bu dian pws

7/25/2019 bu dian pws

1/27

FORM PEMANTAUAN PELAYANAN KELUARGA BERENC

PUSKESMAS LENGKONG KABUPATEN NGANJUK

TAHUN 2014

NO Bulan

Sasaran AKSEPTOR KB BARU AKSEPTOR AKTIF SM

PUS Buln

P!n" Ku#ul P!n" Ku#ul

Bln Lalu Bln In JML $ Bln In JML $

1 JANUARI 4%0 &' 0 4 4 0('2$ 0 &%% &%% '1(4&$

2 FEBRUARI 4%0 &' 4 & ) 1(4&$ 0 &%% &%% '1(4&$

& MARET 4%0 &' & * 12 2(4*$ 0 &%% &%% '1(4&$

4 APRIL 4%0 &' * 2 14 2('+$ 0 &%% &%% '1(4&$

* MEI 4%0 &' 2 ' 22 4(4%$ 0 &%% &%% '1(4&$

+ JUNI 4%0 &' ' ) 2% *(%2$ 0 &%% &%% '1(4&$

) JULI 4%0 &' ) 11 40 '(1+$ 0 &%% &%% '1(4&$

' AGUSTUS 4%0 &' 11 + 4+ %(&%$ 0 &%% &%% '1(4&$

% SEPTEMBER 4%0 &' 0 4 *0 10(20$ 0 &%% &%% '1(4&$

10 OKTOBER 4%0 &' 4 * ** 11(22$ 0 &%% &%% '1(4&$

11 NOPEMBER 4%0 &' * 2 *) 11(+&$ 0 &%% &%% '1(4&$

12 ,ESEMBER 4%0 &' 2 & +0 12(24$ 0 &%% &%% '1(4&$

JUMLAH

BlnLalu


2/27

NO Bulan

Sasaran JUMLAH ORANG KOMPLIKASI JUMLAH KEGAGALAN

PUS Buln


Bln Lalu Bln In JML $ Bln In JML $

1 JANUARI 4%0 &' 0 0 0 0 0 0 0 0

2 FEBRUARI 4%0 &' 0 0 0 0 0 0 0 0

& MARET 4%0 &' 0 0 0 0 0 0 0 0

4 APRIL 4%0 &' 0 0 0 0 0 0 0 0

* MEI 4%0 &' 0 0 0 0 0 0 0 0

+ JUNI 4%0 &' 0 0 0 0 0 0 0 0

) JULI 4%0 &' 0 0 0 0 0 0 0 0

' AGUSTUS 4%0 &' 0 0 0 0 0 0 0 0

% SEPTEMBER 4%0 &' 0 0 0 0 0 0 0 0

10 OKTOBER 4%0 &' 0 0 0 0 0 0 0 0

BlnLalu


3/27

11 NOPEMBER 4%0 &' 0 0 0 0 0 0 0 0

12 ,ESEMBER 4%0 &' 0 0 0 0 0 0 0 0

JUMLAH


4/27

NA

ORANG YANG EFEK SAMPING


Bln In JML $ Bln In JML $

0 4* 4* %(1'$ 0 0 0 0(0$

4* 4& '' 1)(%+$ 0 2 2 *(&$

4& 2+ 114 2&(2)$ 2 0 2 *(&$

2+ 1+ 1&0 2+(*&$ 0 0 2 *(&$

1+ 14 144 2%(&%$ 0 0 2 *(&$

14 2* 1+% &4(4%$ 0 1 & )(%$

2* 1* 1'4 &)(**$ 1 0 & )(%$

1* 20 204 41(+&$ 0 0 & )(%$

20 1) 221 4*(10$ 0 0 & )(%$

1) 1* 2&+ 4'(1+$ 0 0 & )(%$

1* 1) 2*& *1(+&$ 0 0 & )(%$

1) 4% &02 +1(+&$ 0 0 & )(%$

AKSEPTOR AKTIF ,IBINANAKES

BlnLalu

BlnLalu


5/27

JUMLAH ,RO OUT -,O.


Bln In JML $ Bln In JML $

0 0 0 0(0$ 0 4 4 0('$

0 & & 0(+$ 4 & ) 1(4$& * ' 1(+$ & 4 11 2(2$

* 10 1' &()$ 4 2 1& 2()$

10 + 24 4(%$ 2 2 1* &(1$

+ ) &1 +(&$ 2 2 1) &(*$

) % 40 '(2$ 2 ) 24 4(%$

% 4 44 %(0$ ) * 2% *(%$

4 4 4' %('$ * 4 && +()$

4 & *1 10(4$ 4 2 &* )(1$

PESERTA KB PASCAPERSALINAN

BlnLalu

BlnLalu


6/27

& & *4 11(0$ 2 0 &* )(1$

& & *) 11(+$ 0 1 &+ )(&$


7/27

NO Bulan

Sasaran PESERTA KB AKTIF GAKIN P

PUS 4T

PUS P!n" Ku#ul P!

Bln Lalu Bln In JML $ Bln Lalu

1 JANUARI 4%' 120 10 &00 &00 +0(24$

2 FEBRUARI 4%' 120 10 &00 &00 +0(24$ ''

& MARET 4%' 120 10 &00 +0(24$

4 APRIL 4%' 120 10 &00 +0(24$

* MEI 4%' 12010

&00 +0(24$+ JUNI 4%' 120 10 &00 +0(24$

) JULI 4%' 120 10 &00 +0(24$

' AGUSTUS 4%' 120 10 &00 +0(24$

% SEPTEMBER 4%' 120 10 &00 +0(24$

10 OKTOBER 4%' 120 10 &00 +0(24$

11 NOPEMBER 4%' 120 10 &00 +0(24$

12 ,ESEMBER 4%' 120 10 &00 +0(24$

JUMLAH

PUSGAKIN -An!#a/Lla2& C#/ P!n

Krns/IMS.


8/27

ESERTA KB AKTIF 4T

n" Ku#ul P!n" Ku#ul

Bln In JML $ Bln Lalu Bln In JML $

'' '' )&(&&$ * * *0$

'' )&(&&$ * * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

'' )&(&&$ * *0$

*

PESERTA KB AKTIF PENYAKITKRONIS


9/27

LAPORAN P3S KIA -IN,IKATOR KESEHATAN IBU ,AN ANAK.

PUSKESMAS LENGKONG

TAHUN 2014,ESA KETAN,AN

NO Bulan

NEON

SASARAN KN 1 MURNI

BAYI NEORISTIPENC KUMUL

BULAN LALU BULAN INI JML

L P L+P L P L+P L P L+P L P L+P L % P %

1 JANUARI 30 31 61 5 5 10 0 2 5 7 2 667% 5 1613%

2 !EBRUARI 30 31 61 5 5 10 2 5 7 " 3 7 6 2000% # 25#1%

3 MARET 30 31 61 5 5 10 " 3 7 1 1 7 2333% # 25#1%

" APRIL 30 31 61 5 5 10 1 1 " " # 11 3667% 12 3#71%

5 MEI 30 31 61 5 5 10 " " # 3 2 5 1" "667% 1" "516%

6 JUNI 30 31 61 5 5 10 3 2 5 2 3 5 16 5333% 17 5"#"%

7 JULI 30 31 61 5 5 10 2 3 5 3 1 " 1$ 6333% 1# 5#06%

# AUSTUS 30 31 61 5 5 10 3 1 " " 1 5 23 7667% 1$ 612$%

$ SEPTEMBER 30 31 61 5 5 10 " 1 5 2 1 3 25 #333% 20 6"52%

10 OKTOBER 30 31 61 5 5 10 2 1 3 " " # 2$ $667% 2" 77"2%

11 NOPEMBER 30 31 61 5 5 10 " " # 5 3 # 3" 11333% 27 #710%

12 &ESEMBER 30 31 61 5 5 10 5 3 # 2 3 5 36 12000% 30 $677%

JUMLA'


10/27

LAPORAN P3S KIA -IN,IKATOR KESEHATAN ANAK.PUSKESMAS LENGKONG

TAHUN 2014

,ESA BANJAR,O3O

NO Bulan

SASARAN NEONATAL YAN &ITANANI

BAYI NEORISTIPENC KUMUL

BULAN LALU BULAN INI JMLL P L+P L P L+P L P L+P L P L+P L % P %

1 JANUARI 17 1# 35 3 3 6 0 0 0 1 3 " 1 5##% 3 1667%

2 !EBRUARI 17 1# 35 3 3 6 1 3 " 3 1 " " 2353% " 2222%

3 MARET 17 1# 35 3 3 6 3 1 " 2 0 2 6 352$% " 2222%

" APRIL 17 1# 35 3 3 6 2 0 2 2 0 2 # "706% " 2222%

5 MEI 17 1# 35 3 3 6 2 0 2 0 2 2 # "706% 6 3333%

6 JUNI 17 1# 35 3 3 6 0 2 2 6 1 7 1" #235% 7 3##$%

7 JULI 17 1# 35 3 3 6 6 1 7 " 1 5 1# 105##% # """"%

# AUSTUS 17 1# 35 3 3 6 " 1 5 2 3 5 20 11765% 11 6111%$ SEPTEMBER 17 1# 35 3 3 6 2 3 5 2 2 " 22 12$"1% 13 7222%

10 OKTOBER 17 1# 35 3 3 6 2 2 " 0 0 0 22 12$"1% 13 7222%

11 NOPEMBER 17 1# 35 3 3 6 0 0 0 0 1 1 22 12$"1% 1" 777#%


11/27

12 &ESEMBER 17 1# 35 3 3 6 0 1 1 3 0 3 25 1"706% 1" 777#%

JUMLA'


12/27

TUS

KN 1 LENKAP

PENC KUMUL


L+P % L P L+P L P L+P L % P % L+P %

7 11"#% 3 3 6 3 1000% 3 $6#% 6 $#"%

1" 22$5% 3 3 6 " 3 7 7 2333% 6 1$35% 13 2131%

15 2"5$% " 3 7 2 3 5 $ 3000% $ 2$03% 1# 2$51%

23 3770% 2 3 5 2 1 3 11 3667% 10 3226% 21 3""3%

2# "5$0% 2 1 3 3 3 6 1" "667% 13 "1$"% 27 ""26%

33 5"10% 3 3 6 3 5 # 17 5667% 1# 5#06% 35 573#%

37 6066% 3 5 # 3 0 3 20 6667% 1# 5#06% 3# 6230%

"2 6##5% 3 0 3 3 1 " 23 7667% 1$ 612$% "2 6##5%

"5 7377% 3 1 " 3 1 " 26 #667% 20 6"52% "6 75"1%

53 #6#$% 3 1 " 2 " 6 2# $333% 2" 77"2% 52 #525%

61 10000% 2 " 6 6 1 7 3" 11333% 25 #065% 5$ $672%

66 10#20% 6 1 7 " 5 $ 3# 12667% 30 $677% 6# 111"#%


13/27

CAKUPAN KUNJUNAN BAYI (PARIPURNA)

PENC KUMUL


L+P % L P L+P L P L+P L % P % L+P %

" 11"3% 0 0 0 2 1 3 2 1176% 1 556% 3 #57%

# 22#6% 2 1 3 3 2 5 5 2$"1% 3 1667% # 22#6%

10 2#57% 3 2 5 1 0 1 6 352$% 3 1667% $ 2571%

12 3"2$% 1 0 1 2 0 2 # "706% 3 1667% 11 31"3%

1" "000% 2 0 2 1 2 3 $ 52$"% 5 277#% 1" "000%

21 6000% 1 2 3 2 1 3 11 6"71% 6 3333% 17 "#57%

26 7"2$% 2 1 3 6 1 7 17 10000% 7 3##$% 2" 6#57%31 ##57% 6 1 7 2 1 3 1$ 11176% # """"% 27 771"%

35 10000% 2 1 3 1 " 5 20 11765% 12 6667% 32 $1"3%

35 10000% 1 " 5 0 0 0 20 11765% 12 6667% 32 $1"3%

36 102#6% 0 0 0 0 1 1 20 11765% 13 7222% 33 $"2$%


14/27

3$ 111"3% 0 1 1 3 0 3 23 1352$% 13 7222% 36 102#6%


15/27

NO Bulan NAMA &ESA

IBU 'AMIL

1 JANUARI "0

2 !EBRUARI "0

3 MARET "0" APRIL "0

5 MEI "0

6 JUNI "0

7 JULI "0

# AUSTUS "0

$ SEPTEMBER "0

10 OKTOBER "0

11 NOPEMBER "0

12 &ESEMBER K*an,an "0

Sa-a.anBu/l

Ju/la Bu/lK1

Bu/l ,nP*nan,aan S*.

P"K

ANC ,,a/4nSua/


16/27

IBU 'AMIL BERSALIN IBU BERSALIN

Iu TABULIN &ln Na*- &,a/4n Sua/M*/l Buu

KIA&uunan

A/ulan8* &*-aM*n,a4a &n.

&a.a&*nan

Kn.a-*4-


17/27

6

5

1

13

BAYI &ENANIM&


18/27

LAPORAN P3S KIA -IN,IKATOR KESEHATAN ANAK.

PUSKESMAS LENGKONG

TAHUN 2014

,ESA BANJAR,O3O

NO Bulan

SASARANCAKUPAN ANAK PR

ANAK BALITA ANAK PRA SEKOLA'PENC

BULAN LALU BULAN INI

L P L+P L P L+P L P L+P L P L+P

1 JANUARI 72 72 1"" 33 33 66 0 0 0 0 0 0

2 !EBRUARI 72 72 1"" 33 33 66 0 0 0 11 3 1"

3 MARET 72 72 1"" 33 33 66 11 3 1" 0 0 0

" APRIL 72 72 1"" 33 33 66 0 0 0 0 0 0

5 MEI 72 72 1"" 33 33 66 0 0 0 0 3 3

6 JUNI 72 72 1"" 33 33 66 0 3 3 2 1 3

7 JULI 72 72 1"" 33 33 66 2 1 3 0 1 1

# AUSTUS 72 72 1"" 33 33 66 0 1 1 2 0 2

$ SEPTEMBER 72 72 1"" 33 33 66 2 0 2 0 2 2

10 OKTOBER 72 72 1"" 33 33 66 0 2 2 3 1 "

11 NOPEMBER 72 72 1"" 33 33 66 3 1 " 2 2 "

12 &ESEMBER 72 72 1"" 33 33 66 2 2 " 1 0 1


19/27

SEKOLA' (PARIPURNA)

PELAYANAN BALITA SAKIT

JUMLA' CAKUPAN &I MTBSKUMUL

JML

L % P % L+P % L P L+P L P L+P L P L+P

0 000% 0 000% 0 000% 5 5 10 5 5 10 12

11 3333% 3 $0$% 1" 2121% 5 2 7 5 2 7 17

11 3333% 3 $0$% 1" 2121% 5 " $ 5 " $ 22

11 3333% 3 $0$% 1" 2121% 6 1 7 6 1 7 2#

11 3333% 6 1#1#% 17 2576% 2 " 6 2 " 6 30

13 3$3$% 7 2121% 20 3030% 1 1 2 1 1 2 31

13 3$3$% # 2"2"% 21 31#2% 6 2 # 6 2 # 37

15 "5"5% # 2"2"% 23 3"#5% 2 0 2 2 0 2 3$

15 "5"5% 10 3030% 25 37##% 2 0 2 2 0 2 "1

1# 5"55% 11 3333% 2$ "3$"% 7 3 10 7 3 10 "#

20 6061% 13 3$3$% 33 5000% " 2 6 " 2 6 52

21 636"% 13 3$3$% 3" 5152% 5 3 # 5 3 # 57

BALITA SAKIT &IMTBS


20/27

LAPORAN P3S KIA -IN,IKATOR KESEHATAN ANAK.

PUSKESMAS LENGKONG

TAHUN 2014

,ESA BANJAR,O3O

NO Bulan

CAKUPAN ANAK B

SASARAN

ANAK BALITA ANAK PRA SEKOLA'PE

BULAN LALU

L P L+P L P L+P L P L+P

1 JANUARI 72 72 1"" 33 33 66 0 0 0

2 !EBRUARI 72 72 1"" 33 33 66 1 3 "

3 MARET 72 72 1"" 33 33 66 6 2 #

" APRIL 72 72 1"" 33 33 66 2 " 6

5 MEI 72 72 1"" 33 33 66 " 2 6

6 JUNI 72 72 1"" 33 33 66 5 " $

7 JULI 72 72 1"" 33 33 66 3 2 5

# AUSTUS 72 72 1"" 33 33 66 2 1 3

$ SEPTEMBER 72 72 1"" 33 33 66 # " 12

10 OKTOBER 72 72 1"" 33 33 66 " 3 7

11 NOPEMBER 72 72 1"" 33 33 66 2 5 7

12 &ESEMBER 72 72 1"" 33 33 66 7 " 11

JUMLA'


21/27

LITA (PARIPURNA)

KN 1 MURNI

NC KUMUL

BULAN INI JML

L P L+P L % P % L+P %

1 3 " 1 13$% 3 "17% " 27#%

6 2 # 7 $72% 5 6$"% 12 #33%

2 " 6 $ 1250% $ 1250% 1# 1250%

" 2 6 13 1#06% 11 152#% 2" 1667%

5 " $ 1# 2500% 15 20#3% 33 22$2%

3 2 5 21 2$17% 17 2361% 3# 263$%

2 1 3 23 31$"% 1# 2500% "1 2#"7%

# " 12 31 "306% 22 3056% 53 36#1%

" 3 7 35 "#61% 25 3"72% 60 "167%

2 5 7 37 513$% 30 "167% 67 "653%

7 " 11 "" 6111% 3" "722% 7# 5"17%

6 6 12 50 6$""% "0 5556% $0 6250%


22/27

LAPORAN PWS KIA (INDIKATOR KESEHATAN IBU DAN ANAK)

PUSKESMAS : LENGKONG

TAHUN : 2014

DESA : BANJARDOWO

NO Bulan

Sa-a.an K/4la- K*,anan 9an ,anan P*.-alnan Ol* Na*-

Bu/l

PUS P*n8 Ku/ul P*n8 Ku/ul

Buln Bu:a- Bln Lalu Bln In JML % Bln Lalu Bln In JML %

1 JANUARI "0 # 3$ 0 " " 1000% 0 " " 1026%

2 !EBRUARI "0 # 3$ " 1 5 1250% " " # 2051%

3 MARET "0 # 3$ 1 1 6 1500% " 2 10 256"%

" APRIL "0 # 3$ 1 0 6 1500% 2 2 12 3077%

5 MEI "0 # 3$ 0 1 7 1750% 2 2 1" 35$0%

6 JUNI "0 # 3$ 1 " 11 2750% 2 7 21 53#5%

7 JULI "0 # 3$ " 1 12 3000% 7 5 26 6667%

# AUSTUS "0 # 3$ 1 3 15 3750% 5 5 31 7$"$%

$ SEPTEMBER "0 # 3$ 3 2 17 "250% 5 " 35 #$7"%

10 OKTOBER "0 # 3$ 2 0 17 "250% " 0 35 #$7"%

11 NOPEMBER "0 # 3$ 0 1 1# "500% 0 1 36 $231%

12 &ESEMBER "0 # 3$ 1 1 1$ "750% 1 3 3$ 10000%

JUMLA'

Bu/l R-20%


23/27

LAPORAN PWS KIA (INDIKATOR KESEHATAN IBU DAN ANAK)

PUSKESMAS : LENGKONGTAHUN : 2014

DESA : BANJARDOWO

NO Bulan

Sa-a.an K1 (IBU 'AMIL) K" (IBU 'a/l)

Bu/l

PUS P*n8 Ku/ul P*n8 Ku/ul

Buln Bu:a- Bln Lalu Bln In JML % Bln Lalu Bln In JML %

1 JANUARI "0 # 3$ 0 # # 2000% 0 1 1 250%

2 !EBRUARI "0 # 3$ # 2 10 2500% 1 2 3 750%

3 MARET "0 # 3$ 2 " 1" 3500% 2 2 5 1250%

" APRIL "0 # 3$ " " 1# "500% 2 " $ 2250%

5 MEI "0 # 3$ " 2 20 5000% " 7 16 "000%

6 JUNI "0 # 3$ 2 2 22 5500% 7 " 20 5000%

7 JULI "0 # 3$ 2 " 26 6500% " 3 23 5750%

# AUSTUS "0 # 3$ " 3 2$ 7250% 3 2 25 6250%

$ SEPTEMBER "0 # 3$ 3 2 31 7750% 2 " 2$ 7250%

10 OKTOBER "0 # 3$ 2 5 36 $000% " 3 32 #000%

Bu/l R-

20%


24/27

11 NOPEMBER "0 # 3$ 5 " "0 10000% 3 3 35 #750%

12 &ESEMBER "0 # 3$ " 1 "1 10250% 3 " 3$ $750%

JUMLA'


25/27

P*.-alnan Na*- , !a-la- P*la9anan Iu N:a-

P*n8 Ku/ul P*n8 Ku/ul

Bln Lalu Bln In JML % Bln Lalu Bln In JML %

0 " " 1026% 0 3 3 76$%

" " # 2051% 3 " 7 17$5%

" 2 10 256"% " " 11 2#21%

2 2 12 3077% " 2 13 3333%

2 2 1" 35$0% 2 2 15 3#"6%

2 7 21 53#5% 2 5 20 512#%

7 5 26 6667% 5 7 27 6$23%

5 5 31 7$"$% 7 5 32 #205%

5 " 35 #$7"% 5 6 3# $7""%

" 0 35 #$7"% 6 0 3# $7""%

0 1 36 $231% 0 0 3# $7""%

1 3 3$ 10000% 0 3 "1 10513%


26/27

&***- R*- Tn Ol* Ma-9a.aa

P*n8 Ku/ul P*n8 Ku/ul

Bln Lalu Bln In JML % Bln Lalu Bln In JML %

0 1 1 250% 0 " " 1000%1 0 1 250% " 0 " 1000%

0 " 5 1250% 0 " # 2000%

" 5 10 2500% " " 12 3000%

5 1 11 2750% " 1 13 3250%

1 0 11 2750% 1 1 1" 3500%

0 1 12 3000% 1 1 15 3750%

1 0 12 3000% 1 1 16 "000%

0 1 13 3250% 1 2 1# "500%

1 3 16 "000% 2 3 21 5250%

&**- R*- Tn Ol* T*naaK*-*aan


27/27

3 1 17 "250% 3 2 23 5750%

1 1 1# "500% 2 1 2" 6000%

bu dian pws

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