah Rp2,000,000 d a c a b a a b susu formula

34 DAHLIA 17 Suparman Rp4,500,000 a a b a b a sesak nafas b b

35 E Sukarma Rp500,000 a b b a a a a

36 Enda Suhenda Rp3,000,000 a d b a a b b a b b a a a b a b

37 Rina Desiyana Rp50,000 c a b a a b b a b b a a a b a b

38 Aris mulyana Rp5,000,000 a a b a a a b b a a a b a

39 Iyang Suryana Rp4,800,000 a a b a a b b a b a a a a b a b

40 Sarma Rp2,000,000 a b b a b b a a b a a b b a b

41 Ega Irmawan Rp3,000,000 a b c a b b a b b a a a b b bekerja

42 Nata Rp2,500,000 a a b c b a a a b a b

43 cahari Rp2,900,000 a a b a a b b a b b a a a b a

44 Junandang Rp1,500,000 d a b a b a b b a a a b a b
45 DAHLIA A agus mulyana a a b a a b b b a a a

46 Deni Herdiana c b b a a a b b a a a b a a

47 Ahmad suparjo Rp5,000,000 a a b a b b a a b a suntik

 A. Akses
no. pelayanan dan
Data Keluarga B. KESEHATAN IBU DAN ANAK, GIZI DAN IMUNISASI
Pertanyaan pembiayaan
kesehatan
POSYANDU alasan jika sebutkan penyebab alasan tindakan usia
responden nama KK penghasilan/bln A.1 A.2 A.3 A.4 B.1 B.2 B.3 B.4 B.5 B.6 B.7 B.8 B.9 alasan jika b B.10 B.11 B.12 alasan jika b B.13 jenis KB
b jika a jika a jika b jika a menikah

48 Isak sunjana Rp2,000,000 d b b b a b b b a a a a a

anaknya lebih suka
49 Bobi misad Rp1,000,000 a a a a a a a a b b a a b b sufor a

50 Deni f m Rp1,500,000 c a b a a b b a b a a a a b a a
berobat
51 Iwan ridwan Rp1,500,000 d a b a a b b a b b a a a a jalan b kurang air susu a

52 Benny Setiawan Rp5,000,000 a b b a a a a a b b a a a b a a

53 Sugihartono Rp4,000,000 a b b a b b a a a b

54 Mulyana Apriadi a a b a a

55 Agry Ardian a b b c a b b a b b a a a b a b
56 DAHLIA B Supriatno a b b a b b a b b a a a b a b

57 Suhardi d b a a b a b

58 Saca Rp2,400,000 d a a a a b b a b b a a a b a b
59 Topik Hidayat Rp1,000,000 a b b a a b b a a b a b a b
60 Ahmaad Sanusi
61 Dian Rodiana a b a b b b a b b a b b b
62 Egi Sutarma Rp1,500,000 d b a a a b b a b b a a a b a b
63 Ade Sunarya Rp3,000,000 c b b a a a b a b a a a b a a suntik

64 Andi Gunawan a d b c a b b a b b a a b a

65 Rivaldo Supriatna a d b a a b b a b b a a a b a
66 Oman Suhaya a b b a b a b b a a a b a
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
 A. Akses
no. pelayanan dan
Data Keluarga B. KESEHATAN IBU DAN ANAK, GIZI DAN IMUNISASI
Pertanyaan pembiayaan
kesehatan
POSYANDU alasan jika sebutkan penyebab alasan tindakan usia
responden nama KK penghasilan/bln A.1 A.2 A.3 A.4 B.1 B.2 B.3 B.4 B.5 B.6 B.7 B.8 B.9 alasan jika b B.10 B.11 B.12 alasan jika b B.13 jenis KB
b jika a jika a jika b jika a menikah

140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209

JUMLAH 0 0 Rp149,150,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 C. SURVEILAN D. RUMAH DAN LINGKUNGAN
alasan
alasan jika alasan jika hipert camp hepati cacar Pneum Jika d alasan lainnya lainnya alasan jika
alasan B.14 jika B.15 B.16 B.17 bapil diare DBD TBC Thifus Gatal2 DM D.1 D.2 D.3 D.4 D.5 D.6 D.7 D.8 D.9 D.10 D.11
tidak tidak ensi ak tis air oni lainnya : jika c jika d jika e c
tidak

belum alasan jika pompa

b lapar a tidak a b 1 250 a d listrik a a b c c b a a

tdk
terbias
a a a a b b b 1 toni b b b b b b b b b 100 a b a a b c c a a a

dean
a a a b putra b b b b b b b b b b b 25 a b a a b c c a b a

callyst
a a a b a b b b b b b b b b b b 157 a d sumur bor a a b c c b b a

a B.15 a b b b b b b b b b b b b b 150 a b a a b c c b b a

a a a b b b b b b b b b b b b b 50 a d sumur bor a a b c c b b a

a a a b b b b b b b b b b b b b 50 a d sumur bor a a b c c b a a

a B.15 a b b b b b b b b b b b b b 50 a d sumur bor a a b c c b b a

a a a b b b b b b b b b b b b b 100 a b a a b c c a b a

a a a b b b b b b b b b b b b b 50 a d sumur bor a a b c c a b a
a a a b b b b b b b b b b b b b a b a a b c c a a a
a a a b b b b b b b b b b b b b 100 a b a a b c c a a a

a a a b b b b b b b b b b b b b 100 a d sanyo a a b c c a a a

a a a b b b b b b b b b b b b b 100 a b a a b c c b a a

a a a a b b b b b b b b b b b b 100 a b a a b c c a a a

a a a b b b b b b b b b b b b b 100 a b a a b c c b a a

a a a b b abqori b b b b b b b b b b 100 a b a a b c c a a a
suryad
a b a b i b b b b b b b b b b b 30 c b a c a a a a a a

a a a b b b b b b b b b b b b b 120 a b a a c c c a a a
kasma
a a a b n b b b b b b b b b b b 200 a b a a b c c a a a
a a a b b b b b b b b b b b b b 100 a b a a b c c a a a

a a a b b b b b b b b b b b b b a b c a c c D.8 a a a

a a a b aum b b titik b b b b b b b b 50 a b a a b c D.8 a a a

keluar
a a a b b b b b b b ga b b tiara b b 80 a b a a b c c a a a

rifki
ramad
a a a b b b b b b b ika b b b b b a d jet pam a a b c D.8 a a a

a a a b b b b b b b b b b b b b a b a a b c c a a a
a a a b b b b b b b b b b b b b b a a b b a a a

a a B.16 b b b b b b b b b b b b b 86 b a a b c d b a a

a a a b a b b b b b b b b b b b 5a b a a b c c a a a

yuli
marya
a a a b nti b b b b b b b b b b b 30 a b a a b c c a a a

a a a b b b b b b b b b b b b a a a b c d b a a

b a a b anak anak b b b b b b b b b Nazmi c b a a a b d c a b

a a a b a b b b b b b b b b b 90 a a a a b c c a a a
b b b b b b b b b b b b a d sanyo a a b c c b a a

a a a b a b b b b b b b b b b b 150 b a a a b c d a a a
a a a b b b b b b b b b b b b b a b a a b c d a a a

a a a b a b b b b b b b b b b b a a a a b c c b a a

a a a b b b b b b b b b b b b b 127 a a a a b c c a a a

a a a b b b b b b b b b b b b b a a a b b c b a a

a a a b b b b b b b b b b b b b 100 a a a a b c c a a a

a a a b a b b b b b a b b a b b 200 a a a a b c c a a a

a a a b b b b b b b b b b b b b 180 a a a a b c c a a a

a a a b a b b b b b b b b b b b 100 b a a b a a c c b a
b a a b a b b b b b b b b b b b 250 a d a a b c c b a a

a a a b zyan n b b b b b b b b b b b a a a a b c c b a a

a a a b Fathan b b b b farhan b b b b b b a a a a b c d a a a
 C. SURVEILAN D. RUMAH DAN LINGKUNGAN
alasan
alasan jika alasan jika hipert camp hepati cacar Pneum Jika d alasan lainnya lainnya alasan jika
alasan B.14 jika B.15 B.16 B.17 bapil diare DBD TBC Thifus Gatal2 DM D.1 D.2 D.3 D.4 D.5 D.6 D.7 D.8 D.9 D.10 D.11
tidak tidak ensi ak tis air oni lainnya : jika c jika d jika e c
tidak

sekelu
a a a b arga b b b b b b b b b b b 7x8 a d bor a a b c c c b a

a a b b b b b b b b b b b b b b 100 a d pam air a a b c d a a a

a a a b b b b b b b b b b b b b 50 a a a a b c c a a a

a a b b b a b b b b b b b b b c a d a b b e c b b
bunda
a a a b reni b b b b b b b b b b b a d jet pam a a b c c a a a
a a a b b b b b b b b b b b b b a d sanyo a a b c d a a
8x1
a a a b b b b b b b b b b b b b 0 a a a a b c c c a b

anak
dan
a a a b ibu b b b b b b b b b b b 50 a d sanyo a a b c c b a a
b a a b b b b b b b b b b b b b b a a b b c b
Hengk
a a Fachri i b b b b b b b b b b 40 a b a a a c c b a a

a a a a a b b b b b b b b b b b 48 b b a a b c c b a a
a a a b b b b b b b b b b b b b a a b c d b a a

b a a a a b b b b b b b b b b b a a b c d
a a a b b b b b b b b b b b b b 15 a b a a b b c a a a
a a a b b b b b b b b b b b b b 21 a b a a b c d b a a
Asma
a a a a Teguh b nah b b b b b b b b b 100 a b c a b c c b a a
Asma
a a a a a b nah b b b b b b b b b 100 a b c a b c c b a a
b a b yeni b b b b b b b b b b b 15 a a a a b c c b a
 C. SURVEILAN D. RUMAH DAN LINGKUNGAN
alasan
alasan jika alasan jika hipert camp hepati cacar Pneum Jika d alasan lainnya lainnya alasan jika
alasan B.14 jika B.15 B.16 B.17 bapil diare DBD TBC Thifus Gatal2 DM D.1 D.2 D.3 D.4 D.5 D.6 D.7 D.8 D.9 D.10 D.11
tidak tidak ensi ak tis air oni lainnya : jika c jika d jika e c
tidak

0 0 0 0 1 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 0 0
 G.
KEAMANA
DAN LINGKUNGAN E. PERILAKU ANGGOTA KELUARGA F. EKONOMI N DAN H. KESEHATAN REMAJA I. KESEHATAN LANSIA
TRANSPOR
alasan alasan TASI
D.12 D.13 D.14 D.15 D.16 D.17 D.18 D.19 D.20 D.21 D.22 E.1 E.2 E.3 E.4 E.5 E.6 E.7 E.8 E.9 E.10 E.11 E.12 E.13 E.14 E.15 E.16 F.1 F.2 F.3 F.4 F.5 F.6 G.1 G.2 H.1 H.2 H.3 H.4 H.5 H.6 H.7 I.1 I.2 I.3 I.4
jika c jika c

a a E.14 b a a b c bau c b b b a a b b a a a a a a a b a a b c c a b b b a b b b b

a a E.14 b a a b c b a a b a a b b a a a a a a a b a a b c a a a a b a c b b b a b b b b b b

minim
pekaran
a b E.14 b a a b c c gan b b a a a b b a a a a a a b b a a b c c a a a a a c b b b

tdk ada
pekarna
c c E.14 b a a a c c gan b a b a a b a a a a a a a a b a a b c c a a a b a c b b b a b b b b b a

tdk ada
pekarna
b b E.14 b a a b c c gan b b a a a b b a a a a a a a b a a b c a b b a b a b b b b

b b E.14 b a a b c c sempit b b a a a b a a a a a a a a b a a b c b b b b b a c b b b

b b E.14 b a a b c berkebun b a a a a a b b a a a a a a a b a b b c b a a b b a c b a b a b b b b b a

tdk ada
tdk ada
pekarna
b b D.14 b a a c a c pekarna
gan b b b a a b b a a a a a a a b a b b a a b b b b a d b b c
a a E.14 b a a b c c gan b b a a a b a a a a a a a a a a c c a a a a a c b b b
tidak ada tdk ada
pekarang pekarna
b b E.14 b a a b c an c gan a a b a a b a a a a a a a a b a a b c b a a a b a c c a b a b b b b b a
b a E.14 b a a b c c a b a a a b a a a a a a a a a a a b c c b b b b b b b a b b b
b a E.14 b a a b c c b b a a a b a a a a a a a a a a a b c c a b b b b c b

b a E.14 b a a b c c a b b a b a a a a a a a a a a a b b c c a b b b b b b

b a E.14 b a a b c c b b a a a b a a a a a a a a a a a b c c a b b b b c b a b a a b b b

b a E.14 b a a c c b b b a a b a a a a a a a a a a a b c c a b b b b b b

b a E.14 b a s b c c b a a a a b a a a a a a a a a a b b c a b b b b b c b a b a a b b b

b a E.14 b a a a a c b b a a a b b a a a a a a a a a a b c c a b b b b b b

a a a b b a D.18 a c a a b a a b b a a a a a a a a a a b b b b b b b

b a E.14 b a a b c c a a a a a b a a a a a a a a a a b b c c b b b b b b b a b a b b b b

b a E.14 b a a b c c a b b a b a a a a a a a a a a a a b c c a b b b b b b b b a b b b b
b a E.14 b a a b a c b b a a a b a a a a a a a a a b b c c b b b b b b b

b a E.14 b a a b c c b b a a a b a a a a a a a a a a a b c c a a a b a b

a a E.14 a a b a a b b a a a b a a a a a a a a a a a a c a a b b b a b b a b a a a

a a E.14 a a a b c a b b a a b a a a a a a a a a a a b c c a a a a a a b b a a b a a b b

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a a E.14 b a a b c b a a b a a b a a a a a a a a a a a a c c a b b b a c a b
a a E.14 b a a b c a a b a a a a a a a a a a a a a a a a b b b a b a a b

b a D.14 b a a D.18 c a b b a a a b b a a a a a a a a a a b a a a b b b a b b b b a b a a a a

a D.14 a b a b b a a a a a a b a a a a a a a a a a b b a a b b b b a b c a b a b b b b

a a E.14 a a a a b a a a a a a b a a a a a a a a a a a b a b a b a b a b b a b a b b

a a E.14 b a a a a a a a a a b a a a a a a a a a a a a b a b b b b a c b a b a b a b b d

b a D.14 a c a D.18 c a a a a a a b b a a a a a a a a a a a b b b b a b b b a a b b a a a a

b a E.14 b a a a c a a b a a a b a a a a a a a a a a a b c c a a b b a b a a b
a a E.14 a a a b c a b b b a a b a a a a a a a a a a a b c c a a a a

tdk ada
pekarna
a a E.14 a a a a c c gan a a b a a b a a a a a a a a a a a b b a a a b b a b a b b a b b b a a b
a a E.14 b a a a a a a a a a ab a a a a a a a a a a a a c a b a a a a b b a b a a b b a a d

a a E.14 b a a a a a b b a a a b b a b b a a a a a a a b a b a b b b a b a a b

a a D.14 b a a D.18 c a a b b a a b a a a a a a a a a a a b c b a a a a a b b a b a b a a a a b

a a D.14 b a a a a c b b a a a b b a a a a a a a a a a b b a a a b b a b a b b b a a a

b a D.14 a a a a a c b a a a a b a a a a a a a a a a a b a a a a b b a b a b b

tdk ad
tanah
a a D.14 b a a b c c kosong a a a a a b a a a a a a a a a a a a b b a b b b a b b a a a b b b a a a

a a D.14 b a a a a a a a a a a b a a a a a a a a a a a a a c a b b b a b b b b a b a b a a a

tdk ad
tanah
b a D.14 b b a D.18 c c kosong a b a a a b a a a a a a a a a a a b b a a b b b a a a b b a b b b a b b
a a E.14 b a a b c c b b b a a b b a a a a a a a b a a b c c a b b b a b b b b

a E.14 b a a a c c a a a a a b a a a a a a a a a a a b c c a a b b a b a a a

b a E.14 b a a a c a b b a a a b a a a a a a a a b a a b c c a a a b a b b a
 G.
KEAMANA
DAN LINGKUNGAN E. PERILAKU ANGGOTA KELUARGA F. EKONOMI N DAN H. KESEHATAN REMAJA I. KESEHATAN LANSIA
TRANSPOR
alasan alasan TASI
D.12 D.13 D.14 D.15 D.16 D.17 D.18 D.19 D.20 D.21 D.22 E.1 E.2 E.3 E.4 E.5 E.6 E.7 E.8 E.9 E.10 E.11 E.12 E.13 E.14 E.15 E.16 F.1 F.2 F.3 F.4 F.5 F.6 G.1 G.2 H.1 H.2 H.3 H.4 H.5 H.6 H.7 I.1 I.2 I.3 I.4
jika c jika c

a a E.14 b b a b c c a a b a a b b a a a a a a a b a a b c b b a b b a a b a b a a b b a a b

a a E.14 b a a b c c b b b a a b a a a a a a a a a a a a c c a a a a a c b a b a a a a b a

a a D.14 a a a b c c b b a a a b a a a a a a a a a a a b a b a b b b a b b a b b b a b a a a

a a D.14 a a a c c c b b a a a b a a a a a a a a a a a a b b b b b b a b c a b a b b b b b a

a a E.14 b a a b a a a a b a a b a a a a a a a a a a a b c c a a a a a b
a a E.14 a b a a a b a a a a a a a a a a b c c a a a a a b

b a E.14 b a a b c a b b a a a b a a a a a a a a a b c

b a E.14 b a a b c c b a b a a b b a a a a a a a b a b b c c a b a b b c b b a b b b a a
a E.14 a a a a c c b b a a a b a a a b a a a a a a a a a a a b a b a b b a b a b b b b b a

b a E.14 b a a a c b b a a a b a a a a a a a a b b b b b b a b a a b a b b b b a

b a D.14 b b a b a c b b a a a b a a a a a a a a b a a b a c b b b b b b
b a E.14 a a a b c a a b a a a b a a a a a a a a a a a b a b b b b b a b b a b b b b a

b d b b a a a c a a a a a b b a b b a b a
b a d b b a b a c a b a a a b a a a a a a a a a a b b c a a b b b a b a b b a b b b a b a
b a e b a a b c a b a a a a b a a b a a a a a a a a b c c a b b b a b b a b a b b b b b b

b a d b a a a c c b b a a a b b a b a a a a a a a b c c a b b b a c

b a d b a a a c c b b a a a b b a b a a a a a a a b c c b b b b a b
a e e b a a b c c a a a a a b b a b a a b a a b a b c c a b b b a b b a a b b
 G.
KEAMANA
DAN LINGKUNGAN E. PERILAKU ANGGOTA KELUARGA F. EKONOMI N DAN H. KESEHATAN REMAJA I. KESEHATAN LANSIA
TRANSPOR
alasan alasan TASI
D.12 D.13 D.14 D.15 D.16 D.17 D.18 D.19 D.20 D.21 D.22 E.1 E.2 E.3 E.4 E.5 E.6 E.7 E.8 E.9 E.10 E.11 E.12 E.13 E.14 E.15 E.16 F.1 F.2 F.3 F.4 F.5 F.6 G.1 G.2 H.1 H.2 H.3 H.4 H.5 H.6 H.7 I.1 I.2 I.3 I.4
jika c jika c

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KESEHATAN LANSIA

keluhan

pusing dan
mual

pusing dan
mual

sakit lutut

darah tinggi
pusing dan
mual

sakit sendi

batuk
pusing

sakit lutut

batuk

sakit
pinggang

sakit
pinggang

darah tinggi

batuk pilek

batuk pilek

batuk pilek

batuk pilek

pegel2
kesemutan

pilek batuk
panas

pusing
pegal2
KESEHATAN LANSIA

keluhan

pusing

pusing
KESEHATAN LANSIA

keluhan
REKAP DATA SURVEY MAWAS DIRI TAHUN 2019

B. Akses pelayanan
no.
A. Data Keluarga dan pembiayaan C. KESEHATAN
Pertanyaan KELURAHAN penghasil
responden nama KK kesehatan
B.1 B.2 B.3 B.4 C.1 C.2 C.3 C.4 C.5
an/bln
1 TANJUNGMEKAR 0 0 0 0 0 0 0 0 0
2 TANJUNGPURA 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
 D.
SUR
C. KESEHATAN IBU DAN ANAK, GIZI DAN IMUNISASI
VEIL
C.6 C.7 C.8 C.9 C.10 C.11 C.12 C.13 C.14 C.15 C.16 C.17 C.18 C.19 AN
D.1 E.1 E.2 E.3 E.4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 ### ### 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### 1 0 0 0 0
 E. RUMAH DAN LINGKUNGAN
E.5 E.6 E.7 E.8 E.9 E.10 E.11 E.12 E.13 E.14 E.15 E.16 E.17 E.18 E.19 E.20 E.21 E.22 F.1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 4044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 F. PERILAKU ANGGOTA KELUARGA
F.2 F.3 F.4 F.5 F.6 F.7 F.8 F.9 F.10 F.11 F.12 F.13 F.14 F.15 F.16 F.17 F.18 F.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
 DATA ANGGOTA KELUARGA YANG SAKIT DAAM KURUN WAKTU 3 BULAN TERAKHIR

NO NAMA PENDERITA UMUR ALAMAT KELURAHAN PENYAKIT