REKAPITULASI LAPORAN BULANAN KLINIK KB
TINGKAT KOTA
| Nama Kota | : | Sukabumi | No. Kode Kab/Kota | : | 1 0 2 4 | |||
| Nama Provinsi | : | Jawa Barat | No. Kode Provinsi | : | 1 0 | |||
| Bulan | : | Desember |
2009 |
|||||
NO |
TEMPAT PELAYANAN KB |
YANG ADA |
YANG DILAPORKAN |
(1) |
(2) |
(3) |
(4) |
1 |
Klinik Pemerintahan |
39
|
39
|
2 |
Klinik Swasta | 15 |
3 |
3 |
Dokter Praktek Swasta | 9 |
4 |
4 |
Bidan Praktek Swasta | 18 |
3 |
I. HASIL PELAYANAN PESERTA KB BARU
NO |
METODE KONTRASEPSI |
JUMLAH PEMBERIAN INFORMED CONSENT |
JUMLAH PESERTA KB BARU YANG DILAYANI OLEH |
JML PESERTA KB BARU KELUARGA PRA S DAN KS 1 |
||||
KLINIK KB |
DOKTER PRAKTEK SWASTA |
BIDAN PRAKTEK SWASTA |
TOTAL |
|||||
PEM
31
ERINTAH |
SWASTA |
|||||||
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
1 |
IUD | 38 |
27 |
11 |
0 |
11 |
49 |
4 |
2 |
MOW | 162 |
180 |
2 |
0 |
0 |
182 |
0 |
3 |
MOP | 31 |
31 |
0 |
0 |
0 |
31 |
0 |
4 |
KONDOM | 0 |
30 |
0 |
0 |
3 |
33 |
2 |
5 |
IMPLANT | 12 |
12 |
0 |
0 |
28 |
40 |
0 |
6 |
SUNTIKAN | 0 |
231 |
15 |
6 |
119 |
371 |
62 |
7 |
PIL | 0 |
115 |
0 |
0 |
26 |
141 |
18 |
JUMLAH |
243 |
626 |
28 |
6 |
187 |
847 |
86 |
|
II. PELAYANAN PESERTA KB ULANG
A. HASIL PELAYANAN KASUS
NO |
METODE KONTRASEPSI |
JUMLAH KOMPLIKASI BERAT |
JUMLAH KEGAGALAN |
JUMLAH PENCABUTAN IUD DAN IMPLANT OLEH |
|||||||
KLINIK KB |
DOKTER PRAKTEK SWASTA |
BIDAN PRAKTEK SWASTA |
TOTAL |
||||||||
IUD |
IMPLANT |
IUD |
IMPLANT |
IUD |
IMPLANT |
IUD |
IMPLANT |
||||
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
(11) |
(12) |
1 |
IUD | 0 |
0 |
18 |
0 |
0 |
0 |
0 |
0 |
18 |
0 |
2 |
MOW | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3 |
MOP | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
4 |
KONDOM | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
5 |
IMPLANT | 0 |
0 |
0 |
2 |
0 |
0 |
0 |
0 |
0 |
2 |
6 |
SUNTIKAN | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
7 |
PIL | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
JUMLAH |
0 |
0 |
18 |
2 |
0 |
0 |
0 |
0 |
0 |
2 |
|
B. HASIL PELAYANAN KONTRASEPSI ULANG
NO |
METODE KONTRASEPSI |
JUMLAH GANTI CARA KE |
JUMLAH PEMASANGAN ULANG IUD DAN IMPLANT OLEH |
PEMBERIAN KONTRASEPSI |
JML PELAYANAN ULANG KELUARGA PRA S DAN KS I |
||||||||||||
KLINIK KB |
DOKTER PRAKTEK SWASTA |
BIDAN PRAKTEK SWASTA |
JUMLAH |
PRA S |
KSI |
||||||||||||
IUD |
IMPLANT |
IUD |
IMPLANT |
IUD |
IMPLANT |
IUD |
IMPLANT |
PIL |
SUNTIK |
KONDOM |
ALEK |
NON ALEK |
ALEK |
NON ALEK |
|||
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
(11) |
(12) |
(13) |
(14) |
(15) |
(16) |
(17) |
(18) |
1 |
IUD | 0 |
26 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1 |
0 |
0 |
0 |
2 |
MOW | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3 |
MOP | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
4 |
KONDOM | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
5 |
IMPLANT | \0 |
0 |
5 |
0 |
0 |
0 |
0 |
0 |
5 |
0 |
167 |
0 |
0 |
0 |
0 |
|
6 |
SUNTIKAN | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
457 |
0 |
34 |
0 |
0 |
0 |
|
7 |
PIL | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
806 |
0 |
0 |
195 |
0 |
0 |
0 |
JUMLAH |
0 |
26 |
5 |
0 |
0 |
0 |
0 |
0 |
5 |
806 |
457 |
167 |
230 |
0 |
0 |
0 |
|
III. PERSEDIAAN ALAT KONTRASEPSI
NO |
PERSEDIAAN ALAT KONTRASEPSI |
I U D (Biji) |
KONDOM (Lusin) |
IMPLANT (Set) |
SUNTIKAN (Vial) |
PIL (Strip) |
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
1 |
Sisa Akhir Bulan Lalu | 831 |
278 |
71 |
1765 |
2248 |
2 |
Diterima Bulan Ini | 67 |
265 |
2 |
854 |
1745 |
3 |
Dikeluarkan Bulan Ini | 118 |
251 |
11 |
867 |
2139 |
4 |
Sisa Bulan Ini | 780 |
292 |
62 |
1752 |
1854 |
| Sukabumi, | Desember |
2009 |
||
KEPALA BPPMKB |
||||
TTD |
||||
Drs. H. A. HAMDAN, M.M. |
||||
NIP. 19581228 197811 1 001 |
||||