PROGRAM POKOK

Jumlah Jumlah
KK Dlm Jiwa Dlm SASARAN KESEHATAN IBU & ANAK GIZI IMUNISASI
DESA/ NEGERI/ Jumlah
NO POSYANDU Wilayah Wilayah
KELURAHAN Kader ∑ D/S N/D
Posyand Posyand
u u
Bayi

Menyus

us

us
Kunj. Ibu Hamil Kunj. Ibu Nifas Kunj. Ibu Menyusui Penimbangan Bayi Penimbangan Balita

Pasang

St

St
an Usia

at
at
Subur
Hamil

Balita
Nifas

Bayi
Ibu

Ibu

Ibu

ui
PSY PKM DPS/BPM PSY PKM DPS/BPM PSY PKM DPS/BPM PSY PKM DPS/BPM Naik PSY PKM DPS/BPM Naik PSY PKM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

Mawar I 257 766 5 3 7 29 21 50 120 0 3 0 0 4 0 19 7 0 3 10 2 0 5 24 11 0 8 38 48 7 4

1
Anggrek 151 615 5 2 2 23 25 47 97 0 1 0 0 2 0 12 3 0 1 14 1 0 10 15 10 0 6 40 55 3 2
2
NANIA
Mawar II 254 1115 5 7 4 27 27 45 103 0 3 0 0 4 0 14 8 0 3 9 0 0 4 17 14 0 13 36 65 8 4
3
Melati II 219 1025 5 6 1 16 24 48 147 0 4 0 0 1 0 11 10 0 4 11 2 0 5 21 13 0 15 44 62 4 3
4
Perumnas 230 1150 5 6 3 29 35 65 162 0 6 0 0 3 0 12 3 0 6 12 1 0 8 9 7 0 7 21 71 13 4
5
Memosa I 184 596 5 9 0 15 16 31 151 0 5 0 0 0 0 9 2 0 5 9 2 0 5 17 5 0 8 55 50 6 0
6
Memosa II 113 449 5 7 0 18 17 45 113 0 4 0 0 0 0 15 3 0 4 10 3 0 5 13 8 0 9 37 61 5 0
7
Memosa III 104 417 5 3 1 15 19 36 107 0 3 0 0 0 0 9 3 0 3 8 1 0 4 12 7 0 7 36 55 8 0
8
Melati I 1152 4 20 2 0 1 0 4 0 2 19 2 0 13 9 0 14 47 64 0 1
9 287 5 3 28 70 396 0 0 14 23
Waiheru
Teratai I 25 3 5
10 151 665 5 6 2 22 26 60 59 0 5 0 0 1 0 11 1 0 5 15 1 0 10 6 5 0 5 71
Teratai II 39 12 0
11 281 1072 5 11 1 31 27 54 112 0 6 0 0 0 0 13 1 0 6 15 3 0 7 18 4 0 11 54
Mandiri 60 10 1
12 132 462 5 3 1 28 18 s 97 0 1 0 0 1 0 15 2 0 1 17 2 0 12 16 11 0 7 61
Kenanga 42 3 1
13 299 897 5 7 1 27 27 65 53 0 3 0 0 1 0 15 4 0 3 12 2 0 12 8 12 0 8 100
97 10 2
14 Melati III 175 622 5 3 0 31 14 46 80 0 3 0 0 0 0 8 4 0 3 14 1 0 12 44 15 0 23 60
175 243
418 s
 PROGRAM POKOK PROGRAM TAMBAHAN DANA SEHAT

Tanaman Obat Keluarga

PENCEG

Bina Keluarga Lansia

Bina Keluarga Balita
AHAN &

Kepengurusan
PENANG
IMUNISASI KB IURAN
GULANG

PAUD
AN STRATA PETUGAS DARBIN
∑ ∑ ∑

Organisasi/LSM
DIARE
ayi Balita

Wajib

Lain
Kegiatan
DPS/BPM PSY PKM DPS/BPM PSY PKM DPS/BPM
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55

0 1 0 0 12 0 1 0 1 0 0 √ √ ─ √
0 0 0 0 MADYA NENSI SIAILA
0 0 0 0 5 0 1 0 1 0 0 ─ √ ─ ─
0 0 0 0 MADYA ARMAWATI
0 3 0 0 15 0 3 0 3 0 0 ─ ─ ─ ─
0 0 0 0 MADYA KAROLINA LIPTIAY
0 3 0 0 10 0 0 0 0 0 0 ─ √ ─ ─
0 0 0 0 MADYA NURLAILA WAHAB
0 2 0 0 19 0 1 0 1 0 0 ─ ─ ─ ─
0 0 0 0 MADYA ARLENI TETELEPTA
0 3 0 0 9 0 0 0 0 0 0 ─ ─ ─ ─
0 0 0 0 MADYA ROSLINA LASARIMA
0 0 0 0 5 0 0 0 0 0 0 ─ ─ ─ ─
0 0 0 0 MADYA MISRI KELIOBAS
0 6 0 0 14 0 0 0 0 0 0 ─ ─ ─ ─
0 0 0 0 MADYA LUKMAN AKA
0 0 0 0 1 0 0 0 0 0 0 ─ ─ ─ ─
0 0 0 0 MADYA KALA TUASIKAL
0 3 0 0 11 0 0 0 0 0 0 ─ ─ ─ ─
0 0 0 0 MADYA HABIBI NASELA
0 6 0 0 18 0 0 0 0 0 0 ─ ─ ─ √
0 0 0 0 MADYA FATIMA PATIIHA
0 8 0 0 19 0 2 0 2 0 0 ─ ─ ─ ─
0 0 0 0 MADYA SRI HARYATI LESTUSEN
0 0 0 0 4 0 1 0 1 0 0 ─ ─ ─ ─
0 0 0 0 MADYA RATFA SOPLESTUNY
0 2 0 0 14 0 1 0 1 0 0 ─ √ ─ ─
0 0 0 0 MADYA KELIBIA HATALA