PLANNING OF ACTION ( P O A )

MATA ANGGARAN BANTUAN OPERASIONAL KESEHATAN (BOK)

PUSKESMAS LANGENSARI I BULAN MARET 2012

NO NAMA KEGIATAN VOLUME BESARAN JUMLAH JANUARI

1 2 3 4 5 6

1 MANAJEMEN BOK 13,710,000 -

a Kesekretariatan 1,200,000 -
- Alat Tulis Kantor 4 pt 225,000 900,000
- Foto Copy / Penggandaan 4 pt 75,000 300,000
b. Lokbul ( Staf Meeting) 1,890,000 -
- Snack 28 or x 9 bl 7,500 1,890,000
c Lokmin Lintas Sektor 10,260,000 -
- Makan, Minum & Snack 80 or x 3 Kl 24,750 5,940,000
- Transport Peserta 72 or x 3 Kl 20,000 4,320,000
d. Konsultasi BOK ke Dinkes 1 or x 6 Kl 20,000 120,000
e. Pengiriman Laporan BOK ke Dinkes 1 or x 12 Kl 20,000 240,000
2KIA 11,380,000 580,000
a Pelayanan di Posyandu 1 or x 27 psy x 11 bl 20,000 5,940,000 540,000
b. Pelacakan kematian ibu, bayi dan balita
1 or x 6 ks 20,000 120,000 20,000

c. Pelacakan Kasus BBLR 1 or x 10 ks 20,000 200,000 20,000

d. Kunjungan SDIDTK ke TK/PAUD 1 or x 30 Tmt x 1 Kl 20,000 600,000
e. Pertemuan P4K (Kls Ibu Hamil) 2,700,000 0
- Snack 40 or x 3 DS x 3 Kl 7,500 2,700,000
f. Pembinaan RW Siaga 1 or x 27 RW x 3 Kl 20,000 1,620,000
g. Sosialisasi Nafza & Kespro Ke Tk SMP &
1 or x 10 Sek x 1 Kl 20,000 200,000
SMA
3 PROMKES 1,280,000 0
a. Penyuluhan Luar Gedung 1 or x 27 Tmt 20,000 540,000
b. Sosialisasi Nafza & Kespro Ke Tk SMP &
SMA 1 or x 10 Sek x 1 Kl 20,000 200,000

c. Pembinaan RW Siaga 1 or x 27 RW x 1 Kl 20,000 540,000

4 IMUNISASI 7,420,000 620,000
a Pelayanan di Posyandu 1 or x 27 psy x 11 bl 20,000 5,940,000 540,000
b. Pengambilan Vaksin ke Dinkes 1 or x 12 Kl 20,000 240,000 20000
c. Sweeping Imunisasi 1 or x 3 DS x 11 bl 20,000 660,000 60,000
d. Kunjungan Rumah Kasus KIPI 1 or x 2 ks 20,000 40,000
e. Pembinaan RW Siaga 1 or x 27 RW x 1 Kl 20,000 540,000
5 GIZI 6,520,000 540,000
a Pelayanan di Posyandu 1 or x 27 psy x 11 bl 20,000 5,940,000 540,000
b. Kunjungan Rumah Gizi Buruk 1 or x 2 ks 20,000 40,000
c Pembinaan RW Siaga 1 or x 27 RW x 1 Kl 20,000 540,000
6 KESLING 1,480,000 0
a Insfeksi Sanitasi TTU / TP2M 1 or x 30 Tmt 20,000 600,000
b. Kunjungan Rumah Klinik Sanitasi 1 or x 30 Tmt 20,000 600,000
c. Pengiriman Sampah Medis ke RSU 1 or x 11 Kl 20,000 220,000
d. Pengambilan sample air 1 or x 3 DS 20,000 60,000

Page 1 POA BOK PKM LANGENSARI 1 TA 2012

1 2 3 4 5 6

7 P2M 3,980,000 80,000

1. P 2 ISPA 80,000 0

a. Kunjungan Rumah kasus Pneumonia 1 or x 4 ks 20,000 80,000

2. P 2 TB & KUSTA 360,000 0

a. TB Mangkir 1 or x 2 ks 20,000 40,000
b. Pemeriksaan Kontak Serumah 1 or x 15 ks 20,000 300,000
c. Kusta Mangkir 1 or x 1 ks 20,000 20,000
3. P 2 Diare 120,000 0
a. Kunjungan Rumah kasus Diare 1 or x 6 ks 20,000 120,000
4. P 2 DBD 1,640,000 0
a. Pelacakan Kasus DBD 1 or x 2 ks 20,000 40,000
b. Fogging Focus 2 ks 1,600,000 0
'- Transport PE 2 or x 2 ks 20,000 80,000
'- Transport Fogging 2 or x 2 ks x 2 Siklus 20,000 160,000
'- Mamin Petugas 2 or x 2 ks x 2 Siklus 20,000 160,000
'- Bahan Bakar 2 Ks x 2 SIklus 300,000 1,200,000
5. Survailant 1,780,000 80,000
a. Kolekting Data Di BP Swasta dan
1 or x 48 mgg 20,000 960,000 80,000
RSU
b. Kunjungan PE post Haji 2 or x 7 Hr x 1 Kl 20,000 280,000
c. Pembinaan RW Siaga 1 or x 27 RW x 1 Kl 20,000 540,000
8 PROGRAM PENGEMBANGAN 8,900,000 820,000
1. Perkesmas 1,980,000 180,000
a. Kunjungan Rumah Gakin 9 or x 1 kl x 11 bl 20,000 1,980,000 180,000
2. Pos Lansia / Posbindu 6,160,000 560,000
a. Pelayanan di Posbindu 2 or x 14 Psy x 11 bl 20,000 6,160,000 560,000
3. UKGM 540,000 80,000
a. Pelayanan di Posyandu 1 or x 27 Psy x 1 kl 20,000 540,000 80,000
4. KESWAMAS 220,000 0
a. Kunjungan Rumah Kasus Jiwa 1 or x 10 ks 20,000 200,000
b. Pelacakanan Kasus Jiwa 1 or x 1 ks 20,000 20,000
9 PROGRAM PENUNJANG 22,490,000 800,000
1. Pelayanan di Poskesdes 1 or x 5 Psd x 8 kl x 11 bl 20,000 8,800,000 800,000
2 Refrseing Kader 8,880,000 -
- Makan Minum 70 or x 3 DS x 1 kl 24,000 5,040,000
- Transport Peserta 64 or x 3 DS x 1 kl 20,000 3,840,000
3 Pelatihan Kader Poskestren 730,000 0
- Makan Minum 20 or x 1 kl 24,500 490,000
- Transport Peserta 12 or x 1 kl 20,000 240,000
4 AMP Sosial 1,420,000 0
- Makan Minum 40 or x 1 kl 17,500 700,000
- Transport Peserta 36 or x 1 kl 20,000 720,000
5 Pelatihaan peer konselor kespro bagi guru
BP Tk SMP dan SMA 1,040,000 0

- Makan dan minum 35 or x 1 kl 24,000 840,000

- Transport Peserta 10 or x 1 kl 20,000 200,000

1 2 3 4 5 6

6 Pelatihan Guru UKS Tk SD, SMP dan SMA

1,620,000 0

- Makan dan minum 40 or x 1 kl 24,000 960,000

- Transport Peserta 33 or x 1 kl 20,000 660,000

JUMLAH 77,160,000 3,440,000

Page 2 POA BOK PKM LANGENSARI 1 TA 2012

 Ketua Tim Verifikasi

Ade Hartojo, SKM

Penata Muda Tk I. III / B
NIP. 19690713 199303 1 006

Kepala Di

Page 3 POA BOK PKM LANGENSARI 1 TA 2012

AN (BOK)
012

PEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER
7 8 9 10 11 12 13 14 15 16

- 380,000 3,670,000 230,000 530,000 3,690,000 230,000 550,000 230,000 3,970,000

- 300,000 - - 300,000 - - 300,000 - 300,000
225,000 225,000 225,000 225,000
75,000 75,000 75,000 75,000
- - 210,000 210,000 210,000 210,000 210,000 210,000 210,000 210,000
210,000 210,000 210,000 210,000 210,000 210,000 210,000 210,000
- - 3,420,000 - - 3,420,000 - - - 3,420,000
1,980,000 1,980,000 1,980,000
1,440,000 1,440,000 1,440,000
40,000 20,000 20,000 20,000 20,000
40,000 20,000 20,000 20,000 40,000 20,000 20,000 20,000 20,000
600,000 640,000 1,300,000 1,080,000 920,000 1,580,000 860,000 1,140,000 960,000 1,340,000
540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000

20,000 20,000 20,000 20,000 20,000

20,000 20,000 20,000 60,000 20,000 20,000 20,000

600,000
0 0 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
60,000 60,000 460,000 200,000 60,000 60,000 60,000 120,000 460,000

200,000

60,000 100,000 240,000 240,000 140,000 40,000 80,000 240,000 80,000 40,000
40,000 80,000 40,000 80,000 40,000 80,000 40,000 80,000 40,000

200,000

60,000 60,000 160,000 200,000 60,000

620,000 620,000 640,000 620,000 740,000 700,000 700,000 700,000 720,000 720,000
540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000
20000 20,000 40,000 20,000 20,000 20,000 20,000 20,000 20,000
60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
20,000 20,000
120,000 80,000 80,000 60,000 120,000 80,000
600,000 620,000 700,000 740,000 600,000 540,000 540,000 560,000 540,000 540,000
540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000 540,000
20,000 20,000
60,000 60,000 160,000 200,000 60,000
20,000 100,000 240,000 100,000 180,000 100,000 180,000 100,000 180,000 100,000
40,000 80,000 40,000 80,000 40,000 80,000 40,000 80,000 40,000
40,000 80,000 40,000 80,000 40,000 80,000 40,000 80,000 40,000
20,000 20,000 20,000 20,000 20,000 20,000 20,000 20,000 20,000 20,000
60,000

Page 4 POA BOK PKM LANGENSARI 1 TA 2012

 7 8 9 10 11 12 13 14 15 16

180,000 160,000 180,000 220,000 980,000 220,000 980,000 220,000 160,000 460,000
0 0 0 20,000 0 20,000 0 20,000 0 20,000

20,000 20,000 20,000 20,000

100,000 80,000 40,000 20,000 20,000 20,000 20,000 40,000 0 20,000

20,000 0 20,000
100,000 40,000 40000 20,000 20,000 20,000 20,000 20,000 20,000
20,000
0 0 0 20,000 20,000 20,000 20,000 20,000 20,000 0
20,000 20,000 20,000 20,000 20,000 20,000
0 0 0 20,000 800,000 20,000 800,000 0 0 0
20,000 20,000
0 0 0 0 800,000 0 800,000 0 0 0
40,000 40,000
80,000 80,000
80,000 80,000
600,000 600,000
80,000 80,000 140,000 140,000 140,000 140,000 140,000 140,000 140,000 420,000

80,000 80,000 80,000 80,000 80,000 80,000 80,000 80,000 80,000 80,000

280,000
60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
820,000 820,000 820,000 860,000 860,000 840,000 380,000 780,000 740,000 740,000
180,000 180,000 180,000 180,000 180,000 180,000 0 180,000 180,000 180,000
180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000 180,000
560,000 560,000 560,000 560,000 560,000 560,000 320,000 560,000 560,000 560,000
560,000 560,000 560,000 560,000 560,000 560,000 320,000 560,000 560,000 560,000
80,000 80,000 80,000 80,000 80,000 60,000 0 0 0 0
80,000 80,000 80,000 80,000 80,000 60,000
0 0 0 40,000 40,000 40,000 60,000 40,000 0 0
40,000 40,000 40,000 40,000 40,000
20,000
800,000 800,000 800,000 800,000 800,000 1,840,000 1,230,000 11,300,000 2,220,000 800,000
800,000 800,000 800,000 800,000 800,000 800,000 500,000 800,000 800,000 800,000
0 0 0 0 0 0 0 8,880,000 0 0
5,040,000
3,840,000
0 0 0 0 0 0 730,000 0 0 0
490,000
240,000
0 0 0 0 0 0 0 0 1,420,000 0
700,000
720,000

0 0 0 0 1,040,000 0 0 0 0

840,000
200,000

7 8 9 10 11 12 13 14 15 16

0 0 0 0 0 0 0 1,620,000 0 0

960,000
660,000

3,700,000 4,240,000 8,590,000 4,890,000 5,750,000 9,550,000 5,180,000 15,590,000 5,830,000 8,710,000

Page 5 POA BOK PKM LANGENSARI 1 TA 2012

 Kepala Puskesmas langensari I

Mamik Setiyawati, dr
Penata III/c
NIP. 19790530 200501 2 011

Mengetahui,
Kepala Dinas Kesehatan Kota Banjar

H. Oman Rokhman, S. Sos. M. Kes.

Pembina Tk I - IV / B
NIP. 19580721 198003 1 008

Page 6 POA BOK PKM LANGENSARI 1 TA 2012

DESEMBER TOTAL
17 18

230,000 13,710,000
- 1,200,000
900,000
300,000
210,000 1,890,000
210,000 1,890,000
- 10,260,000
5,940,000
4,320,000
120,000
20,000 240,000
380,000 11,380,000
5,940,000

120,000

200,000
600,000
300,000 2,700,000
300,000 2,700,000
80,000 1,620,000

200,000

20,000 1,280,000
20,000 540,000

200,000

540,000
20,000 7,420,000
5,940,000
20,000 240000
660,000
40,000
540,000
0 6,520,000
5,940,000
40,000
540,000
180,000 1,480,000
80,000 600,000
80,000 600,000
20,000 220,000
60,000

Page 7 POA BOK PKM LANGENSARI 1 TA 2012

 17 18

140,000 3,980,000
0 80,000

80,000

0 360,000
40,000
300,000
20,000
0 120,000
120,000
0 1,640,000
40,000
0 1,600,000
80,000
160,000
160,000
1,200,000
140,000 1,780,000

80,000 960,000

280,000
60,000 540,000
420,000 8,900,000
180,000 1,980,000
180,000 1,980,000
240,000 6,160,000
240,000 6,160,000
0 540,000
540,000
0 220,000
200,000
20,000
300,000 22,490,000
300,000 8,800,000
0 8,880,000
5,040,000
3,840,000
0 730,000
490,000
240,000
0 1,420,000
700,000
720,000

0 1,040,000

840,000
200,000

17 18

0 1,620,000

960,000
660,000

1,690,000 77,160,000

Page 8 POA BOK PKM LANGENSARI 1 TA 2012

 264
264
264

#DIV/0!
#DIV/0!
20,000

Page 9 POA BOK PKM LANGENSARI 1 TA 2012

 #DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!

180,000
60,000

730,000
490,000
240,000

Page 10 POA BOK PKM LANGENSARI 1 TA 2012

 PLANNING OF ACTION ( P O A )
MATA ANGGARAN BANTUAN OPERASIONAL KESEHATAN (BOK)
PUSKESMAS LANGENSARI I BULAN APRIL 2012

NO NAMA KEGIATAN VOLUME BESARAN JUMLAH TOTAL FARAF

1 2 3 4 5 18
1 MANAJEMEN BOK 3,660,000 3,660,000
a Kesekretariatan 30,000 30,000
- Foto Copy / Penggandaan 1 pt 30,000 30,000
b. Lokbul ( Staf Meeting) 210,000 210,000
- Snack 28 or x 9 bl 7,500 210,000 210,000
c Lokmin Lintas Sektor 3,420,000 3,420,000
- Makan, Minum & Snack 80 or x 1 Kl 24,750 1,980,000 1,980,000
- Transport Peserta 72 or x 1 Kl 20,000 1,440,000 1,440,000
2K IA 380,000 380,000
a Pelayanan di Posyandu 1 or x 4 psy 20,000 80,000 80,000
b. Pertemuan P4K (Kls Ibu Hamil) 300,000 300,000
- Snack 40 or x 1 DS x 1 Kl 7,500 300,000 300,000
3 IMUNISASI 80,000 80,000
a Pelayanan di Posyandu 1 or x 4 psy 20,000 80,000 80,000
4 GIZI 80,000 80,000
a Pelayanan di Posyandu 1 or x 4 psy 20,000 80,000 80,000
5 PROGRAM PENGEMBANGAN 120,000 120,000
1. Pos Lansia / Posbindu 120,000 120,000
a. Pelayanan di Posbindu 2 or x 3 Psy 20,000 120,000 120,000
6 PROGRAM PENUNJANG 100,000 100,000
1. Pelayanan di Poskesdes 1 or x 5 Kjg 20,000 100,000 100,000
JUMLAH 4,420,000 4,420,000

TERBILANG : " EMPAT JUTA EMPAT RATUS DUA PULUH RIBU RUPIAH "

Ketua Tim Verifikasi Kepala Puskesmas lan

Ade Hartojo, SKM Mamik Setiyawa

Page 11 POA BOK PKM LANGENSARI 1 TA 2012

 Penata Muda Tk I. III / B Penata III / C
NIP. 19690713 199303 1 006 NIP. 19790530 20050

Mengetahui
Pejabat Pembuat Komitmen

H. Agus Budiana Ekaputra, dr.

Penata III / C
NIP. 19710118 200212 1 004

Page 12 POA BOK PKM LANGENSARI 1 TA 2012

ANNING OF ACTION ( P O A )
BANTUAN OPERASIONAL KESEHATAN (BOK)
S LANGENSARI I BULAN APRIL 2012

KETERANGAN

-
AT JUTA EMPAT RATUS DUA PULUH RIBU RUPIAH "

Kepala Puskesmas langensari I

Mamik Setiyawati, dr

Page 13 POA BOK PKM LANGENSARI 1 TA 2012

 Penata III / C
NIP. 19790530 200501 2 011

Page 14 POA BOK PKM LANGENSARI 1 TA 2012

 PLANNING OF ACTION ( P O A )
MATA ANGGARAN BANTUAN OPERASIONAL KESEHATAN (BOK)
PUSKESMAS LANGENSARI I BULAN MARET 2012

NO NAMA KEGIATAN VOLUME BESARAN JUMLAH TOTAL FARAF

1 2 3 4 5 6 7
1K IA 100,000 100,000
a Pelayanan di Posyandu 1 or x 2 psy 20,000 40,000 40,000
b. Pembinaan RW Siaga 1 or x 3 RW 20,000 60,000 60,000
2 PROMKES 40,000 40,000
a. Pembinaan RW Siaga 1 or x 2 RW 20,000 40,000 40,000
3 IMUNISASI 120,000 120,000
a Pelayanan di Posyandu 1 or x 2 psy 20,000 40,000 40,000
b. Pengambilan Vaksin ke Dinkes 1 or x 1 Kl 20,000 20,000 20,000
c. Sweeping Imunisasi 1 or x 3 DS 20,000 60,000 60,000
4 GIZI 40,000 40,000
a Pelayanan di Posyandu 1 or x 2 psy 20,000 40,000 40,000
5 KESLING 20,000 20,000
a. Pengiriman Sampah Medis ke RSU 1 or x 1 Kl 20,000 20,000 20,000
6 P2M 60,000 60,000
1. P 2 TB & KUSTA 20,000 20,000
a. TB Mangkir 1 or x 1 ks 20,000 20,000 20,000
2. Survailant 40,000 40,000
a. Kolekting Data Di BP Swasta
1 or x 1 mgg 20,000 20,000 20,000
dan RSU
b. Pembinaan RW Siaga 1 or x 1 RW 20,000 20,000 20,000
7 PROGRAM PENGEMBANGAN 40,000 40,000
1. Pos Lansia / Posbindu 40,000 40,000
a. Pelayanan di Posbindu 2 or x 1 Psy 20,000 40,000 40,000
8 PROGRAM PENUNJANG 160,000 160,000
1. Pelayanan di Poskesdes 1 or x 8 Kjg 20,000 160,000 160,000

JUMLAH 580,000 580,000

TERBILANG : LIMA RATUS DELAPAN PUH RIBU RUPIAH

Ketua Tim Verifikasi Kepala Puskesmas lang

Page 15 POA BOK PKM LANGENSARI 1 TA 2012

 Ade Hartojo, SKM Mamik Setiyawati,
Penata Muda Tk I. III / B Penata III / C
NIP. 19690713 199303 1 006 NIP. 19790530 200501

Mengetahui
Pejabat Pembuat Komitmen

H. Agus Budiana Ekaputra, dr.

Penata III / C
NIP. 19710118 200212 1 004

Page 16 POA BOK PKM LANGENSARI 1 TA 2012

LANNING OF ACTION ( P O A )
BANTUAN OPERASIONAL KESEHATAN (BOK)
S LANGENSARI I BULAN MARET 2012

KETERANGAN
8

-
RATUS DELAPAN PUH RIBU RUPIAH

Kepala Puskesmas langensari I

Page 17 POA BOK PKM LANGENSARI 1 TA 2012

 Mamik Setiyawati, dr
Penata III / C
NIP. 19790530 200501 2 011

Page 18 POA BOK PKM LANGENSARI 1 TA 2012