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Journal : Proceedings of the International Conference on Applied Science and Health

CURRENT STATE OF THE ART HEALTH POLICY IN INDONESIA: THE ROLE OF UNIVERSITY Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA Suvonalya, Suvonalya; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge. Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows. Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management. Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospital’s service quality. 
NURSE’S ATTITUDE TOWARD PATIENT SAFETY POLICY IN BALI ROYAL HOSPITAL, INDONESIA: INDIVIDUALIZED APPROACH USING HEALTH BELIEF MODEL Widya, Dewa Ayu Dyah; Bachtiar, Adang; Ayuningtyas, Dumilah; Permanasari, Vetty Yulianty
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Patient safety is one of the most important dimensions in quality of healthcare. Nurses are the key in care delivery, their compliance toward Patient Safety policy cannot be overlooked. Studies evaluating determinants of nurse’s compliance to Patient Safety policy is still lacking. Aims: To evaluate nurse’s attitude toward Patient Safety policy using Health Belief Model (HBM). Methods: An analytical cross-sectional study was carried on in Bali Royal Hospital, Indonesia, on December 2016. An anonymous, self-administered questionnaire was used to collect the data on socio demographics, knowledge, and attitude toward Patient Safety policy. Attitudes are specifically assessed using HBM. Results: A total of 124 nurses are included in this study. Mean age of the study population was 29.7±6.7 years. Mean score for knowledge about Patient Safety policy was 12.68±3.40 from 18.0- point scale. Nurses perceived a low risk of non-compliance (mean perceived risk 8.07±1.89) and a low barrier to comply with Patient Safety policy (mean perceived barrier 8.66±1.78). Knowledge and attitudes toward Patient Safety policy did not differ by sex and educational background but it did differ according to unit of workplace. Age and length of work correlated positively to knowledge (Spearman’s r=0.439, p-value 0.000; and r=0.400, p-value <0.001, respectively). A positive and moderate correlation was observed between knowledge vs. perceived severity (r= 0.394, p-value <0.001) and knowledge vs. perceived benefit (r=0.422, p-value < 0.001). There was a strong and positive correlation between perceived severity and perceived benefit (r= 0.725, p-value <0.001). Conclusion: Nurse’s attitudes toward Patient Safety policy were generally good and correlate positively with knowledge. The use of HBM provides an increased understanding of how individual perceptions can be influenced to improve nurse’s engagement in promoting safer health care. 
A QUALITATIVE STUDY: EVALUATION OF WAITING TIME IN REGISTRATION FROM HUMAN RESOURCES WITH MALCOM BALDRIGE APPROACH Ginting, Sukaria Susana Br.; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Backgound: Building a health system is one of the SDG targets – universal health coverage (UHC). Strong primary health care system needs to be in place (4). The critical issue is the quality of health by improving patient safety, effectiveness, focus on patients, timely, efficient and fair (4, 10). Long waiting times decreased utilization of national health insurance, decreased use by the public and the rising cost of health. (5,7,8,9). The aim of this paper is to investigate how the human resources can lead to long waiting times in the registration by using Malcolm Baldrige approach (6). Method: This study used qualitative design to describe waiting time problem and it’s causes. Informants were appropriately and adequately selected in relation to waiting time including patients clinic, staff and management so the information were triangulated by resources,by methods and by data itself. The results were write as transcription and content analysis carefully done to identify themes and problem. This study held at Public Health Center, Cariu, Bogor, Indonesia in December 2016. Results: All the informants expressed their concern related to waiting time and need to formulate effective solutions. The solutions were proposed related to causes to the waiting time ; no monitoring and evaluation effort to control waiting time and it’s impact, clinical safety procedures, unsatisfied patients and ineffective clinical outcomes ; low priority to human resources management; no supervision ; no on the job training; no evaluation of patients need and expectation, the public health center never had services design ; network instability and inflexibility in the provision of facilites. Conclusion: Monitoring and evaluation, human resources management, supervision, on the job training, strategic planning, patients focus , commitment and the leadership itself are needed to decrease waiting time. 
ANTIMICROBIAL RESISTANCE CONTROL PROGRAM ON THE RATIONAL USE OF ANTIBIOTICS IN EKA HOSPITAL PEKANBARU, INDONESIA Magdalena, Rosinta; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Antimicrobial resistance (AMR) threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. Rational use of antibiotics can reduce the emergence of antimicrobial resistance, cost of treatment, length of stay in hospitals, and improve health outcomes. This study aims to analyse the output of AMR control program implementation on the rational use of antibiotics in hospitals. Method: This research is a retrospective study, using descriptive analysis with Gyssens algorithm. Data were assessed from the medical records of patients treated at Eka hospital in 2017. The number of samples 877, in the ICU wards amounted to 307 and Hopea B 570. The analysis was performed by assessing the suitability of antibiotic therapy. The results are presented in therapeutic terms: the antibiotics used and the percentage of use based on the Gyssens algorithm. Result:The results of data analysis found there is an increase in the rationality of the use of antibiotics on the unit ICU (67.77%), Hopea B (67.36%). There is a decrease in Patients Length of Stay (LOS) in ICU (26%), in Hopea B (58%). The level of antibiotic use without indication in ICU (8.82%). in the Hopea B ward (5.34%.). Attitude of non-compliance of doctors against hospital guidelines and inadequate monitoring of antibiotic therapy. In the case of prophylactic antibiotics remain unobserved because of the lack of pharmacists who can monitor their use. Conclusion: Eka Hospital has established an AMR Control program, but it has not been implemented properly. Continuous evaluation, awareness raising and understanding of doctors, the addition of monitoring officers (pharmacists), patient screenings and hospital staff on an ongoing basis, are worthy of consideration in order to improve the implementation of the program. 
ANALYSIS OF FACTORS AFFECTING THE PERFORMANCE OF NURSE IN MUFID ACEH GENERAL HOSPITAL Sari, Putri Ilham; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: To improve the human resources of the hospital, one of nurses to ensure the hospital service is well organized, the hospital management must have good strategy management.This research was conducted at Mufid Aceh General Hospital to get an overview of the factors that affect the performance of nurses at Mufid Aceh General Hospital. Methods: It was a qualitative research focused on employment documents, income documents, monthly staff satisfaction, monthly performance results nursing, patient satisfaction in Mufid Aceh General Hospital. Results: Internal factors that affect the low performance of nurses at Mufid Aceh General Hospital are satisfaction, work-related stress factors, short working period and low work motivation. While External factors that affect the low performance of nurses is work load factor. Conclusions: Based on the result of this research, it is suggested to Mufid Aceh General Hospital to planning of nurse requirement well, to make policy about income, to make job description and authority in accordance with competence of nurse staff and creating a retention program. 
THE EFFECT OF CLINICAL PATHWAY TOWARD HOSPITAL’S QUALITY AND COST IN “RSUS” HOSPITAL BANDAR LAMPUNG Himawati, Toki; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: One of the most appropriate policies to overcome the over budget is the quality control of cost control, the instrument is a clinical pathway, so that the hospital can perform service functions well and quality without experiencing financial loss. This research has a purpose to know how far is clinical pathway can be good as a tool of quality control of cost control at “RSUS” Hospital Bandar Lampung. Methods: The research used a qualitative research involved 35 informants comprised of shareholders, Board of Directors, Medical Committee, Provision of Care Services and Coder. Results: The results showed that in general, the informants agreed with the implementation of the clinical pathway because it can improve the quality of service, the certainty of procedures and can overcome the budget. Conclusion: RSUS Hospital has not fully use clinical pathway as a tool of quality control of cost control, thus over budget remains with low quality of service 
ACHIEVEMENT OF COMMUNITY HEALTH CENTER SEEN THROUGH ACCREDITATION RESULTS: CASE STUDY IN PUSKESMAS "X", IN SURABAYA Qulsum, Meily Arovi; Sari, Kurnia; Bachtiar, Adang; Taufiq, KM
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Accreditation and recognition of a Community Health Center (Puskesmas) are given by an independent accredited organization, established by the Minister of Health after comply the accreditation standards. The accreditation achievement in East Java is at most of main level 76.7%. Puskesmas "X" is one of Puskesmas in Surabaya which has been accredited with basic level of status in 2015. This study aims to provide a comprehensive overview of the issues affecting the achievement of Puskesmas accreditation. Methods: This research is a qualitative descriptive study with in-depth interview and document searching using an accreditation instrument standard. Results: Based on accreditation results, the planning of the health centre was less appropriate because it was not based on identification of need and expectation. The mobilization and implementation was not working well due to lack of human health resource. Monitoring, control, and performance appraisal of the health centre have not been done. Conclusions: The accreditation of the health center, the Puskesmas X, in Surabaya is not only assessed by the document but also by the processes and system implementation activities. Achievement of Puskesmas accreditation status represents as a description of Puskesmas management and the result will have an impact on Puskesmas performance, and service quality. 
TRAVEL MEDICINE MANAGEMENT FOR THE ANTICIPATION OF INFECTIOUS DISEASES IN SOUTHEAST ASIA: A SYSTEMATIC REVIEW  Dewi, Ni Putu Ayu Prima; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Travelling abroad have various health risks such as sudden and significant changes in altitude, humidity, temperature and exposure to a variety of infectious diseases. Travel medicine concept is needed to provide information to professional health services not only on risk of infectious diseases but also to ensure the personal safety of travellers and to minimize environmental risk during travel. The Objective of this study is to investigate the practices of travel medicine management for the anticipation of infectious disease spread by travellers. Methods: This study used systematic literature  review based on PRISMA (Prefered Reporting Items for Systematic Reviews & Meta-Analyses)protocol to identify all the published articles using relevant keywords.We searched in Scopus (Elsevier), Science direct (Web of Science), Cochrane library and Pubmed. Period of study was between 2005 and 2018. In total, there were eight studies that discussed travel medicine management regarding the anticipation of infectious diseases in Southeast Asia, which includes the spread and narrative synthesis. Results: From 126 authors finally include 8 papers in this review. Almost all of the management of travel medicine can reduce the risks of travel-related diseases. The travel medicine management explained how to effectively prevent the spread of infectious diseases, for example dengue, malaria, rabies, zika virus, diarrhea and respiratory syndrome. Those diseases can easily spread when the travellers body immunity decreases or when they are exhausted during the trip. Thus, it is necessary for the travellers to anticipate the spread of diseases by knowing the information of particular diseases in a country or a region that will be visited and having prophylaxis or vaccination before travelling. Conclusions: The travel medicine management can significantly impact on the anticipation of infectious diseases spread by travellers since the practices require the latest facts and information about the epidemiology of infectious health risks worldwide.The recommendation for future research is to review more travel medicine management studies in order to get deeper understanding.For Policy maker, it is suggested to design policy to improve and updating knowledge. 
EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW Daruki, Maria Wahyu; Nurwahyuni, Atik; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital. Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal. Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital. Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost.
Co-Authors - Afrizal Achir Y.S. Hamid Achmad A. Yusuf Achmad F. Kamal Ade Leana Adila Ramadhian, Elsa Adisasmito, Wiku Bakti Bawono Afriwardi Afriwardi Afrizal Alfiyyah, Arifah Almira Fanny Rahmasari Alya Pramesti Amin, Mustafa M. Amir, Arni Andani Eka Putra Andi A. Victor Anggi Parsaoran Hotmangatur Anhari Achadi Anwar Jusuf Ariadi Ariadi Ariani, Peny Arief Rosyid Hasan Ariescha, Putri Ayu Yessy Arifin, Achmad Armedy Ronny Hasugian Aryani, Ari Dwi Ascobat Gani Asdawati Asdawati Asdawati Asdawati Asdawati, Asdawati Assegaf, Tengku SDIS. Awan Dramawan Ayuningtyas, Tri Auri Putri Benedict Sulaiman Besral . Bob Andinata Br Ginting Munthe, Novita Brian Sri Prahastuti Budi A. Keliat Budi Anna Keliat Budi, Rocky Setya Budiharto Budiharto Budiharto Budiharto Candi, Cicilya Christian, Deyo Alfa Chudahman Manan Chudahman Manan Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Dadang Makmun Damayanti, Rizky Anggraita Darmani, Endang H. Daruki, Maria Wahyu Dasril Nizam Deden Hidayat Defrin Defrin Delmi Sulastri Denas Symond Desak Ketut Ernawati Devi Afni Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi Citra Puspita Dewi Citra Puspita Dewi, Ni Putu Ayu Prima Deyo Alfa Christian DIAH ISKANDRIATI Dian Kusuma Dien Kurtanty Dini Widiarni Ditya, Tantri Puspa Dumilah Ayuningtyas Dwiana Ocviyanti Dwiana Ocviyanti Dwiantoro, Luky Dwiantoro, Luky Ede Surya Darmawan Ekorini Listiowati Elfrida Ratnawati Elina Waiman Elly Nurachmah Elly Usman Elsa Adila Ramadhian Elvi Zulka Emeraldy Chatra Ening Krisnuhoni Erdanela Setiawati Erika Agustina Kasdjono Erlina Burhan Erma Handayani Errol U. Hutagalung Esna Sipahutar Eva Chundrayetti Eva Decroli Faisal Yunus Farid Husin Farida Briani Sobri Ferdinal Ferry Finny Fitry Yani Firdawati Firdawati Firdawati, Firdawati Franciscus D. Suyatna Gabriella Suarez Pratiwi Ginting, Desideria Yosepha Ginting, Sukaria Susana Br. Gisella, Prisca Gumilang, Intan Gurendro Putro Habibah Muhiddin Hadi Pratomo Hadi Pratomo Hadiarto Mangunnegoro Hafizurrachman Hafizurrachman Hamidiyanti, Baiq Yuni Fitri Hardiyanti, Widya Harimat Hendarwan Harimat Hendarwan Harimat Hendrawan Hasan, Arief Rosyid Hasibuan, Syarif R. Helmi Helmi Hema Malini, Hema Hermansach, Rendra Hidayat, Deden Himawati, Toki Hsu Chong Jen Husna Yetti Ilyas, Jaslis Indah Puspitasari Intan Gumilang Intan Gumilang Pratiwi Ismail Hadisoebroto Dilogo Jendrius Jendrius Jeremy Romeo Partahi Jipri Suyanto Joserizal Serudji Junaiti Sahar Jusuf, Nelva K. Juwita Cresti Rahmaania K. Kusumaratna, Rina Keane, Arnold KM Taufiq KM. Taufiq Kurnia Sari Kurnia Sari Kurnia Sari Kurtanty, Dien Kusumawati, Leti Ratna lail, nurul husnul Laksono Trisnantoro Leana, Ade Lestari, Petra Ade Paramita Lestariningrum, Siti Leti Ratna Kusumawati Leti Ratna Kusumawati Lubis, Ramona DS. M. F. Aziz Machrumnizar Machrumnizar Machrumnizar, Machrumnizar Magdalena, Rosinta Malahayati Rusli Bintang Manik, Irfan Rohot Uli Marcellus Simadibrata Marcellus Simadibrata Mardiati Najib Mardiati Najib Maria Wahyu Daruki Maria Wahyu Daruki Mariani, Mia Maruni Wiwin Diarti Mayetti Mayetti Mazaya Shafa Ainan Dini Meily Arovi Qulsum Meily Arovi Qulsum Meiyanti Meiyanti, Meiyanti Melanie Vandauli Melanie Vandauli Menaldi Rasmin Merita Arini Mia Mariani Mieska Despitasari Mieska Despitasari Mudjiran Mudjiran Mudjiran Mudjiran Munir Munir Munir Munir Murdani Abdullah Murdani Abdullah Nana Mulyana Nana Muyana Naurah Nazhifah Neherta, Meri Nelly Tandiari Nelwati Nelwati Nelwati, Nelwati Ni N. Susanti Ni Putu Ayu Prima Dewi Ni Putu Ayu Prima Dewi Nikmatul Hidayah Nindya Rahmanida Nora Idiawati Novita Br Ginting Munthe Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Mala Sari Nur, Aqsha Nurani Purnama Sari Nurjati C. Siregar Nurwahyuni, Atik Nury Nusdwinuringtyas Nurzalia Safanta Octavianus Maranggi Oka Wilsen Joung Pane, Yunita S. Patria Wardana Yuswar Patriot Haryo Trenggono Permanasari, Vetty Yulianty Petra Ade Paramita Lestari Petra Ade Paramita Lestari Pramesti, Alya Pratita, Rasta Naya Prisca Gisella Prisca Gisella Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Purnamasari, Novita Purnawan Junadi Purnawan Junadi Pusparini Pusparini Puspita, Dewi Citra Putri Azzahroh Putri Ilham Sari Putri Ilham Sari Qulsum, Meily Arovi R. Susworo Rahmaania, Juwita Cresti Rahmad Gurusinga Rahmanida, Nindya Rahmanofa Yunizaf Rahmasari, Almira Fanny Rai Pandudita Rasta Naya Pratita Ratnawati Antaria Rendra Hermansach Renita Agustina Reny Ayu Damayanti Retno Dewi Sulistyowati Retno Dewi Sulistyowati Retno Sulistyo Wardani Riastuti Kusuma Wardani Riastuti Kusuma Wardani Ricky Fathoni Rima Semiarty Rina K. Kusumaratna, Rina K. Rina Kurniasri Kusumaratna Risely Sutarsa Limirang Ristrini , Ristrini Ristrini Ristrini Ristrini Ristrini Rizanda Machmud Rizky Anggraita Damayanti Rizky Anggraita Damayanti Robiana Modjo Rochani Istiawan Rosanti, Elvi Rosinta Magdalena Rosinta Magdalena Rosiyana Rosmala Atina Rusadi Rosna Meutia Rr Tutik Sri Hariyati Rusda, Muhammad Salsabila, Unik Hanifah Sari Mulyati Sari, Putri Ilham Sarwono Waspadji Septelia I. Wanandi Silvia Tarigan Silvia Tarigan Siti Lestariningrum Siti Lestariningrum Sjaaf, Amal Chalik Sobri, Farida Briani Soetrisno Soetrisno Sonar Soni Panigoro Sukaria Susana Br. Ginting Sukaria Susana Br. Ginting Sukhri Herianto Ritonga Sulaiman, Benedict Sulistyowati, Retno Dewi Suminar, Dian Laras Suranta, Roy Michael Susyana Tamin Suvonalya Suvonalya Suvonalya Suvonalya Suvonalya, Suvonalya Tandiari, Nelly Tantri Puspa Ditya Tantri Puspa Ditya Tarigan, Herri Novita Tarigan, Silvia Taufiq, KM Tauhidah, Sarah At Tiara Innotata Tinurbaya, Afriani Tjahjono D. Gondhowiardjo Tjandra, Sydney Tjen Dravinne Winata Toki Himawati Toki Himawati Trenggono, Patriot Haryo Trisetiawati, Lami Ukik Kusuma Kurniawan Ukik Kusuma Kurniawan Vandauli, Melanie Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wahyuni, Sri Puji Widjajalaksmi Widjajalaksmi Widya, Dewa Ayu Dyah Widyasanti, Nisrina Windy Woro Paramyta Yopita Ratnasari Yuliarni Syafrita Yumnanisha, Defin A. Yusrawati Yusrawati Yuswar, Patria Wardana Yuyun Yuniar Yuyun Yuniar