INFORMASI UTAMA PELAPORAN PNEUMONIA

Puskesmas Tinanggea

PELAPORAN TAHUN 2022

UNIT PELAPOR Puskesmas Tinanggea
UNIT PELAKSANA Desa/Kelurahan

Jml Penduduk Usia

Perkiraan
No Puskesmas/RS Jml Penduduk Balita Nama Petugas
Pneumonia Balita
(10% Penduduk)

1 Akuni 762 76.2 3

2 Asingi 1,641 164.1 6
3 Bomba Bomba 775 77.5 3
4 Bungin Permai 1,447 144.7 6
5 Lalonggasu 725 72.5 3
6 Lalowatu 471 47.1 2
7 Lanowulu 800 80 3
8 Lapoa 1,169 116.9 4
9 Lapulu 521 52.1 2
10 Lasuai 453 45.3 2
11 Matambawi 612 61.2 2
12 Matandahi 318 31.8 1
13 Moolo Indah 729 72.9 3
14 Ngapaaha 2,573 257.3 10
15 Palotawo 510 51 2
16 Panggosi 390 39 1
17 Roraya 1,831 183.1 7
18 Tatangge 513 51.3 2
19 Telutu Jaya 2,451 245.1 9
20 Tinanggea 3,094 309.4 12
21 Torokeku 1,068 106.8 4
22 Wadonngo 899 89.9 3
23 Watumelewe 847 84.7 3
24 Wundumbolo 325 32.5 1
25 RS/Suber Lain - 0 0
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 0 0
36 0 0
37 0 0
38 0 0
39 0 0
40 0 0
41 Rumah sakit….. 0 0
42 Rumah sakit….. 0 0
43 Rumah sakit….. 0 0
44 Rumah sakit….. 0 0
45 Rumah sakit….. 0 0
46 Rumah sakit….. 0 0
47 Rumah sakit….. 0 0
48 Rumah sakit….. 0 0

DATA-DATA PENDUKUNG TANGGAL LAPORAN

TAHUN CAKUPAN TARGET JAN
2015 FEB
2016 MAR
2017 APR
2018 MEI
2019 JUN
2020 JUL
2021 AGS
2022 SEP
2023 OKT
2024 NOV
DES
Perkiraan Pneumonia Balita** 3.84% JAN

Ket:
Wajib untuk diisi.
Apabila terdapat data yang tersedia diperbolehkan untuk diisi secara manual, apabila tidak tersedia d
Dilarang untuk menghapus atau mengubah isi/rumus pada kolom tersebut.
* Hanya diisi untuk Puskesmas saja.
** Diisi dengan angka perkiraan pneumonia balita tingkat provinsi
 Riwayat
Ketersediaan Buku Ketersediaan Alat Ketersediaan Alat Materi KIE ISPA
Pelatihan/
Pedoman MTBS* Ari Sound Timer* Pulse Oximeter* (Lembar Balik)*
Orientasi ISPA*
 TANGGAL LAPORAN
05/01/2022
05/02/2022
05/03/2022
05/04/2022
05/05/2022
05/06/2022
05/07/2022
05/08/2022
05/09/2022
05/10/2022
05/11/2022
05/12/2022
05/01/2023

ara manual, apabila tidak tersedia data mohon untuk tidak mengubah rumus pada kolom.
No Provinsi Perkiraan Kasus
1 Aceh 4.46
2 Sumatera Utara 2.99
3 Sumatera Barat 3.91
4 Riau 2.67
5 Jambi 3.15
6 Sumatera Selatan 3.61
7 Bengkulu 2.00
8 Lampung 2.23
9 Kep. Bangka Belitung 6.05
10 Kep. Riau 3.98
11 DKI Jakarta 4.24
12 Jawa Barat 4.62
13 Jawa Tengah 3.61
14 DI Yogyakarta 4.32
15 Jawa Timur 4.45
16 Banten 4.12
17 Bali 2.05
18 Nusa Tenggara Barat 6.38
19 Nusa Tenggara Timur 4.28
20 Kalimantan Barat 2.12
21 Kalimantan Tengah 4.37
22 Kalimantan Selatan 5.53
23 Kalimantan Timur/Kalimantan Utara 2.86
24 Sulawesi Utara 2.68
25 Sulawesi Tengah 5.19
26 Sulawesi Selatan 3.79
27 Sulawesi Tenggara 3.84
28 Gorontalo 4.84
29 Sulawesi Barat 4.88
30 Maluku 3.74
31 Maluku Utara 2.29
32 Papua Barat 2.88
33 Papua 2.8
34 Nasional 3.55
 Bulan 05 Januari 2022

Jml Jumlah
Penduduk Perkiraan kunjungan
No Puskesmas/RS Jml Penduduk* Usia Balita Pneumonia Balita
(10% Balita* batuk/Kesukara
Penduduk)* n bernapas

1 Akuni 762 76.2 3 0

2 Asingi 1641 164.1 6 1
3 Bomba Bomba 775 77.5 3 1
4 Bungin Permai 1447 144.7 6 0
5 Lalonggasu 725 72.5 3 1
6 Lalowatu 471 47.1 2 0
7 Lanowulu 800 80 3 0
8 Lapoa 1169 116.9 4 0
9 Lapulu 521 52.1 2 0
10 Lasuai 453 45.3 2 3
11 Matambawi 612 61.2 2 2
12 Matandahi 318 31.8 1 0
13 Moolo Indah 729 72.9 3 1
14 Ngapaaha 2573 257.3 10 3
15 Palotawo 510 51 2 0
16 Panggosi 390 39 1 0
17 Roraya 1831 183.1 7 2
18 Tatangge 513 51.3 2 1
19 Telutu Jaya 2451 245.1 9 1
20 Tinanggea 3094 309.4 12 0
21 Torokeku 1068 106.8 4 0
22 Wadonngo 899 89.9 3 0
23 Watumelewe 847 84.7 3 1
24 Wundumbolo 325 32.5 1 0
25 RS/Suber Lain 0 0 0 0
26 0 0 0 0
27 0 0 0 0
28 0 0 0 0
29 0 0 0 0
30 0 0 0 0
31 0 0 0 0
32 0 0 0 0
33 0 0 0 0
34 0 0 0 0
35 0 0 0 0
36 0 0 0 0
37 0 0 0 0
38 0 0 0 0
39 0 0 0 0
40 0 0 0 0
Jumlah 24924 2492.4 95.70816 17

Ket:
Wajib untuk diisi.
Dilarang untuk menghapus atau mengubah isi/rumus pada kolom tersebut.
* Hanya diisi untuk Puskesmas saja.
 LAPORAN BULANAN PROGRAM PENGENDALIAN PNEUMON
Puskesmas Tinanggea

Penemuan Penderita

Jumlah balita Pneumonia

Batuk bukan Pneumonia Pneumonia Jumlah
batuk yg dihitung Berat
napas/lihat TDDK*

0 - < 5 th ≥ 5 th 0 - < 5 th ≥ 5 th 0 - < 5 th 0 - < 5 th

Total
L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 0 0 0 1
1 0 1 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 1 0 0 1 0 2 0 0 0 0 0
2 0 0 0 1 1 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 1 0 0 0 0 0 0 0
3 0 0 0 0 0 1 2 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 1 0 1 0 1 0 0 0 0 0
1 1 0 0 0 1 0 0 0 0 0 0 0
1 0 1 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
17 1 4 2 2 9 3 5 0 0 0 0 3
Prosentase Kasus yang
tatalaks

om tersebut.
GENDALIAN PNEUMONIA
ggea

a Pengobatan Pneumonia Balita

Jumlah Pneumonia % Cakupan Amoxicilin/

Penemuan Eritromycin
Pneumonia* (Dosis sesuai Pedoman
MTBS/Pneumonia)
0 - < 5 th ≥ 5 th Sub Total
Total
P L P L P
0 0 0 0 0 0 0 0
0 0 0 1 0 1 190.43266301036 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 0 2 2 1379.6909492274 2
0 0 0 1 0 1 510.62091503268 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 1 2 3 364.36066848037 3
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 1 1 170.67176406335 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
 0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 #DIV/0!
5 0 0 3 5 8 100.30492697801 8
Prosentase Kasus yang dilakukan Pemeriksaan dan
tatalaksana standar* 100% Prosentase Kasus yang diberikan pengobatan antibiotik sta
Pengobatan Pneumonia Balita

Jumlah kematian
% Pneumonia balita karena
yang diberikan pneumonia
Antibiotik Lainnya Total antibiotik

L P Total
0 0 #DIV/0! 0 0 0
0 1 100 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 2 100 0 0 0
0 1 100 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 3 100 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 1 100 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 0 #DIV/0! 0 0 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
 0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 8 100 0 0 0

asus yang diberikan pengobatan antibiotik standar 100%

 LAPORAN BULANAN PR
Puskesmas Tinang

Bulan 05 Januari 2022

Penemuan
Rawat Jalan Rawat Inap
No Rumah Sakit Jml Rawat Jalan Jml Rawat Inap
0 - < 5 th ≥ 5 th 0 - < 5 th
Total
L P L P L
1 Rumah sakit….. 0
2 Rumah sakit….. 0
3 Rumah sakit….. 0
4 Rumah sakit….. 0
5 Rumah sakit….. 0
6 Rumah sakit….. 0
7 Rumah sakit….. 0
8 Rumah sakit….. 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
Jumlah 0 0 0 0 0 0 0 0
PORAN BULANAN PROGRAM PENGENDALIAN PNEUMONIA
Puskesmas Tinanggea

Penemuan Penderita Pengobatan Pneumonia Balita

Amoxicilin/
Rawat Inap Jumlah Pneumonia Eritromycin
(Dosis sesuai
0 - < 5 th ≥ 5 th 0 - < 5 th ≥ 5 th Sub Total Antibiotik Lainnya
Total Pedoman
MTBS/Pneumonia
P L P L P L P L P )
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Pneumonia Balita
Jumlah kematian balita karena
pneumonia
Total

L P Total
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
 Kode ICD 10 Terkait dengan Diagnosis Pneumonia

Kode Sub Kode Sub Kode Sub Kode

J09
J09.X
J09.X1
J10
J10.0
J10.00
J10.01
J10.08
J11
J11.0
J11.00
J11.08
J12
J12.0
J12.1
J12.2
J12.3
J12.8
J12.81
J12.82
J12.89
J12.9
J13
J14
J15
J15.0
J15.1
J15.2
J15.20
J15.21
J15.211
J15.212
J15.29
J15.3
J15.4
J15.5
J15.6
J15.7
J15.8
J15.9
J16
 J16.0
J16.1
J17
J18
J18.0
J18.1
J18.2
J18.8
J18.9
 Kode ICD 10 Terkait dengan Diagnosis Pneumonia

Klasifikasi
Influenza due to certain identified influenza viruses
Influenza due to identified novel influenza A virus
……. with pneumonia
Influenza due to other identified influenza virus
Influenza due to other identified influenza virus with pneumonia
Influenza due to other identified influenza virus with unspecified type of pneumonia
Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
Influenza due to other identified influenza virus with other specified pneumonia
Influenza due to unidentified influenza virus
Influenza due to unidentified influenza virus with pneumonia
Influenza due to unidentified influenza virus with unspecified type of pneumonia
Influenza due to unidentified influenza virus with specified pneumonia
Viral pneumonia, not elsewhere classified
Adenoviral pneumonia
Respiratory syncytial virus pneumonia
Parainfluenza virus pneumonia
Human metapneumovirus pneumonia
Other viral pneumonia
Pneumonia due to SARS-associated coronavirus
Pneumonia due to coronavirus disease 2019 (COVID-19)
Other viral pneumonia
Viral pneumonia, unspecified
Pneumonia due to Streptococcus pneumoniae
Pneumonia due to Hemophilus influenzae
Bacterial pneumonia, not elsewhere classified
Pneumonia due to Klebsiella pneumoniae
Pneumonia due to Pseudomonas
Pneumonia due to staphylococcus
…… unspecified
Pneumonia due to staphylococcus aureus
Pneumonia due to Methicillin susceptible Staphylococcus aureus
Pneumonia due to Methicillin resistant Staphylococcus aureus
Pneumonia due to other staphylococcus
Pneumonia due to streptococcus, group B
Pneumonia due to other streptococci
Pneumonia due to Escherichia coli
Pneumonia due to other Gram-negative bacteria
Pneumonia due to Mycoplasma pneumoniae
Pneumonia due to other specified bacteria
Unspecified bacterial pneumonia
Pneumonia due to other infectious organisms, not elsewhere classified
Chlamydial pneumonia
Pneumonia due to other specified infectious organisms
Pneumonia in diseases classified elsewhere
Pneumonia, unspecified organism
Bronchopneumonia, unspecified organism
Lobar pneumonia, unspecified organism
Hypostatic pneumonia, unspecified organism
Other pneumonia, unspecified organism
Pneumonia, unspecified organism