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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Ilmiah Universitas Batanghari Jambi JKM (Jurnal Kebidanan Malahayati) Proceeding - Sari Mutiara Indonesia International Conference on Health Jurnal Kesehatan Masyarakat dan Lingkungan Hidup PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Doppler Jurnal Doppler Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Journal of Pharmaceutical and Sciences. Jurnal ABDIMAS MUTIARA Tour Health Journal JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL
Rahmat Alyakin Dakhi
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PENGABDIAN MASYARAKAT DALAM MENINGKATKAN MUTU PELAYANAN DAN KEPUASAN PASIEN DI UPT PUSKESMAS SUKARAMAI Alyakin Dachi, Rahmat; Ivan Elisabeth Purba; Mido Ester J. Sitorus; Netti Etalia Br. Brahmana; Winda Ningsih Sitompul; Forniat Putri Gea
Jurnal Abdimas Mutiara Vol. 6 No. 2 (2025): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jam.v6i2.6279

Abstract

Mutu pelayanan kesehatan merupakan aspek penting dalam menciptakan kepuasan pasien, khususnya di fasilitas pelayanan tingkat pertama seperti Puskesmas. Kegiatan pengabdian masyarakat ini dilakukan di UPT Puskesmas Sukaramai, Kota Medan, dengan tujuan meningkatkan kualitas pelayanan dan tingkat kepuasan pasien melalui pelatihan tenaga kesehatan, edukasi masyarakat, serta penyediaan media informasi pelayanan. Metode yang digunakan adalah edukatif-partisipatif dengan pendekatan pelatihan, sosialisasi, observasi langsung, dan evaluasi kuesioner. Waktu PkM di bulan Mei-Juni 2025, Lokasi PkM di UPT Puskesmas Sukaramai. Hasil kegiatan menunjukkan adanya peningkatan signifikan pada aspek komunikasi pelayanan, efisiensi waktu, serta kenyamanan fasilitas. Skor kepuasan pasien meningkat pada hampir seluruh indikator, termasuk keramahan petugas, kecepatan layanan, dan kejelasan informasi. Kegiatan ini membuktikan bahwa intervensi sederhana yang terstruktur mampu mendorong peningkatan mutu layanan secara berkelanjutan di tingkat pelayanan primer.
Faktor-Faktor Yang Berhubungan Dengan Partisipasi Ibu Dalam Memilih Metode Kontrasepsi Metode Operasi Wanita (MOW) Di Kelurahan Pintusona Kecamatan Pangururan Kabupaten Samosir Sinurat , Astriatalita Lastiar; Manurung, Kesaktian; Tarigan , Frida Lina; Dachi, Rahmat Alyakin; Sitorus, Mido E
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1025

Abstract

Background: The continuous increase in population growth is a serious concern, including in Indonesia. Samosir Regency has a Total Fertility Rate (TFR) of 3.2, higher than the provincial average (2.7), necessitating population control efforts through the use of Long-Term Contraceptive Methods (LTCM), including Female Sterilization (Tubectomy). However, mothers' participation in choosing tubectomy in Pintusona Village remains low (34.8%), influenced by factors such as knowledge, husband's support, and cultural perceptions. Objective: This study aims to analyze the factors associated with mothers' participation in choosing tubectomy as a contraceptive method in Pintusona Village, Pangururan District, Samosir Regency. Methods: This study used a cross-sectional design with a quantitative approach. The sample consisted of 70 women of reproductive age who met the inclusion criteria. Data were collected through questionnaires and analyzed using univariate, bivariate (Chi-Square test), and multivariate (logistic regression) methods.Results: Bivariate analysis showed significant associations between husband's support (p=0.003), healthcare workers' support (p=0.048), income level (p=0.000), maternal knowledge (p=0.035), and maternal attitude (p=0.024) with the selection of tubectomy. Multivariate analysis identified husband's support as the most dominant factor (OR=4.898), followed by income level. Conclusion: Husband's support and family income level are key factors influencing mothers' participation in choosing tubectomy. Family planning programs should involve husbands in education and improve access to information about tubectomy to increase its acceptance.
Strategi Promosi Kesehatan Melalui Program PHBS: Studi Pada Dinas Kesehatan Sarolangun Provinsi Jambi Hamonangan, Jan Effendi; Dachi, Rahmat Alyakin; Sitorus, Mido Ester J.; Nababan, Donal; Sinaga, Taruli Rohana
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1108

Abstract

The purpose of this research is to explore in more depth all matters related to the Health Promotion Strategy through the PHBS Programme, namely Health Education, Disease Prevention and Health Protection. This type of research is qualitative research. Research involves in-depth interviews, document review, and direct observation. The informants in this study were the Head of Public Health, the holder of the health promotion programme and the community in Sarolangun. In this study, triangulation was employed by asking questions to informants and by examining written documents and field circumstances to validate the interview results. Processing research data with the in-depth interview method. The results showed that the health education strategy had an impact on individual behaviour, achieved through mass media, collaboration with puskesmas, doctors, and community groups. The disease prevention strategy has a positive effect on increasing community awareness and participation in disease prevention through health screening programs, immunisation, and environmental hygiene campaigns, which elicit a positive community response. The health protection strategy focuses more on providing hygiene facilities, forming health protection policies, and collaborating across sectors. However, challenges such as limited infrastructure and low community compliance need to be addressed through educational approaches, facility expansion, and stricter supervision to ensure programme sustainability and greater community impact.
FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN MINUM OBAT ANTI TUBERKULOSIS (OAT) PADA PASIEN TB PARU DI WILAYAH KERJA PUSKESMAS LAHOMI KECAMATAN LAHOMI KABUPATAN NIAS BARAT Dachi, Sidita; Dachi, Rahmat Alyakin; Sitorus, Mido Ester. J.; Nababan, Donal; Tarigan, Frida Lina
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.27073

Abstract

Tuberkolosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat hingga saat ini. Tujuan penelitian untuk mengidentifikasi faktor-faktor yang berhubungan dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) pada Pasien TB Paru di Wilayah Kerja Puskesmas Lahomi Kecamatan Lahomi Kabupatan Nias Barat. Jenis penelitian adalah metode penelitian mix methods. Penelitian dilakukan di wilayah Puskesmas Lahomi Kabupaten Nias Barat pada bulan November 2022 s/d April 2024. Populasi adalah seluruh pasien yang sudah dan sedang menjalani pengobatan TB. Pengumpulan data primer dilakukan dengan kuesioner, wawancara, dan observasi. Pengumpulan data sekunder dilakukan dengan menelaah dokumen yang berkaitan dengan pelaksanaan program pemnberantasan TB di Puskesmas Lahomi. Variabel penelitian dibedakan menjadi 2 yaitu variabel bebas dan variabel terikat. Variabel Bebas adalah tingkat pengetahuan, motivasi, akses fasilitas kesehatan, dukungan keluarga dan dukungan petugas kesehatan. Variabel Terikat adalah kepatuhan berobat penderita TB. Analisis data dilakukan secara univarit, bivariat, dan multivariat. Hasil penelitian menunjukan bahwa ada hubungan pengetahuan dengan kepatuhan minum OAT pasien TB di Wilayah Kerja Puskesmas Lahomi, ada hubungan motivasi dengan kepatuhan minum OAT pasien TB di Wilayah Kerja Puskesmas Lahomi, ada hubungan akses fasilitas kesehatan dengan kepatuhan minum OAT pasien TB Paru di Wilayah Kerja Puskesmas Lahomi, ada hubungan dukungan keluarga dengan kepatuhan minum OAT pasien TB Paru di Wilayah Kerja Puskesmas Lahomi, ada hubungan dukungan petugas kesehatan dengan kepatuhan minum OAT pasien TB Paru di Wilayah Kerja Puskesmas Lahomi. Berdasarkan hasil penelitian ini, disarankan agar para responden penelitian patuh dalam berobat sesuai dengan petunjuk petugas kesehatan. Selain itu keluarga penderita TB Paru tetap mendampingi pasien ketika mengambil obat dan mengawasi pasien saat minum obat. Hal lain adalah agar petugas kesehatan di Puskesmas memberi perhatian lebih dalam upaya pengendalian penyakit menular khususnya TB Paru.
PERAN KLINIK SWASTA DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS PARU DI KOTA MEDAN TAHUN 2024 Harahap, Diana; Nababan, Donal; Sembiring, Rinawati; Dakhi, Rahmat Alyakin; Sinaga, Taruli Rohana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.27547

Abstract

Penelitian ini bertujuan untuk menganalisis upaya peranan klinik swasta dalam program penanggulangan tuberkulosis paru di Kota Medan. Jenis penelitian ini adalah penelitian kualitatif dengan desain fenomenologi. Informan dalam penelitian ini adalah satu orang petugas Tuberkulosis dengan sampel berjumlah 5 klinik dengan teknik wawancara. Penelitian ini menggunakan instrumen voice recorder untuk merekam hasil wawancara. Data diolah dengan cara data reduction, Data display, dan conclusion drawing. Hasil yang didapatkan adalah 2 dari 5 klinik telah melakukan pencatatan dan pelaporan serta penganan kasus Tuberkulosis secara mandiri. 3 sisanya tidak melakukan dikarenakan beberapa hal, seperti: SDM yang kurang, tingginya resign, Tidak adanya SOP, Aplikasi SITB yang tidak responsive, serta kurangnya pantauan owner. Adanya peraturan seperti Peraturan Presiden, Peraturan Mentri Kesehatan, dan Peraturan Gubernur, dan Peraturan Walikota, merupakan bentuk dukungan dari pemerintah dan harus dilaksanakan oleh seluruh fasilitas kesehatan termasuk klinik swasta.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS IMUNISASI DASAR PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS BUHIT KABUPATEN SAMOSIR TAHUN 2024 Itoleleng Naibaho, Nursyah; Dakhi, Rahmat Alyakin; Sinaga, Taruli Rohana; Manurung, Kesaktian; Sinaga, Janno; Silitonga, Evawani M.; Brahmana, Nettietalia br.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.27719

Abstract

Imunisasi merupakan pelayanan kesehatan yang bersifat preventif dengan tujuan untuk melindungi individu dari penyakit yang dapat dicegah dengan imunisasi. Tujuan penelitian adalah untuk mengidentifikasi faktor-faktor yang berhubungan dengan status  imunisasi dasar pada anak balita di wilayah Kerja Puskesmas Buhit Kabupaten Samosir. Jenis penelitian adalah penelitian analitik korelasional. Ranvangan penelitian yang digunakan adalah pendekatan potong-lintang. Penelitian dilakukan di wilayah kerja Puskesmas Buhit pada November 2023 s/d Maret 2024. Populasi penelitian adalah seluruh anak usia di bawah lima tahun (balita) di wilayah kerja Puskesmas Buhit Kabupaten Samosir dan sebagai responden adalah ibu balita itu sendiri dengan unit analisisnya status imunisasi balita. Sampel berjumlah 95 anak balita yang dipilih secara proporsional random sampling. Variabel penelitian meliputi variabel bebas dan variabel terikat. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa ada hubungan pengetahuan dengan status imunisasi dasar pada anak balita di Wilayah Kerja Puskesmas Buhit. Ada hubungan pekerjaan ibu dengan status imunisasi dasar pada anak balita di Wilayah Kerja Puskesmas Buhit. Ada hubungan dukungan suami dengan status imunisasi dasar pada anak balita di Wilayah Kerja Puskesmas Buhit. Ada hubungan dukungan petugas kesehatan dengan status imunisasi dasar pada anak balita di Wilayah Kerja Puskesmas Buhit. Oleh sebab itu sebagai saran penelitian ini adalah agar hasil penelitian ini menjadi referensi ilmiah dalam upaya meningkatkan cakupan imunisasi dasar lengkap di Puskesmas Buhit Kabupaten Samosir. Selain itu, diperlukan upaya peningkatan pengetahuan tentang imunisasi terutama kepada orang tua balita melalui komunikasi, informasi dan edukasi
HUBUNGAN FAKTOR KESEHATAN LINGKUNGAN DENGAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA UPTD PUSKESMAS GUNUNGSITOLI IDANOI TAHUN 2024 Mendrofa, Debora; Dachi, Rahmat Alyakin
TOUR HEALTH JOURNAL Vol. 3 No. 2 (2024): Tour Health Journal
Publisher : Akupun Tour Publisher

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

Abstract

Background: The environmental conditions in the homes of toddlers suffering from diarrhea show that most of the clean water facilities do not meet health requirements, for example they are not protected from sources of pollution. Likewise, most of the latrine facilities do not have waterproof floors, are slippery, and flow directly into the river. Waste management is still far from health requirements and most rubbish bins do not have covers, there is no separation of organic and inorganic waste. Household waste water drainage channels are still close to the house, which creates a breeding ground for vectors that can carry disease. Purpose: The aim of this research is to analyze the relationship between clean water facilities, latrine facilities, waste management, waste water drainage management and the incidence of diarrhea in the work area of the UPTD Puskesmas Gunungsitoli Idanoi District. Method: The type of research is quantitative and cross sectional research, researchers analyzed data from 4,485 families, obtained through questionnaire and observation methods, data were analyzed using the chisquare test with a confidence level of 95%. Disscusion and Conclusion: Results through statistical tests showed that all variables were related to the incidence of diarrhea in toddlers in the UPTD work area of the Gunungsitoli Idanoi District Health Center.All variables studied are related to the incidence of diarrhea, so various efforts need to be madethe role of the community and health workers in improving the quality of a healthy environmentwhich is related to the incidence of diarrhea in the UPTD work area of the Gunungsitoli Idanoi District Health Center.
THE RELATIONSHIP OF PUSKESMAS HEAD'S LEADERSHIP STYLE AND WORK MOTIVATION WITH EMPLOYEE JOB SATISFACTION AT UPT PUSKESMAS SUKARAMAI MEDAN YEAR 2024 Sembiring, Chory Vevayosa Br; Munthe, Seri Asnawati; Dachi, Rahmat Alyakin; Silitonga, Erwin
TOUR HEALTH JOURNAL Vol. 3 No. 2 (2024): Tour Health Journal
Publisher : Akupun Tour Publisher

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Abstract

Background: To determine the relationship between the leadership style of the head of the community health center and the job satisfaction of employees of the Sukaramai Community Health Center Technical Services Unit. Purpose: This research aims to determine the relationship between the leadership style of the head of the Community Health Center and the work motivation of the Sukaramai Community Health Center employees. Method: This type of research is quantitative research with a sample of 34 respondents. The data collection method used in data processing is using a direct questionnaire. The data processing technique uses the Chi Square test. The results of this research show that there is a relationship between leadership style and job satisfaction with a significant value of 0.000 which is smaller than 0.05. The research results also show that there is a relationship between work motivation and job satisfaction with a significant value of 0.000, which is smaller than 0.05. Based on the results of the hypothesis test, there is a significant influence between the leadership style variables on the job satisfaction of the Sukaramai Community Health Center Technical Services Unit employees. Disscusion and Conclusion: The results of the research show that the leadership style of the head of the community health center and work motivation are related to employee job satisfaction in the Sukaramai Community Health Center Technical Services Unit, so it is necessary to improve the quality of leadership through leadership training. Likewise, work motivation requires giving awards, opportunities to increase career levels, providing incentives and other efforts to increase job satisfaction.
HUBUNGAN KINERJA KADER POSYANDU DENGAN KEPUASAN IBU BALITA DALAM PELAYANAN POSYANDU DI WILAYAH KERJA UPT PUSKESMAS SUKARAMAI KOTA MEDAN TAHUN 2024 Simanullang, Elysa; Sinaga , Lia Rosa Veronika; Munthe, Seri Asnawati; Dachi, Rahmat Alyakin
TOUR HEALTH JOURNAL Vol. 3 No. 2 (2024): Tour Health Journal
Publisher : Akupun Tour Publisher

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Abstract

Background: The decrease in the number of visits by mothers of toddlers at the posyandu in the working area of ​​the UPT Puskesmas Sukaramai is something that needs to be paid attention to by health workers or cadres who work at the posyandu. Purpose: The aim of this research is to determine the relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the Sukaramai Community Health Center UPT Working Area, Medan City in 2024. Method: The population of this study was the number of mothers who made regular visits to the posyandu in the working area of ​​the UPT. Sukaramai Health Center, namely 507 toddlers. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 84 people. Hypothesis testing used the Chi-square statistical test. The research results showed that the performance of posyandu cadres in the Sukaramai Health Center UPT Working Area, Medan City, was mostly (42.9%) in the poor category, 33.3% said the cadre performance was sufficient and only 23.8% said it was good. The majority of mothers (36.9%) felt dissatisfied with the satisfaction of mothers of toddlers who received services at posyandu in the working area of ​​the UPT Puskesmas Sukaramai Medan City, 35.7% felt quite satisfied, and only 27.4% felt satisfied with the performance of the cadres. in providing services. Disscusion and Conclusion: The results of the hypothesis test show that there is a relationship between the performance of Posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the working area of ​​the UPT Puskesmas Sukaramai with a value of p=0.003 (p<0.05). Seeing that there is a relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers with posyandu services in the work area of ​​the UPT. Puskesmas Sukaramai, it is necessary to make various efforts to improve the performance of posyandu cadres, such as training cadres to increase the satisfaction of mothers of toddlers with posyandu services. This will have an impact on increasing visits by mothers of toddlers to posyandu activities.
HUBUNGAN KEAKTIFAN DALAM MENGIKUTI KEGIATAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DENGAN KUALITAS HIDUP PENDERITA DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS ONAN HASANG KABUPATEN TAPANULI UTARA TAHUN 2024 Pasaribu, Fatimah Azhari S; Dachi, Rahmat Alyakin; Manurung, Hotman; Sipayung, Rosetty
TOUR HEALTH JOURNAL Vol. 3 No. 2 (2024): Tour Health Journal
Publisher : Akupun Tour Publisher

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Abstract

Background: Non-Communicable Diseases (NCDs), which are the highest cause of death in Indonesia, include Diabetes Mellitus (DM). Purpose: The aim of the research is to analyze the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. The type of research is quantitative research with a cross-sectional research design approach. The research was conducted in the Onan Hasang Community Health Center working area, North Tapanuli Regency from December 2023 to March 2024. Method: The research population was all Prolanis Program participants who suffered from DM in the Onan Hasang Community Health Center working area, North Tapanuli Regency, namely 103 people. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 82 people. Primary data collection was carried out directly through questionnaires and secondary data was obtained from the Onan Hasang Community Health Center, North Tapanuli Regency. Data analysis was carried out univariate and bivariate. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. Hypothesis testing uses the Chi-square statistical test. Disscusion and Conclusion: The research results showed that the activeness in participating in Prolanis activities in the Onan Hasang Community Health Center working area, North Tapanuli Regency was 47.6% not good, 30.5% not good, and 22.0% good. The quality of life of DM sufferers was 67.1% poor and only 32.9% good. The results of hypothesis testing show that there is a relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers in the Onan Hasang Community Health Center working area, North Tapanuli Regency. This research provides recommendations to further increase participants' active motivation in participating in prolanis activities.
Co-Authors Aruna Ragini Brahmana, Netti Etalia Br. Brahmana, Nettietalia Br Brahmana, Nettietalia Br. Dachi, Sidita Daeli, Debora Daniel Ginting Daniel Ginting Daniel Ginting Daniel Ginting Dewi Mustikani Saragih donal nababan Donal Nababan Donal Nababan Donal Nababan Elisabeth Purba, Ivan Erwin Silitonga Fikarwin Zuska Forniat Putri Gea Frida Lina Tarigan Frida Lina Tarigan, Frida Lina Ginting, Desideria Yosepha Ginting, Ira Sehati Br. Hamonangan, Jan Effendi Harahap, Diana Harefa, Feriani Hasugian, Lilis Enjelina Hia, Ermelinda Hutajulu, Johansen Itoleleng Naibaho, Nursyah Ivan Elisabeth Purba Janno Sinaga Jasmen Manurung Jasmen Manurung Johansen Hutajulu Juni Mariati Simarmata Karnirius Harefa Kesaktian Manurung Ketaren, Otniel Ketaren, S.Otniel Khairina Khairina, Khairina Laowo, Oktorisman Lukman Hakim Lyenta Simanullang Manurung , Kesaktian Manurung, Hotman Manurung, Jasmen Manurung, Kesakitan Manurung, Kesaktian MARIA AGUSTINA Mendrofa, Debora Mesri Elisabet Mido Ester J Sitorus Mido Ester J. Sitorus Muhammad Yusuf Munthe, Seri Asnawati MYRNAWATI CRIE HANDINI Nababan, Donal Netti Etalia Br. Brahmana Nina Fentiana Nurhayati Marbun Ohara, Evy Otniel Kateren Parlindungan Purba Pasaribu, Fatimah Azhari S Rosmawaty Irma Suryani Siagian Rosmawaty Irma Suryani Siagian Sembiring, Chory Vevayosa Br Sembiring, Rinawati Sembiring, Rinawati Silitonga, Evawani M. Simanjorang, Elfrida Simanullang, Elysa Sinaga , Lia Rosa Veronika Sinaga, Janno Sinaga, Lia Rosa Veronika Sinaga, Taruli Rohana Sinurat , Astriatalita Lastiar Sipayung, Rosetty Sitorus, Mido E Sitorus, Mido Ester Sitorus, Mido Ester. J. Surya Fahmi Fahmi Syafitri, Henny Tarigan , Frida Lina Tarigan, Yenni Gustiani Togatorop, Lamtiar Betty Toni Wandra Winda Ningsih Sitompul Winda Permata Sari Zulfendri Zulfendri