LAPORAN BULANAN IMUNISASI RUTIN BAYI PUSKESMAS TAHUN 2018

Puskesmas : Perawatan Nusa Jaya

Kabupaten/Ko: Halmahera Timur
Provinsi : Maluku Utara
Bulan : Maret Tahun 2018

DATA SURVIVINGDATA ISTIMASI HBO (0<7 HARI BCG POLIO 1

NO DESA
L P JML L P JML L % P % JML % L % P % JML % L % P % JML %
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

1 AKEJAWI 1 3 4 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
2 BINAGARA 4 4 8 1 0 0 0 1 13 1 0 1 0 2 0 1 0 1 0 2 0
3 INOJAYA 6 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 EKORINO 6 1 7 1 0 1 0 2 14 1 0 0 0 1 0 1 0 0 0 1 0
5 EKOR 3 2 5 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
6 NUSA JAYA 5 3 8 0 0 1 0 1 13 0 0 0 0 0 0 0 0 0 0 0 0
7 MINAMIN 3 4 7 3 0 0 0 3 57 3 0 0 0 3 0 3 0 0 0 3 0
8 SAOLAT 6 3 9 1 0 0 0 1 11 1 0 0 0 1 0 1 0 0 0 1 0
9 WAIJOI 5 4 9 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
10 JIKOMOI 4 4 8 1 0 1 0 2 13 1 0 0 0 1 0 1 0 0 0 1 0
11 LOLEBA 6 6 12 2 0 1 0 3 25 1 0 1 0 2 0 1 0 1 0 2 0
12 TANURE 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 YAWAL 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 53 39 92 11 0 5 0 16 0 9 0 2 0 11 0 9 0 2 0 11 0
 DPT/HB-Hib 1 POLIO 2 DPT/HB-Hib 2 POLIO 3
NO DESA
L % P % JML % L % P % JML % L % P % JML % L % P % JML %
27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

1 AKEJAWI 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 BINAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0
3 INOJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0
4 EKORINO 2 0 0 0 2 0 2 0 0 0 2 0 0 0 1 0 1 0 0 0 1 0 1 0
5 EKOR 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 2 0 0 0 2 0
6 NUSA JAYA 2 0 0 0 2 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MINAMIN 1 0 1 0 2 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SAOLAT 1 0 1 0 2 0 1 0 1 0 2 0 2 0 0 0 2 0 2 0 0 0 2 0
9 WAIJOI 2 0 1 0 3 0 2 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
10 JIKOMOI 1 0 2 0 3 0 1 0 2 0 3 0 1 0 0 0 1 0 1 0 0 0 1 0
11 LOLEBA 1 0 1 0 2 0 1 0 1 0 2 0 2 0 0 0 2 0 2 0 0 0 2 0
12 TANURE 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 YAWAL 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 10 0 6 0 16 0 10 0 6 0 16 0 7 0 3 0 10 0 7 0 3 0 10 0
 DPT/HB-Hib 3 POLIO 4 CAMPAK IMUNISASI LENGKAP
NO DESA
L % P % JML % L % P % JML % L % P % JML % L % P % JML %
27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

1 AKEJAWI 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0
2 BINAGARA 1 0 2 0 3 0 1 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
3 INOJAYA 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 EKORINO 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 EKOR 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 NUSA JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0
7 MINAMIN 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 SAOLAT 1 0 0 0 1 0 1 0 0 0 1 0 1 0 2 0 3 0 1 0 2 0 3 0
9 WAIJOI 1 0 1 0 2 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
10 JIKOMOI 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0
11 LOLEBA 1 0 1 0 2 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
12 TANURE 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 YAWAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0
TOTAL 4 0 6 0 10 0 4 0 6 0 10 0 2 0 5 0 7 0 2 0 5 0 7 0
 HASIL IMUNISASI
SASARAN BATITA
DPT/HB-Hib Boster CAMPAK BOSTER
NO DESA Sasaran Sasaran
L P JML DPT/HB L % P % JML % Campa L % P % JML %
-Hib k
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 AKEJAWI 18 9 27 14 1 0 1 0 2 0 9 1 0 1 0 2 0
2 BINAGAR 15 12 27 14 1 0 1 0 2 0 9 0 0 1 0 1 0
3 INOJAYA 19 12 31 16 0 0 0 0 0 0 10 0 0 0 0 0 0
4 EKORINO 33 19 52 26 0 0 0 0 0 0 9 0 0 0 0 0 0
5 EKOR 26 15 41 21 0 0 0 0 0 0 7 0 0 0 0 0 0
6 NUSA JAY 22 14 36 18 0 0 0 0 0 0 6 0 0 0 0 0 0
7 MINAMIN 23 17 40 20 0 0 0 0 0 0 7 0 0 0 0 0 0
8 SAOLAT 13 21 34 17 0 0 0 0 0 0 6 0 0 0 0 0 0
9 WAIJOI 22 25 47 24 0 0 0 0 0 0 8 0 0 0 0 0 0
10 JIKOMOI 20 13 33 17 0 0 0 0 0 0 6 1 0 0 0 1 0
11 LOLEBA 20 24 44 22 0 0 0 0 0 0 7 0 0 0 0 0 0
12 TANURE 12 8 20 10 0 0 0 0 0 0 3 0 0 0 0 0 0
13 YAWAL 11 6 17 9 0 0 0 0 0 0 3 0 0 0 0 0 0
TOTAL 254 195 449 225 2 0 2 0 4 0 150 2 0 2 0 4 0
FORMAT LAPORAN HASIL IMUNSASI TT WUS DAN IBU HAMIL PUSKESMAS

Puskesmas: Perawatan Nusa Jaya

Kabupaten: Halmahera Timur
Provinsi : Maluku Utara
Bulan : Mei Tahun 2017

JUML WUS DIIMUNISASI BUMIL DI IMUNISASI

SASAR
AH SASAR
NO DESA AN TT1 TT2 TT3 TT4 TT5 TT1 TT2 TT3 TT4 TT5
PEN WUS AN
DDK JLH % JLH % JLH % JLH % JLH % BUMIL JLH % JLH % JLH % JLH % JLH %
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 AKEJAWI 504 131 0 0 1 1 0 14 0 0 0 0 0

2 BINAGAR 459 119 1 0 1 2 0 13 0 0 0 0 0
3 INOJAYA 656 170 0 1 0 0 0 18 0 0 0 0 0
4 EKORINO 666 168 1 1 0 0 0 18 2 1 1 0 0
5 EKOR 508 132 0 1 0 0 0 14 1 0 0 0 0
6 NUSA JAY 549 143 0 0 1 1 0 15 1 0 0 0 0
7 MINAMIN 758 147 0 1 0 0 0 21 0 2 1 0 0
8 SAOLAT 553 144 1 0 0 1 0 15 2 2 0 0 0
9 WAIJOI 661 172 0 0 0 0 0 18 1 4 0 0 0
10 JIKOMOI 570 148 0 0 2 0 0 16 1 2 0 0 0
11 LOLEBA 831 216 1 1 1 0 0 23 0 1 0 0 0
12 TANURE 353 92 0 0 0 0 0 10 0 0 0 0 0
13 YAWAL 193 50 0 0 0 0 0 5 0 0 0 0 0
TOTAL 7261 1832 4 5 6 5 0 200 8 12 2 0 0
 FORMAT LAPORAN HASIL PEMAKAIAN VAKSIN & LOGISTIK DIPUSKESMAS
Puskesmas : Perawatan Nusa Jaya
Kabupaten/Kota : Halmahera Timur
Provinsi : Maluku Utara
Bulan : Januari tahun 2018
NO VAKSIN/LOGISTIK STOK BULAN AWALPENERIMAANPEMAKAIAN
STOK AKHIR BULAN
PERMINTAAN
TOTAL CAKUPAN IP VAKSIN KET
1 2 3 4 5 6 7 8 9 10
A VAKSIN/LOGISTIK
1 BCG 45 0 9 0 ED 36 vial
2 POLIO 19 0 10 9
3 DPT/HB-Hib 35 0 15 20
4 HB-Uniject 29 0 10 19
5 CAMPAK 16 10 6 10
6 TD 43 0 9 24
B ADS/SPUIT
1 0,5 ml 385 0 110 275
a. Bayi
b. Bumil/Wus
c. Bias
2 0,05 ml 185 0 15 170
3 5 ml 0
a. Bayi
b.Bias
C Safety Box
a. 0,25 l 0
b. 5 l 50 1 49
D Rasio penyuntikan yang aman ADS 0,5 ml
MENGETAHUI Nusa Jaya, 26 Maret 2018
KEPALA PUSKESMAS PERAWATAN NUSA JAYA Pengelola Progam Imunisasi

WARSO MARIA LETLORA

NIP. 19730110 199503 1 004 NIP. 19691229 200112 2 003