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Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian Workforce Research in the Health Sector Despitasari, Mieska; Bachtiar, Adang; Hendarwan, Harimat; Besral, Besral; Yuniar, Yuyun
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process.
Data Mining Analysis with Orange in the Development of Tuberculosis Among Diabetes Mellitus Patients Bintang, Malahayati Rusli; Bachtiar, Adang; Candi, Cicilya
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Abstract

Prevention and treatment of diabetes will have a positive influence on tuberculosis (TB) since people may get TB because they have diabetes mellitus (DM). Recording and reporting through the TB Information System are not run optimally because of many factors. The information system must be strengthened to be used by private health facilities. This study used secondary data from the 2013 and 2018 Indonesian Basic Health Research (IBHR). The data was analyzed univariately and analyzed further using Orange Data Mining Tools to test the screening tool model used to predict TB in diabetic individuals. The total sample in this study from each data was 38,136 people. The 2013 IBHR stated that 749 people (2%) were diagnosed with pulmonary TB, while the 2018 IBHR stated that 97 people (0.3%) were diagnosed in the previous six months. The results of the Orange analysis showed that precision and recall calculations in this study were quite good, at 0.9. Therefore, the model would likely predict the occurrence of TB in diabetic individuals. According to Orange, the TB-DM electronic screening tool model tends to estimate the incidence of TB in diabetic individuals.
Impact of co-epidemic tuberculosis and diabetes mellitus on health-related quality of life: A review Machrumnizar, Machrumnizar; Muyana, Nana; Bachtiar, Adang; Kusumaratna, Rina Kurniasri; Suyanto, Jipri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2088

Abstract

The high comorbidity rate between diabetes mellitus and tuberculosis has a significant impact on the patient's health-related quality of life and eradication of tuberculosis program outcomes, especially in lower-middle-income countries that bear a "double disease burden". This review outlines the health-related quality of life of tuberculosis patients with diabetes. The search, selection, and article collection procedures were unmethodical. The retrieved articles were open-access and full-text in English. Health-related quality of life includes physical, psychological, social, and environmental domains. Health-related quality of life in diabetes, tuberculosis, and tuberculosis-diabetes comorbid patients experienced negative changes in all domains. Commonly used health-related quality-of-life measures can be generic or disease-specific. This review also highlights the importance of collaborative tuberculosis and diabetes management supported by the community, health workers, and stakeholders. Finally, this collaborative management support will enhance patient health-related quality of life and contribute to the accomplishment of the tuberculosis elimination program.
The Barriers of Antenatal Care Visits in Rural Mother’s Community in Padang Lawas Regency: A Qualitative Study Ariescha, Putri Ayu Yessy; Machmud, Rizanda; Ocviyanti, Dwiana; Syah, Nur Afrainin; Yusrawati, Yusrawati; Bachtiar, Adang; Chatra, Emeraldy; Yani, Finny Fitry
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3779

Abstract

The low utilization of antenatal care services has an impact on the condition of the pregnancy not being monitored which will cause danger signs of pregnancy to go undetected and can lead to maternal death. Padang Lawas is the area with the lowest coverage of antenatal care visits in north Sumatra province. The majority of pregnant women in Padang Lawas district do not receive standard antenatal care services. Efforts to increase coverage rates for Antenatal Care visits have been carried out by the Health Service but have not produced any real impact. Objective: This study aims to find out more about the perspective of antenatal care visits for pregnant women. Method: This study was qualitative with a grounded theory approach. The informants in this study were 5 mothers, 5 husbands, 3 midwives, and 1 community figure who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 4 themes: (1) Culture about pregnancy, (2) Infrastructure in antenatal care, (3) Economic issues, and (4) Mother's behavior in carrying out antenatal care. Conclusions: The findings show that there are several barriers of antenatal care visits in rural maternal communities, so the government needs to pay attention to them in following up on the barriers found in these areas.
Weight of Pregnant Women in Deli Serdang Regency: A Qualitative Study Sari, Nur Mala; Lipoeto, Nur Indrawaty; Bachtiar, Adang; Ariadi, Ariadi; Machmud, Rizanda; Defrin, Defrin; Mudjiran, Mudjiran; Sulastri, Delmi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3982

Abstract

Weight gain that is not according to recommendations during pregnancy has become an epidemic throughout the world today and is a clinical problem with high prevalence and can affect the health of mothers and babies. Objective: This study aims to find out more about the perspective of increase in weight of pregnant women in deli serdang regency. Method: This study was qualitative with a descriptive approach. The informants in this study were 3 pregnant women with weight gain above recommendations, 3 pregnant women with weight gain below recommendations, 1 ob-gyn, 1 midwife, and 1 nutrition who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 5 themes: (1) Knowledge, (2) Perspective, (3) Behaviour, (4) Family support, and (5) Physical activity. Conclusions: The findings show that several factors influence the increase in weight of pregnant women in Deli Serdang Regency, so the health care provider needs to pay attention to improve their knowledge about weight gain during pregnancy according to the needs of pregnant women.
Policy Analysis On Exclusive Breastfeeding for Informal Workers in Traditional Markets in North Sumatra Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema; Bachtiar, Adang; Sulastri, Delmi; Mayetti, Mayetti; Neherta, Meri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.4064

Abstract

Most informal female workers in traditional markets are in the reproductive age range. One of the causes of low exclusive breastfeeding in women informal workers is the low implementation of policies related to exclusive breastfeeding in the workplace, especially in the informal sector. Objective to analyze the policies carried out by the local government related to exclusive breastfeeding policies for informal workers in traditional markets. Method: the study was qualitative with a phenomenological approach. Participants consisted of 12 employees of related agencies with purposive sampling. Data collection was done through in-depth interviews using voice records. Data analysis used content analysis by the collaizi method. The principle of traceability was applied to ensure rigor in the research. The results of this study obtained two themes related to the analysis of exclusive breastfeeding policies in Informal Workers of Traditional Markets in North Sumatra, namely 1) perception of lactation corner facilities in the markets; and 2) barriers to the certainty of lactation corners in the traditional market. It is essential to analyze the exclusive breastfeeding policy for informal workers in convention markets to create better policies by providing adequate lactation corner facilities for informal workers.
Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative Munthe, Novita Br Ginting; Machmud, Rizanda; Semiarty, Rima; Serudji, Joserizal; Bachtiar, Adang; Yani, Finny Fitry; Symond, Denas; Nelwati, Nelwati
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.4092

Abstract

The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a qualitative with phenomenology approach. Twenty-five informants were applied in this study using purposive sampling. Data were collected using in-depth interviews. Data were analyzed using content analysis by the collaizi method. The study emerged nine themes, namely: 1) knowledge about neonatal visits; 2) neonatal visit quantity standards; 3) neonatal visit quality standards; 4) health care workers providing neonatal visiting services; 5) purpose of neonatal visits; 6) relationship between education and neonatal visit compliance; 7) relationship between husband/family support and neonatal visit compliance; 8) reasons for non-compliance with neonatal visits; and 9) culture in support of public health. These results can be input for policymakers to increase the coverage of neonatal visits in Serdang Bedagai Regency, Indonesia.
Dietary Regulation As A Factor Predicting Quality of Life in Diabetic Peripheral Neuropathy Patients Ritonga, Sukhri Herianto; Decroli, Eva; Prahastuti, Brian Sri; Usman, Elly; Mudjiran, Mudjiran; Bachtiar, Adang; Afriwardi, Afriwardi; Yetti, Husna
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3376

Abstract

Diabetic peripheral neuropathy is a complication of diabetes mellitus with the number of sufferers continuing to increase from time to time. A decrease in quality of life occurs as this disease progresses, both in physical, mental, and social aspects. Controlling risk factors for declining quality of life needs to be done early, one of the risk factors for declining quality of life is diet. The aim of this research is to analyze dietary regulation as a predictive factor for quality of life in diabetic peripheral neuropathy sufferers. The type of research used is quantitative research with a cross-sectional approach. The respondents in the study were 210 diabetic peripheral neuropathy sufferers who were selected using consecutive sampling techniques. Data collection uses a questionnaire that meets the existing validity and reliability criteria. The data analysis used in this research is SEM PLS analysis. The results show that dietary regulation has a positive influence on quality of life (r=0.236, p=0.0001). Dietary regulation has an effect size on quality of life (f square = 0.095) and also has the ability to predict quality of life well (Q square = 0.232). Dietary regulation is also feasible and suitable in explaining interactions between variables (NFI = 0.540; SRMR = 0.99). The conclusion is dietary regulation can be a good predictive factor for quality of life, so that by improving the diet of diabetic peripheral neuropathy sufferers it will be possible to improve their quality of life.
Analisa Klaim JKN Rawat Inap di RS Universitas Indonesia Tahun 2023 Hardiyanti, Widya; Bachtiar, Adang
Jurnal Ilmiah Kesehatan Vol 16 No 1 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v16i1.2181

Abstract

Rumah Sakit Universitas Indonesia sudah bekerja sama dengan BPJS Kesehatan cabang Depok sejak akhir tahun 2020. Selama bekerja sama dengan BPJS Kesehatan jumlah pasien yang dirawat semakin meningkat, terutama di tahun 2023 jumlah pasien rawat inap di akhir tahun meningkat 71% dibandingkan dengan di awal tahun 2023, dan nilai BOR (Bed Occupancy Ratio) mencapai 76,2%. Dengan meningkatnya jumlah pasien rawat inap JKN ini memerlukan adanya strategi untuk melakukan kendali mutu kendali biaya agar pelayanan yang diberikan bisa efektif dan efisien. Metode penelitian ini menggunakan metode kualitatif studi kasus dengan analisa data primer dari data klaim JKN tahun 2023. Berdasarkan data klaim tahun 2023, total pasien rawat inap JKN di RS Universitas Indonesia mencapai 9.819 pasien dengan selisih antara tarif INA CBGs dengan tarif RS sebesar 23%. Kasus rawat inap terbanyak yaitu Penyakit Dalam, Anak, Bedah Mulut, Syaraf, dan Jantung. Dari kelima kasus terbanyak tersebut dianalisa berdasarkan komponen tarifnya, dan yang menduduki komposisi tarif terbanyak dari kelima kasus tersebut adalah kamar akomodasi disusul kemudian obat dan bmhp. Dengan tingginya tarif kamar dan penggunaan obat serta BMHP, maka strategi untuk mengefisienkan biaya adalah dengan memperpendek lama rawat (LOS) dan efisiensi penggunaan obat serta BMHP.
Evaluasi Pelatihan Bidang Kesehatan Menggunakan Model Evaluasi Kirkpatrick: Systematic Review Tinurbaya, Afriani; Bachtiar, Adang; Oktamianti, Puput
GEMA EKONOMI Vol 12 No 4 (2023): GEMA EKONOMI
Publisher : Fakultas Ekonomi Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/https://doi.org/10.55129/.v12i4.2927

Abstract

In relation to the importance of health for every human being, the Ministry of Health provides a large enough budget for improving the quality of health workers through training. However, the evaluations commonly used to measure training effectiveness are generally limited to pre-test and post-test to assess participants' knowledge before and after training (Kirkpatrick level 2 evaluation model). The Kirkpatrick evaluation model is a training evaluation model that is often used to measure the effectiveness of training, namely by measuring the achievement of results based on four levels (level 1 – level 4). Therefore, the authors intend to investigate various literature related to the evaluation model from various levels, which can be developed to evaluate the training of health workers by the Ministry of Health. This literature review follows PRISMA guidelines. Database searches were carried out through PubMed, Scopus and ProQuest search channels in the last 5 years (2017-2022). The results show that level 2 evaluation is most often used to assess the effectiveness of health training outcomes, namely by assessing the improvement of participants' knowledge and skills after training. Fewer level 3 and level 4 evaluations are conducted due to limited time, funds, experience, and tools. However, since each level in Kirkpatrick's evaluation model is interrelated, it is important to be able to evaluate each level sequentially so that information related to training effectiveness can be clearly depicted. Therefore, the Ministry of Health needs to prepare all the necessary resources to be able to assess the effectiveness of training at each level.
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 Ahmad, Rima Sumayyah Akmal Taher 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 Dwiantoro, Luky Dwiantoro, Luky Ede Surya Darmawan Ekorini Listiowati Elfrida Ratnawati Elina Waiman Elly Nurachmah 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 Farah Fauziah Rahmasari Farid Husin Farida Briani Sobri Ferdinal Ferry Ferry, Ferdinal Finny Fitry Yani Firdawati Firdawati Firdawati, Firdawati Franciscus D. Suyatna Gabriella Suarez Pratiwi Ginting, Desideria Yosepha Ginting, Sukaria Susana Br. Gisella, Prisca Gondhowiardjo, Soehartati A 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 Huang, Ficky Husna Yetti Ilyas, Jaslis INDAH PUSPITASARI Intan Gumilang Ismail Hadisoebroto Dilogo Jendrius Jendrius Jeremy Romeo Partahi Junaiti Sahar Jusuf, Nelva K. Juwita Cresti Rahmaania K. Kusumaratna, Rina Keane, Arnold KM Taufiq KM. Taufiq Kurnia Sari Kurnia Sari Kurnia Sari Kurniasari, Fitri Kurtanty, Dien Kusumaratna, Rina Kurniasri 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 Magdalena, Rosinta Malahayati Rusli Bintang Manik, Irfan Rohot Uli Maranggi, Octavianus 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 Munir Munir Munir Munir Munthe, Novita Br Ginting Murdani Abdullah Murdani Abdullah Muyana, Nana Nana Mulyana Nazhifah, Naurah Neherta, Meri Nelly Tandiari Nelwati, Nelwati Ni N. Susanti Ni Putu Ayu Prima Dewi Ni Putu Ayu Prima Dewi Nikmatul Hidayah Nindya Rahmanida Nora Idiawati Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur, Aqsha Nurani Purnama Sari Nurjati C. Siregar Nurwahyuni, Atik Nury Nusdwinuringtyas Nurzalia Safanta Oka Wilsen Joung Pane, Yunita S. Patria Wardana Yuswar Patriot Haryo Trenggono Permanasari, Vetty Yulianty Petra Ade Paramita Lestari Petra Ade Paramita Lestari Pixelyne, Irene Pramesti, Alya Pratita, Rasta Naya Pratiwi, Intan Gumilang Prisca Gisella Prisca Gisella 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 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. Risely Sutarsa Limirang Ristrini , Ristrini Ristrini Ristrini Ristrini Ristrini Ritonga, Sukhri Herianto 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 Sabarinah Prasetyo Salsabila, Unik Hanifah Sari Mulyati Sari, Nur Mala Sarwono Waspadji Septelia I. Wanandi Silvia Tarigan Silvia Tarigan Siti Lestariningrum Siti Lestariningrum Sjaaf, Amal Chalik Sobri, Farida Briani Soetrisno Soetrisno Soetrisno Soetrisno Sonar Soni Panigoro Sukaria Susana Br. Ginting Sukaria Susana Br. Ginting Sulaiman, Benedict Sulistyowati, Retno Dewi Suminar, Dian Laras Suranta, Roy Michael Susyana Tamin Suvonalya Suvonalya Suvonalya Suvonalya Suvonalya, Suvonalya Suyanto, Jipri 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