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All Journal Media Gizi Mikro Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Masyarakat Darussalam Nutrition Journal Ilmu Gizi Indonesia Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Gizi Klinik Indonesia Bakti Budaya: Jurnal Pengabdian kepada Masyarakat Journal of Community Empowerment for Health Jurnal Mitra Kesehatan Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Kesehatan Tropis Indonesia

Bernadette Josephine Istiti Kandarina

Departemen Biostatistik, Epidemiologi Dan Kesehatan Populasi, Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 2664260

Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Pendampingan Warga Desa Sigedang, Wonosobo, Jawa Tengah tentang Dampak Negatif Perkawinan Sedarah dan Pola Konsumsi Makanan Rendah Nutrisi Atik Triratnawati; Istiti Kandarina; Laksmi Savitri; Suzie Handajani; Khidir Prawirosusanto; Yauma Ayu Arista
Bakti Budaya: Jurnal Pengabdian kepada Masyarakat Vol 2, No 1 (2019)
Publisher : Faculty of Cultural Sciences

The Community service in Sigedang Village, Kejajar Subdistrict, Wonosobo Regency, Central Java was carried out in the form of mentoring and discussion about the problems of stunting toddlers who were found in the region. The target of the activity was Posyandu members, PKK and pengajian groups as well as the youth of the mosque. This community service is delivered through discussions about the dangers or negative impacts of management and consumption patterns of improper nutrition, blood marriages or marriages with lineages that are too close (endogamy), as well as the implications in living with stunting conditions. This activity is expected to help in reducing stunting cases in Sigedang village in the future.=================================================================== Kegiatan PkM di Desa Sigedang, Kecamatan Kejajar, Kabupaten Wonosobo, Jawa Tengah dilakukan dalam bentuk pendampingan dan diskusi tentang permasalahan balita stunting dan orang cebol yang cukup banyak ditemukan di wilayah tersebut. Sasaran kegiatan adalah ibu-ibu anggota Posyandu, PKK, dan kelompok pengajian, serta para remaja masjid. Kegiatan pengabdian ini berupa diskusi dan rembuk tentang bahaya atau dampak negatif dari pengelolaan dan pola konsumsi makan yang tidak benar, perkawinan sedarah atau perkawinan dengan garis keturunan yang terlalu dekat, serta implikasi-implikasi dalam hidup dengan kondisi stunting dan cebol. Kegiatan ini diharapkan dapat ikut membantu pengurangan kasus stunting dan cebol di Desa Sigedang pada masa yang akan datang.

Development of school canteen and school gardens guidelines as prevention against cardiovascular disease Bernadette Josephine Istiti Kandarina; Yayuk Hartriyanti; Theodola Baning Rahayujati; Arif Rahmat Kurnia
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.52618

Cardiovascular diseases are considered as the deadliest diseases in the world. According to WHO data, deaths caused by coronary heart disease in Indonesia reached 138,380 or 9.89% of the total deaths. The age adjusted mortality rate is 82.30 per 100,000 population with Indonesia ranked #97 in the world. Kulon Progo Regency is located in the western part of the Special Region of Yogyakarta. The average monthly food expenditure in Kulon Progo is Rp365,012 ($27.49). While a healthy diet is known and promoted to benefit health, only a small portion is used to buy fruits and vegetables (2.24% and 1.76%). Cardiovascular disease is the main cause of morbidity in Kulon Progo. This study aimed to examine the process of developing guidelines for healthy school canteens and school gardens and promote fruit and vegetable consumption. This study used a qualitative research design. The data were collected through in-depth interviews and focus group discussions. A preliminary survey was conducted in 10 private and public schools in Kulon Progo district, Yogyakarta Province, Indonesia. Guidelines related to healthy lifestyles through Canteen- and school garden were successfully arranged for in-school programs. Interviews and focus group discussions explored possibilities of permanently establishing the programs with local and national funding. Some disagreement was voiced concerning the loss of revenue incurred by local food vendors. Stakeholder involvement is crucially important for the preparation and development of the school canteen - and school gardens guidelines. Follow-up is recommended to carry out the dissemination of the guidebook.

Upaya Penanggulangan Gizi Buruk pada Balita melalui Penjaringan dan Pelacakan Kasus Rahma Edy Pakaya, Istiti Kandarina, Akhmadi
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: A total of 1.506 children in Yogyakarta Special District Province suffered from malnutrition. They resided in Gunung Kidul (531 children), Sleman (287 children), Kotamadya Yogyakarta (225 children) and Kulon Progo (190 children). (Wirobrajan was 6th from 18 sub-districts of most frequent incident of malnutrition in Yogyakarta.)Objective: To assess the implementation of case screening and case finding of the children malnutrition through both of Posyandu (Integreted Care Venue) and Polyclinic at Wirobrajan Community Health Center, Yogyakarta.Methods: A descriptive non-analytic, cross-sectional study was carried out. Data were collected from in-depth interview. As respondents were member of team of poor nutrition prevention program. Research was conducted from December 24th 2007 to January 9th 2008 at Wirobrajan Community Health Center, Yogyakarta.Results: Case screening was conducted trough both of active and passive. Active case screening was conducted every two or three months by all of Posyandu in Wirobrajan area. Pasive case screening was conducted by daily health service setting in Community Health Center and based on health cader report. case screening was performed by collect data of children include name and age, measurement of body weight and height, head circumference, rough and smooth motoric ability. After that, documentation and reporting to goverment was made. WHO-NCHS standard was used as standard of malnutrition measurement. After case screening or case reporting, case finding was performed by home visit. Data collected by using of questioner or direct interview to parent. Anthropometric re-measurement can be performed as needed refer to community health center or to the hospital if there is enclosing desease and make dokumentation. This activity is convenience with Guideline of Malnutrition Management in and Community Health Center Setting.Keywords: case screening, case finding, children, malnutrition.

Konselor kesehatan peduli remaja sekolah di Gondomanan Yogyakarta Bernadette Josephine Istiti Kandarina; Sarah Maria Saragih; Fahmy Arif Tsani; Pramudji Hastuti
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018): Proceedings of the 4th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.40577

Objective Studi evaluasi terhadap pelaksanaan program pelayanan kesehatan peduli remaja (PKPR) di salah satu Puskesmas di Kota Yogyakarta pada bulan Mei 2017 menunjukkan bahwa pelaksanaan program tersebut belum berjalan optimal dan belum dirasakan keberadaannya dan kemanfaatannya oleh siswa-siswi remaja di sekolah. Oleh karena itu, diperlukan penguatan program PKPR melalui Program Kemitraan Masyarakat (PKM) bersama dua mitra terpilih yaitu SMA N 10 Yogyakarta dan SMA Santa Maria Yogyakarta yang merupakan target dari program PKPR yang berada di wilayah kerja Puskesmas Gondomanan. ContentLesson learntKendala pelaksanaan program PKPR adalah ketidaksiapan kader/konselor kesehatan remaja yang telah dibentuk dari sisi pengetahuan, persepsi, dan motivasi terhadap tugas dan fungsi kader/konselor remaja dan belum terdapat modul yang terstandarisasi. Sehingga kegiatan ini terfokus kepada pemberian pelatihan dan pembuatan modul kesehatan remaja.ActivitiesKegiatan pengabdian masyarakat yang dilakukan meliputi (1) Penggalian masalah kesehatan remaja di sekolah melalui focus group discussion (2) Perumusan dan pengembangan modul kurikulum pelatihan kader/konselor kesehatan remaja sebaya melalui metode focus group discussion bersama puskesmas, guru UKS, siswa dan orang tua siswa (3) Sosialisasi program PKPR di dua sekolah mitra terpilih. (4) Pelatihan konselor kesehatan remaja di dua mitra sekolah (5) Pelantikan konselor kesehatan remaja (6) Pengukuran status gizi siswa oleh konselor kesehatan remajaRencana Tindak LanjutKegiatan monitoring status kesehatan akan dilakukan secara berkala dan berkelanjutan oleh konselor kesehatan remaja dan dikoordinasikan dengan pihak Puskesmas Gondomanan.RekomendasiKegiatan ini dapat memicu sekolah menengah atas lainnya untuk mengimplementasikan program Konselor Kesehatan Remaja.

Pola asuh dan pola makan sebagai faktor risiko stunting balita usia 6-24 bulan suku Papua dan non Papua di wilayah kerja Puskesmas Arso III kabupaten Keerom Fiyanita Nesa Ramadhani; BJ Istiti Kandarina; I Made Alit Gunawan
Berita Kedokteran Masyarakat (BKM) Vol 35, No 5 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Parenting and feeding paterns as risk factors for stunting toddlers aged 6-24 months Papuans and Non-PapuansPurpose: Stunting or short is one indicator of chronic nutritional status that has long-term effects. The stunting prevalence in Indonesia in 2013 was 37.2% and in Papua in 2016 amounted to 51.72%. In 2017 there were 527 stunting toddlers in Keerom Regency and 214 toddlers found in Skanto District. This study aims to determine the risk of parenting and feeding patterns to the incidence of stunting of children aged 6-24 months in the Papuan and Non-Papuan tribes in the Arso III Health Center, Keerom. Method: This type of research is observational with a case-control design. A total of 160 toddlers were divided into 40 cases and 40 controls in each tribe. Data collection uses parenting questionnaires and SQ-FFQ. Data analysis used the Independent T-Test, Mann-Whitney, Chi-Square and Multiple Logistic Regression. Results: The results of the bivariate analysis showed that there were differences in energy and protein intake and there were no differences in parenting and types of food in Papua and non-Papuan stunting children. In the Papuan tribe there is a relationship between parenting (OR=5.57), energy intake (OR=16.71), protein intake (OR=13.77), type of food (OR=4.63), and incidence of diarrhea (OR= 3.14) with the incidence of stunting. In the Non-Papuan tribe, there is a relationship between parenting (OR=8.03), energy intake (OR=11.76) and protein intake (OR=26.71) with the incidence of stunting. The results of multivariate analysis showed that the factors that contributed to the incidence of stunting in the Papuan tribe were parenting, energy intake, protein intake, and diarrhea, while in the Non-Papuan tribes were parenting, energy intake and protein intake. Conclusion: Parenting, energy intake and protein intake are risk factors for stunting in Papuans and non-Papuans. Energy intake is the most dominant factor in Papuans, while in Non-Papuans is protein intake. It is hoped that the local government can create special family assistance programs or activities to overcome stunting and use land that can prevent or overcome stunting.

PENERIMAAN PEMANGKU KEPENTINGAN KABUPATEN DALAM PENGEMBANGAN PELAYANAN TERPADU PRA-KONSEPSI Matsna Haniifah; BJ Istiti Kandarina; Retna Siwi Padmawati
Journal of Health Service Management Vol 24 No 04 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Stunting prevention can be accomplished in prewedding services for prospective brides based on the latest regulations regarding the acceleration of stunting reduction. Sleman Regency, as one of the focus locations for the intervention of stunting, has institutions that are involved in the service of prospective brides, i.e. institutions in the field of health, religion, and family planning. This new policy is a challenge because the existing programs in these institutions have not utmostly directed the prevention of stunting. There is a suggestion from the academic side to develop pre-conception integrated services causes be necessary to explore the early acceptance of Sleman Regency stakeholders. Objective: This study aimed to explore the potential in Sleman Regency to develop the pre-conception integrated services, including the early acceptance of stakeholders. Methods: A qualitative approach with a descriptive-exploratory design is used in this study by determining subject by purposive sampling. Research was conducted in Sleman and Mlati Sub-district. Data collection using in-depth interviews, focus group discussions, observation and document studies using the framework analysis method as a technique in analyzing the data. Results: There are various things behind aspects of stakeholder acceptance, i.e. capacity in the aspect of affective attitudes, the aspect of supportive needs of each stakeholder group, various things that affect the financing aspect, aspects of effectiveness perceived by stakeholders, aspects of stakeholder confidence in participating, and aspects of suitability of the proposed concept with stunting reduction. Conclusion: Stakeholders give a positive response and confidence to participate in pre-conception integrated service. In the future, local governments need to provide policy support to implement pre-conception integrated services as commitment to preventing stunting from upstream. In addition, stakeholders can maximize potential so that pre-conception integrated services can be a solution in improving health status of community.

KETAHANAN PANGAN RUMAH TANGGA DAN AKSES PANGAN SEBAGAI FAKTOR RISIKO TERJADINYA DIABETES MELITUS TIPE 2 Nor Eka Noviani; Istiti Kandarina; Fatma Z. Nisa
Jurnal Mitra Kesehatan Vol. 1 No. 2 (2019): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v1i2.20

Pendahuluan: Tidak tahan pangan adalah situasi ketika seseorang tidak memiliki akses secara fisik, sosial dan ekonomi untuk memenuhi pangan yang cukup, beragam, aman dan bergizi sesuai kebutuhan untuk hidup sehat dan aktif, yang selanjutnya tidak tahan pangan berhubungan dengan penyakit kronis, termasuk diabetes melitus tipe 2 (DM2). Tujuan penelitian ini untuk mengetahui apakah tidak tahan pangan dan rendahnya akses pangan merupakan faktor risiko terjadinya DM2 di Kabupaten Kulon Progo. Metode: Jenis penelitian ini adalah analitik dengan desain kasus dan kontrol. Kasus adalah 63 penyandang DM2 yang terdaftar di 4 kecamatan di Kulon Progo. Sedangkan kontrol adalah 63 responden bukan penyandang DM2. Penentuan sampel menggunakan metode purposive dengan penyetaran umur, jenis kelamin dan tempat tinggal. Ketahanan pangan diukur dengan 10 pertanyaan di kuesioner Radimer/Cornel, sedangkan akses pangan dihitung dengan pangsa pengeluaran pangan (PPP) dari kuesioner ekonomi nasional. Variabel lain adalah pendidikan, riwayat keluarga dan pendapatan keluarga. Hasil: Sebagian responden menempuh pendidikan>9 tahun (50,79% di kelompok kasus dan 60,31% kelompok kontrol). Mereka juga memiliki penghasilan keluarga yang tinggi (>3,2 juta) di kedua kelompok (kasus=65,07;kontrol=74,60%). Riwayat keluarga positif 52,38 di kelompok kasus. Berdasarkan uji x2, riwayat keluarga memiliki hubungan yang bermakna dengan DM2 (p<0,05;OR=10,45;95%CI=3,70-33,32). Tidak tahan pangan lebih banyak terjadi pada kelompok kontrol (79,36%) daripada kasus (66,67%). Total pengeluaran pangan dan bukan pangan di kelompok kasus lebih tinggi daripada kelompok kontrol. Prosentase PPP tinggi (>60%) sebanyak 84,13% di kasus dan 77,78% di kontrol. Mc Nemar menunjukkan tidak tahan pangan dan akses pangan secara statistik tidak bermakna (p>0,05). Berdasarkan regresi logistik, riwayat keluarga memiliki hubungan paling kuat berkembangnya DM2 (p<0,05;OR=11,95), tidak tahan pangan memiliki nilai p=0,034 dan OR=0,37. Kesimpulan: Tidak tahan pangan dan akses pangan bukan merupakan faktor risiko DM2, akan tetapi riwayat keluarga memiliki faktor risiko timbulnya DM2 di Kulon Progo tahun 2015.

Analysis of Food Cost and Food Perception with Food Waste of The Supplemental Food for School Children in Elementary School Children at Kulon Progo District Andi Yuniarsy Hartika; BJ Istiti Kandarina; Nur Hadi Ihwani
Darussalam Nutrition Journal Vol. 7 No. 1 (2023): Darussalam Nutrition Journal
Publisher : Universitas Darussalam Gontor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21111/dnj.v7i1.9281

Background: The success of the Supplemental Food for School Children program is determined by the child's acceptance of the food provide. Objective: to analyze appropriate costs and perceptions of food with additional food leftovers for elementary school children in Kulon Progo Regency. Methods: The research design is a cross-sectional design. This research was conducted on 89 elementary school children from grade IV to grade VI in 4 elementary schools that received PMT AS in Kulon Progo District with simple random. The research instrument used a food cost calculation form, a food perception questionnaire with a smiley face, a food weighing device, a comstock scale form with a 6-point visual estimation method. Analysis of bivariate using chi square test and multivariate using logistic regression test.Results: The bivariate analysis results showed a significant relationship between the cost of food and the perception of The Supplemental Food for School Children with p = 0.002. There is a significant relationship between food perception and food waste of The Supplemental Food for School Children with p = 0.000. Finally, there is a significant relationship between food costs and food waste with p = 0.007. The results of multivariate analysis, food costs and perceptions contributed 29% to reducing food waste. Conclusion: Appropriate food costs and perceptions of preferred the food are associated with the least leftover food waste for school children. Key words : Food Cost, Food Perception, Food Waste

Akseptabilitas Pemangku Kebijakan dalam Implementasi Program Penyediaan Makanan Tambahan Anak Sekolah Kabupaten Kulon Progo Hartika, Andi Yuniarsy; Ulumiyah, Safira Ainun; Kandarina, BJ Istiti
JURNAL KESEHATAN TROPIS INDONESIA Vol. 1 No. 1 (2023): Januari
Publisher : PT. LARPA JAYA PUBLISHER

Pemerintah meluncurkan program Pemberian Makanan Tambahan Anak Sekolah (PMT AS) untuk memenuhi kebutuhan energi anak sekolah secara nasional. Pada tahun 2018, Kabupaten Kulon Progo melaksanakan program PMT AS yang bersumber dana dari APBD Kabupaten Kulon Progo di 6 sekolah dasar. Dalam sebuah program baru, indikator implementasi utama yang penting untuk dievaluasi salah satunya adalah akseptabilitas. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Pemilihan informan menggunakan teknikpurposive sampling. Pengumpulan data dilakukan dengan metodein-depth interview dan focus group discussion. Keabsahan data dilakukan dengan cara triangulasi sumber, member checking, dan peer debriefing. Akseptabilitas pemangku kebijakan Kabupaten Kulon Progo terhadap program PMT-AS ini baik, mereka mendukung dan berkomitmen penuh dalam melaksanakan program ini, dibuktikan dengan adanya persetujuan program, anggaran, dan dibentuknya tim pelaksana program.

Evaluation of anemia in pregnant women based on SIMKIA SEMBADA data at 3 Health Centers in Sleman-Yogyakarta District Rezatiara, Ulva; Kandarina, Istiti; Rahmawati, Vista Ari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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

Background: Pregnant women are a vulnerable group who experience anemia, increasing the risk of short births and low birth weight babies. In a pandemic situation with the PPKM policy (Enforcement of Community Activity Restrictions), pregnancy examination services (integrated ANC) for pregnant women will still be carried out in accordance with health protocols. In antenatal care (ANC) services for pregnant women, health workers must provide quality services according to the SOPs. Objective: To evaluate anemia in pregnant women based on SIMKIA SEMBADA data. Methods: Data were collected through secondary data at SIMKIA SEMBADA and observation, and data were analyzed using descriptive statistics. Results: There are 3 out of 25 Puskesmas in Sleman Regency, which continues to experience a constant increase in anemia prevalence from 2016-to 2020, namely Seyegan Health Center, Gamping-1 Health Center, and Gamping-2. Judging from the recording and reporting of ANC on the SIMKIA SEMBADA application from 90 anemic pregnant women who have given birth, 3% of babies are born with low birth weight, and 21% of babies are short. Pregnant women with anemia mostly occur in the age range of 20-35 years. Judging from the history of ANC visits, pregnant women in the three puskesmas areas have performed ANC since the first trimester of pregnancy. However, pregnant women still carry out early pregnancy checks in the 2nd and 3rd trimesters. Anemic pregnant women who receive ANC services, according to SOPs, are still low, below 77%. Conclusions and Suggestions: From SIMKIA SEMBADA data, there are still anemic pregnant women who are recorded as not having their HB checked according to the contents of the SOP for the management of anemic pregnant women; therefore, it is necessary to update the policy references in the SOP such as the policy of the Minister of Health of the Republic of Indonesia No. 97 of 2014 and Regulation of the Regent of Sleman No. 15 of 2021 as well as re-socializing the implementation of SOPs aimed at improving service quality and optimizing service outcome data.

Co-Authors . Wulandari Abdul Wahab Abdul Wahab Agusanty, Shelly Festilia Andi Yuniarsy Hartika Arif Rahmat Kurnia Arta Farmawati Asmarani, Asmarani Assyifatu Rahmah Zada Atik Triratnawati Bayu Sigha Iswara Bernadeta M Wara Kushartanti Choiri Khumaidah Fikriyah Dewi, Zidna Akmala Dewinta, Mustika Cahya Nirmala Dicky Moch Rizal Dicky Moch Rizal Endah Sri Rahayu Endri Yuliati Fahmy Arif Tsani Fatma Z. Nisa Fatma Zuhrotun Nisa Fikriyah, Choiri Khumaidah Fiyanita Nesa Ramadhani Gunawan, I Made Alit Hana Shafiyyah Zulaidah Hartika, Andi Yuniarsy Helmyati, Siti Herwinda Kusuma Rahayu I Made Alit Gunawan I Made Alit Gunawan Josefa Rosselo Kanda Sihombing Khidir Prawirosusanto Kurniati Dwi Utami Kustia, Noni Kusuma, Rio Jati Laksmi Savitri Lastdes Cristiany Friday Sihombing Leny Latifah Madarina Julia Matsna Haniifah Mirza Hapsari Sakti Titis Penggalih Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Muhammad Ali Akbar Mustika Cahya Nirmala Dewinta Nisa, Fatma Z Noni Kustia Noviani, Nor Eka Nur Hadi Ihwani Pramantara Setiabudi, I Dewa Putu Pramudji Hastuti Purba, Martalena Putri, Febriani Putu Ayu Widiastuti Rahmawati, Vista Ari Renny Evelyn Hartono Restu Amalia Hermanto Retna Siwi Padmawati Rezatiara, Ulva Sarah Maria Saragih Shelly Festilia Agusanty Silvi Lailatul Mahfida Siti Helmyati Sofro, Zaenal Muttaqien Sumarni Sumarni Suryati Kumorowulan Suwekatama, I Wayan Suzie Handajani Syah, Justiyulfah Theodola Baning Rahayujati Toto Sudargo Ulumiyah, Safira Ainun Ulva, Siti Maria Vera Ticoalu, Jansje Henny Yauma Ayu Arista Yayuk Hartriyanti Zada, Assyifatu Rahmah Zulaidah, Hana Shafiyyah

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