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Evaluation of Health Insurance Patient Satisfaction in Participating in the Referral Back Program for Hypertension Cases at the Community Health Center Meiningsih Meiningsih; Indasah Indasah; Agusta Dian Ellina
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5706

Abstract

Hypertension is one of the factors contributing to non-communicable diseases that can have a negative impact on an individual's social, economic, and psychological aspects. Therefore, it has been designated as one of the diseases that requires a referral-back program. However, adherence to the referral-back program still needs to be evaluated. This study aims to evaluate the satisfaction of health insurance patients participating in the referral-back program for hypertension cases at Kumpai Batu Atas Health Center. A qualitative descriptive research was applied in phenomenology approach by interviewing 17 primary informants and 2 triangulation informants from the hospital and health center. Data collection includes in-depth interviews, triangulation, and patient medical records. Interviews are interactive and flexible, using probing techniques to explore participants’ experiences. Triangulation with health center staff, physicians, and specialists ensures validity. Data analysis follows reduction, presentation, and conclusion drawing, refining key themes, structuring findings, and verifying conclusions for accuracy. The thematic analysis yielded 4 themes: 1) the situation of referral-back program participants (diagnosed based on signs, symptoms, and predisposing factors. Some dropped out after 2-6 months due to uncertainty about the availability of medication); 2) satisfaction with the quality of service (satisfactory due to fast and accurate service. Professional attitudes were expressed appropriately and in accordance with needs. Clinical competence was displayed with quality and empathy was expressed with a humble attitude); 3) satisfaction with the value referral-back program facilitates access and fast service. Certainty and innovation are the main values for patients); and 4) perceptions of the best desired service (certainty of medication availability, easy administration, and friendly communication are highly desired).
Operational Risk Assessment Towards the Integration of Primary Health Care Services at Sungai Rangit Community Health Center using the ISO 31000 (2018) Perspective Iwan Setyo Lesmana; Agusta Dian Ellina; Indasah Indasah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5713

Abstract

Primary Healthcare Service Integration (PHSI) at Community Health Centers aims to integrate primary healthcare services at Community Health Centers, Sub-Centers, and Integrated service posts for a more comprehensive and integrated approach. Sungai Rangit Community Health Center in West Kotawaringin Regency is planned to implement PHSI in 2024. However, a preliminary study has shown several issues that need to be anticipated, especially in terms of planning and budgeting, organizational governance, and staff assignment. This study aims to explore the operational risks faced by Sungai Rangit Community Health Center so that the implementation of PHSI can run smoothly. This research uses a qualitative descriptive approach. Data was collected through Focus Group Discussions (FGD) involving 59 employees of Sungai Rangit Community Health Center and triangulated interviews with health department employees and qualified risk management experts. The study collected qualitative data through FGDs and document analysis, involving health center employees and policy documents. Triangulation with district officials and risk management experts ensured validity. Data were refined, categorized, and analyzed iteratively, leading to a prioritized risk assessment for healthcare integration while maintaining ethical considerations. The study identified 5 main operational risks that need to be anticipated, namely: 1) risk of unavailable budget; 2) risk of invalid health data; 3) risk of sub-standard work plan preparation; 4) risk of internet connection down; and 5) risk of employee demotivation. Village governments need to allocate budgets for the needs of cadres to conduct household data collection. Cluster Heads need to assist cadres in conducting data collection and filling out the LOCAL AREA MONITORING dashboard. WiFi access in the Community Health Center environment needs to be improved to support internet-based community health center operations.
Analysis of Individual and Organizational Factors on Nurses' Perception in Reporting Patient Safety Incidents Dewi Fadilatul; Indasah Indasah; Agusta Dian Ellina
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5715

Abstract

Patient safety is a situation where patients are protected from all risks of injury that should not occur during health services, one effort is by reporting incidents. The aim of this research is to analyze individual and organizational factors regarding nurses' perceptions in reporting patient safety incidents. Quantitative research method survey method with a cross sectional approach. Samples were collected using purposive sampling technique, totaling 243 respondents. The data collection technique uses a questionnaire. Validity is tested using Pearson’s correlation, with items valid if the coefficient exceeds the critical r-value at 5% significance. Reliability is assessed with Cronbach’s Alpha, where a coefficient above 0.600 indicates acceptable consistency. The data analysis technique uses multiple linear regression. The research results show that the factors that have an influence on nurses' perceptions are motivation indicators, reward/punishment and hospital policy, this is because the sig value. < 0.05. Meanwhile, the indicators that have no effect are the knowledge, training and leadership indicators, this is because the sig value. > 0.05. It was concluded that individual and organizational factors, namely indicators of motivation, reward/punishment and hospital policy, had an influence on nurses' perceptions, while the results that had no influence were indicators of knowledge, training and leadership
Analysis of the Readiness of Posyandu Cadres in Providing Basic Health Services Towards the Implementation of Primary Service Integration in Posyandu Misrani Misrani; Sentot Imam Suprapto; Indasah Indasah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5836

Abstract

The low achievement of health sector SPM in 2022 has driven the transformation of health services by optimizing the role of cadres in providing basic health services towards the integration of primary health care. Trials in various regions of Indonesia have shown positive results, but there is no clear picture of the readiness of cadres to implement integrated primary health care in Kotawaringin Barat. This study was conducted to explore the readiness of Posyandu cadres in providing basic health services in terms of appropriateness, change efficacy, management support, and personal benefit. This qualitative descriptive study was conducted in Posyandu located in the working area of Kumai Health Center, Kotawaringin Barat Regency, from September to November 2024. The research informants were 23 Posyandu cadres who met the criteria from the entire Kumai area. The main data was obtained from interviews, and additional data was obtained from cadre activity documents and observations of cadre performance in Posyandu implementation. Data analysis involves three main steps: data reduction, data presentation, and conclusion drawing. Data analysis successfully described findings from 5 themes and 20 sub-themes, including: cadre insight (sub-themes 1 and 2); appropriateness (sub-themes 3 to 5); change efficacy (sub-themes 6 to 12); management support (sub-themes 13 to 19); and personal benefit (sub-theme 20). Servant leadership needs to be developed to increase the internal motivation of cadres by optimizing the role of community leaders.
The Influence of Work Environment Factors, Employee Motivation and Safety Culture on Patient Safety Performance Esterlina Mitakda; Prima Dewi Kusumawati; Indasah Indasah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5853

Abstract

Ensuring patient safety is a critical aspect of healthcare services, influenced by various factors, including the work environment, employee motivation, and safety culture. A well-structured work environment, high motivation levels, and a strong safety culture are expected to enhance healthcare workers' performance in maintaining patient safety. However, the extent of these influences needs further investigation. This study aims to analyze the relationship between work environment, work motivation, and safety culture with patient safety performance in a healthcare setting. A quantitative approach was applied using a cross-sectional study design. Data were collected from 165 healthcare workers through a structured questionnaire. The questionnaire did not undergo validity and reliability testing because it was adopted from previously validated and widely used instruments in prior research. Since the questionnaire has already been tested for accuracy and consistency in measuring the intended variables, further validity and reliability assessments were deemed unnecessary. The Spearman correlation test was used to examine the relationship between variables, while ANOVA was conducted to assess the combined influence of the independent variables on patient safety performance. The findings revealed a significant positive correlation between patient satisfaction and healthcare service quality (p = 0.000). Similarly, work motivation was significantly correlated with patient safety performance (p = 0.0), with respondents consistently rating motivation as good. Safety culture also showed a significant positive correlation with patient safety performance (p = 0.041), with a correlation coefficient of 0.065, indicating a moderate relationship. The study concludes that a supportive work environment, high work motivation, and a strong safety culture contribute significantly to patient safety performance.
Analysis of Room Head Leadership, Internal Supervision and Nurses' Commitment Towards Service Unit Performance Erna Rosiyawati Maruapey; Indasah Indasah; Ratna Wardani
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6025

Abstract

A hospital is a health service institution that provides comprehensive individual health services, providing inpatient, outpatient and emergency care (Health Law No. 17 of 2023). To realize all of this, a hospital which is a place for health services must be able to provide professional resources . One of the resources that must be prepared to be able to provide excellent service to its clients is a nurse. Improving the performance of health workers maintenance is matter Which very important in repair efforts service health to the community in general. The purpose of the study was to determine the influence of leadership, supervision internal And commitment nurse to performance service unit in Prof Dr. Soekandar Mojokerto Regency. Design study observational with approach cross-sectional . Population all nurses at Prof Dr. Soekandar Mojosari , Mojokerto Regency as many as 294 respondents. A sample of 170 respondents with proportional technique to size . Independent variables are the leadership of the head of the room, internal supervision, and nurse commitment. The dependent variable is the performance of the service unit. The research instrument used a questionnaire that was tested for validity and reliability. The analysis used was univariate and multivariate analysis with linear regression using SPSS. Test regression linear Which done show There is connection leadership For head space (p=0.005), internal supervision (p=0.000) and employee commitment (p=0.019) on employee performance. Multivariate analysis shows that the influential variable is internal supervision with a significance level of p=0.000 and B=0.188 The results of the research conducted are expected to provide input to hospitals to improve leadership by adapting to conditions. hospitals through internal supervision and performance improvement to optimize the quality of hospital services in the eyes of the public.
Cooperative Games and Art Therapy for reducing the Tantrum Rating Scale in Preschool Children at Ulul Albab Kindergarten Eli Rahmawati; Indasah Indasah; Agustin Widyowati
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8301

Abstract

Temper tantrums are a common behavioral challenge during early childhood development. Managing this behavior is important to support children’s emotional and social development. One approach that has been explored to address this issue is the use of cooperative games, which emphasize collaboration and shared goals among children. This study examined the effect of cooperative games and art therapy on temper tantrum reactions in preschool-aged children at Ulul Albab Kindergarten, Jombang. Through a quasi-experimental method with a pretest-posttest control group design, Data were collected from 78 children as a population. The sampling technique used Stratified Random sampling obtained 69 research samples by applying the proportional strata formula. The research instrument used the Temper Tantrum Rating Scale. The research sample was divided into 3 groups, namely the cooperative game play intervention group, the art therapy intervention group and the control group with 23 students as respondents in each group. After the cooperative game intervention was carried out for three weeks, statistical analysis with a paired t-test proved the effect of cooperative game therapy with a significant value (p = 0.000) and art therapy with a significant value (p = 0.001) while the Welch's ANOVA test showed a poshoc value (p = 0.032) Cooperative game play intervention was more effective than art therapy. These findings suggest that cooperative games are effective in reducing temper tantrum reactions. Therefore, nurses should introduce and recommend this approach to parents as a useful strategy for managing temper tantrum behavior.
Analysis of Determinant Factors on Patient Satisfaction in the Emergency Department Rima Faradila; Indasah Indasah; Nurwijayanti Nurwijayanti; Farida Farida
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1441

Abstract

Patient satisfaction is a crucial indicator of healthcare quality, particularly in the Emergency Department (ED), where services must be rapid, accurate, and compassionate. This study aimed to analyze determinant factors influencing patient satisfaction in the Emergency Department of Bhayangkara Hospital Tulungagung. A quantitative cross-sectional design was applied to 110 ED patients selected through systematic random sampling. Data were collected from November 24–30, 2025, using a SERVQUAL-based questionnaire measuring responsiveness, assurance, tangibles, empathy, reliability, and response time. Instrument testing showed that all items were valid (r count > 0.413) and reliable (Cronbach’s Alpha > 0.70). Data analysis using Spearman’s rho correlation and logistic regression revealed that all service quality dimensions were positively and significantly associated with patient satisfaction (p < 0.05). Responsiveness had the strongest correlation (r = 0.748), followed by empathy (r = 0.710). Logistic regression identified empathy as the most dominant determinant (β = 0.458). These findings indicate that empathetic care and interpersonal interactions play a central role in improving patient satisfaction in the ED.
Rewards, Workload, Work Stress, and Hospital Employee Performance: A Systematic Review Fitriawati, Julin Dwi; Wardani, Ratna; Prasetyo, Joko; Indasah, Indasah; Wahyuningsih, Atik Setiawan
International Journal of Health Concord Vol. 2 No. 1 (2026): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v21.31

Abstract

Background: Hospital employees operate in complex work environments where organizational rewards, workload, and work stress may influence job performance and ultimately affect healthcare quality and patient safety. Although these factors have been widely investigated, the evidence remains fragmented and context-specific. This systematic review synthesizes current evidence on the relationships between rewards, workload, work stress, and hospital employee performance. Methods: A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were performed in PubMed, Scopus, and Google Scholar using predefined keywords related to rewards, workload, work stress, employee performance, and hospitals. Quantitative studies involving hospital employees that examined at least one of the three organizational factors and reported employee performance outcomes were included. Twenty-six studies met the eligibility criteria and were narratively synthesized. Result: All included studies employed cross-sectional designs and were conducted in Indonesia, with nurses representing the predominant study population. The evidence consistently indicated that higher workload and work stress were associated with poorer employee performance. Most studies also reported that rewards, particularly financial compensation and incentive systems, were positively associated with employee performance through enhanced motivation and job satisfaction. However, one study found no significant association. Variability in reward-related findings appeared to reflect differences in organizational context and reward system implementation. Conclusion: Rewards, workload, and work stress are key organizational factors associated with hospital employee performance in Indonesia. Optimizing workload distribution, implementing fair and transparent reward systems, and strengthening workplace stress management may contribute to improved workforce performance and service quality. Given that all included studies were conducted in Indonesia and used cross-sectional designs, further longitudinal and multinational research is needed to strengthen the evidence base and improve the generalizability of these findings.
Physical Activity and Dietary Protein Intake as Determinants of Nutritional Status in Undernourished Toddlers: A Cross-Sectional Study in Rural Indonesia Solo, Rosalia Astria Tanggu; Indasah, Indasah; Ambarika, Rahmania
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.603

Abstract

The first five years of life represent a critical developmental window that requires optimal nutrition and lifestyle inputs. Despite global health advancements, childhood undernutrition remains highly prevalent in rural Indonesia, exacerbated by inadequate dietary practices and unregulated physical exertion. This study investigates the simultaneous effects of physical activity levels and dietary protein intake on the nutritional status of toddlers aged 2-5 years in Weebaghe Village, East Nusa Tenggara. A quantitative cross-sectional design was employed, involving 99 toddlers selected from three community health posts. Multiple linear regression analysis was used to evaluate the relationships between the independent variables and the dependent variable, nutritional status, at a significance level of p < 0.05. The analysis revealed that both physical activity (p = 0.002) and protein intake (p = 0.041) significantly influence nutritional outcomes. Both variables exhibited an inverse relationship with nutritional status, indicating that higher physical exertion without adequate caloric compensation and excessive protein consumption independently predict poorer nutritional profiles in this undernourished cohort. These findings challenge conventional assumptions, highlighting that increased physical activity and excessive protein intake can detrimentally impact toddlers in resource-constrained settings. Public health interventions must prioritize balanced energy and macronutrient distributions tailored to the specific metabolic demands of malnourished children to prevent further deterioration in growth.
Co-Authors A.A. Ketut Agung Cahyawan W Adelina Pinto Adolfina Sating Aep Kunaepi Afriyani, Nur Agung Setyanto Agus Heselo Agus Sukisno Agusta Dian Elliana Agusta Dian Ellina Agusta Dian Ellina Agustin Widyowati Agustinus Bali Matkusa Al Annas, Siti Nur Nasruah Amarin Yudhana Amarin Yudhana, Amarin Andin Ajeng Rahmawati Andre Bagaskara Anggi Tiur Maduma Anis Ansyori Anita Restu Korbaffo Anna Nurhidayati Anom Putrika, Ida Ayu Arfah, Andi Muh Arief Rheegandono Arifin Asasih Villasari Asnuddin, Asnuddin Asyaul Wasiah Atik Setiawan Wahyuningsih Atmojo, Joko Tri Aziz Ansori Wahid Bambang Priyono Billy Anoraga, Aditya Budi Andayani Byba Melda Byba Melda Byba Melda Suhita Byba Melda Suhita Byba Suhita Cahyono, Ibnu Chalies Diah Pratiwi Danang Sasongko Dara Benedicta Antoninda Darwis, Raodatul Jannah Dedi Saifulah Desty Damayanti Dewi Fadilatul Dewi K, Prima Dewi Zuniawati Dian Hadi Purnomo Eli Rahmawati Eliyawati Eliyawati Ellina, Agusta Dian Elly Setyowati Ellysa Okky Gusma Enggar Wahyu Anggraeni Erna Rosiyawati Maruapey Erwan Darmawan Erwin, Erwin Ester Lita Maratade Esterlina Mitakda Evita Widyawati Evrin Angga Faisal Isra Maulana Farasari, Poppy Fardiansyah, Arief Farida Farida Fathor Rahman Fatmawati, Fatmawati Fazrin, Intan Feryansah, Ade Fika Istikah Fitri Handayani Fitri Handayani Fitriani Fitriani Fitriawati, Julin Dwi Fresvian Jenrivo Gempi Tri Sumini Gretta Hapsari Amalya Handayani, Rina Tri Hargiani, Fransisca Xaveria Hari Prasetyo umar Hari, Prasetyo Umar Hariyani Hariyani Hariyanto Hariyanto Has’ad Rahman Attamimi Heny Pramuta Sari Heri Saputro Herry Krismono Herwati Herwati Hidayat, Useng Hilda Anggraeni Laluyan Ida Ayu Anom Putrika Ida Vira Wati Ida Watna Iing Yuli Indrawati Indra Cahyadinata, Indra Indrawati, Iing Yuli Inggrid Puspitasari Adikarjo Intan Fazrin Irawan, Atok Iriawan Putra, Pujo Broto Iwan Setyo Lesmana Joaquim Pinto Joaquim Pinto Joko Prasetyo Joko Prasetyo Joko Sasmito Katmini Katmini, Katmini Kentarti, Rima Khairul Anwar, Raden Bagus Khomsiyatin, Binti Ratna khotib, akhmad Koesnadi Koesnadi Koesnadi, Koesnadi Koesnadi, Koesnadi Koesnadi, Koesnadi Kristo Marco Rumangun Kumalasari, Eri Puji Kurnianti, Nur Rochmah Kusumaningsih, Emy Kusumawardani, Nila Lalu Dedy Supriatna Lea Ingne Reffita Lesmana, Iwan Setyo Linda Sukoco Listyorini Wulandari Maharjan, Kailie Maratade, Ester Lita Maria Haryanti Butar-Butar Mariyati, Titik Mark, Elladdadi Mas Winarto Mayasari, Senditya Indah Meihindra Cahyo Suci Wardoyo Meiningsih Meiningsih Meiningsih, Meiningsih Melda Byba Suhita Melda Suhita, Byba Mieke Waluya Waty Millania Fitri Misrani Misrani Misrani, Misrani Mochamad Salman Hasbyalloh Mohamad As'ad Efendy Muhamad Liswansyah Pratama Muhamad Rizal Amin Muhammad Ali Sodik Muhammad Rodli Muslim, Asep Aziz Nancy Natalia Dharmawan Nia Sari Nia Sari Noor Laila, Siti Farida Novita Anna Novita Anna Novita Anna Anggraeni Novita Anna Anggraeni NOVITA EKA SARI Nugrahani, Fransiska Herningtiyas Ayu Nurdin, Sulkifli Nurdina Nurdina Nurhidayati, Anna Nurwijayanti Nurwijayanti Nurwijayanti Kusumaningrum Octaviana Marta G.M. Gusmão Ofrin Sammytampani Oktafianus Radja Tuka Pamungkas, Restu Peristiowati, Yuli Poppy Farasari Poppy Hidayat Pramono Pramono Prananingtias, Rosita Prananto, Bintang Arsy Wahyu Pratami, Mardiah Pratiwi, Chalies Diah Prima Dewi Kusumawati Priyanti, Ida Pujo Broto Iriawan Putra Purnomo, Dian Hadi Putra, Vian Eka Putri Eka Sejati Putri Eka Sejati Rachmathiany, Ridha Rahmania Ambarika Rahmi Saptarianti Ratna WardanI Ratna Wardani Ratna Wardani Ratna Wardani Ratna Wardani Ratri Setyamulyasari Raudatul Hikmah Raudatul Hikmah Reffita, Lea Ingne Respati, Laras Laxita Winda Reza Diko Utama Rheegandono, Arief Ridha Rachmathiany Rima Faradila Rindang Diannita Rini Setyowati Rini Sulistyoasih Ririt Ika Lestari Risa Nurhayati Risa Nurhayati Risyan Karnain Risyan Karnain Rita Sugihati Rizal Maulana, Rizal Rohani, Muhammad Rosarini, Anna Ryan Hidayatullah Sa'diyah, siti aminatus sa'diyah Samad, Andi Muh. Arfah Saputra Sandu Siyoto Sandu Siyoto, Sandu Santa Betty Santino Dacosta Barros Sari, Nia Sating, Adolfina Sentot Imam Suprapto Sentot Imam Suprapto Sentot Imam Suprapto Sentot Imam Suprapto Sentot Imam Suprapto Setiyaningrum, Erna Sholichudin Silvia Dwi Agustin Siswanti, Siswanti Siti Farida Siti Farida Noor Laila Siti Farida Noor Layla Siti Lailatus Zahro Siti Solikha Solo, Rosalia Astria Tanggu Sudewa, I Gusti Ngurah Wisnu Sugiyono Sugiyono Suhita, Byba Sukartana, Sukartana Sumiati Sumiati Sumiati Suprapto, Sentot Imam Suprapto, Sentot Imam Suprapto, Sentot Imam Suripto Suripto Suwono, Yohanes Adi Agus Syamsul Arifin Takariningsih Teguh Achmalona Tety Yuliantine Topo Rohadi Tri Retnoningsih Vian Eka Putra Wardani , Ratna Warna, Mawar Puspa Waty, Mieke Waluya Widiyanto, Aris Wijaya, Muhammad Irzal Wilda Rezki Pratiwi winarko, winarko Yammar, Yammar Yenny Puspitasari Yohana Teodosia Setu Yuli Peristiowati, Yuli Yuliadi Setiawan Yuliantine, Tety Yuliawati, M. Ali Yuliawati, Riza Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yunita Yunita Zahrotur Rubbiyani