Format PWS Tegallega 2021

PWS KIA DESA TEGALLEGA BULAN JANUARI TAHUN 2021
SASARAN
PUSKESMAS
POSYANDU
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUMIL AN BAYI BALITA BUMIL BULIN BAYI
BUTEKI
HIDUP RESTI RESTI RESTI
1 2 3 4 5 6 7 8 9 10 11 12
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1
JUMLAH 58 55 53 48 209 12 11 8
TARGET KABUPATEN
4 TEGALLEGA 10 58 55 53 48 209 12 11 8
DESA TEGALLEGA BULAN JANUARI TAHUN 2021
IBU HAMIL MEMPUNYAI BALITA MEMPUNYAI BUKU KELUARGA BALITA MENGIKUTI

BUKU KIA KIA KELAS BALITA
N KUM % N KUM % N KUM %
13 14 15 16 17 18 19 20 21
1 1 14.3 1 1 5.0 1 1 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
1 1 25.0 1 1 6.3 1 1 6.3
1 1 12.5 1 1 3.2 1 1 3.2
0 0 0 0 0 0 0 0 0.0
1 1 25.0 1 1 4.3 1 1 4.3
1 1 11.1 1 1 6.7 1 1 6.7
2 2 22.2 2 2 7.4 2 2 7.4
7 7 12 7 7 3 7 7 3.3
7 7 12.1 7 7 3.3 7 7 3.3

KI TT I Fe I TT 2
MURNI TIDAK MURNI TOTAL

KUM K1 % N KUM % N KUM % N KUM %
K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
1 1 14.3 0 0 0.0 1 1 14.3 1 1 14.3 1 1 14.3 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 1 1 25.0 1 1 25.0 0 0 0.0 1 1 25.0 0 0 0.0
1 1 12.5 0 0 0.0 1 1 12.5 0 0 0.0 1 1 12.5 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 1 1 25.0 1 1 25.0 0 0 0.0 1 1 25.0 0 0 0.0
1 1 11.1 0 0 0.0 1 1 11.1 1 1 11.1 1 1 11.1 1 1 11.1
2 2 22.2 0 0 0.0 2 2 22.2 2 2 22.2 2 2 22.2 0 0 0.0
5 5 8.6 2 2 3.4 7 7 12.1 4 4 7 7.0 7 12.1 1 1 1.7
8.3 8.3
5 5 8.6 2 2 3.4 7 7 12.1 4 4 6.9 7 7 12.1 1 1 1.7

P W S KIA
Fe 3 K 4 K 6 TT 5
N KUM % N KUM % N KUM % N KUM %
40 41 42 43 44 45 46 47 48 49 50 51
0 0 0.0 0 0 0.0 0 0 0 0 0 0.0
0 0 0.0 1 1 33.3 1 1 33 0 0 0.0
0 0 0.0 0 0 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 25.0 0 0 0.0 0 0 0 0 0 0.0
1 1 12.5 0 0 0.0 0 0 0 0 0 0.0
1 1 16.7 2 2 33.3 2 2 33 0 0 0.0
1 1 25.0 1 1 25.0 1 1 25 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0 0 0 0.0
1 1 11.1 1 1 11.1 1 1 11 0 0 0.0
5 5 8.6 5 5 8.6 5 5 9 0 0 0
8.3 8.3
5 5 8.6 5 5 8.6 5 5 9 0 0 0.0

JENIS PERSALINAN TEMPAT PERSALINAN DENGAN TENKES / PN
LINAKES / PN DUKUN LOLOS KUMULATIF FASKES NON FASKES KF 1
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N
52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 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 50.0 0 0 0.0 0 0 0.0 2 2 50.0 2 2 50.0 0 0 0.0 2
2 2 50.0 0 0 0.0 0 0 0.0 2 2 50.0 2 2 50.0 0 0 0.0 2
1 1 25.0 0 0 0.0 0 0 0.0 1 1 25.0 1 1 25.0 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
1 1 20.0 0 0 0.0 0 0 0.0 1 1 20.0 1 1 20.0 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
1 1 12.5 0 0 0.0 0 0 0.0 1 1 12.5 1 1 12.5 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
7 7 12.7 0 0 0 0 0 0 7 7 12.7 7 7 12.7 0 0 0 7
8.3 8.3 8.3
7 7 12.7 0 0 0.0 0 0 0.0 7 7 12.7 7 7 12.7 0 0 0.0 7

CAKUPAN KUNJUNGAN NIFAS
VITAMIN A NIFAS
KF 1 KF 2 KF 3 KF Lengkap
KUM % N KUM % N KUM % N KUM % N KUM %
71 72 73 74 75 76 77 78 79 80 81 82 83 84
0 0.0 0 0 0.0 0 0 0.0 0 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 50.0 1 1 25.0 1 1 25.0 1 1 25 2 2 50.0
2 50.0 2 2 50.0 1 1 25.0 1 1 25 2 2 50.0
1 25.0 1 1 25.0 1 1 25.0 1 1 25 1 1 25.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0
1 20.0 1 1 20.0 1 1 20.0 1 1 20 1 1 20.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0
1 12.5 1 1 12.5 1 1 12.5 1 1 13 1 1 12.5
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0
7 12.7 6 6 10.9 5 5 9.1 5 5 9 7 7 12.7
8.3
7 12.7 6 6 10.9 5 5 9.1 5 5 9 7 7 12.7

KN 1 KN 2 KN Lengkap
L P TOTAL L P TOTAL L P TOTAL

% %
N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 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 2 50.0 1 1 1 1 2 2 50.0 1 1 1 1 2
1 1 1 1 2 2 50.0 1 1 1 1 2 2 50.0 1 1 1 1 2
0 0 1 1 1 1 25.0 0 0 1 1 1 1 25.0 0 0 1 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 1 1 1 1 20.0 0 0 1 1 1 1 20.0 0 0 1 1 1
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 1 1 14.3 1 1 0 0 1 1 14.3 1 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
3 3 4 4 7 7 13.2 3 3 4 4 7 7 13.2 3 3 4 4 7
3 3 4 4 7 7 13.2 3 3 4 4 7 7 13.2 3 3 4 4 7
KN Lengkap BBL Di Skrining Hipotiroid Kongenital (SHK) B4 B12
TOTAL L P TOTAL L P TOTAL L P

% % %
KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N
104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122
0 0.0 0 0 0 0 0 0 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 33.3 0 0 1
2 50.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0
2 50.0 0 0 0 0 0 0 0 1 1 0 0 1 1 25.0 0 0 0
1 25.0 0 0 0 0 0 0 0 2 2 1 1 3 3 75.0 1 1 0
0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0
1 20.0 0 0 0 0 0 0 0 0 0 1 1 1 1 20.0 0 0 0
0 0.0 0 0 0 0 0 0 0 1 1 0 0 1 1 25.0 0 0 0
1 14.3 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
7 13.2 0 0 0 0 0 0 0 4 4 3 3 7 7 14.6 1 1 1
8.3
7 13.2 0 0 0 0 0 0 0 4 4 3 3 7 7 14.6 1 1 1
B12
P TOTAL
%
KUM N KUM
123 124 125 126
0 0 0 0.0
1 1 1 33.3
0 0 0 0.0
0 0 0 0.0
0 1 1 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
1 2 2 4.2
8.3
1 2 2 4.2
DETEKSI RESIKO
Anemia ( < 11 gram/ml)
TENAGA KESEHATAN MASYARAKAT Kurang Energi Kronis Perdarahan Abortus
TM 1 TM3
127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145
0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0 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 1 125.0 0 0 0.0 1 1 125.0 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 1 125.0 0 0 0 0
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 83.3 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 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
2 2 17.2 0 0 0 1 1 9 0 0 0 1 1 8.6 0 0 0 3
5 5 43.1 0 0 0.0 1 1 9 0 0 0.0 1 1 8.6 0 0 0 3

JUMLAH KOMPLIKASI PADA IBU HAMIL, BERSALIN DAN NIFAS
Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis
KUM % N KUM % N KUM % N KUM %
146 147 148 149 150 151 152 153 154 155 156
0 0.0 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
1 125.0 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
1 83.3 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
1 55.6 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0
3 25.9 0 0 0 0 0 0 0 0 0
3 25.9 0 0 0.0 0 0 0 0 0 0
N NIFAS
TOTAL KOMPLIKASI
Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain
MATERNAL
L
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
N
157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 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 2 250.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 125.0 0
0 0 0 0 0 0 0 0 0 0 0 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 83.3 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 1 1 55.6 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 5 5 43.1 0
8.3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 43.1 0
BBLR ( < 2500 gr) Asfiksia
L P TOTAL L P
KUM % N KUM % N KUM % N KUM % N
176 177 178 179 180 181 182 183 184 185 186 187
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0

0 0.0 0 0 0.0 0 0 0.0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0
0 0.0 1 1 0.0 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 0 0 0
0 0.0 1 1 12.5 1 1 12.5 0 0 0 0
0 0.0 1 1 12.6 1 1 12.6 0 0 0 0

JU
Asfiksia Infeksi Tetanus neonatorum
P TOTAL L P TOTAL L P
KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM
188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KOMPLIKASI PADA NEONATUS
Tetanus neonatorum Kelainan kongenital
P TOTAL L P TOTAL
% N KUM % N KUM % N KUM % N KUM %
207 208 209 210 211 212 213 214 215 216 217 218 219
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Konfirmasi Positif Covid 19 Lain -lain TO
L P TOTAL L P TOTAL L
220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL KOMPLIKASI NEONATAL Kurang Energi Kronis Perdarahan
TM 1 TM3
L P TOTAL
N KUM % N KUM % N KUM % N KUM
KUM % N KUM % N KUM %
239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0

0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 1 1 0 1 1 0 1 1 125.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 1 1 83.3 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0
0 0 1 1 13 1 1 13 1 1 8.6 0 0 0 1 1 8.6 0 0
0 0 1 1 13 1 1 13 1 1 50.0 0 0 0.00 1 1 50.0 0 0

CAKUPAN PENANGANAN KOMPLIKASI OBSTETRI
Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi
% N KUM % N KUM % N KUM %
258 259 260 261 262 263 264 265 266 267
0 0 0 0.0 0 0 0.0 0 0 0
0 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 1 125.0 0 0 0.0 0 0 0
0 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 83.3 0 0 0.0 0 0 0
0 0 0 0.0 0 0 0.0 0 0 0
0 1 1 55.6 0 0 0.0 0 0 0
0 0 0 0.0 0 0 0.0 0 0 0
0 3 3 26 0 0 0 0 0 0
0 3 3 150.0 0 0 0.0 0 0 0
PAN PENANGANAN KOMPLIKASI OBSTETRI
Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO
268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5
TOTAL CAKUPAN PKO BBLR ( < 2500 gr)
L P TOTAL
KUM %
N KUM % N KUM % N
287 288 289 290 291 292 293 294 295
0 0.0 0 0 0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0
2 250.0 0 0 0 1 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
2 166.7 0 0 0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0
1 55.6 0 0 0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0
5 43.1 0 0 0 1 1 12.5 1
8.3
5 250.0 0 0 0 1 1 12.6 1
Asfiksia Infeksi
TOTAL L P TOTAL L P TOTAL
296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314
0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 12.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CAKUPAN PENANGANAN KOMPLIKASI NEONATAL
% N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Konfirmasi Positif Covid 19 Lain -lain
334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN
L P TOTAL L P TOTAL L P
%
KUM % N KUM % N KUM % N KUM N KUM N KUM N KUM N KUM
353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371
0 0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0

0 0 0 0 0.0 0 0 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 2 50.0 1 1 1 1
0 0 1 1 0.0 1 1 0.0 0 0 1 1 1 1 25.0 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 1 1 1 1 20.0 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 1 1 0 0 1 1 14.3 1 1 0 0
0 0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0
0 0 1 1 12.5 1 1 12.5 2 2 3 3 5 5 9.4 2 2 3 3
0 0 1 1 12.6 1 1 12.6 2 2 3 3 5 5 9.4 2 2 3 3

ASI EKSLUSIF
TOTAL
%
N KUM
372 373 374
0 0 0.0
0 0 0.0
2 2 50.0
1 1 25.0
0 0 0.0
0 0 0.0
1 1 20.0
0 0 0.0
1 1 16.7
0 0 0.0
5 5 10.4
5 5 10.4
KUNJUNGAN BALITA KTD LAHIR HIDUP
KEMATIAN N
KEMATIAN
KUM
IBU
L P TOTAL LAKI LAKI PEREMPUAN TOTAL L
% N KUM %
N KUM N KUM N KUM N KUM N KUM N KUM N
375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393
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 5.0 0 0 0.0 0 0 0 0 0 0 0 0 0
2 2 0 0 2 2 18.2 0 0 0.0 1 1 1 1 2 2 0 0 0
1 1 2 2 3 3 20.0 2 2 50.0 1 1 1 1 2 2 0 0 0
0 0 1 1 1 1 6.3 0 0 0.0 0 0 1 1 1 1 0 0 0
1 1 0 0 1 1 3.2 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 1 1 1 1 0 0 0
1 1 0 0 1 1 4.3 0 0 0.0 0 0 0 0 0 0 0 0 0
3 3 2 2 5 5 33.3 0 0 0.0 1 1 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
8 8 6 6 14 14 6.7 2 2 3.4 3 3 4 4 7 7 0 0 0
8.3
8 8 6 6 14 14 6.7 2 2 3.4 3 3 4 4 7 7 0 0 0
DATA KEMATIAN
KEMATIAN NEONATAL KEMATIAN BAYI
L P TOTAL L P TOTAL
KUM N KUM N KUM N KUM N KUM N KUM
394 395 396 397 398 399 400 401 402 403 404
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 KEMATIAN
JUMLAH BALIT
KEMATIAN BALITA LAHIR MATI IUFD
L P TOTAL L P TOTAL L P TOTAL L
N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N
405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423
0 0 0 0 0 0 0 0 0 0 0 0 0 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 2
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 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 0 0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8
MENGETAHUI
KEPALA PUSKESMAS CIDOLOG
CEPI HERMANSYAH, AM.KEP, SKM

NIP :197407211993031002
PUSKESMAS DENGAN KESPRO
JUMLAH PARAJI
JUMLAH BALITA STUNTING CATIN
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
L P TOTAL
KUM N KUM N KUM
424 425 426 427 428 429 430 431 432 433 434
0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2 2 2 4 4 0 0 0 0 0 0
1 0 0 1 1 1 0 1 0 0 0
0 1 1 1 1 0 0 0 0 0 0
0 2 2 2 2 1 0 1 0 0 0
0 3 3 3 3 0 0 0 0 0 0
1 1 1 2 2 0 0 0 0 0 0
1 0 0 1 1 1 0 1 0 0 0
6 9 9 15 15 3 0 3 0 0 0
8 7 7 15 15 3 0 3 0 0 0
SUKABUMI, 30 JANUARI 2021
PELAKSANA PROGRAM DESA TEGALLEGA
MELA SANTI, AMD.KEB

PWS KIA DESA TEGALLEGA BULAN FEBRUARI TAHUN 2021
SASARAN
IBU HAMIL MEMPUNYAI BALITA MEMPUNYAI BUKU
PUSKESMAS
POSYANDU
BUKU KIA KIA
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUTEKI
HIDUP RESTI RESTI RESTI N KUM % N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1 1 2 28.6 0
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1 0 0 0.0 0
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0 1 1 25.0 1
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0 1 1 25.0 0
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1 0 1 25.0 0
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1 0 1 12.5 0
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1 1 1 16.7 1
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1 1 2 50.0 0
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1 0 1 11.1 0
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1 1 3 33.3 0
JUMLAH 58 55 53 48 209 12 11 8 6 13 22 2
TARGET KABUPATEN
SA TEGALLEGA BULAN FEBRUARI TAHUN 2021
BALITA MEMPUNYAI BUKU KELUARGA BALITA MENGIKUTI

KIA KELAS BALITA
KUM % N KUM %
17 18 19 20 21
1 5.0 1 2 10.0
0 0.0 1 1 5.0
1 9.1 0 0 0.0
0 0.0 0 0 0.0
1 6.3 0 1 6.3
1 3.2 2 3 9.7
1 3.2 0 0 0.0
1 4.3 0 1 4.3
1 6.7 0 1 6.7
2 7.4 0 2 7.4
9 4 4 11 5
KI TT I Fe I TT 2 Fe 3 K 4

KUM K1 % N KUM % N KUM % N KUM % N KUM % N
K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 2 28.6 0 0 0.0 1 2 28.6 1 2 28.6 1 2 28.6 1 1 14.3 1 1 14.3 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
1 1 25.0 0 0 0.0 1 1 25.0 0 0 0.0 1 1 25.0 0 0 0.0 0 0 0.0 1
1 1 25.0 0 0 0.0 1 1 25.0 1 1 25.0 1 1 25.0 1 1 25.0 1 1 25.0 1
0 0 0.0 0 1 25.0 0 1 25.0 0 0 0.0 0 1 25.0 0 0 0.0 0 1 25.0 0
0 1 12.5 0 0 0.0 0 1 12.5 0 0 0.0 0 1 12.5 0 0 0.0 0 1 12.5 0
1 1 16.7 0 0 0.0 1 1 16.7 0 0 0.0 1 1 16.7 0 0 0.0 0 1 16.7 1
1 1 25.0 0 1 25.0 1 2 50.0 1 1 25.0 1 2 50.0 2 2 50.0 0 1 25.0 0
0 1 11.1 0 0 0.0 0 1 11.1 0 1 11.1 0 1 11.1 0 1 11.1 0 0 0.0 1
1 3 33.3 0 0 0.0 1 3 33.3 0 2 22.2 1 3 33.3 0 0 0.0 1 2 22.2 0
6 11 19 0 2 3 6 13 22 3 7 12 6 13 22 4 5 9 3 8 14 5
16.7 16.7
P W S KIA
K 4 K 6 TT 5
44 45 46 47 48 49 50 51
0 0.0 0 0 0.0 0 0 0.0
2 66.7 1 2 66.7 0 0 0.0
1 25.0 1 1 25.0 0 0 0.0
1 25.0 1 1 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
3 50.0 1 3 50.0 0 0 0.0
1 25.0 0 1 25.0 0 0 0.0
1 11.1 1 1 11.1 0 0 0.0
1 11.1 0 1 11.1 0 0 0.0
10 17 5 10 17 0 0 0
16.7 16.7
IA
JENIS PERSALINAN TEMPAT PERSALINAN DENGAN TENKES / PN CAKUPAN KUNJUNGAN
LINAKES / PN DUKUN LOLOS KUMULATIF FASKES NON FASKES KF 1 KF 2
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N
52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73
1 1 14.3 0 0 0.0 0 0 0.0 1 1 14.3 1 1 14.3 0 0 0.0 1 1 14.3 1
1 1 33.3 0 0 0.0 0 0 0.0 1 1 33.3 1 1 33.3 0 0 0.0 1 1 33.3 1
1 3 75.0 0 0 0.0 0 0 0.0 1 3 75.0 1 3 75.0 0 0 0.0 1 3 75.0 1
0 2 50.0 0 0 0.0 0 0 0.0 0 2 50.0 0 2 50.0 0 0 0.0 0 2 50.0 0
0 1 25.0 0 0 0.0 0 0 0.0 0 1 25.0 0 1 25.0 0 0 0.0 0 1 25.0 0
1 1 12.5 0 0 0.0 0 0 0.0 1 1 12.5 0 0 0.0 1 1 12.5 1 1 12.5 1
1 2 40.0 0 0 0.0 0 0 0.0 1 2 40.0 0 1 20.0 1 1 20.0 1 2 40.0 1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 2 25.0 0 0 0.0 0 0 0.0 1 2 25.0 1 2 25.0 0 0 0.0 1 2 25.0 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
6 13 24 0 0 0 0 0 0 6 13 24 4 11 20 2 2 4 6 13 24 6
16.7 16.7 16.7
VITAMIN A NIFAS
KF 2 KF 3 KF Lengkap
KUM % N KUM % N KUM % N KUM %
74 75 76 77 78 79 80 81 82 83 84
1 14.3 0 0 0.0 0 0 0.0 1 1 14.3
1 33.3 0 0 0.0 0 0 0.0 1 1 33.3
2 50.0 2 3 75.0 2 2 50.0 1 3 75.0
2 50.0 2 3 75.0 2 3 75.0 0 2 50.0
1 25.0 1 2 50.0 1 2 50.0 0 1 25.0
1 12.5 0 0 0.0 0 1 12.5 1 1 12.5
2 40.0 1 2 40.0 1 1 20.0 1 2 40.0
0 0.0 0 0 0.0 0 1 25.0 0 0 0.0
2 25.0 1 2 25.0 1 1 12.5 1 2 25.0
0 0.0 0 0 0.0 0 1 12.5 0 0 0.0
12 22 7 12 22 7 12 22 6 13 24
16.7
KN 1 KN 2 KN Lengkap BBL Di Skrining Hipotiroi

% % %
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106

0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0
0 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 2 0 1 1 3 75.0 1 2 0 1 1 3 75.0 1 2 0 1 1 3 75.0 0
1 2 0 1 1 3 75.0 1 2 0 1 1 3 75.0 1 2 0 1 1 3 75.0 0
0 0 1 2 1 2 50.0 0 0 1 2 1 2 50.0 0 0 1 2 1 2 50.0 0
0 0 0 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 2 1 2 40.0 0 0 1 2 1 2 40.0 0 0 1 2 1 2 40.0 0
1 1 0 0 1 1 25.0 1 1 0 0 1 1 25.0 1 1 0 0 1 1 25.0 0
0 1 1 1 1 2 28.6 0 1 1 1 1 2 28.6 0 1 1 1 1 2 28.6 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
3 6 3 7 6 13 25 3 6 3 7 6 13 25 3 6 3 7 6 13 25 0
16.7
BBL Di Skrining Hipotiroid Kongenital (SHK) B4
L P TOTAL L P TOTAL
% %
107 108 109 110 111 112 113 114 115 116 117 118 119
0 0 0 0 0 0.0 1 1 0 0 1 1 16.7
0 0 0 0 0 0.0 0 0 0 1 0 1 33.3
0 0 0 0 0 0.0 1 1 0 0 1 1 25.0
0 0 0 0 0 0.0 0 1 0 0 0 1 25.0
0 0 0 0 0 0.0 0 2 0 1 0 3 75.0
0 0 0 0 0 0.0 0 0 1 1 1 1 16.7
0 0 0 0 0 0.0 1 1 0 1 1 2 40.0
0 0 0 0 0 0.0 1 2 0 0 1 2 50.0
0 0 0 0 0 0.0 0 0 2 2 2 2 33.3
0 0 0 0 0 0.0 0 0 0 0 0 0 0.0
0 0 0 0 0 0 4 8 3 6 7 14 29
DETEKSI RESIKO
B12 TENAGA KESEHATAN MASYARAKAT Kurang Energi Kronis
TM 1 TM3
L P TOTAL
% N KUM % N KUM % N KUM % N KUM % N KUM %
N KUM N KUM N KUM
120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141
0 0 0 0 0 0 0.0 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 33.3 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 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 1 125.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0
0 1 0 0 0 1 25.0 1 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0
0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
1 1 0 0 1 1 20.0 1 2 166.7 0 0 0.0 0 0 0.0 1 1 83.3 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
1 2 1 2 2 4 8 2 4 34 0 0 0 0 1 9 1 1 9 0 1 9
16.7
Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis
N KUM % N KUM % N KUM % N KUM % N KUM %
142 143 144 145 146 147 148 149 150 151 152 153 154 155 156
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 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 83.3 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 1 55.6 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 3 26 0 0 0 0 0 0 0 0 0
LIN DAN NIFAS
TOTAL KOMPLIKASI
Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain BBLR ( < 2500 gr)
MATERNAL
L P
N KUM % N
157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 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 83.3 2 3 250.0 0 0 0.0 0
0 0 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 1 55.6 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 1 1 9 2 7 60 0 0 0 1
8.3
P TOTAL L P TOTAL
179 180 181 182 183 184 185 186 187 188 189 190 191 192
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
1 166.7 1 1 166.7 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
2 25.2 1 2 25.2 0 0 0 0 0 0 0 0 0
Infeksi Tetanus neonatorum Kelainan kongenital
193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kelainan kongenital Konfirmasi Positif Covid 19
P TOTAL L P TOTAL
215 216 217 218 219 220 221 222 223 224 225 226 227 228
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain -lain TOTAL KOMPLIKASI NEONATAL
TM 1 TM3
L P TOTAL L P TOTAL
N KUM % N
229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0 0 1 125.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 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 1 166.7 1 1 166.7 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 1 2 25 1 2 25 0 1 9 1
Kurang Energi Kronis Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi
TM3
KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
1 83.3 0 1 83.3 0 0 0.0 0 1 83.3 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 1 55.6 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
1 9 0 1 8.6 0 0 0 0 3 25.9 0 0 0 0 0 0
8.3
Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO BBLR (
L
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
N
268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 250.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 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 83.3 2 4 333.3 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 1 55.6 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 1 1 9 2 7 60 0
8.3
L P TOTAL L P TOTAL
KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0.0 1 1 166.7 1 1 166.7 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 1 2 25 1 2 25 0 0 0 0 0 0 0 0 0
307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SI NEONATAL
Kelainan kongenital Konfirmasi Positif Covid 19 Lain -lain
P TOTAL L P TOTAL L P TOTAL
KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM
329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN
TOTAL L P TOTAL L P TOTAL L P TOTAL

%
% N KUM % N KUM % N KUM % N KUM N KUM N KUM N KUM N KUM N
351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 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 2 0 1 1 3 75.0 1 2 0 1 1
0.0 0 0 0.0 0 1 0.0 0 1 0.0 1 1 0 1 1 2 50.0 1 1 0 1 1
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 1 1 1 1 25.0 0 0 1 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 1 2 1 2 40.0 0 0 1 2 1
0.0 0 0 0.0 1 1 166.7 1 1 166.7 1 1 0 0 1 1 25.0 1 1 0 0 1
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 1 1 1 2 28.6 0 1 1 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 1 2 25.2 1 2 25 3 5 3 6 6 11 20.8 3 5 3 6 6
ASI EKSLUSIF KUNJUNGAN BALITA KTD LAHIR HIDUP
TOTAL L P TOTAL LAKI LAKI PEREMPUAN TOTAL

% % N KUM %
KUM N KUM N KUM N KUM N KUM N KUM N KUM
373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390
0 0.0 0 0 1 1 1 1 5.0 0 0 0.0 0 0 0 0 0 0
0 0.0 0 0 0 1 0 1 5.0 0 0 0.0 0 0 0 0 0 0
3 75.0 1 3 0 0 1 3 27.3 0 0 0.0 1 2 0 1 1 3
2 50.0 0 1 1 3 1 4 26.7 0 2 50.0 1 2 0 1 1 3
1 25.0 0 0 0 1 0 1 6.3 0 0 0.0 0 0 1 2 1 2
0 0.0 2 3 0 0 2 3 9.7 0 0 0.0 0 0 0 0 0 0
2 40.0 0 0 1 1 1 1 3.2 0 0 0.0 0 0 1 2 1 2
1 25.0 0 1 0 0 0 1 4.3 0 0 0.0 1 1 0 0 1 1
2 33.3 0 3 0 2 0 5 33.3 0 0 0.0 0 1 1 1 1 2
0 0.0 0 0 1 1 1 1 3.7 0 0 0.0 0 0 0 0 0 0
11 22.9 3 11 4 10 7 21 10 0 2 3.4 3 6 3 7 6 13
16.7
DATA KEMATIAN
KEMATIAN NEONATAL KEMATIAN BAYI KEMATIAN BALITA LAHIR MATI

KEMATIAN
KUM
IBU
N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM
391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KEMATIAN
LAHIR MATI
N KUM
413 414
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
JUMLAH PARAJI
LAHIR MATI IUFD
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
N KUM N KUM N KUM N KUM N KUM N KUM N KUM
415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 2 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0
0 0 0 0 0 0 0 0 0 6 0 9 0 15 3 0 3 0 0 0
KEPALA PUSKESMAS CIDOLOG PELAKSANA PROGRAM DESA TEGALLEGA
CEPI HERMANSYAH, AM.KEP, SKM MELA SANTI, AMD.KEB

NIP :197407211993031002
PWS KIA DESA TEGALLEGA BULAN MARET TAHUN 2021
SASARAN
IBU HAMIL MEMPUNYAI BALITA MEMPUNYAI BUKU
PUSKESMAS
POSYANDU
JUMLAH
BUKU KIA KIA
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUTEKI
HIDUP RESTI RESTI RESTI N KUM % N KUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1 1 3 42.9 2 3
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1 0 0 0.0 0 0
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0 0 1 25.0 3 4
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0 0 1 25.0 0 0
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1 0 1 25.0 1 2
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1 1 2 25.0 5 6
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1 3 4 66.7 1 2
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1 1 3 75.0 0 1
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1 0 1 11.1 1 2
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1 0 3 33.3 1 3
JUMLAH 58 55 53 48 209 12 11 8 6 19 33 14 23
TARGET KABUPATEN
4 TEGALLEGA 10 58 55 53 48 209 12 11 8 6 19 32.8 14 14

A DESA TEGALLEGA BULAN MARET TAHUN 2021
BALITA MEMPUNYAI BUKU KELUARGA BALITA MENGIKUTI

KIA KELAS BALITA
% N KUM %
18 19 20 21
15.0 2 4 20.0
0.0 0 1 5.0
36.4 3 3 27.3
0.0 0 0 0.0
12.5 1 2 12.5
19.4 5 8 25.8
6.5 1 1 3.2
4.3 0 1 4.3
13.3 1 2 13.3
11.1 1 3 11.1
11 14 25 12
6.7 14 14 6.7
KI TT I Fe I TT 2 Fe 3 K 4

KUM K1 % N KUM % N KUM % N KUM % N KUM % N
K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 3 42.9 0 0 0.0 1 3 42.9 1 3 42.9 1 3 42.9 0 1 14.3 1 2 28.6 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 1
0 1 25.0 0 0 0.0 0 1 25.0 1 1 25.0 0 1 25.0 0 0 0.0 0 0 0.0 0
0 1 25.0 0 0 0.0 0 1 25.0 0 1 25.0 0 1 25.0 0 1 25.0 1 2 50.0 1
0 0 0.0 0 1 25.0 0 1 25.0 1 1 25.0 0 1 25.0 0 0 0.0 0 1 25.0 0
1 2 25.0 0 0 0.0 1 2 25.0 0 0 0.0 1 2 25.0 0 0 0.0 1 2 25.0 0
3 4 66.7 0 0 0.0 3 4 66.7 0 0 0.0 2 3 50.0 3 3 50.0 3 4 66.7 1
1 2 50.0 0 1 25.0 1 3 75.0 1 2 50.0 0 2 50.0 0 2 50.0 1 2 50.0 0
0 1 11.1 0 0 0.0 0 1 11.1 0 1 11.1 0 1 11.1 0 1 11.1 0 0 0.0 1
0 3 33.3 0 0 0.0 0 3 33.3 0 2 22.2 0 3 33.3 0 0 0.0 0 2 22.2 1
6 17 29.3 0 2 3 6 19 33 4 11 19 4 17 29 3 8 14 7 15 26 5
25 25
6 6 10.3 0 0 0.0 6 6 10.3 4 4 6.9 4 4 6.9 3 3 5.2 7 7 12.1 5

P W S KIA
JENIS PERSALINAN TEMPAT PERSALINAN DENGAN TENKES
K 4 K 6 TT 5
LINAKES / PN DUKUN LOLOS KUMULATIF FASKES
44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65
0 0.0 0 0 0.0 0 0 0.0 0 1 14.3 0 0 0.0 0 0 0.0 0 1 14.3 0 1
3 100.0 1 3 100.0 0 0 0.0 0 1 33.3 0 0 0.0 0 0 0.0 0 1 33.3 0 1
1 25.0 0 1 25.0 0 0 0.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0 3
2 50.0 1 2 50.0 0 0 0.0 0 2 50.0 0 0 0.0 0 0 0.0 0 2 50.0 0 2
0 0.0 0 0 0.0 0 0 0.0 1 2 50.0 0 0 0.0 0 0 0.0 1 2 50.0 0 1
0 0.0 0 0 0.0 0 0 0.0 0 1 12.5 0 0 0.0 0 0 0.0 0 1 12.5 0 0
4 66.7 1 4 66.7 0 0 0.0 0 2 40.0 0 0 0.0 0 0 0.0 0 2 40.0 0 1
1 25.0 0 1 25.0 0 0 0.0 1 1 25.0 0 0 0.0 0 0 0.0 1 1 25.0 1 1
2 22.2 1 2 22.2 0 0 0.0 4 6 75.0 0 0 0.0 0 0 0.0 4 6 75.0 3 5
2 22.2 1 2 22.2 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
15 26 5 15 26 0 0 0 6 19 35 0 0 0 0 0 0 6 19 35 4 15
25 25.0 25 25
5 8.6 5 5 8.6 0 0 0.0 6 6 10.9 0 0 0.0 0 0 0.0 6 6 10.9 4 4

TEMPAT PERSALINAN DENGAN TENKES / PN CAKUPAN KUNJUNGAN NIFAS
VITAMIN A NIFAS KN 1
FASKES NON FASKES KF 1 KF 2 KF 3 KF Lengkap
L P
N KUM N
66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87
14.3 0 0 0.0 0 1 14.3 0 1 14.3 1 1 14.3 1 1 14.3 0 1 14.3 1 1 0
33.3 0 0 0.0 0 1 33.3 0 1 33.3 1 1 33.3 1 1 33.3 0 1 33.3 1 1 0
75.0 0 0 0.0 0 3 75.0 0 2 50.0 1 4 100.0 1 3 75.0 0 3 75.0 0 2 2
50.0 0 0 0.0 0 2 50.0 0 2 50.0 0 3 75.0 0 3 75.0 0 2 50.0 0 2 0
25.0 1 1 25.0 1 2 50.0 1 2 50.0 0 2 50.0 0 2 50.0 1 2 50.0 0 0 0
0.0 0 1 12.5 0 1 12.5 0 1 12.5 1 1 12.5 1 2 25.0 0 1 12.5 0 0 1
20.0 0 1 20.0 0 2 40.0 0 2 40.0 1 3 60.0 1 2 40.0 0 2 40.0 0 0 0
25.0 0 0 0.0 1 1 25.0 1 1 25.0 0 0 0.0 0 1 25.0 1 1 25.0 0 1 0
62.5 1 1 12.5 4 6 75.0 4 6 75.0 1 3 37.5 1 2 25.0 4 6 75.0 0 1 1
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 12.5 0 0 0.0 0 0 0
27 2 4 7 6 19 35 6 18 33 6 18 33 6 18 33 6 19 35 2 8 4
25 25
7.3 2 2 3.6 6 6 10.9 6 6 10.9 6 6 10.9 6 6 10.9 6 6 10.9 2 2 4

KN 1 KN 2 KN Lengkap BBL Di Skrining Hipotiroid Kongenital (SHK)
P TOTAL L P TOTAL L P TOTAL L P

% % %
KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM
88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109
0 1 1 14.3 1 1 0 0 1 1 14.3 1 1 0 0 1 1 14.3 0 0 0 0
0 1 1 33.3 1 1 0 0 1 1 33.3 1 1 0 0 1 1 33.3 0 0 0 0
3 2 5 125.0 0 2 2 3 2 5 125.0 0 2 2 3 2 5 125.0 0 0 0 0
1 0 3 75.0 0 2 0 1 0 3 75.0 0 2 0 1 0 3 75.0 0 0 0 0
2 0 2 50.0 0 0 0 2 0 2 50.0 0 0 0 2 0 2 50.0 0 0 0 0
1 1 1 14.3 0 0 1 1 1 1 14.3 0 0 1 1 1 1 14.3 0 0 0 0
2 0 2 40.0 0 0 0 2 0 2 40.0 0 0 0 2 0 2 40.0 0 0 0 0
0 0 1 25.0 0 1 0 0 0 1 25.0 0 1 0 0 0 1 25.0 0 0 0 0
2 1 3 42.9 0 1 1 2 1 3 42.9 0 1 1 2 1 3 42.9 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
11 6 19 36 2 8 4 11 6 19 36 2 8 4 11 6 19 36 0 0 0 0
25
4 6 6 11.3 2 2 4 4 6 6 11.3 2 2 4 4 6 6 11.3 0 0 0 0

DETEKSI RESIKO
BBL Di Skrining Hipotiroid Kongenital (SHK) B4 B12 TENAGA KESEHATAN MASYARAKAT

% % % N KUM % N KUM
110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131
0 0 0.0 0 1 1 1 1 2 33.3 0 0 0 0 0 0 0.0 0 0 0.0 0 0
0 0 0.0 0 0 0 1 0 1 33.3 0 0 0 1 0 1 33.3 0 0 0.0 0 0
0 0 0.0 0 1 1 1 1 2 50.0 0 0 1 2 1 2 50.0 0 0 0.0 0 0
0 0 0.0 1 2 0 0 1 2 50.0 0 0 0 0 0 0 0.0 0 1 125.0 0 0
0 0 0.0 0 2 2 3 2 5 125.0 0 1 1 1 1 2 50.0 0 1 125.0 0 0
0 0 0.0 1 1 0 1 1 2 33.3 0 0 0 0 0 0 0.0 0 0 0.0 0 0
0 0 0.0 0 1 0 1 0 2 40.0 2 3 0 0 2 3 60.0 0 2 166.7 0 0
0 0 0.0 0 2 1 1 1 3 75.0 0 0 0 0 0 0 0.0 0 0 0.0 0 0
0 0 0.0 0 0 0 2 0 2 33.3 1 1 1 1 2 2 33.3 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 2 10 5 11 7 21 44 3 5 3 5 6 10 21 0 4 34 0 0
25
0 0 0.0 2 2 5 5 7 7 14.6 3 3 3 3 6 6 12.5 0 0 0.0 0 0

ETEKSI RESIKO JUMLAH KOMPLIKASI PADA IBU HAMIL, BERSALIN DAN NIFAS
MASYARAKAT Kurang Energi Kronis Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi
TM 1 TM3
% N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153
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 0.0
0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 1 83.3 0 0 0.0 0 0 0.0 0 1 83.3 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 1 55.6 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 1 9 0 1 9 0 1 9 0 0 0 0 3 26 0 0 0 0 0 0
0.0 0 0 0.0 0 1 8.6 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0

I PADA IBU HAMIL, BERSALIN DAN NIFAS
TOTAL KOMPLIKASI
Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain BBLR (
MATERNAL
L
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %
N
154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 2 250.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 1 125.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 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 83.3 0 3 250.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 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 55.6 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 1 9 0 7 60 0
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

BBLR ( < 2500 gr) Asfiksia Infeksi
176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 1 166.7 0 1 166.7 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 2 25 0 2 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 2 25.2 0 2 25.2 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0

198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 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 1 111.1 0 0 0.0 1 1 111.1
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 13 0 0 0 1 1 13
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 12.6 0 0 0.0 1 1 12.6

Konfirmasi Positif Covid 19 Lain -lain TOTAL KOMPLIKASI NEONATAL
220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
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 1 111.1 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 1 1 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 1 1 12.6 0

CAKUPAN PEN
TOTAL KOMPLIKASI NEONATAL Kurang Energi Kronis Perdarahan Abortus Prekeklamsia/Eklamsia
TM 1 TM3
P TOTAL
N KUM % N KUM % N KUM % N KUM % N KUM % N KUM
KUM % N KUM %
242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
1 0.0 0 1 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 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 83.3 0 1 83.3 0 0 0.0 0 1 83.3 0 0
1 166.7 0 1 166.7 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 1 1 111.1 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 55.6 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
2 25 1 3 38 0 1 9 0 1 8.6 0 1 9 0 0 0 0 3 26 0 0
8.3
2 25.2 1 1 12.6 0 0 0.0 0 1 8.6 0 0 0.0 0 0 0.0 0 0 0.0 0 0

Prekeklamsia/Eklamsia Infeksi Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain
264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 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 83.3
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 1 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

TOTAL CAKUPAN PKO BBLR ( < 2500 gr) Asfiksia
N KUM %
286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 2 250.0 0 0 0.0 0 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 4 333.3 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 1 166.7 0 1 166.7 0 0 0.0 0 0 0.0 0 0 0.0 0
0 1 55.6 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 7 60 0 0 0 0 2 25 0 2 25 0 0 0 0 0 0 0 0 0 0
8.3
0 0 0.0 0 0 0.0 0 2 25.2 0 2 25.2 0 0 0.0 0 0 0.0 0 0 0.0 0

308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0 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 1 111.1 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 1 1 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 1 1 12.6 0 0

TAL
Kelainan kongenital Konfirmasi Positif Covid 19 Lain -lain
330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 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 1 111.1 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 1 1 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.0 1 1 12.6 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0

IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN

%
N KUM % N KUM % N KUM % N KUM N KUM N KUM N KUM N KUM N KUM
352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373
0 0 0.0 0 0 0.0 0 0 0.0 1 1 0 0 1 1 14.3 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 1 1 0 0 1 1 33.3 1 1 0 0 1 1
0 0 0.0 0 0 0.0 0 0 0.0 0 2 2 3 2 5 125.0 0 2 2 3 2 5
0 0 0.0 0 1 0.0 0 1 0.0 0 1 0 1 0 2 50.0 0 1 0 1 0 2
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 1 0 1 25.0 0 0 0 1 0 1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 1 1 1 1 14.3 0 0 1 1 1 1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 2 0 2 40.0 0 0 0 2 0 2
0 0 0.0 0 1 166.7 0 1 166.7 0 1 0 0 0 1 25.0 0 1 0 0 0 1
1 1 111.1 0 0 0.0 1 1 111.1 0 1 1 2 1 3 42.9 0 1 1 2 1 3
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0
1 1 13 0 2 25 1 3 38 2 7 4 10 6 17 32 1 6 4 10 5 16
1 1 12.6 0 2 25.2 1 1 12.6 2 2 4 4 6 6 11.3 1 1 4 4 5 5

SLUSIF KUNJUNGAN BALITA KTD LAHIR HIDUP
KEMATIAN NEONATAL
KEMATIAN
KUM
IBU
L P TOTAL LAKI LAKI PEREMPUAN TOTAL L P
% % N KUM %
N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM
374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396
0.0 1 1 1 2 2 3 15.0 0 0 0.0 1 1 0 0 1 1 0 0 0 0 0 0
33.3 0 0 0 1 0 1 5.0 0 0 0.0 1 1 0 0 1 1 0 0 0 0 0 0
125.0 2 5 1 1 3 6 54.5 0 0 0.0 0 2 2 3 2 5 0 0 0 0 0 0
50.0 0 1 0 3 0 4 26.7 0 2 50.0 0 2 0 1 0 3 0 0 0 0 0 0
25.0 3 3 2 3 5 6 37.5 0 0 0.0 0 0 0 2 0 2 0 0 0 0 0 0
16.7 1 4 0 0 1 4 12.9 0 0 0.0 0 0 1 1 1 1 0 0 0 0 0 0
40.0 0 0 1 2 1 2 6.5 0 0 0.0 0 0 0 2 0 2 0 0 0 0 0 0
25.0 2 3 0 0 2 3 13.0 0 0 0.0 0 1 0 0 0 1 0 0 0 0 0 0
50.0 0 3 3 5 3 8 53.3 0 0 0.0 0 1 1 2 1 3 0 0 0 0 0 0
0.0 1 1 0 1 1 2 7.4 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0
33 10 21 8 18 18 39 19 0 2 3 2 8 4 11 6 19 0 0 0 0 0 0
25
10.4 10 10 8 8 18 18 8.6 0 0 0.0 2 2 4 4 6 6 0 0 0 0 0 0

DATA KEMATIAN
KEMATIAN NEONATAL
TOTAL
397
0
0
0
0
0
0
0
0
0
0
0
0
DATA KEMATIAN
ATIAN NEONATAL KEMATIAN BAYI KEMATIAN BALITA LAHIR MATI IUFD
TOTAL L P TOTAL L P TOTAL L P TOTAL L P
KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N
398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI

NIP :197407211993031002
JUMLAH PARAJI
IUFD
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
P TOTAL L P TOTAL
KUM N KUM N KUM N KUM N KUM
420 421 422 423 424 425 426 427 428 429 430 431 432 433 434
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 2 0 2 0 4 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1 1 0 1 0 0 0
0 0 0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 2 0 2 1 0 1 0 0 0
0 0 0 0 0 0 3 0 3 0 0 0 0 0 0
0 0 0 0 1 0 1 0 2 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1 1 0 1 0 0 0
0 0 0 0 6 0 9 0 15 3 0 3 0 0 0
0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
SUKABUMI, 30 MARET 2021
MELA SANTI, AMD.KEB

PWS KIA DESA TEGALLEGA BULAN APR
SASARAN
PUSKESMAS
POSYANDU
DESA
KELAHIR
NO. BULIN /
BUMIL AN BAYI BALITA
BUTEKI
HIDUP
1 2 3 4 5 6 7 8 9
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27
JUMLAH 0 58 55 53 48 209
TARGET KABUPATEN
4 TEGALLEGA 10 58 55 53 48 209
DESA TEGALLEGA BULAN APRIL TAHUN 2021
SASARAN
20% 20% 15%
BUMIL BULIN BAYI
RESTI RESTI RESTI N KUM % N KUM % N KUM %
10 11 12 13 14 15 16 17 18 19 20 21
1 1 1 1 4 57.1 1 4 20.0 1 5 25.0
1 1 1 1 1 33.3 0 0 0.0 0 1 5.0
1 1 0 1 2 50.0 1 5 45.5 0 3 27.3
1 1 0 0 1 25.0 0 0 0.0 0 0 0.0
1 1 1 1 2 50.0 2 4 25.0 2 4 25.0
2 1 1 0 2 25.0 0 6 19.4 0 8 25.8
1 1 1 1 5 83.3 1 3 9.7 1 2 6.5
1 1 1 0 3 75.0 0 1 4.3 0 1 4.3
2 2 1 1 2 22.2 1 3 20.0 1 3 20.0
2 2 1 1 4 44.4 1 4 14.8 1 4 14.8
12 11 8 7 26 45 7 30 14 6 31 15
12 11 8 7 7 12.1 7 7 3.3 6 6 2.9

KI TT I Fe I

KUM K1 % N KUM % N KUM
K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 4 57.1 0 0 0.0 1 4 57.1 0 3 42.9 1 4
1 1 33.3 0 0 0.0 1 1 33.3 0 0 0.0 1 1
0 1 25.0 1 1 25.0 1 2 50.0 1 2 50.0 1 2
0 1 25.0 0 0 0.0 0 1 25.0 0 1 25.0 0 1
1 1 25.0 0 1 25.0 1 2 50.0 0 1 25.0 1 2
0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0 0 2
1 5 83.3 0 0 0.0 1 5 83.3 0 0 0.0 1 4
0 2 50.0 0 1 25.0 0 3 75.0 0 2 50.0 0 2
1 2 22.2 0 0 0.0 1 2 22.2 1 2 22.2 1 2
1 4 44.4 0 0 0.0 1 4 44.4 0 2 22.2 1 4
6 23 40 1 3 5 7 26 45 2 13 22 7 24
33 33
6 6 10.3 1 1 1.7 7 7 12.1 2 2 3.4 7 7

P W S KIA
Fe I TT 2 Fe 3 K 4 K 6 TT 5
% N KUM % N KUM % N KUM % N KUM % N KUM
36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
57.1 0 1 14.3 1 3 42.9 0 0 0.0 0 0 0.0 0 0
33.3 0 0 0.0 0 0 0.0 0 3 100.0 0 3 100.0 0 0
50.0 1 1 25.0 1 1 25.0 1 2 50.0 1 2 50.0 0 0
25.0 0 1 25.0 0 2 50.0 1 3 75.0 1 3 75.0 1 1
50.0 0 0 0.0 1 2 50.0 1 1 25.0 1 1 25.0 0 0
25.0 0 0 0.0 0 2 25.0 0 0 0.0 0 0 0.0 0 0
66.7 0 3 50.0 0 4 66.7 1 5 83.3 1 5 83.3 0 0
50.0 0 2 50.0 2 4 100.0 0 1 25.0 0 1 25.0 0 0
22.2 1 2 22.2 0 0 0.0 0 2 22.2 0 2 22.2 0 0
44.4 0 0 0.0 1 3 33.3 1 3 33.3 1 3 33.3 0 0
41 2 10 17 6 21 36 5 20 34 5 20 34 1 1
33 33.3
12.1 2 2 3.4 6 6 10.3 5 5 8.6 5 5 8.6 1 1

JENIS PERSALINAN TEMPAT PERSALINAN DENG
TT 5
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65
0.0 0 1 14.3 0 0 0.0 0 0 0.0 0 1 14.3 0 1
0.0 1 2 66.7 0 0 0.0 0 0 0.0 1 2 66.7 1 2
0.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0 3
25.0 0 2 50.0 0 0 0.0 0 0 0.0 0 2 50.0 0 2
0.0 0 2 50.0 0 0 0.0 0 0 0.0 0 2 50.0 0 1
0.0 1 2 25.0 0 0 0.0 0 0 0.0 1 2 25.0 0 0
0.0 1 3 60.0 0 0 0.0 0 0 0.0 1 3 60.0 1 2
0.0 2 3 75.0 0 0 0.0 0 0 0.0 2 3 75.0 0 1
0.0 1 7 87.5 0 0 0.0 0 0 0.0 1 7 87.5 1 6
0.0 1 1 12.5 0 0 0.0 0 0 0.0 1 1 12.5 1 1
1.7 7 26 47 0 0 0 0 0 0 7 26 47 4 19
33 33
1.7 7 7 12.7 0 0 0.0 0 0 0.0 7 7 12.7 4 4

TEMPAT PERSALINAN DENGAN TENKES / PN CAKUPAN KUNJUNGAN NIFAS
FASKES NON FASKES KF 1 KF 2 KF 3 KF Lengkap
66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
14.3 0 0 0.0 0 1 14.3 0 1 14.3 0 1 14.3 0 1
66.7 0 0 0.0 1 2 66.7 1 2 66.7 0 1 33.3 0 1
75.0 0 0 0.0 0 3 75.0 0 2 50.0 0 4 100.0 0 3
50.0 0 0 0.0 0 2 50.0 0 2 50.0 0 3 75.0 0 3
25.0 0 1 25.0 0 2 50.0 0 2 50.0 1 3 75.0 1 3
0.0 1 2 25.0 1 2 25.0 1 2 25.0 0 1 12.5 0 2
40.0 0 1 20.0 1 3 60.0 1 3 60.0 0 3 60.0 0 2
25.0 2 2 50.0 2 3 75.0 2 3 75.0 1 1 25.0 1 2
75.0 0 1 12.5 1 7 87.5 1 7 87.5 4 7 87.5 4 6
12.5 0 0 0.0 1 1 12.5 1 1 12.5 0 0 0.0 0 1
35 3 7 13 7 26 47 7 25 45.5 6 24 44 6 24
33
7.3 3 3 5.5 7 7 12.7 7 7 12.7 6 6 10.9 6 6

VITAMIN A NIFAS KN 1 KN 2
KF Lengkap
L P TOTAL L P
% N KUM % %
N KUM N KUM N KUM N KUM N KUM
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
14.3 0 1 14.3 0 1 0 0 0 1 14.3 0 1 0 0
33.3 1 2 66.7 1 2 0 0 0 1 33.3 1 2 0 0
75.0 0 3 75.0 0 2 0 3 0 5 125.0 0 2 0 3
75.0 0 2 50.0 0 2 1 2 0 3 75.0 0 2 1 2
75.0 0 2 50.0 0 0 0 2 0 2 50.0 0 0 0 2
25.0 1 2 25.0 0 0 0 1 0 1 14.3 0 0 0 1
40.0 1 3 60.0 0 0 1 3 0 2 40.0 0 0 1 3
50.0 2 3 75.0 0 1 1 1 0 1 25.0 0 1 1 1
75.0 1 7 87.5 2 3 1 3 0 3 42.9 2 3 1 3
12.5 1 1 12.5 0 0 0 0 0 0 0.0 0 0 0 0
44 7 26 47 3 11 4 15 7 26 49 3 11 4 15
33
10.9 7 7 12.7 3 3 4 4 7 7 13.2 3 3 4 4

KN 2 KN Lengkap BBL Di Skrining Hipotiroid Kongenital (SHK)

% %
96 97 98 99 100 101 102 103 104 105 106 107 108 109 110
0 1 14.3 0 1 0 0 0 1 14.3 0 0 0 0 0
1 2 66.7 1 2 0 0 1 2 66.7 1 1 0 0 1
0 5 125.0 0 2 0 3 0 5 125.0 0 0 0 0 0
1 4 100.0 0 2 1 2 1 4 100.0 0 0 1 1 1
0 2 50.0 0 0 0 2 0 2 50.0 0 0 0 0 0
0 1 14.3 1 1 0 1 1 2 28.6 0 0 0 0 0
1 3 60.0 0 0 0 2 0 2 40.0 0 0 0 0 0
1 2 50.0 0 1 1 1 1 2 50.0 0 0 1 1 1
3 6 85.7 2 3 0 2 2 5 71.4 2 2 0 0 2
0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0
7 26 49 4 12 2 13 6 25 47 3 3 2 2 5
33
7 7 13.2 4 4 2 2 6 6 11.3 3 3 2 2 5
tiroid Kongenital (SHK) B4 B12

% %
KUM N KUM N KUM N KUM N KUM N KUM N KUM
111 112 113 114 115 116 117 118 119 120 121 122 123 124 125
0 0.0 0 1 0 1 0 2 33.3 0 0 0 0 0 0
1 33.3 0 0 0 1 0 1 33.3 0 0 0 1 0 1
0 0.0 1 2 1 2 2 4 100.0 0 0 1 3 1 3
1 25.0 1 3 1 1 2 4 100.0 0 0 0 0 0 0
0 0.0 0 2 1 4 1 6 150.0 1 2 0 1 1 3
0 0.0 1 2 0 1 1 3 50.0 0 0 1 1 1 1
0 0.0 0 1 0 1 0 2 40.0 1 4 0 0 1 4
1 25.0 0 2 0 1 0 3 75.0 0 0 0 0 0 0
2 28.6 1 1 0 2 1 3 50.0 0 1 1 2 1 3
0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0
5 9.4 4 14 3 14 7 28 58 2 7 3 8 5 15
5 9.4 4 4 3 3 7 7 14.6 2 2 3 3 5 5
DETEKSI RESIKO
TENAGA KESEHATAN MASYARAKAT Kurang Energi Kronis
TM 1 TM3
126 127 128 129 130 131 132 133 134 135 136 137 138 139 140
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
33.3 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
75.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0.0 0 1 125.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0
75.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1
16.7 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
80.0 0 2 166.7 0 0 0.0 0 0 0.0 0 1 83.3 0 0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
50.0 0 0 0.0 0 0 0.0 0 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 55.6 0 0
31 0 4 34 0 0 0 0 1 9 0 2 17 0 1
33
10.4 0 0 0.0 0 0 0.0 0 0 0.0 0 1 8.6 0 0

Kurang Energi Kronis Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis
% N KUM % N KUM % N KUM % N KUM % N
141 142 143 144 145 146 147 148 149 150 151 152 153 154
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0
125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0.0 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 83.3 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 1 55.6 0 0 0.0 0 0 0.0 0
0.0 0 0 0.0 0 1 55.6 0 0 0.0 0 0 0.0 0
9 0 0 0 0 3 26 0 0 0 0 0 0 0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

BERSALIN DAN NIFAS
Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain
KUM % N KUM % N KUM % N KUM % N KUM % N
155 156 157 158 159 160 161 162 163 164 165 166 167 168 169
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0

TOTAL KOMPLIKASI
Lain-lain BBLR ( < 2500 gr)
MATERNAL
L P TOTAL L
KUM % N KUM %
N KUM % N KUM % N KUM % N
170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 2 250.0 0 0 0.0 0 1 0.0 0 1 0.0 0
0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 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 83.3 0 3 250.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 0 1 166.7 0
0 0.0 0 1 55.6 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
1 9 0 7 60 0 0 0 0 2 25 0 2 25 0
33
0 0.0 0 0 0.0 0 0 0.0 0 2 25.2 0 2 25.2 0

Asfiksia Infeksi
L P TOTAL L P TOTAL
185 186 187 188 189 190 191 192 193 194 195 196 197 198 199
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

TOTAL L P TOTAL L P
200 201 202 203 204 205 206 207 208 209 210 211 212 213 214
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 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 1 13 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

Kelainan kongenital Konfirmasi Positif Covid 19
P TOTAL L P TOTAL L
215 216 217 218 219 220 221 222 223 224 225 226 227 228 229
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 1 111.1 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 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

L P TOTAL L P TOTAL
230 231 232 233 234 235 236 237 238 239 240 241 242 243 244
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 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 1 166.7 0
0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 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 1 13 0 2 25 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 25.2 0

ONATAL Kurang Energi Kronis Perdarahan Abortus
TM 1 TM3
TOTAL
N KUM % N KUM % N KUM % N KUM % N
KUM %
245 246 247 248 249 250 251 252 253 254 255 256 257 258 259
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 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 83.3 0 1 83.3 0 0 0.0 0
1 166.7 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 111.1 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 111.1 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
4 50 0 1 9 0 1 9 0 1 9 0 0 0 0
8.3
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis Malaria Jantung
260 261 262 263 264 265 266 267 268 269 270 271 272 273 274
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 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 83.3 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
1 55.6 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
3 26 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO
L
N
275 276 277 278 279 280 281 282 283 284 285 286 287 288 289
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 250.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 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 83.3 0 4 333.3 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 1 55.6 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 55.6 0
0 0 0 0 0 0 0 0 0 1 9 0 7 60 0
8.3
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

L P TOTAL L P TOTAL
290 291 292 293 294 295 296 297 298 299 300 301 302 303 304
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 1 166.7 0 1 166.7 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 2 25.2 0 2 25 0 0 0 0 0 0 0
0 0.0 0 2 25.2 0 2 25.2 0 0 0.0 0 0 0.0 0

Infeksi Tetanus neonatorum
TOTAL L P TOTAL L P
305 306 307 308 309 310 311 312 313 314 315 316 317 318 319
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

P TOTAL L P TOTAL L
320 321 322 323 324 325 326 327 328 329 330 331 332 333 334
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0 0 1 111.1 0 0 0.0 0 1 111.1 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 1 13 0 0 0 0 1 13 0
0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0

Konfirmasi Positif Covid 19 Lain -lain
L P TOTAL L P TOTAL
335 336 337 338 339 340 341 342 343 344 345 346 347 348 349
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

IMD
TOTAL CAKUPAN PKN
TOTAL L P TOTAL L P
KUM % N KUM % N KUM % N KUM % N KUM N KUM
350 351 352 353 354 355 356 357 358 359 360 361 362 363 364
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 1 2 0 0
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 0 3
0 0.0 0 0 0.0 0 1 0.0 0 1 0.0 0 1 1 2
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 1
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 1 3
0 0.0 0 0 0.0 0 1 166.7 0 1 166.7 0 1 1 1
0 0.0 0 1 111.1 0 0 0.0 0 1 111.1 2 3 1 3
0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0
0 0 0 1 13 0 2 25 0 3 38 3 10 4 14
0 0.0 0 0 0.0 0 2 25.2 0 0 0.0 3 3 4 4

IMD ASI EKSLUSIF KUNJUNGAN BALITA

% %
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379
0 1 14.3 0 0 0 0 0 0 0.0 1 2 0 2 1
1 2 66.7 1 2 0 0 1 2 66.7 2 2 0 1 2
0 5 125.0 0 2 0 3 0 5 125.0 0 5 2 3 2
1 3 75.0 0 1 1 2 1 3 75.0 0 1 1 4 1
0 1 25.0 0 0 0 1 0 1 25.0 2 5 0 3 2
0 1 14.3 0 0 0 1 0 1 16.7 0 4 1 1 1
1 3 60.0 0 0 0 2 0 2 40.0 0 0 2 4 2
1 2 50.0 0 1 1 1 1 2 50.0 1 4 0 0 1
3 6 85.7 1 2 1 3 2 5 83.3 0 3 1 6 1
0 0 0.0 0 0 0 0 0 3 50.0 2 3 0 1 2
7 24 45 2 8 3 13 5 21 44 8 29 7 25 15
7 7 13.2 2 2 3 3 5 5 10.4 8 8 7 7 15
GAN BALITA KTD LAHIR HIDUP
KEMATIAN NEONA
KEMATIAN
KUM
IBU
TOTAL LAKI LAKI PEREMPUAN TOTAL L
% N KUM %
KUM N KUM N KUM N KUM N KUM
380 381 382 383 384 385 386 387 388 389 390 391 392 393 394
4 20.0 0 0 0.0 0 1 0 0 0 1 0 0 0 0
3 15.0 0 0 0.0 1 2 0 0 1 2 0 0 0 0
8 72.7 0 0 0.0 0 2 0 3 0 5 0 0 0 0
5 33.3 0 2 50.0 0 2 1 2 1 4 0 0 0 0
8 50.0 0 0 0.0 0 0 0 2 0 2 0 0 0 0
5 16.1 0 0 0.0 0 0 0 1 0 1 0 0 0 0
4 12.9 0 0 0.0 0 0 1 3 1 3 0 0 0 0
4 17.4 0 0 0.0 0 1 1 1 1 2 0 0 0 0
9 60.0 0 0 0.0 2 3 1 3 3 6 0 0 0 0
4 14.8 0 0 0.0 0 0 0 0 0 0 0 0 0 0
54 26 0 2 3 3 11 4 15 7 26 0 0 0 0
33
15 7.2 0 0 0.0 3 3 4 4 7 7 0 0 0 0
KEMATIAN NEONATAL
P TOTAL
N KUM N KUM
395 396 397 398

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 KEMATIAN
KEMATIAN BAYI KEMATIAN BALITA LAHIR MATI
N KUM N KUM N KUM N KUM N KUM N KUM N KUM N
399 400 401 402 403 404 405 406 407 408 409 410 411 412 413
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH BALITA STUNTING
LAHIR MATI IUFD
KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM
414 415 416 417 418 419 420 421 422 423 424 425 426 427 428
0 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 2 0 2 0 4
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
0 0 0 0 0 0 0 0 0 0 1 0 1 0 2
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 6 0 9 0 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI SUKABUMI, 30
KEPALA PUSKESMAS CIDOLOG PELAKSANA PROGRA

NIP :197407211993031002
JUMLAH PARAJI
CATIN
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
429 430 431 432 433 434
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
3 0 3 0 0 0
3 0 3 0 0 0
SUKABUMI, 30 APRIL 2021
MELA SANTI, AMD.KEB

PWS KIA DESA TEGALLEGA BULAN MEI TAHUN 2021
SASARAN
PUSKESMAS IBU HAMIL MEMPUNY
POSYANDU
BUKU KIA
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUTEKI
HIDUP RESTI RESTI RESTI N
1 2 3 4 5 6 7 8 9 10 11 12 13
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1 1
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1 2
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0 1
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0 0
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1 0
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1 0
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1 0
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1 1
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1 1
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1 1
JUMLAH 58 55 53 48 209 12 11 8 7
TARGET KABUPATEN
4 TEGALLEGA 10 58 55 53 48 209 12 11 8 7
SA TEGALLEGA BULAN MEI TAHUN 2021

14 15 16 17 18 19 20 21
5 71.4 0 4 20.0 0 5 25.0
3 100.0 0 0 0.0 0 1 5.0
3 75.0 2 7 63.6 0 3 27.3
1 25.0 2 2 13.3 0 0 0.0
2 50.0 1 5 31.3 0 4 25.0
2 25.0 0 6 19.4 0 8 25.8
5 83.3 1 4 12.9 0 2 6.5
4 100.0 0 1 4.3 0 1 4.3
3 33.3 1 4 26.7 0 3 20.0
5 55.6 0 4 14.8 0 4 14.8
33 57 7 37 18 0 31 15
7 12.1 7 7 3.3 0 0 0.0

KI TT I Fe I TT 2

K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
0 4 57.1 1 1 14.3 1 5 71.4 0 3 42.9 1 5 71.4 1 2 28.6
2 3 100.0 0 0 0.0 2 3 100.0 1 1 33.3 2 3 100.0 0 0 0.0
1 2 50.0 0 1 25.0 1 3 75.0 0 2 50.0 1 3 75.0 1 2 50.0
0 1 25.0 0 0 0.0 0 1 25.0 0 1 25.0 0 1 25.0 0 1 25.0
0 1 25.0 0 1 25.0 0 2 50.0 0 1 25.0 0 2 50.0 0 0 0.0
0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0
0 5 83.3 0 0 0.0 0 5 83.3 0 0 0.0 0 4 66.7 0 3 50.0
1 3 75.0 0 1 25.0 1 4 100.0 0 2 50.0 1 3 75.0 0 2 50.0
1 3 33.3 0 0 0.0 1 3 33.3 0 2 22.2 1 3 33.3 0 2 22.2
1 5 55.6 0 0 0.0 1 5 55.6 1 3 33.3 1 5 55.6 0 0 0.0
6 29 50 1 4 7 7 33 57 2 15 26 7 31 53 2 12 21
42 42
6 6 10.3 1 1 1.7 7 7 12.1 2 2 3.4 7 7 12.1 2 2 3.4

P W S KIA
Fe 3 K 4
N KUM % N KUM %
40 41 42 43 44 45
1 4 57.1 2 2 28.6
0 0 0.0 0 3 100.0
0 1 25.0 1 3 75.0
0 2 50.0 1 4 100.0
0 2 50.0 1 2 50.0
1 3 37.5 0 0 0.0
3 7 116.7 0 5 83.3
1 5 125.0 0 1 25.0
0 0 0.0 1 3 33.3
0 3 33.3 1 4 44.4
6 27 47 7 27 47
42
6 6 10.3 7 7 12.1
P W S KIA
JENIS PERSALINAN TEMPAT PERSA
K 6 TT 5
46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
2 2 28.6 0 0 0.0 0 1 14.3 0 0 0.0 0 0 0.0 0 1 14.3 0
0 3 100.0 1 1 33.3 1 3 100.0 0 0 0.0 0 0 0.0 1 3 100.0 1
1 3 75.0 0 0 0.0 1 4 100.0 0 0 0.0 0 0 0.0 1 4 100.0 1
1 4 100.0 0 1 25.0 0 2 50.0 0 0 0.0 0 0 0.0 0 2 50.0 0
1 2 50.0 0 0 0.0 2 4 100.0 0 0 0.0 0 0 0.0 2 4 100.0 1
0 0 0.0 0 0 0.0 0 2 25.0 0 0 0.0 0 0 0.0 0 2 25.0 0
0 5 83.3 0 0 0.0 1 4 80.0 0 0 0.0 0 0 0.0 1 4 80.0 1
0 1 25.0 0 0 0.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0
1 3 33.3 0 0 0.0 1 8 100.0 0 0 0.0 0 0 0.0 1 8 100.0 1
1 4 44.4 0 0 0.0 1 2 25.0 0 0 0.0 0 0 0.0 1 2 25.0 0
7 27 47 1 2 3.4 7 33 60 0 0 0 0 0 0 7 33 60 5
41.7 42 42
7 7 12.1 1 1 1.7 7 7 12.7 0 0 0.0 0 0 0.0 7 7 12.7 5

TEMPAT PERSALINAN DENGAN TENKES / PN
FASKES NON FASKES
KUM % N KUM %
65 66 67 68 69
1 14.3 0 0 0.0
3 100.0 0 0 0.0
4 100.0 0 0 0.0
2 50.0 0 0 0.0
2 50.0 1 2 50.0
0 0.0 0 2 25.0
3 60.0 0 1 20.0
1 25.0 0 2 50.0
7 87.5 0 1 12.5
1 12.5 1 1 12.5
24 44 2 9 16
42
5 9.1 2 2 3.6
VITAMIN A NIFAS
70 71 72 73 74 75 76 77 78 79 80 81 82 83 84
0 1 14.3 1 2 28.6 0 1 14.3 0 1 14.3 0 1 14.3
1 3 100.0 1 3 100.0 1 2 66.7 1 2 66.7 1 3 100.0
1 4 100.0 0 2 50.0 0 4 100.0 0 3 75.0 1 4 100.0
0 2 50.0 0 2 50.0 0 3 75.0 0 3 75.0 0 2 50.0
2 4 100.0 1 3 75.0 0 3 75.0 0 3 75.0 2 4 100.0
0 2 25.0 0 2 25.0 1 2 25.0 1 3 37.5 0 2 25.0
1 4 80.0 1 4 80.0 1 4 80.0 1 3 60.0 1 4 80.0
0 3 75.0 0 3 75.0 2 3 75.0 2 4 100.0 0 3 75.0
1 8 100.0 0 7 87.5 1 8 100.0 1 7 87.5 1 8 100.0
1 2 25.0 1 2 25.0 1 1 12.5 1 2 25.0 1 2 25.0
7 33 60 5 30 54.5 7 31 56 7 31 56 7 33 60
42
7 7 12.7 5 5 9.1 7 7 12.7 7 7 12.7 7 7 12.7


% %
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

0 1 0 0 0 1 14.3 0 1 1 1 1 2 28.6 0 1 1 1 1
1 3 0 0 0 1 33.3 1 3 0 0 1 3 100.0 1 3 0 0 1
0 2 1 4 0 5 125.0 0 2 1 4 1 6 150.0 0 2 0 3 0
0 2 0 2 0 3 75.0 0 2 0 2 0 4 100.0 0 2 0 2 0
2 2 0 2 0 2 50.0 2 2 0 2 2 4 100.0 1 1 0 2 1
0 0 0 1 0 1 14.3 0 0 0 1 0 1 14.3 0 1 0 1 0
1 1 0 3 0 2 40.0 1 1 1 4 2 5 100.0 1 1 1 3 2
0 1 0 1 0 1 25.0 0 1 0 1 0 2 50.0 0 1 0 1 0
0 3 1 4 0 3 42.9 0 3 0 3 0 6 85.7 0 3 0 2 0
0 0 1 1 0 0 0.0 0 0 1 1 1 1 12.5 0 0 1 1 1
4 15 3 18 7 33 62 4 15 4 19 8 34 64 3 15 3 16 6
4 4 3 3 7 7 13.2 4 4 4 4 8 8 15.1 3 3 3 3 6
KN Lengkap
TOTAL
%
KUM
104 105
2 28.6
3 100.0
5 125.0
4 100.0
3 75.0
2 28.6
4 80.0
2 50.0
5 71.4
1 12.5
31 58
42
6 11.3
BBL Di Skrining Hipotiroid Kongenital (SHK) B4 B12

% %
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124
0 0 0 0 0 0 0.0 0 1 0 0 0 2 33.3 1 1 1 1 2
0 1 0 0 0 1 33.3 0 0 0 0 0 1 33.3 0 0 0 1 0
0 0 0 0 0 0 0.0 1 3 1 1 2 6 150.0 0 0 0 3 0
0 0 0 1 0 1 25.0 1 4 1 1 2 6 150.0 0 0 1 1 1
0 0 0 0 0 0 0.0 1 3 0 1 1 7 175.0 0 2 0 1 0
0 0 0 0 0 0 0.0 0 2 0 0 0 3 50.0 0 0 0 1 0
0 0 0 0 0 0 0.0 0 1 1 1 1 3 60.0 0 4 0 0 0
0 0 0 1 0 1 25.0 0 2 0 0 0 3 75.0 2 2 0 0 2
0 2 0 0 0 2 28.6 1 2 0 0 1 4 66.7 0 1 0 2 0
0 2 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 3 0 2 0 5 9.4 4 18 3 17 7 35 73 3 10 2 10 5
0 0 0 0 0 0 0.0 4 4 3 3 7 7 14.6 3 3 2 2 5
B12
TOTAL
%
KUM
125 126
2 33.3
1 33.3
3 75.0
1 25.0
3 75.0
1 16.7
4 80.0
2 50.0
3 50.0
0 0.0
20 42
42
5 10.4
DETEKSI RESIKO
TM 1 TM3
127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145
1 1 71.4 0 0 0.0 0 0 0.0 1 1 71.4 1 1 71.4 0 0 0.0 0
1 1 166.7 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 1 125.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 2 166.7 0 0 0.0 0 0 0.0 0 1 83.3 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
1 1 55.6 0 0 0.0 0 0 0.0 0 1 55.6 1 1 55.6 0 0 0.0 0
3 7 60 0 0 0 0 1 9 1 3 26 2 3 26 0 0 0 0
3 3 25.9 0 0 0.0 0 0 0.0 1 1 8.6 2 2 17.2 0 0 0.0 0

Abortus Prekeklamsia/Eklamsia
KUM % N KUM %
146 147 148 149 150

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 125.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 83.3 0 0 0.0
0 0.0 0 0 0.0
1 55.6 0 0 0.0
1 55.6 0 0 0.0
3 26 0 0 0
0 0.0 0 0 0.0
KOMPLIKASI PADA IBU HAMIL, BERSALIN DAN NIFAS
Infeksi Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain
151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0

TOTAL KOMPLIKASI
Lain-lain
MATERNAL
KUM % N KUM %
170 171 172 173 174

0 0.0 2 2 142.9
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 2 250.0
0 0.0 0 1 125.0
0 0.0 0 0 0.0
1 83.3 0 3 250.0
0 0.0 0 0 0.0
0 0.0 0 1 55.6
0 0.0 1 1 55.6
1 9 3 10 86
42
0 0.0 3 3 25.9
175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 166.7 0 1 166.7 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 2 25 0 2 25 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 2 25.2 0 2 25.2 0 0 0.0 0 0 0.0 0 0 0.0 0

Infeksi
L P TOTAL
194 195 196 197 198 199 200 201

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0

202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1 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 13 0 0 0 0 1 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

Konfirmasi Positif Covid 19
L P TOTAL
221 222 223 224 225 226 227 228

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 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 TOTAL L P TOTAL
229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246
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 1 100.0 0 0 0.0 1 1 100.0 1 1 100.0 0 0 0.0 1 1 100.0
0 0 0.0 1 1 0.0 1 1 0.0 0 0 0.0 1 1 0.0 1 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 0 1 166.7
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
1 1 13 1 1 13 2 2 25 1 2 25 1 3 38 2 6 75
1 1 12.6 1 1 12.6 2 2 25.2 1 1 12.6 1 2 25.2 2 2 25.2

CAKUPAN PENAN
TM 1 TM3
247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265
0 0 0.0 1 1 71.4 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 1 1 166.7 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 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 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 83.3 0 1 83.3 0 0 0.0 0 1 83.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 1 1 55.6 0 0 0.0 0 0 0.0 0 0 0.0 0
0 1 9 1 2 17 2 3 26 0 0 0 0 3 26 0 0 0 0
8.3
0 0 0.0 1 1 8.6 2 2 17.2 0 0 0.0 0 0 0.0 0 0 0.0 0

Infeksi Tuberculosis Malaria
266 267 268 269 270 271 272 273

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0

Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO BBLR ( < 2500 gr)
L P
N KUM % N
274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 71.4 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 166.7 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 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 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 83.3 0 4 333.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 2 111.1 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 1 9 3 10 86 0 0 0 0
8.3
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 3 3 25.9 0 0 0.0 0

BBLR ( < 2500 gr)
P TOTAL
KUM % N KUM %
293 294 295 296 297

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 0.0 0 1 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 166.7 0 1 166.7
0 0.0 0 0 0.0
0 0.0 0 0 0.0
2 25.2 0 2 25
2 25.2 0 2 25.2
Asfiksia Infeksi
298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

Tetanus neonatorum Kelainan kongenital K
317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 1 111.1 0 0 0.0 0 1 111.1 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 1 13 0 0 0 0 1 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

Konfirmasi Positif Covid 19 Lain -lain TOTAL
336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354
0.0 0 0 0.0 0 0 0.0 0 0 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 1 100.0 0 0 0.0 1 1 100.0 1 1 100.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 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 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
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 1 1 13 1 1 13 2 2 25 1 2 25
0.0 0 0 0.0 0 0 0.0 1 1 12.6 1 1 12.6 2 2 25.2 1 1 12.6

IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN

%
N KUM % N KUM % N KUM N KUM N KUM N KUM N KUM N KUM
355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373
0 0 0.0 0 0 0.0 0 1 0 0 0 1 14.3 0 0 0 0 0 0
0 0 0.0 1 1 100.0 0 2 0 0 0 2 66.7 0 2 0 0 0 2
1 1 0.0 1 1 0.0 0 2 0 3 0 5 125.0 0 2 0 3 0 5
0 1 0.0 0 1 0.0 0 1 0 2 0 3 75.0 0 1 0 2 0 3
0 0 0.0 0 0 0.0 2 2 0 1 2 3 75.0 2 2 0 1 2 3
0 0 0.0 0 0 0.0 0 0 0 1 0 1 14.3 0 0 0 1 0 1
0 0 0.0 0 0 0.0 1 1 0 3 1 4 80.0 1 1 0 2 1 3
0 1 166.7 0 1 166.7 0 1 0 1 0 2 50.0 0 1 0 1 0 2
0 0 0.0 0 1 111.1 0 3 1 4 1 7 100.0 0 2 1 4 1 6
0 0 0.0 0 0 0.0 0 0 1 1 1 1 12.5 0 0 1 1 1 6
1 3 38 2 5 63 3 13 2 16 5 29 55 3 11 2 15 5 26
1 2 25.2 2 2 25.2 3 3 2 2 5 5 9.4 3 3 2 2 5 5

ASI EKSLUSIF
374
0.0
66.7
125.0
75.0
75.0
16.7
60.0
50.0
100.0
100.0
54
10.4
KEMA
KEMATIAN
KUM
IBU
% N KUM %
375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393
1 3 1 3 2 6 30.0 0 0 0.0 0 1 0 0 0 1 0 0 0
0 2 2 3 2 5 25.0 0 0 0.0 1 3 0 0 1 3 0 0 0
1 6 0 3 1 9 81.8 0 0 0.0 0 2 1 4 1 6 0 0 0
0 1 0 4 0 5 33.3 0 2 50.0 0 2 0 2 0 4 0 0 0
1 6 0 3 1 9 56.3 0 0 0.0 2 2 0 2 2 4 0 0 0
0 4 1 2 1 6 19.4 0 0 0.0 0 0 0 1 0 1 0 0 0
1 1 0 4 1 5 16.1 0 0 0.0 1 1 0 3 1 4 0 0 0
0 4 1 1 1 5 21.7 0 0 0.0 0 1 0 1 0 2 0 0 0
1 4 0 6 1 10 66.7 0 0 0.0 0 3 1 4 1 7 0 0 0
0 3 1 2 1 5 18.5 0 0 0.0 0 0 1 1 1 1 0 0 0
5 34 6 31 11 65 31 0 2 3 4 15 3 18 7 33 0 0 0
42
5 5 6 6 11 11 5.3 0 0 0.0 4 4 3 3 7 7 0 0 0
DATA KEMATIAN
L P TOTAL L P TOTAL
394 395 396 397 398 399 400 401 402 403 404
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 KEMATIAN
JUMLA
405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

NIP :197407211993031002
JUMLAH PARAJI
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
L P TOTAL
KUM N KUM N KUM
424 425 426 427 428 429 430 431 432 433 434
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
2 0 2 0 4 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
0 0 1 0 1 0 0 0 0 0 0
0 0 2 0 2 1 0 1 0 0 0
0 0 3 0 3 0 0 0 0 0 0
1 0 1 0 2 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
6 0 9 0 15 3 0 3 0 0 0
0 0 0 0 0 3 0 3 0 0 0
MELA SANTI, AMD.KEB

PWS KIA DESA TEGALLEGA BULAN JUNI TAHUN 2021
SASARAN
PUSKESMAS IBU HAMIL MEMPUN
POSYANDU
BUKU KIA
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUTEKI
HIDUP RESTI RESTI RESTI N
1 2 3 4 5 6 7 8 9 10 11 12 13
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1 2
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1 0
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0 1
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0 1
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1 2
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1 0
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1 0
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1 0
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1 0
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1 1
JUMLAH 58 55 53 48 209 12 11 8 7
TARGET KABUPATEN
4 TEGALLEGA 10 58 55 53 48 209 12 11 8 7
A TEGALLEGA BULAN JUNI TAHUN 2021

14 15 16 17 18 19 20 21
7 100.0 0 4 20.0 0 5 25.0
3 100.0 1 1 5.0 0 1 5.0
4 100.0 1 8 72.7 0 3 27.3
2 50.0 1 3 20.0 0 0 0.0
4 100.0 1 6 37.5 0 4 25.0
2 25.0 0 6 19.4 0 8 25.8
5 83.3 0 4 12.9 0 2 6.5
4 100.0 0 1 4.3 0 1 4.3
3 33.3 0 4 26.7 0 3 20.0
6 66.7 1 5 18.5 0 4 14.8
40 69 5 42 20 0 31 15
7 12.1 5 5 2.4 0 0 0.0

KI TT I Fe I TT 2

K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
2 6 85.7 0 1 14.3 2 7 100.0 0 3 42.9 2 7 100.0 0 2 28.6
0 3 100.0 0 0 0.0 0 3 100.0 0 1 33.3 0 3 100.0 1 1 33.3
1 3 75.0 0 1 25.0 1 4 100.0 0 2 50.0 1 4 100.0 0 2 50.0
1 2 50.0 0 0 0.0 1 2 50.0 0 1 25.0 1 2 50.0 0 1 25.0
1 2 50.0 1 2 50.0 2 4 100.0 2 3 75.0 1 3 75.0 0 0 0.0
0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0
0 5 83.3 0 0 0.0 0 5 83.3 0 0 0.0 0 4 66.7 0 3 50.0
0 3 75.0 0 1 25.0 0 4 100.0 0 2 50.0 0 3 75.0 0 2 50.0
0 3 33.3 0 0 0.0 0 3 33.3 0 2 22.2 0 3 33.3 0 2 22.2
1 6 66.7 0 0 0.0 1 6 66.7 1 4 44.4 1 6 66.7 1 1 11.1
6 35 60 1 5 9 7 40 69 3 18 31 6 37 64 2 14 24
50 50
6 6 10.3 1 1 1.7 7 7 12.1 3 3 5.2 6 6 10.3 2 2 3.4

P W S KIA
Fe 3 K 4
N KUM % N KUM %
40 41 42 43 44 45
1 5 71.4 1 3 42.9
0 0 0.0 0 3 100.0
1 2 50.0 0 3 75.0
1 3 75.0 0 4 100.0
0 2 50.0 0 2 50.0
1 4 50.0 1 1 12.5
0 7 116.7 0 5 83.3
0 5 125.0 1 2 50.0
0 0 0.0 0 3 33.3
3 6 66.7 1 5 55.6
7 34 59 4 31 53
50
7 7 12.1 4 4 6.9
P W S KIA
JENIS PERSALINAN TEMPAT PERSA
K 6 TT 5
46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
1 3 42.9 0 0 0.0 0 1 14.3 0 0 0.0 0 0 0.0 0 1 14.3 0
0 3 100.0 0 1 33.3 0 3 100.0 0 0 0.0 0 0 0.0 0 3 100.0 0
0 3 75.0 0 0 0.0 2 6 150.0 0 0 0.0 0 0 0.0 2 6 150.0 1
0 4 100.0 0 1 25.0 1 3 75.0 0 0 0.0 0 0 0.0 1 3 75.0 1
0 2 50.0 0 0 0.0 1 5 125.0 0 0 0.0 0 0 0.0 1 5 125.0 1
1 1 12.5 0 0 0.0 0 2 25.0 0 0 0.0 0 0 0.0 0 2 25.0 0
0 5 83.3 0 0 0.0 0 4 80.0 0 0 0.0 0 0 0.0 0 4 80.0 0
1 2 50.0 0 0 0.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0
0 3 33.3 0 0 0.0 2 10 125.0 0 0 0.0 0 0 0.0 2 10 125.0 1
1 5 55.6 0 0 0.0 1 3 37.5 0 0 0.0 0 0 0.0 1 3 37.5 1
4 31 53 0 2 3.4 7 40 73 0 0 0 0 0 0 7 40 73 5
50.0 50 50
4 4 6.9 0 0 0.0 7 7 12.7 0 0 0.0 0 0 0.0 7 7 12.7 5

FASKES NON FASKES
KUM % N KUM %
65 66 67 68 69
1 14.3 0 0 0.0
3 100.0 0 0 0.0
5 125.0 1 1 25.0
3 75.0 0 0 0.0
3 75.0 0 2 50.0
0 0.0 0 2 25.0
3 60.0 0 1 20.0
1 25.0 0 2 50.0
8 100.0 1 2 25.0
2 25.0 0 1 12.5
29 53 2 11 20
50
5 9.1 2 2 3.6
VITAMIN A NIFAS
70 71 72 73 74 75 76 77 78 79 80 81 82 83 84
0 1 14.3 0 2 28.6 0 1 14.3 0 1 14.3 0 1 14.3
0 3 100.0 0 3 100.0 1 3 100.0 1 3 100.0 0 3 100.0
2 6 150.0 2 4 100.0 1 5 125.0 1 4 100.0 2 6 150.0
1 3 75.0 1 3 75.0 0 3 75.0 0 3 75.0 1 3 75.0
1 5 125.0 1 4 100.0 2 5 125.0 2 5 125.0 1 5 125.0
0 2 25.0 0 2 25.0 0 2 25.0 0 3 37.5 0 2 25.0
0 4 80.0 1 5 100.0 1 5 100.0 1 4 80.0 0 4 80.0
0 3 75.0 0 3 75.0 0 3 75.0 0 4 100.0 0 3 75.0
2 10 125.0 2 9 112.5 1 9 112.5 1 8 100.0 2 10 125.0
1 3 37.5 2 4 50.0 1 2 25.0 1 3 37.5 1 3 37.5
7 40 73 9 39 70.9 7 38 69 7 38 69 7 40 73
50
7 7 12.7 9 9 16.4 7 7 12.7 7 7 12.7 7 7 12.7


% %
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

0 1 0 0 0 1 14.3 0 1 0 1 0 2 28.6 0 1 0 1 0
0 3 0 0 0 1 33.3 0 3 0 0 0 3 100.0 0 3 0 0 0
1 3 1 5 2 7 175.0 1 3 1 5 2 8 200.0 0 2 1 4 1
0 2 1 3 1 4 100.0 0 2 1 3 1 5 125.0 0 2 1 3 1
0 2 1 3 1 3 75.0 0 2 1 3 1 5 125.0 1 2 0 2 1
0 0 0 1 0 1 14.3 0 0 0 1 0 1 14.3 0 1 0 1 0
0 1 0 3 0 2 40.0 0 1 0 4 0 5 100.0 1 2 0 3 1
0 1 0 1 0 1 25.0 0 1 0 1 0 2 50.0 0 1 0 1 0
2 5 0 4 2 5 71.4 2 5 0 3 2 8 114.3 2 5 1 3 3
1 1 0 1 1 1 12.5 1 1 0 1 1 2 25.0 1 1 1 2 2
4 19 3 21 7 40 75 4 19 3 22 7 41 77 5 20 4 20 9
4 4 3 3 7 7 13.2 4 4 3 3 7 7 13.2 5 5 4 4 9
KN Lengkap
TOTAL
%
KUM
104 105
2 28.6
3 100.0
6 150.0
5 125.0
4 100.0
2 28.6
5 100.0
2 50.0
8 114.3
3 37.5
40 75
50
9 17.0

% %
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124
0 0 0 0 0 0 0.0 0 1 0 0 0 2 33.3 1 2 1 2 2
0 1 0 0 0 1 33.3 0 0 0 0 0 1 33.3 0 0 1 2 1
0 0 0 0 0 0 0.0 1 4 0 1 1 7 175.0 0 0 0 3 0
0 0 0 1 0 1 25.0 1 5 0 1 1 7 175.0 0 0 0 1 0
0 0 0 0 0 0 0.0 0 3 1 1 1 8 200.0 0 2 0 1 0
0 0 0 0 0 0 0.0 0 2 0 0 0 3 50.0 0 0 1 2 1
0 0 0 0 0 0 0.0 0 1 1 1 1 4 80.0 0 4 1 1 1
0 0 0 1 0 1 25.0 1 3 0 0 1 4 100.0 0 2 1 1 1
0 2 0 0 0 2 28.6 0 2 1 0 1 5 83.3 0 1 0 2 0
0 2 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 3 0 2 0 5 9.4 3 21 3 20 6 41 85 1 11 5 15 6
0 0 0 0 0 0 0.0 3 3 3 3 6 6 12.5 1 1 5 5 6
B12
TOTAL
%
KUM
125 126
4 66.7
2 66.7
3 75.0
1 25.0
3 75.0
2 33.3
5 100.0
3 75.0
3 50.0
0 0.0
26 54
50
6 12.5
DETEKSI RESIKO
TM 1 TM3
127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145
1 2 142.9 0 0 0.0 0 0 0.0 1 2 142.9 0 1 71.4 0 0 0.0 0
0 1 166.7 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 1 125.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
1 2 250.0 0 0 0.0 0 0 0.0 0 0 0.0 1 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 2 166.7 0 0 0.0 0 0 0.0 0 1 83.3 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
1 2 111.1 0 0 0.0 0 0 0.0 0 1 55.6 0 1 55.6 0 0 0.0 1
3 10 86 0 0 0 0 1 9 1 4 34 1 4 34 0 0 0 1
3 3 25.9 0 0 0.0 0 0 0.0 1 1 8.6 1 1 8.6 0 0 0.0 1

KUM % N KUM %
146 147 148 149 150

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 125.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 83.3 0 0 0.0
0 0.0 0 0 0.0
1 55.6 0 0 0.0
2 111.1 0 0 0.0
4 34 0 0 0
1 8.6 0 0 0.0
KOMPLIKASI PADA IBU HAMIL, BERSALIN DAN NIFAS
Infeksi Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-lain
151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0

TOTAL KOMPLIKASI
Lain-lain
MATERNAL
KUM % N KUM %
170 171 172 173 174

0 0.0 1 3 214.3
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 2 250.0
0 0.0 1 2 250.0
0 0.0 0 0 0.0
1 83.3 0 3 250.0
0 0.0 0 0 0.0
0 0.0 0 1 55.6
0 0.0 1 2 111.1
1 9 3 13 112
50
0 0.0 3 3 25.9
175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 166.7 0 1 166.7 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 2 25 0 2 25 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 2 25.2 0 2 25.2 0 0 0.0 0 0 0.0 0 0 0.0 0

Infeksi
L P TOTAL
194 195 196 197 198 199 200 201

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0

202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1 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 13 0 0 0 0 1 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

L P TOTAL
221 222 223 224 225 226 227 228

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 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 TOTAL L P TOTAL
229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 1 100.0 0 0 0.0 0 1 100.0 0 1 100.0 0 0 0.0 0 1 100.0
0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 1 0.0 0 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 0 1 166.7
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
0 1 13 0 1 13 0 2 25 0 2 25 0 3 38 0 6 75
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 25.2 0 0 0.0

CAKUPAN PENAN
TM 1 TM3
247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265
0 0 0.0 1 2 142.9 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 1 166.7 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 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 1 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 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 83.3 0 1 83.3 0 0 0.0 0 1 83.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 55.6 0 0 0.0 0
0 1 9 1 3 26 1 4 34 0 0 0 1 4 34 0 0 0 0
8.3
0 0 0.0 1 1 8.6 1 1 8.6 0 0 0.0 1 1 8.6 0 0 0.0 0

266 267 268 269 270 271 272 273

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
0 0.0 0 0 0.0 0 0 0.0

Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO BBLR ( < 2500 gr)
L P
N KUM % N
274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 2 142.9 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 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 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 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 83.3 0 4 333.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 1 2 111.1 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 1 9 3 13 112 0 0 0 0
8.3
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 3 3 25.9 0 0 0.0 0

BBLR ( < 2500 gr)
P TOTAL
KUM % N KUM %
293 294 295 296 297

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 0.0 0 1 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 166.7 0 1 166.7
0 0.0 0 0 0.0
0 0.0 0 0 0.0
2 25.2 0 2 25
2 25.2 0 2 25.2
Asfiksia Infeksi
298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0

Tetanus neonatorum Kelainan kongenital K
317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 1 111.1 0 0 0.0 0 1 111.1 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 1 13 0 0 0 0 1 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

Konfirmasi Positif Covid 19 Lain -lain TOTAL
336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 1 100.0 0 0 0.0 0 1 100.0 0 1 100.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
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 1 13 0 1 13 0 2 25 0 2 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

IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN

%
355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373
0 0 0.0 0 0 0.0 0 1 0 0 0 1 14.3 0 0 0 0 0 0
0 0 0.0 0 1 100.0 0 2 0 0 0 2 66.7 0 2 0 0 0 2
0 1 0.0 0 1 0.0 1 3 1 4 2 7 175.0 1 3 1 4 2 7
0 1 0.0 0 1 0.0 0 1 1 3 1 4 100.0 0 1 1 3 1 4
0 0 0.0 0 0 0.0 0 2 1 2 1 4 100.0 0 2 1 2 1 4
0 0 0.0 0 0 0.0 0 0 0 1 0 1 14.3 0 0 0 1 0 1
0 0 0.0 0 0 0.0 0 1 0 3 0 4 80.0 0 1 0 2 0 3
0 1 166.7 0 1 166.7 0 1 0 1 0 2 50.0 0 1 0 1 0 2
0 0 0.0 0 1 111.1 2 5 0 4 2 9 128.6 2 4 0 4 2 8
0 0 0.0 0 0 0.0 1 1 0 1 1 2 25.0 1 1 0 1 1 7
0 3 38 0 5 63 4 17 3 19 7 36 68 4 15 3 18 7 33
0 2 25.2 0 0 0.0 4 4 3 3 7 7 13.2 4 4 3 3 7 7

ASI EKSLUSIF
374
0.0
66.7
175.0
100.0
100.0
16.7
60.0
50.0
133.3
116.7
69
14.6
KEMA
KEMATIAN
KUM
IBU
% N KUM %
375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393
0 3 0 3 0 6 30.0 0 0 0.0 0 1 0 0 0 1 0 0 0
1 3 1 4 2 7 35.0 0 0 0.0 0 3 0 0 0 3 0 0 0
0 6 0 3 0 9 81.8 0 0 0.0 1 3 1 5 2 8 0 0 0
0 1 1 5 1 6 40.0 0 2 50.0 0 2 1 3 1 5 0 0 0
2 8 0 3 2 11 68.8 0 0 0.0 0 2 1 3 1 5 0 0 0
2 6 2 4 4 10 32.3 0 0 0.0 0 0 0 1 0 1 0 0 0
0 1 0 4 0 5 16.1 0 0 0.0 0 1 0 3 0 4 0 0 0
1 5 1 2 2 7 30.4 0 0 0.0 0 1 0 1 0 2 0 0 0
0 4 0 6 0 10 66.7 0 0 0.0 2 5 0 4 2 9 0 0 0
0 3 0 2 0 5 18.5 0 0 0.0 1 1 0 1 1 2 0 0 0
6 40 5 36 11 76 36 0 2 3 4 19 3 21 7 40 0 0 0
50
6 6 5 5 11 11 5.3 0 0 0.0 4 4 3 3 7 7 0 0 0
DATA KEMATIAN
L P TOTAL L P TOTAL
394 395 396 397 398 399 400 401 402 403 404
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 KEMATIAN
JUMLA
405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

NIP :197407211993031002
JUMLAH PARAJI
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
L P TOTAL
KUM N KUM N KUM
424 425 426 427 428 429 430 431 432 433 434
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
2 0 2 0 4 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
0 0 1 0 1 0 0 0 0 0 0
0 0 2 0 2 1 0 1 0 0 0
0 0 3 0 3 0 0 0 0 0 0
1 0 1 0 2 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
6 0 9 0 15 3 0 3 0 0 0
0 0 0 0 0 3 0 3 0 0 0
MELA SANTI, AMD.KEB

PWS KIA DESA TEGALLEGA BULAN JULI TAHUN 2021
SASARAN
IBU HAMIL MEMPUNY
PUSKESMAS
POSYANDU
BUKU KIA
DESA
KELAHIR 20% 20% 15%
NO. BULIN /
BUTEKI
HIDUP RESTI RESTI RESTI N KUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 JADI HARAPAN (CIKARAE) 7 7 7 6 20 1 1 1 3 10
2 MEKAR HARAPAN (TEGALLEGA) 3 3 3 3 20 1 1 1 0 3
3 INDAH HARAPAN (CITIIS) 4 4 4 4 11 1 1 0 0 4
4 JAYA HARAPAN (PAMOYANAN) 4 4 4 4 15 1 1 0 0 2
5 SEKAR HARAPAN (BOJONG) 4 4 4 4 16 1 1 1 1 5
CIDOLOG TEGALLEGA
6 MULYA HARAPAN (PASEKON) 8 8 7 6 31 2 1 1 0 2
7 SINAR HARAPAN (SINAPEUL) 6 5 5 5 31 1 1 1 1 6
8 MUKTI HARAPAN (CIBAKO) 4 4 4 4 23 1 1 1 0 4
9 TUNAS HARAPAN (CIPARI) 9 8 7 6 15 2 2 1 1 4
10 BUNDA HARAPAN (SUKATANI) 9 8 8 6 27 2 2 1 1 7
JUMLAH 58 55 53 48 209 12 11 8 7 47
TARGET KABUPATEN
GALLEGA BULAN JULI TAHUN 2021

% N KUM % N KUM %
15 16 17 18 19 20 21
142.9 1 5 25.0 1 6 30.0
100.0 0 1 5.0 0 1 5.0
100.0 0 8 72.7 0 3 27.3
50.0 0 3 20.0 0 0 0.0
125.0 1 7 43.8 1 5 31.3
25.0 0 6 19.4 0 8 25.8
100.0 1 5 16.1 1 3 9.7
100.0 0 1 4.3 0 1 4.3
44.4 1 5 33.3 1 4 26.7
77.8 1 6 22.2 1 5 18.5
81 5 47 22 5 36 17
KI TT I Fe I TT 2 Fe 3

KUM K1 % N KUM % N KUM % N KUM % N
K1
N KUM % N KUM %
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 9 128.6 0 1 14.3 3 10 142.9 2 5 71.4 3 10 142.9 0 2 28.6 1
0 3 100.0 0 0 0.0 0 3 100.0 0 1 33.3 0 3 100.0 0 1 33.3 2
0 3 75.0 0 1 25.0 0 4 100.0 0 2 50.0 0 4 100.0 0 2 50.0 0
0 2 50.0 0 0 0.0 0 2 50.0 0 1 25.0 0 2 50.0 0 1 25.0 1
1 3 75.0 0 2 50.0 1 5 125.0 1 4 100.0 1 4 100.0 2 2 50.0 0
0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0 0 2 25.0 0 0 0.0 0
1 6 100.0 0 0 0.0 1 6 100.0 0 0 0.0 1 5 83.3 0 3 50.0 0
0 3 75.0 0 1 25.0 0 4 100.0 0 2 50.0 0 3 75.0 0 2 50.0 1
1 4 44.4 0 0 0.0 1 4 44.4 0 2 22.2 1 4 44.4 0 2 22.2 1
1 7 77.8 0 0 0.0 1 7 77.8 0 4 44.4 1 7 77.8 1 2 22.2 1
7 42 72 0 5 9 7 47 81 3 21 36 7 44 76 3 17 29 7
58 58
P W S KIA
Fe 3 K 4
KUM % N KUM %
41 42 43 44 45
6 85.7 2 5 71.4
2 66.7 0 3 100.0
2 50.0 1 4 100.0
4 100.0 1 5 125.0
2 50.0 2 4 100.0
4 50.0 0 1 12.5
7 116.7 0 5 83.3
6 150.0 0 2 50.0
1 11.1 0 3 33.3
7 77.8 1 6 66.7
41 71 7 38 66
58
P W S KIA
JENIS PERSALINAN TEMPAT PE
K 6 TT 5
LINAKES / PN DUKUN LOLOS KUMULATIF FASKE
46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
2 5 71.4 0 0 0.0 2 3 42.9 0 0 0.0 0 0 0.0 2 3 42.9 1
0 3 100.0 0 1 33.3 0 3 100.0 0 0 0.0 0 0 0.0 0 3 100.0 0
1 4 100.0 0 0 0.0 0 6 150.0 0 0 0.0 0 0 0.0 0 6 150.0 0
1 5 125.0 0 1 25.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0
2 4 100.0 0 0 0.0 0 5 125.0 0 0 0.0 0 0 0.0 0 5 125.0 0
0 1 12.5 0 0 0.0 0 2 25.0 0 0 0.0 0 0 0.0 0 2 25.0 0
0 5 83.3 0 0 0.0 0 4 80.0 0 0 0.0 0 0 0.0 0 4 80.0 0
0 2 50.0 0 0 0.0 0 3 75.0 0 0 0.0 0 0 0.0 0 3 75.0 0
0 3 33.3 0 0 0.0 2 12 150.0 0 0 0.0 0 0 0.0 2 12 150.0 2
1 6 66.7 0 0 0.0 0 3 37.5 0 0 0.0 0 0 0.0 0 3 37.5 0
7 38 66 0 2 3.4 4 44 80 0 0 0 0 0 0 4 44 80 3
58.3 58 58
FASKES NON FASKES
KUM % N KUM %
65 66 67 68 69
2 28.6 1 1 14.3
3 100.0 0 0 0.0
5 125.0 0 1 25.0
3 75.0 0 0 0.0
3 75.0 0 2 50.0
0 0.0 0 2 25.0
3 60.0 0 1 20.0
1 25.0 0 2 50.0
10 125.0 0 2 25.0
2 25.0 0 1 12.5
32 58 1 12 22
58
VITAMIN A NIFAS
70 71 72 73 74 75 76 77 78 79 80 81 82 83 84
2 3 42.9 0 2 28.6 0 1 14.3 0 1 14.3 2 3 42.9
0 3 100.0 0 3 100.0 0 3 100.0 0 3 100.0 0 3 100.0
0 6 150.0 1 5 125.0 2 7 175.0 2 6 150.0 0 6 150.0
0 3 75.0 0 3 75.0 1 4 100.0 1 4 100.0 0 3 75.0
0 5 125.0 1 5 125.0 1 6 150.0 1 6 150.0 0 5 125.0
0 2 25.0 0 2 25.0 0 2 25.0 0 3 37.5 0 2 25.0
0 4 80.0 0 5 100.0 0 5 100.0 0 4 80.0 0 4 80.0
0 3 75.0 0 3 75.0 0 3 75.0 0 4 100.0 0 3 75.0
2 12 150.0 2 11 137.5 2 11 137.5 2 10 125.0 2 12 150.0
0 3 37.5 0 4 50.0 1 3 37.5 1 4 50.0 0 3 37.5
4 44 80 4 43 78.2 7 45 82 7 45 82 4 44 80
58

% %
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

1 2 1 1 2 3 42.9 0 1 1 2 1 3 42.9 0 1 0 1 0
0 3 0 0 0 1 33.3 0 3 0 0 0 3 100.0 0 3 0 0 0
0 3 0 5 0 7 175.0 0 3 0 5 0 8 200.0 1 3 0 4 1
0 2 0 3 0 4 100.0 0 2 0 3 0 5 125.0 0 2 0 3 0
0 2 0 3 0 3 75.0 0 2 1 4 1 6 150.0 0 2 1 3 1
0 0 0 1 0 1 14.3 0 0 0 1 0 1 14.3 0 1 0 1 0
0 1 0 3 0 2 40.0 0 1 0 4 0 5 100.0 0 2 0 3 0
0 1 0 1 0 1 25.0 0 1 0 1 0 2 50.0 0 1 0 1 0
1 6 1 5 2 7 100.0 1 6 1 4 2 10 142.9 1 6 1 4 2
0 1 0 1 0 1 12.5 0 1 0 1 0 2 25.0 0 1 0 2 0
2 21 2 23 4 44 83 1 20 3 25 4 45 85 2 22 2 22 4
KN Lengkap
TOTAL
%
KUM
104 105
2 28.6
3 100.0
7 175.0
5 125.0
5 125.0
2 28.6
5 100.0
2 50.0
10 142.9
3 37.5
44 83
58

% %
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124
0 0 0 0 0 0 0.0 1 2 0 0 1 3 50.0 0 2 2 4 2
0 1 0 0 0 1 33.3 1 1 0 0 1 2 66.7 0 0 0 2 0
0 0 0 0 0 0 0.0 0 4 2 1 2 9 225.0 0 0 0 3 0
0 0 0 1 0 1 25.0 0 5 0 1 0 7 175.0 1 1 0 1 1
0 0 0 0 0 0 0.0 0 3 0 1 0 8 200.0 0 2 1 2 1
0 0 0 0 0 0 0.0 0 2 1 0 1 4 66.7 0 0 0 2 0
0 0 0 0 0 0 0.0 0 1 0 1 0 4 80.0 1 5 0 1 1
0 0 0 1 0 1 25.0 0 3 0 0 0 4 100.0 0 2 0 1 0
0 2 0 0 0 2 28.6 0 2 1 0 1 6 100.0 0 1 0 2 0
0 2 0 0 0 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 3 0 2 0 5 9.4 2 23 4 24 6 47 98 2 13 3 18 5
B12
TOTAL
%
KUM
125 126
6 100.0
2 66.7
3 75.0
2 50.0
4 100.0
2 33.3
6 120.0
3 75.0
3 50.0
0 0.0
31 65
58
DETEKSI RESIKO
TENAGA KESEHATAN MASYARAKAT Kurang Energi Kronis Perdarahan Abortu
TM 1 TM3
127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145
0 2 142.9 0 0 0.0 0 0 0.0 0 2 142.9 0 1 71.4 0 0 0.0 0
0 1 166.7 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 1 125.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 2 250.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 2 166.7 0 0 0.0 0 0 0.0 0 1 83.3 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 2 111.1 0 0 0.0 0 0 0.0 0 1 55.6 0 1 55.6 0 0 0.0 0
0 10 86 0 0 0 0 1 9 0 4 34 0 4 34 0 0 0 0
KUM % N KUM %
146 147 148 149 150

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 125.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 83.3 0 0 0.0
0 0.0 0 0 0.0
1 55.6 0 0 0.0
1 55.6 0 0 0.0
4 34 0 0 0
OMPLIKASI PADA IBU HAMIL, BERSALIN DAN NIFAS
Infeksi Tuberculosis Malaria Jantung DM Konfirmasi Positif Covid 19 Lain-la
151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL KOMPLIKASI
Lain-lain
MATERNAL
KUM % N KUM %
170 171 172 173 174

0 0.0 0 3 214.3
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 2 250.0
0 0.0 0 2 250.0
0 0.0 0 0 0.0
1 83.3 0 3 250.0
0 0.0 0 0 0.0
0 0.0 0 1 55.6
0 0.0 0 2 111.1
1 9 0 13 112
58
175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 1 166.7 0 1 166.7 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 2 25 0 2 25 0 0 0 0 0 0 0 0 0 0
Infeksi
L P TOTAL
194 195 196 197 198 199 200 201

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1 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 13 0 0 0 0 1 13 0
L P TOTAL
221 222 223 224 225 226 227 228

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 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 TOTAL L P TOTAL
229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 1 100.0 0 0 0.0 0 1 100.0 0 1 100.0 0 0 0.0 0 1 100.0
0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0 0 1 0.0 0 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 0 1 166.7
0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1 0 0 0.0 0 1 111.1
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
0 1 13 0 1 13 0 2 25 0 2 25 0 3 38 0 6 75
CAKUPAN PEN
Kurang Energi Kronis Perdarahan Abortus Prekeklamsia/Eklamsia Infeks
TM 1 TM3
247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265
0 0 0.0 0 2 142.9 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 1 166.7 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 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 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 83.3 0 1 83.3 0 0 0.0 0 1 83.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 55.6 0 0 0.0 0
0 1 9 0 3 26 0 4 34 0 0 0 0 4 34 0 0 0 0
8.3
266 267 268 269 270 271 272 273

0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0.0 0 0 0.0 0 0 0.0
0 0 0 0 0 0 0 0
Jantung DM Konfirmasi Positif Covid 19 Lain-lain TOTAL CAKUPAN PKO BBLR ( < 2500 g
L P
N KUM % N
274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 2 142.9 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 166.7 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 2 250.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 125.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 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 83.3 0 4 333.3 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 1 55.6 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 55.6 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 1 9 0 13 112 0 0 0 0
8.3
BBLR ( < 2500 gr)
P TOTAL
KUM % N KUM %
293 294 295 296 297

0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 0.0 0 1 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
0 0.0 0 0 0.0
1 166.7 0 1 166.7
0 0.0 0 0 0.0
0 0.0 0 0 0.0
2 25.2 0 2 25
Asfiksia Infeksi
298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 0 0.0 0 0 0.0 0 0 0.0 0 0
0 0.0 0 0 0.0 0 0 0 0 1 111.1 0 0 0.0 0 1 111.1 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 1 13 0 0 0 0 1 13 0 0
Konfirmasi Positif Covid 19 Lain -lain TOT
336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 1 100.0 0 0 0.0 0 1 100.0 0 1 100.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 0.0 0 1 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0
0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 0 1 111.1
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 1 13 0 1 13 0 2 25 0 2 25
IMD ASI EKSLUSIF
TOTAL CAKUPAN PKN

%
355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373
0 0 0.0 0 0 0.0 1 2 1 1 2 3 42.9 1 1 1 1 2 2
0 0 0.0 0 1 100.0 0 2 0 0 0 2 66.7 0 2 0 0 0 2
0 1 0.0 0 1 0.0 0 3 0 4 0 7 175.0 0 3 0 4 0 7
0 1 0.0 0 1 0.0 0 1 0 3 0 4 100.0 0 1 0 3 0 4
0 0 0.0 0 0 0.0 0 2 0 2 0 4 100.0 0 2 0 2 0 4
0 0 0.0 0 0 0.0 0 0 0 1 0 1 14.3 0 0 0 1 0 1
0 0 0.0 0 0 0.0 0 1 0 3 0 4 80.0 0 1 0 2 0 3
0 1 166.7 0 1 166.7 0 1 0 1 0 2 50.0 0 1 0 1 0 2
0 0 0.0 0 1 111.1 1 6 1 5 2 11 157.1 1 5 1 5 2 10
0 0 0.0 0 0 0.0 0 1 0 1 0 2 25.0 0 1 0 1 0 8
0 3 38 0 5 63 2 19 2 21 4 40 75 2 17 2 20 4 37
ASI EKSLUSIF
374
33.3
66.7
175.0
100.0
100.0
16.7
60.0
50.0
166.7
133.3
77
KEMA
KEMATIAN
KUM
IBU
% N KUM %
375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394
7 10 6 9 13 19 95.0 0 0 0.0 1 2 1 1 2 3 0 0 0 0
2 5 2 6 4 11 55.0 0 0 0.0 0 3 0 0 0 3 0 0 0 0
4 10 1 4 5 14 127.3 0 0 0.0 0 3 0 5 0 8 0 0 0 0
0 1 1 6 1 7 46.7 0 2 50.0 0 2 0 3 0 5 0 0 0 0
0 8 0 3 0 11 68.8 0 0 0.0 0 2 0 3 0 5 0 0 0 0
1 7 1 5 2 12 38.7 0 0 0.0 0 0 0 1 0 1 0 0 0 0
0 1 2 6 2 7 22.6 0 0 0.0 0 1 0 3 0 4 0 0 0 0
1 6 2 4 3 10 43.5 0 0 0.0 0 1 0 1 0 2 0 0 0 0
0 4 0 6 0 10 66.7 0 0 0.0 1 6 1 5 2 11 0 0 0 0
0 3 1 3 1 6 22.2 0 0 0.0 0 1 0 1 0 2 0 0 0 0
15 55 16 52 31 107 51 0 2 3 2 21 2 23 4 44 0 0 0 0
58
DATA KEMATIAN
P TOTAL L P TOTAL
N KUM N KUM N KUM N KUM N KUM
395 396 397 398 399 400 401 402 403 404
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 KEMATIAN
JU
405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI

NIP :197407211993031002
JUMLAH PARAJI
KERJASAM
KERJASAM
BERMITRA
BERMITRA
BERJALAN
A (MOU)
PARAJI
PARAJI
TOTAL
BELUM
BELUM
TANPA
MOU
SDH
A
L P TOTAL
KUM N KUM N KUM
424 425 426 427 428 429 430 431 432 433 434
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
2 0 2 0 4 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
0 0 1 0 1 0 0 0 0 0 0
0 0 2 0 2 1 0 1 0 0 0
0 0 3 0 3 0 0 0 0 0 0
1 0 1 0 2 0 0 0 0 0 0
1 0 0 0 1 1 0 1 0 0 0
6 0 9 0 15 3 0 3 0 0 0
SUKABUMI, 31 JULI 2021

MELA SANTI, AMD.KEB

Format PWS Tegallega 2021

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PWS KIA DESA TEGALLEGA BULAN JANUARI TAHUN 2021

IBU HAMIL MEMPUNYAI BALITA MEMPUNYAI BUKU KELUARGA BALITA MENGIKUTI

N KUM % N KUM % N KUM %

7 7 12.1 7 7 3.3 7 7 3.3

MURNI TIDAK MURNI TOTAL

5 5 8.6 2 2 3.4 7 7 12.1 4 4 6.9 7 7 12.1 1 1 1.7

N KUM % N KUM % N KUM % N KUM %

5 5 8.6 5 5 8.6 5 5 9 0 0 0.0

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N

7 7 12.7 0 0 0.0 0 0 0.0 7 7 12.7 7 7 12.7 0 0 0.0 7

KUM % N KUM % N KUM % N KUM % N KUM %

0 0.0 0 0 0.0 0 0 0.0 0 0 0 0 0 0.0

7 12.7 6 6 10.9 5 5 9.1 5 5 9 7 7 12.7

L P TOTAL L P TOTAL L P TOTAL

85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

TOTAL L P TOTAL L P TOTAL L P

123 124 125 126

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N

5 5 43.1 0 0 0.0 1 1 9 0 0 0.0 1 1 8.6 0 0 0 3

Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis

KUM % N KUM % N KUM % N KUM %

KUM % N KUM % N KUM % N KUM % N

0 0.0 0 0 0.0 0 0 0.0 0 0 0 0

0 0.0 1 1 12.6 1 1 12.6 0 0 0 0

Asfiksia Infeksi Tetanus neonatorum

KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM

Tetanus neonatorum Kelainan kongenital

% N KUM % N KUM % N KUM % N KUM %

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N

0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.00 0 0 0.0 0 0

0 0 1 1 13 1 1 13 1 1 50.0 0 0 0.00 1 1 50.0 0 0

Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi

% N KUM % N KUM % N KUM %

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N

287 288 289 290 291 292 293 294 295

TOTAL L P TOTAL L P TOTAL

KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM

Tetanus neonatorum Kelainan kongenital

TOTAL L P TOTAL L P TOTAL

% N KUM % N KUM % N KUM % N KUM % N KUM % N KUM %

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % 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 1 1 12.6 1 1 12.6 2 2 3 3 5 5 9.4 2 2 3 3

372 373 374

KEMATIAN NEONATAL KEMATIAN BAYI

KUM N KUM N KUM N KUM N KUM N KUM

L P TOTAL L P TOTAL L P TOTAL L

N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N KUM N

CEPI HERMANSYAH, AM.KEP, SKM

KUM N KUM N KUM

MELA SANTI, AMD.KEB

BALITA MEMPUNYAI BUKU KELUARGA BALITA MENGIKUTI

MURNI TIDAK MURNI TOTAL

KUM % N KUM % N KUM %

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N

KUM % N KUM % N KUM % N KUM %

L P TOTAL L P TOTAL L P TOTAL L

85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106

Perdarahan Abortus Prekeklamsia/Eklamsia Infeksi Tuberculosis

N KUM % N KUM % N KUM % N KUM % N KUM %

KUM % N KUM % N KUM % N KUM % N KUM %

Infeksi Tetanus neonatorum Kelainan kongenital

N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N KUM % N