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HUBUNGAN PARIETAS DENGAN KUNJUNGAN ANTENATAL CARE (ANC) DI PUSKESMAS DUM DISTRIK SORONG KEPULAUANKOTA SORONG Hutomo, Wahyuni Maria Prasetyo
Diagnosis Jurnal Ilmiah Kesehatan Vol. 16 No. 2 (2021): Diagnosis: Jurnal Ilmiah Kesehatan
Publisher : STIKES Nani Hasanuddin Makassar

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

Menurut data Dinas Kesehatan Kota Sorong periode tahun 2019 menunjukan bahwa di puskesmas Dum Distrik Sorong Kepulauan Kota Sorong memiliki cakupan kunjungan antenatal care yang masih rendah jika dibandingkan dengan puskesmas sorong timur dan puskesmas malawei distrik manoi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan parietas dengan antenatal care (ANC) di Puskesmas Dum Distrik Sorong Kepulauan Kota Sorong. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Populasi penelitian adalah semua ibu hamil trimester III sebanyak 30 orang. Jumlah sampel dalam penelitian ini sebanyak 30 orang. Teknik sampling yang digunakan yaitu total sampling. Instrumen yang digunakan berupa kuesioner. Uji statistik yang digunakan yaitu uji chi- square. Hasil penelitian ini menunjukan ada hubungan Parietas (p- value=0,010), dengan kunjungan antenatal care di Puskesmas Dum Distrik Sorong Kepulauan Kota Sorong. Penelitian ini menyimpulkan bahwa ada hubungan dan Parietas dengan kunjungan antenatal care di Puskesmas Dum Distrik Sorong Kepulauan Kota Sorong. Diharapkan bagi petugas kesehatan di Puskesmas Dum Distrik Sorong Kepulauan Kota Sorong agar lebih meningkatkan pelayanan terkait antenatal care.

Socioeconomic Factors and Its Correlation with Nutritional Status in Toddlers: A Study in Papua Etnis, Anita Ratna; Hutomo, Wahyuni Maria Prasetyo; Su, Hansen Maikel; Rahman, Irfandi; Kolong, Endofita
Journal of Health Sciences and Epidemiology Vol. 2 No. 2 (2024): August 2024
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v2i2.49

Nutritional status in toddlers is a critical indicator of overall well-being and long-term health outcomes. Malnutrition among children is persistent and continues to be an alarming burden, often linked to socioeconomic factors in Papua. This study aims to analyze the relationship between socioeconomics and the nutritional health of toddlers. This cross-sectional study involved 300 toddlers aged 1–5 years from working areas at the Primary Health Center (PHC) Remu, Sorong City, Papua. We collected data by conducting structured interviews with the mothers and measuring the anthropometric traits of the toddlers. Socioeconomics was assessed through family income, maternal education, and access to healthcare. We measured nutritional status using WHO standards for weight-for-age (underweight), height-for-age (stunting), and weight-for-height (wasting). We implemented the Pearson and Spearman correlation tests for data analysis. The results indicated family income (p < 0.05), maternal education (p < 0.05), and access to healthcare (p < 0.05) were significantly correlated with nutritional status. This study highlights the significant influence of socioeconomic status on the nutritional status of toddlers in Papua. Toddlers from families with higher income, better maternal education, and enhanced accessibility to healthcare had better nutritional outcomes, with lower rates of stunting, wasting, and underweight. These findings suggest the need for targeted interventions aimed at improving socioeconomic conditions and enhancing access to nutritional and healthcare services in Papua, particularly in rural and remote areas, to reduce malnutrition and promote better health outcomes for children.

Relationship Between Age, Gender, and Marital Status with The Intention to Disclose HIV Status Among PLHIV Hutomo, Wahyuni Maria Prasetyo; Pramukti, Iqbal; Sari , Sheizi Prista
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3524

Globally, Human Immunodeficiency Virus (HIV) remains a public health problem. The World Health Organization (WHO) reports 39.0 million (33.1-45.7 million) people living with HIV by the end of 2022, with two-thirds (25.6 million) in the African region. Based on national data in 2022, West Java has the 3rd highest number of HIV cases based on data and reporting from 2010-2022, which amounted to 52,970 cases, so it is necessary to disclose the status to the closest people to prevent transmission. HIV-positive status disclosure is the decision of PLWHA to disclose personal information about their disease and transmit it to others. This study aims to determine the relationship between age, gender, and marital status in disclosing HIV status in PLWHA. This study is a quantitative research, analytic research design with a cross-sectional design conducted on 74 PLWHA in Sumedang Regency Hospital. Data were analyzed using the chi-square test and Fisher's exact test. The results of bivariate analysis showed age Ϸ=0.033 and OR 2.739 (CI 95% 1.184-6.337), gender Ϸ=0.002 and OR 5.091 (CI 95% 1.712-15.139), single marital status Ϸ=0.004 and OR 4.4381 (CI 95% 1.628-12.099). (CI 95% 1.628-12.099) so that it is known that the variable most associated with disclosure of HIV-positive status in PLWHA at Sumedang District Hospital and the most associated with disclosure of HIV-positive status.

Integrasi Kesehatan Melalui Peningkatan Kemandirian Kader Kampung Malawor Distrik Makbon Kabupaten Sorong Irfandi Rahman; Julya F Ratulohoren; Wahyuni Maria Prasetyo Hutomo; Prisilya Prety Ruhukail; Imam ahmadi; Irtan Henderika Sikowai; Yuliana Papuani Sikowai; Ivana Ribka Nasedum
Window of Community Dedication Journal Vol. 3 No. 1 (Juni, 2022)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/wocd.v3i1.2

Kampung Malawor berdasarkan pengamatan yang dilakukan dalam survei awal menggambarkan kondisi kurangnya pengetahuan masyarakat tentang kesehatan. Kampung Malawor telah memiliki Kader yang sudah mendapatkan pelatihan, namun dari sisi kuantitas, pelatihan yang dilakukan masih belum cukup untuk bisa mengetahui kualitas dan kompetensi dari Kader Kesehatan itu sendiri. Tujuan integritas kesehatan melalui peningkatan kemendirian kader kampung malawor. Metode Pemberdayaan yaitu dilaksanakan secara penuh dilapangan dengan memerhatikan dan mengacu pada protokol kesehatan selama masa Pandemi Covid-19, metode pelaksanaan yaitu: menyusul jadwal kegiatan, ceramah, tanyajawab, Pelatihan Pertolongan Pertama Pada Kecelakaan (P3K), pemeriksaan fisik dan Evaluasi akhir serta menggunakan LFA untuk megevaluasi keberasilan. Hasil program yang telah dilakukan pada bulan November sampai Desember pada 10 Ibu-ibu Kader Kesehatan sudah memahami edukasi dan pelatihan Pelatihan P3K, pemeriksaan fisik dan senam sehat. Kesimpulan para ibu kader kampung Malawor bisa mandiri khususnya dibidang kesehatan. Saran diharapkan ibu Kader sudah mengikuti pelatihan kesehatan, serta kelanjutannya kampung Malawor menjadi binaan STIKES Papua.

Hubungan Antara Usia dan Pengetahuan dengan Persepsi Stigma HIV/AIDS Pada Ibu Rumah Tangga di Kabupaten Garut Hartiah Haroen; Wahyuni Maria Prasetyo Hutomo; Citra Windani Mambangsari; Witdiawati Witdiawati; Hasniatisari Harun
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12991

ABSTRACT There are approximately 5,100 new Human Immunodeficiency Virus (HIV) infections in the Housewife (IRT) group every year, and 35% of them are infected from their partners. This rate is higher than HIV cases in other groups such as the MSM (man sex with man). West Java is one of the four provinces with the highest number of HIV/AIDS cases in Indonesia. One of the districts in West Java with a high rate of HIV transmission is Garut Regency, where the estimation of 1,681 people with HIV/AIDS. To determine the relationship between age and knowledge with the perception of HIV/AIDS stigma among housewives. This research is a quantitative research with a cross sectional approach. Data collection was conducted in May 2023 and located in Village X, Garut Regency, West Java. The study population was housewives with inclusion criteria of women of childbearing age (aged 20-49 years) who resided permanently in the ciwalen sub-district area using purposive sampling technique as many as 97 housewives. Data collection was conducted door to door using a questionnaire which included demographic characteristics data, knowledge about HIV/AIDS using the HIV-KQ-18 Instrument consisting of 18 question items and perceived stigma using the stigma questionnaire from Berger's HIV Stigma Scale (HSS). Data were analyzed using SPSS software (Version 21), frequency distribution analysis and chi-square test. The research results showed that the majority of housewives (64 people, 66.0%) had poor knowledge about HIV, (32.0%) had high stigma about HIV and (34.0%) had low stigma. Meanwhile, only a few (34.0%) of the housewives had good knowledge and (25.8%) the housewives' stigma about HIV was low. Relationship between domestic workers' knowledge and stigma about HIV (P0.021). The majority of housewives in the early adulthood stage (55 people, 56.7%), had high stigma (28.9%) and low stigma (27.8%), low stigma was more often found in late adulthood housewives (53.4%). Age was related to stigma about HIV (P 0.014). To increase knowledge about HIV and reduce stigma in society, efforts are being made to increase knowledge and group discussions about HIV/AIDS. Keywords: HIV/AIDS, Housewives, Age, Knowledge, Stigma. ABSTRAK Terdapat 5.100 infeksi Human Immunodeficiency Virus (HIV) baru pada kelompok Ibu Rumah Tangga (IRT) setiap tahunya dan sebagian besar 35% tertular dari pasangannya, angkat tersebut lebih tinggi dibandingkan kasus HIV pada kelompok lainnya seperti kelompok MSM (man sex with man). Jawa Barat merupakan salah satu dari empat provinsi dengan jumlah kasus HIV/AIDS tertinggi di Indonesia. Salah satu kabupaten di Jawa Barat yang angka penularan HIV-nya tinggi adalah Kabupaten Garut, perkiraan jumlah orang yang hidup dengan HIV (ODHIV) sebanyak 1.681 orang. Diketahui hubungan usia dan pengetahuan dengan persepsi stigma HIV/AIDS pada ibu rumah tangga. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengambilan data dilakukan pada bulan Mei 2023 dan berlokasi di Desa X, Kabupaten Garut, Jawa Barat. Populasi penelitian adalah ibu rumah tangga dengan kriteria inklusi wanita usia subur (usia 20-49 tahun) yang bertempat tinggal tetap di wilayah tersebut dengan menggunakan teknik purposive sampling sebanyak 97 ibu rumah tangga. Pengumpulan data dilakukan secara door to door dengan menggunakan kuesioner yang meliputi data karakteristik demografi, pengetahuan tentang HIV/AIDS dengan menggunakan Instrumen HIV-KQ-18 yang terdiri dari 18 item pertanyaan dan stigma yang dirasakan dengan menggunakan kuesioner stigma dari Berger's HIV Stigma Scale (HSS). Analisis data dilakukan dengan menggunakan perangkat lunak SPSS (Versi 21), analisis distribusi frekuensi dan uji chi-square. Penelitian menunjukan mayoritas IRT (64 orang, 66,0%) memiliki pengetahuan yang kurang baik tentang HIV, (32.0%) memiliki stigma tentang HIV yang tinggi dan (34,0%) yang memiliki Stigma rendah. Sementara hanya sedikit (34,0%) diantara IRT yang memiliki pengetahuan baik dan (25,8%) stigma IRT tentang HIV yang rendah. Hubungan pengetahuan dan stigma IRT tentang HIV (P0.021). Mayoritas Usia IRT pada tahap dewasa awal (55 orang, 56.7%), memiliki stigma tinggi (28,9%) dan stigma rendah( 27,8%), stigma rendah lebih banyak dijumpai pada IRT Usia dewasa akhir (53,4%). Usia memiliki hubungan dengan stigma tentang HIV (P 0.014). Untuk meningkatkan pengetahuan tentang HIV dan mengurangi stigma di masyarakat dilakukan upaya-upaya peningkatan pengetahuan dan diskusi kelompok bersama tentang HIV/ AIDS. Kata Kunci: HIV/AIDS, Ibu Rumah Tangga, Usia, Pengetahuan, Stigma.

Deconstructing the Stigma: A Meta-Analysis of Peer-Led and Community-Based Psychosocial Support Interventions on Quality of Life and Stigma Reduction Among Tuberculosis Patients Rifki Sakinah Nompo; Wahyuni Maria Prasetyo Hutomo; Adellia Dinanda Setyawardani; Yuliana Baru
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 6 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i6.312

Peer-led psychosocial support interventions represent a potentially transformative approach to addressing the dual burden of diminished quality of life and enacted, anticipated, and internalized stigma among tuberculosis (TB) patients. Evidence from rigorous trials remains inconsistent, warranting a systematic synthesis. A systematic review and meta-analysis following PRISMA 2020 guidelines examined randomised controlled trials, quasi-experimental designs, and observational studies evaluating peer-led or community-based interventions in adults with TB. Searches covered PubMed, EMBASE, Global Health, CINAHL, and regional databases through March 2026. Risk of bias was assessed using study-design-specific tools (RoB 2.0 for RCTs, NOS for observational studies, MRAT for reviews). We conducted separate random-effects meta-analyses for two primary outcomes: quality of life and stigma reduction, using Hedges' standardised mean difference (SMD) with DerSimonian-Laird estimation. GRADE certainty assessment was performed. Twelve effect sizes from seven studies (N=1,449 across primary outcomes, with two contributing systematic reviews) were included. Quality of life improved significantly (k=6, SMD=0.3899, 95% confidence interval [0.2911, 0.4886], p<0.001, I²=0.00%, Tau²=0). Stigma reduction also reached statistical significance (k=6, SMD=−0.4175, 95% CI [−0.5208, −0.3142], p<0.001, I²=0.00%, Tau²=0). The overall pooled estimate across both outcomes was non-significant (SMD=−0.0273, 95% CI [−0.2925, 0.2379], p=0.8399), reflecting outcome-specific effects rather than universal benefit. Sensitivity analyses excluding systematic reviews and by study design confirmed directional consistency. Publication bias assessment (Egger's t=−0.26, p=0.80) revealed no evidence of small-study bias. GRADE ratings: moderate certainty for quality of life (due to design heterogeneity), moderate certainty for stigma reduction. In conclusion, peer-led psychosocial support interventions demonstrate efficacy for both quality of life enhancement and stigma reduction in TB patients. The zero heterogeneity finding (I²=0%) warrants cautious interpretation and suggests consistency despite implementation heterogeneity. Clinical integration requires standardised training, fidelity monitoring, and measurement protocols. Future research must employ larger, multi-country pragmatic trials with mechanistic substudies and long-term follow-up.

The Impact of Peer-Led Community Testing Models on Early HIV Diagnosis Among Key Populations: A Systematic Review and Meta-Analysis Wahyuni Maria Prasetyo Hutomo; Agnesia Hetriany Sorsery; Maria Wati Manseni
Sriwijaya Journal of Internal Medicine Vol. 3 No. 2 (2026): Sriwijaya Journal of Internal Medicine
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjim.v3i2.244

Introduction: HIV testing remains a critical entry point to the care cascade. Peer-led community testing models have emerged as promising approaches to improve early diagnosis among key populations, yet evidence synthesis regarding their effectiveness remains limited. This study aimed to systematically review and meta-analyse the effectiveness of peer-led community testing interventions on HIV testing uptake among key populations. Methods: Systematic search of PubMed, Embase, Global Health, CINAHL, and Web of Science (2014-2024) for randomized controlled trials and quasi-experimental studies. Screening, quality assessment (Cochrane Risk of Bias tool), and meta-analysis using Hedges' g as the pooled effect measure. GRADE methodology applied to assess certainty of evidence. Sensitivity analysis excluding systematic reviews conducted. Results: Seven studies (52,698 participants; 31,381 intervention, 21,317 control) met inclusion criteria. Pooled standardized mean difference was 0.4834 (95% CI: 0.3671 to 0.5997; p < 0.001), indicating a moderate effect of peer-led testing on uptake. Heterogeneity was moderate (I² = 55.23%, τ² = 0.0111). GRADE analysis indicated moderate certainty of evidence, downgraded for study design heterogeneity but upgraded for large absolute effect and consistency. The 95% prediction interval ranged from −0.05 to 1.02, suggesting that while most future settings would benefit, some may show minimal effects. Sensitivity analysis excluding two systematic reviews (5 primary studies: g = 0.58) remained statistically significant. Subgroup analysis demonstrated differential effectiveness by setting and intervention modality. Conclusion: Peer-led community testing models yield moderate improvements in HIV testing uptake among key populations. Translation to policy implies approximately 9,600 additional individuals tested per 100,000 reached, potentially yielding 288-480 additional diagnoses at 3-5% prevalence. However, sustainability, linkage to care, and integration within health systems remain critical implementation challenges. Further research addressing long-term retention, cost-effectiveness, and contextualization to specific key population and geographic settings is warranted.

Deconstructing the Stigma: A Meta-Analysis of Peer-Led and Community-Based Psychosocial Support Interventions on Quality of Life and Stigma Reduction Among Tuberculosis Patients Rifki Sakinah Nompo; Wahyuni Maria Prasetyo Hutomo; Adellia Dinanda Setyawardani; Yuliana Baru
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 6 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i6.312

Peer-led psychosocial support interventions represent a potentially transformative approach to addressing the dual burden of diminished quality of life and enacted, anticipated, and internalized stigma among tuberculosis (TB) patients. Evidence from rigorous trials remains inconsistent, warranting a systematic synthesis. A systematic review and meta-analysis following PRISMA 2020 guidelines examined randomised controlled trials, quasi-experimental designs, and observational studies evaluating peer-led or community-based interventions in adults with TB. Searches covered PubMed, EMBASE, Global Health, CINAHL, and regional databases through March 2026. Risk of bias was assessed using study-design-specific tools (RoB 2.0 for RCTs, NOS for observational studies, MRAT for reviews). We conducted separate random-effects meta-analyses for two primary outcomes: quality of life and stigma reduction, using Hedges' standardised mean difference (SMD) with DerSimonian-Laird estimation. GRADE certainty assessment was performed. Twelve effect sizes from seven studies (N=1,449 across primary outcomes, with two contributing systematic reviews) were included. Quality of life improved significantly (k=6, SMD=0.3899, 95% confidence interval [0.2911, 0.4886], p<0.001, I²=0.00%, Tau²=0). Stigma reduction also reached statistical significance (k=6, SMD=−0.4175, 95% CI [−0.5208, −0.3142], p<0.001, I²=0.00%, Tau²=0). The overall pooled estimate across both outcomes was non-significant (SMD=−0.0273, 95% CI [−0.2925, 0.2379], p=0.8399), reflecting outcome-specific effects rather than universal benefit. Sensitivity analyses excluding systematic reviews and by study design confirmed directional consistency. Publication bias assessment (Egger's t=−0.26, p=0.80) revealed no evidence of small-study bias. GRADE ratings: moderate certainty for quality of life (due to design heterogeneity), moderate certainty for stigma reduction. In conclusion, peer-led psychosocial support interventions demonstrate efficacy for both quality of life enhancement and stigma reduction in TB patients. The zero heterogeneity finding (I²=0%) warrants cautious interpretation and suggests consistency despite implementation heterogeneity. Clinical integration requires standardised training, fidelity monitoring, and measurement protocols. Future research must employ larger, multi-country pragmatic trials with mechanistic substudies and long-term follow-up.

Relationship Between Complementary Foods and Family Income on Stunting in Toddlers Evi Hudriyah Hukom; Wahyuni Maria Prasetyo Hutomo; Resa Juli Prakoso
An Idea Health Journal Vol 3 No 01 (2023): FEBRUARY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i01.142

Stunting is a condition of failure to thrive that occurs in toddlers, one of the causes of which is chronic malnutrition. This condition can be seen from the height of the child who is shorter than children in the same age. The incidence of stunting in the world reaches 149 million toddler and based on the survey of Indonesia Nutrition Status (SSGI) 2021 in Indonesia in 2019 it reached 27.7%, in West Papua in 2019 it was 24.6% and in Sorong it reached 1026 toddler. The purpose of this study was to determine the relationship between complementary feeding and family income to the incidence of stunting in the working area of ??the East Sorong Public Health Center, Sorong City. This study used a cross sectional approach. The sample of this study were 77 toddlers aged 24-60 months with sampling using purposive sampling technique. Data analysis using Chi-Square test. The results showed that the history of complementary feeding had a relationship with the incidence of stunting (p-value = 0.017) but family income did not have a relationship with the incidence of stunting (p-value = 0.802).

Analisis Kadar Kolesterol dan Tekanan Darah pada Penderita Hipertensi Jernila Since Tata; Irfandi Rahman; Wahyuni Maria Prasetyo Hutomo; Josepha Mariana Tamaela; Irma Idris; Muhamad Faizal Arianto
Journal of Language and Health Vol. 6 No. 4 (2025): Journal of Language and Health: December 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i4.916

Hipertensi merupakan kondisi ketika tekanan darah sistolik ≥140 mmHg, tekanan darah diastolik ≥90 mmHg, atau kedua nilai tersebut meningkat secara bersamaan. Kolesterol adalah komponen penting dalam membran sel tubuh, terutama pada sel-sel otak dan sistem saraf. Secara global, diperkirakan terdapat sekitar 1,28 miliar orang dewasa yang menderita hipertensi, sementara prevalensi kolesterol tinggi mencapai sekitar 45% di seluruh dunia. Penelitian ini bertujuan untuk menggambarkan kadar kolesterol dan tekanan darah pada penderita hipertensi di Puskesmas Tanjung Kasuari. Desain penelitian yang digunakan adalah deskriptif dengan pendekatan analitik observasional. Sampel penelitian berjumlah 41 responden yang diperoleh melalui teknik accidental sampling. Penelitian dilaksanakan pada tanggal 14 Juni hingga 31 Juli 2025. Data yang telah dikumpulkan selanjutnya dianalisis secara bertahap menggunakan perangkat lunak statistik. Analisis univariat untuk menggambarkan karakteristik responden, meliputi variabel demografis dan variabel penelitian, yang disajikan dalam bentuk distribusi frekuensi, persentase. Hasil penelitian menunjukkan bahwa dari 41 responden, sebagian besar memiliki tekanan darah terkontrol (<140/90 mmHg) sebanyak 26 orang (63,4%), sedangkan tekanan darah tidak terkontrol (≥140/90 mmHg) ditemukan pada 15 orang (36,6%). Berdasarkan kadar kolesterol, sebanyak 6 responden (14,6%) memiliki kadar kolesterol normal (<200 mg/dL), 20 responden (48,8%) berada pada kategori batas tinggi (200-239 mg/dL), dan 15 responden (36,6%) memiliki kadar kolesterol tinggi (≥240 mg/dL). Temuan ini menunjukkan bahwa kadar kolesterol tinggi lebih banyak ditemukan pada kelompok dengan tekanan darah tidak terkontrol.

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