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COVID-19 infection during pregnancy on perinatal and neonatal outcomes: a scoping review Fauziah, Saidatul; Hasanbasri, Mubasysyir; Oktaria, Vicka
BKM Public Health and Community Medicine Vol 39 No 02 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i02.6630

Abstract

Purpose: COVID-19 infection has rapidly spread and caused a global pandemic, as stated by the World Health Organization on March 10, 2020. The incidence of COVID-19 tends to increase worldwide, including Indonesia, occasionally. With 6,422,529 confirmed cases, including 158,014 as of September 25, 2022, Indonesia has surpassed India and Bangladesh to become the nation with the third-highest confirmed cases in Asia. Although there have been reports of several cases of vertical transmission, the transmission of COVID-19 from mother to fetus was initially considered uncertain. Case reports of newborns (within the first 12 hours) with COVID-19 infection prove the possibility of intrauterine or extrauterine mother-infant vertical transmission. This study aimed to determine the effect of COVID-19 infection during pregnancy on perinatal and neonatal outcomes. Methods: This study employed the scoping review method, searching articles across several databases, including PubMed, Scopus, and Google Scholar, and adhered to the guidelines of PRISMA-ScR. Search for articles using the main keywords” pregnant women” or “pregnant” and “coronavirus” (or COVID-19 or 2019NCOV or SARS-CoV-2) AND (” perinatal outcome” or “neonatal outcome” or “pregnancy outcome”) published in 2019–2022. Results: The articles obtained were related to symptoms of COVID-19-positive pregnant women, perinatal and neonatal outcomes of COVID-19 pregnant women, and the identification of COVID-19 occurrence during pregnancy. Conclusion: A total of 22 articles reviewed found that pregnant women with COVID-19 symptoms experience adverse outcomes in perinatal and neonatal compared to those not infected with COVID-19. Pregnant women with COVID-19 infection show a higher risk of perinatal and neonatal outcomes such as premature, LBW, and NICU admission.
Key populations and PLHIVs’ expectation of inclusive HIV/AIDS services: A study of four puskesmas in Yogyakarta and Cilacap Mellen, Renie; Ida N Faizah; Syafriani; Puji Rahayu; Dwi Maiyanthi; Fithri Zamzam; Fajar Wahyuni; Yanri Subronto; Hasanbasri, Mubasysyir; Retna Siwi Padmawati
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To describe the expectation of PLHIV and key populations regarding HIV/AIDS services, especially on pandemic COVID-19. Method: This study conducted a pilot questionnaire survey in Puskesmas Tegalrejo and Mantrijeron, Yogyakarta; and Puskesmas Cilacap Selatan 2, Puskesmas Kesugihan 2, in Cilacap Region, Central Java. The participants were 62 PLWHA and 60 key populations (transgender, male sex workers, IDUs, and sex workers). This paper uses the data from an open-ended item in the questionnaire on respondents' expectation of HIV services in the puskesmas. Result: Both PLHIV and key populations expected equal service, friendly and respectful services without differentiating from other patients. Health workers would be better to know about the diversity of gender and sexual orientation and educate about HIV/AIDS transmission to reduce the fear and stigmatization of the community. In addition, the rotation issues of health workers should not change the quality standards of HIV/aids services. PLHIVs expected that health workers do not disclose their status to others (which should have become the standard of health professionals’ practice) and provide complete support and counseling related to HIV/AIDS with explaining details to the patients. ARV stock is expected to get a one-month stock supply, and queuing for taking drugs. Furthermore, key populations expect flexible time on VCT tests, especially in pandemic COVID-19. Conclusion: The availability and access of puskesmas services for PLHIVs and key populations was significant progress in health care systems. Notes from users emphasize the need for management support in building inclusive services, where health and administrative workers and other puskesmas treated everyone in need equitably.
Multisectoral household domestic and healthcare waste management in DIY Purwati, Alvi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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PIYUNGAN LANDFILL, DIY The Piyungan Landfill with an area of ​​12.5 hectares is managed by DLHK DIY and accommodates waste from Yogyakarta City, Sleman, and Bantul. Since 2014, the capacity of the Piyungan Landfill is not sufficient to manage the rapidly generated waste. In early 2020, Piyungan TPA receives 560-580 tons of waste every day. At the end of 2020, the capacity of the Piyungan TPA will be increased to 438,000 tons which are expected to last for the next two years. WASTE REDUCTION FROM GENERATING SOURCES Garbage arises from various sources, so cooperation from various parties is needed. DLHK DIY needs to make a “garbage emergency” statement to raise public awareness. Especially for the Waste Sector, DLHK DIY, it is necessary to implement a policy of “only transporting sorted waste” by using a truck to separate each type of waste. The community must sort waste into four types, namely organic, inorganic recyclable, inorganic non-recyclable, and waste from the care of sick people in the household. The Health Office through the Sanitarian Health Center needs to mobilize the community to sort and utilize the existing land to make compost from organic waste. Sanitarians also need to socialize with the community to pack waste from patient care at home in separate containers. Disperindag DIY needs to urge shopping locations not to provide shopping plastic bags for consumers. Disperindag also needs to urge producers to use packaging with similar materials in one product to make it easier to sort waste. Disperindag can also require the recycling industry to use recyclable inorganic waste. PROCESSING OLD WASTE The pile of garbage in the Piyungan TPA needs to be reduced quickly using a large capacity incinerator. DLHK DIY needs to provide funds for the procurement of incinerators or can also open sponsorships from companies in DIY. The Piyungan landfill manager also needs to recruit human resources capable of operating the incinerator. PROCESSING NEW WASTE The Piyungan landfill manager can divide the waste processing area into four, according to the sorting criteria carried out by the community. Organic waste that is not reduced upstream can be processed into large-scale compost that has economic value. Recyclable inorganic waste must be utilized by the recycling industry. Non-recyclable inorganic waste and waste from household patient care are burned with incinerators to destroy pathogens. With complete management, domestic waste problems can be controlled. _______________________________________________________________________________________________________________________________ TPA PIYUNGAN DIY TPA Piyungan seluas 12,5 hektar dikelola oleh DLHK DIY dan menampung sampah dari Kota Yogyakarta, Sleman, dan Bantul. Sejak 2014, kapasitas TPA Piyungan tidak memadai untuk mengelola sampah yang timbul secara pesat. Awal 2020, setiap hari TPA Piyungan mendapat 560-580 ton sampah. Akhir 2020, kapasitas TPA Piyungan ditambah menjadi 438.000 ton yang diharapkan dapat bertahan hingga dua tahun mendatang. REDUKSI SAMPAH DARI SUMBER TIMBULAN Sampah timbul dari berbagai sumber, maka diperlukan kerja sama dari berbagai pihak. DLHK DIY perlu membuat pernyataan “darurat sampah” untuk memunculkan kepedulian masyarakat. Khusus Bidang Persampahan DLHK DIY, perlu mengimplementasikan kebijakan “hanya mengangkut sampah yang sudah dipilah” dengan proses pengangkutan menggunakan truk bersekat untuk memisahkan setiap jenis sampah. Masyarakat harus memilah sampah menjadi empat macam yaitu organik, anorganik recyclable, anorganik non-recyclable, dan sampah dari perawatan orang sakit di rumah tangga. Dinkes melalui Sanitarian puskesmas perlu menggerakkan masyarakat untuk melakukan pemilahan dan memanfaatkan lahan yang ada untuk membuat kompos dari sampah organik. Sanitarian juga perlu menyosialisasikan kepada masyarakat untuk mengemas sampah dari perawatan pasien di rumah dengan wadah tersendiri. Disperindag DIY perlu mengimbau lokasi perbelanjaan agar tidak menyediakan kantong plastik belanja bagi konsumen. Disperindag juga perlu mengimbau produsen agar menggunakan kemasan dengan bahan sejenis pada satu produk agar memudahkan dalam hal pemilahan sampah. Disperindag juga dapat mengharuskan industri daur ulang untuk menggunakan sampah anorganik recyclable. PENGOLAHAN SAMPAH LAMA Tumpukan sampah di TPA Piyungan perlu direduksi dengan cepat menggunakan insinerator berkapasitas besar. DLHK DIY perlu menyediakan dana untuk pengadaan insinerator atau dapat juga membuka sponsorship dari perusahaan-perusahaan yang ada di DIY. Pengelola TPA Piyungan juga perlu merekrut SDM yang mampu mengoperasikan insinerator. PENGOLAHAN SAMPAH BARU Pengelola TPA Piyungan dapat membagi area pengolahan sampah menjadi empat, sesuai dengan kriteria pemilahan yang dilakukan oleh masyarakat. Sampah organik yang tidak tereduksi di hulu, dapat diproses menjadi kompos berskala besar yang memiliki nilai ekonomi. Sampah anorganik recyclable harus dimanfaatkan oleh industri daur ulang. Sampah anorganik non-recyclable dan sampah dari perawatan pasien rumah tangga dibakar dengan insinerator untuk memusnahkan patogen. Dengan pengelolaan yang paripurna, permasalahan sampah domestik dapat dikendalikan.
Puskesmas head's role in mobilizing across sectors in handling stunting problems during the pandemic in Puskesmas Mlati II working area Aim, Markus; Radifan, Muhamad Almas; Setyaningrum, Veronika Evita; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examined the puskesmas (public health center) head's role in mobilizing across sectors in handling the stunting problem, especially in the community working area of ​​the Puskesmas Mlati II. Contents: The head of the puskesmas is a manager and a leader in coordinating every activity carried out at the puskesmas, including handling stunting problems. As much as 70% of the factors for stunting are outside the health sector. Some institutions have budgets that are top-down but not communicated to other cross-sectors. In addition, at the sub-district level, someone has to take on the role of a stunting program manager who can map the problem and then divide tasks into implementation. It requires the expertise of a head of the puskesmas to explain to parties outside of health to be willing and able to play a role in handling stunting in the community. The advocacy ability of a puskesmas head determines the success of the program carried out. Personal closeness is usually more successful in transferring knowledge and fostering a willingness to be involved in problem-solving. Advocacy of social networking integration & mobilization, interpersonal communication, negotiation, and media use to generate public pressure. Therefore, there is a need for a new way of using advocacy communication strategies to deal with the stunting problem, especially during the pandemic. Evaluating and monitoring activities reported at cross-sectoral meetings every three months led by the sub-district head accompanied by the head of the puskesmas to the synergy of stunting prevention activities and programs can be directed with more explicit goals. In addition, advocacy can also be carried out together with local village heads by creating awareness and concern for stunting, such as forming an alliance or the First 1000 Days of Life (HPK) movement for its citizens and others. Tujuan: Penelitian ini mengkaji peran kepala puskesmas dalam menggerakkan lintas sektor untuk menangani masalah stunting, khususnya pada masyarakat di wilayah kerja Puskesmas Mlati II. Isi: Kepala puskesmas merupakan manajer sekaligus leader yang berperan dalam mengkoordinir setiap kegiatan yang dilakukan di Puskesmas, termasuk dalam menangani masalah stunting. Sebesar 70% faktor terjadinya stunting justru adalah di luar sektor kesehatan. Beberapa institusi telah memiliki anggaran yang sifatnya top down, namun tidak dikomunikasikan dengan lintas sektor yang lain. Selain itu, di tingkat kecamatan juga harus ada yang mau mengambil peran sebagai manajer program stunting, karena program tersebut dalam pelaksanaan di lapangan masih terfragmentasi. Oleh karenanya perlu seorang manajer program yang memahami peta masalah dan kemudian membagi tugas agar tidak tumpang tindih dalam pelaksanaan di lapangan, sehingga sasaran bisa mendapatkan manfaat yang optimal. Hal ini tentunya membutuhkan keahlian dari seorang kepala puskesmas untuk dapat menjelaskan kepada pihak di luar kesehatan untuk mau dan mampu berperan dalam penanganan stunting di masyarakat. Kemampuan advokasi seorang kepala puskesmas menentukan keberhasilan program yang dilakukan. Kedekatan secara personal biasanya lebih banyak berhasil dalam transfer pengetahuan yang pada akhirnya mampu menumbuhkan kemauan untuk terlibat dalam penyelesaian masalah. Advokasi penggabungan jejaring sosial & mobilisasi, komunikasi interpersonal, negosiasi, serta penggunaan media untuk menghasilkan tekanan publik. Oleh karena itu perlu adanya cara baru dalam menggunakan strategi komunikasi advokasi untuk menangani masalah stunting, terlebih di masa pandemi. Ini bisa dilakukan dimulai dari proses evaluasi dan monitoring kegiatan yang telah dilaporkan pada pertemuan lintas sektor setiap 3 bulan yang dipimpin oleh camat dengan didampingi kepala puskesmas, sehingga adanya sinergi kegiatan dan program penanggulangan stunting yang bisa diarahkan dengan tujuan yang lebih jelas. Selain itu advokasi juga bisa dilakukan bersama-sama dengan kepala desa setempat dengan menciptakan awareness dan kepedulian terhadap stunting, misalnya dibentuk aliansi atau gerakan 1000 Hari Pertama Kehidupan (HPK) pada warganya, dan lainnya.
Challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic Syafriani; Sutena, Marthinus; Padmawati, Retna Siwi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To describe the challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic based on our community empowerment program in Dusun Ngrombo I, Karangmojo Village, Gunungkidul District, DIY. Content: During the Covid-19 pandemic, medical waste increased in the community, especially for families who were self-isolating at home. In our preliminary study, the community processes waste by burning, burying and throwing it into the environment. Expired medicines are even used as a mixture of plant fertilizers and animal feed. Public literacy about medical waste management is still limited. The local government has not provided medical waste facilities in public spaces. Waste management is not optimal due to the lack of coordination between the relevant government agencies. Furthermore, there has been limited effort from the local primary health care service (puskesmas) to solve medical waste problems. Limited human resources, budgets and different perspectives on regulations cause the puskesmas to resist in responding to these problems. Medical Waste Bank Program is a community waste collection system that manages household medical waste through local waste bank activities. Generally, the Waste Banks (Bank Sampah) in Indonesia only process domestic waste, this program innovates by providing community medical waste services that are needed, especially during this pandemic. Waste bank staff will process the waste that has been collected in the waste bank, then handed over to a third party (private company) through the puskesmas. This can help the puskesmas to reach medical waste in their working areas and also to prevent the transmission of infectious diseases in the community. Conclusion: The waste bank can become a movement to manage community medical waste. Each sector needs to work together in promoting health, providing adequate waste facilities, increasing human resource capacity, as well as monitoring and assisting in managing domestic medical waste.
Self-stigma among people living with HIV/AIDS: revisiting human rights values for inclusive health service Nur Faizah, Ida; Cuyno Mellen, Renie; Syafriani, Syafriani; Wijayanti Subronto, Yanri; Hasanbasri, Mubasysyir; Siwi Padmawati, Retna
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Purpose: This study explores self-stigma in people living with HIV/AIDS (PLHIV) who used Puskesmas services in Yogyakarta and its impact on their health service access. Method: Data come from in-depth interviews with three PLHIVs (one male and two female). Results: Self-stigma occurs among the respondents at the first diagnosis as HIV positive. Self-stigma is triggered by wrong judgments about HIV disease from health workers and communities. Self-stigma is based on negative thoughts of feeling different, having exclusivity (different from their environment). Thus, it is easier to feel rejected, showing the worst if they are discriminated against. The first thought when the respondent was diagnosed with positive HIV was, “how do I die? How will I die tomorrow?” "Not expect, why should I?" "My world has been destroyed; I have no hope anymore.” Feeling of vulnerability and helplessness related to death and illness trigger hypersensitive responses, so they tend to withdraw from social relationships. Continuous exposure will result in a reluctance to access health services due to decreased motivation for treatment. Conclusions Self-stigma is a defense mechanism to fight stigma and discrimination. Hypersensitivity protects to anticipate rejection from the surrounding environment. Thus, PLWHA understands disclosure to reveal the status or not to the closest people. However, this condition needs to be regulated so that self-stigma does not develop to interfere with life functions such as social relations, economy, and work. Self-stigma can reduce treatment prognosis and increase comorbidity and mortality due to lack of a support system, decreased treatment motivation. Therefore, Puskesmas should collaborate with families and communities. Puskesmas can create volunteer groups from people with stigmatized diseases as agents of change to build trust between PLWHA, families, and health workers. For suggestion, meetings with patients as well as an activity to support human rights in celebration day to develop equal and acceptance feelings.
Initiatives to prevent spread of infectious diseases in public health centers: Experience from positive case among health workers in COVID-19 pandemic     Novriana, Riska; Febe, Ester; Hasanbasri, Mubasysyir; Wibawa, Tri; Emilia, Ova
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Several public health center temporary closures due to antigen positive health workers in Daerah Istimewa Yogyakarta have been reported. Behind the scene, there was confusion among health workers when they were not sure about sources of transmission and concerns about wider transmission among health workers and their families. This paper reports the Yogyakarta City Health Office initiative to build health workers’ awareness and to protect health centers protected from transmitting all contagious conditions in the future, learning from the experience of the covid 19 pandemic. Kota Yogyakarta Health authority and Universitas Gadjah Mada held two focus group discussions to document (1) the experience of responding to cases of reactive antigens in health workers who need to receive future follow-up from the experiences of 18 puskesmas heads and elements of the health office, and (2) the puskesmas Covid 19 screening and testing capacity for the community and health personnel use. This report raises the importance of safe workplace operational rules that prevent disease transmission and urgent actions to enforce these rules in puskesmas and health offices.
The utility of student interest in a particular specific program, presentation in professional meetings, and open science collaborative writing in mastering health management and policy tools in MPH training Mawarni, Dian; Maula, Ahmad Watsiq; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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ies Trying out a presentation in a professional symposium is difficult for a beginner. Even novice writers have difficulty imagining what they will tell conference attendees. They even have difficulty distinguishing what questions they want to be answered and shared in scientific meetings. For example, they find it difficult to focus on something general (conceptual) or specific (operational); specific case stories different from others, failed cases, or best practice cases. This paper explores the importance of observing a preferred program and the potential of an open science approach in overcoming the difficulties of students and lecturers in starting their development as professionals. The primary failure of beginners is that they do not yet have a collection of one type of program from various countries, which they collect from day to day by comparing with each other. The second failure is that they do not have a discussion partner, which makes them open to finding hot points from their program, encouraging them to explore more exciting things. We emphasize that programming games and creating class assignments through an open science approach should be a writing strategy for students who analyze and apply the theory and framework of projects to help improve health programs in the field.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

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Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.
Policy Model Structure in Anthrax Prevention: A One-Health Approach at the Cross-Border Regional Level Handika, Denis Oxy; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: The results of the investigation of anthrax outbreaks in the provinces of Yogyakarta and East Java over the past five years indicate an epidemiological link. The high trade of livestock and meat products between regions is one of the risk factors. Therefore, it is essential to gain a deeper understanding of the ecological dynamics and pandemic potential of zoonotic diseases, along with cross-regional program coordination to respond to emergency situations, maintain public health, and minimize the negative impacts on a broader scale. Method: A logical framework model was utilized in the context of anthrax prevention and control initiatives. Significance was placed on formulating strategies that prioritize the efficiency, effectiveness, and sustainability of the program, aligning with its specific objectives. Results: The commitment of the Cross-Regional Anthrax Control Team, which involves elements of the Regional Government, Health Office, Agriculture and Livestock Service Office, Public Health Laboratory Center, Veterinary Center, research and development centers, non-governmental organizations (NGOs) and beneficiary communities, is an important element in ensuring the sustainability of the program. The implementation of the One-Health-based program, training for farmers and animal traders to recognize signs of anthrax, as well as routine animal health checks, are efficient steps in the program process to strengthen the surveillance system that supports the early warning system, and improve the capacity of farmers and animal traders to detect anthrax symptoms and report them to the authorities. Thus, the program objectives in anthrax control can be effectively achieved, to reduce the number of anthrax cases, prevent its spread, reduce economic losses, and increase public confidence in food safety. Conclusion: The implementation of this concept will enable the establishment of a cross-regional One-Health-based anthrax control program that is sustainable, efficient, and effective in addressing anthrax in the provinces of Yogyakarta and East Java.
Co-Authors A Tudiono A.A. Ketut Agung Cahyawan W Abdullah, Fadila Achmad Nursyandi Adi Utarini Aditya Lia Ramadona Affan, Auf Ahmad Watsiq Maula Ahmad Zacky Anwary Aim, Markus Aini Suryani Alfian R Munthe Andina Vita Sutanto Andina Vita Sutanto Andreasta Meliala Andri Satriadi Firmana Arjuna, Tony Astri Ferdiana Aulawi Aulawi Azis Bustari Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bambang Hastha Yoga Batubara, Irwan Bayu, Yoni Setyo Nugroho BSA, Amira Candra Candra Christantie Effendy Christina Pernatun Kismoyo Citra Widya Kusuma Cuyno Mellen, Renie Darwito, Darwito Degu, Dawit Ayenew Detty S. Nurdiati DEWI HERAWATI Dhea Keyle Fortunandha Dian Mawarni Djaswadi Dasuki Djoko Mardijanto Djonny Sinaga Dwi Handono Sulistyo Dwi Maiyanthi Eko Nugroho Eko Nugroho Eko Sriyanto Eko Sriyanto Elfrida Tambun Emy Huriyati Eva Rusdianah Fahri, Kharis Vidi Faisal Mansur Fajar Wahyuni Fauziah, Saidatul Febe, Ester Febria Rahmi Fithri Zamzam Fitriani Mediastuti Ghani Ikhsan Majid Ghosyasi, Arfiny Gromiko Guardian Yoki Sanjaya Gufria D.Irasanty Hamdiah, Irma Handika, Denis Oxy Hari Kusnanto Hari Kusnanto Hari Kusnanto Hariawan, Muhammad Hafizh Haunan, Muhammad Hafiz Helmyati, Siti Heri Priyatmoko Hieronimous Amandus Ida N Faizah Ignasius Luti Inriyani Takesan Isak Iskandar Radja Ishak SKM., MPH Isnaini Putri Iswarno Iswarno Jairani, Eka Nenni Jati Untari Jumarko, Jumarko Juraidin JURAIDIN JURAIDIN JURAIDIN krisnawati, arini Kus Winarno Laksono Trisnantoro Lely Lusmilasari, Lely Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Sri Rejeki Lussy Messiana Gustantini Lussy Messiana Gustantini, Lussy Messiana Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Marnaza Yusman Mellen, Renie Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Monica Dara Delia Suja Muhamad Almas Radifan Muhammad Septian Hadi, Muhammad Septian Musa Musa Mustofa Mustofa Nana Diana Nilasari Nina Rahmadiliyani Ningrum, Dwi Asih Kartika Ningrum, Ema W. Nisa, Syifa Nisa Novi Inriyanny Suwendro Noviana Nur Sari Novriana, Riska Nunung Priyatni Nunung Priyatni Nur Faizah, Ida Nurlita, Aphrodite Nadya Ova Emilia Pandawa, Rugaya Pandawa, Rugaya Munawar Praditia, Irsa Gusninda Pratiningsih, Widya Ayu Priyatni, Nunung Puji Rahayu Purwandari, Ari Purwati, Alvi Qaimamunazzala, Hayu Radifan, Muhamad Almas Rahayu, Meyi Setiawati Rahmadhani, Alda Adiestya Retna Siwi Padmawati Retno Heru Rini, Ika Sulistya Riris Andono Ahmad Rofiatun Rofiatun Rofiatun Rofiatun Rofiatun, Rofiatun Rossi Sanusi Said Muntahaza Sarto Setyaningrum, Vernika Evita Setyaningrum, Veronika Evita Setyaningrum, Veronika Evita Shofan Ardianto Siti Suryati Siwi Padmawati, Retna Sri Surahmiyati Sri Wiyanti Sudiyo, Sudiyo Suka, Veronika Sukmawan, Rezkiyantra Fajar Sulistyo, Dwi Handono Supriyati Supriyati Susi Irawati Sutena, Marthinus Syafriani Syafriani Syafriani, Syafriani Syamsinar Syifa Atun Nisa Tiara Marthias Titik Nuryastuti Tri Wahyudi Tri Wibawa Upiek Sumanti Utami Putri Kinayungan Vena Jaladara Veronika Evita Setianingrum Veronika Suka Vicka Oktaria Wa Ode Siti Orianti Wahyudi Wahyudi Wahyudi Wahyudi Widodo Wirawan Widya Ayu Pratiningsih Wigati, Maria Wildan Akbar Wiranto Yanri Subronto Yanri Wijayanti Subronto Yatik Krisliani Yayuk Hartriyanti Yodi Mahendradata Yosef Leu Maing Deni Kurniadi Sunjaya Supriyati Yuliastuti Saripawan Yundari, Yundari Zahra Anggita Pratiwi Zul Afril