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LAPORAN BULANAN HASIL IMUNISASI RUTIN BAYI PUSKESMAS

Puskesmas: TEKARANG
Kabupaten/Kota: SAMBAS
Provinsi: KAL-BAR
Bulan: SEPT TH 2019

SURVIVING
BAYI BARU LAHIR HB0 (<24 JAM) HB0 (1-7 HARI) TOTAL HB0 BCG
INFANT
NO DESA / KELURAHAN JUML # # #
L P JUMLAH L P
AH #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P
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 27 28 29
1 MATANG SEGARAU 13 13 26 13 13 26 0 0.0 0 0.0 0 0.0 1 7.7 0 0.0 1 3.8 1 7.7 0 0.0 1 3.8 0 0.0 0
2 SARI MAKMUR 12 13 25 12 13 25 0 0.0 0 0.0 0 0.0 0 0.0 2 15.4 2 8.0 0 0.0 2 15.4 2 8.0 1 8.3 1
3 RAMBAYAN 19 18 37 19 18 37 0 0.0 0 0.0 0 0.0 3 15.8 2 11.1 5 13.5 3 15.8 2 11.1 5 13.5 2 10.5 1
4 TEKARANG 26 25 51 26 25 51 0 0.0 0 0.0 0 0.0 1 3.8 3 12.0 4 7.8 1 3.8 3 12.0 4 7.8 2 7.7 1
5 SEMPADIAN 37 36 73 37 36 73 0 0.0 0 0.0 0 0.0 4 10.8 4 11.1 8 11.0 4 10.8 4 11.1 8 11.0 1 2.7 2
6 MERUBUNG 28 29 57 28 29 57 0 0.0 0 0.0 0 0.0 2 7.1 1 3.4 3 5.3 2 7.1 1 3.4 3 5.3 2 7.1 1
7 CEPALA 27 26 53 27 26 53 0 0.0 0 0.0 0 0.0 3 11.1 1 3.8 4 7.5 3 11.1 1 3.8 4 7.5 5 18.5 2

PUSKESMAS 162 160 322 162 160 322 0 0.0 0 0.0 0 0.0 14 8.6 13 8.1 27 8.4 14 8.6 13 8.1 27 8.4 13 8.0 8
Format 2.a.9).

HASIL IMUNISASI BAYI


BCG POLIO1 DPT/HB-Hib (1) POLIO2 DPT/HB-Hib (2) POLIO3
# # # # # #
% JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P % JML %
30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 7.7 1 3.8 0 0.0 1 7.7 1 3.8 2 15.4 1 7.7 3 11.5 2 15.4 1 7.7 3 11.5
7.7 2 8.0 1 8.3 1 7.7 2 8.0 1 8.3 0 0.0 1 4.0 1 8.3 0 0.0 1 4.0 1 8.3 1 7.7 2 8.0 1 8.3 1 7.7 2 8.0
5.6 3 8.1 2 10.5 1 5.6 3 8.1 0 0.0 2 11.1 2 5.4 0 0.0 2 11.1 2 5.4 2 10.5 2 11.1 4 10.8 2 10.5 2 11.1 4 10.8
4.0 3 5.9 2 7.7 1 4.0 3 5.9 0 0.0 2 8.0 2 3.9 0 0.0 2 8.0 2 3.9 4 15.4 2 8.0 6 11.8 4 15.4 2 8.0 6 11.8
5.6 3 4.1 1 2.7 2 5.6 3 4.1 3 8.1 3 8.3 6 8.2 3 8.1 3 8.3 6 8.2 3 8.1 3 8.3 6 8.2 3 8.1 3 8.3 6 8.2
3.4 3 5.3 2 7.1 1 3.4 3 5.3 3 10.7 2 6.9 5 8.8 4 14.3 3 10.3 7 12.3 2 7.1 2 6.9 4 7.0 1 3.6 1 3.4 2 3.5
7.7 7 13.2 5 18.5 2 7.7 7 13.2 1 3.7 0 0.0 1 1.9 1 3.7 0 0.0 1 1.9 2 7.4 5 19.2 7 13.2 2 7.4 5 19.2 7 13.2

5.0 21 6.5 13 8.0 8 5.0 21 6.5 8 4.9 10 6.3 18 5.6 9 5.6 11 6.9 20 6.2 16 9.9 16 10.0 32 9.9 15 9.3 15 9.4 30 9.3
DPT/HB-Hib (3) POLIO4 IPV CAMPAK CAMPAK RUBELLA (MR) TOTAL CAMPAK
# # # # #
#L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P
63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 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 8.3 1 7.7 2 8.0 1 8.3 1 7.7 2 8.0 0 0.0 0 0.0 0 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 10.5 1 5.6 3 8.1 2 10.5 1 5.6 3 8.1 2 10.5 1 5.6 3 8.1 0 0.0 0 0.0 0 0.0 2 10.5 1 5.6 3 8.1 2 10.5 1
3 11.5 7 28.0 10 19.6 5 19.2 7 28.0 12 23.5 3 11.5 2 8.0 5 9.8 0 0.0 0 0.0 0 0.0 0 0.0 1 4.0 1 2.0 0 0.0 1
1 2.7 5 13.9 6 8.2 1 2.7 5 13.9 6 8.2 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 2.7 1 2.8 2 2.7 1 2.7 1
2 7.1 4 13.8 6 10.5 2 7.1 4 13.8 6 10.5 2 7.1 1 3.4 3 5.3 0 0.0 0 0.0 0 0.0 4 14.3 6 20.7 10 17.5 4 14.3 6
4 14.8 1 3.8 5 9.4 4 14.8 1 3.8 5 9.4 2 7.4 0 0.0 2 3.8 0 0.0 0 0.0 0 0.0 2 7.4 0 0.0 2 3.8 2 7.4 0

13 8.0 19 11.9 32 9.9 15 9.3 19 11.9 34 10.6 9 5.6 4 2.5 13 4.0 0 0.0 0 0.0 0 0.0 9 5.6 9 5.6 18 5.6 9 5.6 9
Per-tangg
HASIL IMUNISASI BATITA
TOTAL CAMPAK IMUNISASI LENGKAP SASARAN BATITA DPT/HB/Hib CAMPAK CAMPAK RUBELLA (MR) TOTAL CAMPAK
# # L P JUMLAH # # #
% JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L % #P % JML % #L %
96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127
0.0 0 0.0 0 0.0 0 0.0 0 0.0 13 13 26 0 0.0 1 7.7 1 3.8 0 0.0 0 0.0 0 0.0 2 0.0 0 0.0 2 7.7 2 15.4
0.0 0 0.0 0 0.0 0 0.0 0 0.0 12 12 24 2 16.7 3 25.0 5 20.8 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
5.6 3 8.1 2 10.5 1 5.6 3 8.1 19 18 37 0 0.0 1 5.6 1 2.7 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
4.0 1 2.0 0 0.0 1 4.0 1 2.0 24 26 50 3 12.5 1 3.8 4 8.0 0 0.0 0 0.0 0 0.0 2 0.0 0 0.0 2 4.0 2 8.3
2.8 2 2.7 1 2.7 1 2.8 2 2.7 36 36 72 1 2.8 0 0.0 1 1.4 0 0.0 0 0.0 0 0.0 0 0.0 2 5.6 2 2.8 0 0.0
20.7 10 17.5 4 14.3 6 20.7 10 17.5 27 29 56 2 7.4 3 10.3 5 8.9 0 0.0 0 0.0 0 0.0 1 3.7 1 3.4 2 3.6 1 3.7
0.0 2 3.8 2 7.4 0 0.0 2 3.8 27 26 53 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

5.6 18 5.6 9 5.6 9 5.6 18 5.6 158 160 318 8 5.1 9 5.6 17 5.3 0 0.0 0 0.0 0 0.0 5 3.2 3 1.9 8 Tekarang
2.5 , Tanggal
5 3 Oktober 2019
3.2

Kepala Puskesmas Tekarang

DEWI RAHAYU, A.Md.Keb


NIP. 19680918 198903 2 009
Per-tangg ###

TOTAL CAMPAK
#
#P % JML %
128 129 130 131
0 0.0 2 7.7
0 0.0 0 0.0
0 0.0 0 0.0
0 0.0 2 4.0
2 5.6 2 2.8
1 3.4 2 3.6
0 0.0 0 0.0

, Tanggal 3 Oktober
3 2019 8
1.9 2.5

a Puskesmas Tekarang

WI RAHAYU, A.Md.Keb
9680918 198903 2 009
LAPORAN BULANAN HASIL IMUNISASI T IBU HAMIL DAN WUS PUSKESMAS
Puskesmas: TEKARANG
Kabupaten/Kota: SAMBAS
Provinsi: KAL-BAR
Bulan: SEPT 2019

JUMLAH TO
JUMLAH DAN PERSENTASE IBU HAMIL DIIMUNISASI JUMLAH DAN PERSENTASE WUS TIDAK HAMIL DIIMUNISASI
WUS (HAMIL+TI
NO DESA / KELURAHAN SASARAN
SASARAN
Td1 Td2 Td3 Td4 Td5 WUS Td1 Td2 Td3 Td4 Td5 Td1
BUMIL TIDAK HAMIL

# # % # % # % # % # % # # % # % # % # % # % # %
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 MATANG SEGARAU 29 1 3.4 0 0.0 0 0.0 1 3.4 0 0.0 275 3 1.1 0 0.0 0 0.0 0 0.0 0 0.0 4 1.3
2 SARI MAKMUR 28 0 0.0 0 0.0 0 0.0 0 0.0 2 7.1 273 2 0.7 0 0.0 0 0.0 0 0.0 0 0.0 2 0.7
3 RAMBAYAN 41 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 392 7 1.8 0 0.0 0 0.0 0 0.0 0 0.0 7 1.6
4 TEKARANG 56 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 529 5 0.9 0 0.0 0 0.0 0 0.0 0 0.0 5 0.9
5 SEMPADIAN 80 1 1.3 2 2.5 3 3.8 0 0.0 0 0.0 774 5 0.6 0 0.0 0 0.0 0 0.0 0 0.0 6 0.7
6 MERUBUNG 63 0 0.0 0 0.0 2 3.2 7 11.1 2 3.2 627 8 1.3 0 0.0 0 0.0 0 0.0 0 0.0 8 1.2
7 CEPALA 58 1 1.7 5 8.6 3 5.2 3 5.2 4 6.9 567 2 0.4 0 0.0 0 0.0 0 0.0 0 0.0 3 0.5

PUSKESMAS 355 3 0.8 7 2.0 8 2.3 11 3.1 8 2.3 3437 32 0.9 0 0.0 0 0.0 0 0.0 0 0.0 35 0.9
JUMLAH TOTAL DAN PERSENTASE TT2+
WUS (HAMIL+TIDAK HAMIL) DIIMUNISASI TT BUMIL

Td2 Td3 Td4 Td5 Td 2 +

# % # % # % # % # %
27 28 29 30 31 32 33 34 35 36
0 0.0 0 0.0 1 0.3 0 0.0 1 3.4
0 0.0 0 0.0 0 0.0 2 0.7 2 7.1
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
2 0.2 3 0.4 0 0.0 0 0.0 5 6.3
0 0.0 2 0.3 7 1.0 2 0.3 11 17.5
5 0.8 3 0.5 3 0.5 4 0.6 15 25.9

7 0.2 8 0.2 11 0.3 8 0.2 34 9.6

Kepala Puskesmas Tekarang

DEWI RAHAYU, A.Md.Keb


NIP. 19680918 198903 2 009

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