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Counseling of Balanced Nutrition as an Effort to Increase Mother's Knowledge on Preventing Malnutrition (Case Study in Mojo Village, Kalitidu District, Bojonegoro Regency) Panjaitan, Christin; Astutik, Erni
Media Gizi Kesmas Vol 10 No 2 (2021): MEDIA GIZI KESMAS (DECEMBER 2021)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v10i2.2021.222-228

Abstract

ABSTRACTBackground: Malnutrition is a nutritional problem in children under five that still occurs today, including in Indonesia. East Java is one of the province that contributes quite a lot of malnourished children under five. Long-term malnutrition will impact the quality of human resources.Objective: To analyze the relationship between providing balanced nutrition counseling with the increase of mother's knowledge to prevent malnutrition.Methods: The method used in this study is Quasi Experiment with one group pre-test and post-test design. The sampling technique is the total sampling method, the sample are all mothers who have children under five in Mojo Village, Kalitidu District, Bojonegoro Regency as many as 42 people. Mojo Village was selectedpurposively. The dependent T-test was used to measure the differences of the mother's knowledge level before and after the education being given. The response rate of this study is 71.4%.Results: The results showed that at the beginning of the session before the counseling being given, 50% of mothers had good knowledge, sufficient knowledge 40%, and lacked knowledge 10%. After the counseling was carried out, 60% of mothers had good knowledge and sufficient knowledge 40%. The mean score before counseling was 67.33 ± 15.30 and after counseling, it changed to 72.00 ± 9.90 (P <0.05).Conclusion: The provision of balanced nutrition counseling in Mojo Village is significantly associated with the increase of mother's knowledge to prevent malnutrition. The Nutritionist in Puskesmas and Posyandu cadres have an important role in providing nutrition education to mothers to prevent malnutrition.Keywords: balanced nutrition, counseling, knowledge, malnutrition
Epidemiologi Deskriptif Tuberkulosis di Kota Surabaya Tahun 2018-2022 Rahmahdia, Asti Alya; Sari, Siti Shofiya Novita; Astutik, Erni
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.652-658

Abstract

Background: Tuberculosis (TB) remains a top-ranking communicable disease in terms of morbidity and mortality factors in Indonesia. Surabaya city has the highest TB cases in East Java in 2022, with a prevalence rate of 355 per 100,000 population. Objectives: This study will provide an overview of tuberculosis cases in Surabaya City from 2018 to 2022. Methods: The research employs a descriptive approach using an ecological study design. The aggregate data sourced from the Surabaya City Health Office's reports, with the analysis unit being the sub-district, are utilized in this study. Other articles serve as comparative sources for the findings in this research. Results: Throughout the years 2018 to 2022, the spread of TB was higher in males than females, with a prevalence exceeding 53%. Based on regions, the prevalence of TB varies across different areas and does not always correlate with regions with high population and density. In terms of time, there was an increase in TB cases before and after the COVID-19 pandemic which is in 2021, there were 4,628 TB cases, which then rose to 8,218 cases in 2022. Conclusion: TB cases burden in Surabaya City among males during 2018-2022 surpassed females, attributed partly to lifestyle choices and smoking, while population density isn't always the primary factor in TB prevalence due to its multifactorial nature; moreover, the resurgence of TB cases post-pandemic doesn't necessarily signify negativity, as it might indicate improved TB case reporting compared to the COVID-19 pandemic period.
Hubungan Karakteristik Individu, Komunikasi Pendidikan Seksual, Perilaku Hubungan Seksual, dan Akses Informasi dengan Tingkat Pengetahuan HIV/AIDS pada Remaja Laki-laki di Indonesia Awanis, Tisara Syafira; Astutik, Erni; Sholihin, Hamzah Yasfi Akbar
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.740-749

Abstract

Background: By the end of 2022, it was recorded that 39 million people worldwide having HIV, with higher transmission and mortality rates among men. Data in Indonesia in 2022 showed 58.95% of 52,955 HIV cases and 74.46% of 9,905 AIDS cases in Indonesia were male. Based on UNICEF data, 2.8 million adolescents and childrens have HIV. The level of HIV knowledge among male adolescents is lower than female adolescents, where low knowledge about HIV is a major factor in the high prevalence of HIV in adolescents Objective: This study aims to understand the relationship between individual characteristics, sexual education communication, sexual behavior, and access to information on the level of knowledge about HIV/AIDS among Indonesian male adolescents. Methods: The study used quantitative methods with secondary data from the Indonesia Demographic Health Survey (IDHS) in 2017, the dependent variable was the level of knowledge about HIV/AIDS and the independent variables consisted of age, residence, highest level of education, sex education communcation with others, history of sexual intercourse, and history of access to information through radio, TV, newspapers or magazines, and the internet. Analysis using STATA 14 application. Bivariate analysis used chi-square and multivariate analysis used multiple logistic regression. Results: Age, residence, highest level of education, sex education communication with others, history of sexual intercourse, listening to the radio, using the internet, and reading newspapers or magazines have an association with the level of HIV/AIDS knowledge of male adolescents. Based on multivariate analysis, respondents aged 20-24 years, living in urban areas, not communicating about sex education with others, having had sexual intercourse, listening to the radio, using the internet, and reading newspapers or magazines at least once a week had higher odds of having a high level of knowledge about HIV/AIDS. Conclusion: Communication with the right person directly can avoid misinformation. Sexual  experience can broaden understanding of HIV/AIDS, including basic knowledge about prevention and potential impacts, before engaging in it. One of the main sources of knowledge is information, by accessing various HIV/AIDS information through radio, internet use or reading newspapers and magazines, can increase the level of HIV/AIDS knowledge.
SOCIOECONOMIC INEQUALITIES, WATER, SANITATION, HYGIENE AND DIARRHEAL DISEASE AMONG CHILDREN UNDER FIVE YEARS IN INDONESIA: Ketimpangan Sosial Ekonomi, Air, Sanitasi, Kebersihan dan Penyakit Diare Pada Anak di bawah Lima Tahun di Indonesia Astutik, Erni; Tama, Tika Dwi
Jurnal Berkala Epidemiologi Vol. 12 No. 2 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I22024.143-151

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Background: Diarrheal diseases are still a serious digestive tract infection in Indonesia. The geographical areas with lower socioeconomic inequalities and water, sanitation and hygiene (WASH) contribute to incline diarrheal disease among children under 5 years old. Purpose: This study aimed to map the distribution of diarrheal diseases among children under 5 years old and identify areas with higher risk in socioeconomic status and WASH. Methods: This study used secondary spatial data repository from Indonesia Demographic Health Survey 2017. This study used ecological approach to provide visual geographic distribution of diarrheal diseases among children under 5 years old, as well as to identify the risk based on the socioeconomic inequalities and WASH. The map production was performed by GIS software. Results: We found that provinces with higher percentage of diarrheal diseases in children also had higher percentage of population with the lowest socioeconomic status. Additionally, the provinces which had higher unimproved drinking water sources, unimproved sanitation facility, and limited handwashing facility, had the higher percentage of diarrheal disease among children under 5 years. Conclusion: The percentage of the lowest socioeconomic status and unimproved WASH might contribute to incline the percentage of diarrheal disease among children under 5 years. The government needs to consider the geographical area to decrease the diarrheal diseases among children under 5 years.
VITAMIN A SUPPLEMENTATION COVERAGE AND PREVALENCE OF MALNUTRITION STATUS AMONG TODDLERS IN SIDOARJO, INDONESIA: Cakupan Pemberian Vitamin A dan Kejadian Status Gizi Buruk pada Balita di Sidoarjo, Indonesia Ghanynafi, Abdullah; Novita Sari, Siti Shofiya; Astutik, Erni; Farihatin Hasanah, Ganjar Nailil
Jurnal Berkala Epidemiologi Vol. 12 No. 2 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I22024.214-221

Abstract

Background: A toddler's nutrition status is an essential indicator of public welfare, and the occurrence of malnutrition leads to severe problems that impact child growth development. Purpose: This research aims to understand the coverage correlation of giving vitamin A with the occurrence of malnutrition among toddlers in Sidoarjo regency. Methods: The researchers used ecological study methods followed by the usage of secondary data retrieved from Sidoarjo's Regency Health Profile in 2020-2022 with a sub-district analysis unit. Vitamin A coverage and the nutrition status amount by sub-district were visualized on the map using QGIS. Pearson's correlation test was used to find out the correlation between coverage of giving vitamin A and nutrition status. Results: The findings show that there are none of the significant correlations found between giving vitamin A and the occurrence of malnutrition in toddlers, which tends to increase annually. Conclusion: Therefore, it can be concluded that there is no significant correlation between the coverage of vitamin A and the occurrence of malnutrition among toddlers, which indicates there are a few factors and risks that play an essential role in participating in the impact of malnutrition status among toddlers in Sidoarjo regency. 
Faktor-faktor yang Berhubungan dengan Perilaku Perawatan Diri Eks-Penderita Kusta di Unit Pelaksana Teknis Rehabilitasi Sosial Eks-Penderita Kusta Nganget, Tuban, Jawa Timur Astutik, Erni; Kiptiyah, Nuning Maria
Jurnal Epidemiologi Kesehatan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Kusta adalah penyakit kronis, disebabkan oleh Mycobacterium leprae dan menyebabkan cacat jika tidak dilakukan perawatan diri. Kabupaten Tuban merupakan daerah di Jawa Timur dengan kasus kusta dan cacat tingkat 2 yang tinggi. Tujuan penelitian ini adalah untuk mengetahui gambaran dan faktor-faktor yang berhubungan dengan perilaku perawatan diri eks penderita kusta yang tinggal di Unit Pelaksana Teknis Rehabilitasi Sosial Eks-Penderita Kusta Nganget, Tuban. Penelitian ini menggunakan desain cross-sectional. Populasinya adalah seluruh eks-penderita kusta di Unit Pelaksana Teknis Rehabilitasi Sosial Eks-Penderita Kusta Nganget dan semuanya diikutkan dalam penelitian sebagai sampel. Pengambilan data dilakukan pada 14-17 Desember, 2011. Hasil menunjukkan bahwa umur rata-rata eks-penderita kusta adalah 56,08 tahun dan telah menderita cacat selama 24,54 tahun. Kebanyakan dari responden menderita jenis Multi Baciller dan memiliki tingkat cacat 2, serta 61,8% dari responden selalu melakukan perawatan diri yang sesuai dengan jenis kecacatannya. Sebagian besar dari responden memiliki pengetahuan dan sikap yang baik tentang perawatan diri. Seluruhnya melaporkan bahwa mereka mendapatkan dukungan yang baik dari petugas kesehatan tetapi tidak baik dalam dukungan keluarga. Unit Rehabilitasi Sosial ini memiliki poliklinik tetapi tidak memiliki kelompok perawatan diri dan responden tidak mendapatkan alat pelindung diri. Hasil dari penelitian menunjukkan bahwa tidak ada hubungan yang signifikan antara perilaku perawatan diri dengan umur, jenis kelamin, lama cacat, dan pengetahuan maupun sikap tentang perawatan diri. Tidak ada hubungan yang signifikan juga ditemukan antara perilaku perawatan diri dengan ketersediaan alat pelindung diri dan dukungan dari keluarga responden. Sebagian besar responden telah melakukan perawatan diri yang baik untuk meminimalisasi tingkat kecacatan lebih lanjut. Semua faktor yang diteliti tidak ada yang berhubungan secara signifikan dengan perilaku perawatan diri eks penderita kusta. Petugas kesehatan diharapkan dapat mempertahankan dan meningkatkan pelayanan kesehatan, terutama dalam pemberian informasi mengenai perawatan diri.
Women’s Social Independence and Climatic Factors Affect Stunting among Indonesian Children Astutik, Erni; Li, Mu; Kirkwood, Elizabeth; Zhang, Ying
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Social independence in women, climate change, and stunting are interconnected issues through a series of pathways that can create a cycle of vulnerability and adverse health impacts on children, especially in developing countries. Objective : The aims of this study are to explore the impact of women’s social independence and climate factors on stunting in children under 5 years of age in East Java Province, Indonesia. Research Methods/ Implementation Methods : This study used secondary data from a nationally representative 2023 Indonesian Health Survey sample. Data from 3,928 children under five and their parents were analysed. Descriptive analysis and multivariable logistic regression adjusting for complex sampling design were used to examine the risks of contributing factors, controlling for potential confounders. Results : Children of mothers who had medium and higher social independence showed a reduced risk of stunting incidence, compared to children of mothers who had lower social independence. Stunting decreased by 21.61% for 1°C increase in average temperature. Meanwhile, stunting increased by 12% for 1% increase in average humidity, 0.4% for1 mm increase in average rainfall, and 1% for1 hour increase in sunshine duration. Increased stunting risks were also associated with poor environmental sanitation, diarrheal diseases, and older age. Conclusion/Lesson Learned : The study indicates that women’s social independence can reduce stunting incidence among children under five in Indonesia. While decreased temperature and increased rainfall, humidity and duration of sunshine could bring more stunting incidence in the study population. These findings highlight the importance of developing integrative preventive strategies to reduce stunting among Indonesian children under-5.
Spatial mapping and correlation between healthy home coverage and tuberculosis incidence in Malang district Fatma Lidya Zulfa; Hartati Eko Wardani; Tika Dwi Tama; Anindya Hapsari; Rara Warih Gayatri; Erni Astutik
Public Health and Occupational Safety Journal Vol. 1 No. 1 (2025): Public Health and Occupational Safety Journal (PHOSJ)
Publisher : CV Rezki Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56003/phosj.v1i1.532

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Background: According to the Ministry of Health, 91% of active tuberculosis (TB) cases in Indonesia occur in crowded and slum areas. The Healthy Homes Program under the Healthy Indonesia Indicators (2010) aims to improve housing conditions in such areas to meet health standards. Malang District, with the second-highest housing density in East Java, ranks fifth in TB cases, suggesting residential exposure as a contributing factor. Objectives: This study aims to map trends and examine the correlation between healthy home coverage and TB incidence in the Malang District Health Center Working Area 2019-2021. Methods: The study was conducted in January-April 2023 at the Malang District Health Office with a unit of analysis of 39 health centers. The variables of this study were the coverage of healthy homes and the incidence of BTA-positive pulmonary TB. The study used a mixed ecological study and Pearson correlation test with secondary data from the Malang District Health Office and BPS. Results: TB incidence showed a decreasing trend alongside increasing healthy home coverage. Nine health centers remained in high-incidence zones, and five exhibited poor housing coverage. Correlation analysis revealed a weak, negative relationship (r = -0.084). High TB incidence was still found in areas meeting healthy home criteria. Conclusions: The incidence rate of BTA-positive pulmonary TB in the working area of the Malang District Health Center showed a downward trend for 3 years. Future research using individual data and other specific risk factors that may influence TB incidence is recommended.
Survival Analysis of Brain Tumor Patients: One Year after Surgery Tika Dwi Tama; Nada Syifa; Erni Astutik
Preventia : The Indonesian Journal of Public Health Vol 10, No 1 (2025)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v10i12025p7-15

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Surgery is the most performed procedure to treat brain tumors. However, information about the survival of brain tumor patients after undergoing surgery is still limited in Indonesia. This study aimed to determine 1 year survival in brain tumor patients after undergoing surgical procedures and factors associated with patient survival. A retrospective cohort study was conducted in March until April 2023 with subjects of 46 brain tumor patients who were registered at the Gatot Soebroto Army Hospital and underwent surgical procedures in 2018 until 2022. Data on respondent characteristics (gender and age), clinical conditions (tumor location, stage, and tumor classification), date of surgery, and date of death were obtained from medical records. Kaplan Meier was used to determine the 1 year survival of brain tumor patients after surgery, while Cox Proportional Hazard Regression was used to determine factors associated with its survival. Kaplan Meier analysis showed that 1 year survival in post-operative brain tumor patients reached 80.5 percent. Secondary tumor was known to increase the risk of death in post-operative brain tumor patients (aHR 11.432; 95 percent CI 1.394 until 93.767). There was no significant relationship found between sex, age, tumor location, and tumor stage with brain tumor patients’s survival (p-value more than 0.05). Identification of tumor classification needs to be done correctly and as early as possible so that the patient's prognosis becomes better. The therapeutic approach needs to pay attention to the condition of each patient, especially in cases of secondary brain tumors.
The impact of the COVID-19 pandemic on maternal healthcare utilization in Ngawi regency, Indonesia: an interrupted time-series analysis Qurniyawati, Eny; Putri, Levi Nadila; Ardanila, Dinda; Ririh; Rahmadani, Yasmin Nuriyah; Astutik, Erni; Adam, Hiba; Andriani, Linda
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28305

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Purpose: The burden of COVID-19 threatened the health system and reversed gains in healthcare services. It led to significant disruptions in access and delivery of maternal healthcare. In consequence, the Maternal Mortality Rate (MMR) in Ngawi Regency is 276.9 per 100,000 live births, surpassing the MMR for East Java, and the coverage of maternal health indicators has declined during the pandemic. This study aims to investigate the effect of the COVID-19 pandemic on maternal healthcare in Ngawi Regency, Indonesia. Methods: An Interrupted Time-Series (ITS) design was used to assess the impact of the COVID-19 outbreak on the outcome variable, the number of women who utilized maternal healthcare services. Data were collected from January 1st, 2019, to December 31st, 2021. An interrupted-time series analysis was conducted using an Autoregressive Integrated Moving Average (ARIMA) model. Results: A significant decline of 54 women (95% CI -80.45 to -27.06) in fourth maternal healthcare utilization at pandemic onset. The following reductions were also observed in health-facility delivery and postnatal care utilization: 66 women (95% CI: -112.04 to -20.51) and 106 women (95% CI: -184.60 to -26.49); however, no significant changes in first antenatal care or obstetric-complication treatment at pandemic onset. The statistically significant reductions in fourth antenatal care, health-facility delivery, and postnatal care utilization were 3 (95% CI: -5.14 to -1.67), 7 (95% CI: -11.66 to -1.85), and 11 (95% CI: -15.50 to -5.51) women, respectively. Conclusion: The COVID-19 pandemic has disrupted the fourth antenatal care, health facility delivery, and postpartum care in Ngawi Regency. The disruption due to mobility restrictions, a shift in focus and health resources towards combating COVID-19, and a decrease in the frequency of antenatal care visits.
Co-Authors Abdullah Ghanynafi Adam, Hiba Aini, Erlin Qur'atul Akhyudi, Dewi Muthia Charissa Alfaruq, Muhammad Fikri Alfiana Miranda Nur Afifah Amelia, Vira Andriani, Linda Anindya Hapsari Ardanila, Dinda Arge Wada, A A Arjun Arief Hargono Arini , Shintia Yunita Armya Zakiah Safitri Arwan Setyo Nugroho Asti Alya Rahmahdia Atik Choirul Hidajah Atik Choirul Hidajah Atmaka , Dominikus Raditya Aussie Tahta Maharani Awanis, Tisara Syafira Ayik M. Mandagi Ayuningtyas , Nurul Chatarina Umbul Wahyuni Choirunnisa’ , Aulia Corie Indria Prasasti Desak Made Sintha Kurnia Dewi Desak Made Sintha Kurnia Dewi Dewi Puji Ayuningrum Dewi, Desak Made Sintha Kurnia Diah Indriani Dian Kusuma Diansanto Prayoga Dwi Gayatri Eny Qurniyawati Erlin Qur’atul Aini Fadilla, Chusnul Fakhrur, Latifah Farapti Farapti Farihatin Hasanah, Ganjar Nailil Fatma Lidya Zulfa Feletto, Marta Ferry Efendi Gayatri Ayodhya Gayatri, Dwi Geofrey Ssekalembe Ghanynafi, Abdullah Halimah Firdaus Hapsari, Ratna Budi Hario Megatsari Hariyani, Rizki Putri Hartati Eko Wardani Hayunda Fajri Sholikhah Hidayatullah BW, Nur Mutiara Husnah Hodimatum Mahiroh Ismail, Wan Ismahanisa Ismiyanti, Ayudita Ismiyanti, Ayudita Jayanti Dian Eka Sari, Jayanti Dian Kashif, Muhammad Taaha Khan, Rukhsana Khokar, Ammad Kiptiyah, Nuning Maria Kirkwood, Elizabeth Kurnia Dwi Artanti Kurnia Sari, Rike Sinta LAILATUL MAGHFIROH Laili, Nur Afi Lailiyah, Syifa'ul Laura Navika Yamani Li, Mu Lutfandini, Cherlys Tin Mandagi, Ayik Mirayanti Manurung, Imelda F E Manurung, Imelda Februati Ester Maulana, Firdausy Kurnia Miftahatur Rizqiyah Kurniawati Mursyidul Ibad Nada Syifa Nadzifah, Yasmin Nihayatun Nilam Yusika Sari Noerfitri, Noerfitri Novia Indah Puspitasari Novia Indah Puspitasari Novita Sari, Siti Shofiya Nuning Maria Kiptiyah Nursalam Nursalam Nurul Ratna Mutu Manikam Panjaitan, Christin Prastika, Milistia Kristi Puspasari, Devi Puspikawati, Septa Indra Puspikawati, Septa Indra Puspitasari, Novia Indah Putri , Maurilla Shafira Putri Bungsu Machmud Putri, Diana Rohmandani Putri, Levi Nadila Putri, Maurilla Shafira Qona'ah , Arina Qona'ah, Arina Rahmadani, Yasmin Nuriyah Rahmahdia, Asti Alya Rahmasuciani Putri Randy Novirsa Rara Warih Gayatri Ririh Risna Nur Fajariyah Rita Damayanti Rizky Hariyani Rizky Putri Hariyani Rochmad Ardiansyah Pratama Rochmad Ardiansyah Pratama Rukhsana Khan Safarudin, Rudi Salsabila , Annisa Clara Salsabila, Annisa Clara Santi Martini Sari, Rike Sinta Kurnia Sari, Siti Shofiya Novita Sebayang, Susy Katikana Selena Vita Amanda Septa Puspikawati Septa Ria Agina Perangin Angin Shodiqurrosyad, A. Shofiya Novita Sari, Siti Sholihin, Hamzah Yasfi Akbar Siga, Wilibaldus Julian Sigit Ari Saputro Siti Qamariyah Khairunisa, Siti Qamariyah Siti Rahayu Nadhiroh Siti Shofiya Novita Sari Sitohang, R. Vensya Ssekalembe, Geofrey Surya, Asik Susy Kartikana Sebayang Susy Sebayang Syahla 'Asilah Syaiful Imam Gozali Syifa'ul Lailiyah Syifa, Nada Tayab, Konain Thoriq Izza Nugrahedi, Fadel Tika Dwi Tama Wan Ismahanisa Ismail Wigunawanti, Rezandra Anggita Ximenes, Yohanes Yasmin Nihayatun Nadzifah Yasmin Nihayatun Nadzifah Ying Zhang Yuda Mustakim Zayyin Dinana Zida Husnina