FORMAT PENGUKURAN TINGKAT PERKEMBANGAN PERKEMBANG AN POS UPAY UPAYA KESEHATAN KESEHATAN KERJA
POS UKK
:
DESA/KELURAHAN
:
PUSKESMAS
:
KECAMATAN
:
KAB/KOTA
:
TGL PENSTRAT PENSTR ATAAN AAN
:
NO
I
STANDART PENGUKURAN
VARIABEL
NILAI LAI
KELE KELEMB MBAG AGAA AAN N POS POS UPA UPAYA KESE KESEHA HAT TAN KERJA (UKK) a. SK Kelembagaa P!" UKK
# A$a
%
# T&$a' A$a
# A$a
%
# T&$a' A$a
# e*"e$&*& # a$& "a+ $ega la&
# # # #
A$a 0 A$a - # 1 A$a , T&$a' a$a
1 ,
- 4 % O*ag - 1 # % O*ag - ,#- O*ag
1 ,
- 4 % O*ag - 1 # % O*ag - ,#- O*ag
1 ,
# A$a # T&$a' A$a
b. C!!2 APD Pe'e*a
# A$a # T&$a' A$a
5. B+'+ Pa$+a
# A$a # T&$a' A$a
$. T&mbaga ba$a
# A$a # T&$a' A$a
b. S*+'+* O*ga&"a"& P!" UKK
II
PENGELOLAAN POS UKK A. INPUT ,. R+aga a. P!" UKK
b. /a"&l&a" "a&a"& # A&* Be*"&2 # Jamba # Tem3a "am3a2 # SPAL -. Teaga Pegel!la a. J+mla2 Ka$e*
b. J+mla2 Ka$e* Te*la&2
1. Pe*alaa a. P1K # K&
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NO
NILAI LAI
e. Mebela&* (m&&mal mea '+*"&)
# A$a # T&$a' A$a
6. Me$&a Pe7+l+2a8KIE
# A$a # T&$a' A$a
- S9a$a7a - S9a$a7a : Agga*a
1 -
De"a8 Peme*&a2 - Agga*a De"a8Peme*&a2
,
# A$a # T&$a' A$a
- ; # < 2a*& - 0 # % 2a*& - , # 1 2a*&
0 1 -
- , # ,- 'l 8 2 - < # = 'l 8 2 - 0 # ; 'l 8 2 ? 0 'l 8 2 # T&$a' a$a
% 1 ,
b. P*e@e&6 # Peme*&'"aa 'e"e2aa # Pegg+aa APD !le2 agg!a 'el!m3!'
- - 'eg&aa - , 'eg&aa - T&$a' a$a
% 1
5. Peg!baa # P1K # P1P # R++'a
-
1 'eg&aa - 'eg&aa , 'eg&aa T&$a' a$a
0 1
- A$a - T&$a' a$a
1
# B+laa # T*&b+laa # Seme"e*a # Ta2+a # T&$a' a$a
0 1 ,
# B+laa # T*&b+laa # Seme"e*a # Ta2+a # T&$a' a$a
0 1 ,
0. Pemb&a7aa # B&a7a O3e*a"&!al P!" UKK
# B&a7a Ke"e2aa (Daa Se2a)
B
STANDART PENGUKURAN
VARIABEL
PROSES ,. Ha*& B+'a $alam "em&gg+
-. Je&" Pela7aa a. P*!m!&6 # Pe7+l+2a Pe7+l+2a APD Pe7+l+2a G&>& La&#la& # P*!m!"& Ke"e2aa la&7a
1. Kem&*aa
0. Pe*em+a R+& a. Pe*em+a Peg+*+" $ega agg!a
b. Pe*em+a 3eg+*+" $ega 3eg+"a2a
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NO
%. Pe5aaa a. I@ea*&" 3e*alaa b. B+'+ Tam+ 5. K++ga $. Keg&aa e. N!+le *a3a 6. A*"&3 C
STANDART PENGUKURAN
VARIABEL
OUTPUT ,. J+mla2 3e'e*a 7ag mama6aa'a P!" UKK ( K++ga) a. Peg!baa
b. K!"+la"&
NILAI LAI
- 0 # ; ma5am - , # 1 ma5am - T&$a' a$a
1
-
#-% -;#% %,#<% <;#,
3e'e*a 3e'e*a 3e'e*a 3e'e*a
0 1 ,
-
<;#, 3e'e*a %, # <% 3e'e*a -; # % 3e'e*a # -% 3e'e*a
% 0 1 -
-. J+mla2 APD 7ag $&be*&'a ++' agg!a $a $&g+a'a
-
<; #, ml 3e'e*a 3e'e*a % <% ml 3e'e*a - ? % +mla2 3e'e*a
0 1 -
1. Re'!me$a"& Ra3a
# A$a leg'a3 # A$a &$a' leg'a3 # T&$a' a$a
0
0. V&"+al&"a"& Daa
# A$a # T&$a' a$a
%
%. Ca'+3a Daa Se2a
- <; #, ml 3e'e*a 3e'e*a - % <% ml 3e'e*a - ? % +mla2 3e'e*a
0 ,
<. Ha"&l Kem&*aa
A$a $ega # N! Ke"e2aa # Ke"e2aa F N! Ke"e2aa # Ke"e2aa
TOTAL SKOR
Kee*aga # P*aama N&la& # Ma$7a N&la& # P+*ama N&la& # Ma$&*& N&la&
0 1 -
,
? % % # ;= < # = = # ,
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PETUNJUK PENGISIAN /ORMAT /ORMAT PENGUKURAN TIGKAT PERKEMBANGAN POS UKK
a. KELE KELEMB MBA AGAAN GAAN a. SK Kelemba Kelembagaa gaa P!" UKK a$ala2 a$ala2 SK 3ege"a2a 3ege"a2a 3embe+' 3embe+'a a P!" UKK $a*& 3eaba "eem3a (Ke3ala De"a8L+*a28Cama "eem3a) b. S*+'+ S*+'+** O*ga&"a" O*ga&"a"&& P!" UKK a$ala2 a$ala2 "+a+ baga baga 7ag be*&"& be*&"& "+"+a "+"+a ama ama 3eg 3eg+* +*+" +" P!" UKK UKK $ega $ega +ga +ga"7 "7a a ma"& ma"&g# g#ma" ma"&g &g 7ag 7ag $&"a2'a !e2 Ke3ala De"a8L+*a28Cama "eem3a. b. PENG PENGEL ELOL OLAA AAN N POS POS UKK UKK A. INPUT ,. R+aga a. P!" UKK a$ala2 a$ala2 em3a8* em3a8*+a +aga ga 7ag $&g+a' $&g+a'a a ++' 'eg&aa 'eg&aa 'a$e* (a$m&&"*a"& $a 3ela7aa) $a agg!a 'el!m3!' UKK 7ag be*'a&a $ega UKK. - Te*"e$&*& bag+a8*+aga '2+"+" - Ja$& "a+ $ega 7ag la& b&la *+aga &+ me*+3a'a "a+ bag&a $a*& bag+a &$+'8bag+a 7ag la& b. /a"&l&a /a"&l&a" " "a&a"& "a&a"& 5+'+3 5+'+3 ela" ela" -. Teaga eaga Pege Pegel!l l!la a a. J+mla2 J+mla2 'a$e* 'a$e* a$al a$ala2 a2 +mla2 +mla2 'a$e* 'a$e* 7ag 7ag a'&6 a'&6 ma+3+ ma+3+ 7ag &$a' &$a' a'&6 b. J+mla2 J+mla2 'a$e* 'a$e* e*la e*la&2 &2 7a&+ 7a&+ 'a$e* 'a$e* 7ag 7ag ela2 ela2 meg& meg&'+ '+&& 3ela 3ela&2a &2a 'e"e2aa 'e*a P1K $a P1P 1. Pe*ala laa a. P1K K& &$a' &$a' $&3e 3e& &g g'a 9a$a2 $a27a8e 8em3a m3a7 7a ea3 a3& 'eleg' 'eleg'a3a a3a &"&7a &"&7a 7ag 7ag e*$&*& e*$&*& $a*& 3e*ba 3e*ba 3le"e* 3le"e* bea$& bea$& al5!2!l g+&g 3e*ba 'a3a". b. C!!2 C!!2 APD 3e'e* 3e'e*a a "e"+a& "e"+a& e&" e&" 3e'e*a 3e'e*aa a 5. B+'+ B+'+ 3a$ 3a$+a +a a$al a$ala2 a2 b+'+ b+'+ 3a$ 3a$+a +a e ea ag g 'e"e 'e"e2a 2aa a $a $a 'e"elamaa 'e*a $. T&mbaga &mbaga ba$a ba$a 5+'+3 5+'+3 ela" ela" e. Mebel Mebela&* a&* 5+' 5+'+3 +3 ela" ela" 6. Me$&a Me$&a 3e7+ 3e7+l+2 l+2a a 8 KIE KIE a$ala a$ala2 2 me$&a me$&a aa+ ala ala 7ag $&g+ $&g+a'a a'a ++' memba+ 'ela5a*a 'eg&aa 3e7+l+2a 0. Pemb&a7 &a7aa a. B&a7a B&a7a !3e*a !3e*a"&! "&!a all P!" UKK UKK S9a$a7a 7a a$al a$ala2 a2 3emb& 3emb&a7a a7aa a 7ag 7ag $&$a3 $&$a3a' a'a a m+*& m+*& $a*& $a*& - S9a$a 'el!m3!' +"a2a aa+ ma"7a*a'a "eem3a - S9a$a7a $a agga*a 3eme*&a2 a$ala2 3emb&a7aa 7ag $&$a $&$a3a 3a' 'a a ba&' ba&' $a*& $a*& 'el! 'el!m3 m3!' !' +"a2 +"a2a a aa+ aa+ ma"7 ma"7a* a*a' a'a a "eem3a "e*a agga*a $e"a $a aa+ ba+a 3eme*&a2 Agga*a $e"a83eme*&a2 $e"a83eme*&a2 a$ala2 3emb&a7aa 3emb&a7aa 7ag - Agga*a $&$a3a'a $a*& agga*a $e"a $a aa+ ba+a 3eme*&a2 b. B&a7a B&a7a Ke"e2a Ke"e2aa a (Daa (Daa "e2a) "e2a) a$ala a$ala2 2 $aa $aa 7ag 7ag $&'+m3 $&'+m3+l +l'a 'a !le2 agg!a agg!a83e 83eg+* g+*+" +" P!" UKK 7ag be*6+g" be*6+g"&& "ebaga& "ebaga& $aa $aa 'e"e2aa agg!a7a
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B. PROSES ,. Ha*& Ha*& b+'a a$ala2 a$ala2 a$9al a$9al b+'a P!" UKK UKK ++' mela'" mela'"aa' aa'a a +ga" +ga" $alam $alam , m&gg+ m&gg+ ba&' a$m&&" a$m&&"*a" *a"&& ma+3+ ma+3+ 3eme*&'" 3eme*&'"aa8 aa83e*a 3e*a9aa 9aa "e*a 3e7+l+2a. -. Je&" Je&" 3ela7aa 3ela7aa a$ala2 a$ala2 3ela7a 3ela7aa a 7ag $&la'+' $&la'+'a a !le2 'a$e* 'a$e* UKK ma+3+ !le2 3e+ga" $& P!" UKK mel&3+& a. P*!m!&6 3e 3e7+l+2a $a $a 3* 3*!m!"& 'e 'e"e2aa la la&7a "e3e*& !la2 *aga 3embe*&a "+"+ $ll 7ag $&la'+'a !le2 'a$e* b. P*e@e&6 3egg+aa AP APD 3eme*&'"aa 'e"e2aa be*'ala $ll 5. Peg!baa 5+'+3 ela" 1. Kem& Kem&* *aa aa a$al a$ala2 a2 ea ea*& *&g g $eg $ega a &" &"& &+" +"&8 &8le lemb mbag aga a 'e"e 'e"e2a 2aa a ma+3+ ! 'e"e2aa ba&' 3eme*&a2 ma+3+ "9a"a 0. Pe* Pe*em em+a +a R+ R+& & a. Pe*em+a Pe*em+a 3eg+*+" 3eg+*+" $ega $ega agg! agg!a a 5+'+3 ela" ela" b. Pe*em+a Pe*em+a 3eg+*+" 3eg+*+" $a $a 3eg+"a2 3eg+"a2a a 5+'+3 ela" ela" %. Pe5a 5aaa aa a. I@ea* I@ea*&" &" 3e*alaa 3e*alaa a$ala2 a$ala2 &@ea*& &@ea*&"a"& "a"& "em+a "em+a 3e*ala 3e*alaa a "e3e*& "e3e*& ala 'e"e2aa $a !ba#!baa "e$e*2aa APD B+'+ Pe$!ma Mebela&* $a Me$&a Pe7+l+2a. b. B+'+ B+'+ Tam Tam+ + 5+'+3 5+'+3 ela ela" " 5. K++g K++ga a '++ga '++ga be*!ba be*!ba '++ga '++ga '!"+l '!"+la"& a"&.. $. Keg&aa 'eg&aa 'eg&aa 2a*&a ma+3+ 'eg&aa 'eg&aa la&7a la&7a e. N!+l N!+le e *a3a *a3a 5+' 5+'+3 +3 ela ela" " 6. A*"&3 A*"&3 a*"&3 a*"&3 3e5a 3e5aaa aa ma+3+ ma+3+ "+*a "+*a#me #me7+* 7+*a a
C. OUTPUT ,. J+mla2 3e'e*a 7ag mema6aa' mema6aa'a a P!" UKK (+mla2 (+mla2 '++ga '++ga)) a. Peg Peg!b !ba aa a 3e*" 3e*"e ea a"e "e 3e'e 3e'e* *a a 7ag 7ag me$ me$a3 a3a a 3eg 3eg!b !ba aa a $&bag& +mla2 3e'e*a 7ag a$a b. K!"+l K!"+la"& a"& 3e*"ea"e 3e*"ea"e 3e'e*a 3e'e*a 7ag 7ag me$a3a me$a3a '!"+la" '!"+la"&& $&bag& +mla2 3e'e*a 3e'e*a 7ag 7ag a$a -. J+mla J+mla2 2 APD 7ag 7ag $&be*& $&be*&'a 'a ++' ++' agg! agg!a a $a $a $&g+ $&g+a' a'a a 5+'+3 5+'+3 ela" 1. Re'!me$a"& Re'!me$a"& Ra3a Ra3a a$ala2 *e'!me$a"& *e'!me$a"& 7ag $&2a"&l'a $&2a"&l'a 3a$a "e&a3 *a3a *a3a83 83e* e*em+ em+a a 3eg 3eg+*+ +*+" " $eg $ega a agg! agg!a a ma+3+ ma+3+ 3e*e 3e*em+a m+a 3eg+*+" $ega 3eg+"a2a. A$a leg'a3 leg'a3 &'a &'a "e&a3 *a3a a$a *e'!me$a"& *e'!me$a"& A$a &$a' &$a' leg'a3 leg'a3 &'a &$a' &$a' "e&a3 "e&a3 *a3a a$a a$a *e'!me$a"& *e'!me$a"& T&$a' a$a &'a &$a' a$a *e'!me$a"& 0. V&"+al &"+al&"a &"a"& "& $aa $aa $aa $aa 2a"&l 2a"&l 'eg&a 'eg&aa a $&@&" $&@&"+l& +l&"a "a"&' "&'a a $alam $alam be+ be+' ' abel g*a6&' $a la&7a %. Ca'+3a Ca'+3a $aa $aa "e2a "e2a 5+'+3 5+'+3 ela" ela" ;. Ha"&l Ha"&l 'em 'em&* &*aa aa 5+' 5+'+3 +3 ela" ela"
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