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$%(!

)&
()+,)&,(+!"%)&
&'%')  + ,& 
+&+&
*+&) ($0&& %!&!%$ !&
#* +& ( ,&!+ ($#*&
+#&!* (,*+ #* +&
%*0)#+!!"%)&

"&!**(%!&#* +&(,(+(,*#*%*!! "%)&

 ($0&& #* +&*)


2<FA2?#F?;F?82?!3F 2>:=#M
2 (6?86CE:2?
 !3F 92>:= #M 252=29 :3F 92>:= J2?8 >6?52A2E<2? A6=2J2?2?
2?E6?2E2=D6DF2:DE2?52CA2=:?8D65:<:E6>A2E<2=:56?82?5:DEC:3FD:
A6>36C:2? A6=2J2?2? J2?8 5:2?;FC<2? 252=29 >:?:>2= D2EF <2=:
A252 EC:HF=2?A6CE2>2D2EF<2=:A252EC:HF=2?<65F252?5F2<2=:
A252EC:HF=2?<6E:82F>FC<692>:=2?
 #F?;F?82? :3F 92>:= D6DF2: DE2?52C 252=29 A6=2J2?2? J2?8
>6?42<FA>:?:>2=  +:>32?83252?52?F<FCE:?88:3252? 
,<FC E6<2?2? 52C29   *<C:?:?8 DE2EFD :>F?:D2D: E6E2?FD 52?
A6>36C:2? +6E2?FD +@<D@:5     ,<FC E:?88: 7F?5FD FE6C: 
(6>36C:2?E23=6E36D: E23=6ED6=2>2<692>:=2? +6>FH:42C2
A6>36C:2? <@>F?:<2D: :?E6CA6CD@?2= 52? <@?D6=:?8    +6DE
=23@C2E@C:F> D656C92?2  3 (C@E6:? FC:?  52? 2E2F 36C52D2C<2?
:?5:<2D: 3D8*:7:=:D !-%2=2C:2+
 "F>=29D2D2C2?:3F92>:=5:9:EF?8>6=2=F:6DE:>2D:56?82?CF>FD
  I CF56 :CE9 )2E6 I "F>=29 (6?5F5F< A252 E29F? J2?8
D2>2  ?8<2 ) 52? ;F>=29 A6?5F5F< #23
<@E2 5:52A2E 52C:
52E2 (* >2D:?8M>2D:?8 #23
#@E2
(C@G:?D: A252 <FCF? H2<EF
E6CE6?EF  252=29<@?DE2?E2F?EF<>6?89:EF?8!3F 2>:=
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6=:?5F?8: :3F 92>:= D69:?882 <6D692E2? ;2?:? E6C;2>:? >6=2=F:
A6?J65:22?A6=2J2?2?2?E6?2E2=

3 67:?:D:'A6C2D:@?2=
2<FA2? <F?;F?82? :3F 92>:= #M 252=29 42<FA2? :3F 92>:= J2?8
E6=29 >6>A6C@=69 A6=2J2?2? 2?E6?2E2= D6DF2: 56?82? DE2?52C A2=:?8
D65:<:E<2=:5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

2<FA2? ">=!3F 2>:=J2?8>6>A6C@=69A6=2J2?2?


#F?;F?82?  2?E6?2E2=#5:D2EFH:=2J29<6C;2
!3F 2>:=# A252<FCF?H2<EF E6CE6?EF I 
"F>=29D2D2C2?:3F92>:= 5:D2EFH:=2J29<6C;2
52=2>#FCF?H2<EFJ2?8D2>2

(6>3:=2?8  

 (6>3:=2?8
"F>=29 :3F 92>:= J2?8 E6=29 >6>A6C@=69 A6=2J2?2? 2?E6?2E2=
D6DF2: DE2?52C >:?:>2=  <2=: 5: D2EF H:=2J29 <6C;2 A252 <FCF?
H2<EFE6CE6?EF

 (6?J63FE
"F>=29D2D2C2?:3F92>:=5:D2EFH:=2J29<6C;252=2><FCF?H2<EF
J2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 *!%(,*$52?*!)*E6C>2DF<A6=2J2?2?J2?85:=2<F<2?@=69
DH2DE2
 #@9@CE:3F
 (6>2?E2F2?.:=2J29*6E6>A2E(.* M #!

6 )F;F<2?
 F<F (65@>2? (C@8C2> (6C6?42?22? (6CD2=:?2? 52? (6?468292?
#@>A=:<2D:(#E29F? 
 F<F(682?82?(C2<E:D(6=2J2?2?#6D692E2?%2E6C?2=52?&6@?2E2=
E29F? 
 *E2?52C(6=2J2?2?#63:52?2?*(#E29F? 
 (65@>2? (6=2J2?2? #63:52?2? 2D2C 6C32D:D % 52? #625:=2?
6?56CE29F? 
 (65@>2?(6>36C:2?+23=6E6D: M @=2E52?*:CFA6D:28:(6EF82D
6A<6DE29F? 
 @@<=6E?6>:2:K:52?E23=6EE2>32952C29F?EF<.,*
 F<F#!E29F? 
 (65@>2? (6=2J2?2? !%*
 !*) A252 A6=2J2?2? #6DAC@ E6CA25F
E29F? 
 (65@>2?(%++E29F? 
 (65@>2? A6?468292? 52? A6?2?82?2? %2=2C:2 A252 :3F 92>:=
E29F? 
 F<FA2?5F2?AC2<E:DA6=2J2?2?<@?EC2D6AD:

7 +2C86E
+2C86E 

8 $2?8<29#68:2E2?
 (6?82522?3F<F#!56?82?DE:<6C(#
 (6?52E22?F>:=
 (6=2J2?2??E6?2E2=D6DF2:DE2?52C
 #F?;F?82?CF>29328:J2?85C@A@FE
 (6>3F2E2?<2?E@?8A6CD2=:?2?
 (6=2E:92?#!(
#@?D6=:?8
 (6?42E2E2?52?(6=2A@C2?
 *FA6CG:D:%@?:E@C:?852?G2=F2D:(.* M #!?2=:D:D%2?2;6>6?
(C@8C2>#!E29F? 

9 *%
 @<E6C
 :52?
 (6C2H2E
2<FA2?  


2<FA2?#@>A=:<2D:#63:52?2?02?8:E2?82?:
2 (6?86CE:2?
 #@>A=:<2D: J2?8 5:>2<DF5 252=29 <6D2<:E2? A252 :3F 92>:= :3F
36CD2=:?:3F?:72DJ2?852A2E>6?82?42>;:H2:3F52?
2E2F32J:
 #@>A=:<2D: 52=2> <692>:=2?  2  3@CEFD 3  :A6C6>6D:D
C2G:52CF> 4  (6C52C292? A6C G28:?2> 5 :A6CE6?D: 52=2>
<692>:=2? (C66<=2>AD:2 6<=2>AD:2 6  #692>:=2? =6H2E H2<EF 
7 #6EF32?A64295:?:
#@>A=:<2D: 52=2> A6CD2=:?2?  2 #6=2:?2? =6E2<
AC6D6?E2D: ;2?:?
3  (2CEFD >246E
5:DE@D:2 4  :A6CE6?D: 52=2> <692>:=2?
AC66<=2>AD:2 6<=2>AD:2 5  (6C52C292? A2D42 A6CD2=:?2? 6
!?76<D: 36C2E
D6AD:D 7  #@?EC2<D: 5:?:
A6CD2=:?2? AC6>2EFC 8
#692>:=2?82?52
#@>A=:<2D: 52=2> &:72D  2  :A6CE6?D: 52=2> <692>:=2?
AC66<=2>AD:26<=2>AD:23 !?76<D:?:72D4 (6C52C292??:72D
 !3F92>:=:3F36CD2=:?52??:72D56?82?<@>A=:<2D:J2?85:E2?82?:
252=29 :3F 92>:= 36CD2=:? 52? ?:72D 56?82? <@>A=:<2D: J2?8
>6?52A2E<2? A6=2J2?2? D6DF2: DE2?52C A252 E:?8<2E A6=2J2?2?
52D2C 52? CF;F<2?  (@=:?56D (FD<6D>2D (FD<6D>2D ('&
)F>2936CD2=:?)*!
)*)*,)*,('&#
 ('&  (6=2J2?2? '3DE6EC:< 52? &6@?2E2= >6C86?D: 2D2C
>6=:AFE: <6>2>AF2? F?EF< >6?2?82?: 52? >6CF;F<  2
:A6CE6?D: 52=2> <692>:=2? AC66<=2>AD:2 6<=2>AD:2 3
+:?52<2? A6CE@=@?82? 5:DE@D:2 329F 52? 6<DEC2<D: G2<F> A252
A6CE@=@?82? A6CD2=:?2? 4  (6C52C292? A@DE A2CEF> 5  !?76<D:
?:72D 6  $) 52? :A@E6C>: :A@8=:<6>:2 !<E6CFD
:A6C3:=:CF3:?6>:2 >2D2=29 A6>36C:2? >:?F> A252 32J: 7
D7:<D:2A25232J: 8 2?88F2??272DA25232J:9 #6;2?8A252
32J: 32CF =29:C :  !?76<D: ?6@?2E2= ;  (6CD:2A2? F>F> D636=F>
E:?52<2?<652CFC2E2?'3DE6EC: M &6@?2E2=2?E2C2=2:?#6H2DA2522?
,?:G6CD2=*E2?52C
 (FD<6D>2D ('& 252=29 AFD<6D>2D C2H2E :?2A J2?8 >6>:=:<:
<6>2>AF2? D6CE2 72D:=:E2D ('& D:2A  ;2> F?EF< >6>36C:<2?
A6=2J2?2? E6C9252A :3F 92>:= 36CD2=:? 52? ?:72D 52? 32J: 32CF
=29:C56?82?<@>A=:<2D:32:<J2?852E2?8D6?5:C:2E2F2E2DCF;F<2?
<256C
>2DJ2C2<2E 3:52? 5: 56D2 (FD<6D>2D 52? >6=2<F<2?
CF;F<2?<6)*('&#A252<2DFDJ2?8E:52<>2>AF5:E2?82?:
 ('&# 252=29 (6=2J2?2? '3DE6EC:< 52? &6@?2E2= >6C86?D:
#@>AC696?D:7 5: )F>29 *2<:E >6=:AFE: <6>2AF2? F?EF<
>6=2<F<2? E:?52<2?  2  *6<D:@ D6D2C:2 3  :DE6C6<E@>: 4
)6A2C2D: )FAEFC2 ,E6C: 656C2 #2?5F?8
 D2=FC2? <6>:9 5
(6C2H2E2?!?E6?D:7!3F52?&6@?2E2=6 +C2?D7FD:2C29
 )* ('&#  ;2> 252=29 )* J2?8 >6>:=:<: <6>2>AF2? D6CE2
72D:=:E2D('&#D:2A ;2>F?EF<>6>36C:<2?A6=2J2?2?E6C9252A
:3F 92>:= 36CD2=:? ?:72D 52? 32J: 32CF =29:C 56?82? <@>A=:<2D:
32:< J2?8 52E2?8 D6?5:C: 2E2F 2E2D CF;F<2? <256C
>2DJ2C2<2E
3:52?5:56D2(FD<6D>2D52?(FD<6D>2D('&
 (6?2?82?2? 567:?:E:7 252=29 A6?2?82?2?
A6>36C:2? E:?52<2?
E6C2<9:C F?EF< >6?J6=6D2:<2? A6C>2D2=292? D6E:2A <2DFD
<@>A=:<2D:<63:52?2?
 (6C9:EF?82? ;F>=29 :3F 56?82? <@>A=:<2D: <63:52?2? 5: D2EF
H:=2J29<6C;2A252<FCF?H2<EFJ2?8D2>25:9:EF?836C52D2C<2?
2?8<26DE:>2D: 52C:E@E2=:3F92>:=5:D2EFH:=2J29A252<FCF?
H2<EFJ2?8D2>2

+@E2=  


 +@E2= D2D2C2? :3F 92>:= 5:9:EF?8 >6=2=F: 6DE:>2D: 56?82? CF>FD 


  I CF56 :CE9 )2E6 I "F>=29 (6?5F5F< A252 E29F? J2?8
D2>2  ?8<2 ) 52? ;F>=29 A6?5F5F< #23
#@E2 5:52A2E 52C:
52E2 (* >2D:?8 M >2D:?8 #23
#@E2
(C@G:?D: A252 <FCF? H2<EF
E6CE6?EF  252=29<@?DE2?E2F?EF<>6?89:EF?8!3F 2>:=
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6?J6=6?882C2<2? A6=2J2?2? <6D692E2? D642C2 AC@76D:@?2= <6A252
:3F92>:=36CD2=:??:72D56?82?<@>A=:<2D:

3 67:?:D:'A6C2D:@?2=
2<FA2? <@>A=:<2D: <63:52?2? J2?8 5:E2?82?: 252=29 :3F 56?82?
<@>A=:<2D:<63:52?2?5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF
J2?8 >6?52A2E A6?2?82?2?  567:?:E:7 D6DF2: 56?82? DE2?52C @=69
E6?282 <6D692E2? E6C=2E:9 A252 E:?8<2E A6=2J2?2? 52D2C 52? CF;F<2? 
(@=:?56D(FD<6D>2D(FD<6D>2D('&)F>29 36CD2=:?)*!
)*
)*,)*,('&#

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan komplikasi Jumlah komplikasi kebidanan yang mendapat


Kebidanan yang = penanganan definitif disatu wilayah kerja pada
ditangani kurun waktu tertentu x 100%
Jumlah ibu dengan komplikasi kebidanan disatu
wilayah kerja pada kurun waktu yang sama

 (6>3:=2?8
"F>=29 <@>A=:<2D: <63:52?2? 5: D2EF H:=2J29 E6CE6?EF J2?8
>6?52A2EA6?2?82?2?567:?:E:7A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 :3F 56?82? <@>A=:<2D: <63:52?2? 5: D2EF H:=2J29 <6C;2
A252<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 *!%(,**!#
 $2A@C2?F5:E%2E6C?2=52?(2C:?2E2=%(

6 )F;F<2?
 F<F24F2?A6=2E:92?('& 
 F<F#!E29F? 
 F<F(682?82?(C2<E:D(6=2J2?2?#6D692E2?%2E6C?2=52?&6@?2E2=
E29F? 
 4F2?DF92?(6CD2=:?2?&@C>2=
(&E29F? 
 *E2?52C(6=2J2?2?#63:52?2?E29F? 
 (65@>2?(6>2?E2F2?.:=2J29*6E6>A2E(.* M #!E29F? 
 (65@>2?(6?86>32?82?('&E29F? 
 (65@>2?+6<?:DF5:E%2E6C?2=(6C:?2E2=5:E:?8<2E#23
#@E2E29F?


F<F  


 F<F (65@>2? (6=2J2?2? #63:52?2? 2D2C 6C32D:D % 52?


#625:=2?6?56CE29F? 
 F<F(65@>2?%2?2;6>6?('&# ;2>5:#23
#@E2E29F? 
 (65@>2? D:DE6> CF;F<2? >2E6C?2= 52? ?6@?2E2= 5: )* #23
#@E2
E29F? 
 F<FA65@>2?A6?J6=6?882C22?)*
 F<FA65@>2?A6?J6=6?882C22?)*('&# ;2>
 F<F*E2?52C(6=2J2?2?%:?:>2=)F>29*2<:E

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 6E6<D:F>:=F=:?52?F72D#@>A=:<2D:
 )F;F<2?<2DFD<@>A=:<2D:<63:52?2?
 (6=2J2?2?A6?2?82?2?<@>A=:<2D:<63:52?2?
 (6?J65:22?AFD2EA6=2E:92?<=:?:D
 (6=2E:92?('&328::52?6D252?+:>(FD<6D>2D
 (6?J65:22?A6C2=2E2?('&5:(FD<6D>2D
 (6=2<D2?22?('&
 (6?42E2E2?52?(6=2A@C2?
 (6>2?E2F2?52?G2=F2D:

9 *%
 +6?282 +6C=2E:9 ('& (FD<6D>2D   5@<E6C  3:52? 52?
A6C2H2E
 :52?5:6D2

 2<FA2? (6CE@=@?82? (6CD2=:?2? '=69 +6?282 #6D692E2? 02?8 %6>:=:<:


#@>A6E6?D:#63:52?2?
2 (6?86CE:2?
 (6CE@=@?82?A6CD2=:?2?252=29AC@D6DA6=2J2?2?A6CD2=:?2?5:>F=2:
A252<2=2!D2>A2:56?82?<2=2!-A6CD2=:?2?
 +6?282 #6D692E2? J2?8 >6>:=:<: <@>A6E6?D: <63:52?2? 252=29
E6?282 <6D692E2? J2?8 >6>:=:<: <6>2>AF2? <=:?:D <63:52?2?
D6DF2:DE2?52C
 "F>=29 D6=FCF9 :3F 36CD2=:? 5:9:EF?8 >6=2=F: 6DE:>2D: 56?82?
CF>FD    I CF56 :CE9 )2E6 I "F>=29 (6?5F5F<  ?8<2 )
52? ;F>=29 A6?5F5F< #23
<@E2 5:52A2E 52C: 52E2 (* >2D:?8 M
>2D:?8#23
#@E2
(C@G:?D:A252<FCF?H2<EFE6CE6?EF  252=29
<@?DE2?E2F?EF<>6?89:EF?8!3F6CD2=:?
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6?J6=6?882C2<2?A6=2J2?2?A6CD2=:?2?J2?8AC@76D:@?2=

3 67:?:D:'A6C2D:@?2=
2<FA2? A6CE@=@?82? A6CD2=:?2? @=69 E6?282 <6D692E2? J2?8 >6>:=:<:
<@>A6E6?D:<63:52?2?252=29:3F36CD2=:?J2?8>6?52A2EA6CE@=@?82?
A6CD2=:?2?@=69E6?282<6D692E2?J2?8>6>:=:<:<@>A6E6?D:<63:52?2?
5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

4 2C2  


4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan pertolongan Jumlah ibu bersalin yg ditolong oleh tenaga


persalinan oleh kesehatan di satu wilayah kerja pada kurun
tenaga kesehatan = waktu tertentu x 100%
Jumlah seluruh sasaran ibu bersalin di satu
wilayah kerja dalam kurun waktu yang sama

 (6>3:=2?8
"F>=29 :3F 36CD2=:? J2?8 5:E@=@?8 @=69 E6?282 <6D692E2? 5: D2EF
H:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 D6=FCF9 D2D2C2? :3F 36CD2=:? 5: D2EF H:=2J29 <6C;2 52=2>
<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
*!%(,**!#

6 )F;F<2?
 F<F(682?82?(C2<E:D(6=2J2?2?#6D692E2?%2E6C?2=52?&6@?2E2=
+29F? 
 4F2?DF92?(6CD2=:?2? &@C>2=
(&E29F? 
 *E2?52C(6=2J2?2?#63:52?2?*(#E29F? 
 (65@>2? (6=2J2?2? #63:52?2? 2D2C 6C32D:D % 52? #625:=2?
6?56CE29F? 
 (.* M #!E29F? 

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 #6>:EC22?:52?M:52?
 (6C6?42?22?(6CD2=:?2?52?(6?468292?#@>A=:<2D:(#
 (6=2J2?2?A6CD2=:?2?
 (6?J65:22?
6?82?E:2?(6C2=2E2?(6CD2=:?2?:52?#!+
 (6=2E:92?%282?8(&
 *FA6CG:D: %@?:E@C:?8 52? G2=F2D: (.*M#! 52? ?2=:D:D
%2?2;6>6?(C@8C2>#!
9 *%
 @<E6C,>F>
 :52?

 2<FA2?(6=2J2?2?&:72D
2 (6?86CE:2?
 &:72D 252=29 A6C:@56 >F=2:  ;2> D2>A2: 56?82?   92C: A2D42
A6CD2=:?2?
 (6=2J2?2? ?:72D D6DF2: DE2?52C 252=29 A6=2J2?2? <6A252 :3F ?:72D
D65:<:E?J2  <2=: A252  ;2> A2D42 A6CD2=:?2? D 5  92C: A252
>:?88F<6!!52?A252>:?88F<6-!E6C>2DF<A6>36C:2?-:E2>:?
 <2=:D6CE2A6CD:2A2?52?
2E2FA6>2D2?82?#(2D42(6CD2=:?2?

"F>=29  


 "F>=29D6=FCF9:3F?:72D5:9:EF?8>6=2=F:6DE:>2D:56?82?CF>FD
  I CF56 :CE9 )2E6  )  I "F>=29 (6?5F5F<  ?8<2 )
52? ;F>=29 A6?5F5F< #23
<@E2 5:52A2E 52C: 52E2 (* >2D:?8 M
>2D:?8#23
#@E2
(C@G:?D:A252<FCF?H2<EFE6CE6?EF  252=29
<@?DE2?E2F?EF<>6?89:EF?8!3F&:72D
 2=2> A6=2<D2?22? A6=2J2?2? ?:72D 5:=2<F<2? ;F82 A6=2J2?2?
?6@?2EFD D6DF2: DE2?52C D65:<:E?J2  <2=: A252 M  ;2> D6E6=29
=29:CA252M92C:52?A252 M 92C:D6E6=29=29:CJ2?85:=2<F<2?
5:72D:=:E2D<6D692E2?>2FAF?<F?;F?82?CF>29
 (6=2J2?2?<6D692E2??6@?2E2=252=29A6=2J2?2?<6D692E2??6@?2E2=
52D2C *! 6<D<=FD:7 A6?468292? :?76<D: 36CFA2 A6C2H2E2? >2E2
E2=: AFD2E A6>36C:2? G:E2>:? #  :?;6<D: 3:=2 E:52< 5:36C:<2? A252
D22E =29:C A6>36C:2? :>F?:D2D: 96A2E:E:D   3:=2 E:52< 5:36C:<2?
A252D22E=29:C>2?2;6>6?E6CA25F32J:>F52
 &6@?2EFD252=2932J:36CF>FC M 92C:
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6?J6=6?882C2<2?A6=2J2?2??:72DJ2?8AC@76D:@?2=

3 67:?:D:'A6C2D:@?2=
2<FA2? A6=2J2?2? ?:72D 252=29 A6=2J2?2? <6A252 :3F 52? ?6@?2E2=
A252 >2D2  ;2> D2>A2: 56?82?   92C: A2D42 A6CD2=:?2? D6DF2:
DE2?52C

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan Jumlah ibu nifas yg telah memperoleh 3 kali
Pelayanan pelayanan nifas sesuai standar di satu wilayah
Nifas = kerja pada kurun waktu tertentu x 100%
Jumlah seluruh ibu nifas di satu wilayah kerja
dalam kurun waktu yang sama
 (6>3:=2?8
"F>=29 :3F ?:72D J2?8 E6=29 >6>A6C@=69  <2=: A6=2J2?2? ?:72D
D6DF2:DE2?52C5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29D6=FCF9:3F?:72D5:D2EFH:=2J29<6C;252=2><FCF?H2<EF
J2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 *!%(,**!#E6C>2DF<A6=2J2?2?J2?85:=2<F<2?@=69DH2DE2
 #@9@CE$!3F(.*M#!

6 )F;F<2?
 F<F (65@>2? (C@8C2> (6C6?42?22? (6CD2=:?2? 52? (6?468292?
#@>A=:<2D: (#E29F? 
 F<F (682?82? (C2<E:D (6=2J2?2? #6D692E2? %2E6C?2= 52?
&6@?2E2=
 *E2?52C(6=2J2?2?#63:52?2?*(# +29F? 
 (6=2J2?2?#63:52?2?2D2C6C32D:D %52?#625:=2?6?56C
 (.*M#!E29F? 
 F<F(65@>2?(6>36C:2?-:E A252!3F&:72D +29F? 

7 +2C86E  


7 +2C86E  

8 $2?8<29#68:2E2?
 (6=2J2?2?&:72DD6DF2:DE2?52C!3F52?&6@?2EFD
 (6=2J2?2?#A2D42A6CD2=:?2?
 (6=2E:92?
>282?8<=:?:D<6D692E2?>2E6C?2=52??6@?2E2=
 (6=2J2?2?CF;F<2??:72D
 #F?;F?82?CF>29328:J2?85C@A@FE
 (6?42E2E2?52?(6=2A@C2?
 *FA6CG:D: %@?:E@C:?8 52? G2=F2D: (.*M#! 52? ?2=:D:D
%2?2;6>6?(C@8C2>#!

9 *%
 @<E6C
 :52?
 (6C2H2E

 2<FA2?&6@?2EFD6?82?#@>A=:<2D:02?8:E2?82?:
2 (6?86CE:2?
 &6@?2EFD252=2932J:36CF>FC M 92C:
 &6@?2EFD56?82?<@>A=:<2D:252=29?6@?2EFD56?82?A6?J2<:E52?
<6=2:?2? J2?8 52A2E >6?J6323<2? <6D2<:E2? <64242E2? 52?
<6>2E:2?  &6@?2EFD 56?82? <@>A=:<2D: D6A6CE: 2D7:<D:2 :<E6CFD
9:A@E6C>:2E6E2?FD?6@?2E@CF>:?76<D:
D6AD:DEC2F>2=29:C$)
6C2E 252? $29:C )6?529    8C D:?5C@>2 82?88F2?
A6C?272D2?<6=2:?2?<@?86?:E2=
 &6@?2EFD 56?82? <@>A=:<2D: J2?8 5:E2?82?: 252=29 ?6@?2EFD
<@>A=:<2D: J2?8 >6?52A2E A6=2J2?2? @=69 E6?282 <6D692E2? J2?8
E6C=2E:95@<E6C52?3:52?5:D2C2?2A6=2J2?2?<6D692E2?
 (6C9:EF?82? D2D2C2? ?6@?2EFD 56?82? <@>A=:<2D:  5:9:EF?8
36C52D2C<2?  52C: ;F>=29 32J: 32CF =29:C  ":<2 E:52< 5:<6E29F:
;F>=2932J:32CF=29:C>2<252A2E5:9:EF?852C:CF56:CE9)2E6I
;F>=29 A6?5F5F<  ?8<2 ) 52? ;F>=29 A6?5F5F< #23
#@E2
5:52A2E52C:52E2(*#23
#@E2
(C@G:?D:
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6?J6=6?882C2<2? A6=2J2?2? ?:72D J2?8 AC@76D:@?2= <6A252
?6@?2EFD56?82?<@>A=:<2D:
 *2C2?2 (6=2J2?2? #6D692E2? 252=29 (@=:?56D (C2<E6< :52?
(FD<6D>2D (FD<6D>2D (6C2H2E2?
('& )F>29 6CD2=:? 52?
)F>29*2<:E(6>6C:?E29
*H2DE2
 (6?2?82?2? 567:?:E:7 252=29 A6>36C:2? E:?52<2? 2<9:C A252 D6E:2A
<2DFD<@>A=:<2D:?6@?2EFD

3 67:?:D:'A6C2D:@?2=
2<FA2??6@?2EFD56?82?<@>A=:<2D:J2?85:E2?82?:252=29?6@?2EFD
56?82? <@>A=:<2D: 5: D2EF H:=2J29 <6C;2 A252 <FCF? H2<EF E6CE6?EF
J2?85:E2?82?:D6DF2:56?82?DE2?52C@=69E6?282<6D692E2?E6C=2E:95:
D6=FCF9D2C2?2A6=2J2?2?<6D692E2?

4 2C2  


4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan Neonatus Jumlah neonatus dengan komplikasi yang


Dengan komplikasi = tertangani x 100%
Yang ditangani Jumlah seluruh neonatus dengan komplikasi
yang ada

 (6>3:=2?8
"F>=29 ?6@?2EFD 56?82? <@>A=:<2D: J2?8 E6CE2?82?: 52C: D2EF
H:=2J29 <6C;2 A252 <FCF? H2<EF E6CE6?EF 5: D2C2?2 A6=2J2?2?
<6D692E2?

 (6?J63FE
&6@?2EFD 56?82? <@>A=:<2D: J2?8 252 56?82? A6C<:C22?  32J:
32CF =29:C 52C: D2EF H:=2J29 <6C;2 A252 <FCF? H2<EF J2?8D2>2 5:
D2C2?2A6=2J2?2?<6D692E2?

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6 

5 *F>36C2E2
 *!%(,**!#
 *!)*
 $2A@C2?A6=2<D2?22?2F5:E%2E6C?2=52?(6C:?2E2=

6 )F;F<2?
 %@5F=%2?2;6>6?+6CA25F2=:E2*2<:E%+*E29F? 
 %@5F=%2?2;6>6?2J:6C2E$29:C)6?529$)E29F? 
 %@5F=%2?2;6>6?D7:<D:22J:2CF$29:CE29F? 
 %@5F= (6=2J2?2? '3DE6EC: &6@?2E2= >6C86?D: 2D2C ('&
E29F? 
 %@5F= (6=2J2?2? '3DE6EC: &6@?2E2= >6C86?D: #@>AC696?D:7
('&#E29F? 
 F<F#6D692E2?!3F52??2<#!E29F? 
 (65@>2?(6=2<D2?22?(C@8C2>!>F?:D2D:5:!?5@?6D:2
 (65@>2?(6=2J2?2?(6C:?2E2=A252)*,#6=2D52?#6=2D
 (65@>2? %2?2;6>6? >2D2=29 32J: 32CF =29:C F?EF< 5@<E6C 3:52?
52?A6C2H2E5:)F>29*2<:EE29F? 
 (65@>2?(6>2?E2F2?.:=2J29*6E6>A2E(.*M#!E29F? 
 (65@>2? (6?86>32?82?('&E29F? 
 (65@>2? +6<?:D F5:E %2E6C?2=M(6C:?2E2= 5: E:?8<2E #23
#@E2
E29F? 
 (65@>2? (6=2J2?2? #63:52?2? 2D2C 6C32D:D % 52? #625:=2?
6?56CE29F? 
 (65@>2?%2?2;6>6?('&# ;2>5:#23
#@E2E29F? 
 (65@>2? D:DE6> CF;F<2? >2E6C?2= 52? ?6@?2E2= 5: )* #23
#@E2
E29F? 

7 +2C86E
+2C86E  

8 $2?8<29  

8 $2?8<29#68:2E2?
 6E6<D::?:F>:=F=:?52?F72D#@>A=:<2D:
 (6=2J2?2? <6D692E2? A2D42 A6CD2=:?2? F?EF< :3F 52? ?6@?2E2=
D6DF2:DE2?52C
 (6?J65:22? D2C2?2 A6C2=2E2? =23@C2E@C:F> @32E 6D6?D:2= J2?8
>6>252:52?EC2DA@CE
 (6=2E:92? >2?2;6>6? $) 328: 3:52? >2?2;6>6? D7:<D:2 32J:
32CF=29:C%+*('&328:+:>(FD<6D>2D
 (6=2<D2?22?('&
 (6>2?E2F2? F?EF< 2DF92? E:?52< =2?;FE 328: ?6@?2EFD J2?8
5:CF;F<
 (6?42E2E2?52?(6=2A@C2?
 (6>2?E2F2?A2D42A6=2E:92?52?6G2=F2D:
 (6=2<D2?22?52?(6>2?E2A2?F5:E%2E6C?2=(6C:?2E2=%(
 )F;F<2?A2D:6?E6?282>65:D52?DA6D:>6?

8 *%
 @<E6C,>F>
 (6C2H2E
 :52?

 2<FA2?#F?;F?82?2J:
2 (6?86CE:2?
 2J:252=29 2?2<36CF>FC 92C: M 3F=2?
 2<FA2?<F?;F?82?32J:252=2942<FA2?<F?;F?82?32J:F>FC 
92C:M  3F=2? 5: D2C2?2 A6=2J2?2? <6D692E2? A@=:?56D AFDEF
(FD<6D>2D CF>29 36CD2=:? 52? CF>29 D2<:E >2FAF? 5: CF>29
A@DJ2?5F E6>A2E A6?:E:A2? 2?2< A2?E: 2DF92? 52? D63282:?J2
>6=2=F:<F?;F?82?A6EF82D
 *6E:2A 32J: >6>A6C@=69 A6=2J2?2? <6D692E2? >:?:>2=  <2=: J2:EF
D2EF <2=: A252 F>FC  92C: M  3F=2?  <2=: A252 F>FC  M 
3F=2? <2=:A252F>FC M 3F=2?52? <2=:A252F>FC M
3F=2?
 (6=2J2?2? <6D692E2? E6CD63FE >6=:AFE: A6>36C:2? :>F?:D2D: 52D2C
(+
 (@=:@ 2>A2<DE:>F=2D:56E6<D::?E6CG6?D:
5:?: EF>3F9 <6>32?8  *!+#  32J: 52? A6?JF=F92? A6C2H2E2?
<6D692E2?32J:
 (6?JF=F92? A6C2H2E2? <6D692E2? 32J: >6=:AFE:  <@?D6=:?8 *!
6<D<=FD:7A6>36C:2?>2<2?2?A6?52>A:?8*!D6;2<FD:23F=2?
A6C2H2E2? 52? E2?52 3292J2 32J: D2<:E  D6DF2: %+* 
A6>2?E2F2? A6CEF>3F92? 52? A6>36C:2? G:E2>:?  <2ADF= 3:CF
A252FD:2 M 3F=2?
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6=:?5F?8:32J:D69:?882<6D692E2??J2E6C;2>:?>6=2=F:A6?J65:22?
A6=2J2?2?<6D692E2?

3 67:?:D:'A6C2D:@?2=
2<FA2? <F?;F?82? 32J: 252=29 42<FA2? 32J: J2?8 >6>A6C@=69
A6=2J2?2? <6D692E2? D6DF2: 56?82? DE2?52C @=69 5@<E6C 3:52? 52?
A6C2H2E J2?8 >6>:=:<: <@>A6E6?D: <=:?:D <6D692E2? A2=:?8 D65:<:E 
<2=:5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

4 2C2  

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan Jumlah bayi memperoleh pelayanan
kunjungan kesehatan sesuai standar di satu wilayah
bayi = kerja pada kurun waktu tertentu x 100%
Jumlah seluruh bayi lahir hidup di satu
wilayah kerja dalam kurun waktu yang sama

 (6>3:=2?8
"F>=29 32J: J2?8 >6>A6C@=69 A6=2J2?2? <6D692E2? D6DF2: 56?82?
DE2?52C A2=:?8 D65:<:E  <2=: 5: D2EF H:=2J29 <6C;2 A252 <FCF?
H2<EFE6CE6?EF

 (6?J63FE
*6=FCF9 32J: =29:C 9:5FA 5: D2EF H:=2J29 <6C;2 52=2> <FCF? H2<EF
J2?8D2>2

2E2E2?
":<2 E:52< 252 52E2 52A2E 5:8F?2<2? 2?8<2 6DE:>2D: ;F>=29 32J:
=29:C9:5FA36C52D2C<2?52E2(*2E2FA6C9:EF?82?)5:<2=:<2?
;F>=29A6?5F5F<

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
*!%(,*<@9@CE32J:*!)*52?<=:?:<

6 )F;F<2?
 %@5F=%2?2;6>6?+6CA25F2=:E2*2<:E%+*
 F<F#6D692E2?!3F52??2<#!
 (65@>2?(6=2<D2?22?(C@8C2>!>F?:D2D:5:!?5@?6D:2
 %@5F= *E:>F=2D: 6E6<D: 52? !?E6CG6?D: :?: +F>3F9 #6>32?8
*!+#?2<
 (65@>2?A6>2?E2F2?A6CEF>3F92?32=:E2
 (65@>2?A6>36C:2?%(*!
 (65@>2?A6>36C:2?-:E2>:?

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?:?8<2E2? <@>A6E6?D: <=:?:D <6D692E2? 32J: >6=:AFE: *!+#
DE:>F=2D:A6C<6>32?82?32J:52?%+*
 (6>2?E2F2?A2D42A6=2E:92?%+*52?*!+#
 (6=2J2?2?<6D692E2?32J:D6DF2:DE2?52C5:72D:=:E2D<6D692E2?
 (6=2J2?2?CF;F<2?
 (6>3292D2?2F5:E<6>2E:2?52?<6D2<:E2?32J:
 (6=2J2?2? <F?;F?82? CF>29 328: J2?8 E:52< 52E2?8 <6 72D:=:E2D
<6D692E2?

9 *%
 @<E6C,>F>
 :52?
 (6C2H2EE6C=2E:9

 2<FA2?  

 2<FA2?6D2
#6=FC292?,?:G6CD2=9:=5!>>F?:K2E:@?,!
2 (6?86CE:2?
 #6=FC292? 252=29 H:=2J29 <6C;2 =FC29 D63282: A6C2?8<2E 526C29
<23FA2E6? 52?
2E2F 526C29 <@E2 5: 32H29 <642>2E2?  ,, &@  
+29F? E6?E2?8(6>6C:?E2926C29
 6D2 252=29 <6D2EF2? >2DJ2C2<2E 9F<F> J2?8 >6>:=:<:
<6H6?2?82? F?EF< >6?82EFC 52? >6?8FCFD <6A6?E:?82?
>2DJ2C2<2E D6E6>A2E 36C52D2C<2? 2D2=  FDF= 52? 252E :DE:252E
D6E6>A2E J2?8 5:2<F: 52=2> D:DE6> A6>6C:?E292? ?2D:@?2= 52?
36C2525:32H29<23FA2E6?
 ,! ,?:G6CD2= 9:=5 !>>F?:K2E:@? 252=29 E6C42A2:?J2 :>F?:D2D:
52D2CD642C2=6?8<2AA25232J: M 3F=2?!3F92>:=.,*52?
2?2<D6<@=29E:?8<2E52D2C
 !>F?:D2D: 52D2C =6?8<2A A252 32J: >6=:AFE:   5@D:D   5@D:D
(+  5@D:D (@=:@  5@D:D 6A2E:E:D   5@D:D 2>A2<  !3F 92>:=
52?.,*>6=:AFE: 5@D:D++ ?2<D6<@=29E:?8<2E52D2C>6=:AFE:
5@D:D+ 5@D:D42>A2<52? 5@D:D++
 !>F?:D2D: CFE:? 252=29 <68:2E2? :>F?:D2D: J2?8 D642C2 CFE:? 52?
E6CFD >6?6CFD 92CFD 5:=2<D2?2<2? A252 A6C:@56 H2<EF J2?8 E6=29
5:E6E2A<2? 36C52D2C<2? <6=@>A@< FD:2 D2D2C2? 52? E6>A2E
A6=2J2?2?
 !>F?:D2D: E2>3292? 252=29 <68:2E2? :>F?:D2D: J2?8 E:52< CFE:?
5:=2<D2?2<2? 92?J2 5:=2<F<2? 2E2D 52D2C 5:E6>F<2??J2 >2D2=29
52C:92D:=A6>2?E2F2?2E2F6G2=F2D: 02?8E6C>2DF<52=2><68:2E2?
:>F?:D2D:E2>3292?>6=:AFE:24<=@8:89E:?852?C2D9(C@8C2>
 !>F?:D2D: 52=2> A6?2?82?2? #$ 252=29 <68:2E2? :>F?:D2D: J2?8
5:D6DF2:<2?56?82?D:EF2D:6A:56>:@=@8:DA6?J2<:E

3 67:?:D:'A6C2D:@?2=
2<FA2? 6D2
#6=FC292? ,?:G6CD2= 9:=5 !>>F?:K2E:@? ,! 252=29
6D2
#6=FC292? 5:>2?2 O   52C: ;F>=29 32J: J2?8 252 5: 56D2
E6CD63FE DF529 >6?52A2E :>F?:D2D: 52D2C =6?8<2A 52=2> H2<EF D2EF
E29F?

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Desa/Kelurahan UCI = Jumlah desa / kelurahan UCI x 100 %
Seluruh desa / kelurahan

 (6>3:=2?8
"F>=29 6D2
#6=FC292? ,! 5: D2EF H:=2J29 <6C;2 A252 H2<EF
E6CE6?EF

 (6?J63FE
*6=FCF9 6D2
#6=FC292? 5: D2EF H:=2J29 <6C;2 52=2> H2<EF J2?8
D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
*!%(,**!)*52?#=:?:<

6 )F;F<2?  


6 )F;F<2?
 (65@>2?@A6C2D:@?2=AC@8C2>:>F?:D2D:E29F? !%  
 #6A>6?<6D &@  
%&#*
*#
/!
 +6?E2?8 (65@>2?
(6?J6=6?882C22?!>F?:D2D:

7 +2C86E  

8 $2?8<29#68:2E2?
 !>F?:D2D:)FE:?
 !>F?:D2D:+2>3292?24<=@8:89E:?8C2D9(C@8C2>
 !>F?:D2D:2=2>(6?2?82?2?#$'FE3C62<)6DA@?D6
 #68:2E2? :>F?:D2D: E2>3292? F?EF< A6?J2<:E E6CE6?EF 52=2>
H:=2J29J2?8=F2D52?H2<EFJ2?8E6CE6?EF(!&*F3(!&2E49,A
2>A2:8?2>A2<

9 *%
 @<E6C
 (6C2H2E
 :52?

 2<FA2?(6=2J2?2??2<2=:E2
2 (6?86CE:2?
 ?2<32=:E2252=292?2<36CF>FC M3F=2?
 *6E:2A2?2<F>FC M3F=2?>6>A6C@=69A6=2J2?2?A6>2?E2F2?
A6CEF>3F92? D6E:2A 3F=2? >:?:>2=  I 52=2> D6E29F? J2?8
E6C42E2E 5: #@9@CE ?2< 2=:E2 52? (C2 *6<@=29 F<F #!
#%*
2E2F3F<FA6?42E2E2?52?A6=2A@C2?=2:??J2
 (6>2?E2F2? A6CEF>3F92? 252=29 A6?8F<FC2? 36C2E 3252?
A6CE:?88:
A2?;2?8 3252? 
+ :E:?8<2E >2DJ2C2<2E
A6>2?E2F2? A6CEF>3F92? 252=29 A6?8F<FC2? 36C2E 3252? A6C
F>FC
,D6E:2A3F=2?5:(@DJ2?5F+2>2?6C>2:?(@D(,
+2>2? (6?:E:A2? ?2< 52? +2>2? #2?2<M#2?2< D6CE2 )2F52EF=
E972=5==
:=236C2E3252?E:52<?2:<52=2> 3F=2?36CEFCFEMEFCFE2E2F36C2E
3252? 2?2< 32=:E2 5: 32H29 82C:D >6C29 92CFD 5:CF;F< <6 D2C2?2
A6=2J2?2? <6D692E2? F?EF< >6?6?EF<2? DE2EFD 8:K:?J2 52? FA2J2
E:?52<=2?;FE
 (6>2?E2F2?A6C<6>32?82?>6=:AFE:A6?:=2:2?A6C<6>32?82?86C2<
<2D2C 86C2< 92=FD 3:42C2 52? 3292D2 D6CE2 D@D:2=:D2D: 52?
<6>2?5:C:2? A6>6C:<D22? 52J2 56?82C 52J2 =:92E  ":<2 252
<6=F92? 2E2F <64FC:822? E6C9252A 2?2< 5:=2<F<2? A6>6C:<D22?
F?EF< 82?88F2? >6?E2= 6>@D:@?2= 2FE:D>6 D6CE2 82?88F2?
A6>FD2E2?A6C92E:2?52?9:A6C2<E:7:E2D
:=25:E6>F<2?A6?J:>A2?82?2E2F82?88F2?A6C<6>32?82?92CFD
5:=2<F<2? CF;F<2? <6A252 E6?282 <6D692E2? J2?8 =63:9 >6>:=:<:
<@>A6E6?D:
 (6>2?E2F2?A6CEF>3F92?52?A6C<6>32?82?D6E:2A2?2<FD:2 M
 3F=2? 5:=2<D2?2<2? >6=2=F: A6=2J2?2? *!+# >:?:>2=  <2=:
A6CE29F?D6E:2A3F=2?52?E6C42E2EA252#@9@CE?2<2=:E252?
(C2D6<@=29 2E2F A6?42E2E2? A6=2A@C2? =2:??J2  (6=2J2?2? *!+#
5:=2<D2?2<2? @=69 E6?282 <6D692E2? 29=: 8:K: A6?JF=F9 <6D692E2?
>2DJ2C2<2E 52? A6EF82D D6<E@C =2:? J2?8 52=2> >6?;2=2?<2?
EF82D?J2 >6=2<F<2? DE:>F=2D: 52? 56E6<D: 5:?: A6?J:>A2?82?
EF>3F9<6>32?82?2<

*FA=6>6?E2D:  


 *FA=6>6?E2D: -:E2>:?  5@D:D E:?88:   !, 5:36C:<2? A252


2?2< F>FC M 3F=2?  <2=: A6CE29F? 3F=2? 63CF2C: 52?
8FDEFD
 !?5:<2E@C:?:>6?8F<FC<6>2>AF2?>2?2;6>6?AC@8C2>#!52=2>
>6=:?5F?8: 2?2< 32=:E2 D69:?882 <6D692E2??J2 E6C;2>:? >6=2=F:
A6?J65:22?A6=2J2?2?<6D692E2?

3 67:?:D:'A6C2D:@?2=
2<FA2?A6=2J2?2?2?2<32=:E2252=292?2<32=:E2 M3F=2?J2?8
>6>A6C@=69A6=2J2?2?A6>2?E2F2?A6CEF>3F92?52?A6C<6>32?82?

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan Jumlah anak balita yang memperoleh pelayanan
pelayanan pemantauan pertumbuhan minimal 8 kali
anak balita : di satu wilayah kerja pada waktu tertentu x 100%
Jumlah seluruh anak balita di satu wilayah
kerja dalam waktu yang sama

 (6>3:=2?8
"F>=29 2?2< 32=:E2  M 3F=2? J2?8 >6>A6C@=69 A6=2J2?2?
A6>2?E2F2? A6CEF>3F92? >:?:>2=  <2=: 5: D2EF H:=2J29 <6C;2
A252H2<EF<FCF?E6CE6?EF

 (6?J63FE
"F>=29 D6=FCF9 2?2< 32=:E2   M 3F=2? 5: D2EF H:=2J29 <6C;2
52=2><FCF?H2<EFE6CE6?EF

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 #@9@CE32=:E2
 $2A@C2?CFE:?*#&
 F<F#!
 #%*
 (6?42E2E2? A252 (@D (, (6>2?E2F2? ?2< ,D:2 :?: +2>2?
6C>2:? +2>2? (6?:E:A2? ?2< +2>2? #2?2<M#2?2< )2F52EF=
E972=5==
6 )F;F<2?
 F<F*E2?52C(6>2?E2F2?(6CEF>3F92?
 F<F(65@>2?(6=2<D2?22?*!+#?2<
 F<F#!
 F<FA65@>2?A6>36C:2?-:E2>:?328:A6EF82D
 F<FA65@>2?A6?52>A:?82?<6=F2C82

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?52E22?D2D2C2?2?2<FD:2 M3F=2?
 (6>2?E2F2? A6CEF>3F92? 2?2< FD:2 M 3F=2? >:?:>2=  I
52=2>D6E29F?

(6>2?E2F2?  


 (6>2?E2F2? A6C<6>32?82? 2?2< FD:2 M 3F=2? >:?:>2= E:2A 


3F=2?D6<2=:
 %6=2<F<2? :?E6CG6?D: 3:=2 5:;F>A2: 82?88F2? A6CEF>3F92? 52?
<6=2:?2?A6C<6>32?82?
 %6=2<F<2? CF;F<2? 3:=2 E:52< 252 A6C32:<2? D6E6=29 5:=2<F<2?
:?E6CG6?D:
 (6?J65:22?D<C:?:?8#:E*!+#
 (6?82522?-:E2>:?5@D:DE:?88: !,D6DF2:D2D2C2?
 (6?82522?7@C>F=:CA6?5F<F?8A6?42E2E2?A6=2A@C2?
 %@?:E@C:?852?6G2=F2D:
 (6=2E:92?

9 *%
 @<E6C,>F>
 :52?
 (6C2H2E

 2<FA2? (6>36C:2? %2<2?2? (6?52>A:?8 *! (252 ?2< ,D:2 M 


F=2?#6=F2C82%:D<:?
2 (6?86CE:2?
 ?2<FD:2M 3F=2?<6=F2C82>:D<:?252=2932J:FD:2M 3F=2?
52?2?2<FD:2M 3F=2?52C:<6=F2C82>:D<:?#!&
 #C:E6C:2 52? <6=F2C82 >:D<:? 5:E6E2A<2? @=69 A6>6C:?E29 D6E6>A2E
#23
#@E2 
 %(M*!A23C:<2?36CFA23F3F<:?DE2?F?EF<32J:FD:2M 3F=2?
52?3:D<F:EF?EF<2?2<FD:2 M 3F=2?

3 67:?:D:'A6C2D:@?2=
2<FA2?A6>36C:2?>2<2?2?A6?52>A:?8*!A2522?2<FD:2 M 
3F=2? <6=F2C82 >:D<:? 252=29 A6>36C:2? >2<2?2? A6?52>A:?8 *!
A2522?2<FD:2 M  3F=2?52C:<6=F2C82>:D<:?D6=2>2 92C:

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan Jumlah anak usia 6 – 24 bulan keluarga


pemberian = miskin yang mendapat MP - ASI x 100%
makanan Jumlah seluruh anak usia 6 – 24 bulan
pendamping ASI keluarga miskin

 (6>3:=2?8
"F>=292?2<FD:2M 3F=2?52C:2<:?J2?8>6?52A2E%(M*!5:
D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 D6=FCF9 2?2< FD:2 M  3F=2? 52C: 2<:? 5: D2EF H:=2J29
<6C;252=2><FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
$2A@C2?<9FDFD%(M*!)M 8:K:$M*!%(,* *!#

6 )F;F<2?  


6 )F;F<2?
(65@>2? A6?86=@=22? >2<2?2? A6?52>A:?8 2:C DFDF :3F %(*!
F?EF<2?2<FD:2 3F=2?

7 +2C86E
+2C86E  

8 $2?8<29<68:2E2?
1) (6?52E22?D2D2C2?
2) (6=2E:92?A6>36C:2?>2<2?2?328:2?2<
<@?D6=:?8>6?JFDF:
3) (6?82522?%(*!
4) (6?J:>A2?2?%(*!
5) :DEC:3FD:D2>A2:<6D2D2C2?
6) (6?42E2E2?52?A6=2A@C2?
7) %@?:E@C:?852?6G2=F2D:A6=2<D2?22?A6>36C:2?%(*!

9 *%
&FEC:D:@?:D
E6?282<6D692E2?E6C=2E:98:K:

 2<FA2?2=:E2:K:FCF<%6?52A2E(6C2H2E2?
2 (6?86CE:2?
 2=:E2252=292?2<FD:25:32H29E29F?2?2<FD:2 D
5E29F?
3F=2?J2?82525:#23FA2E6?
#@E2
 :K:3FCF<252=29DE2EFD8:K:>6?FCFE3252?M3252?52?E:?88:
3252?+56?82?1MD4@C652?2E2F56?82?E2?52 M E2?52<=:?:D
>2C2D>FD<H2D9:@C<@C52?>2C2D>FD M <H2D:@C<@
 (6C2H2E2?252=29A6C2H2E2?D6DF2:E2E2=2<D2?28:K:3FCF<

3 67:?:D:'A6C2D:@?2=
2<FA2? 32=:E2 8:K: 3FCF< >6?52A2E A6C2H2E2? 252=29 32=:E2 8:K:
3FCF< J2?8 5:E2?82?: 5: D2C2?2 A6=2J2?2? <6D692E2? D6DF2:
E2E2=2<D2?2 8:K: 3FCF< 5: D2EF H:=2J29 <6C;2 A252 <FCF? H2<EF
E6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan Jumlah balita gizi buruk mendapat perawatan di


Balita sarana pelayanan kesehatan di satu wilayah
Gizi buruk = kerja pada kurun waktu tertentu x 100%
Jumlah seluruh balita gizi buruk yang ditemukan di
satu wilayah kerja pada kurun waktu yang sama

 (6>3:=2?8
"F>=29 32=:E2 8:K: 3FCF< >6?52A2E A6C2H2E2? 5: D2C2?2 A6=2J2?2?
<6D692E2?5:D2EFH:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 D6=FCF9 32=:E2 8:K: 3FCF< J2?8 5:E6>F<2? 5: D2EF H:=2J29
<6C;2A252<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C  


5 *F>36C2E2
)
8:K: $*!%(,* *!)* .  =2A@C2? H2329 #$ =2A@C2? #$
8:K:3FCF<(FD<6D>2D52?2E2F)F>29*2<:E

6 )F;F<2?
 (65@>2? +2E2=2<D2?2 #( A252 ?2< 5: )F>29 *2<:E #23
#@E2
E29F? 
 (65@>2? +2E2=2<D2?2 #( A252 ?2< 5: (FD<6D>2D 52? )F>29
+2?882E29F? 
 F<F282?+2E2=2<D2?2?2<:K:FCF<E29F? 
 (6EF?;F<+6<?:D+2E2=2<D2?2?2<:K:FCF<E29F? 
 (2?5F2?(6=2E:92?+2E2=2<D2?2?2<:K:FCF<E29F? 
 (65@>2?52?(6=2J2?2?:K:)F>29*2<:EE29F? 
 (65@>2? (6?J6=6?882C22? (6=2E:92? +2E2=2<D2?2 :K: FCF< 28:
+6?282#6D692E2?E29F? 
 %@5F=%2?2;6>6?+6CA25F2=:E2*2<:E%+*
7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 *FCG6:=2?D8:K:E6C>2DF<A6?6>F2?<2DFDD642C22<E:7
 )6DA@?46A2EA6?2?82?2?<2DFD8:K:3FCF<
 (6=2E:92?E2E2=2<D2?28:K:3FCF<
 (6?J65:22?>:?6C2=>:I
 (6C2H2E2? <2DFD 8:K: 3FCF< 5: )F>29 *2<:E + +96C2A6FE:4
665:?86?E6C
 (6?52>A:?82? <2DFD 8:K: 3FCF< A2D42 C2H2E @>>F?:EJ
+96C2A6FE:46?E6C
 :?E6<52?DFA6CG:D:36C;6?;2?8

9 *%
@<E6C&FEC:D:@?:D:52?
(6C2H2E
2<FA2?(6?;2C:?82?#6D692E2?*:DH2*52?*6E:?8<2E
2 (6?86CE:2?
 (6?;2C:?82?<6D692E2?D:DH2*52?D6E:?8<2E252=29A6>6C:<D22?
<6D692E2?F>F><6D692E2?8:8:52?>F=FED:DH2*52?D6E:?8<2E
>6=2=F: A6?;2C:?82? <6D692E2? E6C9252A >FC:5 <6=2D  * 52?
%25C2D29 !3E:52:J29 J2?8 5:=2<D2?2<2? @=69 E6?282 <6D692E2?
36CD2>28FCF5@<E6C<64:=
 ,D292 #6D692E2? *6<@=29 ,#* 252=29 FA2J2 E6CA25F =:?E2D
AC@8C2>52?=:?E2DD6<E@C52=2>C2?8<2>6?:?8<2E<2?<6>2>AF2?
9:5FAD692E52?D6=2?;FE?J2>6>36?EF<A6C:=2<F9:5FAD692E2?2<
FD:2D6<@=29J2?836C2525: D6<@=29
 *6<@=29 2D2C D6E:?8<2E 252=29 *6<@=29 2D2C &686C: *6<@=29
2D2C*H2DE2*6<@=292D2C$F2C:2D2%25C2D29!3E:52:J29D6CE2
D2EF2? A6?5:5:<2? <6282>22? E6C>2DF< (@?A6D 32:< ;2=FC
A6?5:5:<2?D6<@=29>2FAF?=F2CD6<@=29
 +6?282 #6D692E2? 252=29 E6?282 >65:D <6A6C2H2E2? 2E2F A6EF82D
(FD<6D>2D =2:??J2 J2?8  E6=29 5:=2E:9 D63282: E6?282 A6=2<D2?2
,#*
,#*
 FCF ,#*
,#* 252=29 8FCF <6=2D 2E2F 8FCF J2?8 5:EF?;F<
D63282: A6>3:?2 ,#*
,#* 5: D6<@=29 52? E6=29 5:=2E:9 E6?E2?8
,#*
,#*

@<E6C  


 @<E6C#64:=252=29<256C<6D692E2?D6<@=29J2?83:2D2?J236C2D2=
52C:>FC:5<6=2D52?*52?D6E:?8<2EJ2?8E6=29>6?52A2E<2?
A6=2E:92?5@<E6C<64:=
 !?5:<2E@C :?: >6?8F<FC <6>2>AF2? >2?2;6>6? AC@8C2> ,D292
#6D692E2? ?2< *6<@=29 52=2> >6=:?5F?8: 2?2< D6<@=29 D69:?882
<6D692E2??J2E6C;2>:?>6=2=F:A6=2J2?2?<6D692E2?

3 67:?:D:'A6C2D:@?2=
2<FA2? A6>6C:<D22? <6D692E2? D:DH2 * 52? D6E:?8<2E 252=29
42<FA2? D:DH2 * 52? D6E:?8<2E J2?8 5:A6C:<D2 <6D692E2??J2 @=69
E6?282<6D692E2?2E2FE6?282E6C=2E:9  8FCF,#*
5@<E6C<64:=>6=2=F:
A6?;2C:?82? <6D692E2? 5: D2EF H:=2J29 <6C;2 A252 <FCF? H2<EF
E6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan Jumlah murid SD dan setingkat yang diperiksa kesehatannya


penjaringan oleh tenaga kesehatan atau tenaga terlatih di satu
kesehatan = wilayah kerja pada kurun waktu tertentu x 100%
siswa SD dan Jumlah murid SD dan setingkat di satu wilayah kerja
setingkat dalam kurun waktu yang sama

 (6>3:=2?8
"F>=29 >FC:5 <6=2D  * 52? D6E:?8<2E J2?8 5:A6C:<D2
<6D692E2??J2>6=2=F:A6?;2C:?82?<6D692E2?@=69E6?282<6D692E2?
2E2F E6?282 E6C=2E:9 8FCF ,#*
5@<E6C <64:= 5: D2EF H:=2J29 <6C;2
A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29>FC:5<6=2D *52?D6E:?8<2E5:D2EFH:=2J29<6C;2A252
<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 2E2E2? 52? A6=2A@C2? 92D:= A6?;2C:?82? <6D692E2? $2A@C2?
#68:2E2? ,#* DF>36C 52E2 5:A6C32:<: 52E2 2<2? >2DF< <6
AFD<6D>2D>6=2=F:E6?282<6D692E2?
 2E2:<?2D
(*D6E6>A2E

6 )F;F<2?
 F<F(65@>2?,#*F?EF<*6<@=292D2CE29F? 
 F<F(65@>2?(6?;2C:?82?#6D692E2?E29F? 
 F<F(65@>2?,#*>FC:5*6<@=292D2CE29F? 

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?52E22?
 (6?82522?52?(6>6=:92C22? ,#*<:E,#*<:E
 (6=2E:92?A6EF82D8FCF,#*
,#*52?5@<E6C<64:=

(6?;2C:?82?  


 (6?;2C:?82?<6D692E2?
 (6=2J2?2?<6D692E2?
 (6?42E2E2?52?(6=2A@C2?

9 *%
 @<E6C,>F>
 @<E6C:8:
 :52?
 (6C2H2E
 (6EF82D#6D692E2?=:?8<F?82?

2<FA2?(6D6CE2#<E:7
2 (6?86CE:2?
 (6D6CE2 # 2<E:7 252=29 (2D2?82? ,D:2 *F3FC J2?8 D2=29 D2EF
A2D2?82??J2 >2D:9 >6?88F?2<2? 2=2E <@?EC2D6AD: 52? E6C=:?5F?8:
@=692=2E<@?EC2D6AD:E6CD63FE
 (2D2?82? ,D:2 *F3FC (,* 252=29 A2D2?82? DF2>:M:DEC: J2?8
:DEC:?J236CFD:2 ME29F?
 ?8<2 2<FA2? (6D6CE2 # 2<E:7 >6?F?;F<<2? +:?8<2E
A6>2?722E2? <@?EC2D6AD: 5: 2?E2C2 A2C2 (2D2?82? ,D:2 *F3FC
(,*

3 67:?:D:'A6C2D:@?2=
2<FA2?A6D6CE2#2<E:7252=29;F>=29A6D6CE2#2<E:75:32?5:?8<2?
56?82?;F>=29(2D2?82?,D:2*F3FC(,*5:DF2EFH:=2J29<6C;2A252
<FCF?H2<EFE6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan Jumlah PUS yang menggunakan kontrasepsi di satu
Peserta KB = wilayah kerja pada kurun waktu tertentu x 100%
aktif Seluruh Pasangan Usia Subur di satu wilayah kerja
dalam kurun waktu yang sama

 (6>3:=2?8
"F>=29 (,* J2?8 >6?88F?2<2? <@?EC2D6AD: 5: D2EF H:=2J29 <6C;2
A252<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 D6=FCF9 (2D2?82? ,D:2 *F3FC 5: D2EF H:=2J29 <6C;2 52=2>
<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
*!%(,**!)*52?@C>F=:C #

6 )F;F<2?
 (2?5F2?(C2<E:D(6=2J2?2?#@?EC2D6AD:(#E29F? 
 (2?5F2?2<F#=:?:D(C@8C2>(6=2J2?2?#
 (65@>2?(6?2?88F=2?82?76<*2>A:?8
#@>A=:<2D:#@?EC2D6AD:
 (65@>2? (6=2J2?2?#@?EC2D6AD:2CFC2EE29F? 

(6?J6=:22?  

 (6?J6=:22?2D:=:E2D(6=2J2?2?#E29F? 
 !?DECF>6?#2;:2?%2?5:C:(6=2J2?2?#E29F? 
 (2?5F2?F5:E%65:<(6=2J2?2?#E29F? 
 ?2=:D:D *:EF2D:  :>3:?82? +6<?:D (6?86=@=22? (6=2J2?2? #
E29F? 
 (65@>2?(6=2J2?2?#6D692E2?)6AC@5F<D:+6CA25FE29F?

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?52E22?*2D2C2?(,*
 #@?D6=:?8#F?EF<(,*
 (6=2J2?2?#@?EC2D6AD:D6DF2:DE2?52C
 (6?82522?=2E52?'32E#@?EC2D6AD:=@<@?
 (6=2E:92? #=:?:D (6=2J2?2? #@?EC2D6AD: +6C<:?:
@?EC246AE:G6
+649?:42=,A52E6
 (6=2E:92?(6?:?8<2E2?#:?6C;2(6=2J2?2?#
 (6=2E:92? (6?88F?22? =2E 2?EF (6?82>3:=2? #6AFEFD2? (#
6C M #
 (6?8F2E2?*:DE6>!?7@C>2D:(6=2J2?2?#
 *FA6CG:D:%@?:E@C:?852?G2=F2D:

9 *%
 @<E6C
 :52?
 (6C2H2E

2<FA2?(6?6>F2?52?(6?2?82?2?(6?56C:E2(6?J2<:E
2 4FE6=24:5(2C2=JD:D()2E6(6C (6?5F5F< +29F?
 (6?86CE:2?
2 #2DFD  ( 252=29 D6>F2 2?2< 36CFD:2 <FC2?8 52C:  E29F?
56?82? <6=F>AF92? J2?8 D:72E?J2 7=24:5 =2JF9 E6C;25: D642C2
2<FE>6?5252<52?3F<2?5:D6323<2?@=69CF52A2<D2
3 #2DFD ( ?@? A@=:@ 252=29 <2DFD ( J2?8 A252 A6>6C:<D22?
DA6D:>6??J2 E:52< 5:E6>F<2? G:CFD A@=:@ =:2C 2E2F <2DFD (
J2?8 5:E6E2A<2? @=69 E:> 29=: D63282: <2DFD ( ?@? A@=:@
56?82?<C:E6C:2E6CE6?EF

 67:?:D:'A6C2D:@?2=
"F>=29 <2DFD ( &@? (@=:@ J2?8 5:E6>F<2? 5:2?E2C2
A6?5F5F< E29F?A6CE29F?5:D2EFH:=2J29<6C;2E6CE6?EF

 2C2(6C9:EF?82?)F>FD
2 )F>FD
Non Polio
AFP rate per = Jumlah kasus AFP non Polio yang dilaporkan x 100.000
100.000 Jumlah Penduduk < 15 tahun
Penduduk

3 (6>3:=2?8
"F>=29<2DFD(&@?(@=:@A252A6?5F5F< E29F?5:D2EF
H:=2J29<6C;2A252<FCF?H2<EFE6CE6?EF

4(6?J63FE  

4 (6?J63FE
"F>=29(6?5F5F< E29F?5:D2EFH:=2J29<6C;252=2><FCF?
H2<EFJ2?8D2>2

5 ,<FC2?
#@?DE2?E2
(C@A@CD:A6C A6?5F5F<

 *F>36C2E2
2 @C>(6=242<2?( 
3 $2A@C2?.

 )F;F<2?
2 #6A>6?<6D 
%&#*
*#
!-
 E6?E2?8 (65@>2?
*FCG6:=2?D<FE=24:5(2C2=JD:D
3 %@5F=(6=2E:92?

 +2C86E
+2C86EE:2AE29F? O
A6?5F5F<5:32H29 E29F?

 $2?8<29#68:2E2?
2 *@D:2=:D2D:
3 (6?42C:2?<2DFD
4 (6?82>3:=2?DA6D:>6?

 *%
2 @<E6CF>F>
3 :52?
4 (6C2H2E
5 (C2?2E2=23@C2E@C:F><6D692E2?

3 (6?6>F2?(6?56C:E2(?6F>@?:22=:E2
 (6?86CE:2?
2 (?6F>@?:2 252=29 :?76<D: 2<FE J2?8 >6?86?2: ;2C:?82? A2CF M
A2CF  =G6@=:  J2?8 5:E2?52: 56?82? 32EF< 5:D6CE2: ?272D 46A2E
52?
2E2F<6DF<2C2?36C?272D
3 #=2D:7:<2D:A6?J2<:E!*(
2=2> A6?6?EF2? <=2D:7:<2D: A6?J2<:E 5:3652<2? 2E2D 5F2
<6=@>A@< J2:EF <6=@>A@< F?EF< F>FC  3F=2?    E29F? 52?
<6=@>A@<F>FC 3F=2?
- ,?EF< <6=@>A@< F>FC  3F=2?  E29F? <=2D:7:<2D: 5:328:
2E2D (?6F>@?:2 6C2E (?6F>@?:2 52? 32EF< 3F<2?
(?6F>@?:2
- ,?EF< <6=@>A@< F>FC   3F=2? <=2D:7:<2D: 5:328: 2E2D 
(?6F>@?:2 36C2E 52? 32EF< 3F<2? (?6F>@?:2  2=2>
A6?56<2E2? >2?2;6>6? E6CA25F 32=:E2 D2<:E  %+* 
<=2D:7:<2D: A252 <6=@>A@< F>FC   3F=2? 252=29 :?76<D:
32<E6C: D:DE6>:<52?:?76<D:32<E6C:=@<2=
- #=2D:7:<2D: (?6F>@?:2 36C2E 5:52D2C<2? A252 252?J2 32EF<
52?
2E2F <6DF<2C2? 36C?272D 5:D6CE2: E2C:<2? 5:?5:?8 5252
328:2? 32H29 <652=2> +# A252 2?2< FD:2  3F=2?   
E29F?  ,?EF< <6=@>A@< F>FC   3F=2? <=2D:7:<2D:
(?6F>@?:2 36C2E 5:E2?52: 56?82? +# <F2E 2E2F 252?J2
?272D46A2E=63:92E2FD2>256?82? IA6C>6?:E

 #=2D:7:<2D:  

- #=2D:7:<2D: (?6F>@?:2 5:52D2C<2? A252 252?J2 32EF<


52?
2E2F <6DF<2C2? 36C?272D 5:D6CE2: 252?J2 ?272D 46A2E
2E2D?272D46A2EA2522?2<FD:2 3F=2?   E29F?252=29
 <2=:A6C>6?:E52? <2=:A6C>6?:EF?EF<2?2<FD:2  
E29F?
- #=2D:7:<2D: 32EF< 3F<2? (?6F>@?:2 >6?42<FA <6=@>A@<
A6?56C:E22=:E256?82?32EF<J2?8E:52<>6?F?;F<<2?86;2=2
A6?:?8<2E2? 7C6<F6?D: ?272D 52? E:52< >6?F?;F<<2? 252?J2
E2C:<2? 5:?5:?8 5252 328:2? 32H29 <652=2>  6?82?
56>:<:2? <=2D:7:<2D: 32EF< 3F<2? (?6F>@?:2 >6?42<FA
A6?J2<:EMA6?J2<:E !*( =2:? 5:=F2C (?6F>@?:2 D6A6CE: 32EF<
A:=6<@>>@?@=5(92CJ?8:E:D+@?D:==:E:D'E:E:D
- :36C:<2? E2E2=2<D2?2 252=29 5:36C:<2? A6=2J2?2? D6DF2:
<=2D:7:<2D:?J2 F?EF< (?6F>@?:2 5:36C:<2? 2?E:3:@E:<2 52?
(?6F>@?:2 36C2E 5:CF;F< <6 *2C2?2 #6D692E2? J2?8 =63:9
>6>252:
- *2C2?2#6D692E2?252=29D6>F2D2C2?2A6=2J2?2?<6D692E2?
32:<A6>6C:?E29>2FAF?DH2DE2
- "F>=29 A6C<:C22? A6?56C:E2 A?6F>@?:2 32=:E2 252=29 
52C: ;F>=29 32=:E2 5:D2EF H:=2J29 <6C;2 52=2> <FCF? H2<EF
D2EFE29F?

 67:?:D:'A6C2D:@?2=
(6CD6?E2D632=:E256?82?(?6F>@?:2J2?85:E6>F<2?52?5:36C:<2?
E2E2=2<D2?2 D6DF2: DE2?52C 5: *2C2?2 #6D692E2? 5: D2EF H:=2J29
52=2>H2<EFD2EFE29F?

 2C2(6C9:EF?82?
)F>FD
2 )F>FD

Cakupan balita Jumlah penderita pneumonia balita


Dengan Pneumonia yang ditangani di satu wilayah kerja pada
Yang ditangani = kurun waktu satu tahun x 100%
Jumlah perkiraan penderita Pneumonia
balita di satu wilayah kerja pada kurun
waktu yang sama

3 (6>3:=2?8
"F>=29 A6?56C:E2 (?6F>@?:2 32=:E2 J2?8 5:E2?82?: 5: D2EF
H:=2J29<6C;2A252<FCF?H2<EFD2EFE29F?

4 (6?J63FE
"F>=29 A6C<:C22? A6?56C:E2 (?6F>@?:2 32=:E2 5: D2EF H:=2J29
<6C;2A252<FCF?H2<EFJ2?8D2>2

5 ,<FC2?#@?DE2?E2
(6CD6?E2D6

 *F>36C2E2
2 #2CEF (6?56C:E2
 )68:DE6C 2C:2? 52? =2A@C2? 3F=2?2?
(FD<6D>2D
%65:42=)64@C5)*
3 #2CEF(6?56C:E2
)68:DE6C(2D:6?2D:=:E2D*H2DE2
%65:42=)64@C5
)F>29*2<:E*H2DE2

)F;F<2?  


 )F;F<2?
2 #(%&#* )! &@  
%&#*
*#
/!!
 E6?E2?8
(65@>2? (6>36C2?E2D2? (6?J2<:E !?76<D: *2=FC2? (6C?272D2?
<FEF?EF<(6?2?88F=2?82?(?6F>@?:2(2522=:E2
3 F<F+2E2=2<D2?2(?6F>@?:22=:E2
4 (65@>2?%+*

 +2C86E
+2C86E  

 $2?8<29#68:2E2?
2 (6=2J2?2?A6?56C:E2
- 6E6<D:5:?:A6?56C:E2A?6F>@?:232=:E2D6DF2:<=2D:7:<2D:
- (6?8@32E2?
- 2D:=:E2D: A6?56C:E2 A?6F>@?:2 36C2E J2?8 >6>6C=F<2?
CF;F<2?
- (6>3:?22?
  
3 (6?J65:22?2=2E(6C2=2E2?!*(
4 (6=2E:92?A6EF82D
- (6=2E:92?(6?:?8<2E2?%2?2;6>6?(C@8C2>!*(
- (6=2E:92?%+*
- (6=2E:92?FE@AD:-6C32=2=:E2
- (6=2E:92?+2E2=2<D2?2(?6F>@?:22=:E2
5 (6?JF=F92?<6>2DJ2C2<2E
6 "6;2C:?8<6C;252?<6>:EC22?
7 (6?8F>AF=2?A6?8@=292?52?2?2=:D252E2
8 %@?:E@C:?8
*FA6CG:D:<6D2C2?2<6D692E2?
9 (6CE6>F2?6G2=F2D:
: (6?42E2E2?52?A6=2A@C2?

 *%
2 @<E6C,>F>
3 :52?
4 (6C2H2E

4 (6?6>F2?(2D:6?2CF++(@D:E:7
 (6?86CE:2?
2 (6?6>F2? A2D:6? 32CF + + (@D:E:7 252=29 A6?6>F2? A2D:6?
+>6=2=F:A6>6C:<D22?5292<D6H2<EFA28:52?D6H2<EF*(*
52? 5:@32E: 5: F?:E A6=2J2?2? <6D692E2? 52=2> DF2EF H:=2J29
<6C;2A252H2<EFE6CE6?EF
3 (2D:6? 32CF 252=29 A2D:6? J2?8 36=F> A6C?29 5:@32E: 56?82?
'+2E2FDF529A6C?29>6?6=2?'+<FC2?852C: D2EF3F=2?
5@D:D92C:2?
4 :@32E:252=29A6>36C:2?A6?8@32E2?A252A2D:6?32CF ++
A@D:E:756?82? '+D6=2>23F=2?

 67:?:D:'A6C2D:@?2=
?8<2 A6?6>F2? A2D:6? 32CF + + A@D:E:7 2E2F     

   252=29A6CD6?E2D6;F>=29A6?56C:E232CF++A@D:E:7
J2?85:E6>F<2?5:32?5:?8<2?56?82?;F>=29A6C<:C22?<2DFD32CF
++A@D:E:752=2> H:=2J29E6CE6?EF52=2>H2<EFD2EFE29F?

2C2  


3) 2C2(6C9:EF?82?
)F>FD.
2 )F>FD
Persentase penemuan Jumlah pasien baru TB BTA positif yang
Pasien baru ditemukan dan diobati di satu wilayah
TB BTA positif = selama satu tahun x 100%
Jumlah perkiraan pasien baru TB BTA
positif dalam satu wilayah dalam waktu
satu tahun

3 (6>3:=2?8
"F>=29 A2D:6? 32CF + + A@D:E:7 J2?8 5:E6>F<2? 52? 5:@32E:
5:D2EFH:=2J29D6=2>2D2EFE29F?

4 (6?J63FE
"F>=29 A6C<:C22? A2D:6? 32CF + +  52=2> D2EF H:=2J29
52=2>H2<EFD2EFE29F?
(6C<:C22? A2D:6? 32CF + + A@D:E:7 252=29 !?D:56? )2E6 +
32CF + A@D:E:7 A6C  I ;F>=29 A6?5F5F< A252 DF2EF
H:=2J29 E6CE6?EF  !?D:56? C2E6 <23FA2E6?
<@E2 >6>A6C8F?2<2?
92D:=DFCG6J?2D:@?2=E6?E2?8AC6G6=6?D:+A252E29F?E6C2<9:C

5 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

 *F>36C2E2
(6=2A@C2?++  52?

 )F;F<2?
(65@>2?&2D:@?2=(6?2?88F=2?82?+F36C<F=@D:D

 +2C86E
+29F?  

 $2?8<29#68:2E2?
2 +2E2=2<D2?2A2D:6?+32CF
- (6?6>F2?A6?56C:E2+32CF
- (6?8@32E2?A6?56C:E2+32CF
3 (6>6C:<D22?DAFEF>
4 (6=2E:92?
5 (6?JF=F92?
6 (6?42E2E2?A6=2A@C2?
7 %@?:E@C:?852?G2=F2D:

 *%
2 @<E6C,>F>
3 (6C2H2E
4 :52?
5 (C2?2E2$23<6D

5 (6?56C:E202?8:E2?82?:
 (6?86CE:2?
2 6>2> 6C52C29 6?8F6  252=29 A6?J2<:E J2?8 5:E2?52:
56?82?
- (2?2D >6?5252< 36C=2?8DF?8 E6CFD M >6?6CFD D6=2>2 M
92C:E2?A2D6323J2?8;6=2D

 +2?52  


- +2?52E2?52A6C52C292?D6<FC2?8 M <FC2?8?J2F;:+@C?:BF6E
A@D:E:7
- :D6CE2:
E2?A2A6>36D2C2?92E:96A2E@>682=:
- +C@>3@D:E@A6?:2+C@>3@D:E N
L=
- (6?:?8<2E2?96>2E@<C:E O 

3 (6?56C:E202?8:E2?82?:*6DF2:*E2?52C
*'(252=29
- (6?56C:E2  J2?8 5:5:28?@D:D 52? 5:@32E:
5:C2H2E D6DF2:
DE2?52C
- :E:?52<=2?;FE:56?82?A6?2?88F=2?82?7@<FD(
(6?2?88F=2?82? 7@<FD ( E6C5:C: 52C: (6?J6=:5:<2?
A:56>:@=@8: ( 52? (6?2?88F=2?82? *6A6C=F?J2
36C52D2C<2?92D:=(E6CD63FE
(6?J6=:5:<2? 6A:56>:@=@8: ( 252=29 <68:2E2? A6?42C:2?
A6?56C:E2  2E2F E6CD2?8<2  =2:??J2 52?
A6>6C:<D22?;6?E:< ?J2>F<A6?F=2C5:D6<:E2CE6>A2E
E:?882= A6?56C:E2 E6C>2DF< E6>A2EME6>A2E F>F> 52=2>
C25:FDD6<FC2?8M<FC2?8?J2 >
 (6?2?88F=2?82?D6A6C=F?J2J2:EF  
 :28?@D:D A6?56C:E2  D6DF2: DE2?52C 252=29   
 
 (6?8@32E2?
A6C2H2E2? A6?56C:E2  D6DF2: DE2?52C
252=29  

4 (6?56C:E2252=29
(6?56C:E2 A6?J2<:E J2?8 >6>6?F9: D6<FC2?8M<FC2?8?J2
<C:E6C:2<=:?:D52? <C:E6C:2=23@C2E@C:F>5:32H29:?:
#C:E6C:2<=:?:D
- (2?2D>6?5252< M92C:E2?A2 D6323J2?8;6=2D
- +2?52 M E2?52 A6C52C292? D6<FC2?8 M <FC2?8?J2 F;:
+@C?:BF6EA@D:E:7
- (6>36D2C2?92E:
- *J@<
#C:E6C:2=23@C2E@C:F>
- +C@>3@D:E@A6?:2+C@>3@D:E N
L=
- 6>2E@<C:E?2:< O 
  
(6?56C:E2 J2?8 >6?F?;F<<2? 92D:= A@D:E:7 A252 A6>6C:<D22? !
E6DE 2E2F 92D:= A@D:E:7 A252 A6>6C:<D22? 2?E:3@5: 56?8F6  
 
 
$!*

5 (6=2J2?2? (6?56C:E2  :E:?8<2E (FD<6D>2D 252=29 <68:2E2?


J2?8>6=:AFE:
- ?2>?6D:D
- (6>6C:<D22? 7:D:< >6=:AFE: @3D6CG2D: E2?52ME2?52 G:E2=
@3D6CG2D: <F=:E 52? <@?;F?8E:G2 A6?6<2?2? F=F 92E: F?EF<
>6?86E29F: ?J6C: F=F 92E: 2<:32E 252?J2 A6C52C292?
=2>3F?8A6C2322?92E:
- ,;:+@C?:BF6E
 (6>6C:<D22? =23@C2E@C:F> 2E2F CF;F<2? A6>6C:<D22?
=23@C2E@C:F> D6<FC2?8M<FC2?8?J2 A6>6C:<D22? EC@>3@D:E
52?96>2E@<C:E

 %6>36C:


 %6>36C:A6?8@32E2?D:>AE@>2E:D
 %6CF;F<A6?56C:E2<6CF>29D2<:E
 %6=2<F<2? A6?42E2E2? 52? A6=2A@C2? 7@C>F=:C *  52?
5:D2>A2:<2?<6:?<6D#23
#@E2

6 (6=2J2?2? (6?56C:E2  5: )F>29 *2<:E 252=29 <68:2E2? J2?8


>6=:AFE:
- ?2>?6D:D
- (6>6C:<D22? 7:D:< >6=:AFE: @3D6CG2D: E2?52ME2?52 G:E2=
@3D6CG2D: <F=:E 52? <@?;F?8E:G2 A6?6<2?2? F=F 92E: F?EF<
>6?86E29F: ?J6C: F=F 92E: 2<:32E 252?J2 A6C52C292?
=2>3F?8A6C2322?92E:
- ,;:+@C?:BF6E
- (6>6C:<D22? =23@C2E@C:F> D6<FC2?8M<FC2?8?J2 A6>6C:<D22?
EC@>3@D:E52?96>2E@<C:E
- %6>36C:A6C2H2E2?
- %6=2<F<2? A6?42E2E2? 52? A6=2A@C2? 7@C>F=:C #)* 52?
5:D2>A2:<2? <6 :?<6D #23
#@E2 56?82? E6>3FD2? <6
(FD<6D>2D

 67:?:D:'A6C2D:@?2=
(6CD6?E2D6 A6?56C:E2  J2?8 5:E2?82?: D6DF2: DE2?52C 5: D2EF
H:=2J29 52=2> H2<EF  D2EF E29F? 5:32?5:?8<2? 56?82? ;F>=29
A6?56C:E2  J2?8 5:E6>F<2?
 5:=2A@C<2? 52=2> <FCF? H2<EF
D2EFE29F?J2?8D2>2

 2C2(6C9:EF?82?
)F>FD
2 )F>FD
Jumlah penderita DBD yang ditangani
Penderita DBD sesuai SOP di satu wilayah dalam waktu
Yang ditangani = satu tahun x 100%
Jumlah penderita DBD yang ditemukan di
satu wilayah dalam waktu satu tahun
yang sama

3 (6>3:=2?8
"F>=29A6?56C:E2J2?85:E2?82?:D6DF2:DE2?52C@A6C2D:@?2=
AC@D65FC*'(5:D2EFH:=2J2952=2>H2<EFD2EFE29F?

4 (6?J63FE
"F>=29 A6?56C:E2  J2?8 5:E6>F<2? 5: DF2EF H:=2J29 52=2>
H2<EFD2EFE29F?J2?8D2>2

5 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

 *F>36C2E2
*!%(,*52?*!)*

 )F;F<2?
2 F<F(6?468292?52?(6>36C2?E2D2?6>2>6C52C296?8F6
5:!?5@?6D:2E29F? 
3 F<F+2E2=2<D2?26>2>6C52C296?8F65:!?5@?6D:2E29F?


+2C86E  


 +2C86E
+29F?  E:2AE29F?

 $2?8<29#68:2E2?
2 (6?682<<2? 5:28?@D:D A6?8@32E2? 52? CF;F<2? A6?56C:E2 5:
E:?8<2E(FD<6D>2D52?)*
3 (6=2E:92?*%
4 (6?2?88F=2?82?<2DFD@=69(FD<6D>2D
5 (6?J6=:5:<2?6A:56>:@=@8:
6 (6?42E2E2?52?(6=2A@C2?
7 %@?:E@C:?852?G2=F2D:

 *%
2 @<E6C,>F>
3 (6C2H2E
4 :52?
5 (6EF82D=23@C2E@C:F>
6 (6EF82D#6D=:?8
7 (6EF82D"F>2?E:<

6 (6?6>F2?(6?56C:E2:2C6
 (6?86CE:2?
2 :2C6 252=29 3F2?8 2:C 36D2C =6>36<
42:C 329<2? 52A2E 36CFA2
2:CD2;2J2?87C6<F6?D:?J2=63:9D6C:?852C:3:2D2?J2
3 *2C2?2 <6D692E2? 252=29 D6>F2 D2C2?2 A6=2J2?2? <6D692E2?
32:< A6>6C:?E29 >2FAF? DH2DE2 (FD<6D>2D (FDEF )* 2=2:
(6?8@32E2?(C2<E6<@<E6C
4 ?8<2 <6D2<:E2? 252=29 ?8<2 #6D2<:E2? &2D:@?2= 2D:= *FCG6:
%@C3:5:E2D:2C6E29F? 252=29 
A6?5F5F<
5 (6C<:C22? ;F>=29 A6?56C:E2 5:2C6 J2?8 52E2?8 <6 D2C2?2
<6D692E2?52?<256C252=29 52C:2?8<2<6D2<:E2?I;F>=29
A6?5F5F<5:D2EFH:=2J29<6C;252=2>H2<EFD2EFE29F?

 67:?:D:'A6C2D:@?2=
(6?6>F2?A6?56C:E25:2C6252=29;F>=29A6?56C:E2J2?852E2?852?
5:=2J2?: 5: D2C2?2 <6D692E2? 52? <256C 5: DF2EF H:=2J29 E6CE6?EF
52=2>H2<EFD2EFE29F?

 2C2(6C9:EF?82?
)F>FD
2 )F>FD
Jumlah penderita diare yang datang dan
Penderita diare dilayani disarana kesehatan dan kader di
Yang ditangani = suatu wilayah tertentu dalam waktu satu tahun x 100%
Jumlah perkiraan penderita diare pada satu
wilayah tertentu dalam waktu yang sama
(10% dari angka kesakitan diare x jumlah penduduk)

3 (6>3:=2?8
"F>=29 A6?56C:E2 5:2C6 J2?8 52E2?8 52? 5:=2J2?: 5:D2C2?2
<6D692E2?52?<256C5:DF2EFH:=2J29E6CE?EF52=2>H2<EFD2EF
E29F?

4(6?J63FE  


4 (6?J63FE
"F>=29 A6C<:C22? A6?56C:E2 5:2C6 A252 DF2EF H:=2J29 E6CE6?EF
52=2>H2<EFJ2?8D2>2
2E2E2? 52C:2?8<2<6D2<:E2?5:2C6I;F>=29A6?5F5F<

5 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

 *F>36C2E2
2E2E2? #256C
)68:DE6C (6?56C:E2
$
$2A@C2? F=2?2? 52?
#=:?:<

 )F;F<2?
#6AFEFD2? %6?E6C: #6D692E2? )! ?@>@C 

%&#*
*#
/!
 A252 E2?882=  &@A6>36C
E6?E2?8(65@>2?(6>36C2?E2D2?(6?J2<:E:2C6

 +2C86E
+29F?  

 $2?8<29#68:2E2?
2 +2E2=2<D2?2#2DFD
3 (6?J65:22?@C>F=:C)
)
4 (6?8F>AF=2?(6?8@=292?52?2?2=:D252E2
5 (6=2E:92?(6EF82D
- (6?2E2=2<D2?2#2DFD
- %2?2;6>6?(C@8C2>
6 (C@>@D:
(6?JF=F92?
7 "6;2C:?8#6C;252?#6>:EC22?
8 (6CE6>F2?G2=F2D:

 *%
2 @<E6C,>F>
3 :52?
4 (6C2H2E
5 *2?:E2C:2?

 2<FA2?A6=2J2?2?<6D692E2?52D2CA2D:6?>2DJ2C2<2E>:D<:?
2 (6?86CE:2?
 )2H2E "2=2? +:?8<2E (6CE2>2 252=29 A6=2J2?2? <6D692E2?
A6C@C2?82? J2?8 >6=:AFE: @3D6CG2D: 5:28?@D2 A6?8@32E2?
C6923:=:E2D: >65:< E2?A2 E:?882= 5: CF2?8 C2H2E :?2A 5: D2C2?2
<6D692E2?DEC2E2A6CE2>2
 )2H2E !?2A +:?8<2E (6CE2>2 252=29 A6=2J2?2? <6D692E2?
A6C@C2?82? J2?8 >6=:AFE: @3D6CG2D: 5:28?@D2 A6?8@32E2?
C6923:=:E2D: >65:< E:?882= 5: CF2?8 C2H2E :?2A 5: D2C2?2 <6D692E2?
DEC2E2A6CE2>2
 2<FA2? C2H2E ;2=2? 252=29 ;F>=29 <F?;F?82? <2DFD  32CF 52?
=2>2C2H2E;2=2?5:D2C2?2<6D692E2?DEC2E2A6CE2>2
 #F?;F?82?A2D:6?32CF252=29D6D6@C2?8J2?832CF36C<F?;F?8<6
D2C2?2<6D692E2?56?82?<2DFDA6?J2<:E32CF
 *2C2?2 <6D692E2? DEC2E2 A6CE2>2 252=29 E6>A2E A6=2J2?2?
<6D692E2? >6=:AFE: 2?E2C2 =2:?  AFD<6D>2D 32=2: A6?8@32E2?
A6>6C:?E2952?DH2DE2AC2<E6<36CD2>252?A6C@C2?82?

%2DJ2C2<2E  


 %2DJ2C2<2E >:D<:? 252=29 >2DJ2C2<2E D2D2C2? AC@8C2>


A6?86?E2D2? <6>:D<:?2? J2?8 >6>6?F9: <C:E6C:2 E6CE6?EF
>6?88F?2<2? 6>A2E36=2DG2C:23=6<6>:D<:?2?52=2>D2EF2?
)F>29+2?882%:D<:?)+% 

3 67:?:D:'A6C2D:@?2=
2<FA2?A6=2J2?2?<6D692E2?52D2CA2D:6?>2DJ2C2<2E>:D<:?252=29
;F>=29 <F?;F?82? A2D:6? >2DJ2C2<2E >:D<:? 5: D2C2?2 <6D692E2?
DEC2E2 A6CE2>2 5:D2EF H:=2J29 <6C;2 E6CE6?EF A252 <FCF? H2<EF
E6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan pelayanan Jumlah kunjungan pasien maskin di
kesehatan dasar = Sarkes strata 1 x 100%
maskin Jumlah seluruh maskin di wilayah kerja

 (6>3:=2?8
"F>=29<F?;F?82?A2D:6?>2D<:? D6=2>2 E29F?=2>252?32CF

 (6?J63FE
"F>=29 D6=FCF9 >2D<:? 5: H:=2J29 <6C;2 52=2> <FCF? H2<EF J2?8
D2>2

 ,<FC2?
#@?DE2?E2
(6D6?E2D6

5 *F>36C2E2
$2A@C2? (FD<6D>2D $2A@C2? :?2D #6D692E2? #23
#@E2 :?2D
<6D6;29E6C22?*@D:2=

6 )F;F<2?
 (65@>2?(6=2<D2?22?"2>:?2?#6D692E2?%2DJ2C2<2E 
 (65@>2?,?:E@DE(6>36C:(6=2J2?2?#6D692E2? 
 (6?52E22?*@D:2=<@?@>: 252?(FD2E*E2E:DE:< 

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?52E22? A6?5F5F< D2C2?2 <6D692E2? 52? <F?;F?82? <6 D2C2?2
<6D692E2?
 "6?:DA6=2J2?2?52D2C>2D<:?
 (6?JF=F92?
 (6=2E:92?
 %@?:E@C:?852?6G2=F2D:
 (6?42E2E2?52?A6=2A@C2?

9 *%
 @<E6C,>F>
 (6C2H2E
 :52?
 +6?282<6D692E2?=2:??J2

 ($0&& 


 ($0&&#* +&),",#&
2<FA2?(6=2J2?2?#6D692E2?)F;F<2?(2D:6?%2DJ2C2<2E%:D<:?
2 (6?86CE:2?
 )2H2E!?2A+:?8<2E$2?;FE252=29A6=2J2?2?<6D692E2?A6C@C2?82?
J2?8 >6=:AFE: @3D6CG2D: 5:28?@D2 A6?8@32E2? <6A6C2H2E2?
C6923:=:E2D: >65:< 56?82? >6?8:?2A 5: CF2?8 C2H2E :?2A A252
D2C2?2<6D692E2?DEC2E25F252?DEC2E2E:82A6>6C:?E2952?DH2DE2
J2?8@=69<2C6?2A6?J2<:E?J2A6?56C:E292CFD>6?8:?2A
 )2H2E"2=2?+:?8<2E$2?;FE252=29A6=2J2?2?<6D692E2?A6C@C2?82?
J2?8 >6=:AFE: @3D6CG2D: 5:28?@D2 A6?8@32E2? C6923:=:E2D: >65:<
E2?A2 E:?882= 5: CF2?8 C2H2E :?2A 5: D2C2?2 <6D692E2? DEC2E2 5F2
52?DEC2E2E:82A6>6C:?E2952?DH2DE2
 *2C2?2<6D692E2?DEC2E25F252?DEC2E2E:82252=2932=2:<6D692E2?
>2E2 >2DJ2C2<2E 32=2: A6?8@32E2? A6?J2<:E A2CF 32=2: <6D692E2?
:?56C2 >2DJ2C2<2E 32=2: 36D2C <6D692E2? A2CF CF>29 D2<:E 32:<
>:=:<A6>6C:?E29>2FAF?DH2DE2

3 67:?:D:'A6C2D:@?2=
2<FA2? CF;F<2? A2D:6? >2D<:? 252=29 ;F>=29 <F?;F?82? A2D:6?
>2D<:? 5: D2C2?2 <6D692E2? DEC2E2 5F2 52? DEC2E2 E:82 A252 <FCF?
H2<EFE6CE6?EF=2>252?32CF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD

Cakupan Jumlah pasien maskin di sarkes


rujukan = strata 2 dan strata 3 x 100%
maskin Jumlah masyarakat miskin

 (6>3:=2?8
"F>=29<F?;F?82?A2D:6?>2D<:?D6=2>2 E29F?=2>252?32CF

 (6?J63FE
"F>=29 D6=FCF9 >2D<:? 5: H:=2J29 <6C;2 52=2> <FCF? H2<EF J2?8
D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
*( )*
*!)*$2A@C2?:?2D#6D692E2?#23
#@E2*#&

6 )F;F<2?
 (65@>2?(6=2<D2?22?"2>:?2?#6D692E2?%2DJ2C2<2E 
 (65@>2?,?:E@DE(6>36C:(6=2J2?2?#6D692E2? 
 (6?52E22?*@D:2=<@?@>: 252?(FD2E*E2E:DE:< 

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?52E22? A6?5F5F< D2C2?2 <6D692E2? 52? <F?;F?82? <6 D2C2?2
<6D692E2?
 "6?:DA6=2J2?2?=2?;FE2?
CF;F<2?>2D<:?

(6?JF=F92?  


 (6?JF=F92?
 (6=2E:92?*%
 (6?42E2E2?52?(6=2A@C2?
 %@?:E@C:?852?G2=F2D:

9 *%
 @<E6C,>F>
 (6C2H2E
 +6?282#6D692E2?=2:??J2

2<FA2?(6=2J2?2?2H2E2CFC2E$6G6= 02?8 2CFD:36C:<2?*2C2?2


#6D692E2?)*5:#23
#@E2
2 (6?86CE:2?
 2H2E52CFC2E=6G6= 252=29E6>A2EA6=2J2?2?82H2E52CFC2EJ2?8
>6>:=:<: @<E6C ,>F> @? D:E6  ;2> 56?82? <F2=:7:<2D: $*
52?
2E2F +$*  $* D6CE2 >6>:=:<: 2=2E EC2?DA@CE2D: 52?
<@>F?:<2D:
 '?D:E6252=2936C2525: E6>A2E
 $*252=296?6C2=>6C86?4J$:76*FAA@CE
 +$*252=295G2?46+C2F>2$:76*FAA@CE
 $*252=295G2?462C5:24$:76*FAA@CE

3 67:?:D:'A6C2D:@?2=
(6=2J2?2?8252C=6G6= J2?892CFD5:36C:<2?D2C2?2<6D692E2?)*
5:#23
#@E2

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Pelayanan gawat
darurat level 1 = Pelayanan gawat darurat level 1 x 100%
Jumlah RS Kab/Kota

 (6>3:=2?8
"F>=29)*J2?8>2>AF>6>36C:<2?A6=2J2?2?82H2E52CFC2E=6G6=

 (6?J63FE
"F>=29)*<23FA2E6?

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6 

5 *F>36C2E2
*!%(,**!)*52?:?<6D#23
#@E2

6 )F;F<2?
 G2=F2D:E29F?2?
 *E2?52C (6=2J2?2? 2H2E  2CFC2E )*  M*# %6?<6D E29F?

 (65@>2?(6?JFDF?2?:D2DE6C(=2?)F>29*2<:EM*#%6?<6DE29F?


7 +2C86E
+2C86E  

8 $2?8<29  


8 $2?8<29#68:2E2?
 *E2?52C:D2D:(6=2J2?2?2H2EM2CFC2E5:#23FA2E6?52?(C@G:?D:
 (6?JFDF?2?:D2DE6C(=2?
 (6?89:EF?82? 3:2J2 A6=2J2?2? A2D:6? 82H2EM52CFC2E >6?FCFE
D6CG:464@DE
 (6?42C:2? DF>36C 3:2J2 D<6DM"2D2 )292C;2M"2>D@DE6<M252?
(6?2?88F=2?82?6?42?2(FD2E
26C29M(&M(M2AA6?2D
 (6?42E2E2?
 :<=2E

9 *%
@<E6C,>F>(6C2H2E52?+6?282#6D692E2?=2:?J2

 (&0$!!#&(!%!'$'!&(&&,$&&#$

2<FA2? 6D2
 #6=FC292? J2?8 %6?82=2>: #$ J2?8 5:=2<F<2?
A6?J6=:5:<2?A:56>:@=@8: ˂ "2>
2 (6?86CE:2?
 6D2
<6=FC292?>6?82=2>:#$3:=2E6C;25:A6?:?8<2E2?<6D2<:E2?
2E2F <6>2E:2? A6?J2<:E A@E6?D:2= #$ A6?J2<:E <2C2?E:?2 2E2F
<6C24F?2?>2<2?2?
 #$ 252=29 E:>3F=?J2 2E2F >6?:?8<2E?J2 <6;25:2? <6D2<:E2? 52?
2E2F <6>2E:2? J2?8 36C>2<?2 D642C2 6A:56>:@=@8:D A252 DF2EF
56D2
<6=FC292?52=2>H2<EFE6CE6?EF
2 :E2?82?: 252=29 >6?42<FA A6?J6=:5:<2? 52? A6?2?88F=2?82?
#$
3 (6?86CE:2?<FC2?852C: ;2>252=29D6;2<=2A@C2?. 5:E6C:>2
D2>A2: A6?J6=:5:<2? 5:=2<F<2? 56?82? 42E2E2? D6=2:? 7@C>F=:C
. 52A2E;F8236CFA272I2E2FE6=6A@?
 (6?J6=:5:<2?#$252=29C2?8<2:2?<68:2E2?36C52D2C<2?42C2M42C2
6A:56>:@=@8: F?EF< >6>2DE:<2? 252?J2 DF2EF #$ >6?86E29F:
82>32C2?A6?J632C2?#$52?>6?86E29F:DF>36C52?42C2 M 42C2
A6?2?88F=2?82??J2
 (6?2?88F=2?82? #$ 252=29 FA2J2 F?EF< >6?6>F<2? A6?56C:E2
2E2F E6CD2?8<2 A6?56C:E2 A6?2E2=2<D2?22? A6?56C:E2 A6?468292?
A6?:?8<2E2?A6C=F2D2?52?>6?896?E:<2?DF2EF#$

3 67:?:D:'A6C2D:@?2=
2<FA2? 56D2
<6=FC292? >6?82=2>: #$ J2?8 5:E2?82?: ˂  ;2>
252=29 56D2
<6=FC292? >6?82=2>: #6;25:2? $F2C :2D2  #$  J2?8
5:E2?82?: ˂  ;2> @=69 #23
#@E2 E6C9252A #$ A6C:@56
<FCF? H2<EF
E6CE6?EF

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan KLB desa/ Jumlah KLB di desa/kelurahan yang ditangani
darurat level 1 = ˂ 24 jam dalam periode tertentu x 100%
Jumlah KLB di desa/kelurahan yang terjadi
pada periode yang sama

2E2E2?  


2E2E2?
:=2 52=2>  56D2
<6=FC292? E6C;25: =63:9 52C:  <2=: #$ A252
DF2EF A6C:@56 >2<2 ;F>=29 56D2
<6=FC292? J2?8 >6?82=2>: #$
5:9:EF?8 D6DF2: 56?82? 7C6<F6?D: #$ J2?8 E6C;25: 5:
56D2
<6=FC292?E6CD63FE52?:<FE5:>2DF<<2?52=2>A6?89:EF?82?
A6>3:=2?8>2FAF?A6?J63FE

 (6>3:=2?8
"F>=29 #6;25:2? $F2C :2D2 #$ 5: 56D2
<6=FC292? J2?8
5:E2?82?: ˂ ;2>A6C:@56
<FCF?H2<EFE6CE6?EF

 (6?J63FE
"F>=29 #6;25:2? $F2C :2D2  #$  J2?8 E6C;25: A252 H:=2J29
56D2
<6=FC292?A252A6C:@56
<FCF?H2<EFJ2?8D2>2

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
 $2A@C2?#$ ;2>. 
 $2A@C2?92D:=A6?J6=:5:<2?52?A6?2?88F=2?8?#$
 $2A@C2?>2DJ2C2<2E52?>65:2>2DD2

6 )F;F<2?
 ,, ?@>@C  E29F?  E6?E2?8 H2329 A6?J2<:E >6?F=2C D63282:
C676C6?D:F?EF<A6>3F2E2?*#FA2E:
.2=:<@E2
(6C52
 (( &@    E29F?   E6?E2?8 (6?2?88F=2?82? .2329 (6?J2<:E
%6?F=2C
 *# %6?E6C: #6D692E2? &@>@C 
%6?<6D
*#
-!!!
 E6?E2?8
(65@>2?(6?J6=6?882C22?*:DE6>#6H2DA2522?:?:#$

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6?8F>AF=2?52E2
 (6?J2;:2?52?2?2=:D:D52E2
 :D6>:?2D:
 (6?468292?52?A6?86?52=:2?#$
 %@?:E@C:?852?6G2=F2D:
 (6=2E:92?

9 *%
 @<E6C,>F>
 (6C2H2E
 +6?282#6D692E2?=2:??J2

 ()'%'*!#* +&&(%)0&%*0)#+

2<FA2?6D2*:282<E:7
2 (6?86CE:2?
 6D2 *:282 252=29 56D2 J2?8 A6?5F5F<?J2 >6>:=:<: <6D:2A2?
DF>36C 52J2 52? <6>2>AF2? F?EF< >6?46829 52? >6?82E2D:
>2D2=29M>2D2=29 <6D692E2? 36?42?2 52? <682H2E 52CFC2E2?
<6D692E2? D642C2 >2?5:C:  (6?86CE:2? 6D2 :?: 52A2E 36C2CE:
#6=FC292? 2E2F &282C: 2E2F :DE:=29M:DE:=29 =2:? 328: D2EF2?
25>:?:DEC2D:A6>6C:?E292?D6E:?8<2E56D2

6D2  


 6D2*:282<E:7252=2956D2J2?8>6>AF?J2:(@D#6D692E2?6D2
(@D<6D56D2E2F,#%=2:??J2J2?83F<2D6E:2A92C:52?36C7F?8D:
D63282: A6>36C: A6=2J2?2? <6D692E2? 52D2C A6?2?88F=2?82?
36?42?2 52? <682H2E52CFC2E2? DFCG6:==2?46 36C32D:D >2DJ2C2<2E
J2?8>6=:AFE:A6>2?E2F2?A6CEF>3F92?8:K:A6?J2<:E=:?8<F?82?
52? A6C:=2<F D69:?882 >2DJ2C2<2E?J2 >6?6C2A<2? (6C:=2<F :5FA
6CD:952?*692E( *
 (@D<6D56D 252=29 ,A2J2 #6D692E2? 6CDF>36C52J2 %2DJ2C2<2E
,#% J2?8 5:36?EF< 5: 56D2 52=2> C2?8<2 FA2J2 >6?56<2E<2?
A6=2J2?2? <6D692E2? 52D2C 328: >2DJ2C2<2E 56D2  (@D<6D56D
5:<6=@=2 @=69  @C2?8 :52? 52? >:?:>2=  @C2?8 <256C 52?
>6CFA2<2?<@@C5:?2E@C52C:,#%J2?8252
 (6=2J2?2?<6D692E2?52D2C252=29A6=2J2?2?<6D692E2?J2?8D6DF2:
<6H6?2?82? 3:52? A6?2?88F?8;2H23 A@D<6D56D D6=2?;FE?J2
5:CF;F<<6AFDEF2E2FAFD<6D>2D2A23:=2E:52<3:D25:E2?82?:
 *FCG6:=2?D A6?J2<:E J2?8 36C32D:D >2DJ2C2<2E 252=29 FA2J2
A6?82>2E2?52?A6?42E2E2?J2?85:=2<F<2?@=69>2DJ2C2<2E<256C
52? 3:52?
 A6C2H2E E6?E2?8 <6;25:2? A6?J2<:E J2?8 52A2E
>6?82?42><6D692E2?A6?5F5F<
>2DJ2C2<2E
 (6>2?E2F2? (6CEF>3F92? 252=29 DF2EF FA2J2 J2?8 5:=2<F<F2?
@=69<256CF?EF<>6?86E29F:36C2E3252?32=:E2D6E:2A3F=2?F?EF<
>6?56E6<D:D642C25:?:A6CEF>3F92?32=:E2
*
 %2DJ2C2<2E 36CA6C:=2<F 9:5FA 36CD:9 52? D692E ( * 252=29
>2DJ2C2<2E 5:>2?2 A6?5F5F<?J2 >6?6C2A<2? A6C:=2<F 9:5FA
36CD:952?D692E

3 67:?:D:'A6C2D:@?2=
2<FA2?6D2*:282<E:7252=2956D2J2?8>6>AF?J2:(@D#6D692E2?
6D2 (@D<6D56D 2E2F ,#% =2:??J2 J2?8 3F<2 D6E:2A 92C: 52?
36C7F?8D:D63282:A6>36C:A6=2J2?2?<6D692E2?52D2CA6?2?88F=2?82?
36?42?252?<682H2E52CFC2E2?DFCG6:==2?4636C32D:D>2DJ2C2<2EJ2?8
>6=:AFE: A6>2?E2F2? A6CEF>3F92? 8:K: A6?J2<:E =:?8<F?82? 52?
A6C:=2<F D69:?882 >2DJ2C2<2E?J2 >6?6C2A<2? (6C:=2<F :5FA 6CD:9
52? *692E ( * 5:32?5:?8<2? 56?82? ;F>=29 56D2 D:282 J2?8
5:36?EF<

4 2C2(6C9:EF?82?
)F>FD
 )F>FD
Cakupan Desa
Siaga Aktif = Jumlah Desa Siaga yang Aktif x 100%
Jumlah Desa Siaga yang dibentuk

 (6>3:=2?8
"F>=29 56D2 D:282 J2?8 2<E:7 5: D2EF H:=2J29 A252 <FCF? H2<EF
E6CE6?EF

 (6?J63FE
"F>=2956D2D:282J2?85:36?EF<5:D2EFH:=2J29A252<FCF?H2<EF
E6CE6?EF

 ,<FC2?
#@?DE2?E2
(6CD6?E2D6

5 *F>36C2E2
2D:=A6?42E2E2?<68:2E2?(FD<6D>2D52?$2A@C2?(C@7:=(*%
,#%

6 )F;F<2?  


6 )F;F<2?
 #6A>6?<6D &@>@C 
-!!! +29F?  E6E2?8 (65@>2?
(6=2<D2?22?(6?86>32?82?6D2*:282
 "F<?:D A6?886C2<2? 52? A6>36C52J22? >2DJ2C2<2E 52=2>
A6?86>32?82?56D2D:282
 "F<?:DA6?86>32?82?52?A6?J6=6?882C22?(@D#6D692E2?6D2

7 +2C86E
+2C86E  

8 $2?8<29#68:2E2?
 (6CD:2A2?
2 (6CD:2A2?(6EF82D
- (6=2E:92?:52? 56D2 3:52?
- (6=2E:92?#256C52?+@>2 56D2 <256C +@>2D6=2>2
92C:92C:5:<6=2D 92C:5:=2A2?82?

3 (6CD:2A2?%2DJ2C2<2E
 (6>36?EF<2? 7@CF> >6=2=F: A6CE6>F2? +:?8<2E 6D2 
<2=:
E29F?
 *FCG6: %2H2D :C: A6?52E22? <6 =2A2?82? 2E2F A6CE6>F2?
C6>3F<56D2 <2=:
E29F?
 %FDJ2H2C29%2DJ2C2<2E6D2 <2=:
E29F?

 (6=2<D2?22?
2 (6=2J2?2?<6D692E2?52D2C
3 #256C 52? E@>2 >6=2<F<2? DFCG6:=2? 36C32D:D >2DJ2C2<2E
A6?82>2E2? D656C92?2 E95 #! :K: #6D=:?8 (6?J2<:E ( *
>6=2<F<2?A6?52E22?( *56?82?DFCG6J46A2E
4 (6CE6>F2? E:?52< =2?;FE A6?6>F2? 92D:= DFCG6:=2?D 52=2>
C2?8<2 >6?:?8<2E<2? <6H2DA2522? 5:?: >2DJ2C2<2E   3F=2?
D6<2=:
5 =:9 A6?86E29F2? 52? @=29 <6E6C2>A:=2? >6=2=F: A6CE6>F2? 
<2=:
E29F?
6 (6CE6>F2? @CF> %2DJ2C2<2E 6D2 F?EF< >6>3292D >2D2=29
<6D692E2? 56?82? >6>2?722E<2? 7@CF> J2?8 252 5: 56D2 
3F=2?D6<2=:

9 *%
 :52?2E2FA6EF82D<6D692E2?=2:??J2
 #256C
 +@<@9>2DJ2C2<2E

 ($0&&).+"$&
(6>36C:(6=2J2?2?5:(@=:<=:?:<,>F>
:8:
2 67:?:D:
(@=:<=:?:<F>F>
8:8:252=29A6=2J2?2?C2H2E;2=2?5:AFD<6D>2DJ2?8
5:=2J2?:@=695@<E6CF>F>
8:8:52?2E2F@=69A2C2>65:D
3:52?D6DF2:
56?82?<@>A6E6?D:?J2

3 +F;F2?
+6CD65:2?J2 A6=2J2?2? A@=:<=:?:< @=69 E6?282 5@<E6C F>F>
8:8: J2?8
<@>A6E6?

4 C6<F6?D:A6?8F>AF=2?52E2
D63F=2?D6<2=:56?82?A6C:@562?2=:D2E:823F=2?D6<2=:

5 )F>FD  


5 )F>FD
"F>=2992C:3F<2A@=:<=:?:<F>F>
8:8: 
"F>=29D6=FCF992C:3F<2A@=:<=:?:<F>F>
8:8:

6 *F>36C2E2
)68:DE6CC2H2E;2=2?A@=:<=:?:<F>F>
8:8:

7 *E2?52C 

8 (6?2?88F?8;2H23A6?8F>AF=52E2
#@@C5:?2E@CC2H2E;2=2?

#6E6CD65:22?(6=2J2?2?)2H2E"2=2?
2 67:?:D:'A6C2D:@?2=
252=29 E6CD65:2?J2 (6=2J2?2? )2H2E "2=2? ,>F>:8: #!
#
$23@C2E@C:F> D656C92?22C>2D: J2?8 5:=2<D2?2<2? 5: (FD<6D>2D !!
"6>3C2?2

3 +F;F2?
+6CD65:2?J2 ;6?:D A6=2J2?2? )2H2E "2=2? J2?8 >:?:>2= 92CFD 252
F>F>8:8:#!
#=23@C2E@C:F>D656C92?272C>2D:5: (FD<6D>2D
!!"6>3C2?2

4 C6<F6?D:(6?8F>AF=2?2E2
(6?8F>AF=2? 52E2 5:=2<F<2? D63F=2? D6<2=: 52? 5:=2<F<2? 2?2=:D2
D6E:2AE:823F=2?D6<2=:

5 2C2(6C9:EF?82?
)F>FD
"6?:DA6=2J2?2?C2H2E;2=2?J2?82525:AFD<6D>2D

6 *F>36C52E2
)68:DE6CC2H2E;2=2?

7 *E2?52C;6?:DA6=2J2?2?

8 (6?2?88F?8;2H23(6?8F>AF=2?2E2
<@@C5:?2E@CC2H2E;2=2?

 F<2(6=2J2?2?D6DF2:<6E6?EF2?
2 67:?:D:'A6C2D:@?2=
"2> 3F<2 A6=2J2?2? 252=29 ;2> 5:>F=2:?J2 A6=2J2?2? C2H2E "2=2?
@=69E6?2825@<E6CF>F>
8:8:52?2E2FA2C2>65:D;2>3F<2   D
5
.:E2D6E:2A92C:<6C;2

3 +F;F2?
+6CD65:2?J2 ;6?:D A6=2J2?2? )2H2E "2=2? ,>F> :8: #!
#
$23@C2E@C:F> D656C92?2 2C>2D: A252 92C: <6C;2 5: (FD<6D>2D !!
"6>3C2?2

4 C6<F6?D:(6?8F>AF=2?2E2
(6?8F>AF=2? 52E2 5:=2<F<2? D2EF 3F=2? D6<2=: 52? 5:=2<F<2? 2?2=:D2
52E2D6E:2AE:82 3F=2?D6<2=:

5 2C2  


5 2C2(6C9:EF?82?
)F>FD

Buka Pelayanan Jumlah hari pelayanan Rawat Jalan yang buka


= Sesuai ketentuan dalam satu bulan x 100%
Jumlah seluruh hari pelayanan Rawat Jalan dalam satu
bulan

6 *F>36C2E2
)68:DE6CC2H2E;2=2?

7 *E2?52C  

8 (6?2?88F?8;2H23A6?8F>AF=2?52E2
<@@C5:?2E@CC2H2E;2=2?

 .2<EFEF?88F5:)2H2E;2=2?
2 67:?:D:'A6C2D:@?2=
.2<EF EF?88F 252=29 H2<EF J2?8 5:A6C=F<2? >F=2: A2D:6?
>6?527E2C D2>A2: 5:=2J2?: @=69 5@<E6C F>F>
8:8:
3:52?
A2C2>65:D

3 +F;F2?
+6CD65:2?J2A6=2J2?2?)2H2E"2=2?J2?8>F52952?46A2E5:2<D6D
@=69 A2D:6? 5: A@=:<=:?:< F>F> A@=:<=:?:< 8:8: 52? #!
# A252
92C:<6C;25: (FD<6D>2D !!"6>3C2?2

4 C6<F6?D:(6?8F>AF=2?2E2
(6?8F>AF=2? 52E2 5:=2<F<2? D2EF 3F=2? D6<2=: 52? 5:=2<F<2?
2?2=:D252E2D6E:2AE:823F=2?D6<2=:

5 2C2(6C9:EF?82?
)F>FD

Waktu Tunggu Jumlah kumulatif waktu tunggu pasien Rawat Jalan yang
= disurvey x 100%
Jumlah seluruh pasien Rawat Jalan yang disurvey

6 *F>36C52E2
*FCG6JA2D:6?C2H2E;2=2?

7 *E2?52C >6?:E

8 (6?2?88F?8;2H23A6?88F>AF=2?52E2
#@@C5:?2E@CC2H2E;2=2?52?<@@C5:?2E@C>FEFA6=2J2?2?

 #6AF2D2?A6=2?882?)2H2E"2=2?
2 67:?:D:@A6C2D:@?2=
#6AF2D2? 252=29 A6C?J2E22? E6?E2?8 A6CD6AD: A6=2?882? E6C9252A
A6=2J2?2?J2?85:36C:<2?

3 +F;F2?
+6CD6=6?882C2?J2A6=2J2?2?)2H2E"2=2?J2?8>2>AF>6>36C:<2?
<6AF2D2?A6=2?882?

4 C6<F6?D:A6?8F>AF=2?52E2
(6?8F>AF=2? 52E2 5:=2<F<2? D2EF 3F=2? D6<2=: 52? 5:=2<F<2?
2?2=:D252E2D6E:2AE:823F=2?D6<2=:

5 2C2  


5 2C2(6C9:EF?82?
)F>FD
Kepuasan pelangan Jumlah kumulatif rerata penilaian
= Kepuasan Pasien rawat jalan yang disurvey x 100%
Jumlah seluruh pasien Rawat Jalan yang survey
(minimal = 50)

6 *F>36C 52E2*FCG6J

7 *E2?52C 

8 (6?2?88F?8;2H23A6?8F>AF=2?52E2
#@@C5:?2E@CC2H2E;2=2?52?<@@C5:?2E@C>FEFA6=2J2?2?

,(+!"%)&

EE5

!(,+,)+ 

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