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Effectiveness of peer group-based learning in enhancing elementary students’ knowledge of larval monitoring in Banda Aceh Hermansyah, Hermansyah; Susanti, Helly
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2935

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Background: Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Indonesia, with over 143,000 cases and an incidence rate of 51,5 per 100,000 population reported in 2023. Recurrent outbreaks in Banda Aceh highlight the need for sustainable, school-based prevention strategies. School-age children are highly vulnerable because Aedes aegypti mosquitoes bite during the daytime when children are at school.Objectives: This study evaluated the effectiveness of elementary school peer groups in improving students’ knowledge of dengue prevention through a school-based larval monitoring program.Methods: A quasi-experimental pre–post design was conducted from April to October 2024 among fourth and fifth grade students in six elementary schools in the Kutaraja Sub-district, Banda Aceh City. Guided by Bandura’s Social Learning Theory, 36 students were trained as peer educators to teach 120 peers (n = 120) about dengue prevention. Knowledge was measured using a 15-item Guttman scale questionnaire before and after the intervention. Data were analyzed using SPSS, including descriptive statistics, Kolmogorov–Smirnov normality tests, and paired t-tests (α = 0,05; 95% CI).Results: The mean knowledge score increased from 9,43 (SD = 1,27) to 10,16 (SD = 1,34), a significant improvement (mean difference = 0,73; 95% CI: 0,41–1,05; p < 0,001).Conclusion: Peer-group–based health promotion within schools is a promising approach to enhance dengue prevention awareness among children. Strengthening teacher facilitation and embedding structured peer education into school health programs may enhance long-term community participation in dengue prevention and control.
Analisis Faktor Self Care Management Hipertensi pada Pra Lansia Sampai Lansia di Wilayah Terpencil Kepulauan Nias Sumatera Utara Rina Silviana; Fahmi Ichwansyah; Asnawi Abdullah; Hermansyah Hermansyah; Hafnidar Hafnidar; Amelia Zahara
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24333

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ABSTRACT Hypertension is a chronic disease that has characteristics in unsTabel bloodpressure, so it needs a long treatment that can even be up to a lifetime and requiresconsiderable medical expenses. Hypertension is a condition in which systolic bloodpressure is equal to or higher than 140 mmHg and diastolic blood pressure is higher than 90 mmHg. This study aimed to analyze the factors associated with hypertension self-care management among pre-elderly and elderly individuals living in remote areas of Nias Regency, North Sumatra. This quantitative study employed a cross-sectional design. Data were collected over one month, from May 30 to June 30, 2024, through face-to-face interviews using a structured questionnaire. The study population comprised all hypertensive patients aged 45–74 years, categorized as pre-elderly and elderly, within the working area of Ehosakhozi Public Health Center. A total of 80 respondents were selected using random sampling. Data were analyzed using cross-sectional analysis with STATA version 14.0. The results showed that 50% of pre-elderly and elderly respondents had poor self-care management. Poor self-care management was predominantly found among the elderly group (75%) compared to the pre-elderly group (25%) (OR = 15.55; 95% CI = 3.29–73.41; p = 0.001). Insufficient family support increased the risk of poor self-care management by nearly four times (OR = 3.74; 95% CI = 1.12–12.51; p = 0.032). Gender, educational level, marital status, smoking history, alcohol consumption, and self-efficacy were also significantly associated with hypertension self-care management. Educational level was identified as the most dominant factor associated with hypertension self-care management among pre-elderly individuals. It is expected that healthcare providers will encourage and assist family members in supporting the care of pre-elderly and elderly individuals with hypertension. Keywords: Hypertension, Pre-elderly, Elderly, Self Care Management   ABSTRAK Hipertensi merupakan penyakit kronis yang memiliki karakteristik pada tekanan darah yang tidak stabil, sehingga perlu dilakukan pengobatan yang lama bahkan bisa sampai seumur hidup dan membutuhkan biaya pengobatan yang cukup besar. Untuk menganalisis faktor Self Care management hipertensi pada pra lansia sampai lansia di wilayah terpencil, Kabupaten Nias Sumatera Utara. Penelitian ini bersifat kuantitatif dengan rancangan Cross-Sectional. Pengumpulan data dilakukan selama sebulan sejak 30 Mei sampai dengan 30 Juni 2024 dengan wawancara langsung menggunakan kuesioner. Populasi dalam penelitian ini ada seluruh pasien yang mengalami hipertensi dari rentan usia 45-74 tahun dengan kategori pra lansia sampai lansia yang berada di wilayah kerja Puskesmas Ehosakhozi. Sampel yang diambil sebanyak 80 orang dengan teknik random sampling dan dianalisis dengan uji Cross-Sectional menggunakan aplikasi STATA 14.0. Hasil penelitian menunjukkan bahwa sebanyak 50% pra lansia dan lansia memiliki Self Care management kurang baik. Pra lansia dan lansia yang memiliki Self Care management kurang baik mayoritas pada kelompok lansia 75% dibandingkan dengan kelompok pra lansia 25% (OR=15,55; 95%CI=3,29-73,41; p=0,001). Dukungan keluarga yang kurang berisiko hampir 4 kali mengalami Self Care management kurang baik (OR=3,74; 95%CI=1,12-12,51; p=0,032). Jenis kelamin, pendidikan, status perkawinan, riwayat merokok, konsumsi alkohol dan Self Efficacy juga berhubungan dengan Self Care management hipertensi. Pendidikan menjadi faktor yang paling dominan berhubungan dengan Self Care management hipertensi pada pra lansia. Diharapkan petugas kesehatan dapat menghimbau dan membantu anggota keluarga untuk dapat merawat pra lansia sampai lansia dengan hipertensi. Kata Kunci: Hipertensi, Pra Lansia, Lansia, Self Care Management.
The Effectiveness of School-Based Disaster Management Education on Knowledge and Preparedness of D-III Nursing Study Program Students Hermansyah Hermansyah; Muhammad Muhammad; Nurhayati Nurhayati; Masyudi Masyudi
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.5933

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Various disasters have occurred due to lack of knowledge and unpreparedness of the community in the pre-disaster phase. In fact, preparedness has not become a permanent behavior in society so that if a disaster occurs, it is predicted that they will not take care themselves and others. Nursing students as prospective nursing staff must be equipped with knowledge, attitudes and practices in dealing with disasters. This quantitative research aims to determine the effectiveness of the school-based disaster management education model on the knowledge and preparedness of nursing students. A quasi-experimental method is used in the form of a one group pretest-posttest design on 80 Diploma III Nursing students who were trained by facilitators for 6 months. Data were collected using questionnaires and observations, then analyzed using the Paired t-test and Multiple Linear Regression (95% CI; α=0.05). The results showed that disaster management education model can increase knowledge (p=0.000) and preparedness (p=0.002) in facing disasters. Disaster preparedness is significantly related in predicting disaster knowledge scores (r=0.708). If a disaster occurs, nursing students are able to help themselves and the disaster victims. This model can also be used as an evaluation of learning outcomes for the Disaster Nursing course
Policy Analysis of Budget Utilization in Stunting Programs Based on District Health Account Yeri Sanjaya; Surna Lastri; Hermansyah Hermansyah
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5002

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Stunting, a chronic nutritional issue with significant impacts on the quality of human resources, remains a major health challenge in Indonesia. This study analyzes the policy on budget utilization for stunting programs based on the District Health Account (DHA) to enhance the effectiveness and efficiency of health financing. The research was conducted at the Aceh Jaya Health Office, Aceh Province, using a quantitative method with a comparative program evaluation approach. Data were collected through a review of stunting budget documents from 2017 to 2023 and direct observations of budget distribution. The findings reveal an increasing trend in the stunting budget since the implementation of the stunting reduction acceleration policy in 2020, peaking at IDR 5.316 billion in 2023. Prior to this policy, budget allocations were fluctuating and lacked clear priorities. The use of DHA provided a comprehensive overview of financial flows, funding sources, and their utilization. DHA also identified that most funds were allocated to indirect activities, such as maternal health management and community nutrition, while direct allocations for stunting patients tended to decrease. This study supports the effectiveness of DHA in optimizing budget allocation for stunting programs, ensuring more targeted use of funds, and improving financing efficiency. DHA has the potential to become a critical instrument for local governments in data-driven budget planning to achieve the national stunting prevalence target of 14% by 2024.
Determinants Associated with the First Dose of HPV Vaccination among Elementary School Children Eva Dorista; Fahmi Ichwansyah; Hermansyah Hermansyah; Aripin Ahmad; Asnawi Abdullah
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.5206

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Cervical cancer is the second leading cause of death among women in Indonesia. This health issue is actually preventable through HPV vaccination, which can be administered to 5th-grade elementary school children. Several factors influence parents' decisions not to allow their children to receive the first dose of the HPV vaccine. The aim of this study was to analyze the determinants associated with the first dose of HPV vaccination among elementary school children. This study employed a quantitative research design with a cross-sectional approach. The sample consisted of 281 mothers of 5th-grade elementary school children. Data were collected at elementary schools in Sigli City by distributing questionnaires from December 20–28, 2023. Quantitative data were analyzed using multiple logistic regression at a significance level of α=0.05 and a 95% confidence interval. The results showed that 258 children (91.81%) did not receive the HPV vaccine. Factors associated with the first dose of HPV vaccination among elementary school children were knowledge (OR=6.46; 95% CI=1.87–22.2), attitude (OR=2.74; 95% CI=1.04–7.18), concern (OR=3.31; 95% CI=1.09–10.00), and lack of utilization of information sources (OR=3.30; 95% CI=1.00–10.83). Factors not associated with the first dose of HPV vaccination included perception (OR=1.20; 95% CI=0.50–2.84), school support (OR=1.44; 95% CI=0.54–3.78), cultural beliefs (OR=1.12; 95% CI=0.47–2.63), and non-electronic media sources (OR=1.46; 95% CI=0.46–4.65). The most dominant factor associated with the first dose of HPV vaccination was poor knowledge (AOR=11.95; 95% CI=1.90–72.47).
Analysis of Factors Related to the Use of Telemedicine Application Services Anggre Paramitha Putri; Hermansyah Hermansyah; Asnawi Abdullah; Nurjannah Nurjannah; Hafnidar A. Rani
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5792

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Telemedicine services can be a diversion of most offline or classic consultations into online consultations through telemedicine services. The use of telemedicine continues, especially through telemedicine services provided by the Ministry of Health for patients who need it, such as about prevention of certain diseases, or patients who have experienced symptoms of certain diseases can consult through telemedicine services. This observational analytical study with a cross-sectional design uses a quantitative approach aimed at analyzing factors related to the level of satisfaction of telemedicine service users in Aceh Province. Data collection used a googleform questionnaire that was distributed using social media for 2 weeks. The sample in the study was the population of Aceh who met the inclusion criteria totaling 468 people. Sampling used the accidental sampling technique. Data analysis used a logistic regression test. factors related to the use of telemedicine application services in Aceh Province are the use of the JKN mobile application (OR=1.61; 95%CI=1.06-2.54; p-value=0.025), income < Minimum Wage (OR=1.64; 95%CI=1.13-2.37; p-value=0.008), and 4G/LTE internet network (OR=1.69; 95%CI=1.01-2.84; p-value=0.046). The most dominant factor related to the use of telemedicine is non-BPJS Kesehatan insurance users (AOR=2.42; 95%CI=0.53 – 11.05). It is expected that respondents should use the telemedicine application counseling facility provided for control and encouragement in supporting and assisting efforts to recover quickly and prevent disease. Respondents also pay attention to the type of application used because each telemedicine application has its own advantages and disadvantages.
Determinants of Mental Health of Fishermen in Coastal Areas Cholila Cholila; Asnawi Abdullah; Fahmi Ichwansyah; Hermansyah Hermansyah; Basri Aramico
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6320

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Mental health is an aspect of health that is increasingly receiving global attention because of its significant impact on individual and community health problems. Mental health disorders have increased in coastal areas in the last 5 years. Mental health challenges are becoming increasingly complex in the most dominant jobs in coastal regions, such as in the profession of fishermen. In addition, there are still many people who experience mental disorders. This study aims to analyze fishermen's mental health determinants in the Coastal Area. This study uses a quantitative research type with a cross-sectional design. This study was conducted by interviewing using a questionnaire. The population in this study consisted of fishermen in the coastal area of Mesjid Raya District, especially MNS Keude, with as many as 456 fishermen. The sampling method used simple random sampling with a sample size of 82 respondents. Data were collected using a validated questionnaire. The results showed that there was a most dominant relationship between the number of children >2 (OR = 48.17; 95% CI = 1.68-1377.66; p = 0.024), moderate fatigue level (OR = 26.57; 95% CI = 1.59-444.89; p = 0.023) and age (OR = 0.66; 95% CI = 0.44-0.99; p = 0.049) most dominantly related to mental health disorders in fishermen in coastal areas. Fishermen who have more than two children are the most dominant factor in mental health problems.
Analysis of Quality of Life of Parents with Special Needs Children in Special Elementary Schools Nurul Hafizatun Nisa; Maidar Maidar; Hermansyah Hermansyah; Marthoenis Marthoenis; Asnawi Abdullah
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6521

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The quality of life of parents is an important thing in caring for children with special needs; it can be influenced by physical and emotional health. Health workers need to know the condition of the quality of life of parents to ensure the optimal care and intervention given. This study aims to analyze the quality of life of parents with children with special needs in special elementary schools in Banda Aceh City. The research design used is quantitative analytical with a cross-sectional design. The population in this study was 233 parents of Special Elementary School students in the Banda Aceh City area. Sampling using convenience sampling techniques, namely paying attention to inclusion and exclusion criteria. Data were collected using the World Health Organization Quality of Life questionnaire-BREF 27 (WHOQOL_BREF). Data analysis using logistic regression tests. The results showed that there was a relationship between the burden of caring for children (P=0.004), comorbidity (P=0.000), mental health depression (P=0.000), sleep quality (P=0.038), self-efficacy (P=0.000), education (P=0.024), employment (P=0.013), marital status (P=0.043) with the quality of life of parents with children with disabilities. At the same time, there was no relationship between mental health anxiety (P=0.650), stress (P=0.171), social support (P=0.457), family income (P=0.129), number of children (P=0.218) and gender of the child (P=0.218) with the quality of life of parents with children with disabilities. The most dominant variable influencing the quality of life of parents with children with disabilities is marital status. Single parents will be 5 times at risk of experiencing low quality of life compared to parents who raise their children with a complete family.
Maternal and Fetal Determinants of Caesarean Section Delivery Cut Yuliza Sutifa; Maidar Maidar; Nurjannah Nurjannah; Hermansyah Hermansyah; Radhiah Zakaria
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1199

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Maternal, infant, and toddler mortality rates remain a serious public health problem in Indonesia. One effort to reduce these rates is by ensuring safe delivery services, both vaginally and through cesarean sections (CS). Although normal delivery is preferred, the trend of cesarean sections has continued to increase in recent decades. Sultan Iskandar Muda Regional Hospital, as a type C hospital in Nagan Raya Regency, Aceh, records an increase in childbirth cases every year. This study aims to analyze the determinants that influence cesarean section procedures at the hospital. This study uses an explanatory sequential design. This type of quantitative research with a cross-sectional design was conducted using patient medical records. The population is all data on mothers who gave birth by cesarean section at Sultan Iskandar Muda Regional Hospital, taken within a 3-month period, namely October - December 2024, a total of 324 mothers giving birth by cesarean section. The sampling method used the total population with a sample size of 324 respondents. While qualitative research with a phenomenological approach, conducted by interview using interview guidelines, the method of collecting informants using purposive sampling with a total of 7 informants. The results of quantitative research show that the most dominant relationship between cesarean section is prolonged labor (OR: 701.40; 95%CI: 98.02-5019.20; p value: 0.0001), the occurrence of PEB (OR=446.33; 95%CI=21.62-9214.06; p=0.0001) and term birth (OR=35.76; 95%CI=0.29-4446.35; p=0.146) at Sultan Iskandar Muda Regional Hospital, Nagan Raya Regency. The results of qualitative research show that non-medical factors that play a role in cesarean section are fear of pain and complications during normal delivery. Prolonged labor is the most dominant factor with cesarean section. Therefore, health workers at community health centers are expected to provide positive support in the form of positive affirmations to pregnant women, such as deep breathing and relaxation exercises to reduce pain. Strengthen education programs and routine pregnancy check-ups at primary health care facilities to detect risk factors early and prevent childbirth complications.
Analysis of Hypertension Risk Factors among Donorers in the PMI Blood Donor Mutia Abdullah; Asnawi Abdullah; Hermansyah Hermansyah
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1284

Abstract

Hypertension remains a global non-communicable disease problem and is a major risk factor for cardiovascular morbidity and mortality. Regular blood donation has been suggested as one strategy that may help reduce blood pressure. The Indonesian Red Cross (PMI) Blood Donor Unit in Banda Aceh City is one of the largest blood donation centers in Aceh Province, serving approximately 2,500 donors per month. This study aimed to determine the association between lifestyle, metabolic, and donation-related risk factors and the incidence of hypertension among blood donors at the PMI Blood Donor Unit in Banda Aceh City. This study employed a quantitative approach with a case–control design. Data were collected from 156 blood donors aged over 41 years who visited the PMI Blood Donor Unit in Banda Aceh City during January 12–17, 2024, consisting of 52 hypertensive donors (cases) and 104 non-hypertensive donors (controls). Participants were selected using accidental sampling. Data were obtained through donor register records and structured interviews, which included demographic characteristics, lifestyle factors, medical history, and donation frequency. Data analysis was performed using univariate analysis to describe respondent characteristics, bivariate analysis using logistic regression to assess associations between risk factors and hypertension, and multivariate logistic regression to identify the most dominant factors associated with hypertension. The results showed that employment status (OR 0.32; 95% CI; p = 0.013), poor diet (OR 11.32; 95% CI; p < 0.001), smoking status (OR 2.31; 95% CI; p = 0.018), moderate physical activity (OR 0.12; 95% CI; p < 0.001), diabetes mellitus (OR 4.11; 95% CI; p = 0.001), hypercholesterolemia (OR 4.11; 95% CI; p < 0.001), donation frequency (OR 0.71; 95% CI; p = 0.009), and body mass index (OR 1.22; 95% CI; p < 0.001) were significantly associated with the incidence of hypertension among blood donors at the PMI Blood Donor Unit in Banda Aceh City.
Co-Authors Abd Hadi Abdul Majid Abdullah, Asnawi Abdullah, Asnawi Adamy, Aulina Agus Mukholid Agussabti . Agussabti Agussabti Agustina Agustina Ainal Mardhiah Ainal Mardiah Ambarwati, Rini Amelia Zahara Amiruddin Amiruddin Anggre Paramitha Putri Anisrina Anisrina Anwar Ahmad Aramico, Basri Aripin Ahmad Arnes Yuli Vandika Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Aulina Adamy Aulina Adamy Basri Aramico Basri Aramico Belinda Arbitya Dewi Cholila Cholila Cut Nasrulsyah Cut Yuliza Sutifa Daiyana, Intan Depy Ismarita Dewi Susanna Dharina, Dharina Dito Anurogo, Dito Ede Surya Darmawan Elmiadi Elmiadi Erlangga Galih Zulva Nugroho Ernani Wijaya Eva Dorista Fahmi Ichwansyah Fahmi Ichwansyah Fahmi Ichwansyah Fahmi Ichwansyah Fahmi Ichwansyah Farrah Fahdhienie Febi Dwirahmadi Fida’ Husain Fitria, Ida Fitriani Fadillah Fitriani Fitriani Gani, Fitria Widya Hafnidar Hafnidar Hafnidar, Hafnidar Halimatussakdiah Halimatussakdiah Helly Susanti Helly Susanti Herizal Herizal Hermansyah, Hermansyah Hilman Syarif Iklima Iklima Irma Suryani Irwan Saputra Irwan Saputra Ismail Ismail Ismail, Nizam Isnani, Ayu Isneini Isneini Isneini Judijanto, Loso Jufrizal Jufrizal Kartini Kartini Kholis Ernawati Lathifah Hanum Lisnayana, Lisnayana Liza Fathiariani Liza Safrina M. Marthoenis Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Masyudi Masyudi Mayang Indah Arinimi Mega Fatimah Rosana Meutia Zahara Misbahul Jannah Mohamad Firdaus Mudatsir Mudatsir Muhammad Ikhsan Muhammad Muhammad Mulyadi Mulyadi Munandar, Arief Munawarah, Zakiya Munazar Munazar Mursal, Mursal Mutia Abdullah Nabela, Danvil Nahrisah, Putri Nita Adlina Nizam Ismail Nizam Ismail Nova Perdana Nurhasanah, Nurhasanah Nurhayati Nurhayati Nurhayati Nurhayati Nurhayati Nurhayati Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah, Nurjannah Nurleli Nurleli Nurleli, Nurleli Nurul Hafizatun Nisa Nuswatul Khaira Puspita, Kori Radhiah Zakaria Raharjo, Setio Budi Rahmil Azzati Rani, Hafnidar Ar Rina Silviana Riska Novita Ritawati Ritawati Rusli Yusuf Saiful Bakri Salmayati Salmayati Saputra, Irwan Shannon Rutherford Sofyan Sufri Sri Alna Mutia Sulaiman Sulaiman Surna Lastri Suryane Sulistiana Susanti Susanti, Helly Syarifah Rauzatul Jannah Syarifuddin Syarifuddin Syarkawi T. Budi Aulia Tahara Dilla Santi Tahlil, Teuku Umar Fahmi Ahmadi Wirda Hayati Wirda Hayati Yanti, Cut Aini Fauzi Yeri Sanjaya Yusuf, Nazira Zakaria, Radhiah Zakaria, Radhiah