Laporan F2-F5 2023 - Revisi Des

KABUPATEN : BENGKULU UTARA
S/D Bulan : JANUARI 2023
Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

10 KABUPATEN/KOTA
SASARAN BAYI/SURVIVING INFANT (0
SASARAN KELAHIRAN HIDUP SASARAN NEONATUS KOMPLIKASI ( RIIL)
PUSKESMAS TAHUN)
LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH
1 Arga Makmur 182 151 333 2 - 2 213 187 400
2 Perumnas 188 200 388 3 2 5 251 259 510
3 Kemumu 112 105 217 - - - 123 105 228
4 Lais 101 90 191 - 3 3 110 108 218
5 Air Padang 63 61 124 1 2 3 75 68 143
6 Dusun Curup 85 77 162 1 2 3 103 85 188
7 Tj. Agung Palik 62 66 128 - - - 96 74 170
8 Air Lais 245 224 469 1 2 3 313 316 629
9 Lubuk Durian 85 89 174 2 1 3 120 137 257
10 Hulu Palik 134 124 258 1 2 3 245 231 476
11 Batiknau 92 80 172 - - - 182 156 338
12 Kerkap 106 90 196 - - - 130 100 230
13 Air Bintunan 84 83 15 - 1 1 103 91 194
14 Ketahun 113 111 224 - 1 1 231 226 457
15 D6 Ketahun 128 108 236 - - - 103 99 202
16 Bukit Harapan 72 57 129 - - - 83 55 138
17 Suka Makmur 132 111 243 - - - 149 146 295
18 Sebelat 170 159 329 - - - 261 365 626
19 Karang Pulau 69 71 140 - - - 87 81 168
20 Napal Putih 80 77 157 - - - 98 98 196
21 Tanjung Harapan 121 117 238 - 1 1 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2,451 2,277 4,728 11 19 30 3,294 3,179 6,473
Mengetahui, 4,576 38
Kepala Seksi KesehatanKeluarga dan Giizi
Dinkes. Kab.Bengkulu Utara
Seri Suarni, SKM

CAKUPAN KUNJUNGAN NEONATAL
JUMLAH BAYI REAL (0 - 11 BULAN)
KUNJUNGAN NEONATAL I (KN1)
LAKI-LAKI PEREMPUAN JUMLAH L
171 131 302 12
158 175 333 11
100 84 184 7
90 109 199 7
57 58 115 9
76 71 147 10
67 60 127 5
271 229 500 19
84 99 183 7
80 83 163 5
100 95 195 11
84 87 171 8
103 104 207 7
91 88 179 9
125 97 222 6
71 61 132 8
- - - 7
155 143 298 16
62 63 125 10
75 83 158 8
117 114 231 9
- - - 1
2,137 2,034 4,171 192
Lampiran : Formulir 2
Tahun : 2023

CAKUPAN NEONATUS KOMPLIKASI YANG DITANGANI
KUNJUNGAN NEONATAL I (KN1) KUNJUNGAN NEONATAL LENGKAP (KN Lengkap)
% P % TOTAL % L % P % TOTAL % L % P % TOTAL
6.6 10 6.6 22 6.61 12 6.6 10 6.6 22 6.61 2 1.1 - - 2
5.9 13 6.5 24 6.19 11 5.9 13 6.5 24 6.19 3 1.6 2 1.0 5
6.3 5 4.8 12 5.53 7 6.3 5 4.8 12 5.53 - - - - -
6.9 9 10.0 16 8.38 7 6.9 9 10.0 16 8.38 - - 3 3.3 3
14.3 5 8.2 14 11.29 9 14.3 5 8.2 14 11.29 1 1.6 2 3.3 3
11.8 8 10.4 18 11.11 9 10.6 8 10.4 17 10.49 1 1.2 2 2.6 3
8.1 5 7.6 10 7.81 5 8.1 5 7.6 10 7.81 - - - - -
7.8 15 6.7 34 7.25 19 7.8 15 6.7 34 7.25 1 0.4 2 0.9 3
8.2 4 4.5 11 6.32 7 8.2 3 3.4 10 5.75 2 2.4 1 1.1 3
3.7 9 7.3 14 5.43 5 3.7 8 6.5 13 5.04 1 0.7 2 1.6 3
12.0 10 12.5 21 12.21 11 12.0 10 12.5 21 12.21 - - - - -
7.5 6 6.7 14 7.14 8 7.5 6 6.7 14 7.14 - - - - -
8.3 8 9.6 15 100.00 7 8.3 8 9.6 15 100.00 - - 1 1.2 1
8.0 13 11.7 22 9.82 9 8.0 13 11.7 22 9.82 - - 1 0.9 1
4.7 10 9.3 16 6.78 6 4.7 10 9.3 16 6.78 - - - - -
11.1 5 8.8 13 10.08 8 11.1 5 8.8 13 10.08 - - - - -
5.3 7 6.3 14 5.76 7 5.3 7 6.3 14 5.76 - - - - -
9.4 12 7.5 28 8.51 16 9.4 12 7.5 28 8.51 - - - - -
14.5 4 5.6 14 10.00 10 14.5 4 5.6 14 10.00 - - - - -
10.0 8 10.4 16 10.19 7 8.8 8 10.4 15 9.55 - - - - -
7.4 7 6.0 16 6.72 9 7.4 6 5.1 15 6.30 - - 1 0.9 1
3.7 4 15.4 5 9.43 1 3.7 2 7.7 3 5.66 - - 2 7.7 2
7.8 177 7.8 369 7.80 190 7.8 172 7.6 362 7.66 11 0.4 19 0.8 30
-
BAYI BERAT LAHIR RENDAH (BBLR) DAN PRE
TANGANI BAYI BARU LAHIR DITIMBANG
BBLR DITANGANI PREMATUR DITANGANI
% L % P % TOTAL % L % P % TOTAL % L % P
0.60 12 6.6 10 6.6 22 6.6 2 100.0 - #DIV/0! 2 100.0 - - -
1.29 11 5.9 13 6.5 24 6.2 1 33.3 - 0.0 1 20.0 - - 2
- 7 6.3 5 4.8 12 5.5 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
1.57 7 6.9 9 10.0 16 8.4 - #DIV/0! 1 33.3 1 33.3 - #DIV/0! 2
2.42 9 14.3 5 8.2 14 11.3 1 100.0 2 100.0 3 100.0 - - -
1.85 10 11.8 8 10.4 18 11.1 1 100.0 1 50.0 2 66.7 - - -
- 5 8.1 5 7.6 10 7.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
0.64 19 7.8 15 6.7 34 7.2 1 100.0 - 0.0 1 33.3 - - -
1.72 7 8.2 4 4.5 11 6.3 - 0.0 - 0.0 - - - - -
1.16 5 3.7 9 7.3 14 5.4 1 100.0 - 0.0 1 33.3 - - 1
- 11 12.0 10 12.5 21 12.2 1 #DIV/0! - #DIV/0! 1 #DIV/0! - #DIV/0! -
- 8 7.5 6 6.7 14 7.1 - #DIV/0! - #DIV/0! - #DIV/0! 1 #DIV/0! -
6.67 7 8.3 8 9.6 15 100.0 - #DIV/0! - 0.0 - - - #DIV/0! 1
0.45 9 8.0 13 11.7 22 9.8 - #DIV/0! - 0.0 - - - #DIV/0! -
- 6 4.7 10 9.3 16 6.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 8 11.1 5 8.8 13 10.1 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 7 5.3 7 6.3 14 5.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 16 9.4 12 7.5 28 8.5 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 10 14.5 4 5.6 14 10.0 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 8 10.0 8 10.4 16 10.2 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
0.42 9 7.4 7 6.0 16 6.7 - #DIV/0! - 0.0 - - - #DIV/0! -
3.77 1 3.7 4 15.4 5 9.4 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
0.63 192 7.8 177 7.8 369 7.8 8 72.7 6 31.6 14 46.7 1 9.1 6.0
1
DAH (BBLR) DAN PREMATUR
UR DITANGANI BBLR + PREMATUR DIRUJUK
% TOTAL % L % P
#DIV/0! 0 - 2 100 -
100.0 2 40.0 1 33 -
#DIV/0! 0 #DIV/0! - #DIV/0! -
66.7 2 66.7 - #DIV/0! 2
- 0 - - - -
- 0 - - - -
#DIV/0! 0 #DIV/0! - #DIV/0! -
- 0 - - - -
- 0 - - - -
50.0 1 33.3 - - -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 1 #DIV/0! 1 #DIV/0! -
100.0 1 100.0 - #DIV/0! 1
- 0 - - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
- 0 - - #DIV/0! -
- 0 - - #DIV/0! -
31.6 7 23.3 4 36 3
Tahun : 2023
CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK

EMATUR DIRUJUK
% Total % L % P % TOTAL % L % P % TOTAL %
#DIV/0! 2 100 82 38 76 41 158 39.50 2 1 3 2 5 2
- 1 20 11 4 13 5 24 4.71 4 2 4 2 8 2
#DIV/0! - #DIV/0! 84 68 80 76 164 71.93 - 0 1 1 1 0
67 2 67 90 82 109 101 199 91.28 - 0 - 0 0 0
- - - 2 3 2 3 4 2.80 2 3 3 5 5 4
- - - 4 4 8 9 12 6.38 - 0 1 1 1 1
#DIV/0! - #DIV/0! 67 70 60 81 127 74.71 - 0 - 0 0 0
- - - 19 6 15 5 34 5.41 6 2 10 4 16 3
- - - 38 32 41 30 79 30.74 2 2 1 1 3 2
- - - 26 11 24 10 50 10.50 - 0 - 0 0 0
#DIV/0! - #DIV/0! 95 52 91 58 186 55.03 4 4 - 0 4 2
#DIV/0! 1 #DIV/0! 6 5 6 6 12 5.22 - 0 - 0 0 0
100 1 100 5 5 14 15 19 9.79 - 0 - 0 0 0
- - - 9 4 9 4 18 3.94 - 0 3 3 3 1
#DIV/0! - #DIV/0! 11 3 3 14 6.93 2 2 2 2 4 2
#DIV/0! - #DIV/0! 3 4 3 5 6 4.35 - 0 - 0 0 0
#DIV/0! - #DIV/0! 7 5 7 5 14 4.75 - 0 - 0 0 0
#DIV/0! - #DIV/0! 16 6 12 3 28 4.47 - 0 - 0 0 0
#DIV/0! - #DIV/0! 62 71 63 78 125 74.40 - 0 - 0 0 0
#DIV/0! - #DIV/0! 8 8 8 8 16 8.16 4 5 4 5 8 5
- - - 8 6 7 6 15 6.00 - 0 - 0 0 0
- - - - - - - - - - 0 - 0 0 0
16 7 23 653 20 651 20 1,304 20.15 26 1 32 1 58 1
Pengelola Data Program
Kesehatan Keluarga
5,977
Made Ernawati, SKM
NIP. 19830418 200604 2 006
ANAK PRA SEKOLAH (60 - 71 BULAN) BALITA (0 - 59 BULAN)
BALITA (0 - 59 BULAN) ANAK BALITA (12 - 59 BULAN) CAKUPAN PELAYANAN ANAK BALITA
RIIL MEMPUNYAI BUKU KIA
LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH Abs % L %
973 917 1,890 760 730 1,490 357 354 711 1,890 100.00 268 35
1081 1102 2,183 830 843 1,673 239 239 2,183 100.00 35 4
569 540 1,109 446 435 881 175 175 1,109 100.00 240 54
495 478 973 385 370 755 - - 973 100.00 - -
191 182 373 116 114 230 68 68 373 100.00 2 2
245 224 469 142 139 281 88 88 469 100.00 9 6
350 315 665 254 241 495 157 157 665 100.00 67 26
1198 1187 2,385 885 871 1,756 485 485 2,385 100.00 624 71
404 410 814 284 273 557 112 112 814 100.00 87 31
542 504 1,046 297 273 570 225 225 1,046 100.00 34 11
586 559 1,145 404 403 807 205 205 1,145 100.00 390 97
437 381 818 307 281 588 96 96 818 100.00 34 11
371 378 749 268 287 555 122 77 199 749 100.00 18 #REF!
551 538 1,089 320 312 632 105 105 1,089 100.00 20 6
601 573 1,174 498 474 972 131 131 1,174 100.00 37 7
309 267 576 226 212 438 64 64 576 100.00 4 2
640 634 1,274 491 488 979 90 70 160 1,274 100.00 10
684 792 1,476 423 427 850 206 204 410 1,476 100.00 59 14
581 505 1,086 494 424 918 - - 1,086 100.00 278 56
406 381 787 308 283 591 88 88 787 100.00 178 58
593 561 1,154 458 446 904 185 185 1,154 100.00 - -
216 209 425 133 132 265 - - 425 100.00 - -
12,023 11,637 23,660 8,729 8,458 17,187 3,198 705 3,903 23,660 100.00 2,394 27
Tahun : 2023
KUPAN PELAYANAN ANAK BALITA (12 - 59 BULAN) CAKUPAN ANAK PRASEKOLAH (60 - 71 BULAN) DILAYANI SDIDTK MIN 2 KALI/TAHUN
P % TOTAL % L % P % TOTAL %
287 39 555 37.25 45 13 54 15 99 14
22 3 57 3.41 - - - #DIV/0! - -
236 54 476 54.03 9 5 11 #DIV/0! 20 11
- - - - - #DIV/0! - #DIV/0! - #DIV/0!
1 1 3 1.30 2 3 2 #DIV/0! 4 6
6 4 15 5.34 11 13 8 #DIV/0! 19 22
60 25 127 25.66 - - - #DIV/0! - -
568 65 1,192 67.88 - - - #DIV/0! - -
93 34 180 32.32 - - 3 #DIV/0! 3 3
43 16 77 13.51 - - - #DIV/0! - -
281 70 671 83.15 - - - #DIV/0! - -
41 15 75 12.76 34 35 6 #DIV/0! 40 42
16 6 34 6.13 - - - - - -
23 7 43 6.80 25 24 27 #DIV/0! 52 50
45 9 82 8.44 10 8 16 - -
3 1 7 1.60 34 53 46 #DIV/0! 80 125
16 3 26 2.66 - - - 7 - 398
53 12 112 13.18 143 69 151 74 294 72
303 71 581 63.29 - #DIV/0! - #DIV/0! - #DIV/0!
182 64 360 60.91 - - - #DIV/0! - -
- - - - - - - #DIV/0! - -
- - - - - #DIV/0! - #DIV/0! - #DIV/0!
2,279 27 4,673 27.19 313 10 324 46 637 16
Kesehatan Keluarga
21,860
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : FEBRUARI 2023

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 4 - 4 213 187 400
2 Perumnas 188 200 388 4 3 7 251 259 510
3 Kemumu 112 105 217 5 2 7 123 105 228
4 Lais 101 90 191 - 5 5 110 108 218
5 Air Padang 63 61 124 3 2 5 75 68 143
6 Dusun Curup 85 77 162 1 2 3 103 85 188
7 Tj. Agung Palik 62 66 128 - - - 96 74 170
8 Air Lais 245 224 469 2 3 5 313 316 629
9 Lubuk Durian 85 89 174 4 2 6 120 137 257
10 Hulu Palik 134 124 258 1 2 3 245 231 476
11 Batiknau 92 80 172 - - - 182 156 338
12 Kerkap 106 90 196 - - - 130 100 230
13 Air Bintunan 84 83 167 - 2 2 103 91 194
14 Ketahun 113 111 224 2 2 4 231 226 457
15 D6 Ketahun 128 108 236 - - - 103 99 202
16 Bukit Harapan 72 57 129 1 - 1 83 55 138
17 Suka Makmur 132 111 243 - - - 149 146 295
18 Sebelat 170 159 329 - - - 261 365 626
19 Karang Pulau 69 71 140 - - - 87 81 168
20 Napal Putih 80 77 157 - - - 98 98 196
21 Tanjung Harapan 121 117 238 2 1 3 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2,350 2,277 4,627 29 28 57 3,294 3,179 6,473
20.5 4,728 56
Seri Suarni, SKM

182 141 323 23
172 189 361 25
111 89 200 18
93 117 210 10
63 62 125 15
82 80 162 15
75 66 141 13
288 248 536 36
93 103 196 15
86 87 173 11
108 102 210 18
170 171 341 14
115 109 224 19
101 94 195 19
137 108 245 18
145 124 269 11
121 112 233 16
322 287 609 31
71 69 140 18
80 86 166 14
129 118 247 21
38 36 74 2
2,782 2,598 5,380 382
Tahun : 2023

12.6 20 13.2 43 12.91 23 12.6 20 13.2 43 12.91 4 2.2 - - 4
13.3 27 13.5 52 13.40 25 13.3 27 13.5 52 13.40 4 2.1 3 1.5 7
16.1 10 9.5 28 12.90 18 16.1 10 9.5 28 12.90 5 4.5 2 1.9 7
9.9 17 18.9 27 14.14 10 9.9 17 18.9 27 14.14 - - 5 5.6 5
23.8 9 14.8 24 19.35 15 23.8 9 14.8 24 19.35 3 4.8 2 3.3 5
17.6 17 22.1 32 19.75 14 16.5 17 22.1 31 19.14 1 1.2 2 2.6 3
21.0 11 16.7 24 18.75 13 21.0 11 16.7 24 18.75 - - - - -
14.7 34 15.2 70 14.93 36 14.7 34 15.2 70 14.93 2 0.8 3 1.3 5
17.6 8 9.0 23 13.22 14 16.5 7 7.9 21 12.07 4 4.7 2 2.2 6
8.2 13 10.5 24 9.30 11 8.2 12 9.7 23 8.91 1 0.7 2 1.6 3
19.6 17 21.3 35 20.35 17 18.5 17 21.3 34 19.77 - - - - -
13.2 15 16.7 29 14.80 14 13.2 15 16.7 29 14.80 - - - - -
22.6 13 15.7 32 19.16 19 22.6 12 14.5 31 18.56 - - 2 2.4 2
16.8 19 17.1 38 16.96 19 16.8 19 17.1 38 16.96 2 1.8 2 1.8 4
14.1 21 19.4 39 16.53 18 14.1 21 19.4 39 16.53 - - - - -
15.3 10 17.5 21 16.28 11 15.3 10 17.5 21 16.28 1 1.4 - - 1
12.1 18 16.2 34 13.99 16 12.1 18 16.2 34 13.99 - - - - -
18.2 18 11.3 49 14.89 31 18.2 18 11.3 49 14.89 - - - - -
26.1 10 14.1 28 20.00 18 26.1 10 14.1 28 20.00 - - - - -
17.5 11 14.3 25 15.92 13 16.3 11 14.3 24 15.29 - - - - -
17.4 11 9.4 32 13.45 21 17.4 10 8.5 31 13.03 2 1.7 1 0.9 3
7.4 6 23.1 8 15.09 2 7.4 4 15.4 6 11.32 - - 2 7.7 2
16.3 335 14.7 717 15.50 378 16.1 329 14.4 707 15.28 29 1.2 28 1.2 57
-
2 anak adopsi di pkm air padang

desa suka rami dan kemang
manis
1.20 23 12.6 20 13.2 43 12.9 2 50.0 - #DIV/0! 2 50.0 1.0 25.0 -
1.80 25 13.3 27 13.5 52 13.4 1 25.0 - 0.0 1 14.3 1 25.0 2
3.23 18 16.1 10 9.5 28 12.9 4 80.0 1 50.0 5 71.4 4 80.0 1
2.62 10 9.9 17 18.9 27 14.1 - #DIV/0! 3 60.0 3 60.0 - #DIV/0! 2
4.03 15 23.8 9 14.8 24 19.4 3 100.0 2 100.0 5 100.0 - - -
1.85 15 17.6 17 22.1 32 19.8 2 200.0 2 100.0 4 133.3 - - -
- 13 21.0 11 16.7 24 18.8 - #DIV/0! - #DIV/0! - #DIV/0! 2 #DIV/0! -
1.07 36 14.7 34 15.2 70 14.9 2 100.0 1 33.3 3 60.0 - - -
3.45 15 17.6 8 9.0 23 13.2 - 0.0 1 50.0 1 16.7 1 25.0 -
1.16 11 8.2 13 10.5 24 9.3 1 100.0 - 0.0 1 33.3 - - 1
- 18 19.6 17 21.3 35 20.3 3 #DIV/0! - #DIV/0! 3 #DIV/0! - #DIV/0! -
- 14 13.2 15 16.7 29 14.8 - #DIV/0! 1 #DIV/0! 1 #DIV/0! 1 #DIV/0! -
1.20 19 22.6 13 15.7 32 19.2 - #DIV/0! - 0.0 - - - #DIV/0! 1
1.79 19 16.8 19 17.1 38 17.0 2 100.0 1 50.0 3 75.0 2 100.0 1
- 18 14.1 21 19.4 39 16.5 - #DIV/0! 1 #DIV/0! 1 #DIV/0! - #DIV/0! -
0.78 11 15.3 10 17.5 21 16.3 - 0.0 - #DIV/0! - - - - -
- 7 5.3 7 6.3 14 5.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 31 18.2 18 11.3 49 14.9 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 18 26.1 10 14.1 28 20.0 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
- 14 17.5 11 14.3 25 15.9 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! -
1.26 21 17.4 11 9.4 32 13.4 2 100.0 - 0.0 2 66.7 - - -
3.77 2 7.4 6 23.1 8 15.1 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
1.23 382 16.3 335 14.7 717 15.5 22 75.9 15 53.6 37 64.9 12 41.4 8
12
% TOTAL % L % P
#DIV/0! 1 25.0 2 50 -
66.7 3 42.9 1 25 -
50.0 5 71.4 - - -
40.0 2 40.0 - #DIV/0! 2
- 0 - - - -
- 0 - - - -
#DIV/0! 2 #DIV/0! 2 #DIV/0! -
- 0 - - - -
- 1 16.7 - - 1
50.0 1 33.3 - - -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 1 #DIV/0! 1 #DIV/0! -
50.0 1 50.0 - #DIV/0! 2
50.0 3 75.0 2 100 1
#DIV/0! 0 #DIV/0! - #DIV/0! 1
#DIV/0! 0 - - - -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
#DIV/0! 0 #DIV/0! 2 #DIV/0! -
#DIV/0! 0 #DIV/0! - #DIV/0! -
- 0 - - - -
- 0 - - #DIV/0! -
28.6 20 35.1 10 34 7
Tahun : 2023

EMATUR DIRUJUK
#DIV/0! 2 50 93 43.7 86 46.0 179 44.75 5 3 6 4 11 3
- 1 14 25 10.0 27 10.4 52 10.20 8 4 8 4 16 4
- - - 102 82.9 98 93.3 200 87.72 1 1 2 2 3 1
40 2 40 20 18.2 16 14.8 36 16.51 - 0 4 4 4 2
- - - 5 6.7 6 8.8 11 7.69 4 6 5 8 9 7
- - - 10 9.7 10 11.8 20 10.64 1 1 1 1 2 1
#DIV/0! 2 #DIV/0! 75 78.1 66 89.2 141 82.94 - 0 - 0 0 0
- - - 36 11.5 34 10.8 70 11.13 7 3 11 5 18 4
50 1 17 61 50.8 60 43.8 121 47.08 3 4 2 2 5 3
- - - 32 13.1 28 12.1 60 12.61 - 0 1 1 1 0
#DIV/0! - #DIV/0! 103 56.6 98 62.8 201 59.47 4 4 - 0 4 2
#DIV/0! 1 #DIV/0! 9 6.9 13 13.0 22 9.57 - 0 - 0 0 0
100 2 100 11 10.7 27.5 36 18.56 5 6 1 1 6 4
50 3 75 19 8.2 23 10.2 42 9.19 1 1 3 3 4 2
#DIV/0! 1 #DIV/0! 24 23.3 3 3.0 27 13.37 6 5 5 5 11 5
#DIV/0! - - 10 12.0 8 14.5 18 13.04 - 0 - 0 0 0
#DIV/0! - #DIV/0! 7 4.7 7 4.8 14 4.75 - 0 - 0 0 0
#DIV/0! - #DIV/0! 27 10.3 22 6.0 49 7.83 - 0 - 0 0 0
#DIV/0! 2 #DIV/0! 71 81.6 69 85.2 140 83.33 - 0 - 0 0 0
#DIV/0! - #DIV/0! 13 13.3 11 25 24 12.24 5 6 4 5 9 6
- - - 19 14.1 17 14.8 36 14.40 - 0 - 0 0 0
- - - 29 34.9 23 29.9 52 32.50 - 0 - 0 0 0
25 17 30 801 24.3 725 22.8 1,551 23.96 50 2 53 2 103 2
Kesehatan Keluarga
7,467
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 359 358 717 1,890 100.00 291 38
1081 1102 2,183 830 843 1,673 254 251 505 2,183 100.00 49 6
569 540 1,109 446 435 881 202 196 398 1,109 100.00 275 62
495 478 973 385 370 755 124 120 244 973 100.00 47 12
191 182 373 116 114 230 71 76 147 373 100.00 20 17
245 224 469 142 139 281 186 149 335 469 100.00 20 14.1
350 315 665 254 241 495 157 151 308 665 100.00 67 26.4
1198 1187 2,385 885 871 1,756 485 441 926 2,385 100.00 624 70.5
404 410 814 284 273 557 126 125 251 814 100.00 116 40.8
542 504 1,046 297 273 570 316 309 625 1,046 100.00 128 43.1
586 559 1,145 404 403 807 205 190 395 1,145 100.00 401 99.3
437 381 818 307 281 588 186 163 349 818 100.00 46 15.0
371 378 749 268 287 555 133 142 275 749 100.00 29 10.8
551 538 1,089 320 312 632 162 123 285 1,089 100.00 50 15.6
601 573 1,174 498 474 972 140 149 289 1,174 100.00 83 16.7
309 267 576 226 212 438 126 145 271 576 100.00 45 19.9
640 634 1,274 491 488 979 180 140 320 1,274 100.00 21 4.3
684 792 1,476 423 427 850 416 409 825 1,476 100.00 110 26.0
581 505 1,086 494 424 918 23 84 107 1,086 100.00 319 64.6
406 381 787 308 283 591 101 103 204 787 100.00 192 62.3
593 561 1,154 458 446 904 192 188 380 1,154 100.00 25 5.5
216 209 425 133 132 265 27 42 69 425 100.00 53 39.8
12,023 11,637 23,660 8,729 8,458 17,187 4,171 4,054 8,225 23,660 100.00 3,011 34.5
Tahun : 2023
305 42 596 40.00 80 22 94 26 174 24
37 4 86 5.14 243 96 244 97 487 96
273 63 548 62.20 11 5 12 6 23 6
48 13 95 12.58 17 14 20 17 37 15
18 16 38 16.52 12 17 12 16 24 16
15 11 35 12.46 11 6 8 5 19 6
60 25 127 25.66 156 99 151 100 307 100
568 65 1,192 67.88 - - - - - -
125 46 241 43.27 62 49 57 46 119 47
143 52 271 47.54 - - - - - -
304 75 705 87.36 200 98 183 96 383 97
54 19 100 17.01 52 28 13 8 65 19
30 10 59 10.63 - - - - - -
45 14 95 15.03 82 51 72 59 154 54
85 18 168 17.28 25 18 28 19 53 18
41 19 86 19.63 35 28 47 32 82 30
34 7 55 5.62 - - - - - -
102 24 212 24.94 302 73 311 76 613 74
330 78 649 70.70 23 100 84 100 107 100
198 70 390 65.99 83 82 81 79 164 80
19 4 44 4.87 - - - - - -
71 54 124 46.79 - - - - - -
2,905 34 5,916 34.42 1,394 33 1,417 35 2,811 34
Kesehatan Keluarga
23,103
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA

PUSKESMAS
LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH
1 Arga Makmur 182 151 333 6 - 6
2 Perumnas 188 200 388 7 4 11
3 Kemumu 112 105 217 6 4 10
4 Lais 101 90 191 1 5 6
5 Air Padang 63 61 124 4 3 7
6 Dusun Curup 85 77 162 2 2 4
7 Tj. Agung Palik 62 66 128 - - -
8 Air Lais 245 224 469 4 5 9
9 Lubuk Durian 85 89 174 4 4 8
10 Hulu Palik 134 124 258 4 3 7
11 Batiknau 92 80 172 3 - 3
12 Kerkap 106 90 196 1 - 1
13 Air Bintunan 84 83 167 4 2 6
14 Ketahun 113 111 224 3 2 5
15 D6 Ketahun 128 108 236 - - -
16 Bukit Harapan 72 57 129 1 1 2
17 Suka Makmur 132 111 243 - - -
18 Sebelat 170 159 329 - 3 3
19 Karang Pulau 69 71 140 2 - 2
20 Napal Putih 80 77 157 2 1 3
21 Tanjung Harapan 121 117 238 3 4 7
22 Enggano 27 26 53 - 2 2
TOTAL 2,350 2,277 4,627 57 45 102
20.5 4,728 90
Seri Suarni, SKM

NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH
1 Arga Makmur 213 187 400 192 154 346
2 Perumnas 251 259 510 183 195 378
3 Kemumu 123 105 228 117 98 215
4 Lais 110 108 218 93 117 210
5 Air Padang 75 68 143 70 64 134
6 Dusun Curup 103 85 188 91 86 177
7 Tj. Agung Palik 96 74 170 81 71 152
8 Air Lais 313 316 629 312 263 575
9 Lubuk Durian 120 137 257 98 108 206
10 Hulu Palik 245 231 476 98 93 191
11 Batiknau 182 156 338 118 110 228
12 Kerkap 130 100 230 259 251 510
13 Air Bintunan 103 91 194 124 114 238
14 Ketahun 231 226 457 110 106 216
15 D6 Ketahun 103 99 202 147 120 267
16 Bukit Harapan 83 55 138 221 188 409
17 Suka Makmur 149 146 295 242 224 466
18 Sebelat 261 365 626 482 435 917
19 Karang Pulau 87 81 168 79 72 151
20 Napal Putih 98 98 196 83 96 179
21 Tanjung Harapan 135 115 250 138 125 263
22 Enggano 83 77 160 76 73 149
TOTAL 3,294 3,179 6,473 3,414 3,163 6,577
20.5
Seri Suarni, SKM

NIP. 19680530 198911 2 011
KABUPATEN : BENGKULU UTARA Lampiran
S/D Bulan : MARET Tahun

10 KABUPATEN/KOTA
PUSKESMAS KUNJUNGAN NEONATAL I (KN1) KUNJUNGAN NEONATAL LENGKAP (KN
L % P % TOTAL % L % P
1 Arga Makmur 33 18.1 33 21.9 66 19.82 32 17.6 33
2 Perumnas 36 19.1 33 16.5 69 17.78 36 19.1 33
3 Kemumu 24 21.4 19 18.1 43 19.82 24 21.4 19
4 Lais 21 20.8 23 25.6 44 23.04 21 20.8 23
5 Air Padang 22 34.9 11 18.0 33 26.61 22 34.9 11
6 Dusun Curup 24 28.2 23 29.9 47 29.01 23 27.1 23
7 Tj. Agung Palik 19 30.6 16 24.2 35 27.34 19 30.6 16
8 Air Lais 60 24.5 49 21.9 109 23.24 60 24.5 49
9 Lubuk Durian 20 23.5 13 14.6 33 18.97 19 22.4 11
10 Hulu Palik 23 17.2 19 15.3 42 16.28 23 17.2 18
11 Batiknau 29 31.5 25 31.3 54 31.40 28 30.4 25
12 Kerkap 21 19.8 20 22.2 41 20.92 21 19.8 20
13 Air Bintunan 28 33.3 18 21.7 46 27.54 28 33.3 17
14 Ketahun 28 24.8 31 27.9 59 26.34 28 24.8 31
15 D6 Ketahun 28 21.9 33 30.6 61 25.85 28 21.9 33
16 Bukit Harapan 20 27.8 16 28.1 36 27.91 20 27.8 16
17 Suka Makmur 23 17.4 27 24.3 50 20.58 23 17.4 27
18 Sebelat 47 27.6 32 20.1 79 24.01 47 27.6 31
19 Karang Pulau 26 37.7 13 18.3 39 27.86 26 37.7 13
20 Napal Putih 17 21.3 21 27.3 38 24.20 15 18.8 20
21 Tanjung Harapan 30 24.8 18 15.4 48 20.17 30 24.8 17
22 Enggano 2 7.4 7 26.9 9 16.98 2 7.4 5
TOTAL 581 24.7 500 22.0 1,081 23.36 575 24.5 491
20.5
Dinkes. Kab.Bengkulu Utara manis
Seri Suarni, SKM

NIP. 19680530 198911 2 011
KABUPATEN : BENGKULU UTARA : Formulir 2
S/D Bulan : MARET : 2023

10 KABUPATEN/KOTA
CAKUPAN NEONATUS KOMPLIKASI YANG DITANGANI BAYI BA
KUNJUNGAN
PUSKESMAS NEONATAL LENGKAP (KN Lengkap)
% TOTAL % L % P % TOTAL % L
1 Arga Makmur 21.9 65 19.52 6 3.3 - - 6 1.80 33
2 Perumnas 16.5 69 17.78 7 3.7 4 2.0 11 2.84 36
3 Kemumu 18.1 43 19.82 7 6.3 6 5.7 13 5.99 24
4 Lais 25.6 44 23.04 1 1.0 5 5.6 6 3.14 21
5 Air Padang 18.0 33 26.61 4 6.3 3 4.9 7 5.65 22
6 Dusun Curup 29.9 46 28.40 3 3.5 3 3.9 6 3.70 24
7 Tj. Agung Palik 24.2 35 27.34 2 3.2 - - 2 1.56 19
8 Air Lais 21.9 109 23.24 8 3.3 8 3.6 16 3.41 60
9 Lubuk Durian 12.4 30 17.24 4 4.7 4 4.5 8 4.60 20
10 Hulu Palik 14.5 41 15.89 4 3.0 3 2.4 7 2.71 23
11 Batiknau 31.3 53 30.81 3 3.3 - - 3 1.74 29
12 Kerkap 22.2 41 20.92 2 1.9 - - 2 1.02 21
13 Air Bintunan 20.5 45 26.95 4 4.8 3 3.6 7 4.19 28
14 Ketahun 27.9 59 26.34 3 2.7 2 1.8 5 2.23 28
15 D6 Ketahun 30.6 61 25.85 - - 1 0.9 1 0.42 28
16 Bukit Harapan 28.1 36 27.91 1 1.4 1 1.8 2 1.55 20
17 Suka Makmur 24.3 50 20.58 - - - - - - 7
18 Sebelat 19.5 78 23.71 - - - - - - 47
19 Karang Pulau 18.3 39 27.86 2 2.9 - - 2 1.43 26
20 Napal Putih 26.0 35 22.29 1 1.3 1 1.3 2 1.27 17
21 Tanjung Harapan 14.5 47 19.75 3 2.5 4 3.4 7 2.94 30
22 Enggano 19.2 7 13.21 - - 2 7.7 2 3.77 2
TOTAL 21.6 1,066 23.04 65 2.8 50 2.2 115 2.49 581
20.5 -
Seri Suarni, SKM

NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
BAYI BARU LAHIR DITIMBANG

PUSKESMAS BBLR DITANGANI
% P % TOTAL % L % P %
1 Arga Makmur 18.1 33 21.9 66 19.8 4 66.7 - #DIV/0!
2 Perumnas 19.1 33 16.5 69 17.8 2 28.6 - 0.0
3 Kemumu 21.4 19 18.1 43 19.8 1 16.7 2 50.0
4 Lais 20.8 23 25.6 44 23.0 - 0.0 3 60.0
5 Air Padang 34.9 11 18.0 33 26.6 1 25.0 3 100.0
6 Dusun Curup 28.2 23 29.9 47 29.0 2 100.0 2 100.0
7 Tj. Agung Palik 30.6 16 24.2 35 27.3 - #DIV/0! - #DIV/0!
8 Air Lais 24.5 49 21.9 109 23.2 6 150.0 2 40.0
9 Lubuk Durian 23.5 13 14.6 33 19.0 - 0.0 1 25.0
10 Hulu Palik 17.2 19 15.3 42 16.3 3 75.0 - 0.0
11 Batiknau 31.5 25 31.3 54 31.4 3 100.0 - #DIV/0!
12 Kerkap 19.8 20 22.2 41 20.9 - 0.0 - #DIV/0!
13 Air Bintunan 33.3 18 21.7 46 27.5 1 25.0 - 0.0
14 Ketahun 24.8 31 27.9 59 26.3 2 66.7 1 50.0
15 D6 Ketahun 21.9 33 30.6 61 25.8 - #DIV/0! - #DIV/0!
16 Bukit Harapan 27.8 16 28.1 36 27.9 - 0.0 - 0.0
17 Suka Makmur 5.3 7 6.3 14 5.8 - #DIV/0! - #DIV/0!
18 Sebelat 27.6 32 20.1 79 24.0 - #DIV/0! 3 100.0
19 Karang Pulau 37.7 13 18.3 39 27.9 - 0.0 - #DIV/0!
20 Napal Putih 21.3 21 27.3 38 24.2 1 50.0 - 0.0
21 Tanjung Harapan 24.8 18 15.4 48 20.2 3 100.0 3 75.0
22 Enggano 7.4 7 26.9 9 17.0 - #DIV/0! 2 100.0
TOTAL 24.7 500 22.0 1,081 23.4 29 50.9 22 48.9
20.5
Seri Suarni, SKM

NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
BAYI BERAT LAHIR RENDAH (BBLR) DAN PREMATUR
PUSKESMAS
BBLR DITANGANI PREMATUR DITANGANI BBLR + PREMAT
TOTAL % L % P % TOTAL % L
1 Arga Makmur 4 66.7 1 16.7 - #DIV/0! 1 16.7 4
2 Perumnas 2 18.2 - - 2 50.0 2 18.2 2
3 Kemumu 3 30.0 5 83.3 3 75.0 8 80.0 1
4 Lais 3 50.0 1 100.0 2 40.0 3 50.0 -
5 Air Padang 4 57.1 2 50.0 - - 2 28.6 -
6 Dusun Curup 4 100.0 1 50.0 - - 1 25.0 -
7 Tj. Agung Palik - #DIV/0! 2 #DIV/0! - #DIV/0! 2 #DIV/0! 3
8 Air Lais 8 88.9 - - 1 20.0 1 11.1 -
9 Lubuk Durian 1 12.5 1 25.0 - - 1 12.5 -
10 Hulu Palik 3 42.9 - - 1 33.3 1 14.3 -
11 Batiknau 3 100.0 - - - #DIV/0! 0 - -
12 Kerkap - - 1 100.0 - #DIV/0! 1 100.0 1
13 Air Bintunan 1 16.7 - - 2 100.0 2 33.3 -
14 Ketahun 3 60.0 1 33.3 - - 1 20.0 2
15 D6 Ketahun - #DIV/0! - #DIV/0! 1 #DIV/0! 1 #DIV/0! -
16 Bukit Harapan - - - - 1 100.0 1 50.0 -
17 Suka Makmur - #DIV/0! - #DIV/0! - #DIV/0! 0 #DIV/0! -
18 Sebelat 3 100.0 - #DIV/0! 3 100.0 3 100.0 -
19 Karang Pulau - - 2 100.0 - #DIV/0! 2 100.0 2
20 Napal Putih 1 33.3 - - - - 0 - 1
21 Tanjung Harapan 6 85.7 - - - - 0 - -
22 Enggano 2 100.0 - #DIV/0! - - 0 - -
TOTAL 51 50.0 17 29.8 16 35.6 33 32.4 16
20.5 17
Seri Suarni, SKM

NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
T LAHIR RENDAH (BBLR) DAN PREMATUR
CAKUPAN PELAYANAN KESEHATAN BAYI
PUSKESMAS BBLR + PREMATUR DIRUJUK
% P % Total % L % P %
1 Arga Makmur 67 - #DIV/0! 4 67 33 15.5 33 17.6
2 Perumnas 29 - - 2 18 37 14.7 46 17.8
3 Kemumu 17 2 50 3 30 112 91.1 107 101.9
4 Lais - 2 40 2 33 29 26.4 25 23.1
5 Air Padang - - - - - 5 6.7 6 8.8
6 Dusun Curup - - - - - 19 18.4 16 18.8
7 Tj. Agung Palik #DIV/0! - #DIV/0! 3 #DIV/0! 81 84.4 71 95.9
8 Air Lais - - - - - 60 19.2 49 15.5
9 Lubuk Durian - 1 25 1 13 72 60.0 76 55.5
10 Hulu Palik - - - - - 44 18.0 34 14.7
11 Batiknau - - #DIV/0! - - 113 62.1 106 67.9
12 Kerkap 100 - #DIV/0! 1 100 14 10.8 20 20.0
13 Air Bintunan - 2 100 2 33 24 23.3 36.3
14 Ketahun 67 - - 2 40 28 12.1 37 16.4
15 D6 Ketahun #DIV/0! 1 #DIV/0! 1 #DIV/0! 33 32.0 5 5.1
16 Bukit Harapan - 1 100 1 50 12 14.5 14 25.5
17 Suka Makmur #DIV/0! - #DIV/0! - #DIV/0! 14 9.4 16 11.0
18 Sebelat #DIV/0! 1 33 1 33 42 16.1 36 9.9
19 Karang Pulau 100 - #DIV/0! 2 100 79 90.8 72 88.9
20 Napal Putih 50 - - 1 33 15 15.3 20 33
21 Tanjung Harapan - - - - - 31 23.0 29 25.2
22 Enggano #DIV/0! - - - - 58 69.9 47 61.0
TOTAL 28 10 22 26 25 955 29.0 865 27.2
20.5
Seri Suarni, SKM

NIP. 19680530 198911 2 011
KABUPATEN : BENGKULU UTARA Lampiran: Formulir 2
S/D Bulan : MARET Tahun : 2023

10 KABUPATEN/KOTA `
CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK BALITA (0 - 59 BULAN)
PUSKESMAS
TOTAL % L % P % TOTAL % LAKI-LAKI
1 Arga Makmur 66 16.50 9 5 13 9 22 7 973
2 Perumnas 83 16.27 11 6 9 5 20 5 1081
3 Kemumu 219 96.05 3 3 2 2 5 2 569
4 Lais 54 24.77 - 0 4 4 4 2 495
5 Air Padang 11 7.69 10 16 6 10 16 13 191
6 Dusun Curup 35 18.62 3 4 1 1 4 2 245
7 Tj. Agung Palik 152 89.41 - 0 - 0 0 0 350
8 Air Lais 109 17.33 8 3 11 5 19 4 1198
9 Lubuk Durian 148 57.59 5 6 4 4 9 5 404
10 Hulu Palik 78 16.39 - 0 1 1 1 0 542
11 Batiknau 219 64.79 9 10 4 5 13 8 586
12 Kerkap 34 14.78 - 0 - 0 0 0 437
13 Air Bintunan 57 29.38 6 7 2 2 8 5 371
14 Ketahun 65 14.22 1 1 5 5 6 3 551
15 D6 Ketahun 38 18.81 6 5 6 6 12 5 601
16 Bukit Harapan 26 18.84 - 0 - 0 0 0 309
17 Suka Makmur 30 10.17 - 0 - 0 0 0 640
18 Sebelat 78 12.46 - 0 - 0 0 0 684
19 Karang Pulau 151 89.88 - 0 - 0 0 0 581
20 Napal Putih 35 17.86 6 8 6 8 12 8 406
21 Tanjung Harapan 60 24.00 - 0 - 0 0 0 593
22 Enggano 105 65.63 - 0 - 0 0 0 216
TOTAL 1,853 28.63 77 3 74 3 151 3 12,023
20.5
Kepala Seksi KesehatanKeluarga dan Giizi Pengelola Data Program
Dinkes. Kab.Bengkulu Utara Kesehatan Keluarga

7,221
Made Ernawati, SKM
Seri Suarni, SKM NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
BALITA (0 - 59
ANAK PRA SEKOLAH (60 - 71 BULAN)
BALITA (0 - 59 BULAN) ANAK BALITA (12 - 59 BULAN)
PUSKESMAS BULAN) RIIL MEMPUNYAI
BUKU KIA
PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH LAKI-LAKI PEREMPUAN JUMLAH Abs
1 Arga Makmur 917 1,890 760 730 1,490 361 360 721 1,890
2 Perumnas 1102 2,183 830 843 1,673 277 269 546 2,183
3 Kemumu 540 1,109 446 435 881 210 208 418 1,109
4 Lais 478 973 385 370 755 124 120 244 973
5 Air Padang 182 373 116 114 230 74 78 152 373
6 Dusun Curup 224 469 142 139 281 186 149 335 469
7 Tj. Agung Palik 315 665 254 241 495 157 151 308 665
8 Air Lais 1187 2,385 885 871 1,756 485 441 926 2,385
9 Lubuk Durian 410 814 284 273 557 135 135 270 814
10 Hulu Palik 504 1,046 297 273 570 316 309 625 1,046
11 Batiknau 559 1,145 404 403 807 205 190 395 1,145
12 Kerkap 381 818 307 281 588 191 167 358 818
13 Air Bintunan 378 749 268 287 555 148 157 305 749
14 Ketahun 538 1,089 320 312 632 165 125 290 1,089
15 D6 Ketahun 573 1,174 498 474 972 148 156 304 1,174
16 Bukit Harapan 267 576 226 212 438 192 218 410 576
17 Suka Makmur 634 1,274 491 488 979 270 210 480 1,274
18 Sebelat 792 1,476 423 427 850 629 610 1,239 1,476
19 Karang Pulau 505 1,086 494 424 918 25 86 111 1,086
20 Napal Putih 381 787 308 283 591 118 121 239 787
21 Tanjung Harapan 561 1,154 458 446 904 201 196 397 1,154
22 Enggano 209 425 133 132 265 54 84 138 425
TOTAL 11,637 23,660 8,729 8,458 17,187 4,671 4,540 9,211 23,660
20.5
Seri Suarni, SKM

NIP. 19680530 198911 2 011
S/D Bulan : MARET

10 KABUPATEN/KOTA
BALITA (0 - 59
BULAN) CAKUPAN ANAK PRASEKOLAH (60 - 71 BUL
CAKUPAN PELAYANAN ANAK BALITA (12 - 59 BULAN)
PUSKESMAS MEMPUNYAI MIN 2 KALI/TAHUN
BUKU KIA
% L % P % TOTAL % L %
1 Arga Makmur 100.00 51 7 45 6 96 6.44 80 22
2 Perumnas 100.00 66 8 52 6 118 7.05 243 88
3 Kemumu 100.00 275 62 273 63 548 62.20 11 5
4 Lais 100.00 59 15 63 17 122 16.16 20 16
5 Air Padang 100.00 20 17 18 16 38 16.52 68 92
6 Dusun Curup 100.00 34 23.9 29 21 63 22.42 26 14
7 Tj. Agung Palik 100.00 160 63.0 140 58 300 60.61 156 99
8 Air Lais 100.00 69 7.8 92 11 161 9.17 75 15
9 Lubuk Durian 100.00 127 44.7 141 52 268 48.11 88 65
10 Hulu Palik 100.00 133 44.8 150 55 283 49.65 23 7
11 Batiknau 100.00 412 102.0 317 79 729 90.33 200 98
12 Kerkap 100.00 72 23.5 71 25 143 24.32 103 54
13 Air Bintunan 100.00 45 16.8 43 15 88 15.86 36 24
14 Ketahun 100.00 70 21.9 70 22 140 22.15 85 52
15 D6 Ketahun 100.00 127 25.5 124 26 251 25.82 50 34
16 Bukit Harapan 100.00 77 34.1 74 35 151 34.47 38 20
17 Suka Makmur 100.00 27 5.5 43 9 70 7.15 85 31
18 Sebelat 100.00 173 40.9 159 37 332 39.06 338 54
19 Karang Pulau 100.00 326 66.0 330 78 656 71.46 25 100
20 Napal Putih 100.00 206 66.9 216 76 422 71.40 83 70
21 Tanjung Harapan 100.00 56 12.2 41 9 97 10.73 - -
22 Enggano 100.00 143 107.5 149 113 292 110.19 25 46
TOTAL 100.00 2,728 31.3 2,640 31 5,368 31.23 1,858 40
20.5

22,555
Made Ernawati, SKM
NIP. 19680530 198911 2 011
KABUPATEN : BENGKULU UTARA Lampiran : Formulir 2
S/D Bulan : MARET Tahun : 2023

10 KABUPATEN/KOTA
CAKUPAN ANAK PRASEKOLAH (60 - 71 BULAN) DILAYANI SDIDTK
PUSKESMAS MIN 2 KALI/TAHUN
P % TOTAL %
1 Arga Makmur 94 26 174 24
2 Perumnas 244 91 487 89
3 Kemumu 12 6 23 6
4 Lais 25 21 45 18
5 Air Padang 67 86 135 89
6 Dusun Curup 22 15 48 14
7 Tj. Agung Palik 151 100 307 100
8 Air Lais 79 18 154 17
9 Lubuk Durian 74 55 162 60
10 Hulu Palik 24 8 47 8
11 Batiknau 183 96 383 97
12 Kerkap 69 41 172 48
13 Air Bintunan 20 13 56 18
14 Ketahun 74 59 159 55
15 D6 Ketahun 49 31 99 33
16 Bukit Harapan 52 24 90 22
17 Suka Makmur 66 31 151 31
18 Sebelat 343 56 681 55
19 Karang Pulau 86 100 111 100
20 Napal Putih 81 67 164 69
21 Tanjung Harapan - - - -
22 Enggano 35 42 60 43
TOTAL 1,850 41 3,708 40
20.5
Made Ernawati, SKM

NIP. 19680530 198911 2 011
S/D Bulan : APRIL 2023

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 8 1 9 213 187 400
2 Perumnas 188 200 388 11 5 16 251 259 510
3 Kemumu 112 105 217 7 7 14 123 105 228
4 Lais 101 90 191 1 7 8 110 108 218
5 Air Padang 63 61 124 4 3 7 75 68 143
6 Dusun Curup 85 77 162 2 2 4 103 85 188
7 Tj. Agung Palik 62 66 128 2 - 2 96 74 170
8 Air Lais 245 224 469 5 5 10 313 316 629
9 Lubuk Durian 85 89 174 5 4 9 120 137 257
10 Hulu Palik 134 124 258 4 4 8 245 231 476
11 Batiknau 92 80 172 3 - 3 182 156 338
12 Kerkap 106 90 196 1 - 1 130 100 230
13 Air Bintunan 84 83 167 5 2 7 103 91 194
14 Ketahun 113 111 224 6 2 8 231 226 457
15 D6 Ketahun 128 108 236 - - - 103 99 202
16 Bukit Harapan 72 57 129 2 1 3 83 55 138
17 Suka Makmur 132 111 243 - - - 149 146 295
18 Sebelat 170 159 329 - 4 4 261 365 626
19 Karang Pulau 69 71 140 2 - 2 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 3 4 7 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2,350 2,277 4,627 73 54 127 3,294 3,179 6,473
20.5 4,728 108
Seri Suarni, SKM

209 167 376 50
198 206 404 51
127 108 235 34
93 117 210 29
75 68 143 27
96 95 191 29
88 75 163 26
341 281 622 89
105 113 218 26
104 100 204 29
130 115 245 41
267 257 524 29
132 119 251 36
123 117 240 40
156 134 290 37
303 242 545 24
363 336 699 35
656 592 1,248 64
86 80 166 33
89 101 190 23
150 135 285 42
116 122 238 6
4,007 3,680 7,687 800
Tahun : 2023

27.5 46 30.5 96 28.83 49 26.9 46 30.5 95 28.53 6 3.3 - - 6
27.1 44 22.0 95 24.48 51 27.1 44 22.0 95 24.48 11 5.9 5 2.5 16
30.4 29 27.6 63 29.03 34 30.4 29 27.6 63 29.03 8 7.1 12 11.4 20
28.7 34 37.8 63 32.98 28 27.7 34 37.8 62 32.46 2 2.0 6 6.7 8
42.9 15 24.6 42 33.87 27 42.9 15 24.6 42 33.87 4 6.3 3 4.9 7
34.1 32 41.6 61 37.65 28 32.9 32 41.6 60 37.04 3 3.5 4 5.2 7
41.9 20 30.3 46 35.94 26 41.9 20 30.3 46 35.94 2 3.2 - - 2
36.3 67 29.9 156 33.26 89 36.3 66 29.5 155 33.05 9 3.7 9 4.0 18
30.6 18 20.2 44 25.29 24 28.2 16 18.0 40 22.99 5 5.9 4 4.5 9
21.6 26 21.0 55 21.32 29 21.6 25 20.2 54 20.93 4 3.0 3 2.4 7
44.6 30 37.5 71 41.28 40 43.5 30 37.5 70 40.70 3 3.3 1 1.3 4
27.4 26 28.9 55 28.06 29 27.4 26 28.9 55 28.06 4 3.8 - - 4
42.9 23 27.7 59 35.33 36 42.9 22 26.5 58 34.73 5 6.0 3 3.6 8
35.4 42 37.8 82 36.61 37 32.7 42 37.8 79 35.27 9 8.0 2 1.8 11
28.9 47 43.5 84 35.59 37 28.9 47 43.5 84 35.59 - - 1 0.9 1
33.3 21 36.8 45 34.88 24 33.3 21 36.8 45 34.88 2 2.8 1 1.8 3
26.5 35 31.5 70 28.81 35 26.5 35 31.5 70 28.81 1 0.8 - - 1
37.6 44 27.7 108 32.83 64 37.6 42 26.4 106 32.22 - - 6 3.8 6
47.8 21 29.6 54 38.57 33 47.8 21 29.6 54 38.57 2 2.9 - - 2
28.7 26 33.8 49 31.21 21 26.3 25 32.5 46 29.30 1 1.3 1 1.3 2
34.7 28 23.9 70 29.41 42 34.7 27 23.1 69 28.99 3 2.5 4 3.4 7
22.2 13 50.0 19 35.85 6 22.2 11 42.3 17 32.08 - - 2 7.7 2
34.0 687 30.2 1,487 32.14 789 33.6 676 29.7 1,465 31.66 84 3.6 67 2.9 151
-

manis
1.80 50 27.5 46 30.5 96 28.8 4 50.0 - 0.0 4 44.4 1 12.5 -
4.12 51 27.1 44 22.0 95 24.5 5 45.5 - 0.0 5 31.3 - - 2
9.22 34 30.4 29 27.6 63 29.0 1 14.3 5 71.4 6 42.9 5 71.4 6
4.19 29 28.7 34 37.8 63 33.0 - 0.0 3 42.9 3 37.5 2 200.0 3
5.65 27 42.9 15 24.6 42 33.9 1 25.0 3 100.0 4 57.1 2 50.0 -
4.32 29 34.1 32 41.6 61 37.7 2 100.0 3 150.0 5 125.0 1 50.0 -
1.56 26 41.9 20 30.3 46 35.9 - 0.0 - #DIV/0! - - 2 100.0 -
3.84 89 36.3 67 29.9 156 33.3 7 140.0 3 60.0 10 100.0 - - 1
5.17 26 30.6 18 20.2 44 25.3 - 0.0 1 25.0 1 11.1 1 20.0 -
2.71 29 21.6 26 21.0 55 21.3 3 75.0 - 0.0 3 37.5 - - 1
2.33 41 44.6 30 37.5 71 41.3 3 100.0 1 #DIV/0! 4 133.3 - - -
2.04 29 27.4 26 28.9 55 28.1 2 200.0 - #DIV/0! 2 200.0 1 100.0 -
4.79 36 42.9 23 27.7 59 35.3 1 20.0 - 0.0 1 14.3 - - 2
4.91 40 35.4 42 37.8 82 36.6 5 83.3 1 50.0 6 75.0 4 66.7 -
0.42 37 28.9 47 43.5 84 35.6 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! 1
2.33 24 33.3 21 36.8 45 34.9 1 50.0 - 0.0 1 33.3 - - 1
0.41 7 5.3 7 6.3 14 5.8 1 #DIV/0! - #DIV/0! 1 #DIV/0! - #DIV/0! -
1.82 64 37.6 44 27.7 108 32.8 - #DIV/0! 5 125.0 5 125.0 - #DIV/0! 1
1.43 33 47.8 21 29.6 54 38.6 - 0.0 - #DIV/0! - - 2 100.0 -
1.27 23 28.7 26 33.8 49 31.2 1 50.0 - 0.0 1 33.3 - - -
2.94 42 34.7 28 23.9 70 29.4 3 100.0 3 75.0 6 85.7 - - -
3.77 6 22.2 13 50.0 19 35.8 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
3.26 800 34.0 687 30.2 1,487 32.1 40 54.8 30 55.6 70 55.1 21 28.8 18
21
% TOTAL % L % P
- 1 11.1 6 75 1
40.0 2 12.5 5 45 -
85.7 11 78.6 1 14 2
42.9 5 62.5 1 100 2
- 2 28.6 - - -
- 1 25.0 - - -
#DIV/0! 2 100.0 5 250 -
20.0 1 10.0 - - -
- 1 11.1 - - 1
25.0 1 12.5 - - 1
#DIV/0! 0 - - - -
#DIV/0! 1 100.0 1 100 -
100.0 2 28.6 - - 2
- 4 50.0 5 83 -
#DIV/0! 1 #DIV/0! - #DIV/0! 1
100.0 1 33.3 - - 1
#DIV/0! 0 #DIV/0! 1 #DIV/0! -
25.0 1 25.0 - #DIV/0! 1
#DIV/0! 2 100.0 2 100 -
- 0 - 1 50 -
- 0 - - - -
- 0 - - #DIV/0! -
33.3 39 30.7 28 38 12
Tahun : 2023

EMATUR DIRUJUK
100 7 78 50 23.5 46 24.6 96 24.00 13 7 15 10 28 8
- 5 31 56 22.3 60 23.2 116 22.75 14 7 15 8 29 7
29 3 21 43 35.0 30 28.6 73 32.02 3 3 2 2 5 2
29 3 38 33 30.0 31 28.7 64 29.36 - 0 5 6 5 3
- - - 19 25.3 34 50.0 53 37.06 13 21 7 11 20 16
- - - 24 23.3 25 29.4 49 26.06 3 4 1 1 4 2
#DIV/0! 5 250 88 91.7 75 101.4 163 95.88 - 0 - 0 0 0
- - - 89 28.4 67 21.2 156 24.80 8 3 11 5 19 4
25 1 11 80 66.7 87 63.5 167 64.98 5 6 6 7 11 6
25 1 13 50 20.4 41 17.7 91 19.12 - 0 1 1 1 0
#DIV/0! - - 123 67.6 111 71.2 234 69.23 16 17 8 10 24 14
#DIV/0! 1 100 18 13.8 28 28.0 46 20.00 2 2 - 0 2 1
100 2 29 32 31.1 52.7 80 41.24 11 13 6 7 17 10
- 5 63 40 17.3 51 22.6 91 19.91 2 2 6 5 8 4
#DIV/0! 1 #DIV/0! 48 46.6 6 6.1 54 26.73 6 5 6 6 12 5
100 1 33 22 26.5 19 34.5 41 29.71 - 0 - 0 0 0
#DIV/0! 1 #DIV/0! 26 17.4 24 16.4 50 16.95 - 0 - 0 0 0
25 1 25 56 21.5 53 14.5 109 17.41 - 0 - 0 0 0
#DIV/0! 2 100 86 98.9 80 98.8 166 98.81 - 0 - 0 0 0
- 1 33 21 21.4 25 48 46 23.47 9 11 8 10 17 11
- - - 46 34.1 46 40.0 92 36.80 - 0 - 0 0 0
- - - 98 118.1 96 124.7 194 121.25 - 0 - 0 0 0
22 40 31 1,148 34.9 1,035 32.6 2,231 34.47 105 4 97 4 202 4
Kesehatan Keluarga
8,749
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 365 364 729 1,890 100.00 51 7
1081 1102 2,183 830 843 1,673 289 284 573 2,183 100.00 76 9
569 540 1,109 446 435 881 210 208 418 1,109 100.00 275 62
495 478 973 385 370 755 124 120 244 973 100.00 67 17
191 182 373 116 114 230 76 81 157 373 100.00 62 53
245 224 469 142 139 281 186 149 335 469 100.00 36 25.4
350 315 665 254 241 495 157 151 308 665 100.00 239 94.1
1198 1187 2,385 885 871 1,756 495 456 951 2,385 100.00 110 12.4
404 410 814 284 273 557 146 148 294 814 100.00 142 50.0
542 504 1,046 297 273 570 316 309 625 1,046 100.00 136 45.8
586 559 1,145 404 403 807 205 190 395 1,145 100.00 421 104.2
437 381 818 307 281 588 199 173 372 818 100.00 109 35.5
371 378 749 268 287 555 160 166 326 749 100.00 63 23.5
551 538 1,089 320 312 632 175 137 312 1,089 100.00 94 29.4
601 573 1,174 498 474 972 158 169 327 1,174 100.00 172 34.5
309 267 576 226 212 438 256 289 545 576 100.00 97 42.9
640 634 1,274 491 488 979 360 280 640 1,274 100.00 56 11.4
684 792 1,476 423 427 850 840 811 1,651 1,476 100.00 208 49.2
581 505 1,086 494 424 918 29 90 119 1,086 100.00 329 66.6
406 381 787 308 283 591 135 139 274 787 100.00 220 71.4
593 561 1,154 458 446 904 206 204 410 1,154 100.00 102 22.3
216 209 425 133 132 265 54 84 138 425 100.00 235 176.7
12,023 11,637 23,660 8,729 8,458 17,187 5,141 5,002 10,143 23,660 100.00 3,300 37.8
Tahun : 2023
50 7 101 6.78 81 22 97 27 178 24
71 8 147 8.79 243 84 244 86 487 85
273 63 548 62.20 11 5 12 6 23 6
75 20 142 18.81 23 19 29 24 52 21
62 54 124 53.91 68 89 67 83 135 86
30 22 66 23.49 34 18 31 21 65 19
209 87 448 90.51 156 99 151 100 307 100
142 16 252 14.35 144 29 155 34 299 31
154 56 296 53.14 101 69 95 64 196 67
154 56 290 50.88 41 13 46 15 87 14
324 80 745 92.32 200 98 183 96 383 97
100 36 209 35.54 122 61 76 44 198 53
63 22 126 22.70 134 84 106 64 240 74
96 31 190 30.06 89 51 80 58 169 54
167 35 339 34.88 70 44 70 41 140 43
95 45 192 43.84 40 16 56 19 96 18
80 16 136 13.89 170 47 132 47 302 47
198 46 406 47.76 393 47 392 48 785 48
334 79 663 72.22 29 100 90 100 119 100
234 83 454 76.82 83 61 81 58 164 60
78 17 180 19.91 - - - - - -
229 173 464 175.09 25 46 35 42 60 43
3,218 38 6,518 37.92 2,257 44 2,228 45 4,485 44
Kesehatan Keluarga
23,705
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : MEI 2023

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 8 1 9 213 187 400
2 Perumnas 188 200 388 15 6 21 251 259 510
3 Kemumu 112 105 217 8 7 15 123 105 228
4 Lais 101 90 191 3 10 13 110 108 218
5 Air Padang 63 61 124 6 4 10 75 68 143
6 Dusun Curup 85 77 162 2 2 4 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 8 7 15 313 316 629
9 Lubuk Durian 85 89 174 5 4 9 120 137 257
10 Hulu Palik 134 124 258 4 5 9 245 231 476
11 Batiknau 92 80 172 3 - 3 182 156 338
12 Kerkap 106 90 196 1 - 1 130 100 230
13 Air Bintunan 84 83 167 7 2 9 103 91 194
14 Ketahun 113 111 224 6 3 9 231 226 457
15 D6 Ketahun 128 108 236 - - - 103 99 202
16 Bukit Harapan 72 57 129 4 1 5 83 55 138
17 Suka Makmur 132 111 243 - - - 149 146 295
18 Sebelat 170 159 329 - 6 6 261 365 626
19 Karang Pulau 69 71 140 5 2 7 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 6 5 11 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2,350 2,277 4,627 95 69 164 3,294 3,179 6,473
20.5 4,728 138
Seri Suarni, SKM

223 171 394 64
209 217 426 63
136 113 249 43
93 117 210 39
79 76 155 31
102 102 204 35
94 80 174 32
383 299 682 131
115 118 233 36
107 105 212 32
133 127 260 44
276 263 539 38
142 126 268 46
132 120 252 49
163 137 300 44
384 297 681 27
484 448 932 44
656 592 1,248 75
95 86 181 42
100 105 205 34
163 140 303 54
156 172 328 6
4,425 4,011 8,436 1,009
Tahun : 2023

35.2 50 33.1 114 34.23 62 34.1 50 33.1 112 33.63 6 3.3 - - 6
33.5 55 27.5 118 30.41 62 33.0 55 27.5 117 30.15 15 8.0 6 3.0 21
38.4 34 32.4 77 35.48 43 38.4 34 32.4 77 35.48 10 8.9 12 11.4 22
38.6 44 48.9 83 43.46 38 37.6 44 48.9 82 42.93 4 4.0 9 10.0 13
49.2 23 37.7 54 43.55 30 47.6 23 37.7 53 42.74 7 11.1 4 6.6 11
41.2 39 50.6 74 45.68 34 40.0 39 50.6 73 45.06 3 3.5 5 6.5 8
51.6 25 37.9 57 44.53 32 51.6 25 37.9 57 44.53 2 3.2 1 1.5 3
53.5 85 37.9 216 46.06 131 53.5 84 37.5 215 45.84 11 4.5 12 5.4 23
42.4 23 25.8 59 33.91 34 40.0 21 23.6 55 31.61 5 5.9 4 4.5 9
23.9 32 25.8 64 24.81 32 23.9 30 24.2 62 24.03 4 3.0 4 3.2 8
47.8 42 52.5 86 50.00 43 46.7 42 52.5 85 49.42 3 3.3 1 1.3 4
35.8 32 35.6 70 35.71 38 35.8 32 35.6 70 35.71 4 3.8 - - 4
54.8 30 36.1 76 45.51 46 54.8 29 34.9 75 44.91 7 8.3 4 4.8 11
43.4 45 40.5 94 41.96 46 40.7 45 40.5 91 40.63 9 8.0 3 2.7 12
34.4 50 46.3 94 39.83 44 34.4 50 46.3 94 39.83 - - 1 0.9 1
37.5 26 45.6 53 41.09 26 36.1 26 45.6 52 40.31 6 8.3 1 1.8 7
33.3 45 40.5 89 36.63 44 33.3 45 40.5 89 36.63 1 0.8 1 0.9 2
44.1 55 34.6 130 39.51 75 44.1 53 33.3 128 38.91 1 0.6 7 4.4 8
60.9 27 38.0 69 49.29 42 60.9 26 36.6 68 48.57 6 8.7 2 2.8 8
42.5 30 39.0 64 40.76 32 40.0 29 37.7 61 38.85 1 1.3 1 1.3 2
44.6 33 28.2 87 36.55 53 43.8 32 27.4 85 35.71 6 5.0 5 4.3 11
22.2 14 53.8 20 37.74 6 22.2 12 46.2 18 33.96 - - 2 7.7 2
42.9 839 36.8 1,848 39.94 993 42.3 826 36.3 1,819 39.31 111 4.7 85 3.7 196
-

manis
1.80 64 35.2 50 33.1 114 34.2 4 50.0 - 0.0 4 44.4 1 12.5 -
5.41 63 33.5 55 27.5 118 30.4 7 46.7 - 0.0 7 33.3 - - 2
10.14 43 38.4 34 32.4 77 35.5 2 25.0 5 71.4 7 46.7 6 75.0 6
6.81 39 38.6 44 48.9 83 43.5 - 0.0 6 60.0 6 46.2 4 133.3 3
8.87 31 49.2 23 37.7 54 43.5 3 50.0 4 100.0 7 70.0 3 50.0 -
4.94 35 41.2 39 50.6 74 45.7 2 100.0 4 200.0 6 150.0 1 50.0 -
2.34 32 51.6 25 37.9 57 44.5 - 0.0 - 0.0 - - 2 100.0 1
4.90 131 53.5 85 37.9 216 46.1 8 100.0 4 57.1 12 80.0 - - 1
5.17 36 42.4 23 25.8 59 33.9 - 0.0 1 25.0 1 11.1 1 20.0 -
3.10 32 23.9 32 25.8 64 24.8 3 75.0 - 0.0 3 33.3 - - 1
2.33 44 47.8 42 52.5 86 50.0 3 100.0 1 #DIV/0! 4 133.3 - - -
2.04 38 35.8 32 35.6 70 35.7 2 200.0 1 #DIV/0! 3 300.0 1 100.0 -
6.59 46 54.8 30 36.1 76 45.5 1 14.3 - 0.0 1 11.1 - - 2
5.36 49 43.4 45 40.5 94 42.0 5 83.3 2 66.7 7 77.8 4 66.7 -
0.42 44 34.4 50 46.3 94 39.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! 1
5.43 27 37.5 26 45.6 53 41.1 2 50.0 - 0.0 2 40.0 1 25.0 1
0.82 7 5.3 7 6.3 14 5.8 1 #DIV/0! 1 #DIV/0! 2 #DIV/0! - #DIV/0! -
2.43 75 44.1 55 34.6 130 39.5 1 #DIV/0! 6 100.0 7 116.7 - #DIV/0! 1
5.71 42 60.9 27 38.0 69 49.3 1 20.0 1 50.0 2 28.6 3 60.0 -
1.27 34 42.5 30 39.0 64 40.8 1 50.0 - 0.0 1 33.3 - - -
4.62 54 44.6 33 28.2 87 36.6 5 83.3 4 80.0 9 81.8 - - -
3.77 6 22.2 14 53.8 20 37.7 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
4.24 1009 42.9 839 36.8 1,848 39.9 51 53.7 42 60.9 93 56.7 27 28.4 19
27
% TOTAL % L % P
- 1 11.1 6 75 1
33.3 2 9.5 7 47 -
85.7 12 80.0 1 13 2
30.0 7 53.8 3 100 2
- 3 30.0 1 17 -
- 1 25.0 - - -
100.0 3 100.0 5 250 1
14.3 1 6.7 - - -
- 1 11.1 - - 1
20.0 1 11.1 - - 1
#DIV/0! 0 - - - -
#DIV/0! 1 100.0 1 100 -
100.0 2 22.2 - - 2
- 4 44.4 5 83 1
#DIV/0! 1 #DIV/0! - #DIV/0! 1
100.0 2 40.0 - - 1
#DIV/0! 0 #DIV/0! 1 #DIV/0! 1
16.7 1 16.7 - #DIV/0! 1
- 3 42.9 3 60 1
- 0 - 1 50 -
- 0 - - - -
- 0 - - #DIV/0! -
27.5 46 28.0 34 36 16
Tahun : 2023

EMATUR DIRUJUK
100 7 78 64 30.0 50 26.7 114 28.50 15 8 15 10 30 9
- 7 33 68 27.1 69 26.6 137 26.86 15 8 19 10 34 9
29 3 20 43 35.0 30 28.6 73 32.02 7 6 3 3 10 5
20 5 38 37 33.6 35 32.4 72 33.03 - 0 8 9 8 4
- 1 10 22 29.3 36 52.9 58 40.56 18 29 12 20 30 24
- - - 27 26.2 27 31.8 54 28.72 3 4 1 1 4 2
100 6 200 152 158.3 136 183.8 288 169.41 - 0 1 2 1 1
- - - 131 41.9 85 26.9 216 34.34 9 4 12 5 21 4
25 1 11 91 75.8 97 70.8 188 73.15 9 11 8 9 17 10
20 1 11 53 21.6 47 20.3 100 21.01 - 0 3 2 3 1
#DIV/0! - - 126 69.2 123 78.8 249 73.67 16 17 10 13 26 15
#DIV/0! 1 100 26 20.0 32 32.0 58 25.22 7 7 1 1 8 4
100 2 22 41 39.8 65.9 101 52.06 11 13 6 7 17 10
33 6 67 49 21.2 51 22.6 100 21.88 2 2 7 6 9 4
#DIV/0! 1 #DIV/0! 48 46.6 7 7.1 55 27.23 7 5 7 6 14 6
100 1 20 26 31.3 23 41.8 49 35.51 - 0 - 0 0 0
#DIV/0! 2 #DIV/0! 35 23.5 34 23.3 69 23.39 - 0 - 0 0 0
17 1 17 66 25.3 68 18.6 134 21.41 - 0 - 0 0 0
50 4 57 95 109.2 86 106.2 181 107.74 - 0 1 1 1 1
- 1 33 32 32.7 29 60 61 31.12 17 21 10 13 27 17
- - - 57 42.2 54 47.0 111 44.40 - 0 - 0 0 0
- - - 98 118.1 96 124.7 194 121.25 - 0 - 0 0 0
23 50 30 1,387 42.1 1,215 38.2 2,662 41.12 136 6 124 5 260 6
Kesehatan Keluarga
10,211
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 373 369 742 1,890 100.00 66 9
1081 1102 2,183 830 843 1,673 304 301 605 2,183 100.00 88 11
569 540 1,109 446 435 881 210 208 418 1,109 100.00 291 65
495 478 973 385 370 755 124 120 244 973 100.00 95 25
191 182 373 116 114 230 79 83 162 373 100.00 67 58
245 224 469 142 139 281 188 152 340 469 100.00 39 27.5
350 315 665 254 241 495 313 302 615 665 100.00 303 119.3
1198 1187 2,385 885 871 1,756 510 471 981 2,385 100.00 155 17.5
404 410 814 284 273 557 158 159 317 814 100.00 159 56.0
542 504 1,046 297 273 570 318 313 631 1,046 100.00 141 47.5
586 559 1,145 404 403 807 294 257 551 1,145 100.00 448 110.9
437 381 818 307 281 588 201 178 379 818 100.00 140 45.6
371 378 749 268 287 555 171 180 351 749 100.00 80 29.9
551 538 1,089 320 312 632 183 147 330 1,089 100.00 114 35.6
601 573 1,174 498 474 972 158 169 327 1,174 100.00 172 34.5
309 267 576 226 212 438 319 357 676 576 100.00 128 56.6
640 634 1,274 491 488 979 450 350 800 1,274 100.00 88 17.9
684 792 1,476 423 427 850 840 811 1,651 1,476 100.00 225 53.2
581 505 1,086 494 424 918 33 96 129 1,086 100.00 333 67.4
406 381 787 308 283 591 152 157 309 787 100.00 233 75.6
593 561 1,154 458 446 904 213 212 425 1,154 100.00 140 30.6
216 209 425 133 132 265 54 84 138 425 100.00 325 244.4
12,023 11,637 23,660 8,729 8,458 17,187 5,645 5,476 11,121 23,660 100.00 3,830 43.9
Tahun : 2023
58 8 124 8.32 89 24 102 28 191 26
90 11 178 10.64 243 80 244 81 487 80
287 66 578 65.61 27 13 26 13 53 13
92 25 187 24.77 28 23 40 33 68 28
67 59 134 58.26 70 89 68 82 138 85
32 23 71 25.27 34 18 31 20 65 19
270 112 573 115.76 156 50 151 50 307 50
202 23 357 20.33 162 32 181 38 343 35
167 61 326 58.53 123 78 110 69 233 74
160 59 301 52.81 41 13 46 15 87 14
339 84 787 97.52 200 68 183 71 383 70
125 44 265 45.07 131 65 81 46 212 56
83 29 163 29.37 155 91 136 76 291 83
124 40 238 37.66 99 54 85 58 184 56
167 35 339 34.88 70 44 70 41 140 43
115 54 243 55.48 40 13 56 16 96 14
115 24 203 20.74 170 38 132 38 302 38
217 51 442 52.00 393 47 392 48 785 48
340 80 673 73.31 29 88 90 94 119 92
254 90 487 82.40 83 55 81 52 164 53
105 24 245 27.10 - - - - - -
310 235 635 239.62 25 46 35 42 60 43
3,719 44 7,549 43.92 2,368 42 2,340 43 4,708 42
Kesehatan Keluarga
24,736
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : JUNI

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 10 2 12 213 187 400
2 Perumnas 188 200 388 22 6 28 251 259 510
3 Kemumu 112 105 217 9 8 17 123 105 228
4 Lais 101 90 191 3 12 15 110 108 218
5 Air Padang 63 61 124 8 5 13 75 68 143
6 Dusun Curup 85 77 162 3 2 5 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 11 8 19 313 316 629
9 Lubuk Durian 85 89 174 5 6 11 120 137 257
10 Hulu Palik 92 80 172 4 5 9 245 231 476
11 Batiknau 106 90 196 3 - 3 182 156 338
12 Kerkap 84 83 167 1 - 1 130 100 230
13 Air Bintunan 113 111 224 9 2 11 103 91 194
14 Ketahun 128 108 236 6 3 9 231 226 457
15 D6 Ketahun 134 124 258 - - - 103 99 202
16 Bukit Harapan 72 57 129 4 2 6 83 55 138
17 Suka Makmur 132 111 243 - - - 149 146 295
18 Sebelat 170 159 329 - 6 6 261 365 626
19 Karang Pulau 69 71 140 5 2 7 87 81 168
20 Napal Putih 80 77 157 2 2 4 98 98 196
21 Tanjung Harapan 121 117 238 7 5 12 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 114 79 193 3,294 3,179 6,473
20.5 4,728 158
Seri Suarni, SKM

235 180 415 76
224 229 453 78
144 122 266 51
93 117 210 51
84 81 165 36
113 105 218 45
94 80 174 35
396 308 704 144
121 128 249 42
113 111 224 38
138 140 278 49
279 267 546 42
150 130 280 54
145 125 270 62
174 163 337 55
458 351 809 28
605 560 1,165 54
656 592 1,248 89
100 87 187 47
106 108 214 40
173 152 325 65
194 219 413 7
4,795 4,355 9,150 1,188
Tahun : 2023

41.8 59 39.1 135 40.54 74 40.7 59 39.1 133 39.94 8 4.4 1 0.7 9
41.5 67 33.5 145 37.37 77 41.0 67 33.5 144 37.11 19 10.1 6 3.0 25
45.5 43 41.0 94 43.32 47 42.0 43 41.0 90 41.47 11 9.8 13 12.4 24
50.5 52 57.8 103 53.93 49 48.5 52 57.8 101 52.88 4 4.0 11 12.2 15
57.1 28 45.9 64 51.61 35 55.6 28 45.9 63 50.81 10 15.9 5 8.2 15
52.9 42 54.5 87 53.70 43 50.6 42 54.5 85 52.47 4 4.7 5 6.5 9
56.5 27 40.9 62 48.44 35 56.5 27 40.9 62 48.44 2 3.2 1 1.5 3
58.8 94 42.0 238 50.75 142 58.0 93 41.5 235 50.11 14 5.7 15 6.7 29
49.4 33 37.1 75 43.10 40 47.1 31 34.8 71 40.80 5 5.9 6 6.7 11
41.3 38 47.5 76 44.19 38 41.3 36 45.0 74 43.02 4 4.3 4 5.0 8
46.2 55 61.1 104 53.06 48 45.3 55 61.1 103 52.55 3 2.8 1 1.1 4
50.0 35 42.2 77 46.11 42 50.0 35 42.2 77 46.11 4 4.8 - - 4
47.8 34 30.6 88 39.29 54 47.8 33 29.7 87 38.84 9 8.0 4 3.6 13
48.4 50 46.3 112 47.46 59 46.1 50 46.3 109 46.19 9 7.0 3 2.8 12
41.0 76 61.3 131 50.78 55 41.0 76 61.3 131 50.78 - - 1 0.8 1
38.9 33 57.9 61 47.29 27 37.5 33 57.9 60 46.51 6 8.3 3 5.3 9
40.9 54 48.6 108 44.44 54 40.9 54 48.6 108 44.44 1 0.8 1 0.9 2
52.4 66 41.5 155 47.11 89 52.4 64 40.3 153 46.50 1 0.6 7 4.4 8
68.1 28 39.4 75 53.57 47 68.1 27 38.0 74 52.86 6 8.7 2 2.8 8
50.0 33 42.9 73 46.50 38 47.5 32 41.6 70 44.59 1 1.3 1 1.3 2
53.7 45 38.5 110 46.22 64 52.9 44 37.6 108 45.38 7 5.8 5 4.3 12
25.9 16 61.5 23 43.40 7 25.9 14 53.8 21 39.62 - - 2 7.7 2
48.5 1,008 44.3 2,196 46.45 1,164 47.5 995 43.7 2,159 45.66 128 5.2 97 4.3 225
-

manis
2.70 76 41.8 59 39.1 135 40.5 6 60.0 1 50.0 7 58.3 1 10.0 -
6.44 78 41.5 67 33.5 145 37.4 7 31.8 - 0.0 7 25.0 - - 2
11.06 51 45.5 43 41.0 94 43.3 2 22.2 5 62.5 7 41.2 7 77.8 7
7.85 51 50.5 52 57.8 103 53.9 - 0.0 6 50.0 6 40.0 4 133.3 5
12.10 36 57.1 28 45.9 64 51.6 4 50.0 4 80.0 8 61.5 4 50.0 -
5.56 45 52.9 42 54.5 87 53.7 3 100.0 4 200.0 7 140.0 1 33.3 -
2.34 35 56.5 27 40.9 62 48.4 - 0.0 - 0.0 - - 2 100.0 1
6.18 144 58.8 94 42.0 238 50.7 9 81.8 5 62.5 14 73.7 1 9.1 2
6.32 42 49.4 33 37.1 75 43.1 - 0.0 1 16.7 1 9.1 1 20.0 1
4.65 38 41.3 38 47.5 76 44.2 3 75.0 - 0.0 3 33.3 - - 1
2.04 49 46.2 55 61.1 104 53.1 3 100.0 1 #DIV/0! 4 133.3 - - -
2.40 42 50.0 35 42.2 77 46.1 2 200.0 1 #DIV/0! 3 300.0 1 100.0 -
5.80 54 47.8 34 30.6 88 39.3 1 11.1 - 0.0 1 9.1 1 11.1 2
5.08 62 48.4 50 46.3 112 47.5 5 83.3 2 66.7 7 77.8 4 66.7 -
0.39 55 41.0 76 61.3 131 50.8 - #DIV/0! - #DIV/0! - #DIV/0! - #DIV/0! 1
6.98 28 38.9 33 57.9 61 47.3 2 50.0 - 0.0 2 33.3 1 25.0 1
0.82 7 5.3 7 6.3 14 5.8 1 #DIV/0! 1 #DIV/0! 2 #DIV/0! - #DIV/0! -
2.43 89 52.4 66 41.5 155 47.1 1 #DIV/0! 6 100.0 7 116.7 - #DIV/0! 1
5.71 47 68.1 28 39.4 75 53.6 1 20.0 1 50.0 2 28.6 3 60.0 -
1.27 40 50.0 33 42.9 73 46.5 1 50.0 - 0.0 1 25.0 - - -
5.04 65 53.7 45 38.5 110 46.2 6 85.7 4 80.0 10 83.3 - - -
3.77 7 25.9 16 61.5 23 43.4 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
4.76 1188 48.5 1008 44.3 2,196 46.4 57 50.0 44 55.7 101 52.3 31 27.2 24
31
% TOTAL % L % P
- 1 8.3 8 80 2
33.3 2 7.1 7 32 -
87.5 14 82.4 1 11 2
41.7 9 60.0 3 100 4
- 4 30.8 1 13 -
- 1 20.0 - - -
100.0 3 100.0 5 250 1
25.0 3 15.8 1 9 1
16.7 2 18.2 - - 2
20.0 1 11.1 - - 1
#DIV/0! 0 - - - -
#DIV/0! 1 100.0 1 100 -
100.0 3 27.3 - - 2
- 4 44.4 5 83 1
#DIV/0! 1 #DIV/0! - #DIV/0! 1
50.0 2 33.3 - - 1
#DIV/0! 0 #DIV/0! 1 #DIV/0! 1
16.7 1 16.7 - #DIV/0! 1
- 3 42.9 3 60 1
- 0 - 1 50 1
- 0 - - - -
- 0 - - #DIV/0! -
30.4 55 28.5 37 32 22
Tahun : 2023

EMATUR DIRUJUK
100 10 83 76 35.7 59 31.6 135 33.75 18 10 18 12 36 11
- 7 25 94 37.5 100 38.6 194 38.04 16 9 25 13 41 11
25 3 18 56 45.5 40 38.1 96 42.11 9 8 3 3 12 6
33 7 47 53 48.2 41 38.0 94 43.12 - 0 8 9 8 4
- 1 8 29 38.7 42 61.8 71 49.65 24 38 16 26 40 32
- - - 35 34.0 33 38.8 68 36.17 6 7 3 4 9 6
100 6 200 152 158.3 136 183.8 288 169.41 - 0 1 2 1 1
13 2 11 144 46.0 94 29.7 238 37.84 9 4 12 5 21 4
33 2 18 99 82.5 102 74.5 201 78.21 10 12 9 10 19 11
20 1 11 59 24.1 53 22.9 112 23.53 4 4 6 8 10 6
#DIV/0! - - 131 72.0 136 87.2 267 78.99 20 19 14 16 34 17
#DIV/0! 1 100 37 28.5 43 43.0 80 34.78 9 11 1 1 10 6
100 2 18 41 39.8 65.9 101 52.06 25 22 8 7 33 15
33 6 67 62 26.8 51 22.6 113 24.73 5 4 7 6 12 5
#DIV/0! 1 #DIV/0! 48 46.6 7 7.1 55 27.23 7 5 7 6 14 5
50 1 17 34 41.0 32 58.2 66 47.83 - 0 - 0 0 0
#DIV/0! 2 #DIV/0! 35 23.5 34 23.3 69 23.39 - 0 - 0 0 0
17 1 17 86 33.0 89 24.4 175 27.96 - 0 - 0 0 0
50 4 57 100 114.9 87 107.4 187 111.31 - 0 2 3 2 1
50 2 50 38 38.8 32 60 70 35.71 19 24 11 14 30 19
- - - 70 51.9 67 58.3 137 54.80 - 0 - 0 0 0
- - - 98 118.1 96 124.7 194 121.25 - 0 - 0 0 0
28 59 31 1,577 47.9 1,374 43.2 3,011 46.52 181 7 151 7 332 7
Kesehatan Keluarga
11,663
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 381 378 759 1,890 100.00 97 13
1081 1102 2,183 830 843 1,673 322 321 643 2,183 100.00 105 13
569 540 1,109 446 435 881 210 208 418 1,109 100.00 301 67
495 478 973 385 370 755 124 120 244 973 100.00 108 28
191 182 373 116 114 230 82 88 170 373 100.00 82 71
245 224 469 142 139 281 190 156 346 469 100.00 46 32.4
350 315 665 254 241 495 313 302 615 665 100.00 303 119.3
1198 1187 2,385 885 871 1,756 550 529 1,079 2,385 100.00 275 31.1
404 410 814 284 273 557 171 168 339 814 100.00 168 59.2
542 504 1,046 297 273 570 321 316 637 1,046 100.00 148 49.8
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 217 191 408 818 100.00 171 55.7
371 378 749 268 287 555 178 188 366 749 100.00 92 34.3
551 538 1,089 320 312 632 231 191 422 1,089 100.00 159 49.7
601 573 1,174 498 474 972 158 169 327 1,174 100.00 172 34.5
309 267 576 226 212 438 379 424 803 576 100.00 141 62.4
640 634 1,274 491 488 979 540 420 960 1,274 100.00 124 25.3
684 792 1,476 423 427 850 840 811 1,651 1,476 100.00 260 61.5
581 505 1,086 494 424 918 33 98 131 1,086 100.00 333 67.4
406 381 787 308 283 591 169 175 344 787 100.00 243 78.9
593 561 1,154 458 446 904 222 218 440 1,154 100.00 195 42.6
216 209 425 133 132 265 54 84 138 425 100.00 383 288.0
12,023 11,637 23,660 8,729 8,458 17,187 5,979 5,812 11,791 23,660 100.00 4,365 50.0
Tahun : 2023
75 10 172 11.54 97 25 111 29 208 27
113 13 218 13.03 243 75 244 76 487 76
294 68 595 67.54 41 20 42 20 83 20
111 30 219 29.01 31 25 46 38 77 32
79 69 161 70.00 70 85 68 77 138 81
37 27 83 29.54 42 22 40 26 82 24
270 112 573 115.76 156 50 151 50 307 50
339 39 614 34.97 202 37 239 45 441 41
173 63 341 61.22 133 78 119 71 252 74
167 61 315 55.26 50 16 57 18 107 17
352 87 811 100.50 200 68 183 71 383 70
154 55 325 55.27 147 68 94 49 241 59
102 36 194 34.95 155 87 136 72 291 80
167 54 326 51.58 137 59 105 55 242 57
167 35 339 34.88 70 44 70 41 140 43
125 59 266 60.73 41 11 58 14 99 12
159 33 283 28.91 255 47 198 47 453 47
249 58 509 59.88 402 48 399 49 801 49
342 81 675 73.53 29 88 90 92 119 91
268 95 511 86.46 83 49 81 46 164 48
167 37 362 40.04 95 43 80 37 175 40
377 286 760 286.79 25 46 35 42 60 43
4,287 51 8,652 50.34 2,704 45 2,646 46 5,350 45
Kesehatan Keluarga
25,839
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : JULI

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 12 2 14 213 187 400
2 Perumnas 188 200 388 22 9 31 251 259 510
3 Kemumu 112 105 217 13 15 28 123 105 228
4 Lais 101 90 191 4 11 15 110 108 218
5 Air Padang 63 61 124 10 5 15 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 16 15 31 313 316 629
9 Lubuk Durian 85 89 174 8 6 14 120 137 257
10 Hulu Palik 92 80 172 4 5 9 245 231 476
11 Batiknau 106 90 196 4 2 6 182 156 338
12 Kerkap 84 83 167 5 - 5 130 100 230
13 Air Bintunan 113 111 224 9 4 13 103 91 194
14 Ketahun 128 108 236 10 3 13 231 226 457
15 D6 Ketahun 134 124 258 - 1 1 103 99 202
16 Bukit Harapan 72 57 129 6 3 9 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 1 7 8 261 365 626
19 Karang Pulau 69 71 140 6 2 8 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 11 6 17 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 150 106 256 3,294 3,179 6,473
20.5 4,728 212
Seri Suarni, SKM

252 188 440 93
236 241 477 90
158 131 289 65
93 117 210 61
86 83 169 38
122 115 237 54
98 87 185 39
428 330 758 176
129 135 264 50
121 120 241 46
149 146 295 60
284 275 559 48
158 134 292 62
156 127 283 73
181 171 352 62
519 409 928 32
717 672 1,389 59
656 592 1,248 101
106 93 199 53
111 111 222 45
184 162 346 76
196 222 418 9
5,140 4,661 9,801 1,392
Tahun : 2023

51.1 67 44.4 160 48.05 91 50.0 67 44.4 158 47.45 12 6.6 2 1.3 14
47.9 79 39.5 169 43.56 89 47.3 79 39.5 168 43.30 22 11.7 9 4.5 31
58.0 52 49.5 117 53.92 61 54.5 51 48.6 112 51.61 13 11.6 15 14.3 28
60.4 58 64.4 119 62.30 59 58.4 58 64.4 117 61.26 4 4.0 11 12.2 15
60.3 30 49.2 68 54.84 37 58.7 30 49.2 67 54.03 10 15.9 5 8.2 15
63.5 52 67.5 106 65.43 51 60.0 52 67.5 103 63.58 4 4.7 5 6.5 9
62.9 34 51.5 73 57.03 39 62.9 34 51.5 73 57.03 2 3.2 1 1.5 3
71.8 116 51.8 292 62.26 174 71.0 115 51.3 289 61.62 16 6.5 15 6.7 31
58.8 40 44.9 90 51.72 46 54.1 38 42.7 84 48.28 8 9.4 6 6.7 14
50.0 47 58.8 93 54.07 46 50.0 45 56.3 91 52.91 4 4.3 5 6.3 9
56.6 61 67.8 121 61.73 59 55.7 61 67.8 120 61.22 4 3.8 2 2.2 6
57.1 43 51.8 91 54.49 48 57.1 43 51.8 91 54.49 5 6.0 - - 5
54.9 38 34.2 100 44.64 62 54.9 37 33.3 99 44.20 9 8.0 4 3.6 13
57.0 52 48.1 125 52.97 70 54.7 51 47.2 121 51.27 10 7.8 3 2.8 13
46.3 84 67.7 146 56.59 62 46.3 84 67.7 146 56.59 - - 1 0.8 1
44.4 35 61.4 67 51.94 31 43.1 35 61.4 66 51.16 6 8.3 3 5.3 9
44.7 64 57.7 123 50.62 59 44.7 64 57.7 123 50.62 1 0.8 1 0.9 2
59.4 79 49.7 180 54.71 101 59.4 77 48.4 178 54.10 1 0.6 7 4.4 8
76.8 34 47.9 87 62.14 52 75.4 33 46.5 85 60.71 6 8.7 2 2.8 8
56.3 36 46.8 81 51.59 43 53.8 35 45.5 78 49.68 2 2.5 1 1.3 3
62.8 55 47.0 131 55.04 75 62.0 54 46.2 129 54.20 11 9.1 6 5.1 17
33.3 19 73.1 28 52.83 9 33.3 17 65.4 26 49.06 - - 2 7.7 2
56.8 1,175 51.6 2,567 54.29 1,364 55.7 1,160 50.9 2,524 53.38 150 6.1 106 4.7 256
-

manis
4.20 93 51.1 67 44.4 160 48.0 10 83.3 2 100.0 12 85.7 1 8.3 -
7.99 90 47.9 79 39.5 169 43.6 8 36.4 1 11.1 9 29.0 - - 2
12.90 65 58.0 52 49.5 117 53.9 2 15.4 5 33.3 7 25.0 9 69.2 8
7.85 61 60.4 58 64.4 119 62.3 - 0.0 6 54.5 6 40.0 4 100.0 5
12.10 38 60.3 30 49.2 68 54.8 4 40.0 4 80.0 8 53.3 4 40.0 -
5.56 54 63.5 52 67.5 106 65.4 3 75.0 4 80.0 7 77.8 1 25.0 -
2.34 39 62.9 34 51.5 73 57.0 - 0.0 - 0.0 - - 2 100.0 1
6.61 176 71.8 116 51.8 292 62.3 10 62.5 5 33.3 15 48.4 2 12.5 2
8.05 50 58.8 40 44.9 90 51.7 1 12.5 1 16.7 2 14.3 2 25.0 1
5.23 46 50.0 47 58.8 93 54.1 3 75.0 1 20.0 4 44.4 - - 1
3.06 60 56.6 61 67.8 121 61.7 4 100.0 2 100.0 6 100.0 - - -
2.99 48 57.1 43 51.8 91 54.5 3 60.0 1 #DIV/0! 4 80.0 1 20.0 -
5.80 62 54.9 38 34.2 100 44.6 1 11.1 - 0.0 1 7.7 1 11.1 2
5.51 73 57.0 52 48.1 125 53.0 5 50.0 2 66.7 7 53.8 5 50.0 -
0.39 62 46.3 84 67.7 146 56.6 - #DIV/0! - 0.0 - - - #DIV/0! 1
6.98 32 44.4 35 61.4 67 51.9 2 33.3 - 0.0 2 22.2 1 16.7 1
0.82 7 5.3 7 6.3 14 5.8 1 100.0 1 100.0 2 100.0 - - -
2.43 101 59.4 79 49.7 180 54.7 1 100.0 6 85.7 7 87.5 - - 1
5.71 53 76.8 34 47.9 87 62.1 1 16.7 1 50.0 2 25.0 3 50.0 -
1.91 45 56.3 36 46.8 81 51.6 2 100.0 - 0.0 2 66.7 - - -
7.14 76 62.8 55 47.0 131 55.0 8 72.7 4 66.7 12 70.6 2 18.2 1
3.77 9 33.3 19 73.1 28 52.8 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
5.41 1392 56.8 1175 51.6 2,567 54.3 69 46.0 48 45.3 117 45.7 38 25.3 26
38
% TOTAL % L % P
- 1 7.1 10 83 2
22.2 2 6.5 7 32 -
53.3 17 60.7 1 8 2
45.5 9 60.0 3 75 4
- 4 26.7 1 10 -
- 1 11.1 - - -
100.0 3 100.0 5 250 1
13.3 4 12.9 3 19 1
16.7 3 21.4 2 25 2
20.0 1 11.1 - - 1
- 0 - - - -
#DIV/0! 1 20.0 1 20 -
50.0 3 23.1 - - 2
- 5 38.5 6 60 1
100.0 1 100.0 - #DIV/0! 1
33.3 2 22.2 - - 1
- 0 - 1 100 1
14.3 1 12.5 - - 1
- 3 37.5 3 50 1
- 0 - 1 50 1
16.7 3 17.6 - - -
- 0 - - #DIV/0! -
24.5 64 25.0 44 29 22
Tahun : 2023

EMATUR DIRUJUK
100 12 86 93 43.7 67 35.8 160 40.00 20 11 20 13 40 12
- 7 23 - 117 45.2 117 22.94 17 9 27 14 44 11
13 3 11 70 56.9 51 48.6 121 53.07 9 8 3 3 12 6
36 7 47 56 50.9 45 41.7 101 46.33 2 2 9 10 11 6
- 1 7 34 45.3 44 64.7 78 54.55 24 38 16 26 40 32
- - - 37 35.9 34 40.0 71 37.77 6 7 3 4 9 6
100 6 200 156 162.5 143 193.2 299 175.88 - 0 1 2 1 1
7 4 13 176 56.2 116 36.7 292 46.42 9 4 12 5 21 4
33 4 29 108 90.0 114 83.2 222 86.38 12 14 10 11 22 13
20 1 11 66 26.9 60 26.0 126 26.47 11 12 13 16 24 14
- - - 142 78.0 142 91.0 284 84.02 29 27 17 19 46 23
#DIV/0! 1 20 45 34.6 47 47.0 92 40.00 11 13 2 2 13 8
50 2 15 50 48.5 68.1 112 57.73 29 26 12 11 41 18
33 7 54 73 31.6 51 22.6 124 27.13 6 5 7 6 13 6
100 1 100 48 46.6 7 7.1 55 27.23 11 8 9 7 20 8
33 1 11 42 50.6 36 65.5 78 56.52 - 0 - 0 0 0
100 2 100 35 23.5 34 23.3 69 23.39 - 0 - 0 0 0
14 1 13 106 40.6 111 30.4 217 34.66 - 0 - 0 0 0
50 4 50 52 59.8 34 42.0 86 51.19 - 0 3 4 3 2
100 2 67 113 115.3 115 62 228 116.33 24 30 12 16 36 23
- - - 82 60.7 75 65.2 157 62.80 - 0 - 0 0 0
- - - 98 118.1 99 128.6 197 123.13 - 0 - 0 0 0
21 66 26 1,682 51.1 1,542 48.5 3,286 50.76 220 9 176 8 396 8
Kesehatan Keluarga
14,107
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 416 432 848 1,890 100.00 307 40
1081 1102 2,183 830 843 1,673 334 336 670 2,183 100.00 430 52
569 540 1,109 446 435 881 241 237 478 1,109 100.00 312 70
495 478 973 385 370 755 124 120 244 973 100.00 125 32
191 182 373 116 114 230 89 94 183 373 100.00 96 83
245 224 469 142 139 281 199 162 361 469 100.00 75 52.8
350 315 665 254 241 495 328 309 637 665 100.00 320 126.0
1198 1187 2,385 885 871 1,756 629 619 1,248 2,385 100.00 472 53.3
404 410 814 284 273 557 180 177 357 814 100.00 181 63.7
542 504 1,046 297 273 570 323 317 640 1,046 100.00 156 52.5
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 231 207 438 818 100.00 200 65.1
371 378 749 268 287 555 190 195 385 749 100.00 104 38.8
551 538 1,089 320 312 632 236 199 435 1,089 100.00 187 58.4
601 573 1,174 498 474 972 170 177 347 1,174 100.00 215 43.2
309 267 576 226 212 438 438 494 932 576 100.00 146 64.6
640 634 1,274 491 488 979 630 490 1,120 1,274 100.00 154 31.4
684 792 1,476 423 427 850 1,038 1,014 2,052 1,476 100.00 268 63.4
581 505 1,086 494 424 918 36 100 136 1,086 100.00 337 68.2
406 381 787 308 283 591 186 193 379 787 100.00 253 82.1
593 561 1,154 458 446 904 232 229 461 1,154 100.00 263 57.4
216 209 425 133 132 265 64 98 162 425 100.00 391 294.0
12,023 11,637 23,660 8,729 8,458 17,187 6,608 6,456 13,064 23,660 100.00 5,451 62.4
Tahun : 2023
225 31 532 35.70 132 32 165 38 297 35
534 63 964 57.62 243 73 244 73 487 73
301 69 613 69.58 57 24 57 24 114 24
129 35 254 33.64 36 29 48 40 84 34
95 83 191 83.04 70 79 71 76 141 77
62 45 137 48.75 51 26 46 28 97 27
280 116 600 121.21 156 48 151 49 307 48
523 60 995 56.66 281 45 329 53 610 49
187 68 368 66.07 141 78 128 72 269 75
176 64 332 58.25 67 21 72 23 139 22
352 87 811 100.50 200 68 183 71 383 70
192 68 392 66.67 161 70 110 53 271 62
109 38 213 38.38 155 82 136 70 291 76
187 60 374 59.18 147 62 113 57 260 60
209 44 424 43.62 90 53 95 54 185 53
131 62 277 63.24 45 10 60 12 105 11
186 38 340 34.73 340 54 264 54 604 54
253 59 521 61.29 423 41 419 41 842 41
342 81 679 73.97 32 89 92 92 124 91
282 100 535 90.52 83 45 81 42 164 43
223 50 486 53.76 145 63 127 55 272 59
392 297 783 295.47 25 39 35 36 60 37
5,370 63 10,821 62.96 3,080 47 3,026 47 6,106 47
Kesehatan Keluarga
28,008
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan :' AGUSTUS

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 12 7 19 213 187 400
2 Perumnas 188 200 388 25 10 35 251 259 510
3 Kemumu 112 105 217 13 15 28 123 105 228
4 Lais 101 90 191 4 11 15 110 108 218
5 Air Padang 63 61 124 10 5 15 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 16 16 32 313 316 629
9 Lubuk Durian 85 89 174 10 6 16 120 137 257
10 Hulu Palik 92 80 172 4 5 9 245 231 476
11 Batiknau 106 90 196 5 2 7 182 156 338
12 Kerkap 84 83 167 5 - 5 130 100 230
13 Air Bintunan 113 111 224 10 7 17 103 91 194
14 Ketahun 128 108 236 10 3 13 231 226 457
15 D6 Ketahun 134 124 258 - 1 1 103 99 202
16 Bukit Harapan 72 57 129 7 3 10 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 1 7 8 261 365 626
19 Karang Pulau 69 71 140 7 3 10 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 11 6 17 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 159 117 276 3,294 3,179 6,473
20.5 4,728 234
Seri Suarni, SKM

#REF! 198 #REF! 109
252 247 499 106
165 136 301 72
93 117 210 67
90 88 178 42
122 115 237 62
100 90 190 41
448 345 793 196
136 144 280 57
125 126 251 50
156 151 307 66
289 284 573 53
169 146 315 73
165 134 299 82
191 180 371 72
578 459 1,037 38
724 675 1,399 66
835 737 1,572 111
112 104 216 59
114 113 227 48
192 167 359 84
197 225 422 10
#REF! 4,981 #REF! 1,564
Tahun : 2023

59.9 77 51.0 186 55.86 106 58.2 76 50.3 182 54.65 12 6.6 7 4.6 19
56.4 85 42.5 191 49.23 105 55.9 85 42.5 190 48.97 25 13.3 10 5.0 35
64.3 57 54.3 129 59.45 69 61.6 56 53.3 125 57.60 13 11.6 15 14.3 28
66.3 66 73.3 133 69.63 65 64.4 66 73.3 131 68.59 4 4.0 11 12.2 15
66.7 35 57.4 77 62.10 41 65.1 35 57.4 76 61.29 10 15.9 5 8.2 15
72.9 56 72.7 118 72.84 59 69.4 56 72.7 115 70.99 4 4.7 5 6.5 9
66.1 37 56.1 78 60.94 40 64.5 37 56.1 77 60.16 2 3.2 1 1.5 3
80.0 131 58.5 327 69.72 194 79.2 130 58.0 324 69.08 16 6.5 16 7.1 32
67.1 49 55.1 106 60.92 52 61.2 47 52.8 99 56.90 10 11.8 6 6.7 16
54.3 53 66.3 103 59.88 50 54.3 51 63.7 101 58.72 4 4.3 5 6.3 9
62.3 66 73.3 132 67.35 64 60.4 66 73.3 130 66.33 5 4.7 2 2.2 7
63.1 45 54.2 98 58.68 53 63.1 45 54.2 98 58.68 5 6.0 - - 5
64.6 50 45.0 123 54.91 73 64.6 49 44.1 122 54.46 10 8.8 7 6.3 17
64.1 59 54.6 141 59.75 79 61.7 58 53.7 137 58.05 10 7.8 3 2.8 13
53.7 93 75.0 165 63.95 72 53.7 93 75.0 165 63.95 - - 1 0.8 1
52.8 41 71.9 79 61.24 37 51.4 41 71.9 78 60.47 7 9.7 3 5.3 10
50.0 67 60.4 133 54.73 66 50.0 67 60.4 133 54.73 1 0.8 1 0.9 2
65.3 88 55.3 199 60.49 111 65.3 85 53.5 196 59.57 1 0.6 7 4.4 8
85.5 45 63.4 104 74.29 57 82.6 44 62.0 101 72.14 7 10.1 3 4.2 10
60.0 38 49.4 86 54.78 46 57.5 37 48.1 83 52.87 2 2.5 1 1.3 3
69.4 60 51.3 144 60.50 83 68.6 59 50.4 142 59.66 11 9.1 6 5.1 17
37.0 22 84.6 32 60.38 10 37.0 20 76.9 30 56.60 - - 2 7.7 2
63.8 1,320 58.0 2,884 61.00 1,532 62.5 1,303 57.2 2,835 59.96 159 6.5 117 5.1 276
-

manis
5.71 109 59.9 77 51.0 186 55.9 10 83.3 5 71.4 15 78.9 1 8.3 2.0
9.02 106 56.4 85 42.5 191 49.2 10 40.0 1 10.0 11 31.4 - - 2
12.90 72 64.3 57 54.3 129 59.4 2 15.4 5 33.3 7 25.0 9 69.2 8
7.85 67 66.3 66 73.3 133 69.6 - 0.0 6 54.5 6 40.0 4 100.0 5
12.10 42 66.7 35 57.4 77 62.1 4 40.0 4 80.0 8 53.3 4 40.0 -
5.56 62 72.9 56 72.7 118 72.8 3 75.0 4 80.0 7 77.8 1 25.0 -
2.34 41 66.1 37 56.1 78 60.9 - 0.0 - 0.0 - - 2 100.0 1
6.82 196 80.0 131 58.5 327 69.7 10 62.5 5 31.3 15 46.9 2 12.5 3
9.20 57 67.1 49 55.1 106 60.9 1 10.0 1 16.7 2 12.5 3 30.0 1
5.23 50 54.3 53 66.3 103 59.9 3 75.0 1 20.0 4 44.4 - - 1
3.57 66 62.3 66 73.3 132 67.3 4 80.0 2 100.0 6 85.7 1 20.0 -
2.99 53 63.1 45 54.2 98 58.7 3 60.0 2 #DIV/0! 5 100.0 1 20.0 -
7.59 73 64.6 50 45.0 123 54.9 1 10.0 - 0.0 1 5.9 2 20.0 3
5.51 82 64.1 59 54.6 141 59.7 5 50.0 2 66.7 7 53.8 5 50.0 -
0.39 72 53.7 93 75.0 165 64.0 - #DIV/0! - 0.0 - - - #DIV/0! 1
7.75 38 52.8 41 71.9 79 61.2 2 28.6 - 0.0 2 20.0 2 28.6 1
0.82 7 5.3 7 6.3 14 5.8 1 100.0 1 100.0 2 100.0 - - -
2.43 111 65.3 88 55.3 199 60.5 1 100.0 6 85.7 7 87.5 - - 1
7.14 59 85.5 45 63.4 104 74.3 2 28.6 2 66.7 4 40.0 3 42.9 -
1.91 48 60.0 38 49.4 86 54.8 2 100.0 - 0.0 2 66.7 - - -
7.14 84 69.4 60 51.3 144 60.5 8 72.7 4 66.7 12 70.6 2 18.2 1
3.77 10 37.0 22 84.6 32 60.4 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
5.84 1564 63.8 1320 58.0 2,884 61.0 72 45.3 53 45.3 125 45.3 42 26.4 30
42
% TOTAL % L % P
28.6 3 15.8 10 83 7
20.0 2 5.7 7 28 -
53.3 17 60.7 1 8 2
45.5 9 60.0 3 75 4
- 4 26.7 1 10 -
- 1 11.1 - - -
100.0 3 100.0 5 250 1
18.8 5 15.6 3 19 2
16.7 4 25.0 3 30 2
20.0 1 11.1 - - 1
- 1 14.3 - - -
#DIV/0! 1 20.0 1 20 -
42.9 5 29.4 1 10 4
- 5 38.5 6 60 1
100.0 1 100.0 - #DIV/0! 1
33.3 3 30.0 - - 1
- 0 - 1 100 1
14.3 1 12.5 - - 1
- 3 30.0 4 57 2
- 0 - 1 50 1
16.7 3 17.6 - - -
- 0 - - #DIV/0! -
25.6 72 26.1 47 30 31
Tahun : 2023

EMATUR DIRUJUK
100 17 89 109 51.2 77 41.2 186 46.50 25 14 27 18 52 16
- 7 20 122 48.6 138 53.3 260 50.98 25 13 29 14 54 14
13 3 11 98 79.7 89 84.8 187 82.02 11 10 4 4 15 7
36 7 47 72 65.5 59 54.6 131 60.09 3 3 12 13 15 8
- 1 7 36 48.0 49 72.1 85 59.44 27 43 19 31 46 37
- - - 49 47.6 43 50.6 92 48.94 7 8 3 4 10 6
100 6 200 158 164.6 146 197.3 304 178.82 - 0 1 2 1 1
13 5 16 196 62.6 131 41.5 327 51.99 17 7 16 7 33 7
33 5 31 121 100.8 125 91.2 246 95.72 13 15 14 16 27 16
20 1 11 73 29.8 69 29.9 142 29.83 14 15 14 18 28 16
- - - 149 81.9 147 94.2 296 87.57 31 29 22 24 53 27
#DIV/0! 1 20 54 41.5 55 55.0 109 47.39 14 17 2 2 16 10
57 5 29 57 55.3 79.1 129 66.49 33 29 15 14 48 21
33 7 54 82 35.5 51 22.6 133 29.10 6 5 8 7 14 6
100 1 100 48 46.6 8 8.1 56 27.72 14 10 11 9 25 10
33 1 10 45 54.2 44 80.0 89 64.49 - 0 - 0 0 0
100 2 100 42 28.2 37 25.3 79 26.78 - 0 - 0 0 0
14 1 13 120 46.0 122 33.4 242 38.66 - 0 - 0 0 0
67 6 60 58 66.7 45 55.6 103 61.31 1 1 3 4 4 3
100 2 67 116 118.4 117 72 233 118.88 27 34 12 16 39 25
- - - 90 66.7 86 74.8 176 70.40 - 0 - 0 0 0
- - - 98 118.1 99 128.6 197 123.13 - 0 - 0 0 0
26 78 28 1,993 60.5 1,737 54.6 3,802 58.74 268 11 212 9 480 10
Kesehatan Keluarga
16,075
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 456 467 923 1,890 100.00 477 63
1081 1102 2,183 830 843 1,673 559 569 1,128 2,183 100.00 515 62
569 540 1,109 446 435 881 282 273 555 1,109 100.00 348 78
495 478 973 385 370 755 124 120 244 973 100.00 166 43
191 182 373 116 114 230 97 103 200 373 100.00 106 91
245 224 469 142 139 281 199 162 361 469 100.00 85 59.9
350 315 665 254 241 495 427 382 809 665 100.00 320 126.0
1198 1187 2,385 885 871 1,756 753 689 1,442 2,385 100.00 592 66.9
404 410 814 284 273 557 191 193 384 814 100.00 196 69.0
542 504 1,046 297 273 570 326 318 644 1,046 100.00 173 58.2
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 235 215 450 818 100.00 227 73.9
371 378 749 268 287 555 196 199 395 749 100.00 115 42.9
551 538 1,089 320 312 632 244 209 453 1,089 100.00 219 68.4
601 573 1,174 498 474 972 170 177 347 1,174 100.00 215 43.2
309 267 576 226 212 438 496 565 1,061 576 100.00 152 67.3
640 634 1,274 491 488 979 640 505 1,145 1,274 100.00 232 47.3
684 792 1,476 423 427 850 1,038 1,014 2,052 1,476 100.00 289 68.3
581 505 1,086 494 424 918 148 215 363 1,086 100.00 341 69.0
406 381 787 308 283 591 203 211 414 787 100.00 263 85.4
593 561 1,154 458 446 904 240 238 478 1,154 100.00 323 70.5
216 209 425 133 132 265 72 112 184 425 100.00 399 300.0
12,023 11,637 23,660 8,729 8,458 17,187 7,390 7,193 14,583 23,660 100.00 6,212 71.2
Tahun : 2023
375 51 852 57.18 172 38 200 43 372 40
609 72 1,124 67.18 468 84 477 84 945 84
340 78 688 78.09 107 38 101 37 208 37
160 43 326 43.18 53 43 61 51 114 47
109 96 215 93.48 81 84 85 83 166 83
71 51 156 55.52 54 27 51 31 105 29
283 117 603 121.82 255 60 224 59 479 59
623 72 1,215 69.19 405 54 399 58 804 56
204 75 400 71.81 173 91 169 88 342 89
181 66 354 62.11 75 23 84 26 159 25
352 87 811 100.50 334 114 284 111 618 112
219 78 446 75.85 166 71 114 53 280 62
116 40 231 41.62 155 79 136 68 291 74
207 66 426 67.41 154 63 118 56 272 60
209 44 424 43.62 153 90 150 85 303 87
134 63 286 65.30 45 9 60 11 105 10
268 55 500 51.07 425 66 346 69 771 67
273 64 562 66.12 444 43 439 43 883 43
347 82 688 74.95 144 97 207 96 351 97
296 105 559 94.59 83 41 81 38 164 40
281 63 604 66.81 217 90 207 87 424 89
404 306 803 303.02 25 35 35 31 60 33
6,061 72 12,273 71.41 4,188 57 4,028 56 8,216 56
Kesehatan Keluarga
29,460
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : SEPTEMBER 2023

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 12 10 22 213 187 400
2 Perumnas 188 200 388 29 10 39 251 259 510
3 Kemumu 112 105 217 13 15 28 123 105 228
4 Lais 101 90 191 4 11 15 110 108 218
5 Air Padang 63 61 124 10 5 15 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 17 17 34 313 316 629
9 Lubuk Durian 85 89 174 12 6 18 120 137 257
10 Hulu Palik 92 80 172 5 5 10 245 231 476
11 Batiknau 106 90 196 5 3 8 182 156 338
12 Kerkap 84 83 167 5 4 9 130 100 230
13 Air Bintunan 113 111 224 14 9 23 103 91 194
14 Ketahun 128 108 236 10 6 16 231 226 457
15 D6 Ketahun 134 124 258 2 5 7 103 99 202
16 Bukit Harapan 72 57 129 7 3 10 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 3 9 12 261 365 626
19 Karang Pulau 69 71 140 7 3 10 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 12 7 19 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 176 138 314 3,294 3,179 6,473
20.5 4,728 276
Seri Suarni, SKM

276 213 489 117
262 257 519 116
171 141 312 78
93 117 210 78
93 93 186 45
122 115 237 65
107 92 199 48
469 358 827 217
141 146 287 62
130 131 261 55
163 155 318 73
291 296 587 61
184 155 339 88
174 143 317 91
204 195 399 85
628 510 1,138 41
736 685 1,421 78
835 746 1,581 120
114 110 224 61
122 118 240 55
203 177 380 95
214 251 465 11
5,732 5,204 10,936 1,740
Tahun : 2023

64.3 92 60.9 209 62.76 114 62.6 89 58.9 203 60.96 12 6.6 10 6.6 22
61.7 95 47.5 211 54.38 114 60.6 95 47.5 209 53.87 29 15.4 10 5.0 39
69.6 62 59.0 140 64.52 75 67.0 61 58.1 136 62.67 13 11.6 15 14.3 28
77.2 70 77.8 148 77.49 76 75.2 70 77.8 146 76.44 4 4.0 11 12.2 15
71.4 40 65.6 85 68.55 44 69.8 40 65.6 84 67.74 10 15.9 5 8.2 15
76.5 64 83.1 129 79.63 62 72.9 64 83.1 126 77.78 4 4.7 5 6.5 9
77.4 39 59.1 87 67.97 46 74.2 39 59.1 85 66.41 2 3.2 1 1.5 3
88.6 144 64.3 361 76.97 214 87.3 143 63.8 357 76.12 17 6.9 17 7.6 34
72.9 51 57.3 113 64.94 57 67.1 49 55.1 106 60.92 12 14.1 6 6.7 18
59.8 58 72.5 113 65.70 55 59.8 56 70.0 111 64.53 5 5.4 5 6.3 10
68.9 70 77.8 143 72.96 71 67.0 70 77.8 141 71.94 5 4.7 3 3.3 8
72.6 59 71.1 120 71.86 61 72.6 56 67.5 117 70.06 5 6.0 4 4.8 9
77.9 59 53.2 147 65.63 88 77.9 58 52.3 146 65.18 14 12.4 9 8.1 23
71.1 68 63.0 159 67.37 88 68.8 67 62.0 155 65.68 10 7.8 6 5.6 16
63.4 108 87.1 193 74.81 85 63.4 107 86.3 192 74.42 2 1.5 5 4.0 7
56.9 45 78.9 86 66.67 40 55.6 45 78.9 85 65.89 7 9.7 3 5.3 10
59.1 77 69.4 155 63.79 78 59.1 77 69.4 155 63.79 1 0.8 1 0.9 2
70.6 102 64.2 222 67.48 120 70.6 99 62.3 219 66.57 3 1.8 9 5.7 12
88.4 51 71.8 112 80.00 59 85.5 50 70.4 109 77.86 7 10.1 3 4.2 10
68.8 43 55.8 98 62.42 52 65.0 42 54.5 94 59.87 2 2.5 1 1.3 3
78.5 70 59.8 165 69.33 94 77.7 69 59.0 163 68.49 12 9.9 7 6.0 19
40.7 23 88.5 34 64.15 11 40.7 21 80.8 32 60.38 - - 2 7.7 2
71.0 1,490 65.4 3,230 68.32 1,704 69.5 1,467 64.4 3,171 67.07 176 7.2 138 6.1 314
-

manis
6.61 117 64.3 92 60.9 209 62.8 10 83.3 7 70.0 17 77.3 1 8.3 3.0
10.05 116 61.7 95 47.5 211 54.4 10 34.5 1 10.0 11 28.2 - - 2
12.90 78 69.6 62 59.0 140 64.5 2 15.4 5 33.3 7 25.0 9 69.2 8
7.85 78 77.2 70 77.8 148 77.5 - 0.0 6 54.5 6 40.0 4 100.0 5
12.10 45 71.4 40 65.6 85 68.5 4 40.0 4 80.0 8 53.3 4 40.0 -
5.56 65 76.5 64 83.1 129 79.6 3 75.0 4 80.0 7 77.8 1 25.0 -
2.34 48 77.4 39 59.1 87 68.0 - 0.0 - 0.0 - - 2 100.0 1
7.25 217 88.6 144 64.3 361 77.0 11 64.7 6 35.3 17 50.0 2 11.8 3
10.34 62 72.9 51 57.3 113 64.9 1 8.3 1 16.7 2 11.1 3 25.0 1
5.81 55 59.8 58 72.5 113 65.7 3 60.0 1 20.0 4 40.0 1 20.0 1
4.08 73 68.9 70 77.8 143 73.0 4 80.0 3 100.0 7 87.5 1 20.0 -
5.39 61 72.6 59 71.1 120 71.9 3 60.0 3 75.0 6 66.7 1 20.0 3
10.27 88 77.9 59 53.2 147 65.6 1 7.1 1 11.1 2 8.7 2 14.3 3
6.78 91 71.1 68 63.0 159 67.4 5 50.0 3 50.0 8 50.0 5 50.0 1
2.71 85 63.4 108 87.1 193 74.8 1 50.0 2 40.0 3 42.9 1 50.0 2
7.75 41 56.9 45 78.9 86 66.7 2 28.6 - 0.0 2 20.0 2 28.6 1
0.82 7 5.3 7 6.3 14 5.8 1 100.0 1 100.0 2 100.0 - - -
3.65 120 70.6 102 64.2 222 67.5 3 100.0 8 88.9 11 91.7 - - 1
7.14 61 88.4 51 71.8 112 80.0 2 28.6 2 66.7 4 40.0 3 42.9 -
1.91 55 68.8 43 55.8 98 62.4 2 100.0 - 0.0 2 66.7 - - -
7.98 95 78.5 70 59.8 165 69.3 8 66.7 5 71.4 13 68.4 3 25.0 1
3.77 11 40.7 23 88.5 34 64.2 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
6.64 1740 71.0 1490 65.4 3,230 68.3 76 43.2 65 47.1 141 44.9 45 25.6 36
45
% TOTAL % L % P
30.0 4 18.2 10 83 10
20.0 2 5.1 7 24 -
53.3 17 60.7 1 8 2
45.5 9 60.0 3 75 4
- 4 26.7 1 10 -
- 1 11.1 - - -
100.0 3 100.0 5 250 1
17.6 5 14.7 3 18 2
16.7 4 22.2 3 25 2
20.0 2 20.0 - - 1
- 1 12.5 - - -
75.0 4 44.4 1 20 -
33.3 5 21.7 1 7 4
16.7 6 37.5 6 60 2
40.0 3 42.9 1 50 3
33.3 3 30.0 - - 1
- 0 - 1 100 1
11.1 1 8.3 1 33 3
- 3 30.0 4 57 2
- 0 - 1 50 1
14.3 4 21.1 - - -
- 0 - - #DIV/0! -
26.1 81 25.8 49 28 39
Tahun : 2023

EMATUR DIRUJUK
100 20 91 117 54.9 92 49.2 209 52.25 25 14 28 19 53 16
- 7 18 155 61.8 174 67.2 329 64.51 26 14 30 15 56 14
13 3 11 103 83.7 98 93.3 201 88.16 13 12 9 9 22 10
36 7 47 90 81.8 66 61.1 156 71.56 9 9 17 19 26 14
- 1 7 41 54.7 54 79.4 95 66.43 30 48 24 39 54 44
- - - 55 53.4 47 55.3 102 54.26 8 9 6 8 14 9
100 6 200 158 164.6 146 197.3 304 178.82 - 0 1 2 1 1
12 5 15 217 69.3 144 45.6 361 57.39 27 11 17 8 44 9
33 5 28 130 108.3 136 99.3 266 103.50 14 16 16 18 30 17
20 1 10 82 33.5 74 32.0 156 32.77 17 18 19 24 36 21
- - - 156 85.7 151 96.8 307 90.83 36 34 25 28 61 31
- 1 11 56 43.1 67 67.0 123 53.48 20 24 11 13 31 19
44 5 22 69 67.0 96.7 157 80.93 38 34 18 16 56 25
33 8 50 91 39.4 51 22.6 142 31.07 8 6 10 9 18 8
60 4 57 48 46.6 10 10.1 58 28.71 15 11 12 10 27 10
33 1 10 55 66.3 49 89.1 104 75.36 - 0 1 2 1 1
100 2 100 54 36.2 47 32.2 101 34.24 - 0 - 0 0 0
33 4 33 142 54.4 136 37.3 278 44.41 - 0 - 0 0 0
67 6 60 60 69.0 51 63.0 111 66.07 1 1 3 4 4 3
100 2 67 123 125.5 122 88 245 125.00 34 43 12 16 46 29
- - - 104 77.0 97 84.3 201 80.40 2 2 3 3 5 2
- - - 100 120.5 103 133.8 203 126.88 - 0 - 0 0 0
28 88 28 2,206 67.0 1,915 60.2 4,209 65.02 323 13 262 12 585 12
Kesehatan Keluarga
17,713
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 501 507 1,008 1,890 100.00 622 82
1081 1102 2,183 830 843 1,673 559 569 1,128 2,183 100.00 594 72
569 540 1,109 446 435 881 292 285 577 1,109 100.00 354 79
495 478 973 385 370 755 124 120 244 973 100.00 213 55
191 182 373 116 114 230 104 109 213 373 100.00 116 100
245 224 469 142 139 281 244 194 438 469 100.00 106 74.6
350 315 665 254 241 495 432 389 821 665 100.00 322 126.8
1198 1187 2,385 885 871 1,756 841 748 1,589 2,385 100.00 622 70.3
404 410 814 284 273 557 202 202 404 814 100.00 209 73.6
542 504 1,046 297 273 570 328 320 648 1,046 100.00 184 62.0
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 246 221 467 818 100.00 271 88.3
371 378 749 268 287 555 205 207 412 749 100.00 135 50.4
551 538 1,089 320 312 632 246 214 460 1,089 100.00 242 75.6
601 573 1,174 498 474 972 170 177 347 1,174 100.00 215 43.2
309 267 576 226 212 438 553 634 1,187 576 100.00 162 71.7
640 634 1,274 491 488 979 655 520 1,175 1,274 100.00 295 60.1
684 792 1,476 423 427 850 1,234 1,215 2,449 1,476 100.00 311 73.5
581 505 1,086 494 424 918 152 218 370 1,086 100.00 341 69.0
406 381 787 308 283 591 220 229 449 787 100.00 275 89.3
593 561 1,154 458 446 904 247 246 493 1,154 100.00 379 82.8
216 209 425 133 132 265 118 160 278 425 100.00 402 302.3
12,023 11,637 23,660 8,729 8,458 17,187 7,967 7,741 15,708 23,660 100.00 6,829 78.2
Tahun : 2023
550 75 1,172 78.66 217 43 240 47 457 45
683 81 1,277 76.33 468 84 477 84 945 84
345 79 699 79.34 107 37 101 35 208 36
207 56 420 55.63 66 53 73 61 139 57
119 104 235 102.17 81 78 85 78 166 78
98 71 204 72.60 125 51 144 74 269 61
285 118 607 122.63 255 59 224 58 479 58
663 76 1,285 73.18 493 59 458 61 951 60
215 79 424 76.12 196 97 197 98 393 97
190 70 374 65.61 257 78 260 81 517 80
352 87 811 100.50 334 114 284 111 618 112
242 86 513 87.24 167 68 118 53 285 61
134 47 269 48.47 279 136 244 118 523 127
231 74 473 74.84 157 64 121 57 278 60
209 44 424 43.62 153 90 150 85 303 87
141 67 303 69.18 45 8 61 10 106 9
315 65 610 62.31 436 67 355 68 791 67
299 70 610 71.76 471 38 456 38 927 38
351 83 692 75.38 148 97 210 96 358 97
314 111 589 99.66 83 38 81 35 164 37
328 74 707 78.21 263 106 256 104 519 105
404 306 806 304.15 71 60 83 52 154 55
6,675 79 13,504 78.57 4,872 61 4,678 60 9,550 61
Kesehatan Keluarga
30,691
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : OKTOBER

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 14 11 25 213 187 400
2 Perumnas 188 200 388 38 14 52 251 259 510
3 Kemumu 112 105 217 18 18 36 123 105 228
4 Lais 101 90 191 6 11 17 110 108 218
5 Air Padang 63 61 124 11 5 16 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 1 3 96 74 170
8 Air Lais 245 224 469 18 19 37 313 316 629
9 Lubuk Durian 85 89 174 14 7 21 120 137 257
10 Hulu Palik 92 80 172 5 5 10 245 231 476
11 Batiknau 106 90 196 5 4 9 182 156 338
12 Kerkap 84 83 167 5 4 9 130 100 230
13 Air Bintunan 113 111 224 14 9 23 103 91 194
14 Ketahun 128 108 236 10 7 17 231 226 457
15 D6 Ketahun 134 124 258 2 5 7 103 99 202
16 Bukit Harapan 72 57 129 7 4 11 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 3 9 12 261 365 626
19 Karang Pulau 69 71 140 7 3 10 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 12 7 19 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 198 152 350 3,294 3,179 6,473
20.5 4,728 304
Seri Suarni, SKM

293 224 517 134
272 269 541 126
183 150 333 90
93 117 210 85
97 98 195 49
122 115 237 74
110 102 212 51
491 377 868 239
147 152 299 68
136 141 277 61
169 163 332 79
297 301 598 67
196 164 360 100
186 154 340 103
219 201 420 100
679 562 1,241 47
751 698 1,449 93
992 892 1,884 142
119 115 234 65
131 128 259 64
215 187 402 107
231 276 507 13
6,129 5,586 11,715 1,957
Tahun : 2023

73.6 103 68.2 237 71.17 131 72.0 100 66.2 231 69.37 14 7.7 11 7.3 25
67.0 107 53.5 233 60.05 123 65.4 107 53.5 230 59.28 38 20.2 14 7.0 52
80.4 71 67.6 161 74.19 87 77.7 70 66.7 157 72.35 18 16.1 18 17.1 36
84.2 76 84.4 161 84.29 82 81.2 76 84.4 158 82.72 6 5.9 11 12.2 17
77.8 45 73.8 94 75.81 48 76.2 45 73.8 93 75.00 11 17.5 5 8.2 16
87.1 67 87.0 141 87.04 71 83.5 67 87.0 138 85.19 4 4.7 5 6.5 9
82.3 49 74.2 100 78.13 49 79.0 49 74.2 98 76.56 2 3.2 1 1.5 3
97.6 163 72.8 402 85.71 236 96.3 162 72.3 398 84.86 18 7.3 19 8.5 37
80.0 57 64.0 125 71.84 63 74.1 55 61.8 118 67.82 14 16.5 7 7.9 21
66.3 68 85.0 129 75.00 61 66.3 66 82.5 127 73.84 5 5.4 5 6.3 10
74.5 78 86.7 157 80.10 77 72.6 78 86.7 155 79.08 5 4.7 4 4.4 9
79.8 64 77.1 131 78.44 67 79.8 61 73.5 128 76.65 5 6.0 4 4.8 9
88.5 68 61.3 168 75.00 100 88.5 67 60.4 167 74.55 14 12.4 9 8.1 23
80.5 79 73.1 182 77.12 100 78.1 78 72.2 178 75.42 10 7.8 7 6.5 17
74.6 114 91.9 214 82.95 100 74.6 113 91.1 213 82.56 2 1.5 5 4.0 7
65.3 50 87.7 97 75.19 46 63.9 50 87.7 96 74.42 7 9.7 4 7.0 11
70.5 90 81.1 183 75.31 93 70.5 90 81.1 183 75.31 1 0.8 1 0.9 2
83.5 121 76.1 263 79.94 142 83.5 117 73.6 259 78.72 3 1.8 9 5.7 12
94.2 57 80.3 122 87.14 63 91.3 56 78.9 119 85.00 7 10.1 3 4.2 10
80.0 53 68.8 117 74.52 61 76.3 52 67.5 113 71.97 2 2.5 1 1.3 3
88.4 80 68.4 187 78.57 106 87.6 79 67.5 185 77.73 12 9.9 7 6.0 19
48.1 24 92.3 37 69.81 13 48.1 22 84.6 35 66.04 - - 2 7.7 2
79.8 1,684 74.0 3,641 77.01 1,919 78.3 1,660 72.9 3,579 75.70 198 8.1 152 6.7 350
-

manis
7.51 134 73.6 103 68.2 237 71.2 11 6.0 7 4.6 18 5.4 2 14.3 4.0
13.40 126 67.0 107 53.5 233 60.1 16 8.5 4 2.0 20 5.2 2 5.3 3
16.59 90 80.4 71 67.6 161 74.2 3 2.7 6 5.7 9 4.1 13 72.2 10
8.90 85 84.2 76 84.4 161 84.3 - 0.0 6 6.7 6 3.1 5 83.3 5
12.90 49 77.8 45 73.8 94 75.8 4 6.3 4 6.6 8 6.5 4 36.4 -
5.56 74 87.1 67 87.0 141 87.0 3 3.5 4 5.2 7 4.3 1 25.0 -
2.34 51 82.3 49 74.2 100 78.1 - 0.0 - 0.0 - - 2 100.0 1
7.89 239 97.6 163 72.8 402 85.7 12 4.9 8 3.6 20 4.3 2 11.1 3
12.07 68 80.0 57 64.0 125 71.8 2 2.4 1 1.1 3 1.7 3 21.4 2
5.81 61 66.3 68 85.0 129 75.0 3 3.3 1 1.3 4 2.3 1 20.0 1
4.59 79 74.5 78 86.7 157 80.1 4 3.8 3 3.3 7 3.6 1 20.0 1
5.39 67 79.8 64 77.1 131 78.4 3 3.6 3 3.6 6 3.6 1 20.0 3
10.27 100 88.5 68 61.3 168 75.0 1 0.9 1 0.9 2 0.9 2 14.3 3
7.20 103 80.5 79 73.1 182 77.1 5 3.9 3 2.8 8 3.4 5 50.0 1
2.71 100 74.6 114 91.9 214 82.9 1 0.7 2 1.6 3 1.2 1 50.0 2
8.53 47 65.3 50 87.7 97 75.2 2 2.8 - 0.0 2 1.6 2 28.6 2
0.82 7 5.3 7 6.3 14 5.8 1 0.8 1 0.9 2 0.8 - - -
3.65 142 83.5 121 76.1 263 79.9 3 1.8 8 5.0 11 3.3 - - 1
7.14 65 94.2 57 80.3 122 87.1 2 2.9 2 2.8 4 2.9 3 42.9 -
1.91 64 80.0 53 68.8 117 74.5 2 2.5 - 0.0 2 1.3 - - -
7.98 107 88.4 80 68.4 187 78.6 8 6.6 5 4.3 13 5.5 3 25.0 1
3.77 13 48.1 24 92.3 37 69.8 - 0.0 2 7.7 2 3.8 - #DIV/0! -
7.40 1957 79.8 1684 74.0 3,641 77.0 86 3.5 71 3.1 157 3.3 53 26.8 43
53
% TOTAL % L % P
36.4 6 24.0 12 86 11
21.4 5 9.6 16 42 4
55.6 23 63.9 5 28 4
45.5 10 58.8 4 67 4
- 4 25.0 1 9 -
- 1 11.1 - - -
100.0 3 100.0 5 250 1
15.8 5 13.5 3 17 2
28.6 5 23.8 4 29 3
20.0 2 20.0 - - 1
25.0 2 22.2 - - -
75.0 4 44.4 1 20 -
33.3 5 21.7 1 7 4
14.3 6 35.3 6 60 2
40.0 3 42.9 1 50 3
50.0 4 36.4 - - 1
- 0 - 1 100 1
11.1 1 8.3 1 33 3
- 3 30.0 4 57 2
- 0 - 1 50 1
14.3 4 21.1 - - -
- 0 - - #DIV/0! -
28.3 96 27.4 66 33 47
Tahun : 2023

EMATUR DIRUJUK
100 23 92 178 83.6 137 73.3 315 78.75 30 16 31 21 61 18
29 20 38 180 71.7 207 79.9 387 75.88 28 15 31 16 59 15
22 9 25 109 88.6 102 97.1 211 92.54 20 18 17 16 37 17
36 8 47 105 95.5 76 70.4 181 83.03 13 13 18 20 31 16
- 1 6 45 60.0 57 83.8 102 71.33 34 54 29 48 63 51
- - - 58 56.3 51 60.0 109 57.98 10 12 7 9 17 10
100 6 200 162 168.8 151 204.1 313 184.12 - 0 5 8 5 4
11 5 14 239 76.4 163 51.6 402 63.91 38 16 28 13 66 14
43 7 33 130 108.3 136 99.3 266 103.50 14 16 18 20 32 18
20 1 10 90 36.7 81 35.1 171 35.92 22 24 27 34 49 28
- - - 158 86.8 153 98.1 311 92.01 40 38 30 33 70 36
- 1 11 67 51.5 73 73.0 140 60.87 24 29 14 17 38 23
44 5 22 80 77.7 112.1 182 93.81 39 35 21 19 60 27
29 8 47 103 44.6 51 22.6 154 33.70 10 8 12 11 22 9
60 4 57 48 46.6 12 12.1 60 29.70 20 15 16 13 36 14
25 1 9 60 72.3 55 100.0 115 83.33 - 0 1 2 1 1
100 2 100 69 46.3 60 41.1 129 43.73 - 0 - 0 0 0
33 4 33 156 59.8 148 40.5 304 48.56 5 3 3 2 8 2
67 6 60 64 73.6 57 70.4 121 72.02 1 1 5 7 6 4
100 2 67 132 134.7 132 102 264 134.69 38 48 18 23 56 36
- - - 117 86.7 111 96.5 228 91.20 13 11 13 11 26 11
- - - 102 122.9 109 141.6 211 131.88 - 0 - 0 0 0
31 113 32 2,452 74.4 2,122 66.8 4,676 72.24 399 16 344 15 743 16
Kesehatan Keluarga
19,499
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 513 524 1,037 1,890 100.00 747 98
1081 1102 2,183 830 843 1,673 559 569 1,128 2,183 100.00 682 82
569 540 1,109 446 435 881 303 297 600 1,109 100.00 360 81
495 478 973 385 370 755 124 120 244 973 100.00 264 69
191 182 373 116 114 230 110 113 223 373 100.00 123 106
245 224 469 142 139 281 246 197 443 469 100.00 118 83.1
350 315 665 254 241 495 439 397 836 665 100.00 327 128.7
1198 1187 2,385 885 871 1,756 881 778 1,659 2,385 100.00 679 76.7
404 410 814 284 273 557 205 204 409 814 100.00 217 76.4
542 504 1,046 297 273 570 330 323 653 1,046 100.00 229 77.1
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 258 230 488 818 100.00 304 99.0
371 378 749 268 287 555 220 221 441 749 100.00 186 69.4
551 538 1,089 320 312 632 254 226 480 1,089 100.00 271 84.7
601 573 1,174 498 474 972 170 177 347 1,174 100.00 218 43.8
309 267 576 226 212 438 611 701 1,312 576 100.00 169 74.8
640 634 1,274 491 488 979 665 535 1,200 1,274 100.00 333 67.8
684 792 1,476 423 427 850 1,428 1,414 2,842 1,476 100.00 346 81.8
581 505 1,086 494 424 918 154 221 375 1,086 100.00 344 69.6
406 381 787 308 283 591 237 248 485 787 100.00 275 89.3
593 561 1,154 458 446 904 252 251 503 1,154 100.00 423 92.4
216 209 425 133 132 265 164 208 372 425 100.00 407 306.0
12,023 11,637 23,660 8,729 8,458 17,187 8,417 8,211 16,628 23,660 100.00 7,481 85.7
Tahun : 2023
681 93 1,428 95.84 392 76 421 80 813 78
772 92 1,454 86.91 468 84 477 84 945 84
357 82 717 81.38 149 49 135 45 284 47
252 68 516 68.34 81 65 79 66 160 66
126 111 249 108.26 87 79 96 85 183 82
113 81 231 82.21 141 57 163 83 304 69
287 119 614 124.04 255 58 224 56 479 57
731 84 1,410 80.30 533 60 488 63 1,021 62
221 81 438 78.64 198 97 200 98 398 97
234 86 463 81.23 352 107 347 107 699 107
352 87 811 100.50 334 114 284 111 618 112
281 100 585 99.49 174 67 125 54 299 61
173 60 359 64.68 279 127 244 110 523 119
265 85 536 84.81 165 65 133 59 298 62
214 45 432 44.44 153 90 150 85 303 87
146 69 315 71.92 45 7 61 9 106 8
359 74 692 70.68 446 67 371 69 817 68
333 78 679 79.88 491 34 473 33 964 34
354 83 698 76.03 150 97 213 96 363 97
314 111 589 99.66 83 35 81 33 164 34
371 83 794 87.83 263 104 256 102 519 103
406 308 813 306.79 117 71 131 63 248 67
7,342 87 14,823 86.25 5,356 64 5,152 63 10,508 63
Kesehatan Keluarga
32,010
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan : nopember

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 15 12 27 213 187 400
2 Perumnas 188 200 388 44 19 63 251 259 510
3 Kemumu 112 105 217 21 20 41 123 105 228
4 Lais 101 90 191 7 11 18 110 108 218
5 Air Padang 63 61 124 11 7 18 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 4 6 96 74 170
8 Air Lais 245 224 469 18 19 37 313 316 629
9 Lubuk Durian 85 89 174 15 7 22 120 137 257
10 Hulu Palik 92 80 172 6 5 11 245 231 476
11 Batiknau 106 90 196 7 4 11 182 156 338
12 Kerkap 84 83 167 5 4 9 130 100 230
13 Air Bintunan 113 111 224 17 10 27 103 91 194
14 Ketahun 128 108 236 10 7 17 231 226 457
15 D6 Ketahun 134 124 258 2 5 7 103 99 202
16 Bukit Harapan 72 57 129 7 4 11 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 3 10 13 261 365 626
19 Karang Pulau 69 71 140 7 4 11 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 13 7 20 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 217 168 385 3,294 3,179 6,473
20.5 4,728 336
Seri Suarni, SKM

304 233 537 145
281 282 563 135
191 158 349 98
93 117 210 94
102 106 208 54
122 115 237 79
115 109 224 56
510 392 902 258
154 159 313 75
144 146 290 69
177 173 350 87
298 307 605 69
207 172 379 111
196 160 356 113
230 209 439 111
736 618 1,354 52
755 707 1,462 97
992 892 1,884 158
127 118 245 73
137 137 274 70
226 200 426 118
244 302 546 17
6,341 5,812 12,153 2,139
Tahun : 2023

79.7 112 74.2 257 77.18 142 78.0 109 72.2 251 75.38 15 8.2 12 7.9 27
71.8 120 60.0 255 65.72 132 70.2 120 60.0 252 64.95 44 23.4 19 9.5 63
87.5 79 75.2 177 81.57 95 84.8 78 74.3 173 79.72 21 18.8 20 19.0 41
93.1 84 93.3 178 93.19 91 90.1 84 93.3 175 91.62 7 6.9 11 12.2 18
85.7 53 86.9 107 86.29 53 84.1 53 86.9 106 85.48 11 17.5 7 11.5 18
92.9 73 94.8 152 93.83 76 89.4 73 94.8 149 91.98 4 4.7 5 6.5 9
90.3 56 84.8 112 87.50 54 87.1 56 84.8 110 85.94 2 3.2 4 6.1 6
105.3 178 79.5 436 92.96 255 104.1 177 79.0 432 92.11 18 7.3 19 8.5 37
88.2 64 71.9 139 79.89 70 82.4 62 69.7 132 75.86 15 17.6 7 7.9 22
75.0 73 91.3 142 82.56 69 75.0 71 88.8 140 81.40 6 6.5 5 6.3 11
82.1 88 97.8 175 89.29 85 80.2 88 97.8 173 88.27 7 6.6 4 4.4 11
82.1 72 86.7 141 84.43 68 81.0 69 83.1 137 82.04 5 6.0 4 4.8 9
98.2 76 68.5 187 83.48 111 98.2 75 67.6 186 83.04 17 15.0 10 9.0 27
88.3 85 78.7 198 83.90 110 85.9 84 77.8 194 82.20 10 7.8 7 6.5 17
82.8 122 98.4 233 90.31 111 82.8 121 97.6 232 89.92 2 1.5 5 4.0 7
72.2 53 93.0 105 81.40 51 70.8 53 93.0 104 80.62 7 9.7 4 7.0 11
73.5 99 89.2 196 80.66 97 73.5 99 89.2 196 80.66 1 0.8 1 0.9 2
92.9 134 84.3 292 88.75 158 92.9 130 81.8 288 87.54 3 1.8 10 6.3 13
105.8 60 84.5 133 95.00 70 101.4 59 83.1 129 92.14 7 10.1 4 5.6 11
87.5 62 80.5 132 84.08 67 83.8 61 79.2 128 81.53 2 2.5 1 1.3 3
97.5 93 79.5 211 88.66 117 96.7 92 78.6 209 87.82 13 10.7 7 6.0 20
63.0 27 103.8 44 83.02 17 63.0 25 96.2 42 79.25 - - 2 7.7 2
87.3 1,863 81.8 4,002 84.64 2,099 85.6 1,839 80.8 3,938 83.29 217 8.9 167 7.3 384
-

manis
8.11 145 79.7 112 74.2 257 77.2 12 80.0 8 66.7 20 74.1 2 13.3 4.0
16.24 135 71.8 120 60.0 255 65.7 17 38.6 6 31.6 23 36.5 2 4.5 3
18.89 98 87.5 79 75.2 177 81.6 4 19.0 7 35.0 11 26.8 14 66.7 11
9.42 94 93.1 84 93.3 178 93.2 1 14.3 6 54.5 7 38.9 5 71.4 5
14.52 54 85.7 53 86.9 107 86.3 4 36.4 4 57.1 8 44.4 4 36.4 -
5.56 79 92.9 73 94.8 152 93.8 3 75.0 4 80.0 7 77.8 1 25.0 -
4.69 56 90.3 56 84.8 112 87.5 - 0.0 2 50.0 2 33.3 2 100.0 2
7.89 258 105.3 178 79.5 436 93.0 12 66.7 8 42.1 20 54.1 2 11.1 3
12.64 75 88.2 64 71.9 139 79.9 2 13.3 1 14.3 3 13.6 3 20.0 2
6.40 69 75.0 73 91.3 142 82.6 3 50.0 1 20.0 4 36.4 1 16.7 1
5.61 87 82.1 88 97.8 175 89.3 6 85.7 3 75.0 9 81.8 1 14.3 1
5.39 69 82.1 72 86.7 141 84.4 3 60.0 3 75.0 6 66.7 1 20.0 3
12.05 111 98.2 76 68.5 187 83.5 1 5.9 1 10.0 2 7.4 2 11.8 3
7.20 113 88.3 85 78.7 198 83.9 5 50.0 3 42.9 8 47.1 5 50.0 1
2.71 111 82.8 122 98.4 233 90.3 1 50.0 2 40.0 3 42.9 1 50.0 2
8.53 52 72.2 53 93.0 105 81.4 2 28.6 - 0.0 2 18.2 2 28.6 2
0.82 7 5.3 7 6.3 14 5.8 1 100.0 1 100.0 2 100.0 - - -
3.95 158 92.9 134 84.3 292 88.8 3 100.0 9 90.0 12 92.3 - - 1
7.86 73 105.8 60 84.5 133 95.0 2 28.6 3 75.0 5 45.5 3 42.9 -
1.91 70 87.5 62 80.5 132 84.1 2 100.0 - 0.0 2 66.7 - - -
8.40 118 97.5 93 79.5 211 88.7 8 61.5 5 71.4 13 65.0 4 30.8 1
3.77 17 63.0 27 103.8 44 83.0 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
8.12 2139 87.3 1863 81.8 4,002 84.6 92 42.4 79 47.0 171 44.4 55 25.3 45
55
271
% TOTAL % L % P
33.3 6 22.2 13 87 12
15.8 5 7.9 17 39 6
55.0 25 61.0 5 24 4
45.5 10 55.6 5 71 4
- 4 22.2 1 9 -
- 1 11.1 - - -
50.0 4 66.7 5 250 2
15.8 5 13.5 3 17 2
28.6 5 22.7 4 27 3
20.0 2 18.2 - - 1
25.0 2 18.2 - - -
75.0 4 44.4 1 20 -
30.0 5 18.5 1 6 4
14.3 6 35.3 6 60 2
40.0 3 42.9 1 50 3
50.0 4 36.4 - - 1
- 0 - 1 100 1
10.0 1 7.7 1 33 3
- 3 27.3 4 57 2
- 0 - 1 50 1
14.3 5 25.0 - - -
- 0 - - #DIV/0! -
26.8 100 26.0 69 32 51
Tahun : 2023

EMATUR DIRUJUK
100 25 93 201 94.4 155 82.9 356 89.00 34 19 36 24 70 21
32 23 37 235 93.6 260 100.4 495 97.06 33 18 37 19 70 18
20 9 22 123 100.0 112 106.7 235 103.07 28 25 25 24 53 24
36 9 50 116 105.5 76 70.4 192 88.07 22 22 26 29 48 25
- 1 6 48 64.0 59 86.8 107 74.83 39 62 37 61 76 61
- - - 62 60.2 59 69.4 121 64.36 10 12 11 14 21 13
50 7 117 167 174.0 158 213.5 325 191.18 1 2 7 11 8 6
11 5 14 258 82.4 178 56.3 436 69.32 52 21 37 17 89 19
43 7 32 130 108.3 136 99.3 266 103.50 17 20 20 22 37 21
20 1 9 116 47.3 104 45.0 220 46.22 29 32 32 40 61 35
- - - 158 86.8 153 98.1 311 92.01 45 42 36 40 81 41
- 1 11 69 53.1 76 76.0 145 63.04 26 31 15 18 41 25
40 5 19 83 80.6 115.4 188 96.91 42 37 26 23 68 30
29 8 47 113 48.9 51 22.6 164 35.89 11 9 13 12 24 10
60 4 57 48 46.6 13 13.1 61 30.20 20 15 16 13 36 14
25 1 9 67 80.7 56 101.8 123 89.13 1 1 2 4 3 2
100 2 100 73 49.0 69 47.3 142 48.14 - 0 2 2 2 1
30 4 31 170 65.1 161 44.1 331 52.88 9 5 7 4 16 5
50 6 55 72 82.8 60 74.1 132 78.57 5 7 6 8 11 8
100 2 67 134 136.7 138 105 272 138.78 38 48 20 26 58 37
- - - 125 92.6 114 99.1 239 95.60 24 20 26 22 50 21
- - - 105 126.5 112 145.5 217 135.63 - 0 - 0 0 0
30 120 31 2,673 81.1 2,300 72.3 5,078 78.45 486 20 437 19 923 20
Kesehatan Keluarga
20,677
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 513 524 1,037 1,890 100.00 752 99
1081 1102 2,183 830 843 1,673 559 569 1,128 2,183 100.00 767 92
569 540 1,109 446 435 881 339 335 674 1,109 100.00 360 81
495 478 973 385 370 755 124 120 244 973 100.00 279 72
191 182 373 116 114 230 110 116 226 373 100.00 135 116
245 224 469 142 139 281 252 204 456 469 100.00 129 90.8
350 315 665 254 241 495 444 399 843 665 100.00 331 130.3
1198 1187 2,385 885 871 1,756 971 878 1,849 2,385 100.00 747 84.4
404 410 814 284 273 557 207 205 412 814 100.00 219 77.1
542 504 1,046 297 273 570 337 329 666 1,046 100.00 298 100.3
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 269 234 503 818 100.00 304 99.0
371 378 749 268 287 555 234 235 469 749 100.00 206 76.9
551 538 1,089 320 312 632 258 231 489 1,089 100.00 291 90.9
601 573 1,174 498 474 972 170 177 347 1,174 100.00 223 44.8
309 267 576 226 212 438 670 766 1,436 576 100.00 179 79.2
640 634 1,274 491 488 979 675 547 1,222 1,274 100.00 340 69.2
684 792 1,476 423 427 850 1,623 1,613 3,236 1,476 100.00 378 89.4
581 505 1,086 494 424 918 158 224 382 1,086 100.00 349 70.6
406 381 787 308 283 591 254 267 521 787 100.00 275 89.3
593 561 1,154 458 446 904 256 253 509 1,154 100.00 455 99.3
216 209 425 133 132 265 210 256 466 425 100.00 414 311.3
12,023 11,637 23,660 8,729 8,458 17,187 8,927 8,739 17,666 23,660 100.00 7,890 90.4
Tahun : 2023
684 94 1,436 96.38 457 89 461 88 918 89
864 102 1,631 97.49 474 85 489 86 963 85
357 82 717 81.38 171 50 152 45 323 48
274 74 553 73.25 90 73 83 69 173 71
130 114 265 115.22 87 79 96 83 183 81
127 91 256 91.10 149 59 172 84 321 70
290 120 621 125.45 255 57 224 56 479 57
801 92 1,548 88.15 623 64 588 67 1,211 65
223 82 442 79.35 199 96 201 98 400 97
263 96 561 98.42 532 158 512 156 1,044 157
352 87 811 100.50 334 114 284 111 618 112
281 100 585 99.49 175 65 126 54 301 60
183 64 389 70.09 279 119 244 104 523 112
280 90 571 90.35 170 66 141 61 311 64
221 47 444 45.68 153 90 150 85 303 87
154 73 333 76.03 45 7 61 8 106 7
374 77 714 72.93 456 68 377 69 833 68
362 85 740 87.06 509 31 496 31 1,005 31
357 84 706 76.91 150 95 213 95 363 95
314 111 589 99.66 83 33 81 30 164 31
407 91 862 95.35 263 103 256 101 519 102
411 311 825 311.32 117 56 131 51 248 53
7,709 91 15,599 90.76 5,771 65 5,538 63 11,309 64
Kesehatan Keluarga
32,786
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
S/D Bulan :DESEMBER 2023

10 KABUPATEN/KOTA
PUSKESMAS TAHUN)
1 Arga Makmur 182 151 333 15 12 27 213 187 400
2 Perumnas 188 200 388 50 22 72 251 259 510
3 Kemumu 112 105 217 25 22 47 123 105 228
4 Lais 101 90 191 9 11 20 110 108 218
5 Air Padang 63 61 124 11 8 19 75 68 143
6 Dusun Curup 85 77 162 4 5 9 103 85 188
7 Tj. Agung Palik 62 66 128 2 4 6 96 74 170
8 Air Lais 245 224 469 18 19 37 313 316 629
9 Lubuk Durian 85 89 174 15 7 22 120 137 257
10 Hulu Palik 92 80 172 6 5 11 245 231 476
11 Batiknau 106 90 196 7 7 14 182 156 338
12 Kerkap 84 83 167 5 5 10 130 100 230
13 Air Bintunan 113 111 224 19 10 29 103 91 194
14 Ketahun 128 108 236 10 7 17 231 226 457
15 D6 Ketahun 134 124 258 2 5 7 103 99 202
16 Bukit Harapan 72 57 129 7 7 14 83 55 138
17 Suka Makmur 132 111 243 1 1 2 149 146 295
18 Sebelat 170 159 329 3 12 15 261 365 626
19 Karang Pulau 69 71 140 7 5 12 87 81 168
20 Napal Putih 80 77 157 2 1 3 98 98 196
21 Tanjung Harapan 121 117 238 14 7 21 135 115 250
22 Enggano 27 26 53 - 2 2 83 77 160
TOTAL 2451 2,277 4,728 232 184 416 3,294 3,179 6,473
20.5 4,728 368
Seri Suarni, SKM

314 237 551 155
299 302 601 153
200 165 365 107
93 117 210 97
104 112 216 56
122 115 237 84
122 112 234 63
529 407 936 277
160 164 324 81
151 150 301 76
186 185 371 96
301 314 615 72
216 185 401 120
199 169 368 116
239 218 457 120
796 676 1,472 60
761 714 1,475 103
992 892 1,884 170
130 122 252 76
143 143 286 76
235 208 443 127
268 333 601 22
6,560 6,040 12,600 2,307
Tahun : 2023

85.2 116 76.8 271 81.38 152 83.5 113 74.8 265 79.58 15 8.2 12 7.9 27
81.4 140 70.0 293 75.52 150 79.8 140 70.0 290 74.74 50 26.6 22 11.0 72
95.5 86 81.9 193 88.94 104 92.9 85 81.0 189 87.10 25 22.3 22 21.0 47
96.0 88 97.8 185 96.86 93 92.1 88 97.8 181 94.76 9 8.9 11 12.2 20
88.9 59 96.7 115 92.74 55 87.3 59 96.7 114 91.94 11 17.5 8 13.1 19
98.8 77 100.0 161 99.38 81 95.3 77 100.0 158 97.53 4 4.7 5 6.5 9
101.6 59 89.4 122 95.31 61 98.4 59 89.4 120 93.75 2 3.2 4 6.1 6
113.1 193 86.2 470 100.21 274 111.8 192 85.7 466 99.36 18 7.3 19 8.5 37
95.3 69 77.5 150 86.21 76 89.4 67 75.3 143 82.18 15 17.6 7 7.9 22
82.6 77 96.3 153 88.95 76 82.6 75 93.8 151 87.79 6 6.5 5 6.3 11
90.6 100 111.1 196 100.00 94 88.7 100 111.1 194 98.98 7 6.6 7 7.8 14
85.7 79 95.2 151 90.42 71 84.5 76 91.6 147 88.02 5 6.0 5 6.0 10
106.2 89 80.2 209 93.30 120 106.2 88 79.3 208 92.86 19 16.8 10 9.0 29
90.6 94 87.0 210 88.98 113 88.3 93 86.1 206 87.29 10 7.8 7 6.5 17
89.6 131 105.6 251 97.29 120 89.6 130 104.8 250 96.90 2 1.5 5 4.0 7
83.3 58 101.8 118 91.47 59 81.9 58 101.8 117 90.70 7 9.7 7 12.3 14
78.0 106 95.5 209 86.01 103 78.0 106 95.5 209 86.01 1 0.8 1 0.9 2
100.0 145 91.2 315 95.74 170 100.0 141 88.7 311 94.53 3 1.8 12 7.5 15
110.1 64 90.1 140 100.00 73 105.8 63 88.7 136 97.14 7 10.1 5 7.0 12
95.0 68 88.3 144 91.72 73 91.3 67 87.0 140 89.17 2 2.5 1 1.3 3
105.0 101 86.3 228 95.80 125 103.3 100 85.5 225 94.54 14 11.6 7 6.0 21
81.5 32 123.1 54 101.89 22 81.5 30 115.4 52 98.11 - - 2 7.7 2
94.1 2,031 89.2 4,338 91.75 2,265 92.4 2,007 88.1 4,272 90.36 232 9.5 180 7.9 412
-

manis
8.11 155 85.2 116 76.8 271 81.4 12 80.0 8 66.7 20 74.1 2 13.3 4.0
18.56 153 81.4 140 70.0 293 75.5 18 36.0 6 27.3 24 33.3 2 4.0 3
21.66 107 95.5 86 81.9 193 88.9 6 24.0 8 36.4 14 29.8 16 64.0 12
10.47 97 96.0 88 97.8 185 96.9 2 22.2 6 54.5 8 40.0 5 55.6 5
15.32 56 88.9 59 96.7 115 92.7 4 36.4 5 62.5 9 47.4 4 36.4 -
5.56 84 98.8 77 100.0 161 99.4 3 75.0 4 80.0 7 77.8 1 25.0 -
4.69 63 101.6 59 89.4 122 95.3 - 0.0 2 50.0 2 33.3 2 100.0 2
7.89 277 113.1 193 86.2 470 100.2 12 66.7 8 42.1 20 54.1 2 11.1 3
12.64 81 95.3 69 77.5 150 86.2 2 13.3 1 14.3 3 13.6 3 20.0 2
6.40 76 82.6 77 96.3 153 89.0 3 50.0 1 20.0 4 36.4 1 16.7 1
7.14 96 90.6 100 111.1 196 100.0 6 85.7 4 57.1 10 71.4 1 14.3 3
5.99 72 85.7 79 95.2 151 90.4 3 60.0 3 60.0 6 60.0 1 20.0 3
12.95 120 106.2 89 80.2 209 93.3 1 5.3 2 20.0 3 10.3 2 10.5 3
7.20 116 90.6 94 87.0 210 89.0 5 50.0 3 42.9 8 47.1 5 50.0 1
2.71 120 89.6 131 105.6 251 97.3 1 50.0 2 40.0 3 42.9 1 50.0 2
10.85 60 83.3 58 101.8 118 91.5 2 28.6 1 14.3 3 21.4 2 28.6 2
0.82 7 5.3 7 6.3 14 5.8 1 100.0 1 100.0 2 100.0 - - -
4.56 170 100.0 145 91.2 315 95.7 3 100.0 10 83.3 13 86.7 - - 2
8.57 76 110.1 64 90.1 140 100.0 2 28.6 4 80.0 6 50.0 3 42.9 -
1.91 76 95.0 68 88.3 144 91.7 2 100.0 - 0.0 2 66.7 - - -
8.82 127 105.0 101 86.3 228 95.8 8 57.1 5 71.4 13 61.9 5 35.7 1
3.77 22 81.5 32 123.1 54 101.9 - #DIV/0! 2 100.0 2 100.0 - #DIV/0! -
8.71 2307 94.1 2031 89.2 4,338 91.8 96 41.4 86 46.7 182 43.8 58 25.0 49
58
% TOTAL % L % P
33.3 6 22.2 13 87 12
13.6 5 6.9 18 36 6
54.5 28 59.6 5 20 4
45.5 10 50.0 5 56 4
- 4 21.1 1 9 -
- 1 11.1 - - -
50.0 4 66.7 6 300 2
15.8 5 13.5 3 17 2
28.6 5 22.7 4 27 3
20.0 2 18.2 - - 1
42.9 4 28.6 - - -
60.0 4 40.0 1 20 -
30.0 5 17.2 2 11 4
14.3 6 35.3 6 60 2
40.0 3 42.9 1 50 3
28.6 4 28.6 - - 1
- 0 - 1 100 1
16.7 2 13.3 1 33 4
- 3 25.0 4 57 2
- 0 - 1 50 1
14.3 6 28.6 - - -
- 0 - - #DIV/0! -
26.6 107 25.7 72 31 52
Tahun : 2023

EMATUR DIRUJUK
100 25 93 211 99.1 159 85.0 370 92.50 39 21 37 25 76 23
27 24 33 259 103.2 282 108.9 541 106.08 50 27 57 28 107 28
18 9 19 123 100.0 112 106.7 235 103.07 37 33 32 30 69 32
36 9 45 121 110.0 82 75.9 203 93.12 25 25 30 33 55 29
- 1 5 50 66.7 64 94.1 114 79.72 41 65 42 69 83 67
- - - 72 69.9 67 78.8 139 73.94 10 12 11 14 21 13
50 8 133 174 181.3 161 217.6 335 197.06 1 2 7 11 8 6
11 5 14 277 88.5 193 61.1 470 74.72 60 24 48 21 108 23
43 7 32 130 108.3 136 99.3 266 103.50 18 21 25 28 43 25
20 1 9 118 48.2 106 45.9 224 47.06 37 40 34 43 71 41
- - - 158 86.8 153 98.1 311 92.01 48 45 46 51 94 48
- 1 10 81 62.3 86 86.0 167 72.61 28 33 18 22 46 28
40 6 21 85 82.5 118.7 193 99.48 45 40 28 25 73 33
29 8 47 116 50.2 62 27.4 178 38.95 11 9 13 12 24 10
60 4 57 60 58.3 13 13.1 73 36.14 22 16 18 15 40 16
14 1 7 72 86.7 59 107.3 131 94.93 1 1 3 5 4 3
100 2 100 79 53.0 76 52.1 155 52.54 - 0 2 2 2 1
33 5 33 186 71.3 179 49.0 365 58.31 11 6 8 5 19 6
40 6 50 80 92.0 64 79.0 144 85.71 5 7 6 8 11 8
100 2 67 134 136.7 138 108 272 138.78 42 53 23 30 65 41
- - - 129 95.6 119 103.5 248 99.20 24 20 26 22 50 21
- - - 105 126.5 112 145.5 217 135.63 - 0 - 0 0 0
28 124 30 2,820 85.6 2,423 76.2 5,351 82.67 555 23 514 23 1069 23
Kesehatan Keluarga
21,701
Made Ernawati, SKM
NIP. 19830418 200604 2 006
973 917 1,890 760 730 1,490 516 529 1,045 1,890 100.00 761 100
1081 1102 2,183 830 843 1,673 559 569 1,128 2,183 100.00 787 95
569 540 1,109 446 435 881 375 379 754 1,109 100.00 369 83
495 478 973 385 370 755 124 120 244 973 100.00 318 83
191 182 373 116 114 230 110 117 227 373 100.00 147 127
245 224 469 142 139 281 255 208 463 469 100.00 132 93.0
350 315 665 254 241 495 449 407 856 665 100.00 335 131.9
1198 1187 2,385 885 871 1,756 1,096 1,013 2,109 2,385 100.00 842 95.1
404 410 814 284 273 557 209 206 415 814 100.00 219 77.1
542 504 1,046 297 273 570 341 333 674 1,046 100.00 302 101.7
586 559 1,145 404 403 807 294 257 551 1,145 100.00 459 113.6
437 381 818 307 281 588 275 240 515 818 100.00 305 99.3
371 378 749 268 287 555 240 245 485 749 100.00 221 82.5
551 538 1,089 320 312 632 260 234 494 1,089 100.00 294 91.9
601 573 1,174 498 474 972 170 177 347 1,174 100.00 223 44.8
309 267 576 226 212 438 730 829 1,559 576 100.00 188 83.2
640 634 1,274 491 488 979 685 558 1,243 1,274 100.00 394 80.2
684 792 1,476 423 427 850 1,623 1,613 3,236 1,476 100.00 425 100.5
581 505 1,086 494 424 918 165 230 395 1,086 100.00 357 72.3
406 381 787 308 283 591 271 286 557 787 100.00 275 89.3
593 561 1,154 458 446 904 261 256 517 1,154 100.00 473 103.3
216 209 425 133 132 265 256 304 560 425 100.00 416 312.8
12,023 11,637 23,660 8,729 8,458 17,187 9,264 9,110 18,374 23,660 100.00 8,242 94.4
Tahun : 2023
694 95 1,455 97.65 478 93 484 91 962 92
886 105 1,673 100.00 499 89 524 92 1,023 91
361 83 730 82.86 193 51 169 45 362 48
321 87 639 84.64 109 88 104 87 213 87
146 128 293 127.39 87 79 96 82 183 81
132 95 264 93.95 210 82 207 100 417 90
293 122 628 126.87 255 57 224 55 479 56
911 105 1,753 99.83 748 68 723 71 1,471 70
223 82 442 79.35 199 95 201 98 400 96
268 98 570 100.00 612 179 604 181 1,216 180
352 87 811 100.50 334 114 284 111 618 112
283 101 588 100.00 180 65 131 55 311 60
208 72 429 77.30 279 116 244 100 523 108
285 91 579 91.61 173 67 143 61 316 64
221 47 444 45.68 153 90 150 85 303 87
161 76 349 79.68 46 6 63 8 109 7
429 88 823 84.07 456 67 377 68 833 67
415 97 840 98.82 521 32 510 32 1,031 32
364 86 721 78.54 150 91 213 93 363 92
314 111 589 99.66 83 31 81 28 164 29
427 96 900 99.56 263 101 256 100 519 100
414 314 830 313.21 117 46 131 43 248 44
8,108 96 16,350 95.13 6,145 66 5,919 65 12,064 66
Kesehatan Keluarga
33,537
Made Ernawati, SKM
NIP. 19830418 200604 2 006
NIP. 19680530 198911 2 011
Provinsi : Bengkulu
S/D Bulan : Januari 2022
PER TRIWULAN (3 BULAN)
Review Form 3 (SARANA PRASARANA)
10
JUMLAH DESA
NO PUSKESMAS
JMLH DESA JMLH POSYANDU
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
7 Tj Agung Palik 10 10
8 Air Lais 12 26
9 Lubuk Durian 18 18
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
19 karang pulau 5 14
20 Napal Putih 10 13
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
JMLH POSKESDES MELAKSANAKAN
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU
JMLH PANTI JMLH PANTI WERDHA

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS
JMLH PKM MELAKSANAKAN

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS
H PKM MELAKSANAKAN JMLH PKM MELAKSANAKAN JMLH PKM MELAKSANAKAN

P4K KLS BUMIL KLS IBU BALITA
CAKUPAN (%) JMLH CAKUPAN (%) JMLH CAKUPAN (%)
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
RS PEMERINTAH RS SWASTA
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
JMLH RSU JMLH RSIA JMLH RSU
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RUMAH SAKIT JMLH FASYANKES MAMPU PE
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
JMLH FASYANKES MAMPU PELAYANAN KB SESUAI STANDAR
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
PKM PUSTU JMLH TOTAL
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20
JMLH SARANA RUJUKAN KtA
PKT/PRT DI RS P2TP2A
80 - 100% BALITA SAKIT

YG DI MTBS (JML PKM)
- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- -
- - 1
- - 1
- -
- - 11
MELAKSANAKAN MTBS
80 - 100% BALITA SAKIT 60 - <80 % BALITA SAKIT

60 - <80 % BALITA SAKIT YG
YG DI MTBS (JML BALITA YG DI MTBS (JML BALITA
DI MTBS (JML PKM)
DI MTBS) DI MTBS)
92
124
1 8
52
1 6
12
15
168
45
527 2 14
MELAKSANAKAN MTBS
<60 % BALITA SAKIT YG <60 % BALITA SAKIT YG DI TOTAL PKM YG

DI MTBS (JML PKM) MTBS (JML BALITA DI MTBS) MELAKSANAKAN MTBS
1 31 1
22 1
1
1 19 1
1 13 1
1 9 1
4 94 22
Lampiran :
Bulan :
PUSKESMAS
80 - 100% BALITA YG 80 - 100% BALITA YG DI

TOTAL BALITA DILAKUKAN MTBS DI SDIDTK (JML SDIDTK (JML BALITA DI
PKM) SDIDTK)
92
124
31
52
22
6
19
13
12
15
168
45
635 - -
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK
60 - <80 % BALITA 60 - <80 % BALITA YG <60 % BALITA YG DI

<60 % BALITA YG DI
YG DI SDIDTK (JML DI SDIDTK (JML SDIDTK (JML BALITA DI
SDIDTK (JML PKM)
PKM) BALITA DI SDIDTK) SDIDTK)
156
336
200
28
75
90
60
69
202
69
- - - 1,285
MELAKSANAKAN PELAYANAN
NEONATAL ESENSIAL SESUAI
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
156 1 1 100.00 1
- 1 1 100.00 1
336 1 1 100.00 1
- 1 1 100.00 1
- 1 1 100.00 1
200 1 1 100.00 1
- 1 1 100.00 1
- 1 1 100.00 1
28 1 1 100.00 1
- 1 1 100.00 1
- 1 1 100.00 1
75 1 1 100.00 1
90 1 1 100.00 1
60 1 1 100.00 1
- 1 1 100.00 1
69 1 1 100.00 1
- 1 1 100.00 1
202 1 1 100.00 1
- 1 1 100.00 1
- 1 1 100.00 1
69 1 1 100.00 1
- 1 1 100.00 1
1,285 22 22 100.00 22
12.22
56
4
YG MEMBINA
BAYI/BALITA/AUS/REMAJA
TERLANTAR DI PANTI/LKSA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
PANTI/LKSA (SASARAN)
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20
YG MEMBINA SLB MELALUI PROGRAM

YG MEMBINA LAPAS/ RUTAN
UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS
MELAKSANAKAN PENJARINGAN KLS I (YG MENCAKUP TARGET

BINA LAPAS/ RUTAN
100% SEKOLAH SASARAN)
JMLH PESERTA
CAKUPAN (%)
% JUMLAH PKM DIDIK KLS 1 YG
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS
MELAKSANAKAN PENJARINGAN KLS VII (YG MENCAKUP MELAKSANAKAN PENJARINGAN KLS X (Y

TARGET 100% SEKOLAH SASARAN) 100% SEKOLAH SASAR
JMLH PESERTA DIDIK

JUMLAH PKM CAKUPAN (%) JUMLAH PKM
KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20
MELAKSANAKAN PENJARINGAN KLS I,VII & X

NAKAN PENJARINGAN KLS X (YG MENCAKUP TARGET
(YG MENCAKUP TARGET 100% SEKOLAH
SASARAN)
JMLH PESERTA JMLH PESERTA

DIDIK KLS X YG CAKUPAN (%) JUMLAH PKM DIDIK KLS X YG CAKUPAN (%)
DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

PUSKESMAS JUMLAH SEKOLAH
MENYELENGGARAKAN
KEGIATAN KESEHATAN REMAJA
MAMPU
SD/MI SMP/MTs SMA/MA/SMK
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
JUMLAH PESERTA DIDIK JMLH SEKOLAH
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
JMLH SEKOLAH YANG MELAKSANAKAN UKS
JMLH CAKUPAN (%) JMLH CAKUPAN (%) JMLH CAKUPAN (%)
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
JMLH SEKOLAH YANG MELAKSANAKAN PENJARINGAN
JMLH CAKUPAN (%) JMLH CAKUPAN (%) JMLH
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

GAN JMLH SEKOLAH YANG MELAKSANAKAN PEMERIKSAAN BERKALA
SMA/MA/SMK SD/MI SMP/MTs
100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

N PEMERIKSAAN BERKALA
JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
PAUD/TK/RA) PKM PKPR YG
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
JMLH CAKUPAN (%) MELAKSANAKA
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
JUMLAH SEKOLAH JUMLAH SISWA
SWASTA NEGERI SWASTA NEGERI
TOTAL
PAUD/TK PAUD/TK PAUD/TK PAUD/TK
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
AH SISWA JUMLAH SISWA YANG TAMAT SEKOLAH TAHUN 2018
TOTAL PAUD/TK SD/MI SMP/MTs
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
H TAHUN 2018 JUMLAH SISWA YANG DITERIMA MASUK SEKOLAH TAHUN 2019
SMA/MA/SMK PAUD/TK SD/MI SMP/MTs
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
JUMLAH SEKOLAH MENDAPAT
MEMILIKI LANSIA
SEHAT PELATIHAN KES.
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22
Pengelola Data Kesehatan Ibu

Dinkes Kab.Bengkulu Utara
Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- -
- - 1
- - 1
- -
- - 10
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
287
340
1 69
1 12
1 24
1 25
144
1 16
25
48
27
54
338
23
143
1,429 5 146
MELAKSANAKAN MTBS

1 57 1
73 1
1
1 58 1
1 39 1
1 27 1
1 14 1
1 5 1
6 273 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
287
340
57
69
12
24
25
144
73
16
25
58 1 707
39
27
48
27
54
338 1 1,353
14
23
143
1,848 2 2,060
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 446
1 509
1 336
1 122
1 248
1 223
1 709
1 320
1 165
1 570
1 258
1 317
1 370
1 372 1 -
1 311
1 -
1 625
1 40
1 314
1 -
2 881 20 5,374
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
446 1 1 100.00 1
509 1 1 100.00 1
336 1 1 100.00 1
122 1 1 100.00 1
248 1 1 100.00 1
223 1 1 100.00 1
709 1 1 100.00 1
320 1 1 100.00 1
165 1 1 100.00 1
570 1 1 100.00 1
- 1 1 100.00 1
707 1 1 100.00 1
258 1 1 100.00 1
317 1 1 100.00 1
370 1 1 100.00 1
372 1 1 100.00 1
311 1 1 100.00 1
1,353 1 1 100.00 1
625 1 1 100.00 1
40 1 1 100.00 1
314 1 1 100.00 1
- 1 1 100.00 1
8,315 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- -
- - 1
- - 1
- -
- - 10
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
287
340
1 69
1 12
1 24
1 25
144
1 16
25
48
27
54
338
23
143
1,429 5 146
MELAKSANAKAN MTBS

1 57 1
73 1
1
1 58 1
1 39 1
1 27 1
1 14 1
1 5 1
6 273 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
287
340
57
69
12
24
25
144
73
16
25
58 1 707
39
27
48
27
54
338 1 1,353
14
23
143
1,848 2 2,060
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 446
1 509
1 336
1 122
1 248
1 223
1 709
1 320
1 165
1 570
1 258
1 317
1 370
1 372 1 -
1 311
1 -
1 625
1 40
1 314
1 -
2 881 20 5,374
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
446 1 1 100.00 1
509 1 1 100.00 1
336 1 1 100.00 1
122 1 1 100.00 1
248 1 1 100.00 1
223 1 1 100.00 1
709 1 1 100.00 1
320 1 1 100.00 1
165 1 1 100.00 1
570 1 1 100.00 1
- 1 1 100.00 1
707 1 1 100.00 1
258 1 1 100.00 1
317 1 1 100.00 1
370 1 1 100.00 1
372 1 1 100.00 1
311 1 1 100.00 1
1,353 1 1 100.00 1
625 1 1 100.00 1
40 1 1 100.00 1
314 1 1 100.00 1
- 1 1 100.00 1
8,315 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- -
- - 1
- - 1
- -
- - 12
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
434
554
1 140
1 28
1 44
124 - -
221 - -
32 - -
37 - -
62
61
85
568
1 29
50 - -
261
2,489 4 241
MELAKSANAKAN MTBS

1 110 1
103 1
1
1 103 1
1 68 1
1 39 1
- - 1
1 5 1
5 428 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
434
554
110
140
28
44
124
221
103
32
37
103 1 751
68
39
62
61 1 489
85
568 1 1,454
29
50
261
3,158 3 2,694
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 446
1 509
1 336
1 187
1 248
1 260
1 709
1 368
1 275
1 570
1 628 1
1 452 - -
1 341
1 501
- - - -
1 529
1 -
1 625
1 40
1 685
1 -
3 1,589 18 6,120
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
446 1 1 100.00 1
509 1 1 100.00 1
336 1 1 100.00 1
187 1 1 100.00 1
248 1 1 100.00 1
260 1 1 100.00 1
709 1 1 100.00 1
368 1 1 100.00 1
275 1 1 100.00 1
570 1 1 100.00 1
628 1 1 100.00 1
751 1 1 100.00 1
452 1 1 100.00 1
341 1 1 100.00 1
501 1 1 100.00 1
489 1 1 100.00 1
529 1 1 100.00 1
1,454 1 1 100.00 1
625 1 1 100.00 1
40 1 1 100.00 1
685 1 1 100.00 1
- 1 1 100.00 1
10,403 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- -
- - 1
- - 1
- -
- - 12
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
434
554
1 140
1 28
1 44
124 - -
221 - -
32 - -
37 - -
62
61
85
568
1 29
50 - -
261
2,489 4 241
MELAKSANAKAN MTBS

1 110 1
103 1
1
1 103 1
1 68 1
1 39 1
- - 1
1 5 1
5 428 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
434
554
110
140
28
44
124
221
103
32
37
103 1 751
68
39
62
61 1 489
85
568 1 1,454
29
50
261
3,158 3 2,694
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 446
1 509
1 336
1 187
1 248
1 260
1 709
1 368
1 275
1 570
1 628 1
1 452 - -
1 341
1 501
- - - -
1 529
1 -
1 625
1 40
1 685
1 -
3 1,589 18 6,120
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
446 1 1 100.00 1
509 1 1 100.00 1
336 1 1 100.00 1
187 1 1 100.00 1
248 1 1 100.00 1
260 1 1 100.00 1
709 1 1 100.00 1
368 1 1 100.00 1
275 1 1 100.00 1
570 1 1 100.00 1
628 1 1 100.00 1
751 1 1 100.00 1
452 1 1 100.00 1
341 1 1 100.00 1
501 1 1 100.00 1
489 1 1 100.00 1
529 1 1 100.00 1
1,454 1 1 100.00 1
625 1 1 100.00 1
40 1 1 100.00 1
685 1 1 100.00 1
- 1 1 100.00 1
10,403 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- -
- - 12
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
991
1,246
1 373
1 73
155 - -
521 - -
1 57
76 - -
1 292
102
145
194
833
56
69 - -
619
5,007 4 795
MELAKSANAKAN MTBS

1 175 1
1 66 1
1 175 1
1
1 204 1
1 62 1
- - 1
1 6 1
6 688 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
991 1 1,118
1,246 1 1,020
175
373
73
66
155
521
175
57 1 1,929
76
292 1 975
204 1 829
62
102
145 1 762
194
833 1 1,458
56
69
619 1 2,303
6,490 8 10,394
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 543
1 516
1 509
1 421
1 724
1 1,245
1 437
1 1 99
- -
1 405
1 916
- - - -
1 737
1 716
1 40
1 125
5 2,596 10 4,837
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
1,118 1 1 100.00 1
1,020 1 1 100.00 1
543 1 1 100.00 1
516 1 1 100.00 1
509 1 1 100.00 1
421 1 1 100.00 1
724 1 1 100.00 1
1,245 1 1 100.00 1
437 1 1 100.00 1
1,929 1 1 100.00 1
99 1 1 100.00 1
975 1 1 100.00 1
829 1 1 100.00 1
405 1 1 100.00 1
916 1 1 100.00 1
762 1 1 100.00 1
737 1 1 100.00 1
1,458 1 1 100.00 1
716 1 1 100.00 1
40 1 1 100.00 1
2,303 1 1 100.00 1
125 1 1 100.00 1
17,827 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 329 100.00
#DIV/0! 1 274 100.00
#DIV/0! 1 205 100.00
#DIV/0! 1 247 100.00
#DIV/0! 1 90 100.00
#DIV/0! 1 143 100.00
#DIV/0! 1 169 100.00
#DIV/0! 1 100.00
#DIV/0! 1 229 100.00

#DIV/0! 1 248 100.00
#DIV/0! 1 286 100.00
#DIV/0! 1 100.00
#DIV/0! 1 373 100.00
#DIV/0! 1 449 100.00
#DIV/0! 1 347 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 513 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
#DIV/0! 1 100.00
100 22 3,788 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 286 100.00 1
1 554 100.00 1
1 249 100.00 1
1 223 100.00 1
1 42 100.00 1
1 58 100.00 1
1 80 100.00 1
1 73 100.00 1
1 98 100.00 1
2 162 100.00 1
1 100.00 1
1 162 100.00 1
1 154 100.00 1
1 100.00 1
1 265 100.00 1
1 345 100.00 1
1 221 100.00 1
1 339 100.00 1
1 100.00 1
1 100.00 1
1 - 100.00 1
1 100.00 1
22 3,157 100.00 22
45 6,468 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
437 100.00 1 1,009 100.00
601 100.00 1 1,429 100.00
79 100.00 1 533 100.00
168 100.00 1 638 100.00
4 100.00 1 - 0.00
25 100.00 1 226 100.00
0.00 1 249 100.00
100.00 1 73 0.00
100.00 1 327 100.00

90 100.00 1 300 100.00
100.00 1 286 0.00
90 100.00 1 252 0.00
154 100.00 1 681 0.00
100.00 1 449 100.00
79 100.00 1 691 0.00
187 100.00 1 532 0.00
69 100.00 1 290 0.00
214 100.00 1 1,066 100.00
100.00 1 - 0.00
100.00 1 - 0.00
- 100.00 1 - 0.00
100.00 1 - 0.00
2,043 95.45 22 9,031 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 100.00 10 4 1
1 1 100.00 11 5 3
0.00 8 2 1
1 100.00 7 2 1
1 100.00 8 2
0.00 23 6 2
1 100.00 10 3 1
0.00 11 2 2
0.00 19 5 1
0.00 7
0.00 15 3 2
- - 0.00 13 6 4
- - 0.00 11 - -
- - 0.00 6 - -
- - 0.00 6 - -
- 1 100.00 24 5 2
- - 0.00 9 - -
- - 0.00 10 - -
- - 0.00 11 - -
- - 0.00 5 - -
3 8 36.36 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- -
- - 12
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
1,060
1,346
1 439
1 79
162 - -
590 - -
1 69
76 - -
1 325
114
157
218
928
63
69 - -
706
5,489 4 912
MELAKSANAKAN MTBS

1 197 1
1 71 1
1 182 1
1
1 219 1
1 66 1
- - 1
1 6 1
6 741 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
1,060 1 1,149
1,346 1 1,031
197
439
79
71
162
590
182
69 1 2,183
76
325 1 977
219 1 926
66
114
157 1 762
218
928 1 1,458
63
69
706 1 2,405
7,142 8 10,891
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 582
1 553
1 532
1 455
1 731
1 1,345
1 439
1 1 99
- -
1 418
1 916
- - - -
1 753
1 716
1 40
1 125
5 2,669 10 5,035
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
1,149 1 1 100.00 1
1,031 1 1 100.00 1
582 1 1 100.00 1
553 1 1 100.00 1
532 1 1 100.00 1
455 1 1 100.00 1
731 1 1 100.00 1
1,345 1 1 100.00 1
439 1 1 100.00 1
2,183 1 1 100.00 1
99 1 1 100.00 1
977 1 1 100.00 1
926 1 1 100.00 1
418 1 1 100.00 1
916 1 1 100.00 1
762 1 1 100.00 1
753 1 1 100.00 1
1,458 1 1 100.00 1
716 1 1 100.00 1
40 1 1 100.00 1
2,405 1 1 100.00 1
125 1 1 100.00 1
18,595 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 177 100.00
#DIV/0! 1 320 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 248 100.00
#DIV/0! 1 115 100.00
#DIV/0! 1 124 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 596 100.00
#DIV/0! 1 232 100.00

#DIV/0! 1 149 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 328 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 140 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 796 100.00
#DIV/0! 1 208 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 344 100.00
#DIV/0! 1 347 100.00
100 22 4,124 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 147 100.00 1
1 - 100.00 1
1 - 100.00 1
1 156 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 56 100.00 1
2 48 100.00 1
1 140 100.00 1
1 - 100.00 1
1 267 100.00 1
1 312 100.00 1
1 - 100.00 1
1 200 100.00 1
1 - 100.00 1
1 598 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 263 100.00 1
22 2,187 100.00 22
45 4,374 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
121 100.00 1 445 100.00
- 100.00 1 320 100.00
- 100.00 1 - 100.00
142 100.00 1 546 100.00
- 100.00 1 115 0.00
- 100.00 1 124 100.00
- 0.00 1 - 100.00
- 100.00 1 596 0.00
258 100.00 1 546 100.00

25 100.00 1 222 100.00
50 100.00 1 190 0.00
- 100.00 1 - 0.00
240 100.00 1 507 0.00
593 100.00 1 1,233 100.00
- 100.00 1 - 0.00
92 100.00 1 432 0.00
- 100.00 1 - 0.00
219 100.00 1 1,613 100.00
17 100.00 1 225 0.00
- 100.00 1 - 0.00
- 100.00 1 344 0.00
145 100.00 1 755 0.00
1,902 95.45 22 8,213 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 1 100.00 10 4 1
1 1 100.00 11 5 3
1 1 100.00 8 2 1
1 1 100.00 7 2 1
1 1 100.00 8 2
1 1 100.00 23 6 2
1 1 100.00 10 3 1
1 1 100.00 11 2 2
1 1 100.00 19 5 1
1 1 100.00 7
1 1 100.00 15 3 2
1 1 100.00 13 6 4
1 1 100.00 11 - -
1 1 100.00 6 - -
1 1 100.00 6 - -
1 1 100.00 24 5 2
1 1 100.00 9 - -
1 1 100.00 10 - -
1 1 100.00 11 - -
1 1 100.00 5 - -
22 22 100.00 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu
10
JUMLAH DESA
NO PUSKESMAS
1 Arga Makmur 10 21
2 Perumnas 6 16
3 Kemumu 12 13
4 Lais 13 16
5 Air Padang 10 12
6 Dusun Curup 15 15
8 Air Lais 12 26
10 Hulu Palik 15 15
11 Batik Nau 15 25
12 Kerkap 12 12
Air Bintunan
13 6 18
14 Ketahun 9 16
15 D6 Ketahun 5 22
16 D4 Ketahun 5 8
17 Suka Makmur 6 12
18 Sebelat 10 24
21 Tj Harapan 10 19
22 Enggano 6 8
TOTAL 220 353

JUMLAH DESA
JMLH RUMAH
JMLH KOMDA
TUNGGU
LANSIA
KELAHIRAN
JMLH DESA
P4K
3 10 1 1
2 6 0
3 12 0
10 13 1
5 10 1
4 15 0
3 10 0
3 12 1
6 18 1
4 15 1
6 15 1
12 12 1
3 6 1
7 9 1 -
9 5 1 -
2 5 1 -
4 6 1 -
2 10 1 -
2 5 1 -
2 10 1 -
4 10 1 -
1 6 1 -
97 220 18 1
JU

WERDHA YG DIBINA
JMLH PKM
MEMILIKI
TOTAL PKM
DOKTER
UMUM
- - 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 22 22
JUMLAH PUSKESMAS

PKM PERAWATAN
P4K
JMLH PKM DG
JMLH PKM
RUANG
PKRT
BERSALIN
MAMPU
JMLH JMLH
PONED
- - - 1 1
- - - - 1
- - - - 1
1 1 1 1 1
- - - - 1
- - - - 1
- - - - 1
- - 1 1 1
1 - 1 - 1
- - 1 - 1
1 - 1 - 1
- - 1 - 1
1 - 1 1 1
- - 1 1 1
1 - 1 1 1
- - - - 1
- - 1 - 1
1 - 1 1 1
- - - 1 1
1 - 1 - 1
- - - - 1
- - - - 1
7 1 12 7 22
Bulan : Oct-20
JUMLAH PUSKESMAS

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00

100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 1 100 1 100.00
100.00 22 100.00 22 100.00

MAS RUMAH SAKIT
JMLH PKM
JMLH PKM
MELAKSANAKA
MAMPU PP-
N SUPERVISI
KtP
FASILITATIF
1
- 1 - 1
1
1
1
1
1
1
1
1
1
0
1
1
1
- - - -
1
- - - -
0
- - - -
1
- - - -
1
1 - - -
1
- - - -
0
- - - -
0
- - - -
1
- - - -
16
5 1 0 1
10
RS SWASTA
JMLH RS
JMLH RS MEMILIKI
JMLH RS RSU
MAMPU POLIKLIKNIK
PPT/PKT PEMERINTAH
PONEK KHUSUS
GERIATRI
JMLH RSIA
- 1 1 - 1
-
-
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
0 1 - 0 2
Lampiran
Bulan
RS MELAYANI TUMBUH
KEMBANG
POSKESDES/
BIDES
1 2 3 7 -
1 1 2 4
1 4 3 8
1 5 6 12
1 3 5 9
1 6 3 10
1 5 3 9
1 9 3 13
1 4 6 11
1 4 6 11
1 5 3 14
1 5 3 9
1 7 3 11
1 7 4 12 -
1 4 9 14 -
1 4 1 6 -
1 2 4 7 -
1 7 2 10 -
1 5 2 8 -
1 4 2 7 -
1 5 3 9 -
1 2 1 5 -
22 105 77 206 -
: Formulir 3
: Oct-20

- - 1
1
1
- -
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- - 1
- -
- - 12
MELAKSANAKAN MTBS

DI MTBS (JML PKM)
DI MTBS) DI MTBS)
1,126
1,481
1 490
1 91
167 - -
664 - -
1 81
94 - -
1 353
126
165
235
1,012
83
69 - -
805
6,027 4 1,015
MELAKSANAKAN MTBS

1 217 1
1 84 1
1 189 1
1
1 230 1
1 68 1
- - 1
1 6 1
6 794 22
Lampiran :
Bulan :
PUSKESMAS

PKM) SDIDTK)
1,126 1 1,173
1,481 1 1,031
217
490
91
84
167
664
189
81 1 2,418
94
353 1 984
230 1 961
68
126
165 1 853
235
1,012 1 1,458
83
69
805 1 2,504
7,836 8 11,382
Formulir 3
Oct-20
SMAS
MELAKSANAKAN SDIDTK

<60 % BALITA YG DI
SDIDTK (JML PKM)
1 604
1 639
1 532
1 732
1 731
1 1,525
1 441
1 99
- -
1 423
1 916
- - - -
1 753
1 716
1 40
1 125
4 2,968 10 5,308
STANDAR
MAMPU TATA
LAKSANA
KASUS KtA
JMLH PKM YG
TOTAL BALITA DI
MELAKSANAKAN JMLH %
SDIDTK
SDIDTK
1,173 1 1 100.00 1
1,031 1 1 100.00 1
604 1 1 100.00 1
639 1 1 100.00 1
532 1 1 100.00 1
732 1 1 100.00 1
731 1 1 100.00 1
1,525 1 1 100.00 1
441 1 1 100.00 1
2,418 1 1 100.00 1
99 1 1 100.00 1
984 1 1 100.00 1
961 1 1 100.00 1
423 1 1 100.00 1
916 1 1 100.00 1
853 1 1 100.00 1
753 1 1 100.00 1
1,458 1 1 100.00 1
716 1 1 100.00 1
40 1 1 100.00 1
2,504 1 1 100.00 1
125 1 1 100.00 1
19,658 22 22 100.00 22
12.22
56
4
YG MEMBINA
YG DIWILAYAH
YG DIWILAYAH
KERJANYA
KERJANYA MEMILIKI
MEMILIKI SLB
(SASARAN)
JMLH %
1 1 100.00 1
3 1 100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
1 1 100.00 -
- - 0.00 -
- - 0.00 -
- - 0.00 -
5 3 13.64 1
Bulan : Oct-20

UKS
YG DIWILAYAH
KERJANYA MEMILIKI
LAPAS/
RUTAN (SASARAN)
JMLH % JMLH
1 100.00 1 1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
- #DIV/0! - -
1 100.00 1 1
PUSKESMAS

BINA LAPAS/ RUTAN
JMLH PESERTA
CAKUPAN (%)
PUSKESMAS
DIJARING
100 1 177 100.00
#DIV/0! 1 320 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 248 100.00
#DIV/0! 1 115 100.00
#DIV/0! 1 124 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 596 100.00
#DIV/0! 1 232 100.00

#DIV/0! 1 149 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 328 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 140 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 796 100.00
#DIV/0! 1 208 100.00
#DIV/0! 1 - 100.00
#DIV/0! 1 344 100.00
#DIV/0! 1 347 100.00
100 22 4,124 100.00

PUSKESMAS

JMLH PESERTA DIDIK

KLS VII YG DIJARING
1 147 100.00 1
1 - 100.00 1
1 - 100.00 1
1 156 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 56 100.00 1
2 48 100.00 1
1 140 100.00 1
1 - 100.00 1
1 267 100.00 1
1 312 100.00 1
1 - 100.00 1
1 200 100.00 1
1 - 100.00 1
1 598 100.00 1
1 - 100.00 1
1 - 100.00 1
1 - 100.00 1
1 263 100.00 1
22 2,187 100.00 22
45 4,374 22
Bulan : Oct-20

SASARAN)

DIJARING DIJARING
121 100.00 1 445 100.00
- 100.00 1 320 100.00
- 100.00 1 - 100.00
142 100.00 1 546 100.00
- 100.00 1 115 0.00
- 100.00 1 124 100.00
- 0.00 1 - 100.00
- 100.00 1 596 0.00
258 100.00 1 546 100.00

25 100.00 1 222 100.00
50 100.00 1 190 0.00
- 100.00 1 - 0.00
240 100.00 1 507 0.00
593 100.00 1 1,233 100.00
- 100.00 1 - 0.00
92 100.00 1 432 0.00
- 100.00 1 - 0.00
219 100.00 1 1,613 100.00
17 100.00 1 225 0.00
- 100.00 1 - 0.00
- 100.00 1 344 0.00
145 100.00 1 755 0.00
1,902 95.45 22 8,213 45.45

MENYELENGGARAKAN
MAMPU
LAKSANA PKPR
JMLH CAKUPAN (%)
1 1 100.00 12 4 4
1 1 100.00 5 3 4
1 1 100.00 10 4 1
1 1 100.00 11 5 3
1 1 100.00 8 2 1
1 1 100.00 7 2 1
1 1 100.00 8 2
1 1 100.00 23 6 2
1 1 100.00 10 3 1
1 1 100.00 11 2 2
1 1 100.00 19 5 1
1 1 100.00 7
1 1 100.00 15 3 2
1 1 100.00 13 6 4
1 1 100.00 11 - -
1 1 100.00 6 - -
1 1 100.00 6 - -
1 1 100.00 24 5 2
1 1 100.00 9 - -
1 1 100.00 10 - -
1 1 100.00 11 - -
1 1 100.00 5 - -
22 22 100.00 241 52 23
482
PAUD/TK/RA
KLS I KLS VII KLS X
JMLH CAKUPAN (%)
329 243 437 16 100.00
274 554 601 9 100.00
205 249 79 15 100.00
268 353 216 6 100.00
116 42 10 7 #DIV/0!
163 73 50 15 100.00
169 80 #DIV/0!
632 490 334 #DIV/0!
234 265 234 #DIV/0!

244 149 149 #DIV/0!
283 170 56 #DIV/0!
#DIV/0!
371 233 112 12 92.31
449 354 567 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
513 339 214 - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
- - - - #DIV/0!
3,199 2,743 2,586 73 98.65

6
12 100 4 100.00 4 100.00
5 100 3 100.00 3 100.00
10 100 4 100.00 1 100.00
12 100 5 100.00 3 100.00
8 #DIV/0! 2 #DIV/0! 1 #DIV/0!
8 100 2 100.00 1 100.00
8 100 2 100.00 #DIV/0!
23 #DIV/0! 6 #DIV/0! 2 #DIV/0!
10 100 3 100.00 1 100.00

11 100 2 100.00 2 100.00
19 #DIV/0! 5 #DIV/0! #DIV/0!
- #DIV/0! - #DIV/0! #DIV/0!
15 100 3 100.00 2 100.00
23 127.77777778 6 100.00 4 100.00
- #DIV/0! - #DIV/0! - #DIV/0!
7 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
14 100 5 100.00 2 100
9 #DIV/0! 3 #DIV/0! - #DIV/0!
9 #DIV/0! 2 #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
- #DIV/0! - #DIV/0! - #DIV/0!
203 165.04065041 59 151.28 23 100.00

Bulan : Oct-20
12 100.00 4 100.00 4
5 100.00 3 100.00 3
10 100.00 4 100.00 1
12 100.00 5 100.00 3
8 #DIV/0! 2 #DIV/0! 1
8 100.00 2 100.00 1
0.00 2 100.00
#DIV/0! 6 #DIV/0!
10 100.00 3 100.00 1
11 100.00 2 100.00 2
#DIV/0! 5 #DIV/0!
#DIV/0! - #DIV/0!
15 100.00 3 100.00 2
16 88.89 6 100.00 4
- #DIV/0! - #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
14 100.00 5 100.00 2
- #DIV/0! 3 #DIV/0! -
- #DIV/0! 2 #DIV/0! -
- #DIV/0! - #DIV/0! -
- #DIV/0! - #DIV/0! -
113 91.87 59 151.28 23

100.00 12 100.00 4 100.00
100.00 5 100.00 3 100.00
100.00 0.00 - 0.00
100.00 12 100.00 5 100.00
#DIV/0! 8 #DIV/0! 2 #DIV/0!
100.00 8 100.00 2 100.00
#DIV/0! 0.00 2 100.00
#DIV/0! #DIV/0! 6 #DIV/0!
100.00 10 100.00 3 100.00

100.00 11 100.00 2 100.00
#DIV/0! #DIV/0! 5 #DIV/0!
#DIV/0! #DIV/0! - #DIV/0!
100.00 15 100.00 3 100.00
100.00 16 88.89 6 100.00
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 14 100.00 5 100.00
#DIV/0! - #DIV/0! 3 #DIV/0!
#DIV/0! - #DIV/0! 2 #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
#DIV/0! - #DIV/0! - #DIV/0!
100.00 103 83.74 55 141.03

JUMLAH PAUD
MELAKSANAKAN SDIDTK
(PUSKESMAS DAN
SMA/MA/SMK SUDAH
BERSTANDAR
NASIONAL (SN
PKPR)
PAUD/RA/TK
JUMLAH
PUSKESMAS
N SDIDTK
4 100.00 1 16 1
3 100.00 1 9 1
0.00 1 15 1
3 100.00 1 6 1
1 #DIV/0! 1 7 1
1 100.00 1 15 1
#DIV/0! 1 1
#DIV/0! 1 1
1 100.00 1 1
2 100.00 1 1
#DIV/0! 1 1
#DIV/0! 1 1
2 100.00 1 12 1
4 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
2 100.00 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
- #DIV/0! 1 - 1
22 95.65 22 73 22
TOTAL
- - 16 - -
15 15 339
7 7
15 15
-
-
12 1 13 397 48
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
42 1 74 736 48
Bulan : Oct-20
- 846 332 268
339
-
-
445 236
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
784 1,082 332 268
Mengetahui,
Seri Suarni, SKM

NIP. 19680530 198911 2 011
458 846 266 187
274 554
64 13
235
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
458 1,081 604 754

8
KOLAH TAHUN 2019
JMLH PKM YG
TENAGANYA TLH
JMLH PKM YG
MEMILIKI LANSIA
KIT
LANSIA DAN
SMA/MA/SMK GERIATRI
513 4 1 1
601 4 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - 1 1
- - 1 1
- - - 1
- - 1 1
- - - 1
1,114 8 15 22

Made Ernawati, SKM

Nip.19830418 200604 2006
79
Provinsi : Bengkulu Kabupaten Bengkulu Utara Lampiran : Formulir 5
S/D Bulan : JANUARI 2023 Bulan : #REF!
Review Form 5 (KEMATIAN)
10 KABUPATEN/KOTA RUMUS 1
SEBAB KEMATIAN IBU KE

KEMATIAN IBU KEMATIAN IBU
KEMATIAN IBU NIFAS JMLH BAYI LAHIR HIDUP JMLH BAYI LAHIR MATI
HAMIL BERSALIN
JMLH KEMATIAN 0 - 6 HARI
JUMLAH JUMLAH
NO PUSKESMAS KEMATIAN GGN SISTEM BAYI LAHIR
IBU HIPERTENSI PEREDARAN KEMBAR
GGN METABOLIK
PERDARA DLM INFEKSI DARAH LAIN2
(DM, DLL)
HAN KEHAMILAN (JANTUNG,
< 20 20 - ≥ 35 < 20 20 - ≥ 35 < 20 20 - 34 ≥ 35 STROKE, DLL) L P TOTAL L P TOTAL L P
TH 34 TH TH TH 34 TH TH TH TH TH
Arga Makmur 12 10 22 - - - - - -
1
Perumnas 11 13 24 - - - - - -
2
Kemumu 7 5 12 - - - - - -
3
Lais 7 9 16 - - - 1 - -
4
Air Padang 9 5 14 - - - 1 - -
5
Dusun Curup 10 8 18 - - - - 1 -
6
Tj. Agung Palik 5 5 10 - - - - - -
7
Air Lais 19 15 34 - - - - - -
8
Lubuk Durian 7 4 11 - - - - - 1
9
Hulu Palik 5 9 14 - - - - - 1
10
Batiknau 11 10 21 - - - - - -
11
Kerkap 8 6 14 - - - - - -
12
Air Bintunan 7 8 15 - - - - - -
13
Ketahun 9 13 22 - - - - - -
14
D6 Ketahun 6 10 16 - - - - - -
15 -
Bukit Harapan 8 5 13 - - - - - -
16
Suka Makmur 7 7 14 - - - - - -
17
Sebelat 16 12 28 1 - 1 - - -
18 -
Karang Pulau 10 4 14 - - - - - -
19
Napal Putih 9 8 17 1 1 2 - 1 -
20
Tanjung Harapan 9 7 16 1 - 1 - - 1
21
Enggano 1 4 5 - - - 1 - 1
22
0 193 177 370 3 1 4 3 2 4
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0
ruptur uteri iminen

DISTRIBUSI UMUR KEMATIAN -
AKI 182
AKB 12
AKN 9
Bulan : #REF!
KEMATIAN NEONATAL PENYEBAB KEMATIAN NEONATAL TEMPAT KEJADIAN KEMATIAN NEONATAL PENYEBAB KEMATIAN POS
KEMATIAN POST NEONATAL
(29 HR - 11 BULAN)
H KEMATIAN 0 - 6 HARI JMLH KEMATIAN 7 - 28 HARI LAIN2 RUMAH
JUMLAH TETANUS KELAINAN KELAINAN

Puskesm PERJALANA KONDISI MENINGITI PENYAKIT
KEMATIAN BBLR ASFIKSIA NEONATO INFEKSI BAWAAN/ COVID 19 RS PNEUMONIA DIARE KONGENITA
as N PERINATAL S SARAF
NEONATAL RUM KONGENITAL Berrdasark L
Keterangan Lain- Beradsarka
TOTAL L P TOTAL JLM an KTP/ L P TOTAL
lain n domisili
KK/KIA
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
1 - - - 1 1 - - - - - - - - - 1 -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
1 - - - 1 - 1 - - - - - - - - 1 -
- - -
1 - - - 1 - - - - 1 - - - - - 1 -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
- - - - - - - - - - - - - - - - -
- - -
1 - - - 1 - - - - - - 1 Prematur 1 - - - -
- - -
1 - - - 1 - 1 - - - - - - - - 1 -
- - -
1 - 1 1 2 2 - - - - - - - - - 2 -
- - -
6 - 1 1 7 3 2 - - 1 - 1 1 - - 6 -
- - - - - - - -
PENYEBAB 7 -
Lampira: Formulir 5
Bulan : #REF!
YEBAB KEMATIAN POST NEONATAL TEMPAT KEJADIAN KEMATIAN POST NEONATAL PENYEBAB KEMATIAN ANAK BALITA
JMLH KEMATIAN ANAK
BALITA (12 - 59 BULAN)
JMLH
LAIN2 RUMAH
KEMATIA
TENGGELA N BAYI (0 TENGGELA
KEL. KEL.
DEMAM M, KELAINAN DEMAM KECELAKA M,
Puskesm PERJALANA - 11 PNEUMO PENYAKIT KONGENIT KONGENIT TENGGELA INFEKSI
BERDARA PD3I CEDERA, COVID 19 RS BULAN) DIARE KONGENIT BERDARAH AN LALU PD3I CEDERA, COVID 19
aas N NIA SARAF AL AL M PARASIT
H KECELAKA BERADSARK BERDASARK AL DENGUE LINTAS KECELAKA
JANTUNG LAINNYA
AN Jml keterangan lain-lain AN AN KTP/ L P TOTAL AN JLM
DOMISILI KK/ KIA
- - - - - - - - - -
- - -
- -
- -
- - -
1 - - -
- - -
- - -
1 -
1 - -
- -
- - -
- - -
- -
- -
- -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
1 - - - - - - - - -
1 - - - - - - - - -
2 - - - - - - - - -
- - - - 7 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
TEMPAT KEJADIAN KEMATIAN
TEMPAT KEJADIAN KEMATIAN ANAK BALITA PENYEBAB KEMATIAN A
ANAK PRA SEKOLAH
JMLH KEMATIAN ANAK PRA KETERANGAN PENYEBAB
JMLH KEMATIAN ANAK (7 - 18 TAHUN)
SEKOLAH (60 - 71 BLN) KEMATIAN
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
PERJALAN 59 BLN) PERJALANA KECELAKAAN AKIBAT
RS PKM RUMAH RS NAPZA HIV/AIDS
AN N TRANSPORTASI KEHAMILAN
BERDASAR BERDASAR
Keterangan lain-lain KAN KAN KTP/ L P TOTAL (SEBUTKAN) L P TOTAL
DOMISILI KK/KIA
- - - - - - - - - - - -
- - - -
- - -
- - -
- - - -
1 - - -
- - - -
- - - - - -
1 - -
- 1 - -
- - -
- - - -
- - - - - -
- - -
- - -
- - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 1 - - - - - - - - - -
- 1 - - - - - - - - - -
- 2 - - - - - - - - - -
- 7 - - - - - - - - - -
PENYEBAB
5
PENYEBAB KEMATIAN ANAK TEMPAT KEJADIAN KEMATIAN ANAK
JMLH
KAB/KOTA
MELAKSANAK
PENYAKIT PENYAKIT TIDAK
BUNUH DIRI LAIN2 RUMAH RS PERJALANAN AN AMP
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -
-
S/D Bulan : FEBRUARI 2023 Bulan : #REF!

HAMIL BERSALIN
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 23 20 43 - - - - - -
Perumnas
2 25 27 52 - - - - - -
Kemumu
3 18 10 28 - - - 1 - -
Lais
4 10 17 27 - - - 2 - -
Air Padang
5 15 9 24 - - - 1 - -
Dusun Curup
6 16 17 33 1 - 1 - 1 -
Tj. Agung Palik

7 13 11 24 - - - 1 - -
Air Lais
8 36 34 70 - - - - - -
Lubuk Durian
9 16 8 24 - - - - 1 1
Hulu Palik
10 11 13 24 - - - - - 1
Batiknau
11 19 17 36 - - - - 1 -
Kerkap
12 14 15 29 - - - - - -
Air Bintunan
13 19 13 32 - - - - - 1
Ketahun
14 19 19 38 - - - 2 - -
D6 Ketahun
15 - 18 21 39 - - - - - -
Bukit Harapan
16 11 10 21 - - - - - -
Suka Makmur
17 16 18 34 - - - - - -
Sebelat
18 - 31 18 49 2 - 2 - - -
Karang Pulau
19 18 10 28 - - - - - -
Napal Putih
20 14 11 25 1 1 2 - 1 -
Tanjung Harapan
21 20 11 31 1 - 1 1 - 1
Enggano
22 2 6 8 - - - 1 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 384 335 719 5 1 6 9 4 5
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - 1 - 1
2 - - - 2 1 1 - - - - - - - - 2 - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - - -
1 - - - 1 - - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - 1 Prematur 1 - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - -
9 - 1 1 10 5 2 - - 2 - 1 1 - - 8 - 1 - 1 - - - - -
PENYEBAB 10 -
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - - - - - -
- - -
- -
- -
- - -
1 - - -
- - -
1 - -
2 -
1 - -
1 -
- - -
1 - -
- -
- -
- -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
1 - - - - - - - - -
1 - - - - - - - - -
2 - - - - - - - - -
- - - - 11 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- - - -
- - -
- - -
- - - -
1 - - -
- - - -
- 1 - - - -
2 - -
- 1 - -
1 - -
- - - -
- - - - - -
- - -
- - -
- - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 1 - - - - - - - - - -
- 1 - - - - - - - - - -
- 2 - - - - - - - - - -
- 11 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -
1 Pkm Arma: Kelainan Jantung

- 1. Dusun Curup: Luka Bakar. (diperjalanan)
Ket :
pkm D6 ( Tyoid)
S/D Bulan : MARET Bulan : #REF!

HAMIL BERSALIN
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 33 33 66 - - - - 1 -
Perumnas
2 36 33 69 - - - - - -
Kemumu
3 24 19 43 - - - 2 - -
Lais
4 21 23 44 - - - 2 - -
Air Padang
5 22 11 33 - - - 1 - -
Dusun Curup
6 24 23 47 1 - 1 - 1 -
Tj. Agung Palik

7 19 16 35 - - - 1 - -
Air Lais
8 60 49 109 - - - - - -
Lubuk Durian
9 21 13 34 - - - - 1 2
Hulu Palik
10 23 19 42 - - - 1 - 1
Batiknau
11 29 25 54 - - - - 1 -
Kerkap
12 21 20 41 - - - - - -
Air Bintunan
13 28 18 46 - - - - - 1
Ketahun
14 28 31 59 - - - 2 - -
D6 Ketahun
15 - 28 33 61 - - - - - -
Bukit Harapan
16 20 16 36 - - - - - -
Suka Makmur
17 23 27 50 - - - - - -
Sebelat
18 - 47 32 79 2 1 3 - - 1
Karang Pulau
19 26 13 39 - - - - - -
Napal Putih
20 17 21 38 1 1 2 - 2 1
Tanjung Harapan
21 30 18 48 1 - 1 1 - 1
Enggano
22 2 7 9 - - - 1 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 582 500 1,082 5 2 7 11 6 8
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
1 - - - 1 - 1 - - - - - - - - 1 - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - 1 1 2
3 - - - 3 1 1 - - 1 - - - - - 2 - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - - -
1 - - - 1 - - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - -
14 - 1 1 15 7 4 - - 3 - 1 1 - - 11 - 1 1 2 - - - - -
PENYEBAB 15 -
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
1 - - - - - - - - -
- - -
- -
- -
- - -
1 - - -
- - -
2 - -
3 -
1 - -
1 -
- - -
1 - -
- -
- -
- -
- - - - - - - - - -
1 - - - - - - - - -
- - - - - - - - - -
3 - - - - - - - - -
1 - - - - - - - - -
2 - - - - - - - - -
- - - - 17 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- - - -
- - -
- - -
- - - -
1 - - -
- - - -
- 2 - - - -
3 - -
- 1 - -
1 - -
- - - -
- - - - - -
- - -
- - -
- - -
- - - - - - - - - - - -
- 1 - - - - - - - - - -
- - - - - - - - - - - -
- 3 - - - - - - - - - -
- 1 - - - - - - - - - -
- 2 - - - - - - - - - -
- 17 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : Bulan : #REF!

HAMIL BERSALIN
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 50 46 96 - - - - 1 -
Perumnas
2 51 44 95 - - - - - -
Kemumu
3 34 29 63 - - - 3 - -
Lais
4 29 34 63 - - - 2 - -
Air Padang
5 27 15 42 - - - 1 - -
Dusun Curup
6 29 32 61 1 - 1 - 1 -
Tj. Agung Palik

7 26 20 46 - - - 1 - -
Air Lais
8 89 67 156 - - - - - 1
Lubuk Durian
9 27 18 45 - - - - 2 2
Hulu Palik
10 29 26 55 - - - 1 - 1
Batiknau
11 41 30 71 - - - - 1 -
Kerkap
12 29 26 55 1 - 1 1 - -
Air Bintunan
13 36 23 59 - - - - - 1
Ketahun
14 40 42 82 - - - 3 3 -
D6 Ketahun
15 - 37 47 84 - - - - - -
Bukit Harapan
16 24 21 45 - - - - - -
Suka Makmur
17 35 35 70 - - - - - -
Sebelat
18 - 64 44 108 2 1 3 2 - 2
Karang Pulau
19 33 21 54 - - - - - -
Napal Putih
20 23 26 49 1 1 2 - 2 1
Tanjung Harapan
21 42 28 70 1 - 1 1 - 1
Enggano
22 6 13 19 - - - 1 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 801 687 1,488 6 2 8 16 10 10
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- 1 - 1 1 1 - - - - - - 1 - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - BELUM
1 DIKETAHUI - - - 1 - 1 1 2 - - 1 - - -
4 - - - 4 1 1 - - 1 - 1 IUFD - - - 2 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 1 1 - - - 1 - -
- - - - - - - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
3 - - - 3 2 - - - - - 1 - - - 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
2 - - - 2 1 - - 1 - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
20 1 1 2 22 10 4 - 1 3 - 4 2 - - 14 - 2 2 4 - - 1 2 - -
PENYEBAB 22 4
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 1 - - - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - 1 -
- - - - - - - -
- - - - - 1 - - -
- - - - - ,, , , , , , , , , , - - -
- - - - 1 Gizi buruk 3 - -
- - - - - 4 -
- - - - - 1 - -
- - - - - ,, , , , , , , , , , 2 -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 3 -
- - - - - - -
- - - - - - -
- - - - - - - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - - - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 1 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 1 - - 26 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- - - -
- - -
1 - -
- - - -
1 - - -
- - - -
- 3 - - - -
4 - -
- 1 - -
2 - -
- 1 - -
- - - - - -
3 - -
- - -
- - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
- - - - - - - - - - - -
- 3 - - - - - - - - - -
- 1 - - - - - - - - - -
- 2 - - - - - - - - - -
- 26 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)

HAMIL BERSALIN
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 64 50 114 - - - 2 2 -
Perumnas
2 63 55 118 - - - - 1 -
Kemumu
3 43 34 77 - - - 3 - -
Lais
4 39 44 83 - - - 3 - -
Air Padang
5 31 23 54 - - - 1 1 -
Dusun Curup
6 35 39 74 1 - 1 - 1 -
Tj. Agung Palik

7 32 25 57 - - - 1 - -
Air Lais
8 131 85 216 - - - - - 1
Lubuk Durian
9 37 23 60 - - - - 2 2
Hulu Palik
10 32 32 64 - 1 1 1 - 1
Batiknau
11 44 42 86 - - - - 1 -
Kerkap
12 38 32 70 1 1 2 1 - -
Air Bintunan
13 46 30 76 - - - - - 1
Ketahun
14 49 45 94 - - - 3 3 -
D6 Ketahun
15 - 44 50 94 - - - - - -
Bukit Harapan
16 27 26 53 1 - 1 - 1 -
Suka Makmur
17 44 45 89 - - - - - -
Sebelat
18 - 75 55 130 3 1 4 2 - 2
Karang Pulau
19 42 27 69 - - - - - 1
Napal Putih
20 34 30 64 1 1 2 - 2 1
Tanjung Harapan
21 54 33 87 1 - 1 2 1 1
Enggano
22 6 14 20 - - - 1 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,010 839 1,849 8 4 12 20 15 11
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
2 - - - 2 - 2 - - - - - - - - 2 - - - - - - - - - -
1 - - - 1 - - - - - - 1 Prematur - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- 1 - 1 1 1 - - - - - - 1 - - - - - - - - - - - - -
1 - - - 1 - - - - 1 HMD
- ( hyalin
- membran diease) - - - - - - - - - - - - - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - BELUM
1 DIKETAHUI - - - 1 - 1 1 2 - - 1 - - -
4 - - - 4 1 1 - - 1 - 1 IUFD - - - 2 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 1 1 - - - 1 - -
- - - - - - - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
3 - - - 3 2 - - - - - 1 - - - 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
2 - - - 2 1 - - 1 - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
26 1 2 3 29 10 5 - 2 5 - 7 2 - - 16 - 2 2 4 - - 1 2 - -
PENYEBAB 29 4
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 2 - - - - - - - - -
- - - - - 1 - -
- - - - - - - -
- - - - - 1 -
- - - - - 1 - -
- - - - - 1 - - -
- - - - - ,, , , , , , , , , , - - -
- - - - 1 Gizi buruk 3 - -
- - - - - 4 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 2 -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 3 -
- - - - - - -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 1 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 1 - - 33 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 1 - -
- - -
1 - -
- - - -
1 - - -
- - - -
- 3 - - - -
4 - -
- 2 - -
2 - -
- 1 - -
- - - - - -
3 - -
- - -
1 - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
- 1 - - - - - - - - - -
- 3 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 33 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : JUNI Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 76 59 135 - - - 2 2 -
Perumnas
2 78 67 145 - - - - 1 -
Kemumu
3 51 43 94 - - - 3 2 -
Lais
4 51 52 103 - - - 3 1 -
Air Padang
5 36 28 64 - - - 1 1 -
Dusun Curup
6 45 42 87 1 - 1 - 2 -
Tj. Agung Palik

7 35 27 62 - - - 1 - -
Air Lais
8 144 94 238 - - - - 2 1
Lubuk Durian
9 43 33 76 - - - - 2 2
Hulu Palik
10 38 38 76 - 1 1 1 - 1
Batiknau
11 49 55 104 - - - - 1 -
Kerkap
12 42 35 77 1 1 2 1 - -
Air Bintunan
13 54 34 88 - 1 1 - - 1
Ketahun
14 62 50 112 - - - 3 3 -
D6 Ketahun
15 - 55 76 131 - - - - - -
Bukit Harapan
16 28 33 61 1 - 1 - 1 -
Suka Makmur
17 54 54 108 - - - - - -
Sebelat
18 - 89 66 155 3 1 4 2 - 2
Karang Pulau
19 47 28 75 - - - - - 1
Napal Putih
20 40 33 73 1 1 2 - 2 1
Tanjung Harapan
21 65 45 110 2 - 2 2 1 1
Enggano
22 7 16 23 - - - 1 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,189 1,008 2,197 9 5 14 20 21 11
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
2 - - - 2 - 2 - - - - - - - - 2 - - - - - - - - - -
1 - - - 1 - - - - - - 1 Prematur - - - - - - - - - - - - - -
2 2 - 2 4 - - - - - - - 1 - - - 1 - - - - - - - - -
HMD ( hyalin
1 1 - 1 2 1 - - - - - 1 membran 1 - - 1 - - - - - - - - - -
diease)
1 - - - 1 - - - - 1 - - - - - - - - - - - - - - - -
2 - - - 2 2 - - - - - - - - - 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - 3 - - - - - BELUM
- DIKETAHUI
3 BELUM DIKETAHUI - - - 3 - 1 1 2 - - 1 - - -
4 - - - 4 1 1 - - 1 - 1 IUFD - - - 2 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 1 1 - - 1 1 - -
- - - - - - - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
3 - - - 3 2 - - - - - 1 - - - 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
2 - - - 2 1 - - 1 - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
32 3 2 5 37 11 5 - 2 5 - 10 3 - - 21 1 2 2 4 - - 2 2 - -
PENYEBAB 33 5
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 2 - - - - - - - - -
- - - - - 1 - -
- - - - - - 4 -
- - - - - 2 -
- - - - - 1 - -
- - - - - 2 - - -
- - - - - ,, , , , , , , , , , - - -
- - - - 1 Gizi buruk 5 - -
- - - - - 4 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 2 -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 3 -
- - - - - - -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 1 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 1 - - 41 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 1 - -
4 - -
2 - -
- - - -
2 - - -
- - - -
- 5 - - - -
4 - -
- 2 - -
2 - -
- 1 - -
- - - - - -
3 - -
- - -
1 - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
- 1 - - - - - - - - - -
- 3 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 41 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : JULI Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 93 67 160 - - - 2 2 -
Perumnas
2 90 79 169 - - - - 1 -
Kemumu
3 65 52 117 - - - 3 3 1
Lais
4 61 58 119 - - - 3 1 -
Air Padang
5 38 30 68 - - - 1 1 -
Dusun Curup
6 54 52 106 1 - 1 - 3 -
Tj. Agung Palik

7 39 34 73 - - - 1 - -
Air Lais
8 176 116 292 - - - 1 2 1
Lubuk Durian
9 51 40 91 - - - 1 3 2
Hulu Palik
10 46 47 93 - 1 1 1 - 1
Batiknau
11 60 61 121 - - - 2 1 -
Kerkap
12 48 43 91 1 1 2 2 - -
Air Bintunan
13 62 38 100 - 1 1 - - 1
Ketahun
14 73 52 125 - 1 1 3 3 1
D6 Ketahun
15 - 62 84 146 - - - - - -
Bukit Harapan
16 32 35 67 1 - 1 - 1 -
Suka Makmur
17 59 64 123 - - - - - -
Sebelat
18 - 101 79 180 3 1 4 2 - 2
Karang Pulau
19 53 34 87 - - - - 1 1
Napal Putih
20 45 36 81 1 1 2 - 2 1
Tanjung Harapan
21 76 55 131 2 - 2 3 1 1
Enggano
22 9 19 28 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,393 1,175 2,568 9 6 15 31 25 13
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
2 - - - 2 - 2 - - - - - - - - 2 - - - - - - - - - -
1 - - - 1 - - - - - - 1 Prematur - - - - - - - - - - - - - -
4 1 - 1 5 2 1 - - - - - 4 - - - 4 - - - - - - - - -
1 1 - 1 2 1 - - - - - 1 1 - - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - - - - - - - - -
3 - - - 3 2 - - - - - neonatal
1 pneumonia - - - 3 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - 3 - - - - - BELUM
- DIKETAHUI
3 BELUM DIKETAHUI - - - 3 - 1 1 2 - - 1 - - -
5 1 - 1 6 1 2 - - 1 - IUFD
2 PREMATUR - - - 4 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 1 1 - - 1 1 - -
- - - - - - - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
4 - - - 4 2 - - - - - 2 - - - 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
2 - - - 2 1 - - 1 - - - - - - - - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 2 - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
38 3 2 5 43 14 7 - 2 5 - 13 6 - - 25 4 2 2 4 - - 2 2 - -
PENYEBAB 41 5
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 2 - - - - - - - - -
- - - - - 1 - -
- - - - - - 5 -
- - - - - 2 -
- - - - - 1 - -
- - - - - 3 - - -
- - - - - ,, , , , , , , , , , - - -
- - - - 1 Gizi buruk 5 - -
- - - - - 6 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 2 -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 4 -
- - - - - - -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 1 - - 47 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 1 - -
5 - -
2 - -
- - - -
3 - - -
- - - -
- 5 - - - -
6 - -
- 2 - -
2 - -
- 1 - -
- - - - - -
4 - -
- - -
1 - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 3 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 47 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : AGUSTUS Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 109 77 186 1 - 1 2 3 1
Perumnas
2 106 85 191 - - - 1 1 -
Kemumu
3 72 57 129 - - - 3 3 1
Lais
4 67 66 133 1 - 1 3 1 -
Air Padang
5 42 35 77 1 - 1 1 1 -
Dusun Curup
6 62 56 118 2 - 2 - 3 -
Tj. Agung Palik

7 41 37 78 - - - 1 1 -
Air Lais
8 196 131 327 - - - 1 2 1
Lubuk Durian
9 58 49 107 - - - 1 4 2
Hulu Palik
10 50 53 103 1 1 2 1 - 1
Batiknau
11 67 66 133 - - - 2 2 -
Kerkap
12 53 45 98 2 1 3 2 - -
Air Bintunan
13 73 50 123 1 1 2 - - 1
Ketahun
14 82 59 141 - 1 1 3 3 1
D6 Ketahun
15 - 72 93 165 - - - - - -
Bukit Harapan
16 38 41 79 1 - 1 - 1 -
Suka Makmur
17 66 67 133 - - - - - -
Sebelat
18 - 111 88 199 3 2 5 2 - 3
Karang Pulau
19 59 45 104 - - - - 1 1
Napal Putih
20 48 38 86 1 1 2 - 2 1
Tanjung Harapan
21 84 60 144 2 - 2 3 1 1
Enggano
22 10 22 32 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,566 1,320 2,886 16 7 23 32 29 15
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
4 - - - 4 1 3 - - - - - - - - 4 - - - - - - - - - -
1 - - - 1 - - - - - - 1 Prematur - - - 1 - - - - - - - - - -
4 - - - 4 2 1 - - - - Aspirasi
1 mekonium - - - - 4 - - - - - - - - -
1 1 - 1 2 1 - - - - - 1 1 - - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 2 2 - - - - - -
3 - - - 3 2 - - - - - neonatal
1 pneumonia - - - 3 - - - - - - - - - -
1 - - - 1 - 1 - - - - - 1 - - - - - - - - - - - - -
3 - - - 3 - - - - - BELUM
- DIKETAHUI
3 BELUM DIKETAHUI - - - 3 - 1 1 2 - - 1 - - -
6 1 - 1 7 1 2 - - 1 - IUFD PREMATUR
3 premature - - - 5 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 1 - - 1 1 - - 1 1 - -
- - - - - - - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
4 - - - 4 2 - - - - - 2 - - - 4 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - 3 1 - - 1 - - 1 - - - - - - - - - - - - - -
2 1 - 1 3 2 - - - 1 - - - - - 2 - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
44 3 2 5 49 17 9 - 2 5 - 16 3 - - 32 4 2 4 6 - - 2 2 - -
PENYEBAB 49 9
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 4 - - - - - - - - -
- - - - - 1 - -
- - - - - - 4 -
- - - - - 2 -
- - - - 2 3 - -
- - - - - 3 - - -
- - - - - ,, , , , , , , , , , 1 - -
- - - - 1 Gizi buruk 5 - -
- - - - 2 7 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 3 -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 4 -
- - - - - - -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 5 - - 55 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 1 - -
4 - -
2 - -
- - - -
3 - - -
- 1 - -
- 5 - - - -
7 - -
- 2 - -
3 - -
- 1 - -
- - - - - -
4 - -
- - -
1 - -
- - - - - - - - - - - -
- 3 - - - - - - - - - -
- 3 - - - - - - - - - -
- 3 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 55 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : SEPTEMBER 2023 Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 117 92 209 1 - 1 2 3 3
Perumnas
2 116 95 211 1 - 1 1 2 -
Kemumu
3 78 62 140 - - - 3 3 1
Lais
4 78 70 148 1 - 1 3 1 -
Air Padang
5 45 40 85 1 - 1 1 1 -
Dusun Curup
6 65 64 129 2 - 2 - 3 -
Tj. Agung Palik

7 48 39 87 1 - 1 1 2 -
Air Lais
8 217 144 361 - - - 1 3 1
Lubuk Durian
9 63 51 114 - - - 1 4 2
Hulu Palik
10 55 58 113 1 1 2 1 - 1
Batiknau
11 74 70 144 - - - 2 2 -
Kerkap
12 61 59 120 2 1 3 3 - 3
Air Bintunan
13 88 59 147 1 1 2 2 - 1
Ketahun
14 91 68 159 - 1 1 4 3 1
D6 Ketahun
15 - 85 108 193 - - - - - 1
Bukit Harapan
16 41 45 86 1 - 1 - 1 -
Suka Makmur
17 78 77 155 - - - - - -
Sebelat
18 - 120 102 222 3 2 5 2 - 3
Karang Pulau
19 61 51 112 - 1 1 - 1 1
Napal Putih
20 55 43 98 1 1 2 - 3 1
Tanjung Harapan
21 95 70 165 2 - 2 3 1 1
Enggano
22 11 23 34 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,742 1,490 3,232 18 8 26 36 33 21
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
6 - - - 6 3 3 - - - - - - - - 6 - - - - - - - - - -
2 - - - 2 - 1 - - - - 1 Prematur
Aspirasi - - - - - - - - - - - - - -
mekonium
4 - - - 4 2 1 - - - - 1 4 - - - 4 - - - - - - - - -
1 1 - 1 2 1 - - - - - 1 1 - - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - - - - 2 2 - - - - - -
3 - - - 3 2 - - - - - neonatal
1 pneumonia - - - 3 - - - - - - - - - -
2 - - - 2 - 2 - - - - - 1 - - - - - - - - - - - - -
4 - - - 4 - - - - BELUM
- DIKETAHUI
- BELUM
4 DIKETAHUI Belum diketahui
- - - 4 - 1 1 2 - - 1 - - -
6 1 - 1 7 1 2 - - 1 - IUFD PREMATUR
3 premature - - - 5 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 1 - 1 1 2 - - 1 1 - -
3 - - - 3 3 - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
4 - - - 4 2 - - - - - 2 - - - 2 - - - - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - 3 1 - - 1 - - 1 - - - - - - 1 1 - - - 1 - -
2 1 - 1 3 2 - - - 1 - - - - - 2 - - - - - - - - - -
4 - - - 4 1 1 - - 1 - 1 Prematur 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
54 3 2 5 59 22 12 - 2 6 - 17 7 - - 33 4 3 5 8 - - 2 3 - -
PENYEBAB 59 8
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 6 - - - - - - - - -
- - - - - 2 - -
- - - - - - 4 -
- - - - - 2 -
- - - - 2 3 - -
- - - - - 3 - - -
- - - - - ,, , , , , , , , , , 2 - -
- - - - 1 Gizi buruk 6 - -
- - - - - 7 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 4 -
- - - - - 4 - -
- - - - - 1 - -
- - - - - 4 -
- - - - - 1 -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 4 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 4 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 3 - - 67 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 2 - -
4 - -
2 - -
- - - -
3 - - -
- 2 - -
- 6 - - - -
7 - -
- 2 - -
4 - -
- 4 - -
- - - - - -
4 - -
1 - -
1 - -
- - - - - - - - - - - -
- 4 - - - - - - - - - -
- 3 - - - - - - - - - -
- 4 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 67 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : Oktober Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 134 103 237 1 - 1 3 3 3
Perumnas
2 126 107 233 2 - 2 1 3 -
Kemumu
3 90 71 161 - - - 3 3 1
Lais
4 86 76 162 1 - 1 3 2 -
Air Padang
5 49 45 94 1 - 1 1 1 -
Dusun Curup
6 74 67 141 2 - 2 - 3 -
Tj. Agung Palik

7 51 49 100 1 - 1 1 2 -
Air Lais
8 239 163 402 - - - 2 3 1
Lubuk Durian
9 69 57 126 - - - 1 4 2
Hulu Palik
10 61 68 129 1 1 2 1 - 1
Batiknau
11 80 78 158 - - - 2 2 -
Kerkap
12 67 64 131 2 1 3 3 - 3
Air Bintunan
13 100 68 168 1 1 2 2 - 1
Ketahun
14 103 79 182 - 1 1 4 3 1
D6 Ketahun
15 - 100 114 214 - - - - - 1
Bukit Harapan
16 47 50 97 1 - 1 - 1 -
Suka Makmur
17 93 90 183 - - - - - -
Sebelat
18 - 142 121 263 3 2 5 2 - 3
Karang Pulau
19 65 57 122 - 1 1 - 1 1
Napal Putih
20 64 53 117 1 1 2 - 3 1
Tanjung Harapan
21 107 80 187 2 - 2 3 1 1
Enggano
22 13 24 37 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 1,960 1,684 3,644 19 8 27 38 35 21
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
6 - - - 6 3 3 - - - - - - - - 6 - - - - - - - - - -
Prematur
3 - - - 3 1 1 - - - - 1 Aspirasi - - - - - - - - - - - - - -
mekonium
4 - - - 4 2 1 - - - - 1 4 - - - 4 - - - - - - - - -
cidera
2 1 - 1 3 1 1 - - - - 1 1 1 - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - neonatal - - - - - - 2 2 - - - - - -
pneumonia
3 - 3 2 - - - - - 1 BELUM - - - 3 - - 1 1 - - 1 - - -
- -
DIKETAHUI
BELUM
2 - - - 2 - 2 - - - - - DIKETAHUI 1 - - - - - - - - - - - - -
BelumIUFD
diketahui
4 - - - 4 - - - - - - 4 PREMATUR - - - 4 - 1 1 2 - - 1 - - -
premature
6 1 - 1 7 1 2 - - 1 - 3 - - - 5 - - - - - - - - - -
Gagal
1 - 1 1 2 - - - - 1 - 1 Nafas - - - 2 - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 1 - 1 1 2 - - 1 1 - -
3 - - - 3 3 - - - - - - - - - - - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
gawat janin
4 - - - 4 2 - - - - - 2 - - - 2 - - - - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
hiperperiksial
1 - - - 1 - - - - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
oligohydramnio
3 - 1 1 4 1 - - 1 1 - 1 n. - - - 1 - - 1 1 - - - 1 - -
2 1 - 1 3 2 - - - 1 - - - - - 2 - - - - - - - - - -
Prematur
4 - - - 4 1 1 - - 1 - 1 1 - - 2 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 1 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
56 3 3 6 62 23 13 - 2 7 - 17 7 1 - 34 4 3 6 9 - - 3 3 - -
46
PENYEBAB 62 9
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 6 - - - - - - - - -
- - - - - 3 - -
- - - - - - 4 -
- - - - - 3 -
- - - - 2 3 - -
- - - - - 4 - - -
- - - - - ,, , , , , , , , , , 2 - -
- - - - 1 Gizi buruk 6 - -
- - - - - 7 -
- - - - - 2 - -
- - - - - ,, , , , , , , , , , 4 -
- - - - - 4 - -
- - - - - 1 - -
- - - - - 4 -
- - - - - 1 -
- - - - - 1 -
- - - - - - - - - - - - - - -
- - - - - 5 - - - - - - - - -
- - - - - 3 - - - - - - - - -
- - - - - 4 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- - - - - 2 - - - - - - - - -
- 3 - - 71 - - - - - - - - -
PENYEBAB -
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
- - - - - - - - - - - -
- 3 - -
4 - -
3 - -
- - - -
4 - - -
- 2 - -
- 6 - - - -
7 - -
- 2 - -
4 - -
- 4 - -
- - - - - -
4 - -
1 - -
1 - -
- - - - - - - - - - - -
- 5 - - - - - - - - - -
- 3 - - - - - - - - - -
- 4 - - - - - - - - - -
- 2 - - - - - - - - - -
- 2 - - - - - - - - - -
- 71 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 145 112 257 1 - 1 3 3 3
Perumnas
2 135 120 255 2 - 2 1 3 -
Kemumu
3 98 79 177 - - - 3 3 1
Lais
4 95 84 179 1 - 1 3 2 -
Air Padang
5 54 53 107 1 1 2 1 1 -
Dusun Curup
6 79 73 152 2 - 2 - 3 -
Tj. Agung Palik

7 56 56 112 1 - 1 1 2 -
Air Lais
8 258 178 436 - - - 2 3 1
Lubuk Durian
9 76 64 140 - - - 3 4 2
Hulu Palik
10 69 73 142 1 1 2 1 - 1
Batiknau
11 88 88 176 - - - 4 2 -
Kerkap
12 69 72 141 2 2 4 3 1 3
Air Bintunan
13 111 76 187 1 1 2 2 - 1
Ketahun
14 113 85 198 - 1 1 4 3 1
D6 Ketahun
15 - 111 122 233 1 - 1 - - 1
Bukit Harapan
16 52 53 105 1 - 1 - 1 -
Suka Makmur
17 97 99 196 - - - - - -
Sebelat
18 - 158 134 292 3 2 5 2 - 3
Karang Pulau
19 73 60 133 - 1 1 - 2 1
Napal Putih
20 70 62 132 1 1 2 - 3 1
Tanjung Harapan
21 118 93 211 2 - 2 3 1 1
Enggano
22 17 27 44 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 2,142 1,863 4,005 20 10 30 42 37 21
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
6 - - - 6 3 3 - - - - - - - - 6 - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur - - - 3 - - - - - - - - - -
4 - - - 4 2 1 - - - - 1 - - - - 4 - - - - - - - - -
2 1 - 1 3 1 1 - - - - 1 1 1 - 1 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - 2 2 - - - - - -
3 - - - 3 2 - - - - - neonatal
1 pneumonia - - - 3 - - 1 1 - - 1 - - -
2 - - - 2 - 2 - - - - - 1 - 1 - - - - - - - - - - -
4 - - - 4 - - - - BELUM
- DIKETAHUI
- BELUM
- - - 4 - 1 1 2 - - 1 - - -
6 1 - 1 7 1 2 - - 1 - IUFD PREMATUR
3 premature - - - 7 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 2 - 1 1 2 - - 1 1 - -
4 - - - 4 3 - - 1 - - - - - - 4 - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
4 - - - 4 2 - - - - - 2 - - - 4 - - - - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - 1 1 4 1 - - 1 1 - 1 - - 1 3 - - 1 1 - - - 1 - -
3 1 - 1 4 3 - - - 1 - - 1 - - 3 - - - - - - - - - -
4 - - - 4 1 1 - - 1 - 1 Prematur 1 - - 3 - - - - - - - - - -
2 - - - 2 - 1 - 1 - - - - - - 2 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
58 3 3 6 64 24 13 - 3 7 - 17 4 1 2 53 4 3 6 9 - - 3 3 - -
PENYEBAB 64 9
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 6 - - - - - - - - - - - - - - - - -
- - - - - 3 - - - - - - - - - - - -
- - - - - - 4 1 - 1 - - - - - - - - -
- - - - - 3 - - - - - - - - - - - -
- - - - 2 3 - - - - - - - - - - - -
- - - - - 4 - - - - - - - - - - - -
- - - - - ,, , , , , , , , , , 2 - - - - - - - - - - - -
- - - - 1 Gizi buruk 6 - - - - - - - - - - - -
- - - - - 7 - - - - - - - - - - - -
- - - - - 2 - - - - - - - - - - - -
- - - - - ,, , , , , , , , , , 4 - - - - - - - - - - - -
- - - - - 5 1 - 1 - - - - - - - - -
- - - - - 1 - - - - - - - - - - - -
- - - - - 4 - - - - - - - - - - - -
- - - - - 1 - - - - - - - - - - - -
- - - - - 1 1 - 1 - - - - - - - - -
- - - - - - - - - - - - - - - - - -
- - - - - 5 - 1 1 - - - - - 1 - - -
- - - - - 4 - - - - - - - - - - - -
- - - - - 4 - - - - - - - - - - - -
- - - - - 2 1 - 1 - - - - - - - - -
- - - - - 2 - - - - - - - - - - - -
- 3 - - 73 4 1 5 - - - - - 1 - -
PENYEBAB 1
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
,,,,,,,,,,, - - - - - - - - - - - - - - -
- 3 - -
5 - -
3 - -
- - - -
4 - - -
- 2 - -
- 6 - - - -
7 - -
- 2 - -
4 - -
- 6 - -
- - - - - -
4 - -
1 - -
2 - -
- - - - - - - - - - - -
- 6 - - - - - - - - - -
- 4 - - - - - - - - - -
- 4 - - - - - - - - - -
- 3 - - - - - - - - - -
- 2 - - - - - - - - - -
- 78 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
S/D Bulan : DESEMBER 2023 Bulan : #REF!
SEBAB KEMATIAN IBU

HAMIL BERSALIN
JMLH KEMATIAN 0
JUMLAH JUMLAH
GGN METABOLIK
(DM, DLL)
Arga Makmur
1 155 116 271 1 - 1 3 3 3
Perumnas
2 153 140 293 2 - 2 1 3 -
Kemumu
3 107 86 193 1 - 1 3 3 1
Lais
4 98 88 186 1 - 1 3 3 -
Air Padang
5 56 59 115 1 1 2 1 1 -
Dusun Curup
6 84 77 161 2 - 2 - 3 -
Tj. Agung Palik

7 63 59 122 1 - 1 1 2 -
Air Lais
8 277 193 470 - - - 2 3 1
Lubuk Durian
9 82 69 151 - - - 3 4 2
Hulu Palik
10 76 77 153 1 1 2 1 - 1
Batiknau
11 97 100 197 - - - 5 2 -
Kerkap
12 72 79 151 2 2 4 3 1 3
Air Bintunan
13 120 89 209 1 1 2 2 - 1
Ketahun
14 116 94 210 - 1 1 4 3 1
D6 Ketahun
15 - 120 131 251 1 - 1 - - 1
Bukit Harapan
16 60 58 118 1 - 1 - 1 -
Suka Makmur
17 103 106 209 - - - - - -
Sebelat
18 - 170 145 315 3 2 5 2 - 3
Karang Pulau
19 76 64 140 - 1 1 - 2 1
Napal Putih
20 76 68 144 1 1 2 - 3 1
Tanjung Harapan
21 127 101 228 2 - 2 3 1 1
Enggano
22 22 32 54 - - - 6 - 1
0
TOTAL - 0 0 0 0 0 0 0 0 0 0 - - - 0 2,310 2,031 4,341 21 10 31 43 38 21
ruptur uteri iminen

AKI 182
AKB 12
AKN 9
Bulan : #REF!
(29 HR - 11 BULAN)

lain n domisili
KK/KIA
6 - - - 6 3 3 - - - - - - - - 6 - - - - - - - - - -
3 - - - 3 1 1 - - - - 1 Prematur - - - 3 - - - - - - - - - -
4 - - - 4 2 1 - - - - 1 - - - - 4 - - - - - - - - -
3 1 - 1 4 1 1 - - 1 - 1 1 1 - 2 - - - - - - - - - -
1 - - - 1 - - - - 1 - - - - - 1 - - 2 2 - - - - - -
3 - - - 3 2 - - - - - neonatal
1 pneumonia - - - 3 - - 1 1 - - 1 - - -
2 - - - 2 - 2 - - - - - 1 - 1 - - - - - - - - - - -
4 - - - 4 - - - - BELUM
- DIKETAHUI
- BELUM
- - - 4 - 1 1 2 - - 1 - - -
6 1 - 1 7 1 2 - - 1 - IUFD PREMATUR
3 premature - - - 7 - - - - - - - - - -
1 - 1 1 2 - - - - 1 - 1 Gagal Nafas - - - 2 - - - - - - - - - -
2 - - - 2 1 - - - 1 - - - - - 2 - 1 1 2 - - 1 1 - -
4 - - - 4 3 - - 1 - - - - - - 4 - 1 - 1 - - - 1 - -
1 - - - 1 1 - - - - - - - - - 1 - - - - - - - - - -
4 - - - 4 2 - - - - - 2 - - - 4 - - - - - - - - - -
1 - - - 1 - 1 - - - - - - - - 1 - - - - - - - - - -
1 - - - 1 - - - - - - 1 - - - 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 - 1 1 4 1 - - 1 1 - 1 - - 1 3 - - 1 1 - - - 1 - -
3 1 - 1 4 3 - - - 1 - - 1 - - 3 - - - - - - - - - -
4 - - - 4 1 1 - - 1 - 1 Prematur 1 - - 3 - - - - - - - - - -
2 1 - 1 3 1 1 - 1 - - - - - - 3 - - - - - - - - - -
1 - 1 1 2 2 - - - - - - - - - 2 - - - - - - - - - -
59 4 3 7 66 25 13 - 3 8 - 17 4 1 2 55 4 3 6 9 - - 3 3 - -
PENYEBAB 66 66 9
Lampira: Formulir 5
Bulan : #REF!
JMLH KEMATIAN ANAK
JMLH
LAIN2 RUMAH
KEMATIA
KEL. KEL.
JANTUNG LAINNYA
DOMISILI KK/ KIA
- - - - - ,, , , , , , , , , , - - - - - 6 - - - - - - - - - - - - - - - - -
- - - - - - - - - - 3 1 - 1 - - - - - 1 - - - -
- - - - - - - - - - - 4 1 - 1 - - - - - - - - - 1
- - - - - - - - - - 4 - - - - - - - - - - - - -
- - - - 2 1 1 - - - 3 - - - - - - - - - - - - -
- - - - - - - - 1 - 4 - - - - - - - - - - - - -
- - - - - ,, , , , , , , , , , - - - - - 2 - - - - - - - - - - - - -
- - - - 1 Gizi buruk - - - 2 - 6 - - - - - - - - - - - - -
- - - - - - - - - - 7 - - - - - - - - - - - - -
- - - - - - - - - - 2 - - - - - - - - - - - - -
- - - - - ,, , , , , , , , , , - - - 2 - 4 - - - - - - - - - - - - -
- - - - - - 1 - - - 5 1 1 2 - - - - - - - - - 2
- - - - - - - - - - 1 - - - - - - - - - - - - -
- - - - - - - - - - 4 - - - - - - - - - - - - -
- - - - - - - - - - 1 - - - - - - - - - - - - -
- - - - - - - - - - 1 1 - 1 - - - - - - - - - 1
- - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - 1 - - 5 1 2 3 - - - - - 1 - - - 2
- - - - - - - - - - 4 - - - - - - - - - - - - -
- - - - - - - - - - 4 - - - - - - - - - - - - -
- - - - - - - - - - 3 1 - 1 - - - - - - - - - 1
- - - - - - - - - - 2 - - - - - - - - - - - - -
- 3 1 2 1 5 - 75 6 3 9 - - - - - 2 - -
PENYEBAB 2
1 Air Padang : BBLR
Bulan : #REF!
4
ANAK PRA SEKOLAH
LAIN2 RUMAH JMLH
KEMATIAN
BALITA (0 -
BERDASAR BERDASAR
DOMISILI KK/KIA
,,,,,,,,,,, - - - - - - - - - - - - - - -
- - - 1 - 4 - -
- - - 1 - 5 - -
1 - - - - 4 - -
- - - - - - - -
- - - - - 4 - - -
,,,,,,,,,,, - - - - - 2 - -
- - - - - 6 - - - -
- - - - - 7 - -
- - - - - 2 - -
,,,,,,,,,,, - - - - - 4 - -
TBC kelenjar, Typoid - - - 1 - 7 - -
- - - - - - - - - -
- - - - - 4 - -
- - - - - 1 - -
Hiperpireksia - - - - 1 2 - -
- - - - - - - - - - - - - - - -
1.Atraksi Jejunum,2
tumor otak - - - 2 - 8 - - - - - - - - - -
- - 1 - - 4 - - - - - - - - - -
- - - - - 4 - - - - - - - - - -
- 1 - - - 4 - - - - - - - - - -
- - - - - 2 - - - - - - - - - -
- 84 - - - - - - - - - -
PENYEBAB
5
JMLH
KAB/KOTA
MELAKSANAK
MENULAR MENULAR
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - -

Ket :
pkm D6 ( Tyoid)
kematian s.d nopember 2023
kematian neonatal
puskesmas kematian neonatal
kabupaten 64
Lubuk Durian 7 kematian neonatal
Arga Makmur 6 64
70
Kemumu 4
60
Air Lais 4
50
Kerkap 4 40
Ketahun 4 30
Sebelat 4 20 7 6 4 4 4 4 4 4 4
4 10 3 3 3 2 2 2
Karang Pulau
Napal Putih 4 0
n n r u s p n t u h s s p k k u
Perumnas 3 ate ria mu um Lai rka hu bela ula uti na Lai uru Pali Pali kna
p D u ak m ir e ta e P l P um C g u ti
3 u M Ke A K e S ng pa er l Ba Ha
Lais b
ka bu rga
k K a Na P un gun Hu
Ka
r s
Du Tj. A ng
Dusun Curup 3 Lu A n ju
Perjalanan;
Ta
Tj. Agung Palik 2
Hulu Palik 2
Batiknau 2
Tanjung Harapan 2
Enggano 2
Air Padang 1
Air Bintunan 1
D6 Ketahun 1
Bukit Harapan 1
Suka Makmur 0
LAIN-LAIN; 17 BBLR; 24
penyebab neonatal
BBLR KELAINAN 24
ASFIKSIA BAWAAN 13
/ KON-
INFEKSI GENITAL; ASFIKSIA; 133
7
KELAINAN BAWAAN/ INFEKSI; 3
KONGENITAL 7
LAIN-LAIN 17
penyebab post neo

DIARE 3
KELAINAN KONGENITAL 3
LAIN-LAIN 3
post neonatl
puskesmas kematian post neonatal
kabupaten 9
ematian neonatal Air Padang 2 kematian po
9 2
Air Lais
9
Batiknau 2
8
Dusun Curup 7 1
Kerkap 6
1
Sebelat 5 1
Arga Makmur 4 0
4 4 3 3 3 2 2 2 2 2 1 1 1 1
0 Perumnas 3 2 2 20
Kemumu 2 0 1 1 1
s s k k g
au utih na Lai rup ali ali nau pan ano an nan hun pa mu n r 1 0 0 0 0 0
Lais
la P rum Cu ng P lu P atik ara ngg Pad intu eta ara ak 0 0
ap Pe
n
su Agu H
u B gH E ir B K H Puskes
aM
Tj. Agung Palik
u n A Air D6 kit ukmas/ en ng is au up ap lat ur as u is
D Tj. n ju Bu S Lubuk Durian at da
r L kn 0ur rk be km mn um La Pa
a
Perjalanan;
Ta 4 Rumah; 5 Klinik; p a Ai ati C e Se a u m g
Hulu Palik bu P B sun 0 K M Per Ke un
2 ka Air ga g
A Lub
Air Bintunan Du 0 Ar Tj.
Ketahun 0
D6 Ketahun 0
Bukit Harapan 0
Suka Makmur 0
Karang Pulau 0
Napal Putih 0
RS; 53 Tanjung Harapan 0
Enggano 0
DIARE; 3
LAIN-LAIN; 3
KELAINAN KONGENITAL; 3
kematian post neonatal
1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
p p t r s u is ik n ik n n n n r u h n o
r ka bela kmu mna um La Pal uria Pal una ahu ahu apa kmu ula Puti apa gan
Ke Se Ma eru em ng D lu t
in K et
K et ar a g P
al ar
En
g
ga P K
A gu buk Hu ir B D6 kit H ka M aran Nap ng H
r u A u
A Tj. L Bu S K nj
u
Ta
Tempat kejadian kematian neonatal
Rumah 5
Puskesmas/Klinik 2
RS 53
Perjalanan 4
Puskesmas Kematian Neonatal Kematian Post Neonatal
Arga Makmur 6 0
Perumnas 3 0
Kemumu 4 0
Lais 3 0
Air Padang 1 2
Dusun Curup 3 1
Tj. Agung Palik 2 0 60
Air Lais 4 2
Lubuk Durian 7 0 50
Hulu Palik 2 0
Batiknau 2 2
40
Kerkap 3 1
Air Bintunan 1 0
30
Ketahun 4 0
D6 Ketahun 1 0
1 0 20
Bukit Harapan
Suka Makmur 0 0
4 1 10 6
Sebelat 3
Karang Pulau 3 0 0
Napal Putih 4 0 0
Tanjung Harapan 2 0 ur na
m
Enggano 2 0 ak r um
M Pe
ga
Kabupaten 62 9 Ar
Prematur Penyebab Kematian Neonatal

Aspirasi mekonium
cidera BBLR 23
ASFIKSIA 13
neonatal
pneumonia INFEKSI 2
KELAINAN BAWAAN/ KONGENITAL 7
BELUM DIKETAHUI
BELUM DIKETAHUI
Belum diketahui
LAIN-LAIN 17
IUFD PREMATUR
premature
Gagal Nafas
gawat janin
POST NEONATAL
hiperperiksial
DIARE 3
oligohydramnion. KELAINAN KONGENITAL 3
LAIN-LAIN 3
Prematur
60
50
40
30
20
10 6 7
3 4 3 3 4 3 4 4 3 4
0 0 0 0 12 1 2
0
2
0
2
0
22 1 10 0 10 10 00 1 0 0
0
ur na
s u
La
is
an
g
ru
p
ali
k
La
is ian Pali
k au ap an un un an mur lat au uti
h
m um d u P r r kn r k u n ah a h ap be ul
ak um m a C g i Du u ti K e t t t r ak e P l P
M r Ke r P sun n A
Hu
l Ba in Ke Ke t Ha S g a a
ga Pe Ai u A gu b uk irB D6 ki kaM ar an Nap n gH
Ar D Tj. Lu A Bu Su K nj
u
Ta
Kematian Neonatal
LAIN-LAIN; BBLR; 23
17
ASFIKSIA; 13
KELAINAN LAIN-LAIN; 3
BAWAAN/
KONGENI-
TAL; 7
INFEKSI; 2
62
Kematian Neonatal
Kematian Post Neonatal
9
4 3 4
10 1 2 2
00 0 0 0 0
pa
n ur lat au uti
h an no aten
a km be ul P ap ga
ar a Se
ng
P l
Ha
r
En
g up
a M a apa g ab
k r N K
Su Ka un
a nj
T
temapt kejadian kematian
RS 54
PKM
DIARE; 3
LAIN-LAIN; 3 / Perjalanan ;4
rumah 8
Klinik PKM/Klinik 5
;5
rumah; 8
Perjalanan 4
RS;
KELAINAN KONGENITAL; 3 54
KELAINAN KONGENITAL; 3 54
temapt kejadian kematian
CAKUPAN PROGRAM ANAK PER OKTOBER
KN 1 DAN KN LENGKAP
PUSKESMAS KN 1 KN lengkap TARGET

Arga Makmur 71.2 69.4
Perumnas 60.1 59.3
Kemumu 74.2 72.4
Lais 84.3 82.7
Air Padang 75.8 75.0
Dusun Curup 87.0 85.2 100.0
87.0
Tj. Agung Palik 78.1 76.6 90.0 84.3 85.7
85.7 84.9 80.1 78

Air Lais 75.8
78.1
80.0 74.2 75.0
Lubuk Durian 71.8 67.8 71.2 71.8
85.2
Hulu Palik 75.0 73.8 70.0 82.7 84.9
75.0 73.8 7
60.1
Batiknau 80.1 79.1 76.6
60.0 72.4
Kerkap 78.4 76.6 67.8
79.1
Air Bintunan 75.0 74.6 50.0

69.4 59.3
Ketahun 77.1 75.4
40.0
D6 Ketahun 82.9 82.6
Bukit Harapan 75.2 74.4 30.0
Suka Makmur 75.3 75.3
20.0
Sebelat 79.9 78.7
Karang Pulau 87.1 85.0 10.0
Napal Putih 74.5 72.0
0.0
Tanjung Harapan 78.6 77.7
ur nas mu Lais ang rup alik Lais rian alik nau ka
Enggano 69.8 66.0 m u d u P r P k r
ak rum em u
Pa n C ung Ai k D ulu Bati Ke B
M e K ir u
KABUPATEN 77.0 75.7 93 ga P A us Ag bu H
Ai
r
Ar D Tj. Lu
BAYI LAHIR DENGAN BBLR
PUSKESMAS CAPAIAN TARGET

Arga Makmur 5.4
Perumnas 5.2
Kemumu 4.1
Lais 3.1
Air Padang 6.5
Dusun Curup 4.3
Tj. Agung Palik -
Air Lais 4.3
Lubuk Durian 1.7
Hulu Palik 2.3
Batiknau 3.6
Kerkap 3.6
Air Bintunan 0.9
Ketahun 3.4
D6 Ketahun 1.2
Bukit Harapan 1.6
Suka Makmur 0.8
Sebelat 3.3
Karang Pulau 2.9
Napal Putih 1.3
Tanjung Harapan 5.5
Enggano 3.8
KABUPATEN 3.3 3 7.0 6.5
6.0 5.4
5.2
5.0
4.3 4.3
4.1
4.0 3.6
3.1
3.0
2.3
1.7
2.0
1.0
-
-
ur as u is g p lik is n lik u
km mn um La dan uru Pa ir La uria Pa kna er
a ru em Pa C g A D lu ati K
a M Pe K
A ir sun gun uk Hu B
Ar
g
Du Tj. A Lu
b Ai
CAKUPAN NEONATAL KOMPLIKASI DITANGANI
PUSKESMAS CAPAIAN
Arga Makmur 7.5
Perumnas 13.4
Kemumu 16.6
Lais 8.9 18.0 16.6
Air Padang 12.9
16.0
Dusun Curup 5.6 13.4
14.0 12.9
Tj. Agung Palik 2.3 12.1
12.0 10.3
10.0 8.9 8.5
7.5 7.9
7.2
8.0
5.6 5.8 5.4
18.0 16.6
16.0
13.4 12.9
14.0 12.1
Air Lais 7.9 12.0 10.3
Lubuk Durian 12.1 10.0 8.9 8.5
7.5 7.9
Hulu Palik 5.8 8.0
7.2
Batiknau 4.6 5.6 5.8 5.4
6.0 4.6
Kerkap 5.4
Air Bintunan 10.3 4.0 2.3 2.7
Ketahun 7.2 2.0 0.8
D6 Ketahun 2.7 -
Bukit Harapan 8.5
ur nas mu Lais ang rup alik Lais rian alik nau kap nan hun hun pan ur
Suka Makmur 0.8 m u d u P r P k r u a a a km
ak rum em u
Pa n C ung Ai k D ulu Bati Ke Bint Ket Ket Har Ma S
M e K r
Sebelat 3.6 ga P Ai usu Ag bu H
Ai
r t
D6 uki uka
Ar D Tj. Lu B S
Karang Pulau 7.1
Napal Putih 1.9
Tanjung Harapan 8.0
Enggano 3.8
KABUPATEN 7.4
SHK
PUSKESMAS CAPIAN TARGET

Arga Makmur 18.3
Perumnas 15.2
Kemumu 17.1
Lais 16.2 60.0
Air Padang 50.8 50.8
Dusun Curup 10.5 50.0
Tj. Agung Palik 3.9
Air Lais 14.1 40.0
Lubuk Durian 18.4 28.5
Hulu Palik 28.5 30.0
Batiknau 35.7 18.3 17.1 16.2 18.4
Kerkap 22.8 20.0 15.2 14.1
10.5
Air Bintunan 26.8
9.3 10.0 3.9
Ketahun
D6 Ketahun 14.0
0.0
Bukit Harapan 0.8
Suka Makmur 0.0 ur nas mu is g p ik
La dan uru Pal r La uria Pal
is n ik
km m u i
a ru Kem a C g A D ulu ti
Sebelat 2.4 M e r P sun gun uk Ba
ga P Ai u A b H
Karang Pulau 4.3 Ar D Tj. Lu
Napal Putih 35.7
Tanjung Harapan 10.9
Enggano 0.0
KABUPATEN 15.7 45
93
0 85.7 87.1
82.9
80.1 78.4 79.9 78.6
78.1 77.1 77.0
75.0 75.0 75.2 75.3 74.5
71.8
69.8
5.2 84.9 85.0
73.8 76.6 75.4
74.4 78.7
76.6 75.7
74.6 77.7
79.1 82.6
67.8 75.3
72.0 66.0
KN 1
KN lengkap
TARGET
p k is n k u p n n n n r t u h n o N
P ali r La ria Pali kna rka una ahu ahu apa mu bela ula uti apa gan TE
g i u u ti e t t t r ak e P l P r g P A
n A k D ul Ba K in Ke Ke Ha M S ng pa Ha En U
bu H irB D6 kit ka a a
ar N jung K AB
Lu A Bu Su K n
Ta
5.5
.3 4.3
3.8
3.6 3.6
3.4 3.3 3.3
2.9 3
2.3 CAPAIAN
TARGET
1.7
1.6
1.2 1.3
0.9 0.8
p k is n k u p n n n n r t u h n o N
P ali r La ria Pali kna rka una ahu ahu apa mu bela ula uti apa gan TE
g i Du u ti K e t et et ar ak e P l P ar g P A
A l Ba n S ng pa H En BU
un k Hu Bi K K
6 kit H ka M
ubu A ir D u u ara Na ng
u KA
L B S K nj
Ta
10.3
8.5
8.0 7.4
7.2 7.1
5.4
10.3
8.5
8.0 7.4
7.2 7.1
5.4
3.6 3.8
2.7
1.9
0.8
ap an un un an ur lat au tih an no EN
rk tun tah tah rap km ebe Pul Pu rap gga AT
in Ke Ke Ha Ma S ng pal Ha En BUP
ri B t
D6 uki uka ra Na ng KA
B S Ka nj
u
Ta
45
35.7 35.7
28.5
26.8
22.8
18.4 CAPIAN
14.1 15.7
14.0 TARGET
10.5 9.3 10.9
3.9 4.3
0.8 2.4
0.0 0.0
p k
ali r La
is n ik u p n n n n r at lau utih pan ano TEN
ru P ria Pal na rka una ahu ahu apa kmu bel u
g i u tik e t t t r a Se ng P
al
P ra ngg A
un
A
u k D Hul
u
Ba K
Bin Ke Ke t Ha M a p Ha E BUP
g r 6 ki a r a g
A Lu
b Ai D
Su
k
Ka N un KA
Bu a nj
T

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KABUPATEN : BENGKULU UTARA

S/D Bulan : JANUARI 2023

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

CAKUPAN KUNJUNGAN NEONATAL

CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK

Pengelola Data Program

Pengelola Data Program

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

CAKUPAN KUNJUNGAN NEONATAL

2 anak adopsi di pkm air padang

CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK

Pengelola Data Program

Pengelola Data Program

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

SASARAN KELAHIRAN HIDUP SASARAN NEONATUS KOMPLIKASI ( RIIL)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

BAYI BARU LAHIR DITIMBANG

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara Kesehatan Keluarga

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara Kesehatan Keluarga

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara Kesehatan Keluarga

Made Ernawati, SKM

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

CAKUPAN KUNJUNGAN NEONATAL

2 anak adopsi di pkm air padang

CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK

Pengelola Data Program

Pengelola Data Program

Review Form 2 (NEONATAL/BAYI/BALITA/APRAS)

Dinkes. Kab.Bengkulu Utara

Seri Suarni, SKM

CAKUPAN KUNJUNGAN NEONATAL

2 anak adopsi di pkm air padang

CAKUPAN PELAYANAN KESEHATAN BAYI BAYI YANG MENDAPATKAN SHK