HASIL PENILAIAN STATUS GIZI BALITA DI WILAYAH PUSKESMAS PUNDONG

BULAN FEBRUARI TAHUN 2012

INDIKATOR BB/U
NO

NAMA DESA

STATUS GIZI

JUMLAH
JUMLAH BALITA
BALITA DITIMBANG
L

P TOTAL L

TOTAL

GIZI LEBIH
L

GIZI BAIK

TOTAL

GIZI KURANG

TOTAL
%

GIZI BURUK

TOTAL

TOTAL

Srihardono

382 435 817 299

351

650

11

3.7%

1.1%

15

2.31%

251

83.9%

298

84.90% 549 84%

33

11.0%

48

13.68%

81

12.46%

1.3%

0%

0.77%

Panjangrejo

287 315 602 228

256

484

3.9%

10

3.9%

19

3.93%

196

86.0%

216

84.38% 412 85%

22

9.6%

25

9.77%

47

9.71%

0.4%

2%

1.24%

Seloharjo

410 404 814 341

335

676

2.6%

11

3.3%

20

2.96%

312

91.5%

303

90.45% 615 91%

19

5.6%

19

5.67%

38

5.62%

0.3%

1%

0.44%

1079 1154 2233 868

942 1810

29

3.34%

25

2.7%

54

2.98%

759

87.4%

817

86.73% 1576 87%

74

8.5%

92

9.77%

166

9.17%

0.7%

1%

14

0.77%

JUMLAH

INDIKATOR TB/U
STATUS GIZI

JUMLAH SAMPEL
NO

NORMAL

NAMA DESA
L

P TOTAL

PENDEK

TOTAL

SANGAT PENDEK
TOTAL

TOTAL

Srihardono

259

313

572

167

64.5%

217

69.3%

384

67.13%

92

35.5%

96

30.67%

188

33%

0%

0%

0%

Panjangrejo

196

207

403

138

70.4%

151

72.9%

289

71.71%

58

29.6%

56

27.05%

114

28%

0%

0%

0%

Seloharjo

291

279

570

197

67.7%

211

75.6%

408

71.58%

94

32.3%

68

24.37%

162

28%

0%

0%

0%

746

799 1545 502

67.3%

579

72.5%

1081

69.97%

244

32.7%

220

27.53%

464

30%

0%

0%

0%

JUMLAH

INDIKATOR BB/TB
STATUS GIZI

JUMLAH SAMPEL
NO

GEMUK

NAMA DESA
L

P TOTAL

NORMAL

TOTAL

KURUS
TOTAL

SANGAT KURUS

TOTAL

TOTAL

Srihardono

256

309

565

21

8.2%

22

7.1%

43

7.61%

224

87.5%

260

84.14%

484

85.7%

10

3.9%

27

8.74%

37

6.55%

0%

0%

0%

Panjangrejo

196

207

403

16

8.2%

25

12.1%

41

10.17%

172

87.8%

171

82.61%

343

85.1%

4.1%

11

5.31%

19

4.71%

0%

0%

0%

Seloharjo

276

278

554

25

9.1%

25

9.0%

50

9.03%

246

89.1%

239

85.97%

485

87.5%

1.8%

14

5.04%

19

3.43%

0%

0%

0%

728

794 1522

62

8.5%

72

9.1%

134

8.80%

642

88.2%

670

84.38%

1312

86.2%

23

3.2%

52

6.55%

75

4.93%

0%

0%

0%

JUMLAH

Mengetahui
Kepala UPTD Puskesmas Pundong

Petugas Gizi Puskesmas

drg. Sukismi

Nurjanah

NIP : 196007241989032003

NIP: 197604231998032006

LAPORAN CAKUPAN DISTRIBUSI VITAMIN A

PUSKESMAS PUNDONG FEBRUARI 2011
Cakupan Bulan Pebruari

Sasaran

No
1
2
3

Bayi (6-11 BL)

DESA
L

Bayi (6-11 BL)

An. Balita (1-5 Th)

Anak Balita (1-5 Th)

TOTAL

TOTAL

Srihardono
Panjangrejo
Seloharjo

30

44

74

335

360

695

30

100

44

100.00

74

100.00

335

100

360

100.00

695

100.00

71

33

104

208

273

481

71

100

33

100.00

104

100.00

208

100

273

100.00

481

100.00

29

41

70

326

349

675

29

100

41

100.00

70

100.00

326

100

349

100.00

675

100.00

JUMLAH

130

118

248

869

982

1851

130

100

118

100.00

248

100.00

869

100

982

100.00

1851

100.00

Mengetahui
Kepala UPTD Puskesmas Pundong

drg.Sukismi
NIP : 196007241989032003

Petugas Gizi Puskesmas

Nurjanah
NIP: 197604231998032006

INVENTARISASI BARANG PROGRAM GIZI

PUSKESMAS.. Per bulan Juli 2011

NO

NAMA BARANG

JUMLAH

KONDISI

ASAL/SUMBER BARANG

LOKASI BARANG

1 Dacin
2 Timbangan Injak
3 Timbangan Detecto
4 Sarung Timbang
5 Celana Timbang
6 Microtoise
7 Infantometer
8 Pita Lila
9 Timbangan Baby Scale
10

Petugas Gizi Puskesmas

()
NIP:

KET.

EVALUASI HASIL PMT-P BALITA GIZI BURUK

TRIWULAN I ( MARET, APRIL, MEI )
PUSKESMAS PUNDONG TAHUN 2011
SEX
NO

NAMA ANAK

1 Rohmat Setiawan

PRA PMT

POST PMT

UMUR
(Bl)

BB
(Kg)

TB
(Cm)

BB/U

STATUS GIZI
TB/U
BB/TB

UMUR
(Bl)

BB
(Kg)

TB
(Cm)

33

78

Buruk

Pendek

STATUS GIZI
TB/U
BB/TB

BB/U

Normal

35

78

buruk

pendek

normal

2 Dina Salsabila

26

8.2

78

Buruk

Pendek

Kurus

28

8.2

78

buruk

pendek

kurus

3 Rosi Cintami

17

72

Buruk

Pendek

Kurus

19

72

buruk

pendek

kurus

4 Dwi Prahasti

36

9.2

85

Buruk

Pendek

Normal

38

9.2

85

Buruk

pendek

Normal

5 Cahaya FP

35

9.1

83

Buruk

Pendek

Kurus

37

9.1

83

Buruk

pendek

Kurus

6 Hana

59

11.6

95

Buruk

Pendek

Normal

60

11.6

95

Buruk

pendek

Normal

7 Alya Mutiani

30

82

Buruk

Pendek

Kurus Skali

32

82

Buruk

pendek

Kurus Skali

13

65

Buruk

Pendek

Normal

15

40

8.4

87

Buruk

Pendek

Kurus

42

8.4

87

Buruk

pendek

Kurus

8 Abdul Hamid

9 Nurul Latifatus

65 Buruk

pendek Normal

10 Alfa Rizki M

33

9.5

83

Buruk

Pendek

Kurus

35

9.5

83

Buruk

pendek

Kurus

11 Devan Cahyo

51

11

94

Buruk

Pendek

Kurus

53

11

94

Buruk

pendek

Kurus

12 M.Riki Adrian

54

11.2

95

Buruk

Pendek

Kurus

56

11.2

95

Buruk

pendek

Kurus

13 Rosita Anggraeni

14

6.6

73

Buruk

Pendek

Normal

14

6.6

73

buruk

pendek

kurus

14 Asri Novianti

43

10.2

86

Buruk

Pendek

Normal

45

10.2

86

buruk

pendek

Normal

15 Gilang Arya S

22

8.1

78

Buruk

Pendek

Kurus

24

8.1

78

buruk

pendek

Kurus

16 Haikal Fuad

44

10.2

87

Buruk

Pendek

Normal

45

10.7

87

buruk

pendek

Normal

35

8.8

83

Buruk

Pendek

Kurus

35

8.8

83

buruk

pendek

kurus

17 Mar'ah Latifah

KETERANGAN

diberi 1x

baru 1 x

REKAPITULASI HASIL PMT-P BALITA GIZI BURUK

TRIWULAN I ( MARET, APRIL, MEI )
PUSKESMAS PIYUNGAN TAHUN 2011

JUMLAH BALITA

JUMLAH BALITA

NO
GIZI BURUK

DAPAT PMT

PRA PMT
STATUS GIZI BB/U
BURUK

KURANG

BAIK

POST PMT

STATUS GIZI TB/U

SANGAT
PENDEK

PENDEK

STATUS GIZI BB/TB

NORMAL

SANGAT
KURUS

KURUS

NORMAL

STATUS GIZI BB/U

BURUK

KURANG

STATUS GIZI TB
BAIK

SANGAT
PENDEK

1 Seloharjo = 6
2 Panjangrejo = 12
3 Srihardono = 9
Jumlah
= 27

3
7
7
17

Mengetahui

3
7
7
17

0
0
0
0

0
0
0
0

0
0
0
0

3
7
7
17

0
0
0
0

0
1
0
1

2
3
4
9

1
3
3
7

3
7
7
17

Petugas Gizi Puskesmas

Kepala UPTD Puskesmas Pundong

drg. Sukismi
NIP : 196007241989032003

Nurjanah
NIP: 197604231998032006

0
0
0
0

0
0
0
0

0
0
0
0

POST PMT

STATUS GIZI TB/U

PENDEK

NORMAL

STATUS GIZI BB/TB

SANGAT
KURUS

KURUS

NORMAL

3
7
7
17

0
0
0
0

0
1
0
1

2
3
4
9

1
3
3
7