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Analisis Faktor-Faktor Yang Mempengaruhi Implementasi Kebijakan Pantas Sehat Pada Pegawai Puskesmas Kabupaten Kutai Kartanegara (Peraturan Bupati Kutai Kartanegara No. 66 Tahun 2019 Tentang Penyelenggaraan Gerakan Keluarga Peduli Pencegahan Dan Atasi Stun Imanuddin, Khairul; Adrianto, Ratno; Annisa Nurracmawati
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i8.61359

Abstract

Stunting as a condition of growth failure caused by lack of nutrition in the first 1000 days of life. The prevalence of stunting in toddlers in Kutai Kartanegara Regency in 2021 was 26% and increased in 2022 by 27.1% with a target of 21.89%, so the target is still achievable. Efforts to prevent stunting in Kutai Kartanegara Regency through the Pantas Sehat program policy. Observations of the stunting prevention program still lack socialization and there are errors in receiving information in implementing the policy, lack of understanding of staff at the locus, the division of authority has not been running well and some facilities are inadequate. For this reason, it is necessary to look at the implementation of the program through communication, resources, disposition and bureaucratic structure. The aim of this research was to analyze factors that influence implementation health care policies among Community Health Center employees in Kutai Kartanegara Regency. Cross Sectional method study design. The sample was employees at Community Health Center in Kutai Kartanegara Regency, totaling 160 people. The sampling technique used was purposive sampling. Bivariate data analysis used was chi square and multivariate used was logistic regression. The results study indicate that communication, resources, and bureaucratic structure have a significant effect on the implementation Pantas Sehat policy, while disposition does not have a significant effect on the implementation Pantas Sehat policy. The logistic regression equation model is Implementation = 4.467 + 1.628 (Communication) + 0.522 (Resources) + 0.264 (Disposition) + 1.482 (Bureaucratic Structure) + e. R Square of 0.338 means the level of influence of communication, resources, disposition and bureaucratic structure on the implementation Pantas Sehat policies for Puskesmas employees in Kutai Kartanegara Regency is 33.8%. It was concluded that the factors that influence the implementation Pantas Sehat policy include communication, resources, disposition and bureaucratic structure. Communication variable was the most dominant. It was recommended to improve communication through counseling and socialization to mothers who have under five years children regarding exclusive breastfeeding and routine immunizations carried out every month using interesting and diverse media.
Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas dalam Meningkatkan Pelayanan Kesehatan di Puskesmas X Samarinda Tistania, Nurul Rizkiana; Ramdan, Iwan Muhamad; Sedionoto, Blego; Rohmah, Nur; Ningsih, Riyan; Adrianto, Ratno
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51316

Abstract

Kinerja pegawai di Puskesmas X merupakan elemen strategis dalam menjamin mutu layanan kesehatan primer, sehingga perlu ditingkatkan melalui pendekatan sistematis terhadap faktor-faktor internal pegawai. Penelitian ini bertujuan untuk menganalisis faktor-faktor apa saja yang berhubungan dengan kinerja. pegawai dalam meningkatkan pelayanan kesehatan di Puskesmas X Samarinda pada tahun 2025. Penelitian ini merupakan penelitian metode kuantitatif dengan pendekatan cross-sectional dengan teknik pengambilan sample yaitu Total Sampling dan jumlah 54 responden, penelitian dilakukan di Puskesmas X dengan pengumpulan data primer melalui kuesioner. Analisis data menggunakan uji Chi-Square sedangkan analisis multivariat menggunakan Analisis Regresi Logistik Hasil penelitian menunjukkan hubungan signifikan antara tekanan kerja (p=0,016), kepuasan kerja (p = 0,034) , dan loyalitas ( p = 0,007) terhadap kinerja pegawai Puskesmas X. Namun, tidak ditemukan hubungan antara kemampuan (p= (0,651) dan rekan kerja (0,313) dengan kinerja pegawai. Variabel yang paling dominan berpengaruh terhadap kinerja pegawai adalah loyalitas (Exp (B) = 4,714 yang mengindikasikan bahwa pegawai dengan loyalitas yang cukup memiliki peluang 4,7 kali lebih besar untuk menunjukkan kinerja yang baik dibandingkan dengan pegawai yang loyalitas nya kurang mendukung. Disarankan Puskesmas mengadakan pelatihan dan pengembangan kompetensi secara berkala menciptakan lingkungan kerja yang kondusif dengan menanamkan nilai-nilai budaya organisasi yang positif agar tercipta kinerja yang baik.
TRP, The Magister student Analysis of Factors Related to Job Satisfaction and Its Relationship with Community Satisfaction Paramita, Tri Ratna; Adrianto, Ratno; Ramdan, Iwan Muhamad
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 2 (2025): VOLUME 16 NO.2 TAHUN 2025
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v16i2.2057

Abstract

The quality of services at RSUD Taman Husada has not met the expected standards, partly due to disparities in employment status affecting compensation and career development. Assessing employee job satisfaction is crucial, as it directly influences service effectiveness and patient satisfaction. This study aimed to describe job satisfaction and community satisfaction at RSUD Taman Husada and to analyze the factors associated with job satisfaction and its relationship to community satisfaction. This study employed a cross-sectional design involving 250 employees at Taman Husada Regional Hospital. Data were collected using a structured questionnaire to assess job satisfaction and community satisfaction. Statistical analyses, including Spearman's rank correlation and logistic regression, were conducted to identify significant factors associated with job satisfaction and its relationship to public satisfaction. The results showed that job satisfaction was categorized as high (78.42), while the community satisfaction index was very good (89.59). Significant factors influencing job satisfaction included achievement, recognition, responsibility, advancement, work itself, compensation, job security, working conditions, organizational policies, technical supervision, and interpersonal relationships (p < 0.005). The most dominant factor was work itself (OR = 16.89). No significant relationship was found between job satisfaction and community satisfaction in the aspect of employee behavior (p = 0.715). It was concluded that intrinsic and extrinsic factors significantly affect job satisfaction. However, a direct relationship with community satisfaction has not been established.
Performance Evaluation of Tim Pendamping Keluarga (TPK) in theAccelerated Stunting Reduction Programme within Kutai KartanegaraRegency in 2024 Ramadhani, Dewi Endah; Anggraeny, Ike Anggraeni G; Adrianto, Ratno
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 Astuti, Ashri Budi; Adrianto, Ratno; pakki, Irfansyah Baharuddin
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 Utari, Ari; Adrianto, Ratno; Gunawan, Ike Anggraeni
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 Budi, Eko Prasetya; Adrianto, Ratno; Gunawan, Ike Anggraeni
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 Listiyani, Dwi; Adrianto, Ratno; Pakki, Irfansyah Baharuddin
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; Adrianto, Ratno; Mahardhika, Rizqa; Priansyah, Dedi
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. Astuti, Ayu Sri Mega; Adrianto, Ratno; Rohmah, Nur
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.
Co-Authors 'Aina 'Uruba, Huurul Adiyatsa, Reza Jales Mahesa Agustina, Elvi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Angelina, Grace Anggraeny, Ike Anggraeni G Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Ayu Sri Mega Astuti, Prima Yulia Atthoba, La Debi Auralia, Syalmita Auralia, Syalmitha Baharuddin Pakki, Irfansyah Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto, Blego Budi, Eko Prasetya Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa, Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Dias Pratama Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Firnanda, Rivana G, Ike Anggraini Gloria Priska Britani Sumlang Hamri, Ahmad Ahsyar Hapsari, Palupi Setyo Hasibuan, Juliana Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ike Anggraeni Imanuddin, Khairul Irfansyah Baharuddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Jami'an, Jami'an Jumliana, Jumliana K., Iriyani Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ayu Indira Dwika Lestari, Ida Ayu Indira Dwika Listiyani, Dwi Mahardhika, Rizqa Mardiana, Desy Indah Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin, Mochamad Mualimin, Jaya Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najla, Syarifah Amira Najoan Brigitta Laura Nauli, Ruth Sekar Noor, Zulhijrian Noors, Ilfa Pratiwi M Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur, Syalmitha Auralia Nurlinda, Fitria Nursakti Nursakti Nuryanto, Muhammad Khairul Pakki, Irfansyah Bahruddin Pamowa, Agustina Simanangi Paramita, Tri Ratna Pasha, Yuliana Payung, Boli Matius Tandi Pratama, Dias Pratiwi, Fierda Eka Purnama, Tasha Citra Rahayu, Eka Putri Rahmi Susanti Ramadhani, Dewi Endah Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Sadaria, Sadaria Saputra, Rudi Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny Setyo Nugroho Sinar, Sinar siti nurlela Subirman - Suhargiati, Atik SUMARNI Sumarni Sumarni Syauqi, Ferdhitya Rizky Syawalia, Zheditya Ayu Taqie, Sayyid Muhammad Tistania, Nurul Rizkiana Tricindra, Dzulhannisa Ulfah, Meilida Ulpah, Rini Wahidatul Utari, Ari W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Yunus, Mudassir