LAMPIRAN 5.

FORMAT BULANAN PKPR

Jumlah Konselor Terlatih 0
Laporan Bulanan Kunjungan Kasus Jumlah FGD Yang Dilaksanakan 0
Dinas Kesehatan Kab. Pasaman Barat Jumlah KIE yang Dilaksanakan 0

Laki-Laki Perempuan Asal Kasus Tindakan Dirujuk Ke

NO Jenis Kasus 10-14 Thn 15-19 Thn 10-14 Thn 15-19 Thn Datang Sendiri Rujukan lain- Praktek Spesialis Ket
Medis Konseling Lain-lain
B L Total B L Total B L Total B L Total Puskesmas Klinik Remaja UKS Kel.Sebaya lain Swasta
1 Gangguan Haid 0 0 0 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0 0 0 0
2 Sel Pra Nikah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kehamilan Tidak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diinginkan 0
4 Persalinan Ramaja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gangguan Gizi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. KEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Obesitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Nafza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Selain Rokok dan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alkohol 0
8 Infeksi Menulas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Seksual 0
9 Infeksi Saluran 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Reproduksi 0
10 HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Masalah Kejiwaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 2 2 0 1 1 3 0 0 0 0 0 0 0 0 0

Mengetahui Paraman Ampalu, Januari 2024

Kepala Puskesmas Paraman Ampalu Pemegang Program

Efriza Destineldi,SKM,MPH Yuhanna Fifri,S.Keb

NIP. 19761223 200501 1005 NIP. 197501182006042012
 DATA KASUS DEMAM BERDARAH DENGUE (DBD) PER GOLONGSN UMUR DAN JENIS KELAMIN

PUSKESMAS : Paraman Ampalu

BULAN :OKTOBER

GOLONGAN UMUR Jumlah Kasus

Total JLH JLH KASUS JLH KASUS RATA
< 1 TH 1 - 4 TH 5 - 14 TH 15-44 TH > 44 TH
No JORONG KASUS DI DI RATA
LK PR LK PR LK PR LK PR LK PR LK PR P M DI PE FOGGING LARVASIDA ABJ
P M P M P M P M P M P M P M P M P M P M P M P M
1 Paraman Ampalu 0 0 0 0 0 0 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 Ranto Panjang 0 0 0 0 0 0 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 Air Dingin 0 0 0 0 0 0 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 Kp. Sorik 0 0 0 0 0 0 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 Siligawan Menek 0 0 0 0 0 0 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 Tanjung Durian 0 0 0 0 0 0 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 Paroman Bondar 0 0 0 0 0 0 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 Baruh Gunung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bulu Laga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Sibatutu 0 0 0 0 0 0 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 Guo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Siligawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bandar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Huta Tonga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Rabi Jonggor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Sitabu 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Diketahui Oleh Paraman Ampalu, 30 Oktober 2023

Kepala Puskesmas Paraman Ampalu Pemegang Program P 2 DBD

Efriza Destineldi,SKM,MPH Ns.Lenni Marlina.R, S.Kep

NIP. 19761223 200501 1005 NIP. 197907282007 01 2 016
 LAPORAN CYKUNGUNYA PUSKESMAS PARAMAN AMPALU

BULAN : OKTOBER

JUMLAH JORONG KASUS JUMLAH

JUMLAH JORONG YANG
PENANGGULANGAN RATA-RATA JORONG
NO NAMA JORONG JUMLAH PENDUDUK DILAKUKAN
FOKUS (DF) (AB) DENGAN POKJA
SELURUHNYA ENDEMIS SPORADIS POTENSIAL P M PENANGGULANGAN
CYG
1 Paraman Ampalu 4.434 0 0 0 0 0 0 0 0 0 0
2 Ranto Panjang 1.284 0 0 0 0 0 0 0 0 0 0
3 Air Dingin 665 0 0 0 0 0 0 0 0 0 0
4 Kp. Sorik 231 0 0 0 0 0 0 0 0 0 0
5 Siligawan Menek 249 0 0 0 0 0 0 0 0 0 0
6 Tanjung Durian 1.425 0 0 0 0 0 0 0 0 0 0
7 Paroman Bondar 343 0 0 0 0 0 0 0 0 0 0
8 Baruh Gunung 352 0 0 0 0 0 0 0 0 0 0
9 Bulu Laga 208 0 0 0 0 0 0 0 0 0 0
10 Sibatutu 1.241 0 0 0 0 0 0 0 0 0 0
11 Guo 585 0 0 0 0 0 0 0 0 0 0
12 Siligawan 818 0 0 0 0 0 0 0 0 0 0
13 Bandar 1.895 0 0 0 0 0 0 0 0 0 0
14 Huta Tonga 446 0 0 0 0 0 0 0 0 0 0
15 Rabi Jonggor 991 0 0 0 0 0 0 0 0 0 0
16 Sitabu 766 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0

Mengetahui Paraman Ampalu, 30 Oktober 2023

Kepala Puskesmas Paraman Ampalu Pemegang Program

Efriza Destineldi,SKM,MPH Ns.Lenni Marlina.R, S.Kep

NIP. 19761223 200501 1005 NIP. 197907282007 01 2 016