| JML | NO | NAMA | Pelaksana | Tempat Kegiatan | BULAN | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| POSY | DESA / POSYANDU | JAN | PEB | MAR | APR | MEI | JUNI | JULI | AGS | SEP | OKT | NOP | DES | |||
| TEMBELANG | ||||||||||||||||
| 1 | 1 | Tembelang Barat | Triwidiana | R Perangkat Desa | 5 | 3 | 3 | 4 | 2 | 3 | 3 | 3 | 4 | 5 | 3 | 4 |
| 2 | 2 | Konto | Triwidiana | R.Kasun | 6 | 6 | 6 | 6 | 5 | 5 | 6 | 4 | 7 | 6 | 6 | 7 |
| 3 | 3 | Bl.Ombo | Triwidiana | R.Kasun | 9 | 9 | 9 | 7 | 7 | 8 | 7 | 7 | 8 | 9 | 9 | 8 |
| 4 | 4 | Ngampel | Triwidiana | R.Kasun | 12 | 10 | 10 | 10 | 8 | 9 | 10 | 11 | 11 | 12 | 10 | |
| 5 | 5 | Tembelang Timur | Triwidiana | Bale Desa | 13 | 13 | 13 | 13 | 11 | 12 | 13 | 14 | 14 | 13 | 13 | 14 |
| SENTUL | Gd.PKK | |||||||||||||||
| 6 | 1 | Pos I | Anggun Dwi | R.Kader | 5 | 2 | 2 | 6 | 4 | 2 | 6 | 3 | 7 | 5 | 2 | 1 |
| 7 | 2 | Pos II | Anggun Dwi | R.Kader | 6 | 3 | 3 | 7 | 5 | 5 | 7 | 4 | 8 | 6 | 3 | 4 |
| 8 | 3 | Pos III | Anggun Dwi | R.Kader | 12 | 9 | 9 | 13 | 8 | 8 | 10 | 6 | 11 | 9 | 9 | 7 |
| 9 | 4 | Pos IV | Anggun Dwi | R.Kader | 13 | 10 | 10 | 14 | 11 | 9 | 13 | 11 | 14 | 12 | 10 | 8 |
| 10 | 5 | Pos V | Anggun Dwi | R.Kader | 16 | 13 | 13 | 17 | 12 | 12 | 14 | 14 | 15 | 13 | 13 | 11 |
| KALI KEJAMBON | ||||||||||||||||
| 11 | 1 | Kali Jaring I | Anik Masruroh | R Perangkat Desa | 5 | 6 | 6 | 3 | 8 | 5 | 3 | 7 | 4 | 2 | 6 | 4 |
| 12 | 2 | Kali Jaring II | Anik Masruroh | R.Kasun | 6 | 2 | 2 | 6 | 4 | 2 | 6 | 3 | 1 | 5 | 3 | 1 |
| 13 | 3 | Kalak | Anik Masruroh | Balae Desa | 9 | 13 | 13 | 10 | 15 | 12 | 10 | 14 | 11 | 9 | 12 | 11 |
| 14 | 4 | Sawen | Anik Masruroh | R.Kasun | 8 | 5 | 5 | 9 | 7 | 4 | 9 | 6 | 3 | 1 | 5 | 3 |
| KD.LOSARI | ||||||||||||||||
| 15 | 1 | Kd.Mangu | Maria Oktavia | R.Kasun | 12 | 10 | 10 | 13 | 12 | 9 | 13 | 11 | 11 | 12 | 10 | 11 |
| 16 | 2 | Penjor | Maria Oktavia | R.Kasun | 9 | 9 | 9 | 10 | 11 | 8 | 10 | 9 | 8 | 9 | 9 | 8 |
| 17 | 3 | Losari | Maria Oktavia | R.Kasun | 5 | 2 | 2 | 6 | 4 | 2 | 6 | 3 | 1 | 5 | 2 | 1 |
| 18 | 4 | Cangkring | Maria Oktavia | R.Kasun | 6 | 3 | 3 | 7 | 5 | 3 | 7 | 4 | 7 | 6 | 3 | 7 |
| 19 | 5 | Juwed | Maria Oktavia | R.Kasun | 2 | 6 | 6 | 3 | 8 | 5 | 3 | 7 | 4 | 2 | 6 | 4 |
| 6 | IMM.PUSTU | Pustu | 14 | 11 | 15 | 15 | 17 | 10 | 15 | 12 | 13 | 13 | 11 | 13 | ||
| TP.MOJO | ||||||||||||||||
| 20 | 1 | Mojo I | Kristiana | R.Modin | 5 | 2 | 2 | 6 | 4 | 8 | 6 | 3 | 7 | 5 | 2 | 7 |
| 21 | 2 | Mojo II | Kristiana | R.Kaur | 6 | 3 | 3 | 7 | 5 | 2 | 7 | 4 | 1 | 6 | 3 | 1 |
| 22 | 3 | Bakalan | Kristiana | R.Kaur | 9 | 6 | 6 | 3 | 8 | 5 | 3 | 3 | 4 | 2 | 6 | 4 |
| 23 | 4 | Tampingan | Kristiana | R.Kades | 12 | 9 | 9 | 13 | 11 | 15 | 13 | 13 | 14 | 12 | 9 | 8 |
| 24 | 5 | Medeleg | Kristiana | R.Kaur | 13 | 10 | 10 | 14 | 12 | 9 | 14 | 14 | 18 | 13 | 10 | 8 |
| 25 | 6 | Randubeso | Kristin | R.Kasun | 16 | 13 | 13 | 10 | 15 | 12 | 10 | 10 | 11 | 9 | 13 | 11 |
| PESANTREN | ||||||||||||||||
| 26 | 1 | Kd.Banteng | Fitriya Z | R.Kasun | 5 | 2 | 2 | 6 | 4 | 8 | 6 | 3 | 7 | 5 | 2 | 7 |
| 27 | 2 | Ngrawan | Fitriya Z | R.Kasun | 6 | 3 | 3 | 7 | 5 | 9 | 7 | 4 | 8 | 6 | 3 | 8 |
| 28 | 3 | Kd.Lempuk | Fitriya Z | R.Kasun | 12 | 9 | 9 | 13 | 11 | 15 | 13 | 10 | 14 | 12 | 9 | 14 |
| 29 | 4 | Santrean | Fitriya Z | R.Kasun | 13 | 10 | 10 | 14 | 12 | 16 | 14 | 11 | 15 | 13 | 10 | 15 |
| MOJOKRAPAK | ||||||||||||||||
| 30 | 1 | Krapak I | Nanik | R.Kasun | 5 | 2 | 2 | 6 | 3 | 3 | 6 | 3 | 2 | 5 | 2 | 2 |
| 31 | 2 | Gondang | Nanik | R.Kasun | 6 | 3 | 3 | 7 | 4 | 2 | 7 | 4 | 1 | 6 | 3 | 1 |
| 32 | 3 | Sugih Waras | Nanik | R.Kasun | 8 | 5 | 5 | 9 | 7 | 4 | 9 | 6 | 3 | 8 | 5 | 3 |
| 33 | 4 | Bulak Utara | Laily Z | R.Kasun | 9 | 6 | 6 | 10 | 8 | 5 | 10 | 7 | 4 | 9 | 6 | 4 |
| 34 | 5 | Gilang | Laily Z | R.Kasun | 11 | 8 | 8 | 12 | 10 | 7 | 12 | 7 | 4 | 9 | 6 | 4 |
| 35 | 6 | Krapak II | Laily Z | R.Kasun | 12 | 9 | 9 | 13 | 6 | 8 | 13 | 9 | 7 | 12 | 9 | 7 |
| 36 | 7 | Ngledok | Laily Z | R.Perangkat Desa | 13 | 10 | 10 | 14 | 5 | 9 | 14 | 11 | 8 | 13 | 10 | 8 |
| 37 | 8 | Plembon | Laily Z | R.Perangkat Desa | 6 | 3 | 3 | 7 | 4 | 2 | 7 | 4 | 1 | 6 | 3 | 1 |
| 38 | 9 | Bulak Selatan | Nanik | R.Perangkat Desa | 16 | 13 | 13 | 17 | 11 | 12 | 17 | 14 | 11 | 16 | 13 | 11 |
| 10 | PUSTU | Pustu | 18 | 18 | 18 | 19 | 20 | 21 | 19 | 29 | 20 | 18 | 18 | 15 | ||
| No | Program | Kegiatan | Resiko | penyebab Resiko | C/UC | Dampak | level resiko | Pengendalian yang ada | Rencana Pengendalian Lanjutan | Target waktu | Resiko Owner | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Program | Tujuan Program | Nama kegiatan | Tujuan Kegiatan | No | Pernyataan resiko | D | K | Skor | Kategori | Uraian Pengendalian | Tingkat efektifitas | |||||||
| 1 | Promosi Kesehatan | meningkatkan Hidup bersih dan sehat | Penyuluhan di Ruang Tunggu | meningkatkan pengetahuan pengunjung puskesmas | 01 | Petugas belum mempersiapkan materi penyuluhan | Petugas belum mempelajari materi penyuluhan | C | Penyuluhan tidak terfokus materi | 1 | 1 | 1 | sangat rendah | sudah ada Jadwal kegiatan | 3 | menyiap materi sebelum melakukan penyuluhan dalam gedung | 2021 | PJ Promkes |
| Monitoring & bimbingan teknis kader kesehatan oleh petugas Puskesmas | Meningkatkan pengetahuan kader kesehatan | 02 | Kehadiran peserta kurang lengkap | bersamaan kegiatan lainnya | C | Kader tidak paham materi yang di berikan petugas | 2 | 3 | 6 | sedang | Membuat undangan kegiatan | 4 | Menginformasikan kegiatan | 2021 | PJ Promkes | |||
| Survey PHBS RT & SMD | Mengetahua capaian PHBS di desa | 03 | sasaran survey tidak ada di rumah | Petugas belum menginformasikan jadwal kegiatan survei | C | Sasaran survei tidak tercapai | 3 | 3 | 9 | sedang | SOP survei PHBS | 4 | melakukan survei di awal tahun | 2021 | PJ Promkes | |||
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