MATRIK BOK 2020 Fix

MATRIK PLAN OF ACTION DANA BANTUAN OPERASIONAL KESEHATAN (BOK)
PUSKESMAS : KEDAWUNG WETAN

KABUPATEN : PASURUAN
TAHUN : 2017
JUMLAH BIAYA BULAN
NO KEGIATAN BELANJA VOLUME BIAYA SATUAN
(Rp). Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
I PROGRAM KESEHATAN KELUARGA
1 Pemantauan Kesehatan Ibu,Bayi dan Balita Perjalanan Dinas 2 org x 28 pos x 12 kl x 15,000 10,080,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 840,000 x
2 Sweeping Imunisasi / Dofu Perjalanan Dinas 2 org x 30 kl x 15,000 900,000 150,000 150,000 150,000 150,000 150,000 150,000 x
3 DDTK dan Pemberian Vit A ke PAUD/TK Perjalanan Dinas 2 org x 19 kl x 15,000 570,000 570,000 - x
4 Pemantauan Neonatal Resti Perjalanan Dinas 1 org x 72 keg x 15,000 1,080,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 x
5 Deteksi dini Bumil Resti Perjalanan Dinas 1 org x 72 keg x 15,000 1,080,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000
6 Pemantauan Ibu Nifas Resti Perjalanan Dinas 1 org x 72 keg x 15,000 1,080,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 90,000 x
7 Pendampingan P4K Desa Makmin 22 org x 6 ds 35,000 4,620,000 770,000 770,000 770,000 770,000 770,000 770,000 x
Perjalanan Dinas 4 org x 6 ds 15,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000 x
4,980,000 830,000 830,000 830,000 830,000 830,000 830,000
8 Pelaksanaan Kelas Ibu Hamil snack 12 org x 6 ds x 3 kls x 3pertmnx 10,000 6,480,000 2,160,000 2,160,000 2,160,000 x
Perjalanan Dinas 2 org x 6 ds x 3 kls x 3pertmnx 15,000 1,620,000 540,000 540,000 540,000 x
8,100,000 2,700,000 2,700,000 2,700,000
9 AMP Tingkat Puskesmas Makmin 35 org x 2 kl x 35,000 2,450,000 1,225,000 1,225,000 x

Transport Peserta 30 org x 2 kl 20,000 1,200,000 600,000 600,000 x
3,650,000 1,825,000 1,825,000
10 Pembinaan DDTK pada Guru PAUD / RA / TK Makmin 25 org x 1 kl x 35,000 875,000 875,000 x
Transport Peserta 19 org x 1 kl 20,000 380,000 380,000 x
1,255,000 1,255,000
11 Supervisi fasilitatif supportif Polindes Perjalanan Dinas 6 org x 5 polds x 2 kl x 15,000 900,000 270,000 180,000 270,000 180,000 x
Fotocopy 500 lbr x 200 100,000 100,000 - - - x
1,000,000 370,000 180,000 270,000 180,000
12 Sweeping K4 Perjalanan Dinas 1 org x 24 keg x 15,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
13 Pola Pendampingan Bumil resti pada kader makmin 35 org x 2 ds x 35,000 2,450,000 1,225,000 1,225,000
Transport Peserta 28 org x 2 ds x 20,000 1,120,000 560,000 560,000
3,570,000 1,785,000 1,785,000
14 Refreshing kader posyandu makmin 25 org x 6 ds x 35,000 5,250,000 875,000 875,000 875,000 875,000 875,000 875,000
Transport Peserta 20 org x 6 ds x 20,000 2,400,000 400,000 400,000 400,000 400,000 400,000 400,000
7,650,000 1,275,000 1,275,000 1,275,000 1,275,000 1,275,000 1,275,000
15 Sosialisasi Deteksi kanker mamae dan kanker servik Makmin 35 org x 2 kl x 35,000 2,450,000 1,225,000 1,225,000
transport peserta 28 org x 2 kl x 20,000 1,120,000 560,000 560,000
3,570,000 1,785,000 1,785,000
16 Promosi KB dan Kespro Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

transport peserta 28 org x 1 kl x 20,000 560,000 560,000
Fotocopy 100 lbr x 200 20,000 20,000
1,805,000 1,805,000
50,730,000 1,260,000 3,845,000 2,905,000 7,960,000 5,700,000 1,170,000 9,105,000 2,445,000 7,245,000 1,350,000 6,575,000 1,170,000 8,010,000
PROGRAM GIZI
1 Penggerakan Keluarga Sadar Gizi (Kadarzi) makmin 15 org x 2 kl x 35,000 1,050,000 525,000 525,000 x
Transport peserta 12 org x 2 kl x 20,000 480,000 240,000 240,000
Fotocopy 100 lbr x 200 20,000 10,000 10,000
1,550,000 775,000 775,000
2 Survey kadarzi oleh kader Perjalanan Dinas 1 org x 6 ds x 12 x 30,000 2,160,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 x
x
3 Penyuluhan ASI Ekslusif dan IMD Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
Transport Peserta 30 org x 1 kl x 20,000 600,000 600,000 x
Fotocopy 100 lbr x 200 20,000 20,000

1,845,000 1,845,000
-
4 Pembinaan Mitra Gizi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
Fotocopy 100 lbr x 200 20,000 20,000 x
1,805,000 1,805,000
5 Pembinaan Ibu Balita Gizi Kurang Tentang Makanan Padat Gizi Makmin 32 org x 1 kl x 35,000 1,120,000 1,120,000 x
Fotocopy 100 lbr x 200 20,000 20,000 x
1,740,000 1,740,000
6 Pembinaan Bumil KEK Makmin 32 org x 2 kl x 35,000 2,240,000 1,120,000 1,120,000

Transport Peserta 28 org x 2 kl x 20,000 1,120,000 560,000 560,000 x
Fotocopy 100 lbr x 200 20,000 10,000 10,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
3,380,000 1,690,000 1,690,000
7 Penyuluhan dan Pemberian tablet FE Snack 100 org x 3 kl x 10,000 3,000,000 1,000,000 1,000,000 1,000,000 x
Perjalanan Dinas 2 org x 3 kl x 15,000 90,000 30,000 30,000 30,000

3,090,000 1,030,000 1,030,000 1,030,000
8 Penyuluhan jajanan sehat pada anak sekolah dan pengelolaan sampah Snack 100 org x 1 kl x 10,000 1,000,000 1,000,000
Perjalanan Dinas 2 org x 1 kl x 15,000 30,000 30,000

1,030,000 1,030,000
8 Distribusi Obat cacing SD/MI Perjalanan Dinas 1 org x 14 SD/MI x 2 kl 15,000 420,000 210,000 210,000
9 Kunjungan rumah Balita KEP dan Bumil KEK Perjalanan Dinas 1 org x 34 kl x 15,000 510,000 30,000 45,000 45,000 45,000 45,000 30,000 45,000 45,000 45,000 45,000 45,000 45,000
10 Pembentukan KP ASI di desa Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x
Perjalanan Dinas 4 org x 1 kl x 15,000 60,000 60,000 - x
Fotocopy 100 lbr x 1 kl x 200 20,000 20,000

1,130,000 1,130,000
11 Monev KP ASI Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

Fotocopy 100 lbr x 200 20,000 20,000
1,130,000 1,130,000
12 Sosialisasi kelorisasi dan katukisasi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Fotocopy 100 lbr x 200 20,000 20,000
bahan praktek 1 pkt x 2 100,000 200,000 200,000
2,005,000 2,005,000
13 Surveilans dan pelacakan Gizi buruk Perjalanan Dinas 2 org x 24 kl x 15,000 720,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
14 Kelas Ibu Pintar di posyandu Bahan Praktek 28 pos x 200,000 5,600,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000
Perjalanan Dinas 1 org x 28 pos x 15,000 420,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
6,020,000 860,000 860,000 860,000 860,000 860,000 860,000 860,000
-
28,535,000 270,000 2,445,000 4,090,000 2,885,000 4,995,000 1,300,000 3,980,000 1,355,000 1,145,000 3,610,000 2,175,000 285,000 6,805,000
UKS /UPAYA KESEHATAN LAIN
1 Pemeriksaan Gigi Siswa PAUD/RA/TK dan Demo Sikat Gigi Perjalanan Dinas 2 org x 19 inst x 15,000 570,000 570,000 x
Bahan Praktek 1350 bh x 5,000 6,750,000 6,750,000

7,320,000 7,320,000
2 Pemeriksaan Kesehatan Berkala dan Pemeriksaan Gigi Siswa SD/MI Perjalanan Dinas 2 org x 14 inst x 2 kl x 15,000 840,000 420,000 420,000 x
3 Penjaringan Kesehatan Siswa Kelas I SD/MI Perjalanan Dinas 3 org x 14 inst x 2 kl x 15,000 1,260,000 1,260,000 x
4 Penjaringan Kesehatan Siswa SMP/SMA Perjalanan Dinas 6 org x 8 kl x 15,000 720,000 720,000 x
5 Pembinaan Lingkungan dan Kantin Sekolah Perjalanan Dinas 2 org x 14 kl x 15,000 420,000 420,000
6 Promosi Cuci Tangan Anak Sekolah Perjalanan Dinas 1 org x 14 kl x 15,000 210,000 210,000
7 Pembinaan Kader Kesehatan Tiwisada/ Dokter kecil Makmin 59 org x 2 kl x 35,000 4,130,000 4,130,000 x
Transport Peserta 49 org x 2 kl x 20,000 1,960,000 1,960,000 x
Fotocopy Materi 450 lbr x 2 kl x 200 180,000 180,000

6,270,000 6,270,000
8 Pemeriksaan Kontak Intensif Kusta di Sekolah (SD/MI) Perjalanan Dinas 2 org x 14 kl x 15,000 420,000 420,000 x
9 Pemeriksaan Kontak Intensif Kusta di Sekolah SMP/SMA/SMK ) Perjalanan Dinas 2 org x 8 kl x 15,000 240,000 240000 x
10 Penyuluhan Kesehatan reproduksi Remaja di SD/MI Perjalanan Dinas 1 org x 14 kl x 15,000 210,000 210,000 x
11 Pembinaan kader kesehatan Remaja Makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000 x

4,096,000 4,096,000
12 Penyuluhan Kesehatan pada santri di Ponpes makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000
( santri husada ) Perjalanan Dinas 5 org x 2 kl x 15,000 150,000 150,000
2,950,000 2,950,000
13 Pembinaan duta kesehatan remaja makmin 20 org x 4 kl x 35,000 2,800,000 2,800,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Transport peserta 14 org x 4 kl x 20,000 1,120,000 1,120,000
3,920,000 3,920,000
14 Sosialisasi Pembentukan Pos Bindu PTM Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
Transport Peserta 30 org x 1 kl x 20,000 600,000 600,000
1,825,000 1,825,000
15 Pelayanan Kesehatan PTM di pos Bindu Perjalanan Dinas 1 org x 24 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 x
16 Kunjungan Rumah Keluarga Rawan Penyakit Perjalanan Dinas 1 org x 24 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000
17 Pembinaan Kesehatan Olahraga Perjalanan Dinas 1 org x 36 kl x 15,000 540,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000
18 Pemeriksaan kebugaran siswa sekolah SD/MI/SMP/SMA Perjalanan Dinas 1 org x 20 kl x 15,000 300,000 300,000
19 Pertemuan Guru UKS SD/MI/SMP/SMA makmin 25 org x 1 kl x 35,000 875,000 875,000

Transport peserta 18 org x 1 kl x 20,000 360,000 360,000
1,235,000 1,235,000
20 Pendataan Kasus Jiwa Perjalanan Dinas 2 org x 12 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000
21 Pemantauan dan Pengawasan Minum Obat Pasien dgn Gangguan Perjalanan Dinas 2 org x 12 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000
Jiwa
22 Pertemuan Kelompok Jiwa / Penyuluhan KESWA Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000 x
2,550,000 2,550,000
23 Kunjungan Rumah Pasien Kusta Perjalanan Dinas 1 org x 40 kl x 15,000 600,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
24 Pemantauan Pasien Diare Perjalanan Dinas 1 org x 24 keg x 15,000 360,000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30,000
25 Penyuluhan Diare Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x

1,785,000 1,785,000
26 Survei Epidemiologi KLB Banjir Perjalanan Dinas 2 org x 8 kl x 15,000 240,000 120,000 120,000
27 Penyelidikan Epidemiologi /PE penyakit Perjalanan Dinas 2 org x 24 kl x 15,000 720,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
28 Pemantauan dan Penanganan Korban KLB Perjalanan Dinas 3 org x 5 pos x 4 kjd x 15,000 900,000 450,000 450,000
( Pengendalian Faktor resiko dan Dampak bencana )
29 Pembinaan BATRA Perjalanan Dinas 1 org x 20 kl x 15,000 300,000 60,000 60,000 60,000 60,000 60,000
30 Posyandu lansia Perjalanan Dinas 2 org x 11 pos x 12 x 15,000 3,960,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000
31 Pembinaan Kader Lansia Makmin 25 org x 3 kl x 35,000 2,625,000 2,625,000

Transport Peserta 20 org x 3 kl x 20,000 1,200,000 1,200,000
3,825,000 3,825,000
32 Refreshing kader lansia Makmin 34 org x 1 kl x 35,000 1,190,000 1,190,000

1,790,000 1,790,000
33 Pengambilan Vaksin ke Dinas Perjalanan Dinas 1 org x 20 kl x 70,000 1,400,000 70,000 70,000 70,000 70,000 70,000 70,000 70,000 210,000 210,000 210,000 210,000 70,000
34 Kegiatan BIAS SD/MI (Imunisasi TD dan Campak)

* Pendataan Sasaran Perjalanan Dinas 1 org x 14 kl x 15,000 210,000 210,000
* Pelaksanaan Imunisasi TD Perjalanan Dinas 2 org x 14 kl x 15,000 420,000 420,000
* Pelaksanaan Imunisasi DT Perjalanan Dinas 2 org x 14 kl x 15,000 420,000 420,000
1,050,000 1,050,000
35 Surveilans KIPI Perjalanan Dinas 2 org x 10 kl x 15,000 300,000 300,000
36 Pendataan Bayi ,WUS, Bumil baru Perjalanan Dinas 1 org x 18 kl x 15,000 270,000 270,000
37 Sosialisasi Kampanye Campak Makmin 35 org x 2 kl x 35,000 2,450,000 2,450,000 x

3,770,000 3,770,000
38 Validasi data sasaran MR ( PAUD/TK/SMP/Ponpes/ Posyandu ) Perjalanan Dinas 1 org x 50 kl x 15,000 750,000 750,000
39 Pelaksanaan kampanye Campak

* Petugas Perjalanan Dinas 3 org x 28 pos x 15,000 1,260,000 2,100,000 1,260,000
Perjalanan Dinas 4 org x 14 SD/MI x 15,000 840,000 840,000
Perjalanan Dinas 2 org x 20 TK x 15,000 600,000 600,000
Perjalanan Dinas 4 org x 2 Ponpes x 15,000 120,000 120,000 x
Perjalanan Dinas 8 org x 1 SMP x 15,000 120,000 120,000
-
* Kader Perjalanan Dinas 1 org x 28 pos x 30,000 840,000 840,000
3,780,000 3,780,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
40 Sweeping MR/ Campak Perjalanan Dinas 2 org x 20 kl x 15,000 600,000 600,000
41 Penggerakan CTPS Pada anak sekolah ATK 1 pkt x 1 kl x 200,000 200,000 200,000
Spanduk 1 bh x 1 kl x 125,000 125,000 125,000
Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000
Fotokopi 100 lbr x 2 kl x 200 40,000 40,000
2,590,000 2,590,000
TOTAL 65,756,000 3,325,000 3,170,000 10,030,000 2,985,000 6,215,000 3,030,000 12,690,000 11,105,000 5,791,000 4,155,000 4,705,000 655,000 16,525,000
PROGRAM PENCEGAHAN DAN PENGENDALIAN PENYAKIT

MENULAR
1 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS Perjalanan Dinas 2 org x 12 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 1350000
2 Pengambilan Obat ARV Perjalanan Dinas 1 org x 20 kl x 15,000 300,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000
3 Pemantauan ODHA dalam Kepatuhan Minum Obat Perjalanan Dinas 2 org x 12 kl x 15,000 360,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000 30,000
4 Penyuluhan KESPRO, HIV-AIDS, Rokok dan Narkoba ( Di sekolah ) Makmin 34 org x 5 kl x 35,000 5,950,000 1,190,000 1,190,000 1,190,000 1,190,000 1,190,000
Perjalanan Dinas 4 org x 5 kl x 15,000 300,000 60,000 60,000 60,000 60,000 60,000
6,250,000 1,250,000 1,250,000 1,250,000 1,250,000 1,250,000
5 Kontak Tracing Pasien TB Perjalanan Dinas 1 org x 60 keg x 15,000 900,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000
6 Konseling dan Pencegahan Transmisi Penularan Penyakit TB dari Perjalanan Dinas 1 org x 36 keg x 15,000 540,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000 45,000
Penderita ke Orang Lain
7 Pemantauan Kepatuhan Minum Obat TB dan TB Mangkir Perjalanan Dinas 1 org x 14 keg x 15,000 210,000 60,000 60,000 60,000 30,000
8 Penemuan, pelacakan dan Tata Laksana Kasus TB, Malaria dan DBD Perjalanan Dinas 2 org x 40 kl x 15,000 1,200,000 120,000 120,000 120,000 120,000 120,000 60,000 120,000 120,000 120,000 60,000 60,000 60,000
9 Penyuluhan TB dan cara Pencegahannya Makmin 34 org x 2 kl x 35,000 2,380,000 1,190,000 1,190,000
Transport Peserta 30 org x 2 kl x 20,000 1,200,000 600,000 600,000
Fotocopy 80 lbr x 2 kl x 200 32,000 16,000 16,000
3,612,000 1,806,000 1,806,000
9 Pengambilan dan Pengiriman Spesimen TB , Malaria, HIV Perjalanan Dinas 1 org x 60 keg x 15,000 900,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000
10 Penyuluhan Penyakit DBD ,Malaria dan penggerakan PSN Makmin 22 org x 4 kl x 35,000 3,080,000 770,000 770,000 770,000 770,000 x
Perjalanan Dinas 2 org x 4 kl x 15,000 120,000 30,000 30,000 30,000 30,000
3,200,000 800,000 800,000 800,000 800,000
fotocopy 500 lbr x 200 100,000 25,000 25,000 25,000 25,000
11 Pemeriksaan Jentik Berkala Perjalanan Dinas 19 org x 4 kl x 30,000 2,280,000 570,000 570,000 570,000 570,000
12 Pembinaan Kader Jumantik / kader Gedar makmin 25 org x 2 kl x 35,000 1,750,000 875,000 875,000 x
Transport Peserta 19 org x 2 kl x 20,000 760,000 380,000 380,000 x
2,510,000 1,255,000 1,255,000
13 Pembinaan Kader Jumantik anak sekolah (SD/MI ) makmin 45 org x 1 kl x 35,000 1,575,000 1,575,000
fotocopy 100 lbr x 200 20,000 20,000
2,435,000 2,435,000
14 Bimtek Pemulasaran jenasah makmin 25 org x 1 kl x 35,000 875,000 875,000

Bahan praktek 20 pkt 200,000 4,000,000 4,000,000
5,275,000 5,275,000
#VALUE!
Total 30,432,000 405,000 3,050,000 465,000 6,930,000 4,235,000 1,660,000 1,655,000 3,606,000 2,970,000 345,000 4,766,000 345,000 3,920,000
\
PROMKES
1 Pelatihan KS tk Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000
Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 10 org x 2 kl x 35,000 700,000 700,000 x
Fotokopi 100 lbr x 2 kl x 200 40,000 40,000 x
740,000 740,000
2 Pertemuan koordinasi KS tingkat Desa ATK 1 pkt x 1 kl x 200,000 200,000 x

Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 20 org x 1 kl x 35,000 700,000 700,000
Perjalanan dinas 5 org x 1 kl x 15,000 75,000 75,000
815,000 815,000
3 Survey KS Perjalanan Dinas 5 org x 18 hr x 15,000 1,350,000 675,000 675,000 x

Perjalanan Dinas 5 org x 18 hr x 30,000 2,700,000 1,350,000 1,350,000
( kader ) 4,050,000 2,025,000 2,025,000 x
4 Penyuluhan Kesehatan bagi institusi ( Penylhan Penyakit tdk menular ) ATK 1 pkt x 1 kl x 200,000 200,000
Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 35 org x 2 hr x 35,000 2,450,000 1,225,000 1,225,000
Fotokopi 200 lbr x 1 kl x 200 40,000 20,000 20,000
Transport peserta 30 org x 2 hr x 20,000 1,200,000 600,000 600,000
3,690,000 1,845,000 1,845,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Belanja Cetak x
* Blangko KS form 3.1 dan 3.2 11 rim x 150,000 1,650,000 x
* Blangko KS form 1,2.1,2.2 dan 2.3 8 rim x 150,000 1,200,000
* Prokesga folder 1000 lbr x 5,000 5,000,000
* Stiker KS 1000 lbr x 1,500 1,500,000
* Media intervensi KS/ Pinkesga 1 pkt x 8,000,000 8,000,000
17,350,000
Cetak media promkes 1 pkt x 1,500,000 1,500,000
Belanja Cetak
* Blangko K3 4 rim x 150,000 600,000
* Blangko DO K3 4 rim x 150,000 600,000
1,200,000
KESLING
1 Pembinaan kader Kesling ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 35 org x 1 hr x 35,000 1,225,000 1,225,000

Transport peserta 30 org x 1 hr x 20,000 600,000 600,000
non PNS 1,845,000 1,845,000
-
2 Bimtek Penjamah makan pada TPM ATK 1 pkt x 1 kl x 80,000 80,000
Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 hr x 35,000 875,000 875,000

non PNS 1,295,000 1,295,000
3 On the Job training ATK 1 pkt x 1 kl x 100,000 100,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 2 hr x 35,000 1,750,000 1,750,000

non PNS -
bahan Demo lengkap 2 pkt x 1,500,000 3,000,000 3,000,000
5,570,000 5,570,000
DESA SIAGA
1 Refreshing Bagas Desi GB tk Puskesmas ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 15 org x 1 hr x 35,000 525,000 525,000

non PNS 785,000 785,000
2 Pertemuan koordinasi Desi GB tk Desa ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 kl x 35,000 875,000 875,000

Perjlnan dinas 5 org x 1 kl x 15,000 75,000 75,000
970,000 970,000
3 Intervensi Desa Siaga Makmin 25 org x 1 kl x 35,000 875,000 875,000

970,000 970,000
4 Survey K3 transport kader 20 org x 1 kl x 30,000 600,000 600,000
5 Musyawarah masyarakat Desa ( MMD ) ATK 1 pkt x 1 kl x 200,000 200,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 kl x 35,000 875,000 875,000

Pjlnan dinas 5 org x 1 kl x 15,000 75,000 75,000
990,000 990,000
6 Pertemuan Paguyuban kader tk Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Transport peserta non 30 org x 1 kl x 20,000 600,000 600,000
PNS 1,845,000 1,845,000
7 Pertemuan koordinasi TP tingkat Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

non PNS 1,550,000 1,550,000
8 Pembinaan Pemberdayaan ( verifikasi dan monev STBM ) Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000
1,110,000 1,110,000
Total 26,825,000 - - 1,755,000 3,735,000 3,830,000 2,445,000 10,260,000 - 1,845,000 1,845,000 1,110,000 - 1,755,000
II MANAJEMEN PUSKESMAS
1 Honor PPTK 1 org x 12 kl x 330,000 3,960,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000
2 Honor Pengelola Keuangan 1 org x 12 kl x 200,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
3 Lokakarya Mini Lintas Sektor Makmin 40 org x 4 kl x 35,000 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000 x
FC materi 500 lbr x 200 100,000 25,000 25,000 25,000 25,000
Transport peserta 24 org x 4 kl x 20,000 1,920,000 480,000 480,000 480,000 480,000 x
PNS 15 org x 4 kl x 15,000 900,000 225,000 225,000 225,000 225,000
8,520,000 2,130,000 2,130,000 2,130,000 2,130,000
4 Lokakarya Mini Bulanan Makmin 30 org x 11 kl x 35,000 11,550,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 x
5 Evaluasi Program Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x
6 Konsultasi, Verifikasi, dan Pengiriman Laporan Kegiatan BOK Perjalanan Dinas 1 org x 20 kl x 70,000 1,400,000 70,000 70,000 140,000 70,000 140,000 70,000 140,000 140,000 140,000 140,000 140,000 140,000 x
Pengelolaan Administrasi BOK

Pembelian ATK
# Kertas HVS 70 gr 10 rim x 40,000 400,000
# Portofile 100 bh x 5,000 500,000
# Binder clips no. 200 20 box x 15,000 300,000
# Paper clips n no.5 20 ktk x 4,000 80,000
# map kancing 25 bh x 4,000 100,000
# Cartride hitam 2 bh x 200,000 400,000
# Cartridge warna 2 bh x 250,000 500,000
# smart marker ( post it ) 4 bh x 8,000 32,000
2,542,000
7 ATK administrasi BOK 3,329,000 3,329,000

ATK Kegiatan 1,820,000 1,820,000
5,149,000
8 Belanja Cetak 19,850,000 14,000,000 5,850,000

*Blangko KS
*KMS posbindu
*KMS lansia
* Leaflet /poster
*Undangan Kampanye campak
* Blamgko skrinning
9 Belanja Penggandaan
* SPJ dan dok. LS 2,000,000 800,000 200,000 200,000 300,000 100,000 100,000 300,000
9 Belanja dokumen/ administrasi tender 1 kl x 500,000 500,000 500,000
10 Belanja Dekorasi
* Spanduk 8,150,000 8,150,000
*X banner 1,600,000 1,600,000
9,750,000
11 Fotocopy administrasi BOK 1,900,000 550,000 200,000 200,000 150,000 200,000 200,000 200,000 100,000 100,000
Total 68,029,000 2,200,000 2,450,000 7,879,000 19,270,000 4,050,000 1,800,000 7,970,000 12,200,000 2,020,000 2,020,000 4,050,000 2,120,000 12,529,000
270,307,000 7,460,000 14,960,000 27,124,000 43,765,000 29,025,000 11,405,000 45,660,000 30,711,000 21,016,000 13,325,000 23,381,000 4,575,000
49,544,000
49,544,000 84,195,000
Jan- Maret 52085000 januari februari maret
Honorarium PPTK 780,000 #VALUE! 52307000 260000 260000 260000 -
Honorarium Pengelola 600,000 #VALUE! 16352600 200000 200000 200000
ATK - 21150800 970000
Sembako 7,802,000 89810400 2536000 2536000 2730000
Dekorasi #REF! 2,500,000 1,100,000
BBM 21150800 1,255,000 #VALUE!
Cetak #VALUE! 4,100,000
Fotocopy 320,000 - 270,307,000 128,000 192,000
Makmin Rapat 18,515,000 270,307,000 1050000 9,625,000 7,840,000
Perjalaan Dinas Petugas Jampersal 16352600

Perjalaan Dinas Petugas bok 12940000 #VALUE! #VALUE! 1825000 5,540,000 5,575,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
29292600 ### #VALUE!
Transport Peserta Rapat pns 300000 300,000
Transport Peserta Rapat non pns 2880000 640,000 2,240,000

270,307,000
#REF! #VALUE!
270,307,000
#VALUE! 270,307,000 makmin -
16352600 #VALUE! praktek 200,000

207,307,000 cetak 19,850,000
270,307,000 banner 9,750,000
APRIL 63,000,000 atk 5,149,000
Honorarium PPTK 260,000 honor 3,960,000
Honorarium Pengelola 200,000 honor 2,400,000
ATK - penggandaan 2,000,000

Sembako - ls 500,000
Dekorasi - fc 3,068,000
BBM perjadin 58,930,000
Cetak - transport px 30,660,000
Fotocopy 44,000 pns 900,000
Makmin Rapat #VALUE! 137,367,000
Perjalaan Dinas Petugas Jampersal
Perjalaan Dinas Petugas bok #VALUE!
Transport Peserta Rapat pns - 270,307,000

Transport Peserta Rapat non pns #VALUE!
1,050,000
480,000
20,000
1,550,000
32,401,800,000
-
-
1,225,000
600,000
20,000
1,845,000
-
1,225,000
560,000
20,000
1,805,000
-
1,120,000
600,000
20,000
1,740,000
2,240,000
1,120,000
20,000
3,380,000
3,000,000
60,000
-
-
-
570,000
6,750,000
840,000
-
1,260,000
-
720,000
-
420,000
-
210,000
-
4,130,000
1,960,000
180,000
6,270,000
-
420,000
-
240,000
-
210,000
-
2,800,000
96,000
1,200,000
4,096,000
-
1,225,000
600,000
-
360,000
-
360,000
-
540,000
-
360,000
-
360,000
-
1,750,000
800,000
2,550,000
-
600,000
-
-
360,000
-
1,225,000
560,000
1,785,000
-
240,000
-
-
210,000
420,000
420,000
1,050,000
-
300,000
-
2,450,000
1,320,000
3,770,000
750,000
-
-
3,360,000
840,000
600,000
120,000
120,000
-
840,000
3,780,000
600,000
honor 3,960,000
honor 2,400,000
atk 3,329,000
1,820,000
dokumen 500,000
bhn praktek 19,550,000
dekorasi 8,150,000
1,600,000
cetak 19,850,000
penggandaan 2,000,000
fc 3,068,000
makmin 113,590,000
perjadin 58,930,000
transportpns 900,000
non pns 30,660,000
270,307,000

TAHUN : 2017
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Pemantauan Kesehatan Ibu,Bayi dan Balita Perjalanan Dinas 2 org x 28 pos x 12 kl x 17,000 11,424,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 952,000 x
2 Sweeping Imunisasi / Dofu Perjalanan Dinas 2 org x 24 kl x 17,000 816,000 136,000 136,000 136,000 136,000 136,000 136,000 x
3 DDTK dan Pemberian Vit A ke PAUD/TK Perjalanan Dinas 2 org x 19 kl x 2 kl 17,000 1,292,000 570,000 - x
4 Pemantauan Neonatal Resti Perjalanan Dinas 1 org x 144 keg x 17,000 2,448,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 x
5 Deteksi dini Bumil Resti Perjalanan Dinas 1 org x 144 keg x 17,000 2,448,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000
6 Pemantauan Ibu Nifas Resti Perjalanan Dinas 1 org x 144 keg x 17,000 2,448,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 204,000 x
7 Pendampingan P4K Desa Makmin 22 org x 6 ds 35,000 4,620,000 770,000 770,000 770,000 770,000 770,000 770,000 x
Perjalanan Dinas 4 org x 6 ds 17,000 408,000 68,000 68,000 68,000 68,000 68,000 68,000 x
5,028,000 838,000 838,000 838,000 838,000 838,000 838,000
8 Pelaksanaan Kelas Ibu Hamil snack 12 org x 6 ds x 3 kls x 3pertmnx 10,000 6,480,000 2,160,000 2,160,000 2,160,000 x
Perjalanan Dinas 2 org x 6 ds x 3 kls x 3pertmnx 17,000 1,836,000 612,000 612,000 612,000 x
8,316,000 2,772,000 2,772,000 2,772,000
9 AMP Tingkat Puskesmas Makmin 35 org x 2 kl x 35,000 2,450,000 1,225,000 1,225,000 x

Transport Peserta 30 org x 2 kl 20,000 1,200,000 600,000 600,000 x
3,650,000 1,825,000 1,825,000
10 Pembinaan DDTK pada Guru PAUD / RA / TK Makmin 25 org x 1 kl x 35,000 875,000 875,000 x
Transport Peserta 19 org x 1 kl 20,000 380,000 380,000 x
1,255,000 1,255,000
11 Supervisi fasilitatif supportif Polindes Perjalanan Dinas 6 org x 5 polds x 2 kl x 17,000 1,020,000 306,000 204,000 306,000 204,000 x
Fotocopy 500 lbr x 200 100,000 100,000 - - - x
1,120,000 406,000 180,000 306,000 180,000
12 Sweeping K4 Perjalanan Dinas 1 org x 24 keg x 17,000 408,000 68,000 68,000 68,000 68,000 68,000 68,000
13 Pola Pendampingan Bumil resti pada kader makmin 35 org x 2 ds x 35,000 2,450,000 1,225,000 1,225,000
Transport Peserta 28 org x 2 ds x 20,000 1,120,000 560,000 560,000
3,570,000 1,785,000 1,785,000
14 Refreshing kader posyandu makmin 25 org x 6 ds x 35,000 5,250,000 875,000 875,000 875,000 875,000 875,000 875,000
Transport Peserta 20 org x 6 ds x 20,000 2,400,000 400,000 400,000 400,000 400,000 400,000 400,000
7,650,000 1,275,000 1,275,000 1,275,000 1,275,000 1,275,000 1,275,000
transport peserta 28 org x 2 kl x 20,000 1,120,000 560,000 560,000
3,570,000 1,785,000 1,785,000
16 Promosi KB dan Kespro Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Fotocopy 100 lbr x 200 20,000 20,000
1,805,000 1,805,000
57,248,000 1,700,000 4,315,000 3,381,000 8,502,000 6,148,000 1,632,000 9,625,000 2,907,000 7,729,000 1,812,000 7,095,000 1,632,000 9,396,000
PROGRAM GIZI
1 Penggerakan Keluarga Sadar Gizi (Kadarzi) makmin 15 org x 2 kl x 35,000 1,050,000 525,000 525,000 x
Transport peserta 12 org x 2 kl x 20,000 480,000 240,000 240,000
Fotocopy 100 lbr x 200 20,000 10,000 10,000
1,550,000 775,000 775,000
2 Survey kadarzi oleh kader Perjalanan Dinas 1 org x 6 ds x 3 x 17,000 306,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 x
x
3 Penyuluhan ASI Ekslusif dan IMD Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
Fotocopy 100 lbr x 200 20,000 20,000

1,845,000 1,845,000
-
4 Pembinaan Mitra Gizi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
Fotocopy 100 lbr x 200 20,000 20,000 x
1,805,000 1,805,000
5 Pembinaan Ibu Balita Gizi Kurang Tentang Makanan Padat Gizi Makmin 32 org x 1 kl x 35,000 1,120,000 1,120,000 x
Fotocopy 100 lbr x 200 20,000 20,000 x
1,740,000 1,740,000
6 Pembinaan Bumil KEK Makmin 32 org x 2 kl x 35,000 2,240,000 1,120,000 1,120,000

Transport Peserta 28 org x 2 kl x 20,000 1,120,000 560,000 560,000 x
Fotocopy 100 lbr x 200 20,000 10,000 10,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
3,380,000 1,690,000 1,690,000
7 Penyuluhan dan Pemberian tablet FE Snack 100 org x 3 kl x 10,000 3,000,000 1,000,000 1,000,000 1,000,000 x
Perjalanan Dinas 2 org x 3 kl x 17,000 102,000 34,000 34,000 34,000

3,102,000 1,034,000 1,034,000 1,034,000

1,034,000 1,034,000
8 Distribusi Obat cacing SD/MI Perjalanan Dinas 1 org x 14 SD/MI x 2 kl 17,000 476,000 210,000 210,000
9 Kunjungan rumah Balita KEP dan Bumil KEK Perjalanan Dinas 1 org x 24 kl x 17,000 408,000 34,000 51,000 51,000 51,000 51,000 34,000 51,000 51,000 51,000 51,000 51,000 51,000
10 Pembentukan KP ASI di desa Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x
Perjalanan Dinas 4 org x 1 kl x 17,000 68,000 68,000 - x

1,138,000 1,138,000
11 Monev KP ASI Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

Fotocopy 100 lbr x 200 20,000 20,000
1,138,000 1,138,000
12 Sosialisasi kelorisasi dan katukisasi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Fotocopy 100 lbr x 200 20,000 20,000
bahan praktek 1 pkt x 2 100,000 200,000 200,000
2,005,000 2,005,000
13 Surveilans dan pelacakan Gizi buruk Perjalanan Dinas 2 org x 24 kl x 17,000 816,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
14 Kelas Ibu Pintar di posyandu Bahan Praktek 28 pos x 200,000 5,600,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000
Perjalanan Dinas 1 org x 28 pos x 17,000 476,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
6,076,000 868,000 868,000 868,000 868,000 868,000 868,000 868,000
-
26,819,000 282,000 2,471,000 4,112,000 2,907,000 5,017,000 1,316,000 4,006,000 1,377,000 1,167,000 3,632,000 2,201,000 299,000 6,865,000
1 Pemeriksaan Gigi Siswa PAUD/RA/TK dan Demo Sikat Gigi BBM 2 org x 19 inst x 17,000 646,000 646,000 x
Bahan Praktek 1350 bh x 5,000 6,750,000 6,750,000

7,396,000 7,396,000
2 Pemeriksaan Kesehatan Berkala dan Pemeriksaan Gigi Siswa SD/MI BBM 2 org x 14 inst x 1 kl x 17,000 476,000 476,000 x
BBM 1 org x 14 inst x 2 kl x 17,000 476,000 476,000
952,000
3 Penjaringan Kesehatan Siswa Kelas I SD/MI Perjalanan Dinas 3 org x 14 inst x 2 kl x 17,000 1,428,000 1,428,000 x
4 Penjaringan Kesehatan Siswa SMP/SMA Perjalanan Dinas 6 org x 8 kl x 17,000 816,000 816,000 x
5 Pembinaan Lingkungan dan Kantin Sekolah Perjalanan Dinas 2 org x 14 kl x 17,000 476,000 476,000
6 Promosi Cuci Tangan Anak Sekolah Perjalanan Dinas 1 org x 14 kl x 17,000 238,000 238,000
7 Pembinaan Kader Kesehatan Tiwisada/ Dokter kecil Makmin 59 org x 2 kl x 35,000 4,130,000 4,130,000 x

6,270,000 6,270,000
8 Pemeriksaan Kontak Intensif Kusta di Sekolah (SD/MI) Perjalanan Dinas 2 org x 14 kl x 17,000 476,000 476,000 x
9 Pemeriksaan Kontak Intensif Kusta di Sekolah SMP/SMA/SMK ) Perjalanan Dinas 2 org x 8 kl x 17,000 272,000 272000 x
10 Penyuluhan Kesehatan reproduksi Remaja di SD/MI Perjalanan Dinas 1 org x 14 kl x 17,000 238,000 x
11 Pembinaan kader kesehatan Remaja Makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000 x

4,096,000 4,096,000
12 Penyuluhan Kesehatan pada santri di Ponpes makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000
( santri husada ) Perjalanan Dinas 3 org x 2 kl x 17,000 102,000 102,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
2,902,000 2,902,000
13 Pembinaan duta kesehatan remaja makmin 20 org x 4 kl x 35,000 2,800,000 2,800,000

3,920,000 3,920,000
14 Sosialisasi Pembentukan Pos Bindu PTM Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x
1,825,000 1,825,000
15 Pelayanan Kesehatan PTM di pos Bindu Perjalanan Dinas 2 org x 24 kl x 17,000 816,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 x
816,000
16 Kunjungan Rumah Keluarga Rawan Penyakit Perjalanan Dinas 1 org x 24 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
17 Pembinaan Kesehatan Olahraga Perjalanan Dinas 1 org x 24 kl x 17,000 408,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000
18 Pemeriksaan kebugaran siswa sekolah SD/MI/SMP/SMA Perjalanan Dinas 1 org x 22 kl x 17,000 374,000 374,000
19 Pertemuan Guru UKS SD/MI/SMP/SMA makmin 25 org x 1 kl x 35,000 875,000 875,000

1,235,000 1,235,000
20 Pendataan Kasus Jiwa Perjalanan Dinas 2 org x 12 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
21 Pemantauan dan Pengawasan Minum Obat Pasien dgn Gangguan Perjalanan Dinas 2 org x 12 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
Jiwa
22 Pertemuan Kelompok Jiwa / Penyuluhan KESWA Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000 x
2,550,000 2,550,000
23 Kunjungan Rumah Pasien Kusta Perjalanan Dinas 1 org x 24 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 68,000 68,000
24 Pemantauan Pasien Diare Perjalanan Dinas 1 org x 24 keg x 17,000 408,000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30,000
25 Penyuluhan Diare Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x

1,785,000 1,785,000
26 Survei Epidemiologi KLB Banjir Perjalanan Dinas 2 org x 8 kl x 17,000 272,000 136,000 136,000
27 Penyelidikan Epidemiologi /PE penyakit Perjalanan Dinas 2 org x 12 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
28 Pemantauan dan Penanganan Korban KLB Perjalanan Dinas 3 org x 5 pos x 4 kjd x 17,000 1,020,000 510,000 510,000
29 Pembinaan BATRA Perjalanan Dinas 1 org x 20 kl x 17,000 340,000 68,000 68,000 68,000 68,000 68,000
30 Posyandu lansia Perjalanan Dinas 2 org x 11 pos x 12 x 17,000 4,488,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000

3,825,000 3,825,000
32 Refreshing kader lansia Makmin 34 org x 1 kl x 35,000 1,190,000 1,190,000

1,790,000 1,790,000
33 Pengambilan Vaksin ke Dinas Perjalanan Dinas 1 org x 20 kl x 70,000 1,400,000 70,000 70,000 70,000 70,000 70,000 70,000 70,000 210,000 210,000 210,000 210,000 70,000
34 Kegiatan BIAS SD/MI (Imunisasi TD dan Campak)

* Pendataan Sasaran Perjalanan Dinas 1 org x 14 kl x 17,000 238,000 238,000
* Pelaksanaan Imunisasi TD Perjalanan Dinas 2 org x 14 kl x 17,000 476,000 476,000
* Pelaksanaan Imunisasi DT Perjalanan Dinas 2 org x 14 kl x 17,000 476,000 476,000
1,190,000 1,190,000
35 Surveilans KIPI Perjalanan Dinas 2 org x 10 kl x 17,000 340,000 300,000
36 Pendataan Bayi ,WUS, Bumil baru Perjalanan Dinas 1 org x 18 kl x 17,000 306,000 270,000
37 Sosialisasi Kampanye Campak Makmin 35 org x 2 kl x 35,000 2,450,000 2,450,000 x

3,770,000 3,770,000
38 Validasi data sasaran MR ( PAUD/TK/SMP/Ponpes/ Posyandu ) Perjalanan Dinas 1 org x 48 kl x 17,000 816,000 750,000
39 Pelaksanaan kampanye Campak

* Petugas Perjalanan Dinas 3 org x 28 pos x 17,000 1,428,000 1,904,000 1,428,000
Perjalanan Dinas 4 org x 14 SD/MI x 17,000 952,000 952,000
Perjalanan Dinas 2 org x 20 TK x 17,000 680,000 680,000
Perjalanan Dinas 4 org x 2 Ponpes x 17,000 136,000 136,000 x
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Perjalanan Dinas 6 org x 2 SMP x 17,000 204,000 204,000
3,400,000 3,400,000
* Kader Perjalanan Dinas 1 org x 28 pos x 17,000 476,000 476,000
7,276,000 7,276,000
40 Sweeping MR/ Campak Perjalanan Dinas 2 org x 20 kl x 17,000 680,000 600,000
41 Penggerakan CTPS Pada anak sekolah ATK 1 pkt x 1 kl x 200,000 200,000 200,000
Spanduk 1 bh x 1 kl x 125,000 125,000 125,000
Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000
2,590,000 2,590,000
TOTAL 67,148,000 3,279,000 3,302,000 9,944,000 3,097,000 6,215,000 3,086,000 12,834,000 11,161,000 5,475,000 4,637,000 4,989,000 729,000 16,525,000

MENULAR
1 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS Perjalanan Dinas 2 org x 12 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 1350000
2 Pengambilan Obat ARV Perjalanan Dinas 1 org x 24 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
3 Pemantauan ODHA dalam Kepatuhan Minum Obat Perjalanan Dinas 2 org x 12 kl x 17,000 408,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 3,400 34,000 34,000 34,000 34,000
4 Penyuluhan KESPRO, HIV-AIDS, Rokok dan Narkoba ( Di sekolah ) Makmin 34 org x 5 kl x 35,000 5,950,000 1,190,000 1,190,000 1,190,000 1,190,000 1,190,000
Perjalanan Dinas 4 org x 5 kl x 17,000 340,000 68,000 68,000 68,000 68,000 68,000
6,290,000 1,258,000 1,258,000 1,258,000 1,258,000 1,258,000
5 Kontak Tracing Pasien TB Perjalanan Dinas 1 org x 48 keg x 17,000 816,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
6 Konseling dan Pencegahan Transmisi Penularan Penyakit TB dari Perjalanan Dinas 1 org x 36 keg x 17,000 612,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000
7 Pemantauan Kepatuhan Minum Obat TB dan TB Mangkir Perjalanan Dinas 1 org x 14 keg x 17,000 238,000 68,000 68,000 68,000 34,000
8 Penemuan, pelacakan dan Tata Laksana Kasus TB, Malaria dan DBD Perjalanan Dinas 2 org x 24 kl x 17,000 816,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
9 Penyuluhan TB dan cara Pencegahannya Makmin 34 org x 2 kl x 35,000 2,380,000 1,190,000 1,190,000
3,612,000 1,806,000 1,806,000
9 Pengambilan dan Pengiriman Spesimen TB , Malaria, HIV Perjalanan Dinas 1 org x 60 keg x 17,000 1,020,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000 85,000
10 Penyuluhan Penyakit DBD ,Malaria dan penggerakan PSN Makmin 22 org x 4 kl x 35,000 3,080,000 770,000 770,000 770,000 770,000 x
Perjalanan Dinas 2 org x 4 kl x 17,000 136,000 34,000 34,000 34,000 34,000
3,216,000 804,000 804,000 804,000 804,000
fotocopy 500 lbr x 200 100,000 25,000 25,000 25,000 25,000
11 Pemeriksaan Jentik Berkala Perjalanan Dinas 19 org x 4 kl x 17,000 1,292,000 323,000 323,000 323,000 323,000
12 Pembinaan Kader Jumantik / kader Gedar makmin 25 org x 2 kl x 35,000 1,750,000 875,000 875,000 x
Transport Peserta 19 org x 2 kl x 20,000 760,000 380,000 380,000 x
2,510,000 1,255,000 1,255,000
13 Pembinaan Kader Jumantik anak sekolah (SD/MI ) makmin 45 org x 1 kl x 35,000 1,575,000 1,575,000
fotocopy 100 lbr x 200 20,000 20,000
2,435,000 2,435,000
14 Bimtek Pemulasaran jenasah makmin 25 org x 1 kl x 35,000 875,000 875,000

Bahan praktek 20 pkt 200,000 4,000,000 4,000,000
5,275,000 5,275,000
#VALUE!
Total 29,456,000 374,000 2,784,000 442,000 6,907,000 3,961,000 1,697,000 1,632,000 3,301,400 2,955,000 374,000 4,590,000 408,000 3,600,000
\
PROMKES
1 Pelatihan KS tk Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000
Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 10 org x 2 kl x 35,000 700,000 700,000 x
Fotokopi 100 lbr x 2 kl x 200 40,000 40,000 x
740,000 740,000
2 Pertemuan koordinasi KS tingkat Desa ATK 1 pkt x 1 kl x 200,000 200,000 x

Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 20 org x 1 kl x 35,000 700,000 700,000
Perjalanan dinas 5 org x 1 kl x 17,000 85,000 85,000
825,000 825,000
3 Survey KS Perjalanan Dinas 5 org x 18 hr x 17,000 1,530,000 765,000 765,000 x

Perjalanan Dinas 5 org x 18 hr x 17,000 1,530,000 765,000 765,000
( kader ) 3,060,000 1,530,000 1,530,000 x
4 Penyuluhan Kesehatan bagi institusi ( Penylhan Penyakit tdk menular ) ATK 1 pkt x 1 kl x 200,000 200,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Spanduk 1 bh x 1 kl x 125,000 125,000
Makmin 35 org x 2 hr x 35,000 2,450,000 1,225,000 1,225,000
Transport peserta 30 org x 2 hr x 20,000 1,200,000 600,000 600,000
3,690,000 1,845,000 1,845,000
Belanja Cetak x
* Blangko KS form 3.1 dan 3.2 11 rim x 150,000 1,650,000 x
* Blangko KS form 1,2.1,2.2 dan 2.3 8 rim x 150,000 1,200,000
* Prokesga folder 1000 lbr x 5,000 5,000,000
* Stiker KS 1000 lbr x 1,500 1,500,000
* Media intervensi KS/ Pinkesga 1 pkt x 8,000,000 8,000,000
17,350,000
Cetak media promkes 1 pkt x 1,500,000 1,500,000
Belanja Cetak
* Blangko K3 4 rim x 150,000 600,000
* Blangko DO K3 4 rim x 150,000 600,000
1,200,000
KESLING
1 Pembinaan kader Kesling ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 35 org x 1 hr x 35,000 1,225,000 1,225,000

non PNS 1,845,000 1,845,000
-
2 Bimtek Penjamah makan pada TPM ATK 1 pkt x 1 kl x 80,000 80,000
Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 hr x 35,000 875,000 875,000

non PNS 1,295,000 1,295,000
3 On the Job training ATK 1 pkt x 1 kl x 100,000 100,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 2 hr x 35,000 1,750,000 1,750,000

non PNS -
bahan Demo lengkap 2 pkt x 1,500,000 3,000,000 3,000,000
5,570,000 5,570,000
DESA SIAGA
1 Refreshing Bagas Desi GB tk Puskesmas ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 15 org x 1 hr x 35,000 525,000 525,000

non PNS 785,000 785,000
2 Pertemuan koordinasi Desi GB tk Desa ATK 1 pkt x 1 kl x 80,000 80,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 kl x 35,000 875,000 875,000

980,000 980,000
3 Intervensi Desa Siaga Makmin 25 org x 1 kl x 35,000 875,000 875,000

980,000 980,000
4 Survey K3 transport kader 20 org x 1 kl x 17,000 340,000 340,000
5 Musyawarah masyarakat Desa ( MMD ) ATK 1 pkt x 1 kl x 200,000 200,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 25 org x 1 kl x 35,000 875,000 875,000

1,000,000 1,000,000
6 Pertemuan Paguyuban kader tk Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Transport peserta non 30 org x 1 kl x 20,000 600,000 600,000
PNS 1,845,000 1,845,000
7 Pertemuan koordinasi TP tingkat Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

Spanduk 1 bh x 1 kl x 100,000 100,000
Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

non PNS 1,550,000 1,550,000
1,118,000 1,118,000
Total 25,623,000 - - 1,765,000 3,250,000 3,355,000 2,185,000 10,260,000 - 1,845,000 1,845,000 1,118,000 - 1,765,000
1 Honor PPTK 1 org x 12 kl x 330,000 3,960,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000
2 Honor Pengelola Keuangan 1 org x 12 kl x 200,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
3 Lokakarya Mini Lintas Sektor Makmin 40 org x 4 kl x 35,000 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000 x
FC materi 500 lbr x 200 100,000 25,000 25,000 25,000 25,000
Transport peserta 24 org x 4 kl x 20,000 1,920,000 480,000 480,000 480,000 480,000 x
PNS 15 org x 4 kl x 15,000 900,000 225,000 225,000 225,000 225,000
8,520,000 2,130,000 2,130,000 2,130,000 2,130,000
4 Lokakarya Mini Bulanan Makmin 30 org x 11 kl x 35,000 11,550,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 x
5 Evaluasi Program Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x
6 Konsultasi, Verifikasi, dan Pengiriman Laporan Kegiatan BOK Perjalanan Dinas 1 org x 20 kl x 80,000 1,600,000 70,000 70,000 140,000 70,000 140,000 70,000 140,000 140,000 140,000 140,000 140,000 140,000 x
Pengelolaan Administrasi BOK

Pembelian ATK
# Kertas HVS 70 gr 10 rim x 40,000 400,000
# Portofile 100 bh x 5,000 500,000
# Paper clips n no.5 20 ktk x 4,000 80,000
# map kancing 25 bh x 4,000 100,000
# Cartride hitam 2 bh x 200,000 400,000
# Cartridge warna 2 bh x 250,000 500,000
# smart marker ( post it ) 4 bh x 8,000 32,000
2,542,000
7 ATK administrasi BOK 3,329,000 3,329,000

ATK Kegiatan 1,820,000 1,820,000
5,149,000
8 Belanja Cetak 19,850,000 14,000,000 5,850,000

*Blangko KS
*KMS posbindu
*KMS lansia
* Leaflet /poster
*Undangan Kampanye campak
* Blamgko skrinning
9 Belanja Penggandaan
* SPJ dan dok. LS 2,000,000 800,000 200,000 200,000 300,000 100,000 100,000 300,000
9 Belanja dokumen/ administrasi tender 1 kl x 500,000 500,000 500,000
10 Belanja Dekorasi
* Spanduk 8,150,000 8,150,000
*X banner 1,600,000 1,600,000
9,750,000
11 Fotocopy administrasi BOK 1,900,000 550,000 200,000 200,000 150,000 200,000 200,000 200,000 100,000 100,000
Total 68,229,000 2,200,000 2,450,000 7,879,000 19,270,000 4,050,000 1,800,000 7,970,000 12,200,000 2,020,000 2,020,000 4,050,000 2,120,000 12,529,000
274,523,000 7,835,000 15,322,000 27,523,000 43,933,000 28,746,000 11,716,000 46,327,000 30,946,400 21,191,000 14,320,000 24,043,000 5,188,000
63,622,000 (4,692,000) 50,680,000

50,680,000 84,395,000
ATK - 21150800 970000
Sembako 7,802,000 89810400 2536000 2536000 2730000
Dekorasi #REF! 2,500,000 1,100,000
BBM 21150800 1,396,000 #VALUE!

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Fotocopy 320,000 - 274,523,000 128,000 192,000
Makmin Rapat 18,515,000 274,523,000 1050000 9,625,000 7,840,000

29292600 ### #VALUE!
274,523,000
#REF! #VALUE!
274,523,000
#VALUE! 270,307,000 makmin -
16352600 #VALUE! praktek 200,000
207,307,000 cetak 19,850,000
274,523,000 banner 9,750,000
APRIL 67,216,000 atk 5,149,000
ATK - penggandaan 2,000,000

Sembako - ls 500,000
Dekorasi - fc 3,068,000
BBM perjadin 66,546,000
Cetak - transport px 30,660,000
Fotocopy 44,000 pns 900,000
Makmin Rapat #VALUE! 144,983,000

1,050,000
480,000
20,000
1,550,000
32,401,800,000
-
-
1,225,000
600,000
20,000
1,845,000
-
1,225,000
560,000
20,000
1,805,000
-
1,120,000
600,000
20,000
1,740,000
2,240,000
1,120,000
20,000
3,380,000
3,000,000
68,000
-
-
-
646,000
6,750,000
476,000
-
1,428,000
-
816,000
-
476,000
-
238,000
-
4,130,000
1,960,000
180,000
6,270,000
-
476,000
-
272,000
-
-
-
2,800,000
96,000
1,200,000
4,096,000
-
1,225,000
600,000
-
816,000
-
408,000
-
612,000
-
408,000
-
408,000
-
1,750,000
800,000
2,550,000
-
408,000
-
-
360,000
-
1,225,000
560,000
1,785,000
-
272,000
-
-
238,000
476,000
476,000
1,190,000
-
300,000
-
2,450,000
1,320,000
3,770,000
750,000
-
-
3,332,000
952,000
680,000
136,000
204,000
3,400,000
476,000
7,276,000
600,000
honor 3,960,000
honor 2,400,000
atk 3,329,000
1,820,000
dokumen 500,000
bhn praktek 19,550,000
dekorasi 8,150,000
1,600,000
cetak 19,850,000
penggandaan 2,000,000
fc 3,068,000
makmin 113,590,000
perjadin 63,146,000
transportpns 900,000
non pns 30,660,000
274,523,000

TAHUN : 2019
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Pemantauan Kesehatan Ibu,Bayi dan Balita BBM 2 org x 28 pos x 12 kl 20,000 13,440,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000 1,120,000
2 Pendampingan bumil resti oleh kader BBM 1 org x 28 pos x 2 kl 20,000 1,120,000
Koper ANC BBM 10 org x 12 kunj x 1 th 20,000 2,400,000
2 Sweeping Imunisasi / Dofu BBM 2 org x 24 kl 20,000 960,000 160,000 160,000 160,000 160,000 160,000 160,000
3 DDTK dan Pemberian Vit A ke PAUD/TK BBM 2 org x 19 kl x 2 kl 20,000 1,520,000 570,000 -
4 Pemantauan Neonatal Resti BBM 1 org x 144 keg x 20,000 2,880,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000
5 Deteksi dini Bumil Resti BBM 1 org x 144 keg x 20,000 2,880,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000
6 Pemantauan Ibu Nifas Resti BBM 1 org x 144 keg x 20,000 2,880,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000 240,000
7 Pelaksanaan Kelas Ibu Hamil Snack 12 org x 6 ds x 3 kls x 3pertmnx 10,000 6,480,000 2,160,000 2,160,000 2,160,000 2,160,000
BBM 2 org x 6 ds x 3 kls x 3pertmnx 20,000 2,160,000 612,000 612,000 612,000 612,000
8,640,000 2,772,000 2,772,000 2,772,000 2,772,000
8 AMP Tingkat Puskesmas Makmin 20 org x 2 kl x 35,000 1,400,000 700,000 700,000

Transport Peserta 10 org x 2 kl 25,000 500,000 250,000 250,000
1,900,000 950,000 950,000
9 Supervisi fasilitatif supportif Polindes BBM 6 org x 5 polds x 2 kl x 20,000 1,200,000 306,000 204,000 306,000 204,000
Fotocopy 500 lbr x 200 100,000 100,000 - - -
1,300,000 406,000 180,000 306,000 180,000
10 Pola Pendampingan Bumil resti pada kader Makmin 35 org x 1 kl x 35,000 1,225,000 612,500 612,500
Transport Peserta 28 org x 1 kl x 25,000 700,000 350,000 350,000
1,925,000 962,500 962,500
11 Pembinaan Posyandu Makmin 25 org x 6 kl x 35,000 5,250,000 875,000 875,000 875,000 875,000 875,000 875,000
Transport Peserta 20 org x 6 kl x 25,000 3,000,000 500,000 500,000 500,000 500,000 500,000 500,000
8,250,000 1,375,000 1,375,000 1,375,000 1,375,000 1,375,000 1,375,000
KB dan kespro Transport Peserta 28 org x 3 kl x 25,000 2,100,000 1,050,000 1,050,000
5,775,000 2,887,500 2,887,500
Kelas Balita snack 15 org x 28 kl x 1 th 10,000 4,200,000 4,200,000

BBM 2 org x 28 kl x 1 th 20,000 1,120,000 1,120,000
5,320,000 5,320,000
-
14 Monitoring desa UCI BBM 1 org x 12 kl x 20,000 240,000
56,110,000 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
PROGRAM GIZI
1 Pembinaan Kader Gizi Makmin 35 org x 2 kl x 35,000 2,450,000 1,225,000 1,225,000

Fotocopy 100 lbr x 25,000 12,500 12,500
3,875,000 1,937,500 1,937,500
2 Pemantauan Gizi di Posyandu BBM 1 org x 2 kl x 12 20,000 480,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000
3 Penyuluhan ASI Ekslusif dan IMD Makmin 35 org x 2 kl x 35,000 2,450,000 2,450,000
Fotocopy 100 lbr x 25,000 25,000
3,875,000 3,875,000
-
4 EMO DEMO Makmin 30 org x 6 kl x 35,000 6,300,000 6,300,000
BBM 5 org x 6 kl x 25,000 750,000 750,000
7,050,000 7,050,000
5 Pembinaan Ibu Balita Gizi Kurang Makmin 30 org x 3 kl x 35,000 3,150,000 3,150,000
dan bumil KEK Transport Peserta 25 org x 3 kl x 25,000 1,875,000 1,875,000

Fotocopy 300 lbr x 200 60,000 60,000
5,085,000 5,085,000
6 - -
- -
- -
- -
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
7 Penyuluhan dan Pemberian tablet FE Snack 100 org x 2 kl x 10,000 2,000,000 666,667 666,667 666,667
BBM 2 org x 2 kl x 20,000 80,000 26,667 26,667 26,667
2,080,000 693,333 693,333 693,333
BBM 2 org x 5 kl x 20,000 200,000 200,000

2,700,000 2,700,000
9 Distribusi Obat cacing SD/MI BBM 1 org x 14 SD/MI x 2 kl 20,000 560,000 210,000 210,000
10 Kunjungan rumah Balita KEP dan Bumil KEK BBM 1 org x 48 kl x 20,000 960,000 34,000 51,000 51,000 51,000 51,000 34,000 51,000 51,000 51,000 51,000 51,000 51,000
11 Pembentukan KP ASI di desa Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

BBM 3 org x 1 kl x 20,000 60,000 60,000 -
1,110,000 1,110,000
12 kelas ibu pintar bahan praktek 28 p0s x 1 kl x 200,000 5,600,000 5,600,000

BBM 1 org x 28 kl x 20,000 560,000 560,000
6,160,000 6,160,000
13 Sosialisasi makanan padat gizi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Fotocopy 100 lbr x 25,000 25,000
1,950,000 1,950,000
-
14 monitoring garam iodium BBM 1 org x 6 ds x 20,000 120,000 10,000 10,000 10,000 10,000 10,000 10,000 10,000 68,000 68,000 68,000 68,000 68,000
#VALUE!
1 Pemeriksaan Gigi Siswa PAUD/RA/TK dan Demo Sikat Gigi BBM 2 org x 19 inst x 20,000 760,000 760,000
-
UKGMD BBM 1 org x 6 dsn x 20,000 120,000 120,000
2 Pemeriksaan Kesehatan Berkala BBM 2 org x 14 inst x 1 kl x 20,000 560,000 476,000
3 Pemeriksaan Kesehatan gigi siswa SD/MI BBM 2 org x 14 inst x 2 kl x 20,000 1,120,000 476,000
1,680,000
3 Penjaringan Kesehatan Siswa Kelas I SD/MI BBM 3 org x 14 inst x 2 kl x 20,000 1,680,000 1,428,000
4 Penjaringan Kesehatan Siswa SMP/SMA BBM 6 org x 10 kl x 20,000 1,200,000 816,000
5 Pembinaan Lingkungan dan Kantin Sekolah BBM 2 org x 10 kl x 20,000 400,000 476,000
6 Promosi Cuci Tangan Anak Sekolah BBM 1 org x 10 kl x 20,000 200,000 238,000
7 Pembinaan Kader Kesehatan Tiwisada/ Dokter kecil Makmin 60 org x 1 kl x 35,000 2,100,000 2,100,000
3,450,000 3,450,000
8 Pemeriksaan Kontak Intensif Kusta di Sekolah (SD/MI) BBM 2 org x 14 kl x 20,000 560,000 476,000
9 Pemeriksaan Kontak Intensif Kusta di Sekolah SMP/SMA/SMK ) BBM 2 org x 10 kl x 20,000 400,000 272000
11 Pembinaan kader kesehatan Remaja Makmin 60 org x 1 kl x 35,000 2,100,000 2,100,000

3,450,000 3,450,000
12 Penyuluhan Kesehatan pada santri di Ponpes Makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000
( santri husada ) BBM 4 org x 2 kl x 20,000 160,000 160,000
2,960,000 2,960,000
13 Pembinaan duta kesehatan remaja Makmin 15 org x 2 kl x 35,000 1,050,000 1,050,000

JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1,550,000 1,550,000
Sosialisasi pembentukan posyandu remaja di desa Makmin 35 org x 1 kl x 35,000 1,225,000

BBM 5 org x 1 kl x 20,000 100,000
1,325,000
14 Pelayanan Kesehatan PTM di pos Bindu BBM 2 org x 60 kl x 20,000 2,400,000 200,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
15 Kunjungan Rumah Keluarga Rawan Penyakit BBM 1 org x 48 kl x 20,000 960,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
16 Pembinaan Kesehatan Olahraga BBM 1 org x 36 kl x 20,000 720,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000
17 Pemeriksaan kebugaran siswa sekolah SD/MI/SMP/SMA snack 24 org x 1 kl x 10,000 240,000 374,000
BBM 1 org x 24 kl x 20,000 480,000
720,000
18 Pertemuan Guru UKS SD/MI/SMP/SMA Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

Fotocopy 200 lbr x 200 40,000 40,000
1,590,000
Posyandu Remaja Bahan praktek (UKS Kit) 20 ins x 1 paket 50,000 1,000,000
BBM 2 org x 12 kl x 1 pos 20,000 480,000
1,480,000
19 Pendataan Kasus Jiwa BBM 2 org x 36 kl x 20,000 1,440,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
20 Pemantauan dan Pengawasan Minum Obat Pasien dgn Gangguan BBM 2 org x 48 kl x 20,000 1,920,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
Jiwa
22 Kunjungan Rumah Pasien Kusta BBM 1 org x 24 kl x 20,000 480,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 68,000 68,000
23 Pemantauan Pasien Diare BBM 1 org x 24 keg x 20,000 480,000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 30,000
24 Penyuluhan Kesehatan Pada Masyarkat Makmin 35 org x 12 kl x 35,000 14,700,000 14,700,000

BBM 2 org x 12 kl x 20,000 480,000 480,000
15,180,000 15,180,000
25 Survei Epidemiologi KLB Banjir BBM 4 org x 10 kl x 20,000 800,000 136,000 136,000
26 Penyelidikan Epidemiologi /PE penyakit BBM 2 org x 12 kl x 20,000 480,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
27 Pemantauan dan Penanganan Korban KLB BBM 3 org x 5 pos x 4 kjd x 20,000 1,200,000 510,000 510,000
28 Pelacakan Kesehatan jamaah haji BBM 2 org x 20 kl x 20,000 800,000
29 Pembinaan BATRA BBM 1 org x 20 kl x 20,000 340,000 68,000 68,000 68,000 68,000 68,000
30 Posyandu lansia BBM 2 org x 12 pos x 12 x 20,000 5,760,000 480,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000 374,000

4,125,000 4,125,000
Gerakan senam lansia di desa snack 15 org x 6 ds x 10,000 900,000 900,000

BBM 2 org x 6 ds x 20,000 240,000 240,000
1,140,000 1,140,000
* Pendataan Sasaran BBM 1 org x 14 kl x 20,000 280,000 280,000

* Pelaksanaan Imunisasi TD BBM 2 org x 14 kl x 20,000 560,000 560,000
* Pelaksanaan Imunisasi DT BBM 2 org x 14 kl x 20,000 560,000 560,000
1,400,000 1,400,000
34 Surveilans KIPI BBM 2 org x 2 kl x 20,000 80,000 300,000
35 Penggerakan CTPS Pada anak sekolah Makmin 80 org x 1 kl x 35,000 2,800,000 2,800,000
4,550,000 4,550,000
-
4,550,000
36 Kebugaran Jasmani CJH BBM 3 org x 2 kl x 20,000 120,000
37 Kunjungan suspect pneumonia berat BBM 1 org x 2 balita x 5 kl 20,000 200,000
38 Penyuluhan mata/indra Makmin 35 org x 2 kl x 35,000 2,450,000 2,450,000

dan diare Transport Peserta 30 org x 2 kl x 25,000 1,500,000 1,500,000
3,950,000 3,950,000
-
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
-
-
TOTAL 72,050,000 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
MENULAR
1 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS BBM 2 org x 12 kl x 20,000 480,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
2 Pengambilan Obat ARV BBM 1 org x 24 kl x 20,000 480,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000
3 Pemantauan ODHA dalam Kepatuhan Minum Obat BBM 2 org x 12 kl x 20,000 480,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 3,400 34,000 34,000 34,000 34,000
4 Penyuluhan Kesehatan siswa Sekolah (KESPRO,KESWA, HIV-AIDS Makmin 40 org x 6 kl x 35,000 8,400,000 1,190,000 1,190,000 1,190,000 1,190,000 1,190,000
Rokok Narkoba ) BBM 4 org x 6 kl x 20,000 480,000 68,000 68,000 68,000 68,000 68,000
8,880,000 1,258,000 1,258,000 1,258,000 1,258,000 1,258,000
5 Kontak Tracing Pasien TB BBM 1 org x 12 keg x 20,000 240,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
6 Konseling dan Pencegahan Transmisi Penularan Penyakit TB dari BBM 1 org x 12 keg x 20,000 240,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000 51,000
7 Pemantauan Kepatuhan Minum Obat TB dan TB Mangkir BBM 1 org x 12 keg x 20,000 240,000 68,000 68,000 68,000 34,000
8 Penemuan, pelacakan dan Tata Laksana Kasus TB BBM 30 org x 12 kl x 20,000 7,200,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000 68,000
pendampingan pasien TB oleh kader BBM 30 org x 6 kl x 1 th 20,000 3,600,000
kontak tracing oleh kader BBM 30 org x 6 kl x 20,000 3,600,000
9 Penyuluhan TB MDR DAN TB HIV dan cara Pencegahannya Makmin 35 org x 2 kl x 35,000 2,450,000 1,190,000 1,190,000
dan ISPA Transport Peserta 30 org x 2 kl x 25,000 1,500,000 600,000 600,000
3,990,000 1,806,000 1,806,000
10 Penemuan, pelacakan dan Tata Laksana Kasus DBD,Malaria BBM 1 org x 24 kl x 20,000 480,000
11 Pemeriksaan Jentik Berkala BBM 19 org x 12 kl x 30,000 6,840,000 323,000 323,000 323,000 323,000
12 Pembinaan Kader Jumantik / kader Gedar Makmin 25 org x 2 kl x 35,000 1,750,000 875,000 875,000
2,700,000 1,255,000 1,255,000
13 Pembinaan Kader Jumantik anak sekolah (SD/MI ) Makmin 45 org x 1 kl x 35,000 1,575,000 1,575,000
Fotocopy 200 lbr x 200 40,000 40,000
2,665,000 2,665,000
14 Pertemuan Pos UKK Makmin 15 org x 2 kl x 35,000 1,050,000 1,050,000

Fotocopy 100 lbr 200 20,000 20,000
1,570,000 1,570,000
#VALUE!
Total 43,685,000 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
PROMKES
1 Pelatihan KS tk Puskesmas Makmin 20 org x 1 kl x 35,000 700,000
Fotokopi 100 lbr x 1 kl x 200 20,000
720,000 720,000
2 Pertemuan koordinasi KS tingkat Desa Makmin 25 org x 1 kl x 2 ds 35,000 1,750,000 1,750,000

Fotokopi 100 lbr x 1 kl x 2 ds 200 40,000 40,000
BBM 5 org x 1 kl x 2 ds 20,000 200,000 200,000
1,990,000 1,990,000
3 Survey KS BBM 11 org x 18 hr x 3 ds 20,000 11,880,000 765,000 765,000

BBM 10 org x 18 hr x 3 ds 30,000 16,200,000 765,000 765,000
28,080,000 1,530,000 1,530,000
4 Penyuluhan Kesehatan bagi institusi ( Penylhan Penyakit tdk menular ) Makmin 30 org x 1 kl x 35,000 1,050,000 525,000 1,225,000
1,570,000 785,000 1,845,000
5 Pertemuan Peningkatan kapasitas UKBM Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

1,995,000 1,995,000
6 Pengkajian kemandirian UKBM BBM 2 org x 40 POS x 20,000 1,600,000 1,600,000
7 Survey PHBS 4 tatanan BBM 2 org x 14 hr x 20,000 560,000 560,000
8 Pembinaan kader ASUH Makmin 30 org x 6 ds x 35,000 6,300,000 3,150,000 1,225,000

transport peserta 25 org x 6 ds x 25,000 3,750,000 1,875,000 600,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
10,050,000
Belanja Cetak
* Blangko KS 25 rim x 150,000 3,750,000
* Stiker KS 6000 lbr x 1,500 9,000,000
12,750,000
Cetak media promkes ( leaflet, poster, balok SKDN, buku saku TB, buku
10 pkt x 1,500,000 15,000,000
lansia, buku posyandu remaja)
Belanja Cetak
* Blangko K3 3 rim x 150,000 450,000
* Blangko DO K3 3 rim x 150,000 450,000
900,000
KESLING
1 Pembinaan kader Kesling Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

1,995,000 1,995,000
-
2 Bimtek Penjamah makan pada TPM Makmin 25 org x 1 kl x 35,000 875,000 875,000
1,395,000 1,395,000
3 On the Job training Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000

Bahan Praktek 2 pkt x 1,500,000 3,000,000 3,000,000
5,776,000 5,776,000
4 Pendataan jamban BBM 30 org x 4 kl x 20,000 2,400,000 2,400,000

-
-
-
DESA SIAGA
1 Refreshing Bagas Desi GB tk Puskesmas

Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000
1,695,000 1,695,000
2 Pertemuan koordinasi Desi GB tk Desa

Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000
BBM 5 org x 2 kl x 20,000 200,000 200,000
1,990,000 1,990,000
3 Intervensi Desa Siaga Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000

BBM 5 org x 2 kl x 20,000 200,000 200,000
1,990,000 1,990,000
4 Survey K3 BBM 20 org x 2 kl x 20,000 800,000 800,000
5 Musyawarah masyarakat Desa ( MMD )

Makmin 25 org x 2 kl x 35,000 1,750,000 1,750,000
BBM 5 org x 2 kl x 20,000 200,000 200,000
2,030,000 2,030,000
6 Pertemuan Paguyuban kader tk Puskesmas

Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000
1,995,000 1,995,000
7 Pertemuan koordinasi TP tingkat Puskesmas

Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000
1,695,000 1,695,000
BBM 2 org x 1 kl x 20,000 40,000 40,000
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1,265,000 1,265,000
JIWA
1 Pembentukan kader jiwa Makmin 40 org x 1 kl x 35,000 1,400,000 1,400,000

Fotokopi 200 lbr x 200 40,000 40,000
2,190,000 2,190,000
1 Honor PPTK BOK Honor 1 org x 12 kl x 330,000 3,960,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000
2 Honor Pengelola Keuangan BOK Honor 1 org x 12 kl x 250,000 3,000,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
3 Honor Promkes Honor 1 org x 12 kl x 2,000,000 24,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
4 Lokakarya Mini Lintas Sektor Makmin 40 org x 4 kl x 35,000 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000
Fotocopy 1000 lbr x 200 200,000 25,000 25,000 25,000 25,000
Transport Peserta 25 org x 4 kl x 25,000 2,500,000 480,000 480,000 480,000 480,000
8,300,000 1,905,000 1,905,000 1,905,000 1,905,000
5 Lokakarya Mini Bulanan Makmin 30 org x 11 kl x 35,000 11,550,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000 1,050,000
6 Evaluasi Program Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000
7 Konsultasi, Verifikasi, dan Pengiriman Laporan Kegiatan BOK Perjalanan Dinas 1 org x 24 kl x 70,000 1,680,000 70,000 70,000 140,000 70,000 140,000 70,000 140,000 140,000 140,000 140,000 140,000 140,000
8 ATK administrasi BOK 5,000,000
9 Fotocopy administrasi BOK Fotocopy 1,153,525
10 Rapat Rutin Program Perjalanan Dinas 6 org x 15 x 12 x 80,000 7,200,000

Perjalanan Dinas 10 org x 15 x 12 x 70,000 10,500,000
17,700,000
o
11 Pengambilan Obat dan Vaksin Perjalanan Dinas 2 org x 4 x 12 x 70,000 560,000
12 Belanja Cetak Cetak 14,000,000 5,850,000

*Blangko KS 12,750,000
Cetak media promkes ( leaflet, poster, balok SKDN, buku saku TB, buku
15,000,000
lansia, buku posyandu remaja)
27,750,000
13 Belanja Dekorasi Dekorasi 1,000,000
#VALUE! #VALUE! #VALUE!

#VALUE! 4,164 #VALUE!
ATK #REF! 21150800 970000
Sembako 7,802,000 89810400 2536000 2536000 2730000
Dekorasi #REF! 2,500,000 1,100,000
BBM 21150800 #VALUE! #VALUE!
Fotocopy 320,000 - 416,084,525 128,000 192,000
Makmin Rapat 18,515,000 416,084,525 1050000 9,625,000 7,840,000

29292600 ### #VALUE! -
416,084,525
#REF! #VALUE!
416,084,525
#VALUE! 270,307,000 makmin 2,160,000
16352600 #VALUE! praktek #VALUE!
207,307,000 cetak -
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
416,084,525 banner #REF!
APRIL 208,777,525 atk 10,500,000
ATK - penggandaan #REF!

Sembako - ls #REF!
Dekorasi - fc #VALUE!
BBM perjadin #VALUE!
Cetak - transport px #VALUE!
Fotocopy 44,000 pns #REF!
Makmin Rapat #VALUE! #VALUE!

x
x
x
x
x
x
x
#VALUE!
x 2,450,000
1,400,000
25,000
3,875,000
x 32,401,800,000
x -
-
x 2,450,000
x 1,400,000
25,000
3,875,000
-
x 6,300,000
x 750,000
7,050,000
-
x 3,150,000
x 1,875,000
x 60,000
5,085,000
-
x -
-
-
x 2,000,000
53,333
x -
x -
#VALUE!
#VALUE!
x 760,000
x 476,000
-
x 1,428,000
-
x 816,000
-
476,000
-
238,000
-
x 2,100,000
x 1,250,000
100,000
3,450,000
-
x 476,000
-
x 272,000
-
-
x 2,100,000
100,000
x 1,250,000
3,450,000
-
-
x 948,000
-
408,000
-
612,000
-
408,000
-
408,000
-
-
408,000
-
-
360,000
-
x 14,700,000
x 480,000
15,180,000
-
272,000
-
-
280,000
560,000
560,000
1,400,000
-
300,000
-
-
#VALUE!
1350000
x
x
#VALUE!
x
x
x
#VALUE!
atk 5,000,000
#REF!
#REF!
bhn praktek #VALUE!

dekorasi #REF!
#REF!
cetak -
non pns #VALUE!
#VALUE!
KEGIATAN KIA Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11
Pemantauan Kesehatan Ibu,Bayi dan Balita 2 12 28 28 28 28 28 28 28 28 28 28 28
Sweeping Imunisasi / Dofu 1 28
DDTK dan Pemberian Vit A ke PAUD/TK 2 2 19 19
Pemantauan Neonatal Resti 1 12 28 28 28 28 28 28 28 28 28 28 28
Deteksi dini Bumil Resti 1 12
Pemantauan Ibu Nifas Resti 1 12
Pelaksanaan Kelas Ibu Hamil 2 4
AMP Tingkat Puskesmas 20 2
Supervisi fasilitatif supportif Polindes 6 3 5 5 5 5
Pola Pendampingan Bumil resti pada kader 35 2
Pembinaan Posyandu 25 6
Sosialisasi Deteksi kanker mamae dan kanker servik 35 2
Promosi KB dan Kespro 35 1
Pendataan Bayi ,WUS, Bumil baru 1 28
KEGIATAN GIZI Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Pembinaan Kader Gizi 35 2
Pemantauan Gizi di Posyandu 1 12
Penyuluhan ASI Ekslusif dan IMD 35 1
Pembinaan Mitra Gizi 35 1
Pembinaan Ibu Balita Gizi Kurang 30 1
Pembinaan Bumil KEK 20 2
Penyuluhan dan Pemberian tablet FE 100 3
Penyuluhan jajanan sehat pada anak sekolah dan pengelolaan sampah 100 1
Distribusi Obat cacing SD/MI 1 2
Kunjungan rumah Balita KEP dan Bumil KEK 1 12
Pembentukan KP ASI di desa 30 1
Monev KP ASI 30 1
Sosialisasi makanan padat gizi 35 1
Pelacakan Balita Gizi buruk dan Bumil KEK 2 12
KEGIATAN PROMKES Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Meningkatkan
Pelatihan KS tk Puskesmas 20 1 april pengetahuan Puskesmas Staf Puskemas BOK Tim KS minggu 1
Pertemuan koordinasi KS tingkat Desa 25 3 mei meningkatkan koordiBalai Desa/KelurahaMasyarakat BOK Tim KS minggu 2
Survey KS 20 3 april,mei mendata KS Rumah Warga Masyarakat BOK Tim KS KS KS KS KS KS KS KS KS
juli,
Penyuluhan Kesehatan bagi institusi ( Penylhan Penyakit tdk menular ) 30 2 september menambah pengetaPuskesmas staf Institusi BOK Promkes mingg 1 mgg 1
menambah skill
Pertemuan Peningkatan kapasitas UKBM 35 1 mei dan bahan evaluasi Puskesmas Masyarakat BOK Promkes mnggu2
Pengkajian kemandirian UKBM 2 6 hr mei untuk memberi skil Posyandu Masyarakat BOK Promkes minggu 1
Survey PHBS 4 tatanan 2 14 hr mei tempat sasaran Masyarakat BOK Promkes minggu 3
- Tempat-Tempat Kerja
- Tempat-Tempat Umum
- Tempat-Tempat Ibadah
Penyuluhan Kesehatan pada santri di Ponpes (santri Husada) 40 2 mei BOK Promkes minggu 3
Pelatihan tim KS 2018 35 1 juli,sept BOK Promkes minggu 1
Refreshing Bagas Desi GB tk Puskesmas 30 1 maret BOK Promkes minggu 1
Pertemuan koordinasi Desi GB tk Desa 25 1 maret BOK Promkes minggu 2
Intervensi Desa Siaga 25 1 mei BOK Promkes minggu 2
Survey K3 35 1 oktober BOK Promkes minggu 3
Musyawarah masyarakat Desa ( MMD ) 30 1 juli BOK Promkes mgg 2
Pertemuan Paguyuban kader tk Puskesmas 35 1 oktober BOK Promkes minggu 4
Pertemuan koordinasi TP tingkat Puskesmas 30 1 juli BOK Promkes mgg 3
sosialisasi dan penyuluhan KIE dan napza 30 2 mei BOK Promkes minggu 1
Kegiatan Kesling Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Pembinaan Pemberdayaan ( verifikasi dan monev STBM ) 20 1 nov minggu 1
pembinaan kader kesling 35 1 juni minggu 3
Bimtek Penjamah makan pada TPM 25 1 juli minggu 4
On the Job training 25 2 juli minggu 2
Pembinaan tempat-tempat umum 25 1 juli minggu 3
Pembinaan Lingkungan dan Kantin Sekolah 2 20 oktober miniggu 2
Kegiatan P2
Diare Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Pemantauan Pasien Diare
Penyuluhan Kesehatan Pada Masyarkat
ISPA Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Kunjungan suspect pneumonia berat
Penyuluhan Ispa pneumonia
Kusta Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Pemeriksaan Kontak Intensif Kusta di Sekolah (SD/MI) 2 14
Pemeriksaan Kontak Intensif Kusta di Sekolah SMP/SMA/SMK ) 2 10
Kunjungan Rumah Pasien Kusta
Survailans Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

survey epid KLB Banjir 4 2
PE penyakit 2 12
pemantauan & penanggulangan KLB 3 2
pelakacakan jamaah haji 3 20
surveilans KIPI 2 1
UKS Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11

Pemeriksaan Gigi Siswa PAUD/RA/TK dan Demo Sikat Gigi 2 20
Pemeriksaan Kesehatan Berkala 2 19
Pemeriksaan Kesehatan gigi siswa SD/MI 2 14
Penjaringan Kesehatan Siswa Kelas I SD/MI 3 14
Penjaringan Kesehatan Siswa SMP/SMA 6 10
Promosi Cuci Tangan Anak Sekolah 1 20
Pembinaan Kader Kesehatan Tiwisada/ Dokter kecil 60 2
Pembinaan kader kesehatan remaja 60 2
pembinaan duta kesehatan remaja
Imunisasi Tujuan Tempat Sasaran Sumber Dana Pelaksana 1 2 3 4 5 6 7 8 9 10 11
Kegiatan BIAS
- Pendataan 1 14
- Pelaksanaan TD 2 14
- Pelaksanaan DT 2 14
Survailans KIPI 2 10 2x 2x 2x 2x
Supervisi Fasilitatif Polindes (KIA) 6 5
Pertemuan Paguyuban Kader Tk.Puskesmas (Promkes) 35 1
Pendataan Bayi,WUS,Bumil Baru 1 28
Sweping Imunisasi untuk Bayi 1 28
Sweping Imunisasi untuk BIAS 1 7
12 PJ
28
28
12 PJ
12 PJ
Laila Khifdiyah
Laila Khifdiyah
KS Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
12 PJ
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
Laila Khifdiyah
PJ
12
12
12 PJ
12 PJ
12 PJ
12 PJ
2x
PUSKESMAS :
KABUPATEN :
TAHUN :
NO KEGIATAN
1 2
1 Pemantauan Kesehatan Ibu,Bayi dan Balita
2 Pendampingan bumil resti oleh kader
3 Koper ANC
4 Sweeping Imunisasi / Dofu
5 DDTK dan Pemberian Vit A ke PAUD/TK
6 Pemantauan Neonatal Resti
7 Deteksi dini Bumil Resti
8 Pemantauan Ibu Nifas Resti
9 Pelaksanaan Kelas Ibu Hamil
10 AMP Tingkat Puskesmas
11 Supervisi fasilitatif supportif Polindes
12 Pola Pendampingan Bumil resti pada kader
13 Pembinaan Posyandu
14 Sosialisasi Deteksi kanker mamae dan kanker servik
KB dan kespro
15 Kelas Balita
16 Monitoring desa UCI
PROGRAM GIZI
1 Pembinaan Kader Gizi
2 Pemantauan Gizi di Posyandu
3 Penyuluhan ASI Ekslusif dan IMD
4 EMO DEMO
5 Pembinaan Ibu Balita Gizi Kurang

dan bumil KEK
6 Penyuluhan dan Pemberian tablet FE
Penyuluhan jajanan sehat pada anak sekolah dan pengelolaan

7
sampah
8 Distribusi Obat cacing SD/MI
9 Kunjungan rumah Balita KEP dan Bumil KEK
10 Pembentukan KP ASI di desa
11 kelas ibu pintar
12 Sosialisasi makanan padat gizi
13 monitoring garam iodium
1 Pemeriksaan Gigi Siswa PAUD/RA/TK dan Demo Sikat Gigi
2 UKGMD
3 Pemeriksaan Kesehatan Berkala

4 Pemeriksaan Kesehatan gigi siswa SD/MI
5 Penjaringan Kesehatan Siswa Kelas I SD/MI
6 Penjaringan Kesehatan Siswa SMP/SMA
7 Pembinaan Lingkungan dan Kantin Sekolah
8 Promosi Cuci Tangan Anak Sekolah
9 Pembinaan Kader Kesehatan Tiwisada/ Dokter kecil

10 Pemeriksaan Kontak Intensif Kusta di Sekolah (SD/MI)
11 Pemeriksaan Kontak Intensif Kusta di Sekolah SMP/SMA/SMK )
12 Pembinaan kader kesehatan Remaja
13 Penyuluhan Kesehatan pada santri di Ponpes

( santri husada )
14 Pembinaan duta kesehatan remaja
15 Sosialisasi pembentukan posyandu remaja di desa
16 Pelayanan Kesehatan PTM di pos Bindu
17 Kunjungan Rumah Keluarga Rawan Penyakit
18 Pembinaan Kesehatan Olahraga
19 Pemeriksaan kebugaran siswa sekolah SD/MI/SMP/SMA
20 Pertemuan Guru UKS SD/MI/SMP/SMA
21 posyandu remaja
22 Pendataan Kasus Jiwa
23 Pemantauan dan Pengawasan Minum Obat Pasien dgn Gangguan

Jiwa
24 Kunjungan Rumah Pasien Kusta
25 Pemantauan Pasien Diare
26 Penyuluhan Kesehatan Pada Masyarkat
27 Survei Epidemiologi KLB Banjir
28 Penyelidikan Epidemiologi /PE penyakit
29 Pemantauan dan Penanganan Korban KLB

30 Pelacakan Kesehatan jamaah haji
31 Pembinaan BATRA
32 Posyandu lansia
33 Pembinaan Kader Lansia
34 Gerakan senam lansia di desa
35 * Pendataan Sasaran
36 * Pelaksanaan Imunisasi TD
* Pelaksanaan Imunisasi DT
37 Surveilans KIPI
38 Penggerakan CTPS Pada anak sekolah

39 Kebugaran Jasmani CJH
40 Kunjungan suspect pneumonia berat
41 Penyuluhan mata/indra
dan diare
TOTAL
MENULAR
1 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS
2 Pengambilan Obat ARV
3 Pemantauan ODHA dalam Kepatuhan Minum Obat
4 Penyuluhan Kesehatan siswa Sekolah (KESPRO,KESWA, HIV-AIDS

Rokok Narkoba )
5 Kontak Tracing Pasien TB
6 Konseling dan Pencegahan Transmisi Penularan Penyakit TB dari

7 Pemantauan Kepatuhan Minum Obat TB dan TB Mangkir
8 Penemuan, pelacakan dan Tata Laksana Kasus TB
9 pendampingan pasien TB oleh kader
10 kontak tracing oleh kader
11 Penyuluhan TB MDR DAN TB HIV dan cara Pencegahannya

dan ISPA
12 Penemuan, pelacakan dan Tata Laksana Kasus DBD,Malaria
13 Pemeriksaan Jentik Berkala
14 Pembinaan Kader Jumantik / kader Gedar
15 Pembinaan Kader Jumantik anak sekolah (SD/MI )
16 Pertemuan Pos UKK
PROMKES
1 Pelatihan KS tk Puskesmas
2 Pertemuan koordinasi KS tingkat Desa
3 Survey KS
4 Penyuluhan Kesehatan bagi institusi ( Penylhan Penyakit tdk menu
5 Pertemuan Peningkatan kapasitas UKBM

6 Pengkajian kemandirian UKBM
7 Survey PHBS 4 tatanan
8 Pembinaan kader ASUH
Belanja Cetak
* Blangko KS
* Stiker KS
Cetak media promkes ( leaflet, poster, balok SKDN, buku saku

TB, buku lansia, buku posyandu remaja)
Belanja Cetak
* Blangko K3
* Blangko DO K3
KESLING
1 Pembinaan kader Kesling
2 Bimtek Penjamah makan pada TPM
3 On the Job training

4 Pendataan jamban
DESA SIAGA
1 Refreshing Bagas Desi GB tk Puskesmas
2 Pertemuan koordinasi Desi GB tk Desa
3 Intervensi Desa Siaga
4 Survey K3
5 Musyawarah masyarakat Desa ( MMD )
6 Pertemuan Paguyuban kader tk Puskesmas
7 Pertemuan koordinasi TP tingkat Puskesmas

8 Pembinaan Pemberdayaan ( verifikasi dan monev STBM )
JIWA
1 Pembentukan kader jiwa
1 Honor PPTK BOK
2 Honor Pengelola Keuangan BOK
3 Honor Promkes
4 Lokakarya Mini Lintas Sektor
6 Evaluasi Program
7 Konsultasi, Verifikasi, dan Pengiriman Laporan Kegiatan BOK
8 ATK administrasi BOK
9 Fotocopy administrasi BOK
10 Rapat Rutin Program
11 Pengambilan Obat dan Vaksin

12 Belanja Cetak
*Blangko KS
Cetak media promkes ( leaflet, poster, balok SKDN, buku saku
TB, buku lansia, buku posyandu remaja)
* Blangko K3
* Blangko DO K3
13 Belanja Dekorasi
KEDAWUNG WETAN
PASURUAN
2019
BELANJA VOLUME
3 4
BBM 2 org x 28 pos x
BBM 10 org x 12 kunj x
BBM 2 org x 24 kl
BBM 1 org x 19 kl x
BBM 1 org x 144 keg x
Snack 12 org x 6 ds x
BBM 2 org x 6 ds x
Makmin 20 org x 2 kl x
Transport Peserta 10 org x 2 kl
BBM 6 org x 5 polds x

Fotocopy 500 lbr x
Transport Peserta 28 org x 1 kl x
snack 15 org x 28 kl x
BBM 2 org x 28 kl x
BBM 1 org x 12 kl x
Fotocopy 100 lbr x
BBM 1 org x 2 kl x
Fotocopy 100 lbr x
BBM 5 org x 6 kl x
Fotocopy 300 lbr x
Snack 100 org x 2 kl x

BBM 2 org x 2 kl x
Snack 50 org x 5 kl x
BBM 2 org x 5 kl x
BBM 1 org x 14 SD/MI x
BBM 1 org x 48 kl x
BBM 3 org x 1 kl x
bahan praktek 28 pos x 1 kl x

BBM 1 org x 28 kl x
Fotocopy 100 lbr x
BBM 1 org x 6 ds x
BBM 2 org x 19 inst x
BBM 1 org x 6 dsn x

BBM 6 org x 10 kl x
BBM 2 org x 10 kl x
BBM 1 org x 10 kl x
Fotocopy 500 lbr x 1 kl x
BBM 2 org x 14 kl x
BBM 2 org x 10 kl x
BBM 4 org x 2 kl x
BBM 5 org x 1 kl x
BBM 2 org x 60 kl x
BBM 1 org x 48 kl x
BBM 1 org x 36 kl x
snack 24 org x 1 kl x
BBM 1 org x 24 kl x
Fotocopy 200 lbr x
Bahan praktek (UKS Kit) 20 ins x 1 paket

BBM 2 org x 12 kl x
BBM 2 org x 36 kl x
BBM 2 org x 48 kl x
BBM 1 org x 24 kl x
BBM 2 org x 12 kl x
BBM 4 org x 10 kl x
BBM 2 org x 12 kl x
BBM 3 org x 5 pos x
BBM 2 org x 20 kl x
BBM 1 org x 17 kl x
snack 15 org x 6 ds x
BBM 2 org x 6 ds x
BBM 1 org x 14 kl x
BBM 2 org x 14 kl x
BBM 2 org x 14 kl x
BBM 2 org x 4 kl x
BBM 3 org x 3 kl x
BBM 1 org x 2 balita x
BBM 2 org x 12 kl x
BBM 1 org x 24 kl x
BBM 2 org x 12 kl x
BBM 4 org x 6 kl x
BBM 30 org x 12 kl x
BBM 30 org x 6 kl x
BBM 30 org x 6 kl x
BBM 1 org x 24 kl x
BBM 19 org x 12 kl x
Transport peserta 42 org x 1 kl x
Fotocopy 200 lbr x
Fotocopy 100 lbr
Total
Fotokopi 100 lbr x 1 kl x
BBM 5 org x 1 kl x
BBM 11 org x 18 hr x
BBM 15 org x 18 hr x
BBM 2 org x 40 POS x
BBM 2 org x 14 hr x
Makmin 30 org x 6 ds x
transport peserta 25 org x 6 ds x
25 rim x
6000 lbr x
10 pkt x
6 rim x
6 rim x
Bahan Praktek 2 pkt x
BBM 30 org x 4 kl x
BBM 5 org x 3 kl x
BBM 5 org x 3 kl x
BBM 20 org x 3 kl x
BBM 5 org x 3 kl x
BBM 2 org x 1 kl x
Total
Fotokopi 200 lbr x
Honor 1 org x 12 kl x
Fotocopy 1000 lbr x
Perjalanan Dinas 1 org x 24 kl x
Fotocopy
Perjalanan Dinas 6 org x 15 x 12


Cetak
6 rim x
6 rim x
Dekorasi
Total
MATRIK PLAN OF ACTION DAN
VOLUME BIAYA SATUAN

4 5
12 kl 20,000
2 kl 20,000
1 th 20,000
20,000
2 kl 50,000
20,000
20,000
20,000
3 kls x 3 pertmn x 10,000

3 kls x 3 pertmn x 20,000
35,000
25,000
2 kl x 20,000
200
35,000
25,000
35,000
25,000
35,000
25,000
1 th 10,000
1 th 20,000
20,000
35,000
25,000
12 20,000
35,000
25,000
-
35,000
20,000
35,000
25,000
200
10,000
20,000
10,000
20,000
2 kl 20,000
20,000
35,000
20,000
200,000
20,000
35,000
25,000
20,000
20,000
20,000
1 kl x 20,000
2 kl x 20,000
2 kl x 20,000
20,000
20,000
20,000
35,000
25,000
200
20,000
20,000
35,000
200
25,000
35,000
20,000
35,000
25,000
35,000
20,000
20,000
20,000
20,000
10,000
20,000
35,000
25,000
200
50,000
1 pos 20,000
20,000
20,000
20,000
20,000
35,000
20,000
20,000
20,000
4 kjd x 20,000
20,000
20,000
12 x 20,000
35,000
25,000
10,000
20,000
20,000
20,000
20,000
20,000
35,000
25,000
20,000
5 kl 20,000
35,000
25,000
20,000
20,000
20,000
35,000
20,000
20,000
20,000
20,000
20,000
1 th 20,000
20,000
35,000
25,000
200
20,000
30,000
35,000
25,000
35,000
25,000
200
35,000
25,000
200
35,000
200
2 ds 35,000
2 ds 200
2 ds 20,000
3 ds 20,000
3 ds 30,000
35,000
200
25,000
35,000
200
25,000
20,000
20,000
35,000
25,000
150,000
1,500
1,500,000
150,000
150,000
35,000
200
25,000
35,000
200
25,000
35,000
200
25,000
1,500,000
20,000
35,000
200
25,000
35,000
200
20,000
35,000
200
20,000
20,000
35,000
200
20,000
35,000
200
25,000
35,000
200
25,000
35,000
20,000
35,000
200
25,000
330,000
250,000
2,000,000
35,000
200
25,000
35,000
35,000
70,000
x 80,000
x 70,000
x 70,000
150,000
150,000
JUMLAH BIAYA (Rp).

Januari Februari
6 7
13,440,000 1,120,000 1,120,000
1,120,000
2,400,000
960,000 160,000
1,900,000 760,000
2,880,000 240,000 240,000
2,880,000 240,000 240,000
2,880,000 240,000 240,000
6,480,000
2,160,000
8,640,000
1,400,000
500,000
1,900,000
1,200,000
100,000
1,300,000
1,225,000
700,000
1,925,000
5,250,000 875,000
3,000,000 500,000
8,250,000 1,375,000
3,675,000
2,100,000
5,775,000
4,200,000
1,120,000
5,320,000
240,000 20,000 20,000
61,810,000 2,020,000 3,995,000
2,450,000
1,400,000
25,000
3,875,000
480,000 40,000 40,000
2,450,000
1,400,000
25,000
3,875,000
6,300,000
600,000
6,900,000
3,150,000
1,875,000
60,000
5,085,000
2,000,000
80,000
2,080,000
2,500,000
200,000
2,700,000
560,000
960,000 80,000 80,000
1,050,000
60,000
1,110,000
-
5,600,000
560,000
6,160,000
1,225,000
700,000
25,000
1,950,000
120,000 120,000
35,855,000 120,000 240,000
760,000
120,000 20,000 20,000
560,000
1,120,000
1,680,000
1,200,000
400,000 40,000 40,000
200,000 20,000 20,000
2,100,000
1,250,000
100,000
3,450,000
560,000
400,000
2,100,000
100,000
1,250,000
3,450,000
2,800,000
160,000
2,960,000
1,050,000
500,000
1,550,000
1,225,000
100,000
1,325,000
2,400,000 200,000 200,000
960,000 80,000 80,000
720,000 60,000 60,000
240,000
480,000
720,000
1,050,000
500,000
40,000
1,590,000
1,000,000
480,000 40,000 40,000
1,440,000 120,000 120,000
1,920,000 160,000 160,000
480,000 40,000 40,000
480,000 40,000 40,000
14,700,000 1,225,000 1,225,000

480,000 40,000 40,000
15,180,000 1,265,000 1,265,000
800,000 80,000
480,000 40,000 40,000
1,200,000
800,000
340,000 60,000 60,000
5,760,000 480,000 480,000
2,625,000
1,650,000
4,275,000
900,000
240,000
1,140,000
280,000
560,000
560,000
1,400,000
160,000
2,800,000
1,750,000
4,550,000
180,000
200,000 40,000
2,450,000
1,500,000
3,950,000
72,340,000 #VALUE! #VALUE!
480,000 40,000 40,000
480,000 40,000 40,000
480,000 40,000 40,000
8,400,000
480,000
8,880,000
240,000 20,000 20,000
240,000 20,000 20,000
240,000 20,000 20,000
7,200,000 600,000 600,000
3,600,000 600,000
3,600,000 600,000
2,450,000
1,500,000
40,000
3,990,000
480,000 40,000 40,000
6,840,000 570,000 570,000
1,750,000
950,000
2,700,000
1,575,000
1,050,000
40,000
2,665,000
1,050,000
500,000
20,000
1,570,000
43,685,000 #VALUE! #VALUE!
700,000
20,000
720,000
1,750,000
40,000
200,000
1,990,000
11,880,000
24,300,000
36,180,000
1,050,000
20,000
500,000
1,570,000
1,225,000
20,000
750,000
1,995,000
1,600,000
560,000
6,300,000
3,750,000
10,050,000
3,750,000
9,000,000
12,750,000
15,000,000
900,000
900,000
1,800,000
1,225,000
20,000
750,000
1,995,000
875,000
20,000
500,000
1,395,000
1,750,000
26,000
1,000,000
3,000,000
5,776,000
2,400,000
1,050,000
20,000
625,000
1,695,000
2,625,000
90,000
300,000
3,015,000
2,625,000
90,000
300,000
3,015,000
1,200,000
2,625,000
180,000
300,000
3,105,000
1,225,000
20,000
750,000
1,995,000
1,050,000
20,000
625,000
1,695,000
1,225,000
40,000
1,265,000
83,216,000 #VALUE! #VALUE!
1,400,000
40,000
750,000
2,190,000
3,960,000 330,000 330,000
3,000,000 250,000 250,000
24,000,000 2,000,000 2,000,000
5,600,000
200,000
2,500,000
8,300,000
11,550,000 1,050,000 1,050,000
1,050,000
1,680,000 70,000 70,000
5,765,000
1,153,525
7,200,000
10,500,000
17,700,000
560,000
12,750,000
15,000,000
27,750,000
900,000
900,000
1,800,000
1,000,000
111,458,525 3,700,000 3,700,000
408,364,525 #VALUE! #VALUE!

BOK)
BULAN
Maret April Mei Juni
8 9
1,120,000 1,120,000 1,120,000 1,120,000
560,000
160,000 160,000
240,000 240,000 240,000 240,000
240,000 240,000 240,000 240,000
240,000 240,000 240,000 240,000
2,160,000 2,160,000
720,000 720,000
2,880,000 2,880,000
700,000
250,000
950,000
600,000
50,000
650,000
1,225,000
700,000
1,925,000
875,000 875,000
500,000 500,000
1,375,000 1,375,000
1,225,000 1,225,000
700,000 700,000
1,925,000 1,925,000
4,200,000
1,120,000
5,320,000
20,000 20,000 20,000 20,000
6,825,000 8,555,000 3,530,000 10,615,000
1,225,000
700,000
12,500
1,937,500
40,000 40,000 40,000 40,000
1,225,000
700,000
12,500
1,937,500
1,050,000 1,050,000 1,050,000 1,050,000

100,000 100,000 100,000 100,000
1,150,000 1,150,000 1,150,000 1,150,000
1,050,000
625,000
20,000
1,695,000
1,000,000
40,000
1,040,000
500,000 500,000 500,000

40,000 40,000 40,000
540,000 540,000 540,000
80,000 80,000 80,000 80,000
1,400,000 1,400,000 1,400,000

140,000 140,000 140,000
1,540,000 1,540,000 1,540,000
7,437,500 #VALUE! #VALUE! #VALUE!
20,000 20,000 20,000 20,000
560,000
40,000 40,000 40,000 40,000
20,000 20,000 20,000 20,000

1,400,000
80,000
1,480,000
525,000
250,000
775,000
200,000 200,000 200,000 200,000
80,000 80,000 80,000 80,000
60,000 60,000 60,000 60,000
1,050,000 1,050,000
500,000 500,000
40,000 40,000
1,590,000
1,000,000
40,000 40,000 40,000 40,000
120,000 120,000 120,000 120,000
160,000 160,000 160,000 160,000
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
1,225,000 1,225,000 1,225,000 1,225,000

40,000 40,000 40,000 40,000
1,265,000 1,265,000 1,265,000 1,265,000
80,000 80,000 80,000 80,000
40,000 40,000 40,000 40,000
1,200,000
60,000 40,000 40,000
480,000 480,000 480,000 480,000
875,000 875,000
550,000 550,000
1,425,000 1,425,000
150,000 150,000 150,000

40,000 40,000 40,000
190,000 190,000 190,000
40,000
2,800,000
1,750,000
4,550,000
120,000
40,000 40,000
1,225,000
750,000
1,975,000
#VALUE! #VALUE! #VALUE! #VALUE!
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
1,400,000 1,400,000
80,000 80,000
1,480,000 1,480,000
20,000 20,000 20,000 20,000
20,000 20,000 20,000 20,000
20,000 20,000 20,000 20,000
600,000 600,000 600,000 600,000
600,000 600,000
600,000 600,000
1,225,000
750,000
20,000
1,995,000
40,000 40,000 40,000 40,000
570,000 570,000 570,000 570,000
875,000
475,000
1,350,000
1,575,000
1,050,000
40,000
2,665,000
525,000
250,000
10,000
785,000
700,000
20,000
720,000
1,750,000
40,000
200,000
1,990,000
1,225,000
20,000
750,000
1,995,000
1,600,000
1,050,000 1,050,000 1,050,000

625,000 625,000 625,000
1,675,000 1,675,000 1,675,000
1,225,000
20,000
750,000
1,995,000
-
600,000 600,000
1,050,000
20,000
625,000
1,695,000
2,625,000
90,000
300,000
3,015,000
2,625,000
90,000
300,000
3,015,000
1,200,000
2,625,000
180,000
300,000
3,105,000
1,400,000
40,000
750,000
2,190,000
330,000 330,000 330,000 330,000
250,000 250,000 250,000 250,000
2,000,000 2,000,000 2,000,000 2,000,000
1,400,000 1,400,000
25,000 25,000
480,000 480,000
1,905,000 1,905,000
1,050,000 1,050,000 1,050,000 1,050,000
140,000 70,000 140,000 70,000

14,000,000
#VALUE! 17,700,000 #VALUE! 3,700,000

BULAN
Juli Agustus September Oktober
10 11 12 13
1,120,000 1,120,000 1,120,000 1,120,000
160,000 160,000
760,000
240,000 240,000 240,000 240,000
240,000 240,000 240,000 240,000
240,000 240,000 240,000 240,000
2,160,000
720,000
2,880,000
875,000 875,000
500,000 500,000
1,375,000 1,375,000
1,225,000
700,000
1,925,000
20,000 20,000 20,000 20,000
2,020,000 5,370,000 11,630,000 4,610,000
1,225,000
700,000
12,500
1,937,500
40,000 40,000 40,000 40,000
1,225,000
700,000
12,500
1,937,500
1,050,000 1,050,000
100,000 100,000
1,150,000 1,150,000
1,050,000 1,050,000
625,000 625,000
20,000 20,000
1,695,000 1,695,000
1,000,000
40,000
1,040,000
500,000 500,000
40,000 40,000
540,000 540,000
560,000
80,000 80,000 80,000 80,000

210,000
1,050,000
60,000
1,110,000
1,400,000
140,000
1,540,000
1,225,000
700,000
25,000
1,950,000
#VALUE!
760,000
560,000
560,000 476,000
840,000 840,000
1,200,000
40,000 40,000 40,000 40,000
20,000 20,000 20,000 20,000
2,100,000
1,250,000
100,000
3,450,000
280,000 280,000 476,000
400,000
2,100,000
100,000
1,250,000
3,450,000
1,400,000
80,000
1,480,000
525,000
250,000
775,000
1,225,000
100,000
1,325,000
200,000 200,000 200,000 200,000
80,000 80,000 80,000 80,000
60,000 60,000 60,000 60,000
240,000
480,000
720,000
40,000 40,000 40,000 40,000

120,000 120,000 120,000 120,000
160,000 160,000 160,000 160,000
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
1,225,000 1,225,000 1,225,000 1,225,000

40,000 40,000 40,000 40,000
1,265,000 1,265,000 1,265,000 1,265,000
80,000 80,000 80,000 80,000
40,000 40,000 40,000 40,000
800,000
40,000 40,000
480,000 480,000 480,000 480,000
875,000
550,000
1,425,000
150,000 150,000 150,000

40,000 40,000 40,000
190,000 190,000 190,000
280,000
560,000
560,000
1,400,000
40,000 40,000
60,000
40,000 40,000
1,225,000
750,000
1,975,000
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
40,000 40,000 40,000 40,000
1,400,000 1,400,000 1,400,000

80,000 80,000 80,000
1,480,000 1,480,000 1,480,000
20,000 20,000 20,000 20,000
20,000 20,000 20,000 20,000
20,000 20,000 20,000 20,000
600,000 600,000 600,000 600,000
600,000 600,000
600,000 600,000
40,000 40,000 40,000 40,000
570,000 570,000 570,000 570,000
875,000
475,000
1,350,000
525,000
250,000
10,000
785,000
#VALUE!
11,880,000
16,200,000
28,080,000
1,050,000
20,000
500,000
1,570,000
560,000
1,050,000 1,050,000 1,050,000

625,000 625,000 625,000
1,675,000 1,675,000 1,675,000
875,000
20,000
500,000
1,395,000
1,750,000
26,000
1,000,000
3,000,000
5,776,000
600,000
-
-
-
875,000
40,000
100,000
1,015,000
1,225,000
20,000
750,000
1,995,000
1,050,000
20,000
625,000
1,695,000
330,000 330,000 330,000 330,000
250,000 250,000 250,000 250,000
2,000,000 2,000,000 2,000,000 2,000,000
1,400,000
25,000
480,000
1,905,000
1,050,000 1,050,000 1,050,000 1,050,000
140,000 140,000 140,000 140,000

5,850,000
9,620,000 #VALUE! 3,770,000 3,770,000

November Desember
14 15
1,120,000 1,120,000 x
560,000
160,000 x
240,000 240,000 x
240,000 240,000
240,000 240,000 x
x
x
700,000 x
250,000 x
950,000
600,000 x
50,000 x
650,000
875,000
500,000
1,375,000
20,000 20,000
8,530,000 1,860,000 ###
40,000 40,000 x
x
x
x
x
x
x
x
x
x
80,000 80,000
x
x
120,000 120,000
###
x
816,000
x
x
x
272000
200,000 200,000
80,000 80,000
60,000 60,000
x
374,000
40,000 40,000
120,000 120,000
160,000 160,000
40,000 40,000
40,000 40,000
1,225,000 1,225,000
40,000 40,000
1,265,000 1,265,000
80,000
x
40,000 40,000 x
480,000 480,000
40,000
-
-
-
#VALUE! #VALUE!
40,000 40,000
40,000 40,000 #VALUE!
40,000 40,000
1350000
1,400,000
80,000
1,480,000
20,000 20,000
20,000 20,000
20,000 20,000
600,000 600,000
600,000
600,000
1,225,000
750,000
20,000
1,995,000
40,000 40,000
570,000 570,000
x
x
#VALUE! 1,390,000
#VALUE!
x
x
x
600,000
1,225,000
40,000
1,265,000
#VALUE! #VALUE!
#VALUE!
330,000 330,000
250,000 250,000
2,000,000 2,000,000
1,400,000
25,000
480,000
1,905,000
1,050,000 x
1,050,000 x
140,000 140,000
x
x
7,580,000 3,770,000
#VALUE! #VALUE!
#VALUE!
4 PHBS ponpes Makmin 35 org 35,000 1,225,000 1,225,000
SPPD 3 org 50,000 150,000 150,000
Dekorasi 1 bh 150,000 150,000 150,000
1,525,000 1,525,000
5 Intervensi / pembinaan Poskestren SPPD 5 kl 60,000 300,000 300,000
6 MMD ponpes Makmin 40 org 35,000 1,400,000 1,400,000

SPPD 5 org 60,000 300,000 300,000
1,700,000 1,700,000
Belanja Cetak :
7 Blanko K3 Cetak 16 rim 300,000 4,800,000 4,800,000
8 Poster promkes Cetak 1 rim 6,000,000 6,000,000 6,000,000
9 Leaflet promkes Cetak 1 rim 2,500,000 2,500,000 2,500,000
10 Lembar balik promkes Cetak 12 bh 50,000 600,000 600,000
11 Monev PIS PK Lintas Program Makmin 100 org x 4 kl 35,000 3,500,000 875,000 875,000 875,000 875,000
12 Intervensi Keluarga Rawan SPPD 4 org x 6 ds x 12 bln 60,000 17,280,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000
13 Kunjungan rumah keluarga rawan penyakit SPPD 1 org x 4 kl x 12 bln 50,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
Rapat Program Ke dinas SPPD 15 kl 60,000 900,000 60,000 60,000 60,000 60,000 60,000 120,000 120,000 120,000 60,000 60,000 60,000 60,000
KESLING
1 Sosialisasi pembentukan bank sampah Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Transport Peserta 30 org x 1 kl 40,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
2 Uji petik SAB SPPD 12 org 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
3 Bimtek TPM Makmin 50 org 35,000 1,750,000 1,750,000

Transport Peserta 45 org 40,000 1,800,000 1,800,000
Dekorasi 1 bh 150,000 150,000 150,000
Fotocopy 130 lbr 300 39,000 39,000
3,739,000 3,739,000
4 Inspeksi penyuluhan jajanan sekolah SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
5 Pendataan jamban dan pemantauan jamban sehat SPPD 3 org x 4 kl 50,000 600,000 150,000 150,000 150,000 150,000
Transport Peserta 26 org x 4 kl 40,000 4,160,000 1,040,000 1,040,000 1,040,000 1,040,000
4,760,000 1,190,000 1,190,000 1,190,000 1,190,000
6 On the job training Makmin 30 org 35,000 1,050,000 1,050,000

SPPD 6 org 50,000 300,000 300,000
Transport Peserta 21 org 40,000 840,000 840,000
Bahan praktek 3 pkt 1,500,000 4,500,000 4,500,000
6,690,000 6,690,000
7 Pengkajian TTU/PHBS TTU SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
8 Pengkajian IKL TPM SPPD 5 org x 12 bln 60,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
9 IKL pemantauan rumah keluarga sehat SPPD 3 org x 12 bln 50,000 1,800,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000
10 Penguatan komitmen STBM Makmin 30 org x 2 kl 35,000 2,100,000 1,050,000 1,050,000

SPPD 5 org 60,000 300,000 150,000 150,000
2,400,000 1,200,000 1,200,000
Rapat Program Ke dinkes SPPD 22 kl 60,000 1,320,000 60,000 60,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000
DESA SIAGA
1 Pertemuan koordinasi kader desi tingkat PKM Makmin 35 org 35,000 1,225,000 1,225,000
Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
2 Musyawarah Masyarakat Desa (MMD) Makmin 140 org 35,000 4,900,000 4,900,000
SPPD 20 org 60,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
6,250,000 6,250,000
3 Intervensi pasca MMD SPPD 1 org x 28 pos x 12 bln 50,000 1,400,000 350,000 350,000 350,000 350,000
Total 82,964,000 2,660,000 16,910,000 12,675,000 3,720,000 5,095,000 8,384,000 5,555,000 10,020,000 5,270,000 4,570,000 4,360,000 3,745,000
1 Honorarium Jasa Honor 4 org x 12 kl x 2,000,000 96,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000
2 Supervisi Fasilitatif SPPD 5 org x 5 kl x 60,000 1,500,000 300,000 300,000 300,000 300,000 300,000
3 Supervisi ke polindes SPPD 1 org x 10 kl x 60,000 600,000 120,000 120,000 120,000 120,000 120,000
4 Lokakarya Mini Lintas Sektor Makmin 40 org x 4 kl 35,000 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000
10,600,000 2,650,000 2,650,000 2,650,000 2,650,000
5 Lokakarya Mini Bulanan Makmin 47 org x 12 kl 35,000 19,740,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000
Dekorasi 1 bh 150,000 150,000 150,000
19,890,000 1,795,000
6 Perencanaan Tingkat Puskesmas (PTP) Makmin 50 org x 1 kl x 35,000 1,750,000 1,750,000

Dekorasi 1 bh 150,000 150,000 150,000
1,900,000 1,900,000
7 Konsultasi BOK SPPD 1 org x 3 kl x 12 bl 60,000 2,160,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000
8 ATK administrasi Manajemen 19,238,540 19,238,540
9 Fotocopy Manajemen Fotocopy 900,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000
10 Rapat Rutin Linprog dan Linsek SPPD 4 kl 3,600,000 900,000 900,000 900,000 900,000
Total 156,388,540 10,050,000 29,138,540 13,450,000 9,900,000 13,450,000 10,020,000 10,320,000 13,870,000 10,320,000 10,320,000 13,750,000 11,800,000
524,667,540 24,460,000 98,238,540 55,630,000 32,065,000 29,875,000 44,989,000 48,705,000 52,210,000 38,455,000 35,270,000 36,775,000 26,095,000

TAHUN : 2020
JUMLAH BIAYA BULAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Pelayanan Posyandu SPPD 1 org x 28 pos x 12 kl 60,000 20,160,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000
2 Kunjungan Bumil Resti SPPD 1 org x 6 desa x 12 kl 60,000 4,320,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
3 Kunjungan Nifas Resti SPPD 1 org x 6 desa x 12 kl 60,000 4,320,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
4 Kunjungan Neonatal Resti SPPD 1 org x 6 desa x 12 kl 60,000 4,320,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
5 Refreshing Kader Balita dan Kader Asuh Makmin 35 org x 6 kl x 1 kl 35,000 7,350,000 1,225,000 1,225,000 1,225,000 1,225,000 1,225,000 1,225,000
Transport Peserta 30 org x 6 kl x 1 kl 40,000 7,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
14,700,000 2,575,000 2,425,000 2,425,000 2,425,000 2,425,000 2,425,000
6 Penyuluhan P4K Makmin 35 org x 1 keg 35,000 1,225,000 1,225,000

Transport Peserta 28 org x 1 keg 40,000 1,120,000 1,120,000
2,345,000 2,345,000
7 Kelas Bumil Snack 12 org x 6 desa x 12 kl 10,000 8,640,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000
SPPD 1 org x 6 desa x 12 kl 60,000 4,320,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
12,960,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000
8 Rapat Program ke Dinkes SPPD 44 org 70,000 3,080,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 140,000 140,000
66,205,000 4,120,000 4,120,000 6,465,000 6,695,000 4,120,000 6,545,000 6,545,000 6,545,000 6,545,000 6,545,000 3,980,000 3,980,000
PROGRAM GIZI
1 Refreshing KP ASI Makmin 30 org x 1 kl 35,000 1,050,000 1,050,000

Transport Peserta 24 org x 1 kl 40,000 960,000 960,000
Dekorasi 1 bh 150,000 150,000 150,000
2,160,000 2,160,000
2 Kunjungan rumah Bumil KEK dan Balita Gizi dan Pemantauan Status Gizi SPPD 1 org x 2 kl x 12 bln 60,000 1,440,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000
3 Penyuluhan ASI Ekslusif Makmin 35 org x 2 kl 35,000 2,450,000 1,225,000 1,225,000

Transport Peserta 30 org x 2 kl 40,000 2,400,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
5,000,000 2,575,000 2,425,000
-
4 EMO DEMO di Desa Snack 30 org x 22 pos 10,000 6,600,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000 550,000
SPPD 3 org x 22 pos 60,000 3,960,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000 330,000
10,560,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000 880,000
5 PMBA dan Gizi Seimbang Makmin 35 org x 2 kl 35,000 2,450,000 1,225,000 1,225,000
Transport Peserta 30 org x 2 kl 40,000 2,400,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
5,000,000 2,575,000 2,425,000
6 Pembinaan Kader Mitra Gizi Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
2,495,000 2,495,000
7 Penyuluhan pada Rematri Snack 100 org x 1 kl 10,000 1,000,000 1,000,000

SPPD 8 org x 1 kl 60,000 480,000 480,000
Dekorasi 1 kl 150,000 150,000 150,000
1,630,000 1,630,000
8 Sosialisasi KGM Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Fotocopy 100 lbr 300 30,000 30,000
2,455,000 2,455,000
9 Rapat Program Ke Dinkes SPPD 22 oh 70,000 1,540,000 140,000 140,000 140,000 140,000 140,000 140,000 140,000 140,000 140,000 140,000 70,000 70,000
32,280,000 1,140,000 3,635,000 5,875,000 1,140,000 1,140,000 8,595,000 1,140,000 1,140,000 2,770,000 1,140,000 3,495,000 1,070,000
1 Pemeriksaan Gigi Siswa TK/RA SPPD 1 org x 19 inst x 1 kl 60,000 1,140,000 1,140,000
2 Pemeriksaan gigi SD/MI SPPD 1 org x 14 ins x 1 kl 60,000 840,000 840,000
3 UKGMD di Posyandu SPPD 1 org x 28 pos x 2 kl 60,000 3,360,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000 280,000
4 Penjaringan Kesehatan Siswa SD/MI SPPD 4 org x 14 ins x 1 kl 60,000 3,360,000 3,360,000
5 Penjaringan Kesehatan Siswa SMP/MTs SPPD 24 org x 1 kl 60,000 1,440,000 1,440,000
6 Penjaringan Kesehatan Siswa SMA/SMK SPPD 35 org x 1 kl 60,000 2,100,000 2,100,000
7 Pembinaan guru pembina dan kader kesehatan remaja Makmin 100 org x 1 kl 35,000 3,500,000 3,500,000
Transport peserta 80 org x 1 kl 40,000 3,200,000 3,200,000
Dekorasi 1 bh 150,000 150,000 150,000
6,850,000 6,850,000
8 Sosialisasi Pembentukan posyandu remaja tk Desa Makmin 30 org x 1 kl 35,000 1,050,000 1,050,000
Dekorasi 1 bh 150,000 150,000 150,000
2,200,000 2,200,000
9 Pembinaan guru, pembina UKS, dan kader SD/MI Makmin 280 org x 1 kl 35,000 9,800,000 9,800,000
Dekorasi 1 bh 150,000 150,000 150,000
18,910,000 18,910,000
10 Pemeriksaan kesehatan di ponpes SPPD 2 org x 2 ins x 2 kl 60,000 480,000 480,000
11 Pembinaan guru UKS sekolah Makmin 25 org x 1 kl 35,000 875,000 875,000

Dekorasi 1 bh 150,000 150,000 150,000
1,785,000 1,785,000
12 Pembinaan duta kesehatan Makmin 50 org x 1 kl 35,000 1,750,000 1,750,000

Fotocopy 200 lbr 300 60,000 60,000
3,010,000 3,010,000
13 Penyuluhan CTPS SPPD 1 org x 14 ins x 1 kl 50,000 700,000 50,000 100,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
14 Koordinasi tk Desa posyandu remaja Snack 20 org x 6 desa x 1 kl 10,000 1,200,000 400,000 400,000 400,000
SPPD 4 org x 6 desa x 1 kl 60,000 1,440,000 480,000 480,000 480,000
2,640,000 880,000 880,000 880,000
Rapat Program Kedinkes SPPD 6 org 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
15 Penanganan kasus jiwa SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
16 Pemantauan dan Pengawasan Minum Obat Pasien Gangguan SPPD 1 org x 4 kl x 12 bln 50,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
Jiwa
17 Refreshing kader jiwa/perangkat desa Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
Fotocopy 150 lbr 300 45,000 45,000
2,620,000 2,620,000
Rapat ke dinkes SPPD 11 kl 60,000 660,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
18 Pemeriksaan kontak intensif kusta di SD/MI SPPD 1 org x 15 ins x 2 kl 60,000 1,800,000 1,800,000
19 Pemeriksaan kontak intensif kusta di SMP/MTs SPPD 1 org x 2 ins x 4 kl 60,000 480,000 480,000
20 Kunjungan pasien kusta SPPD 1 org x 24 kl 60,000 1,440,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000
Rapat Program Kedinkes SPPD 11 kl 60,000 660,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
21 Penyuluhan Diare dan ISPA Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh x 1 kl 150,000 150,000 150,000
2,575,000 2,575,000
22 Survei Epidemiologi KLB Banjir SPPD 14 org 50,000 700,000 100,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
23 Pemantauan dan Penanganan Korban KLB SPPD 1 org x 1 kl x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
24 Survey pengendalian vektor SPPD 1 org x 1 kl x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
25 PE penyakit SPPD 1 org x 3 kl x 12 bln 50,000 1,800,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000
26 Pemantauan dan penanganan korban KLB SPPD 63 org 50,000 3,150,000 630,000 630,000 630,000 630,000 630,000
27 Pengiriman dan pengambilan spesimen penyakit SPPD 1 org x 1 kl x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
28 Pertemuan pra pemeriksaan haji Makmin 40 org x 1 kl 35,000 1,400,000 1,400,000

Dekorasi 1 bh 150,000 150,000 150,000
1,550,000 1,550,000
29 Kunjungan pasca pelaksanaan haji SPPD 1 org x 9 kl 50,000 450,000 225,000 225,000
Rapat Program Kedinkes SPPD 6 kl 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
30 Pembinaan HATTRA di Puskesmas Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Transport peserta 30 org x 1 kl 40,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
31 Pembinaan Asman Toga Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
32 Pembekalan intervensi PIS PK dengan asman toga Makmin 30 org x 1 kl 35,000 1,050,000 1,050,000
Dekorasi 1 bh 150,000 150,000 150,000
2,000,000 2,000,000
Rapat Program Kedinkes SPPD 6 kl 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
33 Posyandu lansia SPPD 1 org x 14 pos x 12 bln 50,000 8,400,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000 700,000
34 Pembinaan Kader Lansia Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
2,495,000 2,495,000
Belanja Cetak :
36 KMS Lansia Cetak KMS 300 buku 15,000 4,500,000 4,500,000
37 Sosialisai gerakan senam lansia di desa Snack 15 org x 6 ds x 2 kl 10,000 1,800,000 300,000 300,000 300,000 300,000 300,000 300,000
SPPD 2 org x 6 ds x 2 kl 50,000 1,200,000 200,000 200,000 200,000 200,000 200,000 200,000
3,000,000 500,000 500,000 500,000 500,000 500,000 500,000
38 Pendampingan posyandu lansia SPPD 3 org x 7 pos 60,000 1,200,000 600,000 600,000
39 Pelaksanaan BIAS DT SPPD 4 org x 14 pos x 1 kl 50,000 2,800,000 1,400,000 1,400,000
40 Pelaksanaan BIAS campak SPPD 2 org x 14 pos x 1 kl 50,000 1,400,000 1,400,000
41 Pendataan sasaran BIAS SPPD 1 org x 14 kl 50,000 700,000 700,000
42 Skreening TT WUS SPPD 1 org x 28 pos 50,000 1,400,000 100,000 100,000 200,000 200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
43 Pelaporan dan pelacakan KIPI SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
44 Pengambilan vaksin dan rapat ke Dinkes SPPD 1 org x 14 kl 60,000 840,000 60,000 120,000 120,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
- Mata dan telinga

45 Sosialisasi dan skreening posyandu SPPD 1 org x 14 kl 50,000 700,000 50,000 50,000 50,000 50,000 100,000 50,000 50,000 100,000 50,000 50,000 50,000 50,000
46 Rapat program ke dinkes SPPD 1 org x 6 kl 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
47 Sosialisasi pemeriksaan kebugaran anak sekolah Makmin 50 org x 1 kl 35,000 1,750,000 1,750,000
Dekorasi 1 bh 150,000 150,000 150,000
3,500,000 3,500,000
48 Kebugaran CJH Snack 40 org x 2 kl 10,000 800,000 400,000 400,000

SPPD 3 org x 2 kl 50,000 300,000 150,000 150,000
Dekorasi 1 bh 150,000 150,000 75,000 75,000
1,250,000 625,000 625,000
49 Rapat Program Kedinkes SPPD 11 kl 60,000 660,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
50 Monitoring dan evaluasi UKK Snack 25 org x 2 desa x 1 kl 10,000 500,000 250,000 250,000
SPPD 4 org x 2 desa x 1 kl 50,000 400,000 200,000 200,000
Dekorasi 2 bh x 1 kl 150,000 300,000 150,000 150,000
1,200,000 600,000 600,000
51 Pembentukan POS UKK Snack 30 org x 1 kl 10,000 300,000 300,000

SPPD 4 org x 1 kl 50,000 200,000 200,000
500,000 500,000
52 Rapat Program Kedinkes SPPD 6 kl 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
53 Pelayanan kesehatan posbindu SPPD 1 oh x 6 ds x 12 bl 50,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
54 Pembinaa Kader Posbindu Makmin 30 oh x 1 kl x 1 th 35,000 1,050,000 1,050,000

Trasnport Peserta 24 oh x 1 kl x 1 th 40,000 960,000 960,000
Dekorasi 6 ds 150,000 900,000 900,000
2,910,000 2,910,000
55 Rapat program ke dinkes SPPD 6 kl 60,000 360,000 60,000 60,000 60,000 60,000 60,000 60,000
TOTAL 125,645,000 3,690,000 40,745,000 6,975,000 7,460,000 3,120,000 8,925,000 12,310,000 15,755,000 9,535,000 7,685,000 6,405,000 3,040,000
MENULAR
1 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS SPPD 1 org x 1 kl x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
2 Penyuluhan siswa sekolah, keswa, dan napza Snack 90 org x 2 kl 10,000 1,800,000 900,000 900,000
SPPD 8 org x 2 kl 50,000 800,000 400,000 400,000
2,600,000 1,300,000 1,300,000
3 Penyuluhan HIV AIDS Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
4 Praktek pemandian jenazah Makmin 40 org x 1 kl 35,000 1,400,000 1,400,000

2,800,000 2,800,000
5 Pemantauan ODHA dalam kepatuhan minum obat SPPD 1 org x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
6 Pijar Sahid Makmin 25 org x 1 kl 35,000 875,000 875,000

1,675,000 1,675,000
Rapat Program Ke Dinas SPPD 11 kl 60,000 660,000 60,000 60,000 60,000 60,000 60,000 60,000 120,000 60,000 60,000 60,000
7 Sosialisasi dan pelaporan hasil dari kader pencit merkes Makmin 40 org x 1 kl 35,000 1,400,000 1,400,000
dan bidan desa Transport Peserta 35 org x 1 kl 40,000 1,400,000 1,400,000
Dekorasi 1 bh 150,000 150,000 150,000
2,950,000 2,950,000
8 Sosialisasi TB pada praktek swasta/mandiri Makmin 20 org x 1 kl 35,000 700,000 700,000

Dekorasi 1 bh 150,000 150,000 150,000
1,250,000 1,250,000
9 Penjaringan suspek TB oleh kader/petugas SPPD 1 org x 16 kl x 12 bln 50,000 9,600,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000 800,000
10 Kunjungan petugas ke pasien TB SPPD 1 org x 4 kl x 12 bln 50,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
11 Pengambilan obat/pengiriman slide ke Puskesmas Grati SPPD 1 org x 12 bln 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
Rapat Program Ke Dinas SPPD 22 Kl 60,000 1,320,000 60,000 60,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000
12 Penemuan/pelacakan DBD/Malaria SPPD 1 org x 4 kl x 12 bln 50,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
Cetak 5 rim x 500 lbr 200 500,000 500,000
2,900,000 700,000
13 Pemeriksaan jentik berkala SPPD 26 org x 1 kl x 12 bln 40,000 12,480,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000
Dekorasi 2 bh 150,000 300,000 300,000
Cetak 200 lbr 3,000 600,000 600,000
13,380,000 1,640,000 1,340,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000
14 Pembinaan kader gedar/kesling Makmin 35 org x 3 kl 35,000 3,675,000 1,225,000 1,225,000 1,225,000
Transport Peserta 26 org x 3 kl 40,000 3,120,000 1,040,000 1,040,000 1,040,000
Dekorasi 1 bh 150,000 150,000 150,000
6,945,000 2,415,000 2,265,000 2,265,000
15 Apel gemas darling tk kecamatan Snack 40 org 10,000 400,000 400,000

SPPD 26 org 40,000 1,040,000 1,040,000
1,440,000 1,440,000
16 Fogging SPPD 5 org x 20 kl 50,000 5,000,000 1,000,000 1,000,000 500,000 1,000,000 1,000,000 500,000
17 Pembinaan wamantik/ponpes Snack 45 org x 2 kl 10,000 900,000 450,000 450,000

Dekorasi 1 bh 150,000 150,000 150,000
SPPD 2 org x 2 kl 50,000 200,000 100,000 100,000
1,250,000 700,000 550,000
Rapat Program Ke Dinas SPPD 11 kl 60,000 660,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
Total 61,205,000 3,050,000 3,870,000 10,370,000 3,330,000 3,130,000 2,630,000 12,945,000 4,990,000 4,305,000 5,120,000 4,895,000 2,570,000
PROMKES
1 Kunjungan dan penyuluhan PHBS di Desa SPPD 14 kl 50,000 700,000 200,000 300,000 200,000
2 PHBS tatanan sekolah SMP/SMA SPPD 8 kl 50,000 400,000 400,000
3 PHBS tatanan tempat kerja SPPD 5 kl 50,000 250,000 250,000

4 PHBS ponpes Makmin 35 org 35,000 1,225,000 1,225,000
SPPD 3 org 50,000 150,000 150,000
Dekorasi 1 bh 150,000 150,000 150,000
1,525,000 1,525,000
5 Intervensi / pembinaan Poskestren SPPD 5 kl 60,000 300,000 300,000
6 MMD ponpes Makmin 40 org 35,000 1,400,000 1,400,000

SPPD 5 org 60,000 300,000 300,000
1,700,000 1,700,000
Belanja Cetak :
7 Blanko K3 Cetak 16 rim 300,000 4,800,000 4,800,000
8 Poster promkes Cetak 1 rim 6,000,000 6,000,000 6,000,000
9 Leaflet promkes Cetak 1 rim 2,500,000 2,500,000 2,500,000
10 Lembar balik promkes Cetak 12 bh 50,000 600,000 600,000
11 Monev PIS PK Lintas Program Makmin 100 org x 4 kl 35,000 3,500,000 875,000 875,000 875,000 875,000
12 Intervensi Keluarga Rawan SPPD 4 org x 6 ds x 12 bln 60,000 17,280,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000
13 Kunjungan rumah keluarga rawan penyakit SPPD 1 org x 4 kl x 12 bln 50,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
Rapat Program Ke dinas SPPD 15 kl 60,000 900,000 60,000 60,000 60,000 60,000 60,000 120,000 120,000 120,000 60,000 60,000 60,000 60,000
KESLING
1 Sosialisasi pembentukan bank sampah Makmin 35 org x 1 kl 35,000 1,225,000 1,225,000

Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
2 Uji petik SAB SPPD 12 org 50,000 600,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
3 Bimtek TPM Makmin 50 org 35,000 1,750,000 1,750,000

Dekorasi 1 bh 150,000 150,000 150,000
Fotocopy 130 lbr 300 39,000 39,000
3,739,000 3,739,000
4 Inspeksi penyuluhan jajanan sekolah SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
5 Pendataan jamban dan pemantauan jamban sehat SPPD 3 org x 4 kl 50,000 600,000 150,000 150,000 150,000 150,000
4,760,000 1,190,000 1,190,000 1,190,000 1,190,000
6 On the job training Makmin 30 org 35,000 1,050,000 1,050,000

SPPD 6 org 50,000 300,000 300,000
Bahan praktek 3 pkt 1,500,000 4,500,000 4,500,000
6,690,000 6,690,000
7 Pengkajian TTU/PHBS TTU SPPD 1 org x 2 kl x 12 bln 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
8 Pengkajian IKL TPM SPPD 5 org x 12 bln 60,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
9 IKL pemantauan rumah keluarga sehat SPPD 3 org x 12 bln 50,000 1,800,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000
10 Penguatan komitmen STBM Makmin 30 org x 2 kl 35,000 2,100,000 1,050,000 1,050,000

SPPD 5 org 60,000 300,000 150,000 150,000
2,400,000 1,200,000 1,200,000
Rapat Program Ke dinkes SPPD 22 kl 60,000 1,320,000 60,000 60,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000 120,000
DESA SIAGA
1 Pertemuan koordinasi kader desi tingkat PKM Makmin 35 org 35,000 1,225,000 1,225,000
Dekorasi 1 bh 150,000 150,000 150,000
2,575,000 2,575,000
2 Musyawarah Masyarakat Desa (MMD) Makmin 140 org 35,000 4,900,000 4,900,000
SPPD 20 org 60,000 1,200,000 1,200,000
Dekorasi 1 bh 150,000 150,000 150,000
6,250,000 6,250,000
3 Intervensi pasca MMD SPPD 1 org x 28 pos x 12 bln 50,000 1,400,000 350,000 350,000 350,000 350,000
Total 82,964,000 2,660,000 16,910,000 12,675,000 3,720,000 5,095,000 8,384,000 5,555,000 10,020,000 5,270,000 4,570,000 4,360,000 3,745,000
1 Honorarium Jasa Honor 4 org x 12 kl x 2,000,000 96,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000
2 Supervisi Fasilitatif SPPD 5 org x 5 kl x 60,000 1,500,000 300,000 300,000 300,000 300,000 300,000
3 Supervisi ke polindes SPPD 1 org x 10 kl x 60,000 600,000 120,000 120,000 120,000 120,000 120,000
4 Lokakarya Mini Lintas Sektor Makmin 40 org x 4 kl 35,000 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000
10,600,000 2,650,000 2,650,000 2,650,000 2,650,000
5 Lokakarya Mini Bulanan Makmin 47 org x 12 kl 35,000 19,740,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000
Dekorasi 1 bh 150,000 150,000 150,000
19,890,000 1,795,000
6 Perencanaan Tingkat Puskesmas (PTP) Makmin 50 org x 1 kl x 35,000 1,750,000 1,750,000

Dekorasi 1 bh 150,000 150,000 150,000
1,900,000 1,900,000
7 Konsultasi BOK SPPD 1 org x 3 kl x 12 bl 60,000 2,160,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000
8 ATK administrasi Manajemen 19,238,540 19,238,540
9 Fotocopy Manajemen Fotocopy 900,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000
10 Rapat Rutin Linprog dan Linsek SPPD 4 kl 3,600,000 900,000 900,000 900,000 900,000
Total 156,388,540 10,050,000 29,138,540 13,450,000 9,900,000 13,450,000 10,020,000 10,320,000 13,870,000 10,320,000 10,320,000 13,750,000 11,800,000
524,687,540 24,710,000 98,418,540 55,810,000 32,245,000 30,055,000 45,099,000 48,815,000 52,320,000 38,745,000 35,380,000 36,885,000 26,205,000
SPPD BANTUAN O
PUSKESMAS :
KABUPATEN :
TAHUN :
NO KEGIATAN
Januari
1 2 7
1 Pelayanan Posyandu 1,680,000
2 Kunjungan Bumil Resti 360,000
3 Kunjungan Nifas Resti 360,000
4 Kunjungan Neonatal Resti 360,000
5 Kelas Bumil 360,000
6 Rapat Program ke Dinkes 280,000
7 Kunjungan rumah Bumil KEK dan 120,000

Balita Gizi dan Pemantauan Status Gizi
8 Emo demo 330,000
9 Penyuluhan pada Rematri
10 Rapat Program Ke Dinkes 140,000
11 Pemeriksaan Gigi Siswa TK/RA
12 Pemeriksaan gigi SD/MI
13 UKGMD di Posyandu 280,000
14 Penjaringan Kesehatan Siswa SD/MI
15 Penjaringan Kesehatan Siswa SMP/MTs
16 Penjaringan Kesehatan Siswa SMA/SMK
17 Pemeriksaan kesehatan di ponpes
18 Penyuluhan CTPS 50,000
19 Koordinasi tk Desa posyandu remaja
20 Rapat Program Kedinkes
21 Penanganan kasus jiwa 100,000
22 Pemantauan dan Pengawasan Minum Obat Pasien Gangguan 200,000

Jiwa
23 Rapat ke dinkes 60,000

24 Pemeriksaan kontak intensif kusta di SD/MI
25 Pemeriksaan kontak intensif kusta di SMP/MTs
26 Kunjungan pasien kusta 120,000
27 Rapat Program Kedinkes 60,000
29 Survei Epidemiologi KLB Banjir 100,000
30 Pemantauan dan Penanganan Korban KLB 50,000
31 Survey pengendalian vektor 50,000
32 PE penyakit 150,000
33 Pemantauan dan penanganan korban KLB 630,000
34 Pengiriman dan pengambilan spesimen penyakit 50,000
36 Kunjungan pasca pelaksanaan haji
39 Posyandu lansia 700,000
40 Sosialisai gerakan senam lansia di desa
41 Pendampingan posyandu lansia
43 Pelaksanaan BIAS DT
44 Pelaksanaan BIAS campak
45 Pendataan sasaran BIAS
46 Skreening TT WUS 100,000
47 Pelaporan dan pelacakan KIPI 100,000
48 Pengambilan vaksin dan rapat ke Dinkes 60,000
- Mata dan telinga

49 Sosialisasi dan skreening posyandu 50,000
50 Rapat program ke dinkes
51 Kebugaran CJH
53 Monitoring dan evaluasi UKK
54 Pembentukan POS UKK
56 Pelayanan kesehatan posbindu 300,000
57 Rapat program ke dinkes 60,000
58 Penemuan Kasus dan Tata Laksana Kasus HIV - AIDS 50,000
59 Penyuluhan siswa sekolah, keswa, dan napza
60 Pemantauan ODHA dalam kepatuhan minum obat 50,000
61 Rapat Program Ke Dinas
62 Penjaringan suspek TB oleh kader/petugas 800,000
63 Kunjungan petugas ke pasien TB 200,000
64 Pengambilan obat/pengiriman slide ke Puskesmas Grati 50,000
65 Rapat Program Ke Dinas 60,000
66 Penemuan/pelacakan DBD/Malaria 200,000
67 Pemeriksaan jentik berkala 1,040,000
68 Apel gemas darling tk kecamatan
69 Fogging
70 Pembinaan wamantik/ponpes
71 Rapat Program Ke Dinas
72 Kunjungan dan penyuluhan PHBS di Desa 200,000
73 PHBS tatanan sekolah SMP/SMA
74 PHBS tatanan tempat kerja
75 PHBS ponpes
76 Intervensi / pembinaan Poskestren
77 MMD ponpes
78 Intervensi Keluarga Rawan 1,440,000
79 Kunjungan rumah keluarga rawan penyakit 200,000
80 Rapat Program Ke dinas 60,000

81 Uji petik SAB 50,000
82 Inspeksi penyuluhan jajanan sekolah 100,000
83 Pendataan jamban dan pemantauan jamban sehat
84 On the job training
85 Pengkajian TTU/PHBS TTU 100,000
86 Pengkajian IKL TPM 300,000
87 IKL pemantauan rumah keluarga sehat 150,000
88 Penguatan komitmen STBM
89 Rapat Program Ke dinkes 60,000
90 Musyawarah Masyarakat Desa (MMD)
91 Intervensi pasca MMD
92 Supervisi Fasilitatif
93 Supervisi ke polindes
94 Konsultasi BOK 180,000
95 Rapat Rutin Linprog dan Linsek
JANUARI
12,970,000
SPPD BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.15.01)
BULAN
Februari Maret April Mei Juni Juli
8 9 10
1,680,000 1,680,000 1,680,000 1,680,000 1,680,000 1,680,000
360,000 360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000 360,000
280,000 280,000 280,000 280,000 280,000 280,000
120,000 120,000 120,000 120,000 120,000 120,000
330,000 330,000 330,000 330,000 330,000 330,000
140,000 140,000 140,000 140,000 140,000 140,000
1,140,000
840,000
280,000 280,000 280,000 280,000 280,000 280,000
1,440,000
2,100,000
480,000
100,000 100,000 50,000 50,000 50,000 50,000
60,000 60,000 60,000
100,000 100,000 100,000 100,000 100,000 100,000
200,000 200,000 200,000 200,000 200,000 200,000
60,000 60,000 60,000 60,000 60,000 60,000

480,000
120,000 120,000 120,000 120,000 120,000 120,000
60,000 60,000 60,000 60,000 60,000 60,000
60,000 60,000 60,000 60,000 60,000 60,000
100,000 50,000 50,000 50,000 50,000 50,000
50,000 50,000 50,000 50,000 50,000 50,000
50,000 50,000 50,000 50,000 50,000 50,000
150,000 150,000 150,000 150,000 150,000 150,000
630,000 630,000 630,000
50,000 50,000 50,000 50,000 50,000 50,000
60,000 60,000 60,000 60,000 60,000 60,000
60,000 60,000 60,000 60,000 60,000
60,000 60,000 60,000 60,000 60,000
700,000 700,000 700,000 700,000 700,000 700,000
200,000 200,000 200,000 200,000
600,000
60,000 60,000 60,000 60,000 60,000 60,000
100,000 200,000 200,000 100,000 100,000 100,000
100,000 100,000 100,000 100,000 100,000 100,000
120,000 120,000 60,000 60,000 60,000 60,000
50,000 50,000 50,000 100,000 50,000 50,000
60,000 60,000 60,000 60,000 60,000
150,000
60,000 60,000 60,000 60,000 60,000 60,000
200,000 200,000
200,000
60,000 60,000 60,000 60,000 60,000
300,000 300,000 300,000 300,000 300,000 300,000
60,000 60,000 60,000 60,000 60,000
50,000 50,000 50,000 50,000 50,000 50,000
400,000
50,000 50,000 50,000 50,000 50,000 50,000
60,000 60,000 60,000 60,000 60,000 60,000
800,000 800,000 800,000 800,000 800,000 800,000
200,000 200,000 200,000 200,000 200,000 200,000
50,000 50,000 50,000 50,000 50,000 50,000
60,000 120,000 120,000 120,000 120,000 120,000
200,000 200,000 200,000 200,000 200,000 200,000
1,040,000 1,040,000 1,040,000 1,040,000 1,040,000 1,040,000
1,000,000 1,000,000 500,000 1,000,000
100,000
60,000 60,000 60,000 60,000 60,000 60,000
300,000 200,000
400,000
250,000
1,440,000 1,440,000 1,440,000 1,440,000 1,440,000 1,440,000
200,000 200,000 200,000 200,000 200,000 200,000
60,000 60,000 60,000 60,000 120,000 120,000

50,000 50,000 50,000 50,000 50,000 50,000
100,000 100,000 100,000 100,000 100,000 100,000
150,000 150,000
300,000
100,000 100,000 100,000 100,000 100,000 100,000
300,000 300,000 300,000 300,000 300,000 300,000
150,000 150,000 150,000 150,000 150,000 150,000
120,000 180,000
60,000 120,000 120,000 120,000 120,000 120,000
300,000
120,000 120,000
180,000 180,000 180,000 180,000 180,000 180,000
900,000 900,000
FEBRUARI MARET APRIL MEI JUNI JULI
15,750,000 17,490,000 14,140,000 13,840,000 13,180,000 19,250,000

28,720,000 41,160,000
Agustus September Oktober November Desember
11 12 13 14 15
1,680,000 1,680,000 1,680,000 1,680,000 1,680,000
360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000
360,000 360,000 360,000 360,000 360,000
280,000 280,000 280,000 140,000 140,000
120,000 120,000 120,000 120,000 120,000 1,440,000
330,000 330,000 330,000 330,000 330,000 3,960,000
480,000
140,000 140,000 140,000 70,000 70,000
840,000
280,000 280,000 280,000 280,000 280,000 6,240,000
3,360,000
50,000 50,000 50,000 50,000 50,000
480,000 480,000 480,000
60,000 60,000 60,000
100,000 100,000 100,000 100,000 100,000
200,000 200,000 200,000 200,000 200,000
60,000 60,000 60,000 60,000

1,800,000
120,000 120,000 120,000 120,000 120,000
60,000 60,000 60,000 60,000
60,000 60,000 60,000 60,000
50,000 50,000 50,000 50,000 50,000
50,000 50,000 50,000 50,000 50,000
50,000 50,000 50,000 50,000 50,000
150,000 150,000 150,000 150,000 150,000
630,000
50,000 50,000 50,000 50,000 50,000
60,000 60,000 60,000 60,000
225,000 225,000
700,000 700,000 700,000 700,000 700,000
200,000 200,000
600,000
60,000 60,000 60,000 60,000
1,400,000 1,400,000
1,400,000
700,000
100,000 100,000 100,000 100,000 100,000
100,000 100,000 100,000 100,000 100,000
60,000 60,000 60,000 60,000 60,000
100,000 50,000 50,000 50,000 50,000
60,000
150,000
60,000 60,000 60,000 60,000
300,000 300,000 300,000 300,000 300,000
50,000 50,000 50,000 50,000 50,000
400,000
50,000 50,000 50,000 50,000 50,000
120,000 60,000 60,000 60,000
800,000 800,000 800,000 800,000 800,000
200,000 200,000 200,000 200,000 200,000
50,000 50,000 50,000 50,000 50,000
120,000 120,000 120,000 120,000 120,000
200,000 200,000 200,000 200,000 200,000
1,040,000 1,040,000 1,040,000 1,040,000 1,040,000
1,040,000
1,000,000 500,000
100,000
60,000 60,000 60,000 60,000 60,000
150,000
300,000
300,000
1,440,000 1,440,000 1,440,000 1,440,000 1,440,000
200,000 200,000 200,000 200,000 200,000
120,000 60,000 60,000 60,000 60,000

50,000 50,000 50,000 50,000 50,000
100,000 100,000 100,000 100,000 100,000
150,000 150,000
100,000 100,000 100,000 100,000 100,000
300,000 300,000 300,000 300,000 300,000
150,000 150,000 150,000 150,000 150,000
120,000 120,000 120,000 120,000 120,000
1,200,000
350,000 350,000 350,000 350,000
300,000 300,000 300,000 300,000
120,000 120,000 120,000
180,000 180,000 180,000 180,000 180,000
900,000 900,000
AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER
20,055,000 19,555,000 16,740,000 15,490,000 12,440,000 190,900,000

58,860,000 44,670,000
TAHUN : 2020
NO KEGIATAN BELANJA
1 2 3
1 Refreshing Kader Balita dan Kader Asuh Makmin 35
2 Penyuluhan P4K Makmin 35
3 Refreshing KP ASI Makmin 30
4 Penyuluhan ASI Ekslusif Makmin 35
5 PMBA dan Gizi Seimbang Makmin 35
6 Pembinaan Kader Mitra Gizi Makmin 35
7 Sosialisasi KGM Makmin 35
8 Pembinaan guru pembina dan kader kesehatan remaja Makmin 100
9 Sosialisasi Pembentukan posyandu remaja tk Desa Makmin 30
10 Pembinaan guru, pembina UKS, dan kader SD/MI Makmin 280
11 Pembinaan guru UKS sekolah Makmin 25
12 Pembinaan duta kesehatan Makmin 50
13 Refreshing kader jiwa/perangkat desa Makmin 35
14 Penyuluhan Diare dan ISPA Makmin 35
15 Pertemuan pra pemeriksaan haji Makmin 40
16 Pembinaan HATTRA di Puskesmas Makmin 35
17 Pembinaan Asman Toga Makmin 35
18 Pembekalan intervensi PIS PK dengan asman toga Makmin 30
19 Pembinaan Kader Lansia Makmin 35
20 Sosialisasi pemeriksaan kebugaran anak sekolah Makmin 50
21 Pembinaa Kader Posbindu Makmin 30
22 Penyuluhan HIV AIDS Makmin 35
23 Praktek pemandian jenazah Makmin 40

24 Pijar Sahid Makmin 25
25 Sosialisasi dan pelaporan hasil dari kader pencit merkes Makmin 40
26 Sosialisasi TB pada praktek swasta/mandiri Makmin 20
27 Pembinaan kader gedar/kesling Makmin 35
28 PHBS ponpes Makmin 35
29 MMD ponpes Makmin 40
30 Monev PIS PK Lintas Program Makmin 100
31 Sosialisasi pembentukan bank sampah Makmin 35
32 Bimtek TPM Makmin 50
33 On the job training Makmin 30
34 Penguatan komitmen STBM Makmin 30
35 Pertemuan koordinasi kader desi tingkat PKM Makmin 35
36 Musyawarah Masyarakat Desa (MMD) Makmin 140
37 Lokakarya Mini Lintas Sektor Makmin 40
38 Lokakarya Mini Bulanan Makmin 47
39 Perencanaan Tingkat Puskesmas (PTP) Makmin 50
40 Kelas Bumil Snack 12
41 EMO DEMO di Desa Snack 30
42 Penyuluhan pada Rematri Snack 100
43 Koordinasi tk Desa posyandu remaja Snack 20
44 Sosialisai gerakan senam lansia di desa Snack 15
45 Kebugaran CJH Snack 40
46 Monitoring dan evaluasi UKK Snack 25
47 Pembentukan POS UKK Snack 30
48 Penyuluhan siswa sekolah, keswa, dan napza Snack 90
49 Apel gemas darling tk kecamatan Snack 40

50 Pembinaan wamantik/ponpes Snack 45
TRANSPORT PESERTA BANTUAN OPERASIONAL K
VOLUME
4
org x 6 kl x 1 kl
org x 1 keg
org x 1 kl
org x 2 kl
org x 2 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
oh x 1 kl x 1 th
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 1 kl
org x 3 kl
org
org
org x 4 kl
org x 1 kl
org
org
org x 2 kl
org
org
org x 4 kl
org x 12 kl
org x 1 kl x
org x 6 desa x 12 kl
org x 22 pos
org x 1 kl
org x 6 desa x 1 kl
org x 6 ds x 2 kl
org x 2 kl
org x 2 desa x 1 kl
org x 1 kl
org x 2 kl
org
org x 2 kl
A BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.11.02)
BIAYA JUMLAH BIAYA

SATUAN (Rp). Januari Februari Maret
5 6 7
35,000 7,350,000
35,000 1,225,000 1,225,000
35,000 1,050,000 1,050,000
35,000 2,450,000
35,000 2,450,000 1,225,000
35,000 1,225,000 1,225,000
35,000 1,225,000
35,000 3,500,000 3,500,000
35,000 1,050,000
35,000 9,800,000 9,800,000
35,000 875,000
35,000 1,750,000
35,000 1,225,000
35,000 1,225,000
35,000 1,400,000
35,000 1,225,000
35,000 1,225,000 1,225,000
35,000 1,050,000
35,000 1,225,000
35,000 1,750,000
35,000 1,050,000 1,050,000
35,000 1,225,000 1,225,000
35,000 1,400,000
35,000 875,000
35,000 1,400,000
35,000 700,000 700,000
35,000 3,675,000 1,225,000
35,000 1,225,000
35,000 1,400,000
35,000 3,500,000 875,000
35,000 1,225,000
35,000 1,750,000
35,000 1,050,000 1,050,000
35,000 2,100,000 1,050,000
35,000 1,225,000
35,000 4,900,000
35,000 5,600,000 1,400,000
35,000 19,740,000 1,645,000 1,645,000 1,645,000
35,000 1,750,000
10,000 8,640,000 720,000 720,000 720,000
10,000 6,600,000 550,000 550,000 550,000
10,000 1,000,000
10,000 1,200,000
10,000 1,800,000 300,000
10,000 800,000 400,000
10,000 500,000 250,000
10,000 300,000 300,000
10,000 1,800,000
10,000 400,000
10,000 900,000
TOTAL MAKMIN JANUARI FEBRUARI MARET

2,915,000 19,715,000 15,190,000
124,005,000 37,820,000
BULAN
April Mei Juni Juli Agustus September
8 9 10 11 12
1,225,000 1,225,000 1,225,000 1,225,000 1,225,000
1,225,000
1,225,000
1,225,000
1,050,000
875,000
1,750,000
1,225,000
1,225,000
1,050,000
1,225,000
1,750,000
1,400,000
875,000
1,400,000
1,225,000
1,225,000
875,000 875,000
1,225,000
1,750,000
1,050,000
1,225,000
4,900,000
1,400,000 1,400,000
1,645,000 1,645,000 1,645,000 1,645,000 1,645,000 1,645,000
720,000 720,000 720,000 720,000 720,000 720,000
550,000 550,000 550,000 550,000 550,000 550,000
1,000,000
400,000 400,000
300,000 300,000 300,000 300,000 300,000
250,000
900,000 900,000
450,000
APRIL MEI JUNI JULI AGUSTUS SEPTEMBER

7,165,000 5,540,000 13,265,000 12,690,000 16,590,000 8,815,000
25,970,000 38,095,000
Oktober November Desember
13 14 15
1,225,000
1,225,000
1,400,000
1,225,000
1,225,000
1,400,000
875,000
1,400,000
1,645,000 1,645,000 1,645,000
1,750,000
720,000 720,000 720,000
550,000 550,000 550,000
400,000
400,000
400,000
450,000
OKTOBER NOVEMBER DESEMBER

8,015,000 8,565,000 5,540,000 124,005,000
22,120,000
TAHUN : 2020
NO KEGIATAN BELANJA
1 2 3
1 Refreshing Kader Balita dan Kader Asuh Transport Peserta
2 Penyuluhan P4K Transport Peserta
3 Refreshing KP ASI Transport Peserta
4 Penyuluhan ASI Ekslusif Transport Peserta
5 PMBA dan Gizi Seimbang Transport Peserta
6 Pembinaan Kader Mitra Gizi Transport Peserta
7 Sosialisasi KGM Transport Peserta
8 Pembinaan guru pembina dan kader kesehatan remaja Transport peserta
9 Sosialisasi Pembentukan posyandu remaja tk Desa Transport Peserta
10 Pembinaan guru, pembina UKS, dan kader SD/MI Transport Peserta
11 Pembinaan guru UKS sekolah Transport Peserta
12 Pembinaan duta kesehatan Transport Peserta
13 Refreshing kader jiwa/perangkat desa Transport Peserta
14 Penyuluhan Diare dan ISPA Transport Peserta
15 Pembinaan HATTRA di Puskesmas Transport peserta
16 Pembinaan Asman Toga Transport Peserta
17 Pembekalan intervensi PIS PK dengan asman toga Transport Peserta
18 Pembinaan Kader Lansia Transport Peserta
19 Sosialisasi pemeriksaan kebugaran anak sekolah Transport Peserta
20 Pembinaa Kader Posbindu Trasnport Peserta
21 Penyuluhan HIV AIDS Transport Peserta
22 Praktek pemandian jenazah Transport Peserta
23 Pijar Sahid Transport Peserta
24 Sosialisasi dan pelaporan hasil dari kader pencit merkes Transport Peserta
dan bidan desa
25 Sosialisasi TB pada praktek swasta/mandiri Transport Peserta
26 Pembinaan kader gedar/kesling Transport Peserta
27 Sosialisasi pembentukan bank sampah Transport Peserta
28 Bimtek TPM Transport Peserta
29 Pendataan jamban dan pemantauan jamban sehat Transport Peserta
30 On the job training Transport Peserta
31 Pertemuan koordinasi kader desi tingkat PKM Transport Peserta
32 Lokakarya Mini Lintas Sektor Transport Peserta

TRANSPORT PESERTA BANTUAN OPERASIONAL KESE
VOLUME
4
30 org x 6 kl x 1 kl
28 org x 1 keg
24 org x 1 kl
30 org x 2 kl
30 org x 2 kl
28 org x 1 kl
30 org x 1 kl
80 org x 1 kl
25 org x 1 kl
224 org
19 org
30 org x 1 kl
30 org x 1 kl
30 org x 1 kl
30 org x 1 kl
30 org x 1 kl
20 org x 1 kl
28 org x 1 kl
40 org x 1 kl
24 oh x 1 kl x 1 th
30 org x 1 kl
35 org x 1 kl
20 org x 1 kl
35 org x 1 kl
10 org x 1 kl
26 org x 3 kl
30 org x 1 kl
45 org
26 org x 4 kl
21 org
30 org
25 org x 4 kl
ERTA BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.25.04)
BIAYA JUMLAH BIAYA

SATUAN (Rp). Januari Februari Maret
5 6 7
40,000 7,200,000
40,000 1,120,000 1,120,000
40,000 960,000 960,000
40,000 2,400,000
40,000 2,400,000 1,200,000
40,000 1,120,000 1,120,000
40,000 1,200,000
40,000 3,200,000 3,200,000
40,000 1,000,000
40,000 8,960,000 8,960,000
40,000 760,000
40,000 1,200,000
40,000 1,200,000
40,000 1,200,000
40,000 1,200,000
40,000 1,200,000 1,200,000
40,000 800,000
40,000 1,120,000
40,000 1,600,000
40,000 960,000 960,000
40,000 1,200,000 1,200,000
40,000 1,400,000
40,000 800,000
40,000 1,400,000
40,000 400,000 400,000
40,000 3,120,000 1,040,000
40,000 1,200,000
40,000 1,800,000
40,000 4,160,000 1,040,000
40,000 840,000 840,000
40,000 1,200,000
50,000 5,000,000 1,250,000
TOTAL
TRANSPORT JANUARI FEBRUARI MARET
63,320,000 - 15,440,000 9,050,000
15,440,000
BULAN
April Mei Juni Juli Agustus September Oktober
8 9 10 11 12 13
1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000
1,200,000
1,200,000
1,200,000
1,000,000
760,000
1,200,000
1,200,000
1,200,000
1,200,000
800,000
1,120,000
1,600,000
1,400,000
800,000
1,400,000
1,040,000
1,200,000
1,800,000
1,040,000 1,040,000
1,200,000
1,250,000 1,250,000
APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER

2,400,000 2,450,000 9,760,000 8,200,000 7,090,000 2,000,000 2,400,000
14,610,000 17,290,000 6,930,000
November Desember
14 15
1,200,000
1,040,000
1,040,000
1,250,000
NOVEMBER DESEMBER
4,530,000 - 63,320,000
DEKORASI BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.03.12)
PUSKESMAS PUSKESMAS
KABUPATEN KABUPATEN
TAHUN TAHUN
BULAN
NO KEGIATAN
Januari Februari
1 2 7
1 Refreshing Kader Balita dan Kader Asuh
2 Refreshing KP ASI
3 Penyuluhan ASI Ekslusif
4 PMBA dan Gizi Seimbang
5 Pembinaan Kader Mitra Gizi 150,000
6 Penyuluhan pada Rematri
7 Pembinaan guru pembina dan kader kesehatan remaja 150,000
8 Sosialisasi Pembentukan posyandu remaja tk Desa
9 Pembinaan guru, pembina UKS, dan kader SD/MI 150,000
10 Pembinaan guru UKS sekolah
11 Refreshing kader jiwa/perangkat desa
12 Penyuluhan Diare dan ISPA
13 Pertemuan pra pemeriksaan haji
14 Pembinaan HATTRA di Puskesmas
15 Pembinaan Asman Toga 150,000
16 Pembekalan intervensi PIS PK dengan asman toga
17 Pembinaan Kader Lansia
18 Sosialisasi pemeriksaan kebugaran anak sekolah
19 Kebugaran CJH
20 Monitoring dan evaluasi UKK
21 Pembinaa Kader Posbindu 900,000
22 Penyuluhan HIV AIDS
23 Sosialisasi dan pelaporan hasil dari kader pencit merkes

dan bidan desa
24 Sosialisasi TB pada praktek swasta/mandiri
25 Pemeriksaan jentik berkala 300,000
26 Pembinaan kader gedar/kesling
27 Pembinaan wamantik/ponpes
28 PHBS ponpes
29 Sosialisasi pembentukan bank sampah
30 Bimtek TPM
31 Pertemuan koordinasi kader desi tingkat PKM
32 Musyawarah Masyarakat Desa (MMD)
33 Lokakarya Mini Bulanan 150,000
34 Perencanaan Tingkat Puskesmas (PTP)
JANUARI FEBRUARI
150,000 1,800,000
1,950,000
TAHUN : 2020
NO KEGIATAN BELANJA
1 2 3
1 Kelas Bumil Snack 12 org x 6
2 EMO DEMO di Desa Snack 30 org x 22
3 Penyuluhan pada Rematri Snack 100 org x 1
4 Koordinasi tk Desa posyandu remaja Snack 20 org x 6
5 Sosialisai gerakan senam lansia di desa Snack 15 org x 6
6 Kebugaran CJH Snack 40 org x 2
7 Monitoring dan evaluasi UKK Snack 25 org x 2
8 Pembentukan POS UKK Snack 30 org x 1
9 Penyuluhan siswa sekolah, keswa, dan napza Snack 90 org x 2
10 Apel gemas darling tk kecamatan Snack 40 org
11 Pembinaan wamantik/ponpes Snack 45 org x 2

SNACK BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020
BIAYA
VOLUME
SATUAN
4 5
desa x 12 kl 10,000
pos 10,000
kl 10,000
desa x 1 kl 10,000
ds x 2 kl 10,000
kl 10,000
desa x 1 kl 10,000
kl 10,000
kl 10,000
10,000
kl 10,000
L KESEHATAN (BOK) TAHUN 2020
JUMLAH BIAYA BULAN

(Rp). Januari Februari Maret April Mei Juni
6 7 8 9
8,640,000 720,000 720,000 720,000 720,000 720,000 720,000
6,600,000 550,000 550,000 550,000 550,000 550,000 550,000
1,000,000
1,200,000
1,800,000 300,000 300,000 300,000
800,000 400,000
500,000 250,000 250,000
300,000 300,000
1,800,000
400,000
900,000 450,000
TOTAL
SNACK JANUARI FEBRUARI MARET APRIL MEI JUNI
1,270,000 1,270,000 2,520,000 2,020,000 1,270,000 1,820,000
23,940,000 5,060,000 5,110,000
0
BULAN
Juli Agustus September Oktober November Desember
10 11 12 13 14 15
720,000 720,000 720,000 720,000 720,000 720,000
550,000 550,000 550,000 550,000 550,000 550,000
1,000,000
400,000 400,000 400,000
300,000 300,000 300,000
400,000
900,000 900,000
400,000
450,000
JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER

2,470,000 2,870,000 2,970,000 2,520,000 1,670,000 1,270,000 23,940,000
8,310,000 5,460,000
FOTOCOPY BANTUAN OPERASIONAL KESEH

TAHUN : 2020
NO KEGIATAN BELANJA
Januari Februari
1 2 3 7
1 Sosialisasi KGM Fotocopy
2 Pembinaan duta kesehatan Fotocopy
3 Refreshing kader jiwa/perangkat desa Fotocopy
4 Bimtek TPM Fotocopy
5 Fotocopy Manajemen Fotocopy 75,000 75,000
JANUARI FEBRUARI
75,000 75,000
150,000
OPY BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.06.03)
BULAN
Maret April Mei Juni Juli Agustus September
8 9 10 11 12
30,000
60,000
45,000
39,000
75,000 75,000 75,000 75,000 75,000 75,000 75,000
MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER

75,000 120,000 75,000 144,000 75,000 135,000 75,000
Oktober November Desember
13 14 15
75,000 75,000 75,000
OKTOBER NOVEMBER DESEMBER

75,000 75,000 75,000 1,074,000
CETAK BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2

TAHUN : 2020
NO KEGIATAN BELANJA VOLUME
1 2 3 4
1 KMS Lansia Cetak KMS 300 buku
2 Blanko K3 Cetak 16 rim
3 Poster promkes Cetak 1 rim
4 Leaflet promkes Cetak 1 rim
5 Lembar balik promkes Cetak 12 bh
4 Penemuan/pelacakan DBD/Malari Fotocopy 5 rim x 500 lbr
5 Pemeriksaan jentik berkala Fotocopy 200 lbr

20 (KODE REKENING : 5.2.2.06.01)
JUMLAH BIAYA BULAN

BIAYA SATUAN
(Rp). Januari Februari
5 6 7
15,000 4,500,000 4,500,000
300,000 4,800,000 4,800,000
6,000,000 6,000,000 6,000,000
2,500,000 2,500,000 2,500,000
50,000 600,000 600,000
200 500,000
3,000 600,000 600,000

600,000 18,400,000
19,000,000
TAHUN : 2020
NO KEGIATAN BELANJA VOLUM
1 2 3 4
1 On the job training Bahan praktek 3 pkt

BAHAN PRAKTIK BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKEN
BIAYA JUMLAH BIAYA

VOLUME
SATUAN (Rp).
4 5 6
1,500,000 4,500,000
TOTAL
FOTOCOPY
4,500,000
OK) TAHUN 2020 (KODE REKENING : 5.2.2.02.06)
BULAN
Januari Februari Maret April Mei Juni Juli
7 8 9 10
4,500,000
JANUARI FEBRUARI MARET APRIL MEI JUNI JULI

4,500,000
4,500,000
Agustus September Oktober November Desember
11 12 13 14 15
AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER

ATK BANTUAN OPERASIONAL KESEHATAN (BOK) TAHUN 2020 (KODE REKENING : 5.2.2.01.01)

TAHUN : 2020
BULAN
JUMLAH
NO BELANJA BIAYA SATUAN
BIAYA (Rp). Januari Februari
1 3 5 6 7
1 Alat Tulis Kantor 19,238,540 19,238,540
TOTAL
JANUARI FEBRUARI
FOTOCOPY
19,238,540
19,238,540 -
PUSKESMAS : :KEDAWUNG WETAN
KABUPATEN : :PASURUAN
TAHUN : :2020
JUMLAH BIAYA BULAN
NO BELANJA VOLUME BIAYA SATUAN
(Rp). Januari
1 ### 3 4 5 6 7
Belanja Jasa
1 On the job training 48 2,000,000 96,000,000 8,000,000
Administrasi Kantor
JANUARI
8,000,000
16,000,000
BULAN
Februari
8,000,000
FEBRUARI
8,000,000
16,000,000

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MATRIK PLAN OF ACTION DANA BANTUAN OPERASIONAL KESEHATAN (BOK)

PUSKESMAS : KEDAWUNG WETAN

9 AMP Tingkat Puskesmas Makmin 35 org x 2 kl x 35,000 2,450,000 1,225,000 1,225,000 x

16 Promosi KB dan Kespro Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

Transport Peserta 30 org x 1 kl x 20,000 600,000 600,000 x

Fotocopy 100 lbr x 200 20,000 20,000

Transport Peserta 28 org x 1 kl x 20,000 560,000 560,000 x

Fotocopy 100 lbr x 200 20,000 20,000 x

Transport Peserta 30 org x 1 kl x 20,000 600,000 600,000 x

Fotocopy 100 lbr x 200 20,000 20,000 x

6 Pembinaan Bumil KEK Makmin 32 org x 2 kl x 35,000 2,240,000 1,120,000 1,120,000

Fotocopy 100 lbr x 200 20,000 10,000 10,000

Perjalanan Dinas 2 org x 3 kl x 15,000 90,000 30,000 30,000 30,000

Perjalanan Dinas 2 org x 1 kl x 15,000 30,000 30,000

10 Pembentukan KP ASI di desa Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x

Perjalanan Dinas 4 org x 1 kl x 15,000 60,000 60,000 - x

Fotocopy 100 lbr x 1 kl x 200 20,000 20,000

11 Monev KP ASI Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

12 Sosialisasi kelorisasi dan katukisasi Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

UKS /UPAYA KESEHATAN LAIN

Bahan Praktek 1350 bh x 5,000 6,750,000 6,750,000

Transport Peserta 49 org x 2 kl x 20,000 1,960,000 1,960,000 x

Fotocopy Materi 450 lbr x 2 kl x 200 180,000 180,000

11 Pembinaan kader kesehatan Remaja Makmin 40 org x 2 kl x 35,000 2,800,000 2,800,000 x

Fotocopy Materi 480 lbr x 1 kl x 200 96,000 96,000

13 Pembinaan duta kesehatan remaja makmin 20 org x 4 kl x 35,000 2,800,000 2,800,000

19 Pertemuan Guru UKS SD/MI/SMP/SMA makmin 25 org x 1 kl x 35,000 875,000 875,000

25 Penyuluhan Diare Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000 x

31 Pembinaan Kader Lansia Makmin 25 org x 3 kl x 35,000 2,625,000 2,625,000

32 Refreshing kader lansia Makmin 34 org x 1 kl x 35,000 1,190,000 1,190,000

34 Kegiatan BIAS SD/MI (Imunisasi TD dan Campak)

35 Surveilans KIPI Perjalanan Dinas 2 org x 10 kl x 15,000 300,000 300,000

37 Sosialisasi Kampanye Campak Makmin 35 org x 2 kl x 35,000 2,450,000 2,450,000 x

39 Pelaksanaan kampanye Campak

PROGRAM PENCEGAHAN DAN PENGENDALIAN PENYAKIT

14 Bimtek Pemulasaran jenasah makmin 25 org x 1 kl x 35,000 875,000 875,000

2 Pertemuan koordinasi KS tingkat Desa ATK 1 pkt x 1 kl x 200,000 200,000 x

3 Survey KS Perjalanan Dinas 5 org x 18 hr x 15,000 1,350,000 675,000 675,000 x

1 Pembinaan kader Kesling ATK 1 pkt x 1 kl x 80,000 80,000

Makmin 35 org x 1 hr x 35,000 1,225,000 1,225,000

Makmin 25 org x 1 hr x 35,000 875,000 875,000

3 On the Job training ATK 1 pkt x 1 kl x 100,000 100,000

Makmin 25 org x 2 hr x 35,000 1,750,000 1,750,000

1 Refreshing Bagas Desi GB tk Puskesmas ATK 1 pkt x 1 kl x 80,000 80,000

Makmin 15 org x 1 hr x 35,000 525,000 525,000

2 Pertemuan koordinasi Desi GB tk Desa ATK 1 pkt x 1 kl x 80,000 80,000

Makmin 25 org x 1 kl x 35,000 875,000 875,000

3 Intervensi Desa Siaga Makmin 25 org x 1 kl x 35,000 875,000 875,000

4 Survey K3 transport kader 20 org x 1 kl x 30,000 600,000 600,000

5 Musyawarah masyarakat Desa ( MMD ) ATK 1 pkt x 1 kl x 200,000 200,000

Makmin 25 org x 1 kl x 35,000 875,000 875,000

6 Pertemuan Paguyuban kader tk Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

Makmin 35 org x 1 kl x 35,000 1,225,000 1,225,000

7 Pertemuan koordinasi TP tingkat Puskesmas ATK 1 pkt x 1 kl x 200,000 200,000

Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000

5 Evaluasi Program Makmin 30 org x 1 kl x 35,000 1,050,000 1,050,000 x

Pengelolaan Administrasi BOK

7 ATK administrasi BOK 3,329,000 3,329,000