UPAYA KESEHATAN
KEBUTUHAN SUMBER DAYA NO
KEGIATAN
TUJUAN
Me#y##5#,5#n Me#y##5#,5#n 3en$e,#"#n $%&%8 en#n#5#n %5#3 #n 3e%!#5 y#n$ en5n$ 5e/%###n "%3 e"#,
1
Peny!"#n $%&%
2
Kn;n$#n #" '3en#3%n$#n $%&% /5
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Pe/e%#n M#5#n#n T#/#"#n ( Menn5#n 3e#!en% $%&% PMT ) Pe!%"#n #n#5 B#!%,# /5 ' $%&% 5#n$<
Se%!#n ' 3e!#4#5#n $%&% /5 Mene5#n 5# $%&% /5
SASARAN
TARGET
6 Ke!'e#
INDIKATOR KEBERHASILAN
SUMBER PEMBIAYAAN
Pe,$# $%&%
3e/#"#n 3e%!#5 #n %5#3 #y##5#,
BOK
ATK
P,$ $%&% #n /%#n e#
e# /#!%,# $%&% /5 en#3#, 5n;n$#n #"
BOK
. /#!%,# : 120 " : R3==<
PMT
P,$ $%&% #n /%#n e#
e# /#!%,# $%&% /5 ' $%&% 5#n$ en#3#, PMT
BOK
2 9$ : 12 /! : 6 '5e!
ATK
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BOK
BOK
Tee%# #,# 39!# 59n% #y##5#, % ?%!#y#" P5e#
BOK
DANA
ALAT
TENAGA
100*
19$ : 6 5e!' :
!e#+!e,
100*
2 9$ : 2 /!, :
. /#!%,#
100*
6 Ke!'e#
100*
7
Pe#n,##n ,#, $%&% ( PSG )
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6 Ke!'e#
2 9$ : 6 '5e! : 2
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6
Pe#n,##n K9n% G%&% (PKG)
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6 Ke!'e#
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P,$ $%&%
.
Pe#n,##n G## Y9% % #y#5,
Pe#n,#n S,#, $%&% AS (PSG @ AS)
Pe/e%#n M#5#n#n T#/#"#n (PMT)
e3e9!e" $#/##n /e5#!# ,en,#n$ 4#53#n 59n% 6 Ke!'e# $## /ey9% y#n$ een"% y##, % #y##5#,<
1 9$ : 6 '5e! : 2
ATK8 y9%n# ,e,
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2 9$ : 6 '5e!
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1 SD e,%#3 6 Ke!'e# 5e!' e#
6 Ke!'e#
PMT
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BOK
Tee%#ny# #,#
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BOK
e4## /e5#!#
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BOK
PMT B%! KEK ' Ane%
10 K9ne!%n$ $%&%
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6 Ke!'e#
Pe/e%#n %,#%n A 3## 11 /#!%,# #n %/ n%+#
Me/e%5#n 5#3! %,#%n A 5e3## %/ n%%+# #n 3## /#!%,# %# 67 /!#n (3## /!#n e/#% #n A$,)<
6 Ke!'e#
Men%n$5#,5#n 5e/e"#%!#n 3e/e%#n T#/!e, T#/#" Pe/e%#n T#/!e, e n,5 %/ 12 ##" (TTD) n,5 %/ "#%! "#%! #n %/ n%+# #n %/ n%+# #$# ,%#5 ene%,# #ne%# $%&% /e%<
6 Ke!'e#
100*
100*
ATK8 !e#+!e,8 99 9e!8 P,$ $%&% #n 9 /%#n e# #"#n $%&%
K#3! %, A P,$ $%&%
T#/!e, e
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100* /#!%,# 67 /!#n #n %/ n%+# en#3#,5#n 5#3! %,#%n A
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1- Pe#n,##n 39y#n
Me#n,# 3e!#5#n##n 39y#n #n ene5#n 3e##!#"#n $%&% y#n$ ## %#y##5#,
6 Ke!'e#
100*
1 9$ : 6 5e!'
P,$ $%&% #n Se# 39y#n y#n$ /%#n e# #" %;#?#!5#n /%# %3#n,# 3#!#5#n##nny#
Men$e,#"% Ke3#!# P5e# K9,#/#
A"# D##?#n8 S
Pee$#n$ P9$# G%&%
N #%#8 S< G& NIP< 1.-060- 20000- 2 007
BOK
UPAYA KESEHATAN
NO
KEGIATAN
SASARAN
TARGET
OLUME KEGIATAN
RINCIAN PELAKSANAAN
LOKASI PELAKSANAAN
TENAGA PELAKSANAAN
JADWAL
e#% ;#?#! 39y#n' ;#?#! 5e!# /%!
6 Ke!'e#
100*
1: ' ,"
39y#n8 5e!# /%!
. /#!%,#
100*
0 "
#" ###n
P,$ G%&% > /%#n e#
Se%!#n ' 3e!#4#5#n $%&% /5
6 Ke!'e#
100*
1: ' ,"
6 Ke!'e#
P,$ G%&% > /%#n e#
7
Pe#n,##n ,#, $%&% ( PSG )
6 Ke!'e#
100*
1: ' ,"
6 Ke!'e#
P,$ G%&%
6
Pe#n,##n K9n% G%&% (PKG)
6 Ke!'e#
100*
1: ' ,"
6 Ke!'e#
P,$ G%&%
.
Pee%5##n G## Y9% % #y#5,
6 Ke!'e#
100*
2: ' ,"
6 Ke!'e#
P,$ G%&%
B! A$, > Se3,e/e
@
Pe#n,#n S,#, $%&% AS (PSGAS)
6 Ke!'e#
100*
1: ' ,"
6 Ke!'e#
P,$ G%&% > P,$ UKS
B! A$,
Pe/e%#n M#5#n#n T#/#"#n (PMT) B%! KEK ' Ane%
6 B%!
100*
0 "
6 Ke!'e#
P,$ G%&%
6 Ke!'e#
100*
e,%#3 "#%
6 Ke!'e#
P,$ G%&%
1
Peny!"#n $%&%
-
Pe/e%#n M#5#n#n T#/#"#n ( PMT ) Pe!%"#n #n#5 B#!%,#
10 K9ne!%n$ $%&%
P,$ G%&%
J#n ' De
11 Pe/e%#n %,#%n A 3## /#!%,#
6 Ke!'e#
100*
2: ' ,"
6 Ke!'e#
P,$ G%&% > /%#n e#
J#n ' De
12 Pe/e%#n %,#%n A 3## %/ n%+#
6 Ke!'e#
100*
12: ' ,"
6 Ke!'e#
P,$ G%&% > /%#n e#
J#n ' De
6 Ke!'e#
100*
12: ' ,"
6 Ke!'e#
P,$ G%&% > /%#n e#
J#n ' De
6 Ke!'e#
100*
12: ' ,"
6 Ke!'e#
P,$ G%&% > /%#n e#
J#n ' De
1-
Pe/e%#n T#/!e, e n,5 %/ "#%! #n %/ n%+#
1 Pe#n,##n 39y#n
Men$e,#"% Ke3#!# P5e# K9,#/#
< A"# D##?#n8 S
Pee$#n$ P9$# G%&%
N #%#8 S< G& NIP< 1.-060- 20000- 2 007
BIAYA
