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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Didik Gunawan Tamtomo
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta Tri Puji Pangesti; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­pangesti8@gmail.com. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05. 
The Effectiveness of Melati Book Program to Improve Healthy Behavior and Reduce Blood Pressure in Hypertensive Patients at Sidorejo Kidul Community Health Center in Salatiga Ony Suciati; Didik Gunawan Tamtomo; Prawito Prawito
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: 319 cases of hypertension pati­ents occurred in the community health center in the last 2 years throughout 2019 and 256 cases up to March 2020. Therefore, fighting hypertension was one of the main programs at Sidorejo Kidul Community Health Center. This program was realized by publishing and distri­buting Melati Book or Books Against Hyper­tension to hypertension patients. However, the hospital has never conducted a study on whether the distribution of the Melati Book was effective in fighting hypertension in patients in Sidorejo Kidul Community Health Center.Subjects and Method: The study method was Quasi-experiment. This study used a random-number method to obtain the sample. A sample of 150 hipertensive patients was classified into 2 groups: 75 patients were in the intervention group and 75 other patients were in the control group. The data were analyzed by t-test.Results: After intervention, mean score of healthy behavior in the intervention group (Mean= 3.57; SD= 0.10) was higher than the control group (Mean= 0.49; SD= 0.19) and it was statistically significant (p<0.001). After intervention, mean score of systolic blood pressure in the intervention group (Mean= -32.59; SD= 1.02) was lower than the control group (Mean= -6.83; SD= 1.02) and it was statistically significant (p<0.001).Conclusion: Melati book can be used to improve the healthy behavior and reducing blood pressure in hypertensive patients at Sidorejo Kidul Community Health Center in Salatiga.Keywords: melati book, healthy behavior, decrease in blood pressureCorrespondence: Oni Suciati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ony­suci­ati975@gmail.com. Mobile: 081327073562.Journal of Health Promotion and Behavior (2020), 06(04): 264-271https://doi.org/10.26911/thejhpb.2020.05.04.04. 
The Effect of Bullying on Depression in Adolescents: A Meta-Analysis Fitriah Fitriah; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Promotion and Behavior Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Bullying can cause feelings of insecurity in adolescents with reduced social support and the need for acceptance in the environment and peers is not fulfilled. 16.8% of teenagers who are involved in cyberbullying have a risk of depression. Depressive disorders are common in adolescents, with a prevalence approaching 5.6% in adulthood. This study aims to examine the effect of bullying on depression in adolescents.Subjects and Method: This research is a meta-analytical study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Science Direct and ProQuest. The articles used in this study are articles that have been published from 2010-2021. The research data search process used the search words “bullying and depression”, “bullying and depression and adolescent and cross-sectional study”, “bullying and depression and adolescent and cross-sectional study and adjusted odd ratio”.Results: The results of the meta-analysis study in this study contained 9 articles consisting of Saudi Arabia, Malaysia, Seychelles, United States, Massachusetts, Bosnia and Canada. Bullying can increase the risk of depressive disorder in adolescents (aOR= 2.43; 95% CI= 1.87 to 3.15; p<0.001).Conclusion: Bullying affects the risk of depression in adolescents.Keywords: teens, bullying, depressionCorrespondence: Fitriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: fitriahbaharuddin@gmail.com. Mobile: +6282350701936.Journal of Health Promotion and Behavior (2021), 06(02): 112-121DOI: https://doi.org/10.26911/thejhpb.2021.06.02.04
Meta-Analysis the Effect of Family-Based Intervention in Increasing Quality of Life in Diabetes Mellitus Patients Novita Herlita Dewi; Didik Gunawan Tamtomo; Rita Benya Adriani
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: An increase in type 2 diabetes and related risk factors, which include increased rates of obesity, an unhealthy diet, and a lack of physical activity. One category of intervention to prevent diabetes in adults that has developed rapidly in recent years is family-based intervention. The family is also the party that helps each member in maintaining health, such as meeting the needs of eating, drinking, bathing, resting, recreation, sports, and others. This study aims to estimate the magnitude of the effect of family-based intervention on improving the quality of life of patients with diabetes mellitus.Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The PICOs of this study are, Population: diabetes mellitus patients, Intervention: family-based intervention, Comparison: not family-based intervention, Outcome: quality of life. The keywords used are “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household-based intervention” AND “quality of life” AND “diabetes mellitus” AND RCT OR “randomized controlled trial” OR “cluster-randomized controlled trial. The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the measure of the relationship used was Mean SD, the intervention given was family-based intervention, the research subjects were patients with diabetes mellitus. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 10 articles showed the results of Family-Based Intervention (SMD 0.23; 95% CI= -0.08 to 0.53; p=0.140).Conclusion: Family-Based Intervention has an effect on improving the quality of life of patients with diabetes mellitus.Keywords: family-based intervention, quality of life, diabetes mellitus, Meta-AnalysisCorrespondence:Novita Herlita Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dnovitaherlita@gmai.com Mobile: 081311426454Journal of Health Promotion and Behavior (2021), 06(03): 212-223DOI: https://doi.org/10.26911/thejhpb.2021.06.03.05
The Effectiveness of Electronic Health Uptake in Diabetes Mellitus Patients: A Meta-Analysis Eni Nur Rahmawati; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. The cause of the increase in blood sugar levels is the basis for grouping the type of Diabetes. This study aims to examine the effectiveness of the use of electronic health in patients with diabetes mellitus.Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study were patients with diabetes mellitus. Intervention in the form of the use of electronic health. Comparison in the form of direct consultation. The outcome is a decrease in HbA1c levels. Meta-analytical studies were applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and ProQuest. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 9 articles used in this study with a total sample of 1.137 people who were divided into two groups (568 people in the electronic health group and 569 people in the direct consultation group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean difference (SMD) and the heterogeneity of the research sample.Results: There was a high heterogeneity between one experiment and another (I2=91%; P<0.001) so the Random Effect Model (REM) was used. The use of Electronic Health help reduces HbA1c levels with Standardized Mean Different (SMD) by 0.39 compared to direct consultation (SMD= -0.39; 95% CI = -0.79 to -0.01; p=0.050).Conclusion: The use of electronic health help reduces HbA1c levels in diabetes mellitus patients with Standardized Mean Different (SMD) by 0.39 compared to direct consultation.Keywords: Electronic Health, Diabetes Mellitus, HbA1cCorrespondence:Eni Nur Rahmawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: eninur_rahma@udb.ac.id. Mobile: +6285743748528.Journal of Health Promotion and Behavior (2021), 06(03): 176-187DOI: https://doi.org/10.26911/thejhpb.2021.06.03.02
Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java Nia Handayani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.Keywords:work performance, work stress, leadership style, community health centerCorrespondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.Journal of Health Policy and Management (2020), 5(2): 152-161https://doi.org/10.26911/thejhpm.2020.05.02.08
Implementation of Hospital Occupational Health and Safety Regulations to Minimize Occupational Accidents at the Sultan Agung Islamic Hospital, Semarang Radit H. Mayangkara; Achmad Arman Subiyanto; Didik Gunawan Tamtomo
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Sultan Agung Islamic Hospital Semarang, which is one of the providers in the health sector, has complex and continuous activities which in turn have the potential to cause various impacts and risks, such as work accidents, nosocomial infections, and occupa­tional diseases. Therefore, more detailed obser­vations are needed on the enforcement of occupational health and safety regulations to minimize these impacts. This study aims to determine the application of occupational health and safety hospital regulations to mini­mize work accidents at Sultan Agung Hospital, Semarang.Subjects and Method: This study was con­ducted using a qualitative approach. The key informants in this study were the Director of the Sultan Agung Islamic Hospital totaling 1 person and the supporting informants were the field staff of the Sultan Agung Hospital totaling 17 people. Data collection techniques were carried out by direct observation, question­naires and focus group discussions. The data analysis technique used in this study is Narrative Analysis.Results: This study was conducted using a qualitative approach with data collection techniques by direct observation, question­naires and focus group discussions.Conclusion: Regulations are still drawn up sectorally by various agencies that regulate occupational health and safety in hospital so that efforts to minimize the number of work accidents are quite difficult. Keywords: occupational health and safety, Sultan Agung Islamic Hospital, work accidentsCorrespondence: Radit Hartantyo Mayangkara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: raditmayangkara@gmail.com. Mobile: (+62)8122938885.Journal of Health Policy and Management (2021), 06(03): 160-167https://doi.org/10.26911/thejhpm.2021.06.03.01
Health Service Quality Management at dr. Siswanto Air Force Hospital, Colomadu, Karanganyar, Central Java Dwi Marwanto; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Patient satisfaction is an important indicator of health care success. Patients assess the quality of service received based on their satisfaction with the services provided. The purpose of this study was to describe the quality management of health services at dr. Siswanto Air Force Hospital (RSAU) Colomadu, Karanganyar.Subject and Method: This study is a qualita­tive study with a descriptive approach. The study was conducted from March to May 2021. The data for this study were taken from two sources, namely internal hospitals as health service providers and the community as users of health services. Informants in this study were the director of the dr. Siswanto Air Force Hospital, staff of dr. Siswanto Air Force Hos­pital, and 7 patients who used health services at dr. Siswanto Air Force Hospital. Data was collected by means of in-depth inter­views, observations, documents and focused group discussions. The data analysis techniques carried out were data reduction, data display and conclusion and also verification.Results: The quality of health services from the side of health service users (patients) showed that dr. Siswanto Air Force Hospital has good quality health services based on the following aspects: (1) reliability: patient regis­tration services, admi­nistrative management, provision of treatment rooms that are fast and easily accessible to patients, (2) assurance: health personnel have a polite, friendly, and res­pectful attitude towards patients, (3) tangible: the hospital room is comfortable, the staff is neat and clean, and medical equipment is complete, clean, and ready to use, (4) empathy: the officer gives special attention to patients and patient complaints, and there is no diffe­rence in atti­tude and treatment in general patient care and insurance, and (5) responsi­veness: there is good communication from hospital staff to patients and quick action if the patient needs immediate help.Conclusion: The quality of health service management at dr. Siswanto air force hospital fulfills the criteriaof reliability, assurance, tangible, empathy and responsiveness.Keywords: Management of health services, quality of health servicesCorrespondence: Dwi Marwanto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dwiantox74@gmail.com. Mobile: 082138064130.Journal of Health Policy and Management (2021), 06(03): 182-189 https://doi.org/10.26911/thejhpm.2021.06.03.03
Meta-Analysis: Intervention Using Midfulness Training to Reduce Burnout in Medical Doctors Maika Ratri; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Burnout is one of the mental health problems caused by a high workload that causes excessive stress characterized by symptoms such as anxiety and even depression, because of the seriousness of this burnout problem, the WHO classifies burnout as a disease. Burnout is a very serious problem in many countries, so efforts are needed to prevent and/or reduce the negative consequences and impacts of burnout syndrome. One of the interventions that can be done to achieve this is using the mindfulness method. This study aims to examine the effectiveness of mindfulness in reducing burnout levels in doctors.Subjects and Method: This meta-analysis study was conducted using PICO as follows: The population is doctors (general and specialist) who work in hospitals. Intervention is mindfulness. Comparison in the form of mindfulness therapy. The outcome is a low level of burnout. Sources of meta-analysis studies were accessed using: Clinical Key, Google Scholar, MEDLINE/PubMed, Science Direct. The articles used in this study are full-text articles with a Randomized Controlled Trial (RCT) study design. This meta-analysis used 10 articles with a total sample of 539 doctors who were divided into two groups (mindfulness group and no mindfulness group). Analysis of the data using the application Review Manager 5.4.1. The purpose of this study was to determine the Standardized Mean difference (SMD) and heterogeneity in the study sample.Results: The results showed that this study was homogeneous (I2=47%; P<0.001) so the Fixed Effect Model (FEM) was used. Mindfulness intervention was effective in reducing burnout levels in doctors 0.20 units lower than without using mindfulness and the results were statistically significant (SMD -0.20; 95% CI -0.37 to -0.03; p=0.020).Conclusion: Mindfulness is effective in reducing burnout levels in doctors 0.20 units lower than without using mindfulness and the results are statistically significant. Keywords: mindfulness, burnout, doctor.Correspondence: Maika Ratri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: ratrim.mr@gmail.com.Mobile: +6285702081870.Journal of Health Policy and Management (2022), 07(01): 24-33https://doi.org/10.26911/thejhpm.2022.07.01.03
Meta-Analysis the Effect of Electronic Health Record Utilization on Mortality and Readmission Desi Syahbaniar; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: The development of technology shows a very rapid development, especially in the health sector. One example of the use of technology in the health sector is the electronic health record. Electronic health records provide several benefits, one of which can reduce mortality and readmission rates in patients. The purpose of this study was to estimate the effect of electronic health records on mortality and readmission rates by metaanalysis.Subjects and Method: This was a metaanalysis study using PRISMA flowchart guidelines. The article search process was carried out between 20112022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P = patients with asthma. I= using internetbased selfmanagement. C= without using internetbased selfmanagement. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internetbased selfmanagement, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 13 articles spread across 2 continents, namely Asia (Taiwan, Singapore, and South Korea) and North America (South America). Articles reviewed in the metaanalysis showed that electronic health records had an effect on reducing mortality by 0.74 times compared to those without using electronic health records (aOR= 0.74; 95% CI= 0.64 to 0.86; p<0.001). In addition, it was also found that electronic health records had an effect on reducing readmission by 0.77 times compared to without using electronic health records (aOR= 0.77; CI 95%= 0.62 to 0.95; p= 0.010)Conclusion: The application of electronic health records has an effect on reducing mortality and readmission rates.Keywords: Electronic health record, mortalitas, readmissionCorrespondence: Desi Syahbaniar. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: desiniar15@gmail.com. Mobile: +6287708465646Journal of Health Policy and Management (20220, 07(02): 103-111https://doi.org/10.26911/thejhpm.2022.07.02.02
Co-Authors Achmad Arman Subiyanto Alfian Muhajir Alfiana Nur Rohmani Alifia Nadhimah Putri Alwan Dhafi Umar Angga Ferdianto Anisa Andriani Annissa Devi Permata Argyo Demartoto Attila Yulaicha Advendila Siregar Ayu Trisni Pamilih Ayun Widya Rizki Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhre diansyah dinda khalifatulloh Desi Syahbaniar Dewi Shinta Dewi Utary Dwi Marwanto Dyah Mubarokah Ahadiyati Eka Miftakhul Jannah Emirza Nur Wicaksono Endang Sutisna Sulaeman Eni Nur Rahmawati Eti Poncorini Pamungkasari Fitriah Fitriah Galuh Ayu Dyah Prameswari Hakim Anasulfalah Hanung Prasetya Hanung Prasetya Hanung Prasetya Isna Nur Rohmah Joko Budiyono Khairunissa Khairunissa Lisa Safaah Novia Larsiani Maika Ratri Mashaf Fahrur Murdo Furqon Natalia Prisca Ibrahim Nia Handayani Noor Alis Setiyadi Novita Herlita Dewi Ony Suciati Prawito Prawito Qumara Wilda Khulwani Rachmawaddah Yolanda Radit H. Mayangkara RB Soemanto Rela Hastuti Rendi Adiansa Revi Gama Hatta Novika Reza Widiantoro Rita Benya Adriani Rizky Nur Aprilianti Amalia Rofana Aghniya Septa Santiya Arini Setyo Sri Rahardjo Sumardiyono Tri Puji Pangesti Tria Fora Delfita Viola Fathia Irwan Virdaria Andriani Vitri Widyaningsih Wardhatul Livia Widya Kurnianingsih Yeocelin Mega Pratiwi Yunita Rusdiyanti