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Hubungan Pelatihan, Beban Kerja, Motivasi dan Kepuasan Kerja dengan Kinerja Tenaga Kesehatan dalam Penemuan Kasus TB Ronny Setiawati; Ratno Adrianto; Iwan M. Ramdan
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.733

Abstract

Tuberculosis (TB) cases detection is one of the main interventions in addressing this health problem, which the high or low rate of case detection can be brought on by several causes, such as the lack of performance of healthcare workers in detecting TB cases. The objective of this research was to examine how the performance of healthcare workers in detecting TB cases is related to training, workload, motivation, and job satisfaction. This quantitative research was conducted using a cross-sectional approach. Overall, a total of 77 health workers from Samarinda Public Health Center became the sample. The results of the chi-square test indicated that there was no relationship between training and the performance of TB healthcare workers. However, there was a relationship between the performance of TB healthcare workers and workload (p=0.043), motivation (p=0.000), and job satisfaction (p=0.000). The factor that significantly influenced the performance of TB healthcare workers was job satisfaction. Organizational leaders were expected to enhance employee satisfaction by providing a pleasant workplace.
Performance Evaluation of Tim Pendamping Keluarga (TPK) in theAccelerated Stunting Reduction Programme within Kutai KartanegaraRegency in 2024 Dewi Endah Ramadhani; Ike Anggraeni G Anggraeny; Ratno Adrianto
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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Abstract

Background : Stunting is a condition of impaired growth in children under five (toddlers) resulting from chronic malnutrition and recurrent infections. This condition adversely affects the development of cognitive and physical abilities. Stunting prevention necessitates a multisectoral approach, including improvement in nutrition, hygiene and sanitation, maternal and child health, and socioeconomic factors. The main challenge of controlling stunting is the complexity of its determinants, including direct factors such as inadequate nutritional intake and indirect factors such as poverty and low education (Black et al., 2013; UNICEF, 2019). Objective : The objective of this study is to assess the efficacy of Tim Pendamping Keluarga (TPK) in executing the accelerated stunting reduction program in Kutai Kartanegara Regency in 2024 Research Methods/ Implementation : a quantitative descriptive approach, utilizing monitoring data, TPK output achievements, and verification across districts and sub-districts ResultsThe analysis revealed the highest accompaniment rate for children under two at 86.84%, followed by at-risk prospective spouses at 81.45%, postpartum women at 71.62%, and the lowest for pregnant women at 25.32%. The Pearson correlation between the target numbers and those who were affected is quite strong for children under two (R=0.99), spouses (R=0.98), and postpartum women (R=0.95), and lower for pregnant women (R=0.76), indicating implementation gaps in accompaniment for pregnant women. The synergy of KRS (At-Risk Families) data collection and verification through Elsimil, together with cross-sector collaboration, contributed to a reduction in the stunting prevalence in Kutai Kartanegara (from 27.1% in 2022 to 14.3% in 2024), although increasing accompaniment coverage for pregnant women remains a priority for improvement, with Kutai Kartanegara serving as a leading example in East Kalimantan. Conclusion/Lesson Learned : Nevertheless, optimizing TPK resources remains a major concern. Accompaniment coverage for pregnant women must be strengthened in parallel with other targets, supported by TPK training or capacity building, supervision, and improvements in data integration systems so that the Kutai Kartanegara accompaniment model can be adopted as a national best practice for stunting reduction.
Analysis of Factors Related to Employee Satisfaction at Rural HealthCenters in Samarinda Ashri Budi Astuti; Ratno Adrianto; Irfansyah Baharuddin pakki
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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Abstract

Background : Job satisfaction is an important goal in Human Resources management because it directly and indirectly impacts work productivity. Employee job satisfaction directly impacts organizational commitment, where employees who are satisfied with their work, colleagues, pay, and superiors are more likely to be highly dedicated to the organization Objective : The purpose of this study was to analyze factors related to employee job satisfaction at Rural Community Health Centers in Samarinda. The research method used was quantitative with a cross-sectional approach. The study population consisted of 179 employees, and the sample size was determined by purposive sampling, with 138 employees. Data were collected using a questionnaire with a Likert scale Results : The results of the bivariate analysis showed a relationship between income and job satisfaction among Rural Community Health Center employees in Samarinda, with a p-value of 0.00. In addition, the work policy variable also shows a relationship with job satisfaction with a p value of 0.00. Conclusion/Lesson Learned : There is a relationship between income and work policies with employee job satisfaction in rural community health center employees in Samarinda.
Maternal Mortality Analysis Through AMP-SR Review in East  Kalimantan Province, Indonesia, 2023–2024 Ari Utari; Ratno Adrianto; Ike Anggraeni Gunawan
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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Abstract

Background : Maternal mortality remains a major public health challenge in East Kalimantan Province, despite a decline in reported cases from 83 deaths in 2023 to 74 deaths in 2024. Objective : This study aimed to describe the pattern of maternal deaths based on maternal characteristics, timing and place of death, and to analyze preventable factors through the Audit Maternal Perinatal Surveillance and Response (AMP-SR) approach. Research Methods/ Implementation Methods : A descriptive-analytic case series design was applied using secondary data from the East Kalimantan Maternal Perinatal Death Notification (MPDN) database for 2023–2024. Results : The results revealed that more than 51% of deaths occurred during the postpartum period and 77% took place in hospitals, indicating the predominance of Delay 3 (delays in receiving adequate care). Analysis of modifiable factors showed that most deaths were preventable through improvements in the quality of obstetric services, increased antenatal care (ANC) compliance, and strengthened referral and postnatal follow-up systems. The major risk factors included delays in family decision-making, weak interfacility referral coordination, and inadequate case management at referral hospitals. Conclusion/Lesson Learned : These findings highlight that reducing the Maternal Mortality Ratio in East Kalimantan requires the completion of 100% AMP-SR case reviews, the strengthening of Postnatal Care (PNC) implementation, and the enhancement of Emergency Obstetric and Neonatal Care (EmONC) capacity across all levels of healthcare facilities.
Community Satisfaction Index on Public Service Performance of UPTDLabkesda Samarinda Eko Prasetya Budi; Ratno Adrianto; Ike Anggraeni Gunawan
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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Abstract

Public service satisfaction surveys are an essential instrument for evaluating the quality and performance of government institutions in delivering public services. The Regional Health Laboratory Unit (UPTD Labkesda) of Samarinda City periodically conducts Community Satisfaction Surveys (CSS) to assess public perceptions, identify strengths and weaknesses in service delivery, and ensure compliance with the service quality standards established under Ministerial Regulation of PANRB No. 14 of 2017 on Guidelines for Conducting Community Satisfaction Surveys. Objective : The study aims to measure the level of community satisfaction with the services provided by UPTD Labkesda Samarinda during the first semester of 2025 and to identify service elements that require improvement to enhance the overall quality and efficiency of public health laboratory services. Research Methods/ Implementation Methods : A descriptive quantitative approach was employed using a structured survey method. Respondents rated nine service elements using a four-point Likert scale, and the results were processed to obtain the Community Satisfaction Index (CSI) Results : The survey results show that the Community Satisfaction Index reached 87.28, categorized as “Satisfactory.” This indicates that most respondents perceive the services as effective, professional, and aligned with their expectations. Conclusion/Lesson Learned : The findings reveal that UPTD Labkesda Samarinda has successfully maintained a high level of public satisfaction through consistent service quality, competent staff, and adequate facilities. Continuous efforts in staff development, process optimization, and community feedback mechanisms are essential to sustain and further improve service outcomes.
Achievement of capitation indicators based on Performance (kbk) bpjs at puskesmas makroman Samarinda Dwi Listiyani; Ratno Adrianto; Irfansyah Baharuddin Pakki
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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Abstract

Background: The National Health Insurance Program (JKN) applies Performance-Based Capitation (KBK) to improve efficiency and service quality at primary health facilities. Makroman Health Center, however, has not consistently met key indicators—contact rate, controlled Prolanis participants, and non-specialistic referral ratios—affecting both service quality and capitation funding. Evidence on KBK implementation in semi-urban primary care settings remains limited.ObjectiveTo describe the achievement of the three KBK indicators—contact rate, controlled Prolanis participant ratio, and non-specialistic referral ratio—and analyze their implications for capitation payments at Makroman Health Center, Samarinda, during 2022–2024. Research Methods / Implementation Methods : This descriptive observational study used secondary quantitative data from BPJS Health and the P-Care application. Variables included the three KBK indicators and corresponding capitation fund adjustments. Data were collected through document review and analyzed descriptively to identify annual trends and performance achievements across the study period. Results : Performance achievement varied over the three years. The contact rate rose from 45.02‰ in 2022 to 77.21‰ in 2024 but remained far below the KBK target of 150‰, indicating limited service accessibility. The non-specialistic referral ratio consistently met the <2% target in 2023–2024, showing improved primary care case management. However, the proportion of controlled Prolanis participants remained below the minimum 5% target throughout the period, reflecting ongoing challenges in chronic disease management. As a result, capitation payment adjustments ranged only from 85% to 90% of the expected amount. These findings demonstrate progress in referral control but persistent gaps in accessibility and chronic care continuity. Conclusion / Lesson Learned : KBK implementation at Makroman Health Center has not yet reached optimal performance. While referral quality has improved, low contact rates and poor Prolanis control continue to reduce capitation payments. Strengthening outreach activities, data quality monitoring, and structured Prolanis programs is essential for improving service performance and maximizing the effectiveness of KBK as a performance-based financing mechanism.
An Overview of Anxiety Levels Among Prolanis Participants at the Islamic Center Primary Clinic Samarinda Aminah Aminah; Ratno Adrianto; Rizqa Mahardhika; Dedi Priansyah
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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Abstract

Background : Anxiety is common among individuals with chronic diseases such as diabetes and hypertension due to lifelong treatment demands and risks of complications. WHO (2022) reported that one in seven adults experiences a mental disorder, with anxiety being the most prevalent. In Indonesia, the burden of chronic diseases continues to rise, often accompanied by psychological distress. The Prolanis program aims to improve chronic disease management through education, monitoring, and support, yet most studies focus on clinical outcomes rather than mental health. Assessing anxiety among Prolanis participants is essential to ensure holistic patient care. Objective : To describe anxiety levels among Prolanis participants at the Islamic Center Primary Clinic in Samarinda using the Generalized Anxiety Disorder-7 (GAD-7) instrument and provide baseline information for integrating mental health monitoring into chronic disease management. Research Methods / Implementation Methods : This quantitative descriptive study was conducted in August–September 2025 among 30 active Prolanis participants selected through accidental sampling. Anxiety was measured using the validated Indonesian version of the GAD-7 questionnaire. Scores were categorized into minimal, mild, moderate, and severe anxiety. Data collection used self-administered questionnaires assisted by enumerators when needed, and results were analyzed descriptively using mean, median, standard deviation, and frequency distributions. Results : Participants generally showed low anxiety levels. The mean GAD-7 score was 3.00 (SD 2.89), with most respondents experiencing minimal or no anxiety (73.3%). Mild anxiety occurred in 16.7% of participants and moderate anxiety in 10%, with no severe cases. These findings indicate good psychological well-being among participants, potentially supported by Prolanis activities such as routine health checks, group education, exercise sessions, and community support. Similar trends have been reported in several previous studies, suggesting that continuous social interaction and psychosocial support may help reduce anxiety in chronic disease patients. Conclusion / Lesson Learned: Most Prolanis participants experienced minimal anxiety, suggesting that Prolanis contributes positively to both physical and mental health outcomes. Regular monitoring, supportive group activities, and community engagement appear to help maintain emotional stability. Mental health screening, staff training in basic psychological assessment, and strengthened family and community support are recommended to enhance comprehensive chronic disease management.
A Descriptive Overview of Patient Visit Patterns at the Joint Medical Practice Tenggarong. Ayu Sri Mega Astuti; Ratno Adrianto; Nur Rohmah
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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Abstract

Backgorund : A joint medical practice is a modern health service model that integrates several types of medical services such as general practitioners, dentists, and ophthalmologists within a single facility. This model aims to improve efficiency, accessibility, and quality of care for the community, especially for individuals with limited time due to work or study. Objective : Describe the general pattern of patient. Viewed from the type of service visited, time of visit, age group, gender, education level and monthly distribution. Methods : A descriptive observational study with a retrospective approach using secondary data from patient medical records. The population included all patient visits recorded from Jan-June 2025, totaling 593 visits. Data were analyzed univariately using frequency and percentage. Results : The study showed that the highest number of visits was to dentists (48.7%), ophthalmologists (34.4%), general practitioners (16.9%). Most patients visited during evening hours (43.3%), the majority belonged to the productive age group of 21–35 years (37.5%). In terms of occupation, housewives (22.3%), employees (19.9%), private workers (19.4%) dominated. Most patients had a senior high school education (51.4%), were male (53.5%). Monthly distribution indicated an increase in patient visits, peaking in May (20.7%) and lowest in January (9.1%). Conclussion : The pattern of patient visits at Apotek Sejiwa Joint Medical Practice shows an upward trend with a predominance of productive-age patients seeking dental and eye care services. The evening time became the most preferred period for visits. This indicates that the joint medical practice model is an effective and adaptive form of healthcare delivery.
Analysis of Ability To Pay & Willingness To Pay BPJS Health Contribution Among Informal Sector Workers in Indonesia Ferdhitya Rizky Syauqi; Ratno Adrianto
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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Abstract

Background : BPJS Kesehatan is Indonesia’s national health financing scheme supporting equitable access to healthcare and the achievement of Universal Health Coverage. However, premium payment compliance among informal sector workers remains low due to unstable income, high basic household expenditures, and limited financial security. This condition creates a persistent gap between Ability to Pay (ATP) and Willingness to Pay (WTP). Beyond economic constraints, perceived service benefits, service quality, and health insurance literacy significantly influence WTP. Considering the large proportion of informal workers in the national labor market, understanding ATP and WTP determinants is essential for designing adaptive and sustainable financing policies. Objective : To analyze factors influencing ATP and WTP for BPJS Kesehatan premiums among informal sector workers in Indonesia through a systematic review of national literature published from 2020–2025, and to identify policy implications for strengthening long-term financing sustainability. Research Methods / Implementation Methods : A Systematic Literature Review (SLR) was conducted using national SINTA-indexed journals and Indonesian scientific databases. Keywords related to “Ability to Pay BPJS,” “Willingness to Pay BPJS,” and “Informal Sector Workers” were used. Inclusion criteria covered quantitative Indonesian-language studies (2020–2025) examining ATP/WTP in the context of BPJS Kesehatan. Fourteen articles met the criteria and were thematically analyzed based on economic factors, socio-demographic characteristics, household expenditure patterns, and perceived health service quality. Results : Findings show that ATP is mainly shaped by unstable income, high basic household expenditures, and fluctuating informal earnings. These structural characteristics make consistent premium payments difficult and indicate that a uniform flat-rate contribution is incompatible with the economic realities of informal workers.WTP, meanwhile, is strongly influenced by perceived benefits, service experience, information access, and trust in healthcare services. Higher WTP is observed when workers perceive real value and understand the long-term advantages of BPJS participation. Low health insurance literacy and lack of perceived service quality reduce willingness to pay.The review highlights the need for flexible premium schemes tailored to informal economic segments, such as micro-installment models, and emphasizes that improving WTP also requires better communication, transparency, and service quality. Conclusion / Lesson Learned : ATP among informal workers is dominated by economic constraints, while WTP is shaped by perceived benefits and service trust. Sustainable BPJS financing requires flexible, segmented premium models and parallel improvements in service quality. Future policies should integrate both economic and perception-based strategies to enhance compliance and reduce premium arrears.
A Descriptive Study of Patient Safety Culture at Inche Abdoel Moeis Regional Hospital, Samarinda, Indonesia Fierda Eka Pratiwi; Ratno Adrianto; Riyan Ningsih
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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Abstract

Background : Patient safety culture is a key pillar in improving the quality of health services. In 2025, the Indonesian Ministry of Health adapted the Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0 as a national instrument to measure hospital staff perceptions of patient safety culture. Objective : This study aimed to describe the patient safety culture based on the 2025 Ministry of Health’s Patient Safety Culture Survey Instrument at Inche Abdoel Moeis Regional Hospital, Samarinda. Research Methods/ Implementation Methods : A descriptive quantitative study with a cross-sectional approach was conducted using secondary data from the 2025 patient safety culture survey. The population included all healthcare workers and non-medical staff (n=259). Data were analyzed descriptively by calculating the average score of each dimension of patient safety culture. Results : The overall mean score was 3.66 (73.2%), categorized as good. The highest dimensions were general perception of safety (4.30), teamwork and collaboration (4.14), and organizational learning (4.08). The lowest were incident reporting (2.03), communication openness (2.40), and non- punitive response to errors (2.62). Conclusion/Lesson Learned : The patient safety culture at Inche Abdoel Moeis Regional Hospital was in the good category, although improvements are needed in incident reporting and non-punitive response aspects. Strengthening leadership commitment and implementing a safe, anonymous reporting system are essential to enhance the overall patient safety culture.
Co-Authors 'Aina 'Uruba, Huurul Agustina Simanangi Pamowa Agustina, Elvi Ahmad Ahsyar Hamri Akhmad Azmiardi Akhmad Azmiardi Akhmad Irawan Alvie Magda Lesiwal Alwan Zakki Nozomi Alya Indriani Aminah Aminah Anisatia Saputri Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Ari Utari Ari Utari Ashri Budi Astuti Astuti, Ashri Budi Astuti, Prima Yulia Atik Suhargiati Auralia, Syalmita Auralia, Syalmitha Ayu Indira Dwika Lestari Ayu Sri Mega Astuti Baharudin, Irfansyah Blego Sedionoto Boli Matius Tandi Payung Chaerunnisa AR Chaerunnisa AR Chaerunnisa Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Desy Indah Mardiana Dewi Endah Ramadhani Dias Pratama Dwi Astuti Noor Wijayanti Dwi Listiyani Dzulhannisa Tricindra Edi Suhartono Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Eka Putri Rahayu Eka Putri Rahayu Eko Prasetya Budi Eko Prasetya Budi Elvi Agustina Elvira, Vivi Filia Endah Dwi Setianingtyas Fajri, Audya Nada Fatimatuzzahra, Siti Ferdhitya Rizky Syauqi Fierda Eka Pratiwi Firda Septimaulida Gloria Priska Britani Sumlang Grace Angelina Hasan, Hismawati Hilda Hilda Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraini Ike Anggraini G Ilfa Pratiwi M Noors Imanuddin, Khairul Ira Puspa Rachmawati Irfansyah Baharuddin Pakki Irfansyah Baharudin Pakki Irfansyah Bahruddin Pakki Iriani Iriani Iriyani Iriyani Iriyani K Iryani Kamaruddin Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan M. Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Iwan Muhammad Ramdam Iwan Muhammad Ramdan Jami&#039;an Jami&#039;an Jami’an Jami’an Jaya Mualimin Julia Arlianti Devani Juliana Hasibuan Jumliana, Jumliana Kania Imanuella Rante Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra La Debi Atthoba Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lisa Septiana Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin Mudassir Yunus Mudassir Yunus Muhammad Khairul Nuryanto Muhammad Noor Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Nadya Zahira Shafa Najoan Brigitta Laura Nauli, Ruth Sekar Netie Rahmayani Noriah, Noriah Norsehan Norsehan Nunuk Kusuma Wardani Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurkholis Nurkholis Nurlianti Nurlianti Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Palupi Setyo Hapsari Panuturi Ratih Elizabeth Thresna Sinaga Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bahtiar Rahmat Bakhtiar Rahmat Bakhtiar Rahmat Baktiar Rahmi Susanti Rangga, M. Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Reny Noviasty Reza Jales Mahesa Adiyatsa Rinda Purnama Rini Astuti Wardhani Rini Wahidatul Ulpah Risky Amelia Rhamadani Rivana Firnanda Riyan Ningsih Riyan Ningsih Rizqa Mahardhika Ronny Setiawati Rudi Saputra Rudi Saputra Sadaria Sadaria Salyanti Puji Negeri Samsinar Basri Sayyid Muhammad Taqie Septimaulida, Firda Setyo Nugroho Sinar Sinar siti nurlela Subirman - Sumarni Sumarni Sumarni Sumarni Syarifah Amira Najla Tasha Citra Purnama Tri Ratna Paramita Ulfah, Meilida W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wardani, Citra Rizki Wirapuspita Wisnuwardani, Ratih Yadi Yasir Yerita Adellia Yudi Jaya Cahyana Yumardi Zheditya Ayu Syawalia Zheditya Ayu Syawalia Zulhijrian Noor