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Analisis Faktor Determinan Kehamilan Remaja di Kota Padang Tahun 2025 Hadisty Aisyah Putri; Aladin Aladin; Husna Yetti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52365

Abstract

Kehamilan remaja merupakan fenomena kesehatan masyarakat yang berdampak pada berbagai aspek, baik secara fisik, psikologis, dan aspek sosial ekonomi. Penelitian ini bertujuan menganalisis faktor determinan kehamilan remaja di Kota Padang dengan desain mixed methods, menggunakan pendekatan kuantitatif kasus-kontrol dan studi kasus kualitatif. Sampel terdiri dari 92 ibu dengan kehamilan pertama usia <20 tahun (kasus) dan 92 ibu dengan usia ≥20 tahun (kontrol). Analisis kuantitatif dilakukan dengan uji chi-square, dan regresi logistik. Hasil menunjukkan faktor signifikan adalah rendahnya dukungan keluarga (OR=6,5; p<0,001), rendanya dukungan teman sebaya (OR=2,3; p=0,010), rendahnya pengetahuan (OR=5,6; p=0,001), dan rendahnya dukungan tenaga kesehatan (OR=1,9; p=0,039), sementara pendidikan, pendapatan, dan media informasi tidak bermakna. Analisis multivariat menegaskan rendahnya dukungan keluarga sebagai faktor paling dominan (OR=6,9; p<0,001). Penelitian Kualitatif berfokus pada faktor yang paling dominan yaitu dukungan keluarga yang dilihat dalam konteks budaya minangkabau sebagai ciri khas Kota Padang. Temuan kualitatif menyoroti lemahnya komunikasi dan pola asuh orang tua, pengetahuan yang rendah, berkurangnya peran mamak dan ninik mamak. Disimpulkan bahwa pencegahan kehamilan remaja perlu melibatkan berbagai sektor terkait seperti dinas kesehatan, dinas pendidikan, pemerintahan kota padang, kementerian agama dan lembaga adat di Kota Padang.
Determinants of VIA Test Acceptance among Women of Reproductive Age at Padang Pasir Cahyani, Putri Aqischa; Aladin, Aladin; Yetti, Husna
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.124-134.2026

Abstract

Introduction: Visual Inspection with Acetic Acid (VIA) is an early detection method for cervical precancerous lesions. VIA coverage in Indonesia remains low. This study aimed to analyze the association of sociodemographic factors, information sources, and husband’s support with VIA test acceptance among women of reproductive age at Padang Pasir Health Center, Padang City. Method: An analytic observational study with a cross-sectional design was conducted in December 2023. The population consisted of women of reproductive age in the working area of Padang Pasir Health Center. A total of 100 respondents were selected using consecutive sampling. Data were collected through structured interviews with questionnaires and analyzed statistically. Result: The analysis revealed no significant association between age, education, occupation, or socioeconomic status and VIA acceptance. In contrast, information sources and husband’s support were significantly associated with acceptance. No significant relationship was found between acceptance and actual participation in VIA screening. Conclusion: Sociodemographic factors did not influence VIA acceptance. Information access and husband’s support were key determinants of willingness to undergo VIA testing. Strengthening health promotion and involving husbands in cervical cancer prevention programs are recommended strategies to increase VIA coverage.
The Relationship Between Parity, History Of Antenatal Care (ANC), Pregnancy Complications, Estimated Fetal Weight and Fetal Presentation To The Selection Of Cesarean Section Action Stiawan, Helmy Aries; Aladin, Aladin; Yetti, Husna
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.70-87.2026

Abstract

Introduction: There is an increase in caesarean sections trend globally. Caesarean section is generally performed to assist deliveries that cannot be carried out normally, but this also has a significant impact on both maternal and child health, as well as the economic burden so it is necessary to evaluate the factors that influence decision for caesarean section, to determine the relationship between parity, antenatal care Method: This study is an analytical observational study with a case control design conducted in July 2024 using medical record data of pregnant women who underwent caesarean section or vaginal delivery at the Pariaman City Regional General Hospital in the urban area and Sungai Dareh Regional Hospital at Dharmasraya in rural areas. The sample for this study were pregnant women who chose caesarean section and women after vaginal delivery who met the inclusion and exclusion criteria Results: In this study there were 354 pregnant women who underwent CS (n=177) and vaginal delivery (n=177). Bivariate analysis showed a relationship between parity (OR: 1.64 [95% CI: 1.07-2.52]; p=0.023), history of ANC (OR: 1.64 [95% CI: 1.06-2, 55]; p=0.026), pregnancy complications (OR:3.16 [95% CI: 1.98-5.03]; p=0.000), fetal presentation (OR: 2.02 [95% CI: 1.26-3.24]; p=0.003) and estimated fetal weight (OR: 1.98 [95% CI: 1.19-3.30]; p= 0.008) with the decision making of caesarean section. Multivariate analysis showed that the most influencing factors on the decision making of  caesarean section were pregnancy complications (OR 4.35 [95% CI: 2.58 – 7.34]; p= 0.000), fetal presentation (OR 3.21 [95% CI : 1.85 – 5.55]; p=0.000) and parity (OR 1.59 [95% CI: 1.01 – 2.52]; p=0.044). Conclusion: The factors that most influence the decision making of  caesarean section are pregnancy complications, fetal presentation, and parity.
The Relationship Between Short Chain Fatty Acids and Menarche in Elementary School Students in Padang City Zulfiqar MS; Haviz Yuad; Yetti, Husna; Defrin, Defrin; Ferry, Ferdinal; Saputra, Mondale
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.145-152.2026

Abstract

Introduction: Early menarche is associated with long-term health problems. Currently, adolescent girls are increasingly experience the change of menarche age. Short chain fatty acids (SCFA) are known to play a role in the early release of GnRH which induces an earlier onset of menarche. However, so far there have been no human studies assessing SCFA levels in individuals with early menarche. Method: This is a case-control study in elementary school students in Padang which conducted from July 2024 to November 2024. The sample was all elementary school students in Padang who met the inclusion and exclusion criteria. The data collected were demographic data and SCFA levels measured in faecal samples using the ELISA method. Bivariate analysis was performed using the unpaired T-test. Result: In this study, there were 25 students with early menarche and 25 normal students. Students with early menarche experienced the earliest age of menarche in 9 years old, 56% had excessive BMI, 20% had mother history of early menarche, 20% were born prematurely, 52% had  high-fat diet, 100% lived with their parents and had no history of pornography exposure. This study found the differences in fecal SCFA levels based on age of menarche with the mean SCFA levels found to be higher in the early menarche group compared to normal menarche (39.09 ±  6.64 vs 26.91±5.01 μmol/gram; p=0.000) Conclusion: This study found the differences in fecal SCFA levels based on age of menarche
Pelatihan Dokter Kecil Sebagai Upaya Penguatan Program Usaha Kesehatan Sekolah Di SDN 05 Surau Gadang Pasca-Pandemi Covid-19 Ida Rahmah Burhan; Husna Yetti; Ken Rabbani Faathira; Dwi Putri Herinda; Dara Indah Genia; Hafiznie Ansharina; Muhammad Zhorif Sulthani
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.778

Abstract

Elementary schools are strategic environments for developing healthy lifestyles from an early age through a promotive and preventive approach. The little doctor training program as school health cadres is one effective strategy for strengthening School Health Program (UKS). The training was initiated as a post-COVID-19 pandemic recovery program to revitalize UKS in response to the low implementation of UKS and the high percentage of students who have not implemented Clean and Healthy Living Behaviours (PHBS). To increase the capacity of students at SDN 05 Surau Gadang as school health cadres to achieve school health empowerment. The training was conducted in collaboration with the Nanggalo Community Health Centre with group-based interventions for 63 students in grades 3–5 at SDN 05 Surau Gadang, which included the delivery of material on UKS, PHBS, Primary Preventive Care (P3P), and First Aid for Accidents (P3K), as well as hands-on practice in six-step hand washing and first aid simulations. Evaluation was conducted using pre-tests and post-tests. There was an increase in the average knowledge score from 65.56 to 71.59 (p = 0.019), and the proportion of students in the “good” category increased from 36.5% to 46%. Little doctor training is effective in improving understanding of PHBS and UKS and forming independent elementary school health cadres. This program positively impacts the capacity of community health centres in optimizing ongoing little doctor training programs post-pandemic.
Psikoedukasi Kekerasan Seksual terhadap Peningkatan Pengetahuan dan Sikap Siswa SMP di Kecamatan Lareh Sago Halaban Prima Yori, Landura; Aladin, Aladin; Firdawati, Firdawati; Neherta, Meri; Sastra Purna, Rozi; Yetti, Husna
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 1 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss1.2489

Abstract

Usia remaja merupakan periode yang rentan terhadap kekerasan seksual dengan prevalensi tertinggi ditemukan pada siswa SMP rentang usia 13-17 tahun (69,4%). Fenomena ini memerlukan strategi pencegahan yang terstruktur dan menyeluruh. Penelitian ini bertujuan untuk mengevaluasi efektivitas psikoedukasi dalam meningkatkan pengetahuan dan sikap siswa SMP terkait kekerasan seksual. Menggunakan desain Quasi Experiment Nonequivalent Control Group dengan teknik Purposive Sampling pada 86 responden. Data dianalisis setelah melewati uji normalitas dan uji homogenitas (p≥0,05). Hasil uji Independent Sample T-Test menunjukkan nilai signifikansi p<0,001 baik pada variabel pengetahuan maupun variabel sikap. Terdapat kenaikan rerata skor pengetahuan (17,98 menjadi 21,05) dan sikap (48,51 menjadi 52,95) setelah diberikan psikoedukasi kekerasan seksual. Disimpulkan bahwa psikoedukasi efektif meningkatkan pemahaman dan respon siswa, dalam pencegahan kekerasan seksual.
IMPLEMENTASI PENGELOLAAN LIMBAH MEDIS PADAT B3 PADA MASA PANDEMI COVID-19 Susanti, Yenila; Lestari, Yuniar; Yetti, Husna
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 No 3 (2021): JURNAL KESEHATAN
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i3.498

Abstract

Latar Belakang: Limbah medis padat Bahan Berbahaya dan Beracun (B3) rumah sakit terjadi peningkatan hingga 30% dimasa pandemi covid-19. Pengelolaan limbah medis B3 di Fasyankes diatur dalam Peraturan Menteri Lingkungah Hidup dan Kehutanan RI nomor 56 Tahun 2015.Tujuan: Penelitian ini bertujuan menganalisis implementasi pengelolaan limbah medis padat B3 pada masa pandemi covid-19 di RSUD Arosuka Kabupaten Solok Tahun 2021.Metode: Penelitian bersifat deskriptif menggunakan metode kualitatif melalui wawancara mendalam, FGD, observasi dan telaah dokumen. Komponen yang diteliti meliputi aspek input (kebijakan, SDM, dana, sarana prasarana), proses (pengurangan dan pemilahan, penyimpanan, pengangkutan), output (implementasi pengelolan limbah B3 sesuai dengan aturan yang ada) serta pengawasan oleh DLH Kab. Solok sedangkan pengolahan data dengan triangulasi sumber.Hasil: Hasil penelitian menunjukkan rumah sakit belum memiliki SOP, cold storage, merek dan label TPS, rak penyimpanan limbah, AC, jalur khusus pengangkutan limbah, tidak ada desinfeksi limbah covid-19, belum dilaksanakannya pengawasan berkala oleh DLH Kab. Solok, output pengelolaan limbah medis B3 pada masa pandemi covid-19 belum memenuhi persyaratan.Kesimpulan: implementasi pengelolaan limbah medis B3 di RSUD Arosuka Kab. Solok belum sesuai PermenLHK RI No 56 Tahun 2015. Disarankan agar dibuat kebijakan internal, SOP, penambahan dan peningkatan SDM, perbaikan dan kelengkapan sarana prasarana TPS B3, dilaksanakannya pengawasan dan pembinaan secara berkala oleh DLH terhadap pengelolaan limbah medis B3.
ANALISIS PENGENDALIAN PAPARAN PESTISIDA PADA PETANI Juniwati, Juniwati; Lestari, Yuniar; Yetti, Husna
Jurnal Kesehatan - STIKes Prima Nusantara Vol 8 No 1 (2017)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.608

Abstract

LatarBelakang: Tingginya jumlah pekerja dibidang pertanian, berbanding lurus dengan tingginya penggunaan pestisida. Penggunaan pestisida dalam jumlah besar dan dilakukan secara terus menerus dapat menimbulkan dampak negatif bagi kesehatan dan lingkungan.Tujuan : Penelitian ini bertujuan untuk memberikan deskripsi tentang peran puskesmas dalam pengendalian paparan pestisida pada petani melalui aspek input, proses, dan output.Metode:Penelitian ini merupakan penelitian kualitatif dengan teknik pengambilan sampel purposive sampling. Teknik penelitian dilakukan dengan wawancara mendalam, Focus Group Discussion (FGD), observasi dan telaah dokumen.Hasil: Hasil penelitian menunjukkan upaya pengendalian paparan pestisida diwilayah kerja Puskesmas Sungai Tutung belum terlaksana. Hal ini dipengaruhi oleh beberapa faktor seperti belum ada kebijakan dari pemerintah daerah, SDM yang belum memadai, tidak ada alokasi dana kegiatan, tidak ada sosialisasi terkait upaya pengendalian paparan pestisida serta pengetahuan petani yang masih rendah dalam menggunakan pestisida sesuai aturan.Kesimpulan: Diharapkan kepada Dinas Kesehatan dan SKPD terkait untuk dapat membuat kebijakan sesuai dengan kebutuhan dalam upaya pengendalian paparan pestisida, menyediakan anggaran kegiatan, melakukan sosialisasi, menambah jumlah pos UKK dan mengaktifkan kembali kader Pos UKK serta melakukan pembinaan terhadap petani dalam menggunakan pestisida.
Stunting Prevention in the Preconception Period Wizia, Lady; Yusrawati, Yusrawati; Meinapuri, Malinda; masrul, masrul; Yetti, Husna; Afdal, Afdal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i2.1149

Abstract

Background: The stunting rate in Indonesia in 2022 was 21.6%. I was reduced when compared to the SSGI data in 2021 of 24.4%. The stunting rate appears to be decreasing from year to year, but a joint commitment is still needed to achieve the target of reducing stunting to 14% by 2024. Stunting prevention is a much more effective step than stunting treatment itself. Prevention of stunting can be done by optimizing the role of mothers in the golden phase of child development. stunting prevention in Indonesia still focuses on pregnancy and toddlers, while prevention during the preconception period is still limited.Purpose:To synthesize and critically effective steps that can be taken to prevent stunting in the preconception periodMethods:The research method employed was a literature review, conducted by using primary studies from PubMed, google scholar, and ScienceDirect with the keywords “stunting; prevention; praconception” published between 2017-2023, in English, open access, and relevant to the topicResults:A total of 397 research articles were screened for eligibility, and 15 articles met the inclusion criteria. Based on the 15reviewed articles, devide into three themes: Nutritional status during preconception, Supplementation during preconception and Lifestyle during preconceptionConclusion: This review found that there are several efforts made in preventing stunting in the preconception period. it is recommended that health workers can optimize the prevention of stunting in the preconception period.
WASTE ANALYSIS IN OUTPATIENT SERVICES AT RS NAILI DBS USING LEAN PRINCIPLES Rezeki, Aisyah Putri; Herri; Putra, Abdi Setia; Astiena, Adilla Kasni; Yetti, Husna; Kasra, Kamal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 3 (2024): Jurnal Kesehatan Volume 15 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Quality improvement (QI) is a practice that hospitals use to improve efficiency, clinical outcomes, employee satisfaction, and patient safety. One of the QI practices is the implementation of lean principles. Lean is a set of methods intended to eliminate waste and increase process efficiency. Lean implementation can have a significant impact on operational efficiency and effectiveness. This research is aimed at analyzing services at the RS Naili DBS Outpatient Installation using lean principles. Method : Data collection was carried out through direct observation of the outpatient service process from arrival to receiving doctor consultation services. From the observations, visualization of the service process was carried out using big picture mapping and analysis of waiting time and waste was carried out using lean principles. Apart from that, in-depth interviews were conducted with selected informants, namely from within the hospital and patients as service recipients. Result : The results of the research showed that the outpatient waiting time from the time the patient contacted the registration officer until the doctor's service was completed was 1 hour 18 minutes 50 seconds. This time still exceeds the minimum service standard set by the government, namely 60 minutes. The results of observations regarding waste, found as many as 36 types of waste spread across the queuing process, registration, polyclinic waiting room and clinic room.
Co-Authors ', Ardian ', Herman Abdi Setia Putra Abdiana Abdiana Abdiana Abdiana, Abdiana Adang Bachtiar Adelia Rachmita, Prima Adelin, Prima Adilla Kasni Astiena Adrial Adrial Afdal Afdal Afdal Afdal, Afdal Afriani Afriani - Afriani Afriani, Nita Afriwardi Afriwardi Aini, Iradatul Aini, Julpa Nurul Aisyah Elliyanti Aisyah Herviana Rifka Aisyah Putri Rezeki ALADIN ALADIN Aladin Aladin Aldino Desra Amel Yanis Amir, Arni Andani Eka Putra Anggelina Effendi Anggra Pramana Anggra Pramana Ariadi , Ariadi Arifni Arifin Arnis En Yulia Arnofyan, Budi Pratama Arya Vermasari Asterina, Asterina Astiena, Adilla Kasni Aswad, Fitria Aswiyanti Asri Aswiyanti Asri Athiyyah, Salsa Naudzul Avit Suchitra Basyir, Vaulinne Berliandi, Lucky Bobby Indra Utama Brian Sri Prahastuti Cahyani, Putri Aqischa Daan Khambri Daan, Khambri Dara Indah Genia Dasman, Hardisman Deddy Almasdy Defrin Defrin Defrin Defrin Defrin, Defrin Desi Andriani Desia, Maya Devianti, Loli Dhyna Lidya Lestari Dia Rofinda, Zelly Dia Diflayzer, Diflayzer Dini Andri Utami Diniy Miftahul Muthmainah Dolly Irfandy Dutia Gestin Dwi Putri Herinda Enda Gusnita Endrinaldi Ermayanti, Sabrina Erwani Erwani Eryati Darwin Essy Mandriani Etriyel Myh Etriyel, Etriyel Eva Decroli Fajar Aria Phitra Fauzi Ahmad Hasibuan Ferry, Ferdinal Fika Tri Anggraini Finny Fitry Yani Firdawati Firdawati Firdawati, Firdawati Fitri Nur Handriyani Fitri Yanti Fitriani Karlita Gestina Aliska Hadisty Aisyah Putri Hafiznie Ansharina Hanum, Fathiya Juwita Hardian, Sonny Hardisman Hardisman Dasman Harun Harnavi Hasmiwati Haviz Yuad Haviz Yuad Henny Mulyani Henny Mulyani henny Mulyani Hera Novianti Herlina Herlina Herri Herri Hesti, Novria Hidayanti, Rahmi Hirowati Ali, Hirowati Husnil Kadri Ida Rahma Burhan Ida Rahmah Burhan Idwar, Idwar Ifmaily Ifmaily Ifmaily, Ifmaily iftahillah - iftahillah Ikhsan Yusda Ilmiawati Ilmiawati, Ilmiawati Indrapriyatna, Ahmad Syafruddin Isniati Isniati Isra Analdo Arza Juniwati Juniwati Juniwati Juniwati Juniwati Juniwati Kamal Kasra Katelino Marpaung Ken Rabbani Faathira Kurnia, Nurul Syifa Kusumardani, Dini Laila Nur Azizah liana, nana Lili Irawati Lili Irawati Loli Devianti Lucky Berliandi Malinda Meinapuri Masrul Masrul Masrul Maulana, Afdal Maya Amanda Mayetti Mayetti Media Fitri Mela Aryati Mellina Rahmi Miftah Irramah Morena, Sivia Heni Mudjiran Muhammad Helmi, Iqbal Muhammad Zhorif Sulthani Mustika Sari Muttakia Hardy, Siti Khalisha Nada Utami Prahastiwi Nadhira Isza Qushoyyi Nana Liana Neherta, Meri Nelmi Silvia Nia Prima Shartika Nisura, Egi Nizwardi Azkha Nora Harminarti Noza Hilbertina Noza Hilbertina Noza Hilbertina, Noza Noza, Hilbertina Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nurhayati Nurhayati Nuzulia Irawati Octavia, Fatharani Nabila Pemuda, Haris Prima Yori, Landura Putra Santoso Putra, Abdi Setia Putri Widya Herman Rahmaddiansyah, Refa Rahman, Fikri Rahmani Welan Ramadani, Mery Rapida Saragih Ratu Fawwaz Efendi Rauza Sukma Rita Reno Afriza Neri Restu Susanti Reva Arianda Putra Rezeki, Aisyah Putri Rika Sarfika Rima Semiarty Rini Purnama Sari Rio Hendra Rismawati Yaswir Ritonga, Sukhri Herianto Rizanda Machmud Roery Yohanes Rony Rustam Rosfita Rasyid Rossy Rosalinda Roza Sri Yanti Rozi Sastra Purna Rusli Yulianter RZ Nizar Safnita, Dewi Salmiah Agus Salmiah Agus Salsabila Oktaverina Salsabilla Dhiyaa Syifa Salshabilla, Miftah Saptino Miro Saputra, Mondale Sari, Rini Purnama Sastra Purna, Rozi Selfi Renita Rusjdi Setiawati, Yessy Sharfina Shinta Pertiwi Shreshta Dewi Silvi Korprina Silvia Harpeni Simarmata, Sondang Sirazudeen, Nurhaslinda sondang - nora Stiawan, Helmy Aries Suchitra, Avit Sukri Rahman Surika Martalina Susanti, Yenila Syamel Muhammad Talsi Transino Tofrizal tofrizal - tofrizal Transino, Talsi Utama, Bobby Indra Utami, Dini Andri Vaulinne Basyir Wizia, Lady Yantri Miaputra Yenila Susanti Yenita . Yenita Afriyeni Yessi Ardiani Yoanita, Rini Yolanda Dwi Santi Violentina Yollanda Dwi Santi Violentina Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati Zukri Afriadi Zulen, Ilham Andhika Zulfiqar MS Zuryati Nizar, Rachmadijah