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ANALISIS PENERAPAN PELAYANAN KESEHATAN DENGAN PENDEKATAN DOKTER KELUARGA PADA MASYARAKAT DAERAH ALIRAN SUNGA BRANTAS DI KOTA MALANG BERDASARKAN SWOT ANALISIS Febri Endra Budi Setyawan
Saintika Medika Vol. 13 No. 2 (2017): DESEMBER 2017
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.v13i2.5555

Abstract

Pendahuluan: Kesehatan keluarga menjadi tujuan untuk mencapai kesejahteraan umum dari tujuan nasional. Kenaikan biaya kesehatan terjadi akibat penerapan teknologi canggih, karakter supply induced demand dalam pelayanan kesehatan, pembayaran langsung ke pemberi pelayanan, penyakit kronik dan degeneratif serta inflasi. Pelayanan kedokteran keluarga merupakan pelayanan kesehatan yang terpadu, berkesinambungan, manusiawi serta personal. Wilayah tempat tinggal di daerah aliran sungai merupakan suatu wilayah yang memiliki risiko tinggi terjadinya penyakit khususnya penyakit menular.Metode: Rancangan penelitian berupa penelitian observasional deskriptif dengan desain studi cross sectional. Sampel 140 kepala keluarga yang dipilih secara cluster simple random sampling. Data disajukan dalam bentuk distribusi frekuensi serta dilakukan analisis SWOT.Hasil: Tingkat pendidikan rendah pada 77% masyarakat, 62% berpenghasilan lebih dari Rp. 2.000.000, 72% berobat di puskesmas, 96% setuju untuk membiayai pelayanan kesehatan praupaya dan 82% menyanggupi membayar biaya praupaya sebesar Rp. 10.000. Diskusi: Tingkat pendidikan akan mempengaruhi pola fikir dan tindakan seseorang, semakin terbuka pikiran seseorang untuk menerima inovasi dan gagasan. Tingkat pendapatan dipengaruhi faktor sosial budaya dan faktor pendidikan dapat ditingkatkan dengan upaya pemberdayaan. Pelayanan kesehatan merupakan setiap upaya yang diselenggarakan sendiri atau secara bersama-sama dalam suatu organisasi untuk memelihara dan meningkatkan kesehatan, mencegah dan menyembuhkan penyakit serta memulihkan kesehatan. Penerapan dokter keluarga harus dibenahi dari segi kulitas sumberdaya manusia dan ketersediaan dana partisipasi masyarakat.Kesimpulan: Untuk dapat menerapkan pelayanan kesehatan dengan pendekatan dokter keluarga di RW 5 Kelurahan Kidul Dalem Kecamatan Klojen harus meningkatkan kualitas sumberdaya masyarakat serta meningkatkan pemberdayaan masyarakat.Kata kunci : Dokter Keluarga, Daerah Aliran Sungai, Analisis SWOT
Analisis Faktor Risiko Perilaku Dan Lingkungan Terhadap Keluhan Nyeri Kepala Pada Pelajar Sekolah Menengah Atas (SMA) Di Kota Malang (Studi Kasus Di SMAN 2 Kota Malang). Febri Endra Budi Setyawan; Karis Akmal Hussin
Saintika Medika Vol. 14 No. 2 (2018): DESEMBER 2018
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol14.SMUMM2.7163

Abstract

Latar belakang: Nyeri kepala adalah salah satu keluhan paling umum dikeluhkan oleh pasien saat ke dokter. Nyeri kepala dapat dipengaruhi dari psikobiologis, perilaku, lingkungan dan pelayanan kesehatan. Nyeri kepala juga sering dikeluhkan oleh pelajar tingkat sekolah menengah atas (SMA).Tujuan: Untuk menganalisis faktor risiko perilaku dan lingkungan (psikologi, sosial, budaya) terhadap keluhan nyeri kepala pada pelajar SMA di Kota Malang (studi kasus di SMAN 2 Kota Malang).Metode: Penelitian ini adalah penelitian analitik observasional dengan pendekatan cross sectional dengan subyek penelitian siswa dan siswi SMAN 2 Kota Malang. Pelaksanaan pada bulan Oktober-November 2017. Subyek penelitian 291 orang dengan stratified simple random sampling. Pengumpulan data dengan wawancara. Uji hipotesis menggunakan uji chi square, lambda dan regresi logistik.Hasil dan Diskusi: Tidak terdapat perbedaaan kejadian nyeri kepala berdasarkan tingkatan kelas (p=0,886). Faktor sarapan merupakan faktor terbesar yang berpengaruh dengan r=0,606 dan PR=3,5. Fungsi sarapan bagi tubuh adalah sebagai pemberi pasokan energi dan sumber tenaga untuk melakukan segala kegiatan, pertumbuhan dan pemeliharaan jaringan tubuh serta mengatur proses metabolisme tubuh. Faktor lain yang berpengaruh terhadap kejadian nyeri kepala adalah perlakuan yang tidak adil, konflik keluarga, tuntutan orangtua, beban pelajaran, keteraturan makan, penggunaan gadget dan pola tidur.Kesimpulan: Faktor risiko yang berpengaruh menyebabkan timbulnya nyeri kepala pada pelajar SMAN 2 Kota Malang, yaitu: konflik dalam keluarga, tuntutan dari orangtua, beban pelajaran, sarapan, keteraturan pola makan, merokok, minum kopi, sikap yang terburu-buru, penggunaan earphone, penggunaan gadget dan tidur larut malam.Kata-kata kunci: Faktor risiko, Perilaku, Lingkungan, Nyeri kepala
The Effect of Holistic Comprehensive Health Service Approach Through Family Functions on Optimizing the Nutrition Status of Junior High School Students Febri Endra Budi Setyawan; Carla Edhina Widiadi
Saintika Medika Vol. 16 No. 1 (2020): June 2020
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol16.SMUMM1.12687

Abstract

Background : Nutritional status problems have many causes, including genetic, body metabolic conditions, behavior, environment, culture, and socioeconomic factors. One environmental factor that receives relatively limited attention is that children are exposed to undue stress, especially family stress. One of the factors influencing a child's nutritional status is his family. Family functions that run well can optimize the process of growth and development of children which can be described by the nutritional status. Optimization of nutritional status in children can not only be done from a clinical approach alone but needs holistic comprehensive management.Objective : The purpose of the study was to analyze the effect of a holistic comprehensive health service approach through family functions on optimizing the nutritional status of junior high school students.Method : This study was an observational analytic study with a cross sectional approach with the subjects of Malang City's "Z" Junior High School  students. Implementation in May- August 2019. The research subjects were 265 people with multistage random sampling. Data collection by interview. The analysis is displayed in the form of frequency distribution and correlation using the Spearman test and logistic regressionResults and Discussion : Family function is quite influential on nutritional status (r = 0.445). In logistic regression, the equation Y = 8.563-0.582X1 - 0.992X2-0.606X3 is obtained. The most  influential family function is partnership of 99.2%. Partnership describes communication,  mutual sharing, mutual complementarity between  family members in  all problems faced by family members, as well as the level of deliberation in making decisions and or resolving a problem that is being faced with other family members. Comprehensive holistic health service approach is sufficient effect on nutritional status (r = 0.463).Conclusion : The holistic comprehensive health service approach gives sufficient influence on the nutritional status of students in Malang City's "Z" Junior High School.
Faktor yang Memengaruhi Strategi Koping Masyarakat yang Tinggal Berdampingan dengan Penderita Skizofrenia Retno Lestari; Ah Yusuf; Rachmat Hargono; Febri Endra Budi Setyawan; Ahsan Ahsan
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 2: JUNI 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.688 KB) | DOI: 10.30597/mkmi.v16i2.9144

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The increasing number of patients with schizophrenia in the community requires positive support from all parties so that they can be more productive and independent. Stigma and discrimination that are still prevalent become the biggest obstacles to the community coping strategies in responding to the presence of patients with schizophrenia. This study aimed to analyze the factors that influence the coping strategies of people living side by side with patients with schizophrenia. This study used an analytic observational design with a cross-sectional approach. The population in this study was the people who live around patients with schizophrenia in the working area of Bantur Community Health Center, Malang Regency, East Java. There were 138 respondents selected based on the multi-stage random sampling technique. The predictor variables examined were problem appraisal (X1), social capital (X2), and social support (X3). Data were analyzed using logistic regression tests. The results of the study indicate that the fac-tor that influences community coping strategies is social capital (X2). The resulting regression equation is Y = 5.627 + 0.733X1 + 1.739X2 - 0.021X3. Therefore, it can be concluded that social capital is a predictor that in-fluences community coping strategies. It is therefore recommended that the community could strengthen their social capital to help the recovery of patients with schizophrenia.
CHALLENGES OF STAY-AT-HOME POLICY IMPLEMENTATION DURING THE CORONAVIRUS (COVID-19) PANDEMIC IN INDONESIA Febri Endra Budi Setyawan; Retno Lestari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 8 No. 2 (2020): SPECIAL ISSUE
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.15-20

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The coronavirus disease 2019 (COVID-19) has been labelled as a global pandemic disease by the World Health Organization. The number of infections in Indonesia rose significantly to 8211 cases, and 689 coronavirus deaths were reported on April 24th, 2020. We knew that the Indonesian Government has made numerous strategies to control the spread of infection in our community, but implementation plans were limited in addressing the challenges of stay-at-home policy. These challenges may include economic impact due to COVID-19, struggles for work-from-home, and leaders' ability to influence the society.
Analisis Faktor Perilaku terhadap Deteksi Dini Tumor Payudara dengan Tindakan SADARI pada Siswi SMA di Kota Malang Febri Endra Budi Setyawan; Syelvi Rahmawati; Nur’aini Fatmawati
Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan Vol 2, No 2 (2019): Herb-Medicine Journal Oktober 2019
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/hmj.v2i2.5629

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Insiden benjolan payudara yang bersifat jinak mengalami peningkatan dari tahun ke tahun, tetapi perhatian lebih sering diberikan pada benjolan atau lesi yang bersifat ganas seperti kanker payudara. Prevalensi tumor menurut lokasi tumor bahwa tumor payudara di Indonesia memiliki Odd Ratio 15, Pemeriksaan payudara sendiri (SADARI) dilakukan untuk mendeteksi atau mengindentifikasi secara dini kemungkinan adanya kanker payudara. Tindakan SADARI dapat dipengaruhi oleh 3 (tiga) faktor yaitu: predisposisi (predisposing),  pendukung (enabling) dan pendorong (reinforcing). Untuk menganalisis pengaruh faktor perilaku terhadap deteksi dini tumor payudara melalui tindakan SADARI pada siswi sekolah menengah atas Kota Malang. Penelitian ini adalah penelitian observasional analitik dengan pendekatan cross sectional dengan subyek penelitian siswa dan siswi SMAN 1 Kota Malang. Pelaksanaan pada bulan November 2018. Subyek penelitian 187 orang dengan stratified simple random sampling. Pengumpulan data dengan wawancara. Analisis ditampilkan dalam bentuk distribusi frekuensi dan korelasi menggunakan uji Sommer’s D. Faktor predisposisi merupakan faktor yang paling berpengaruh terhadap tindakan SADARI (r=0,87). Salah satu komponen faktor predisposisi adalah pengetahuan siswi terhadap SADARI. Faktor predisposisi ini menjadi bermakna apabila terdapat factor pemungkin dan faktor pendorong. Ketersediaan ruang pribadi dan dukungan dari keluarga menjadi factor pemungkin dan pendorong pada penelitan ini yang mempengaruhi tindakan SADARI. Faktor perilaku memberikan pengaruh yang kuat sampai sangat kuat (r = 0,58 – 0,87). Sebagian besar (>81%) siswi SMAN 1 Kota Malang telah melakukan tindakan SADARI dan melakukan dengan langkah yang tepat.
Analisis Lingkungan Kerja dan Karakteristik Pekerja Terhadap Faal Paru Pekerja Industri Papan Semen Rata (Studi Kasus di PT “X” Malang) Amelia Nurridha Putri; Febri Endra Budisetyawan; Abi Noerwahjono
Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan Vol 1, No 2 (2018): Herb-Medicine Journal Oktober 2018
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/hmj.v1i2.2916

Abstract

 Penyakit Akibat Kerja (PAK) merupakan masalah kesehatan akibat kerja, khususnya pada perusahaan industri. Kasus PAK di dunia tercatat lebih dari 30% PAK merupakan penyakit paru. Penurunan faal paru dapat diakibatkan oleh beberapa faktor terutama pada pekerja industri. Faktor yang mempengaruhi penurunan faal paru diantaranya adalah lingkungan kerja dan karakteristik pekerja. Menganalisis lingkungan kerja dan karakteristik pekerja terhadap faal paru pekerja industri papan semen rata di PT “X” Malang. Observasional, Pendekatan Cross Sectional, Total Sampling. Hasil penelitian menunjukkan bahwa pekerja yang memiliki gangguan faal paru sebanyak 202 pekerja (71%), 68% diantaranya mengalami gangguan faal paru tipe restriktif dan 3% mengalami obstruktif. Faktor-faktor yang berpengaruh terhadap faal paru berdasarkan uji korelasi adalah status gizi, kebiasaan olahraga, kebiasaan merokok, penggunaan APD saat bekerja dan riwayat pekerjaan sebelumnya di bidang industri dengan p value < 0,05. Sehingga hasil analisis uji statistik yang telah dilakukan membuktikan adanya pengaruh yang signifikan antara lingkungan kerja dan karakteristik pekerja terhadap faal paru pekerja industri papan semen rata di PT “X” Malang. Status gizi, kebiasaan olahraga, kebiasaan merokok, penggunaan APD (masker) dan riwayat pekerjaan sebelumnya di bidang industri berpengaruh terhadap faal paru pekerja industri papan semen rata di PT “X” Malang. Kata Kunci: PAK, Gangguan Faal Paru, Pekerja Industri, Lingkungan Kerja, KarakteristikPekerja
Preventive Management for Occupational Diseases in Battery Industry Febri Endra Budi Setyawan; Amalia Wahyu Natasari; Nesrin Zaharah; Divi Aditya Romadhona Putra; Wafiyah Hasanah; Ronty Birnanda Ramadhona
KELUWIH: Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2021): Keluwih: Jurnal Kesehatan dan Kedokteran (December)
Publisher : Direktorat Penerbitan dan Publikasi Ilmiah, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/kesdok.V3i1.4678

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Abstract—Occupational disease are important topic since they often occur in a long period of time. The purpose of this article is to find out how to prevent occupational diseases in the battery industry. This research is a systematic review of articles obtained through manual search engines from Google Scholars, Proquest, PubMed, Research Gate and has been published nationally and internationally in 2015-2020. The results of a systematic review were obtained from 30 scientific articles that were published nationally and internationally in 2015-2020 related to the battery industry process and related to occupational diseases. The factors contributing are varies from enviromental, biological, ergonomic, and the workers itself. There are several preventive management that can be done according to the analysis of the possible diseases that can be occured. Workers in the battery industry can experience occupational diseases, including: allergic contact dermatitis, bacterial conjunctivitis, noise-induced hearing loss, Low Back Pain and Carpal tunnel syndrome. Some prevention efforts that can be done include: using personal protective equipment, detecting workers who have a history of DKA, maintaining hygiene and cleanliness of the work environment, using furniture that is in accordance with ergonomic standards and not lifting heavy loads, reducing repetitive pressing movements and doing regular exercise.Keywords: preventive, allergic contact dermatitis, conjungtivitis, nihl, lbp, cts, battery industry Abstrak—Penyakit akibat kerja menjadi perhatian penting karena muncul dalam jangka waktu panjang sehingga harus dilakukan upaya pencegahan penyakit. Penelitian ini merupakan review sistematik artikel yang diperoleh melalui melalui mesin pencari manual dari Google Scholars, Proquest, PubMed, Research Gate dan telah terpublikasi nasional maupun internasional pada tahun 2015-2020. Hasil review sistematik diperoleh dari 30 artikel ilmiah yang telah terpublikasi nasional maupun internasional pada tahun 2015-2020 yang terkait dengan proses industry baterai dan terkait dengan penyakit akibat kerja. Faktor penyebabnya juga berbagai macam karena faktor lingkungan, biologi, ergonomi, ataupun dari faktor pekerja. terdapat beberapa upaya preventif yang dapat disesuaikan dengan kemungkinan penyakit akibat kerja yang mungkin akan timbul. Pekerja di industri baterai dapat mengalami penyakit akibat kerja, antara lain: dermatitis kontak alergi, konjungtivitis bakteri, gangguan pendengaran akibat kebisingan, Low Back Pain dan Carpal tunnel syndrome. Beberapa upaya pencegahan yang dapat dilakukan antara lain: menggunakan alat pelindung diri, mendeteksi pekerja yang memiliki riwayat DKA, menjaga kebersihan dan kebersihan lingkungan kerja, menggunakan furnitur yang sesuai dengan standar ergonomis dan tidak mengangkat beban berat, mengurangi penekanan berulang. gerakan dan melakukan olahraga teratur.Kata Kunci: preventif, dermatitis kontak alergi (dka), konjungtivitis, nihl, lbp, cts, industri baterai
Review Sistematik: Model Pemulihan Penderita Gangguan Jiwa Berat Berbasis Komunitas Retno Lestari; Ah Yusuf; Rachmat Hargono; Febri Endra Budi Setyawan
ARTERI : Jurnal Ilmu Kesehatan Vol 1 No 2 (2020): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.965 KB) | DOI: 10.37148/arteri.v1i2.44

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People with severe mental illness have complex disabilities affecting mental functions, daily activities, and social life, thus they need help from others in carrying out daily functional activities. Optimizing the recovery of severe mental illness requires a holistic approach and integration between mental health services and supportive communities so that sufferers can interact with others, have a positive self-concept, and improve their well-being. This study aims to describe a community-based model of recovery for people with severe mental illness. Several literature studies were obtained from 50 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing, and Allied Health Sources from 2009 to 2019. Results explain that the community provides an adequate support system in improving the care of people with severe mental illness. Support systems in the community involve social and physical aspects as well as the economic infrastructure through employment opportunities or financial support and a decent living. The interaction between community members and people with severe mental illness could be a positive thing in strengthening the motivation of people with severe mental illness to recover and be able to do their activities independently. The recovery process of severe mental illness requires strong motivation and commitment from the sufferer, the family, all society members, community mental health service team, and related policymakers. It can be concluded that people with severe mental illness need support from various parties in terms of future life planning, identifying strengths and weaknesses that they have, and recognizing multiple obstacles and support so that they recover and live independently.
Gambaran Karakteristik dan Kepuasan Peserta BPJS Kesehatan dalam Pemanfaatan Pelayanan Kesehatan di FKTP Kota Malang Febri Endra Budi Setyawan
ARTERI : Jurnal Ilmu Kesehatan Vol 1 No 3 (2020): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v1i3.103

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The rules regarding the increase in Social Insurance Administration Organization (BPJS) Health fees recently affected the occurrence of 800 thousand BPJS Health participants who dropped out of class. The level of satisfaction of BPJS Health participants utilizing health services at the First Level Health Facilities (FKTP) was still below the target. The satisfaction of the participants of the BPJS of Health when getting health services in FKTP will have a strong influence on their loyalty and the quality of health services in general. This study conducted to describe the characteristics and satisfaction of BPJS Health participants in the utilization of health services in FKTP Malang. This study wass a descriptive study an observational survey approach to describe the characteristics and satisfaction of BPJS Health participants. This study involved 49 BPJS participants in FKTP Malang at the Primary Care Clinic and Community Health Center by using systematic random sampling. Results: The results showed that in both types of FKTP groups, 100% of participants stated that they preserved their chosen health services. All participants of the Subsidy Aid Recipient (PBI) checked their health at the Community Health Center, while at the primary care clinic, the majority of participants (75%) were Wage Recipient Workers (PPU). The level of satisfaction of BPJS participants in primary care clinic was more dominated by biological aspects (84.85%), while psychological aspects were more felt by participants in Community Health Center. In conclusion, The conclusion of this study shows that PBI participants checks their health more at Community Health Center and they felt more satisfy on biological aspects at Primary Care Clinic. BPJS Health participants' satisfaction in both FKTP groups needs to be improved through a comprehensive holistic approach with promotive, preventive, curative and rehabilitative efforts.
Co-Authors Abi Noerwahjono Ah. Yusuf Ahmad Rizki Maulana Ahsan Ahsan Alestya Putri Jathy Amalia Wahyu Natasari Amalla, Fadilatul Khusna Amelia Nurridha Putri Amira Putri Handini Amirinnisa, Mifta Annisa Nurul Arofah Annisa Tri Andriani Ari Pratiwi, Devita Ashifarachma Ekasari Badrul Munir Bahrudin Bahrudin Carla Edhina Widiadi Dafa Azmi Syauqi Shihab Devita Ari Pratiwi Distyvanya, Shakira Azzahra Divi Aditya Romadhona Putra Djaka Handaja dr rahayu Dwi Nurwulan Pravitasari Fauziah, Ika Fibrin Feny Tunjungsari Friska Ardiani Putri Gita Sekar Prihanti Herdiyantini, Mita Hussin, Karis Akmal I Gusti Bagus Wiksuana Indra Setiawan Indra Wahyu Saputra Iswanti, Yani Karis Akmal Hussin Kharismatus Ikhyana, Firania Kinsay Maura Larasati Laili Purnamasari Laily Ira Fauziyyah Lestari, Retno Lingga Caraka Putri Meddy Setiawan Minarni Wartiningsih Mohammad Kuntadi Syamsul Hidayat MULYADI, NATALIA NATALIA MULYADI Nesrin Zaharah Novianita Anugrah Islami Nugroho, Iqbal Agung Nur Hafidhah Fitriani Nurlayli Hidayati Husein Nur’aini Fatmawati Nyono Nyono Okky Haidar Yahya Irawansa Patmawati Patmawati Peppy Nawangsasi PERTIWI FEBRIANA CHANDRAWATI Pertiwi Febriana Chandrawati Pratama, Proboyudha Purnaning Wahyu Prabarini Putri, Friska Ardiani Rachmat Hargono Rachmawati, Fathin Aulia rahayu, dr Retno Lestari Retno Lestari Retno Lestari Retno Lestari Riana Widyastuti Ronald Pratama Adiwinoto Ronty Birnanda Ramadhona Rr. Eko Susetyarini rubayat indradi Sander, Mochammad Aleq Shandi Andara Putra Sharacel, Dhea Soebaktiningsih Soebaktiningsih Stefanus Supriyanto Syelvi Rahmawati Thahri Iskandar Viva Maiga Mahliafa Noor Wa Ode Nurlaily Hanifaty Wafiyah Hasanah Widiadi, Carla Edhina Yudha Bhaskoro Yvone Sarah