REKAPITULASI ANC (ANTENATAL CARE)

KESEHATAN IBU KABUPATEN LEBAK TAHUN 2019

PUSKESMAS : BAYAH
BULAN : JUNI
FORM 1 : ANC
Bumil Bumil Mempunyai Buku KIA K1 K4 DETEKSI RISIKO
Jumlah Resti Rill
NO. DESA Penduduk Bumil Bayi Bulan ini Kumulatif Bulan ini Kumulatif Bulan ini Kumulatif NAKES MASY
Abs % Kum % Abs % Kum % Abs % Kum % ABS % KUM % ABS % KUM %

Bayah Barat 7822 161 147 32 100 8 5.0 100 62.1 8 5.0 100 62.1 9 5.6 98 60.9 3 9.4 26 81.3 0 0.0 0 0.0
1

Bayah Timur 5987 124 112 24 63 8 6.5 63 50.8 8 6.5 63 50.8 11 8.9 69 55.6 3 12.5 15 62.5 0 0.0 0 0.0
2

Cidikit 3874 80 73 17 40 11 13.8 40 50.0 11 13.8 40 50.0 5 6.3 28 35.0 1 5.9 6 35.3 0 0.0 0 0.0
3

Cimancak 3739 77 70 16 54 8 10.4 54 70.1 8 10.4 54 70.1 8 10.4 38 49.4 3 18.8 17 106.3 0 0.0 0 0.0
4

Cisuren 3254 67 61 14 34 11 16.4 34 50.7 11 16.4 34 50.7 5 7.5 32 47.8 0 0.0 6 42.9 0 0.0 0 0.0
5

Darmasari 2823 58 53 12 43 2 3.4 43 74.1 2 3.4 43 74.1 8 13.8 44 75.9 0 0.0 5 41.7 0 0.0 0 0.0
6

Pamubulan 3804 79 71 16 47 7 8.9 47 59.5 7 8.9 47 59.5 8 10.1 47 59.5 1 6.3 8 50.0 0 0.0 0 0.0
7

Pasir Gombong 2437 50 46 10 38 3 6.0 38 76.0 3 6.0 38 76.0 4 8.0 44 88.0 0 0.0 6 60.0 0 0.0 0 0.0
8

Sawarna 5099 105 96 20 57 10 9.5 57 54.3 10 9.5 28 26.7 0 0.0 27 25.7 1 5.0 15 75.0 0 0.0 0 0.0
9

Sawarna Timur 1915 40 36 9 19 3 7.5 19 47.5 3 7.5 19 47.5 4 10.0 22 55.0 1 11.1 7 77.8 0 0.0 0 0.0
10

Suwakan 3336 69 63 14 30 3 4.3 33 47.8 3 4.3 33 47.8 4 5.8 33 47.8 0 0.0 2 14.3 0 0.0 0 0.0
11
 PUSKESMAS 44090 910 828 184 525 74 8.1 528 58.0 74 8.1 499 54.8 66 7.3 482 53.0 13 7.1 113 61.4 0 0.0 0 0.0

Kepala Puskesmas Ranap Bayah Pengelola KIA

SYARIF, S.PdI, MM DUFI ROMA DINI

NIP. 197107141992031003 NIP. 198606052017042003
 RUJUKAN KASUS RISTI
MATERNAL NEONATAL
ABS % KUM % ABS % KUM % k1 1 2

5 15.6 29 90.63 0 0 0 0.0 19 23 12

1 4.2 12 50.0 0 0.0 0 0.0 8 14 17

0 0.0 4 23.5 0 0.0 0 0.0 7 8 5

0 0.0 1 6.3 0 0.0 0 0.0 12 14 12

0 0.0 2 14.3 0 0.0 0 0.0 7 4 5

3 25.0 6 50.0 0 0.0 0 0.0 9 8 10

0 0.0 6 37.5 0 0.0 0 0.0 6 13 4

0 0.0 1 10.0 0 0.0 0 0.0 5 10 5

0 0.0 4 20.0 0 0.0 0 0.0 7 10 5

1 11.1 4 44.4 0 0.0 0 0.0 4 6 2

0 0.0 4 28.6 0 0.0 0 0.0 4 8 8

 10 5.4 73 39.7 0 0.0 0 0.0 88 118 85

k4 1 2
gelola KIA 16 17 19
7 14 15
0 8 6
8 8 3
5 7 5
ROMA DINI 5 7 8
06052017042003 4 6 6
3 10 9
9 4 4
3 5 2
5 9 7

65 95 84
 REKAPITULASI PERSALINAN DAN NIFAS

KESEHATAN IBU KABUPATEN LEBAK TAHUN 2019

PUSKESMAS : BAYAH

BULAN : JUNI

FORM 2 : PERSALINAN DAN NIFAS

Persalinan Ditolong Nakes (PN)

Persalinan Ditolong Non Komplikasi Maternal
Nakes Ditangani (PK)
PN PN DI FASYANKES PN DI NON FASYANKES
BULIN
NO. DESA BUMIL BULIN
RESTI
BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF

Abs % Kum % Abs % Kum % Abs % Kum % Abs % Kum % Abs % Kum

1 Bayah Barat 161 147 32 14 9.5 94 63.9 14 9.5 91 61.9 0 0.0 3 2.0 0 0.0 4 2.7 5 15.6 32

2 Bayah Timur 124 112 24 9 8.0 48 42.9 9 8.0 48 42.9 0 0.0 0 0.0 3 2.7 5 4.5 1 4.2 5

3 Cidikit 80 73 17 5 6.8 38 52.1 4 5.5 37 50.7 1 1.4 1 1.4 0 0.0 1 1.4 0 0.0 3

4 Cimancak 77 70 16 6 8.6 22 31.4 5 7.1 21 30.0 1 1.4 1 1.4 1 1.4 2 2.9 0 0.0 1

5 Cisuren 67 61 14 2 3.3 26 42.6 2 3.3 26 42.6 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2

6 Darmasari 58 53 12 11 20.8 34 64.2 11 20.8 34 64.2 0 0.0 0 0.0 0 0.0 0 0.0 3 25.0 7

7 Pamubulan 79 71 16 8 11.3 52 73.2 8 11.3 52 73.2 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9

8 Pasir Gombong 50 46 10 3 6.5 23 50.0 3 6.5 23 50.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 8

9 Sawarna 105 96 20 5 5.2 27 28.1 5 5.2 27 28.1 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 3
10 Sawarna Timur 40 36 9 4 11.1 19 52.8 4 11.1 18 50.0 0 0.0 1 2.8 0 0.0 2 5.6 1 11.1 3

11 Suwakan 69 63 14 5 7.9 27 42.9 4 6.3 25 39.7 1 1.6 2 3.2 0 0.0 6 9.5 0 0.0 7

PUSKESMAS 910 828 184 72 8.7 410 49.5 69 8.3 402 48.6 3 0.4 8 1.0 4 0.5 20 2.4 10 5.4 80

Kepala Puskesmas Ranap Bayah

SYARIF,S.PdI,MM
NIP. 197107141992031003
 Kunjungan Nifas (KF)
ternal
VIT A NIFAS
PK)
KF1 KF2 KF3 KF LENGKAP

MULATIF BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF BLN INI KUMULATIF
PN

% Abs % Kum % Abs % Kum % Abs % Kum % Abs % Kum % Abs % Kum %
1 2

100.0 14 9.5 98 66.7 14 9.5 98 66.7 14 9.5 98 66.7 14 9.5 98 66.7 14 9.5 98 66.7 8

20.8 9 8.0 52 46.4 9 8.0 52 46.4 9 8.0 52 46.4 9 8.0 52 46.4 9 8.0 52 46.4 9

17.6 5 6.8 37 50.7 5 6.8 37 50.7 5 6.8 37 50.7 5 6.8 37 50.7 5 6.8 37 50.7 9

6.3 7 10.0 24 34.3 7 10.0 24 34.3 7 10.0 24 34.3 7 10.0 24 34.3 7 10.0 24 34.3 2

14.3 2 3.3 26 42.6 2 3.3 26 42.6 2 3.3 26 42.6 2 3.3 26 42.6 2 3.3 26 42.6 1

58.3 11 20.8 34 64.2 11 20.8 34 64.2 11 20.8 34 64.2 11 20.8 34 64.2 11 20.8 34 64.2 3

56.3 8 11.3 52 73.2 8 11.3 52 73.2 8 11.3 52 73.2 8 11.3 52 73.2 8 11.3 52 73.2 9

80.0 3 6.5 23 50.0 3 6.5 23 50.0 3 6.5 23 50.0 3 6.5 23 50.0 3 6.5 23 50.0 1

15.0 5 5.2 27 28.1 5 5.2 27 28.1 5 5.2 27 28.1 5 5.2 27 28.1 5 5.2 27 28.1 3
33.3 4 11.1 21 58.3 4 11.1 21 58.3 4 11.1 21 58.3 4 11.1 21 58.3 4 11.1 21 58.3 3

50.0 5 7.9 33 52.4 5 7.9 33 52.4 5 7.9 33 52.4 5 7.9 33 52.4 5 7.9 33 52.4 4

43.5 73 8.8 427 51.6 73 8.8 427 51.6 73 8.8 427 51.6 73 8.8 427 51.6 73 8.8 427 51.6 52

Pengelola KIA PN FASKES

1 2
5
9
9
DUFI ROMA DINI 2
NIP. 198606052017042003 1
3
9
1
3
3
4

49

KF
1
8
10
9
2
1
3
9
1
3
3
5

54
 PWS KESEHATAN IBU (NEONATAL 0-28 HARI)
PUSKESMAS : BAYAH
BULAN : JUNI
TAHUN : 2019
KELAHIRAN KN 1 KN 2 KN3
Persalinan PER
HIDUP AWA ABS % KUM % ABS % KUM % ABS % KUM %

NO DESA P JUM TAN

Non LAH BBL
L P JML PN 0-6 L P L P L P L P L P L P L P L P L P L P L P L
Nake
s JAM

1 Bayah Barat 69 78 147 14 0 14 14 7 7 10.1 9.0 63 49 91.3 62.8 7 7 10.1 9.0 63 49 91.3 62.8 7 7 10.1 9.0 63 49 91.3

2 Bayah Timur 53 59 112 9 3 12 12 6 6 11.3 10.2 40 25 75.5 42.4 6 6 11.3 10.2 40 25 75.5 42.4 6 6 11.3 10.2 40 25 75.5

3 Cidikit 34 39 73 5 0 5 5 3 2 8.8 5.1 24 11 70.6 28.2 3 2 8.8 5.1 24 11 70.6 28.2 3 2 8.8 5.1 24 11 70.6

4 Cimancak 33 37 70 6 1 7 7 5 2 15.2 5.4 17 7 51.5 18.9 5 2 15.2 5.4 17 7 51.5 18.9 5 2 15.2 5.4 17 7 51.5

5 Cisuren 29 32 61 2 0 2 2 0 2 0.0 6.3 16 10 55.2 31.3 0 2 0.0 6.3 16 10 55.2 31.3 0 2 0.0 6.3 16 10 55.2

6 Darmasari 25 28 53 11 0 11 11 5 6 20.0 21.4 17 18 68.0 64.3 4 6 16.0 21.4 16 18 64.0 64.3 4 6 16.0 21.4 16 18 64.0

7 Pamubulan 33 38 71 8 0 8 8 5 3 15.2 7.9 32 17 97.0 44.7 5 3 15.2 7.9 32 17 97.0 44.7 5 3 15.2 7.9 32 17 97.0

8 Pasir Gombong 24 22 46 3 0 3 3 3 0 12.5 0.0 15 8 62.5 36.4 3 0 12.5 0.0 15 8 62.5 36.4 3 0 12.5 0.0 15 8 62.5

9 Sawarna 50 46 96 5 0 5 5 3 2 6.0 4.3 23 8 46.0 17.4 3 2 6.0 4.3 23 8 46.0 17.4 3 2 6.0 4.3 23 8 46.0

10 Sawarna Timur 20 16 36 4 1 5 5 4 1 20.0 6.3 13 9 65.0 56.3 4 1 20.0 6.3 13 9 65.0 56.3 4 1 20.0 6.3 13 9 65.0

11 Suwakan 30 33 63 5 0 5 5 2 3 6.7 9.1 16 18 53.3 54.5 2 3 6.7 9.1 16 18 53.3 54.5 2 3 6.7 9.1 16 18 53.3
 PUSKESMAS 400 428 828 72 5 77 77 43 34 10.8 7.9 276 180 69.0 42.1 42 34 10.5 7.9 275 180 68.8 42.1 42 34 10.5 7.9 275 180 68.8

Kepala Puskesmas Ranap Bayah

SYARIF, S.PdI, MM
NIP. 197107141992031003

Keterangan :
1. Kolom Kelahiran Hidup di isi lahir hidup Sasaran Estimasi Puskesmas 2019
2. Pelayanan yang diberikan BBL 0 - 6 jam :
 - menjaga bayi tetap hangat
- IMD
- Pemberian Vit K 1
- Pemberian Salep Mata Antibiotik
- Pemberian Immunisasi HB 0
- Pemeriksaan Fisik BBL
- Pemantauan Tanda Bahaya
- Penanganan Asfiksia BBL
- Pemberian Tanda Identitas
- Merujuk kasus apabila tidak bisa ditangani
3. Kolom Pelayanan Neonatal Essensial = Neonatal yang mendapatkan pelayanan BBL, KN1, KN2, KN3 (PMK no 25 tahun 2016)
 KN LENGKAP PELAYANAN
NEO
% ABS % KUM % ESSENSIAL

P L P L P L P L P L P

62.8 7 7 10.1 9.0 63 49 91.3 62.8 7 7

42.4 6 6 11.3 10.2 40 25 75.5 42.4 6 6

28.2 3 2 8.8 5.1 24 11 70.6 28.2 3 2

18.9 5 2 15.2 5.4 17 7 51.5 18.9 5 2

31.3 0 2 0.0 6.3 16 10 55.2 31.3 0 2

64.3 4 6 16.0 21.4 16 18 64.0 64.3 5 6

44.7 5 3 15.2 7.9 32 17 97.0 44.7 5 3

36.4 3 0 12.5 0.0 15 8 62.5 36.4 3 0

17.4 3 2 6.0 4.3 23 8 46.0 17.4 3 2

56.3 4 1 20.0 6.3 13 9 65.0 56.3 4 1

54.5 2 3 6.7 9.1 16 18 53.3 54.5 2 3

42.1 42 34 10.5 7.9 275 180 68.8 42.1 43 34

Pengelola KIA

DUFI ROMA DINI

NIP. 198606052017042003