DINAS KESEHATAN KABUPATEN MANGGARAI BARAT

PUSKESMAS : TENTANG
KECAMATAN : NDOSO
BULAN / TAHUN : OKTOBER 2016
LAPORAN PROGRAM KIA

Baru Pemberian Imunisasi Pmrks. HB Diukur Lila TWR III DITBG TB Bumil baru dengan
NO Desa Proyeksi Rill Lama HB11gr Jlh Lila23cm BB 145 Cm Umur Spc. Prts
Murni T. Murni Total TT1 TT2 TT3 TT4 TT5 B L Jlh 35th
B L B L B L 45kg 20th 2th 4Kali
1 Tentang 89 74 6 0 6 19 0 0 2 1 0 6 7 0 2 6 19 2 9 7 0 0 1 1 0 1

2 Golo Bore 38 26 3 1 4 3 0 0 1 1 0 3 0 0 0 4 3 0 1 1 0 0 1 1 0 1
3 Pong Narang 34 18 3 0 3 5 0 0 3 1 0 1 1 0 0 3 5 1 2 3 0 0 0 3 0 1
4 Golo Rua 49 34 2 2 4 7 0 0 0 1 0 2 1 0 0 4 7 1 2 4 0 0 0 1 0 0
5 Golo Poleng 32 24 5 1 6 4 0 0 0 1 0 2 1 0 0 6 4 3 0 1 0 0 2 0 0 0
6 Golo Keli 46 17 3 0 3 5 0 0 1 0 0 1 2 0 0 3 5 1 1 2 0 0 0 0 0 0
7 Lumut 47 29 2 0 2 7 0 0 0 0 0 0 0 0 0 2 7 0 0 1 0 0 0 0 0 0
29 0
8 Wae Buka 33 1 0 1 10 0 0 0 0 0 0 0 0 0 1 10 0 2 1 0 0 0 0 0
9 Ndoso 46 20 1 1 2 5 0 0 0 0 0 1 0 0 0 2 5 0 0 2 0 0 0 0 1 0
10 Momol 30 19 1 0 1 4 0 0 0 0 0 0 0 0 0 1 4 0 0 3 0 0 0 0 0 0
11 Waning 47 21 0 0 0 5 0 0 0 0 0 0 0 0 0 0 5 0 0 2 0 0 0 0 0 0
12 Pateng Lesu 25 14 1 0 1 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0
13 Tehong 46 28 0 0 0 11 0 0 0 0 0 0 0 0 0 0 11 0 3 3 0 0 0 0 0 0
14 Raka 51 24 5 0 5 6 0 0 1 0 1 3 1 1 0 5 6 1 2 2 0 1 0 0 0 1
15 Kasong 30 34 3 0 3 18 0 0 0 0 0 3 5 0 0 3 18 0 0 5 0 0 0 1 0 1
Puskesmas 643 411 36 5 41 110 0 0 8 5 1 23 19 1 2 41 110 9 22 37 0 1 5 7 1 5

Mengetahui
Kepala Puskesmas Tentang Pengelola Program KIA

JAKOBUS NENTU MARIA O. JERIKI

NIP: 19740908 1999 03 1 005 Nip. 19891004 201402 2 006
Sambungan F10-R
Pemberian SF Pemberian Bumil dengan Rest
No Puskesmas/Desa
Fe1 Fe2 Fe3 Yodiol Perdrhn Infeksi PE/EK Abortus Kel Let Anemia Gemeli Lain2 Jumlah

1 Tentang 0 0 6 0 0 0 0 1 0 0 0 3 4
2 Golo Bore 0 0 4 0 0 0 0 0 0 0 0 1 1
3 Pong Narang 0 0 3 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 4 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 6 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 3 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 2 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 1 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 2 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 1 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 1 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 5 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 3 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 41 0 0 0 0 1 0 0 0 4 5
 LAPORAN KHUSUS BUMIL,BULIN, DAN BUFAS RESTI
PUSKESMAS TENTANG

Ibu Hamil Rest Ibu Bersalin Rest Ibu Nifas Rest

No Puskesmas Jenis To Dita Dirujuk Tidak Jenis To Dita Dirujuk Tidak Jenis To Dita Dirujuk Tidak

Rest tal ngani Jlh Klnk Psk RSU RSS dirujuk Rest tal ngani Jlh Klnk Psk RSU RSS dirujuk Rest tal ngani Jlh Klnk Psk RSU RSS dirujuk

Abortus 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IUGR 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
Tentang
Hiperemesis 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Riw. SC 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore KT Kronis 1 1 0 0 0 0 0 1 Ret- Plasenta 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 KPD 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 5 4 1 0 0 1 0 4 0 2 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0
 LAPORAN KHUSUS NEONATUS RESTI

Jumlah Neonatus Rest Jenis Rest Neonatus

Dirujuk Tidak Ditangani Dirujuk
No Desa
Total Di Klinik RS Diru- Pneu Tetanus Infeksi Lain- Pneu Tetanus Infeksi Lain-
Jumlah Pusk RSU Asfiksia BBLR Cacad Asfiksia BBLR Cacad
tangani Swasta Swasta juk monia Neonatorum lain lain monia Neonatorum lain lain

1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN PELAYANAN PERSALINAN

Jlh Bulin Penolong Persalinan Jenis Persalinan Tempat Persalinan

No Puskesmas Pro To Dok Bi Pera Dukun Spo Vac For Pus Polnd/ Rumah Rumah Lain-
Rill SC RS Pustu
yeksi tal ter dan wat Terlath T. Terlath tan um cep kesmas Poskd Bidan Ibu lain

1 Tentang 85 53 4 0 2 0 2 0 4 0 0 0 0 2 0 0 0 2 0
2 Golo Bore 37 21 4 0 2 0 2 0 4 0 0 0 0 1 1 0 0 2 0
3 Pong Narang 32 11 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 2 0
4 Golo Rua 47 25 2 0 2 0 0 0 2 0 0 0 0 1 1 0 0 0 0
5 Golo Poleng 30 13 2 0 2 0 0 0 2 0 0 0 0 0 2 0 0 0 0
6 Golo Keli 44 9 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0
7 Lumut 45 24 4 0 3 0 1 0 4 0 0 0 0 0 0 3 0 1 0
8 Wae Buka 32 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 44 16 2 0 2 0 0 0 2 0 0 0 0 0 2 0 0 0 0
10 Momol 28 16 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0
11 Waning 45 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 24 12 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0
13 Tehong 44 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 48 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 28 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 614 277 23 0 14 0 9 0 23 0 0 0 1 4 6 3 0 9 0

F12-R DAN F13-R
REKAPAN PELAYANAN NIFAS DAN NEONATUS
Jumlah Bufas Pelayanan Ibu Nifas Bufas Pelayanan Neonatus
No Puskesmas Yo beri Jumlah KN1 KN2 Dpt Asi sja Tdk dpt Asi Dpt Vit.K Dpt Asi & MT lainnya
Proyeksi Rill KF1 KF3 Fe1 Vit.A1 Vit.A2
dium Asi Exsl L P L P L P L P L P L P L P

1 Tentang 85 53 4 5 4 4 4 0 4 2 2 2 2 2 2 2 2 0 0 2 2 0 0
2 Golo Bore 37 21 4 2 4 4 4 0 4 2 2 2 2 2 2 2 2 0 0 2 2 0 0
3 Pong Narang 32 11 2 1 2 2 1 0 2 2 0 2 0 2 0 2 0 0 0 2 0 0 0
4 Golo Rua 47 25 2 3 2 2 2 0 2 0 2 0 2 0 2 0 2 0 0 0 2 0 0
5 Golo Poleng 30 13 2 1 2 2 2 0 2 1 1 1 1 1 1 1 1 0 0 1 1 0 0
6 Golo Keli 44 9 1 0 1 1 1 0 1 1 0 1 0 1 0 1 0 0 0 1 0 0 0
7 Lumut 45 24 4 2 4 4 4 0 4 4 0 4 0 4 0 4 0 0 0 4 0 0 0
8 Wae Buka 32 18 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 44 16 2 2 2 2 2 0 2 1 1 1 1 1 1 1 1 0 0 1 1 0 0
10 Momol 28 16 1 1 1 1 1 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 0
11 Waning 45 17 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 24 12 1 0 1 1 1 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 0
13 Tehong 44 16 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 48 14 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 28 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 614 277 23 24 23 23 22 0 23 13 10 13 10 13 10 13 10 0 0 13 10 0 0
Sambungan F11-R

Keadaan Ibu Post Partum Keadaan Bayi Pasca Persalinan

No Puskesmas Sakit/ Penye Lahir Hidup L. Mat BBLR Gemeli
Sehat Mat
Rest bab L P L P L P L P

1 Tentang 4 0 0 0 2 2 0 0 0 0 0 0
2 Golo Bore 4 0 0 0 2 2 0 0 0 0 0 0
3 Pong Narang 2 0 0 0 0 1 0 0 0 0 0 0
4 Golo Rua 2 0 0 0 0 2 0 0 0 0 0 0
5 Golo Poleng 2 0 0 0 1 1 0 0 0 0 0 0
6 Golo Keli 1 0 0 0 1 0 0 0 0 0 0 0
7 Lumut 4 0 0 0 4 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 2 0 0 0 1 1 0 0 0 0 0 0
10 Momol 1 0 0 0 1 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 1 0 0 0 0 1 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0
Total 23 0 0 0 12 10 0 0 0 0 0 0
KUNJUNGAN BAYI (0 S/D 12 BULAN) PUSKESMAS TENTANG
Jlh Bayi Kunjungan Bayi Bayi dengan BBLR
Tempat Persalinan Tenaga Penolong Jenis Persalinan
No Desa
Target Rill Baru Lama Total Polnd/ Rmh Rmh lain Lain
RS Psk Pustu Klnk Dktr Bidn Prwt Dukun Spntn Vac Forcp Sc
Poskd bdn Ibu lain lain

1 Tentang 81 53 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 35 21 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 31 10 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 45 24 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 29 13 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 42 9 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 43 25 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 30 18 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 42 16 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 27 16 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 43 17 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 22 12 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 42 16 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 46 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 27 12 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 585 275 23 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 DINAS KESEHATAN KABUPATEN MANGGARAI BARAT
PUSKESMAS : TENTANG
KECAMATAN : NDOSO
BULAN / TAHUN : OKTOBER 2016
LAPORAN KELUARGA BERENCANA

PUSKESMAS/ JUMLAH Jumlah Peserta KB baru Peserta KB Lama

NO PUS Akseptor % Kon
DESA IUD Suntk Pil Kondom Implant MOW MOP lain2 Jumlah IUD Suntk Pil Implant MOW MOP lain2 Jumlah
KB dom

1 Tentang 422 420 99.526 0 3 1 0 0 0 0 0 4 36 181 157 0 23 22 0 0 420

2 Golo Bore 301 230 76.412 0 0 1 0 0 0 0 0 1 13 88 106 0 8 11 0 0 230
3 Pong Narang 240 171 71.25 0 0 0 0 0 0 0 0 0 0 96 74 0 0 0 0 0 171
4 Golo Rua 335 203 60.597 0 0 0 0 0 0 0 0 0 7 100 73 0 12 10 0 0 203
5 Golo Poleng 184 179 97.283 0 0 0 0 0 0 0 0 0 2 35 107 0 21 12 0 0 179
6 Golo Keli 284 147 51.761 0 0 0 0 0 0 0 0 0 6 87 15 0 26 9 0 0 147
7 Lumut 311 176 56.592 0 0 1 0 0 0 0 0 1 1 72 76 0 16 9 0 0 176
8 Wae Buka 203 97 47.783 0 0 0 0 0 0 0 0 0 2 36 52 0 4 2 0 0 97
9 Ndoso 303 232 76.568 0 0 0 0 0 0 0 0 0 0 50 163 0 14 2 0 0 232
10 Momol 173 93 53.757 0 0 0 0 0 0 0 0 0 12 12 11 1 50 5 0 0 93
11 Waning 283 267 94.346 0 0 0 0 0 0 0 0 0 37 108 83 0 35 2 0 0 267
12 Pateng Lesu 131 81 61.832 0 2 1 0 0 0 0 0 3 5 40 21 0 12 1 0 0 81
13 Tehong 262 24 9.1603 0 0 0 0 0 0 0 0 0 0 8 15 0 0 0 0 0 24
14 Raka 221 114 51.584 0 1 0 0 0 0 0 0 1 5 49 41 0 13 4 0 0 114
15 Kasong 170 93 54.706 0 0 0 0 0 0 0 0 0 4 47 29 0 6 4 0 0 93
Total 3823 2527 66.1 0 6 4 0 0 0 0 0 10 130 1009 1023 1 240 93 0 0 2527
Sambungan F18-R
PUSKESMAS/ Jumlah Drop Out KB Komplikasi KB Ditangani Komplikasi KB Dirujuk
No DESA Kon Perda Ex Inf Perda Ex Inf
IUD Stk Pil Implant MOW MOP lain2 Jumlah Erosi Lain2 Jumlah Erosi Lain2 Jumlah
dom rahan pulsi eksi rahan pulsi eksi

1 Tentang 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
 DINAS KESEHATAN KABUPATEN MANGGARAI BARAT
PUSKESMAS : TENTANG
KECAMATAN : NDOSO
BULAN / TAHUN : OKTOBER 2016
LAPORAN KEMATIAN

PUSKESMAS/ IUFD LAHIR MATI PENOLONG TEMPAT KEMATIAN

No Nama Pasien PENYEBAB
DESA L P L P TK DT DTT RMH PLDES PUSK RS DLL

1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Golo Bore 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PUSKESMAS/ Kematan Neonatal (0-7 HR) KEMATIAN NEONATAL (8-28 HR) KEMATIAN BAYI (1 BLN-1 THN)

PENOLONG
NO Nama Pasien PENOLONG PERSALINAN TEMPAT KEMATIAN TEMPAT KEMATIAN PENOLONG PERSALINAN TEMPAT KEMATIAN
PENY PERSALINAN PENY
DESA L P PENYEBAB L P L P
EBAB EBAB
DKTR BDN DKN KLRG RMH PLDS PKM RS DLL DKTR BDN DKN KLRG RMH PLDS PKM RS DLL DKTR BDN DKN KLRG RMH PLDS PKM RS DLL

1 Tentang 0 0 0 0 0 0 0 0 0 0 0 0 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 Golo Bore 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 0 0 0 0 0 0 0 0

3 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
 PUSKESMAS/ KEMATIAN BALITA 1-4 TAHUN KEMATIAN APRAS
NO DESA Nama Pasien PENOLONG PERSALINAN TEMPAT KEMATIAN PENOLONG PERSALINAN TEMPAT KEMATIAN
L P PENYEBAB L P PENYEBAB
DKTR BDN DKN KLRG RMH PLDS PKM RS DLL DKTR BDN DKN KLRG RMH PLDS PKM RS DLL

1 Tentang 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 Golo Bore 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 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN WUS

Pelayanan WUS
Jumlah WUS Diukur Lila Mendapat Imunisasi
No Puskesmas
Lila
Jumlah TT1 TT2 TT3 TT4 TT5
Baru Lama 23,5cm
1 Tentang 0 768 0 0 0 0 0 0 0
2 Golo Bore 0 294 0 0 0 0 0 0 0
3 Pong Narang 0 223 0 0 0 0 0 0 0
4 Golo Rua 0 319 0 0 0 0 0 0 0
5 Golo Poleng 0 236 0 0 0 0 0 0 0
6 Golo Keli 0 246 0 0 0 0 0 0 0
7 Lumut 0 340 0 0 0 0 0 0 0
8 Wae Buka 0 120 0 0 0 0 0 0 0
9 Ndoso 0 221 0 0 0 0 0 0 0
10 Momol 0 73 0 0 0 0 0 0 0
11 Waning 0 254 0 0 0 0 0 0 0
12 Pateng Lesu 0 221 0 0 0 0 0 0 0
13 Tehong 0 283 0 0 0 0 0 0 0
14 Raka 0 169 0 0 0 0 0 0 0
15 Kasong 0 164 0 0 0 0 0 0 0
Puskesmas 0 3931 0 0 0 0 0 0 0
 KEMATIAN BUMIL KEMATIAN BULIN KEMATIAN BUFAS

Puskesmas Nama
No JLH PENYE penolong Persalinan Tempat Kematan JLH
PENYE
BAB penolong Persalinan
/Desa Pasien Tempat Kematan JLH penolong Persalinan Tempat Kematan
BAB PENYEB
AB
Dktr bdn Dkn Klrg RMH PLDS PKM RS DLL Dktr bdn Dkn Klrg RMH PLDS PKM RS DLL Dktr bdn Dkn Klrg RMH PLDS PKM RS DLL

1 Tentang 0 0 0 0 0 0 0 0 0 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 Golo bore 0 0 0 0 0 0 0 0 0 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 Pong Narang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 Golo Rua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 Golo Poleng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 Golo Keli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 Lumut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 Wae Buka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 Ndoso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Momol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 Waning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 Pateng Lesu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 Tehong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Raka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 Kasong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 23 6 50 Penolong Persalinan
4 5 4 33 To Dok Bi
0 4 0 36 tal ter dan
2 10 2 37 6 0 3
2 5 2 19 4 1 1
2 0 2 21 0 0 0
2 8 2 39 2 0 2
2 9 2 26 2 0 2
1 6 1 18 2 0 0
1 8 1 22 2 1 1
2 8 2 21 2 0 2
1 1 1 8 1 0 1
1 6 1 27 1 1 0
1 4 1 20 2 0 2
1 8 1 22 1 0 1
28 105 28 399 1 0 1
1 1 0
1 0 1
28 4 17
Penolong Persalinan
Pera Dukun
wat Terlatih T. Terlatih
0 3 0
0 2 0
0 0 0
0 0 0
0 0 0
0 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 7 0