BA, DH, Notulen Rembug Stunting [PDF]

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Berita Acara Rembuk Stunting Kalurahan Konvergensi Pencegahan Stunting Dalam



rangka



pelaksanaan



Kegiatan



Konvergensi



Stunting



Tahun



Anggaran



2021



di



Kalurahan .................... Kapanewon ............................ Kabupaten Gunugkidul, Daerah Istimewa Yogyakarta, pada : Hari dan Tanggal : .......... Juli 2020 Jam



: ......... s.d. …….. WIB



Tempat



: ...................................



Telah diselenggarakan pertemuan Rembuk Stunting di Kalurahan ............................., Kapanewon ………………, yang dihadiri oleh wakil – wakil dari masyarakat kalurahan serta unsur lain yang terkait, sebagaimana dalam Daftar Hadir terlampir. Materi, pimpinan rapat dan narasumber dalam Rembuk Stunting Kalurahan, sebagai berikut : A.



Materi 1. Gambarran umum Penanggulangan Stunting di Kalurahan 2. Pemaparan Hasil Pemetaan Sosial Dan Diagnosis Permasalahan Stunting 3. Musyawarah Penetapan usulan kegiatan/program Konvergensi Pencegahan Dan Penanganan Stunting. 4. Penunjukan delegasi/perwakilan dalam melakukan advokasi hasil rembuk stunting pada forum perencanaan desa,



terutama melalui forum Musyawarah Kalurahan dan



Musrenbang Kalurahan. B.



Unsur Pimpinan Rapat dan Narasumber Pemimpin Rapat



:



.…………………….. dari ………………………………….



Sekretaris / Notulis



:



.…………………….. dari ………………………………….



Narasumber



: 1. …………….…….. dari ……………………………………… 2. ………….……….. dari ……………………………………… 3. ……….………….. dari ……………………………………… 4. ……….………….. dari ………………………………………



Setelah dilakukan pemaparan materi dan musyawarah, selanjutnya para peserta musyawarah memutuskan dan menyepakati beberapa hal yang menjadi Keputusan Rembuk Stunting Kalurahan yaitu sebagai berikut: 1. Tersosialisasinya Materi Optimalisasi Rumah Kalurahan Sehat dalam Mengawal Kegiatan Konvergensi Pencegahan Stunting 2. Disepakatinya Usulan Kegiatan/Program Terkait Dengan Konvergensi Pencegahan Dan Penanganan Stunting. Adapun usulan kegiatan/program yang disepakati terkait dengan



konvergensi pencegahan dan



penanganan stunting di Kalurahan ……………….



Kapanewon …………… sebagai berikut. (terlampir) 3. Disepakatinya Delegasi/Perwakilan Peserta Rembuk Stunting dalam Melakukan Advokasi Hasil Rembuk Stunting ke Forum-forum Perencanaan selanjutnya di tingkat Kalurahan. a. ……………………………………….. b. ……………………………………….. c. ……………………………………….. Demikian berita acara ini dibuat dan disahkan dengan penuh tanggung jawab agar dapat dipergunakan sebagaimana mestinya. ………………………, Tanggal ….. Juli 2020 Ketua RDS



(



Sekretaris RDS



)



(



)



Mengetahui dan Menyetujui, Wakil dari Peserta Musyawarah Nama



Alamat



Tanda Tangan



1. …….………………………



…………………………………….



…………..



2. …….………………………



…………………………………….



…………..



3. …….………………………



…………………………………….



…………..



4. …….………………………



…………………………………….



…………..



5. …….………………………



…………………………………….



…………..



Catatan : format lampiran BA ambil dari excel (catatan ini jangan ikut di print)



DAFTAR HADIR



Rembuk Stunting Kalurahan Konvergensi Pencegahan dan Penanganan Stunting Hari/Tanggal Pukul Tempat NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28



: ............................. : ............................. : .............................



NAMA



P/L



ALAMAT



TANDA TANGAN



29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



....................., .......... 2020



(.......................................)



Notulensi Rembuk Stunting Kalurahan Konvergensi Pencegahan Stunting



Hari/Tanggal : .............................. Pukul : ..............................



Tempat Notulen



: .............................. : ..............................



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