Format Satuan Acara Penyuluhan
Format Satuan Acara Penyuluhan
Format Satuan Acara Penyuluhan
Sasaran : …...........................................................................................
Tempat : …...........................................................................................
Hari/Tanggal : …...........................................................................................
Jam/Waktu : …...........................................................................................
Penyuluh : ...............................................................................................
A. Analisa Situasi
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B. Diagnosa Keperawatan
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C. Tujuan
1. Tujuan Instruksional Umum
Setelah dilaksanakan pendidikan kesehatan selama ....... menit, ........ .........
mampu: ..........................................................................................................................
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2. Tujuan Instruksional Khusus
Setelah dilaksanakan pendidikan kesehatan ….................. mampu:
a. .................................................................................................................................
b. .................................................................................................................................
c. .................................................................................................................................
d. ............................................................................................................................dst
D. Metode
1. ........................................................................................................................................
2. ...................................................................................................................................dst
E. Media
1. ................................................................................................
2. ................................................................................................
3. ............................................................................................dst
F. Pengorganisasian :
1. Presentator : ..............................................................
2. Moderator : ..............................................................
3. Fasilitator : ..............................................................
4. Operator : ..............................................................
5. Dokumentator : ..............................................................
G. Setting Tempat
(silahkan menggunakan simbol ataupun gambar, untuk menggambarkan setting tempat
yang diinginkan saat proses penyuluhan)
Keterangan :
(berisi keterangan dari simbol atau gambar yang digunakan untuk menggambarkan
setting tempat).
2 Pelaksanaan menit
3 Evaluasi menit
4 Penutup menit
I. Materi Penyuluhan
Terlampir
J. Evaluasi
1. Evaluasi Struktur
a. ...............................................................................................................................
b. ...............................................................................................................................
c. ...........................................................................................................................dst
2. Evaluasi Proses
a. ................................................................................................................................
b. ................................................................................................................................
c. ............................................................................................................................dst
3. Evaluasi Hasil
a. .................................................................................................................................
b. ................................................................................................................................
c. ............................................................................................................................dst