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The Analysis of Cold Chain Management of Basic Immunization Vaccine in Health Service Centers, 2018 Wetra Fauza; Firdawati Firdawati; Rosfita Rasyid
Jurnal Berkala Epidemiologi Vol. 7 No. 1 (2019): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (582.086 KB) | DOI: 10.20473/jbe.V7I12019.42-50

Abstract

Background: Vaccines are biological products that promote immunity activation in children. Vaccines content are susceptible and need more treatment in temperature (20C-80C), storage, and use during the delivery process to health service centers. Purpose: This study aims to determine the cold chain management of basic immunization vaccine in health service centers, South Solok Regency. Method: This research is a qualitative study. The sampling is done by using purposive sampling technique. This research was carried out at the health service center in South Solok Regency. This study uses primary and secondary data sources. The source of primary data is taken by in-depth interviews, while secondary data comes from document review and observations of data in 2018. Source and methodological triangulation were performed in this study. Results: The availability of human resources, funds, facilities and infrastructure and work procedures are sufficient, although there is still one untrained health service center staff, lack of vaccine flasks in two health service centers, and lack of voltage stabilizers in seven health service centers. Almost all health service centers have been applied vaccine boxes 20C-80C in vaccine transportation system. Based on the evaluation, only one health service center that need to improve especially in temperature evaluation procedure by thermometer. The vaccine storage procedure has been applied by the health service center. However, the observation noticed three health service centers have problems in time delay in the melting process. Conclusion: The management of the cold chain vaccine in the health service center, South Solok Regency is good.
PERAN SERTA KADER DALAM PENDETEKSIAN DAN PENCEGAHAN INFEKSI CACING USUS DI KELURAHAN KORONG GADANG, KECAMATAN KURANJI, PADANG Nora Harminarti; Nuzulia Irawati Hasmiwati; Adrial Adrial; Nurhayati Nurhayati; Selfi Renita Rusjdi; Eka Nofita; Yuniar Lestari; Rosfita Rasyid; Firdawati Firdawati; Ida Rahma Burhan; Abdiana Abdiana; Husna Yetti
Jurnal Hilirisasi IPTEKS Vol 2 No 4.a (2019)
Publisher : LPPM Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.774 KB) | DOI: 10.25077/jhi.v2i4.a.305

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Penyakit kecacingan masih menjadi masalah kesehatan dengan prevalensi yang tinggi ditemukan terutama di negara-negara non industri (negara yang sedang berkembang), seperti Indonesia. Prevalensi dan intensitas tertinggi didapatkan di kalangan anak usia sekolah dasar. Anak-anak merupakan sumber daya manusia yang sangat penting untuk pembangunan bangsa Indonesia di masa yang akan datang. Kelurahan Korong Gadang sebagai pemenang desa Kelurahan Berprestasi Peringkat II dipilih untuk melihat masih ter dapatkah infeksi cacing usus pada anak dengan kriteria daerah seperti ini. Penelitian ini menggunakan metode cross sectional study terhadap semua kader yang berada di wilayah Kelurahan Korong Gadang berupa pengumpulan tinja anak usia sekolah dasar oleh kader, pemeriksaan cacing usus terhadap tinja yang dikumpulkan di bagian Laboratorium Parasitologi Fakultas Kedokteran Universitas andalas Padang. Hasil dari penelitian ini menunjukkan bahwa kader berperan aktif dalam program pengendalian infeksi cacing usus. Pemeriksaan semua tinja yang dikumpulkan adalah tidak ditemukan adanya cacing usus. Kesimpulan pengabdian ini berupa hasil penilaian terhadap peran dari kader dalam masalah pencegahan penyakit cacing usus adalah baik. Semua kader yang dipilih melakukan pengumpulan tinja dan melakukan proses pre analitik dengan baik.
STUDI KEBIJAKAN PROGRAM MAKANAN TAMBAHAN BISKUIT PADA BALITA KURANG GIZI DI KOTA SOLOK TAHUN 2020 Esinelya Esinelya; Masrul Masrul; Firdawati Firdawati
HUMAN CARE JOURNAL Vol 6, No 2 (2021): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v6i2.1215

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ABSTRACTOne of the policies of the Ministry of Health in preventing and overcoming nutritional problems in children under five is the supplementary feeding program. This program has been started since 1998, however, the success rate in reducing the prevalence of nutritional problems has not been as expected. To find out the implementation of the biscuit complementary food program and its problems, researchers conducted the research in Solok city. This research conduct by mixed methods. The informants were the Head of the Health Office, the Head of the Nutrition Kesga Section, the Nutrition Program Manager, the Head of primery health centre, the Nutritionist, the Pustu/Poskeskel supervisors and the Toddler Mother. Measurement of body weight of toddlers can additional food program is done to determine the average weight gain per month. Results: input, the policy of the biscuit additional food program, which refers to the technical guidelines. Fund utilization has not been optimal. Human resources, inadequate quality. The biscuit storage space is not fulfill the standard. Availability of target characteristics is incomplete. The process is that there is no SOP and POA, the target biscuit recipients have not referred to the technical instructions, the taking of biscuits is irregular, the understanding of mothers about program,  nutrition education, recording/reporting, monitoring evaluation are not optimal. Output, 67,4% of toddlers are unable to finish biscuits because they do not like it, bored and consumed by other family members. Output 41,2% of children under five have gained weight less than KBM. It is suggested that the public health office be able to motivate to understanding to mother about the purpose and objectives of providing biscuit and improve the quality of nutrition services guided by toddler nutrition care Keywords : Malnourished toddlers, Biscuit additional food ABSTRAKSalah satu kebijakan Kementerian Kesehatan dalam mencegah dan menanggulangi masalah gizi balita adalah program pemberian makanan tambahan sejak tahun 1998, namun tingkat keberhasilannya dalam menurunkan prevalensi masalah gizi belum sesuai harapan. Untuk mengetahui pelaksanaan program makanan tambahan biskuit dan permasalahannya, peneliti melakukan penelitian di kota Solok. Penelitian menggunakan metode studi kebijakan. Informan  Kepala Dinas Kesehatan, Kasi Kesga Gizi, pengelola program gizi, Kepala Puskesmas, Tenaga Gizi Puskesmas, petugas Pustu/Poskeskel dan ibu balita. Pengukuran berat badan balita dapat MT biskuit dilakukan untuk mengetahui kenaikan berat badan rata-rata per bulan. Hasil Penelitian : input, kebijakan pelaksanaan program MT biskuit mengacu pada petunjuk teknis. Pemanfaatan dana belum optimal. SDM  sebagian kualitasnya kurang, penyimpanan biskuit belum sesuai standar. Ketersediaan karakteristik sasaran belum lengkap. Proses, belum tersedia SOP dan POA, sasaran  dapat biskuit belum mengacu pada petunjuk teknis, ketidakteraturan pengambilan biskuit, pemahaman ibu tentang program, edukasi gizi, pencatatan/pelaporan dan monev belum optimal. Output,  64,7% balita tidak mampu menghabiskan biskuit karena tidak suka, bosan dan dikonsumsi oleh anggota keluarga lain. 41,2% balita mengalami kenaikan berat badan < KBM. Disarankan dinas kesehatan dapat motivasi dan memberi pemahaman lebih dalam pada ibu tentang maksud/ tujuan pemberian MT biskuit sehingga biskuit dapat dikonsumsi sesuai anjuran serta meningkatkan kualitas pelayanan gizi dengan berpedoman pada Asuhan Gizi Balita. Kata Kunci : Balita Kurang Gizi, Makanan Tambahan Biskuit
Hubungan Karakteristik Pasien dengan Tingkat Kepuasan Pelayanan pada Pasien Operasi Sub Bagian Fasial Plastik dan Bedah Rekonstruksi Bagian THT-KL RSUP Dr. M. Djamil Tahun 2019 Fauzan Junanda Putra; Al-Hafiz Al-Hafiz; Firdawati Firdawati
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 3 (2020): November 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1409.757 KB) | DOI: 10.25077/jikesi.v1i3.83

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Hospitals play an important role in providing quality public services. The success of a hospital in providing services can be seen from the performance of health care provider and patient satisfaction. Patient satisfaction is the evaluative, emotional or affective response of the patient to the service provided by the health care provider and the expectation of the service. The satisfaction of each patient can be different depending on the expectations and reality obtained. This can be caused by several factors such as age, gender, occupation and education. This study was conducted to determine the relationship of these patient characteristics with the level of patient service satisfaction in the plastic facial and reconstructive surgery division of ENT department of Dr. M. Djamil hospital. This type of research is analytic research with cross sectional design. Respondents in this study were 37 people. Sampling was done using a purposive sampling method. This study used satisfaction questionnaires and medical record as an research instrument. The results showed that there were more subjects in the old adult age category (56.76%), female (51.35%), had a job (51.35%), had a high education (81.08%), and non PBI membership status (56,8%). The results of bivariate analysis showed that there was no relationship between age, sex, education and occupation with the level of satisfaction. P values ​​obtained respectively p = 0.366, p = 0.692, p = 0.554 and p = 0.845. Whereas there are relationship between patient health assurance membership status with patient satisfaction by p values 0,033. Conclusion: that there is no relationship between patient characteristics with the level of service satisfaction in patients in the plastic facial and reconstructive surgery division in the ENT department of Dr. M. Djamil hospital except for health assurance membership status. Keywords: Education, Occupation, Health Assurance Membership Status, Satisfaction
Education Effect Toward Enhance Adolescence Health Reproduction in Senior High School Dwiesfiza Muharawita; Hardisman Hardisman; Firdawati Firdawati; Teguh Widodo
International Journal of Educational Dynamics Vol 3 No 2 (2021): International Journal of Educational Dynamics (IJEDs)
Publisher : Postgraduate School, Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/ijeds.v3i2.317

Abstract

The problem of Adolescent Reproductive Health (KESPRO) from time to time is increasing both qualitatively and quantitatively due to a lack of understanding of sexual and reproductive health. This study aims to determine the differences in the method of counseling and simulation games on the level of students' knowledge of reproductive health (KESPRO). The research method used a quasi-experimental design with a non-randomized control group pre-test-post-test which was conducted at State Senior High School 4 (SMAN 4) Padang City. The results showed that the extension method did not increase students' knowledge scores. Retention of students' knowledge after 3 days and 1 week of intervention with the extension method also did not increase students' knowledge scores. Based on the difference in the average score of students' knowledge about KESPRO after 1 week of intervention, the simulation game method group (1.04) was greater than the extension method (0.01) this means that the simulation game method can be better in maintaining memory students after 1 week of intervention about an information.
Analisis Implementasi Family Development Session (FDS) tentang Gizi pada Keluarga Penerima Manfaat Program Keluarga Yosi Aguslida; Masrul Masrul; Firdawati Firdawati
JURNAL KESEHATAN PERINTIS Vol 7 No 2 (2020): DESEMBER 2020 : Jurnal Kesehatan Perintis (Perintis's Health Journal)
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/jkp.v7i2.497

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Lebih dari 50% kematian anak terkait dengan masalah gizi. Di Kota Padang terjadi peningkatan masalah gizi balita dengan persentase kasus gizi paling tinggi yaitu di wilayah kerja puskesmas Air Dingin dan anak Air Kecamatan Koto Tangah dengan cakupan balita dengan cakupan balita gizi kurang 20,9 % dan 12,0%, balita kurus sebanyak 18,1% dan 17,8 %, balita pendek sebanyak 22,4% dan 18,7%. Pemerintah berupaya mengatasi masalah tersebut melalui Program Keluarga Harapan (PKH) dengan dilaksanakannya intervensi Family Development Session (FDS) atau P2K2. Penelitian ini bertujuan untuk menganalisis pelaksanaan P2K2 tentang Gizi di Kecamatan Koto Tangah. Studi ini menggunakan pendekatan kualitatif. Data primer didapat melalui wawancara dengan informan yang memahami tentang P2K2, dokumentasi hasil observasi seperti rekaman, catatan di lapangan dan gambar hasil foto. Data sekunder didapat dari dinas atau instansi terkait yaitu Dinas Sosial, Kesehatan Kota Padang dan Puskesmas Anak air dan Air Dingin. Peneliti merupakan instrument utama dalam memperoleh data. Jumlah informan sebanyak 20 orang yaitu Kepala Dinas Sosial, Koordinator PKH, Supervisor, pendamping, Pemegang program Gizi di puskesmas dan KPM PKH. Validasi data dilakukan dengan triagulasi sumber dan metode kualitatif. Hasil penelitian pelaksanaan FDS tentang gizi sudah terlaksana, namun belum berjalan sesuai dengan pedoman yaitu belum ada dana APBD yang dialokasikan untuk pelaksanaan FDS, masih kurangnya sarana penunjang, pendamping belum melibatkan tenaga puskesmas, pelaporan masih belum dilakukan setiap bulannya, belum dilakukan monitoring kelapangan secara maksimal. Saran bagi instansi terkait yaitu mensosialisasikan kembali kebijakan terkait FDS tentang gizi, meningkatkan kerjasama lintas sektor, penyediaan sarana, meningkatkan monitoring dan evaluasi demi pencapaian program
THE RELATIONSHIP OF COMMUNICATION BETWEEN ADOLESCENTS AND PARENTS AND PEER GROUP WITH PREMARITAL SEXUAL BEHAVIOR OF ADOLESCENT Rahmadini Faricha Hakim; Firdawati Firdawati; Lisma Evareny
SEAJOM: The Southeast Asia Journal of Midwifery Vol 8 No 1 (2022): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v8i1.152

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Developments the current era of globalization makes people's lifestyles more free. This can be seen from premarital sex behavior among teenagers. Premarital sex behavior can cause depression, unwanted pregnancy and transmission of sexually transmitted diseases. Many factors influence mainly from the family environment and community environment. The purpose of this study was to determine the relationship of communication between adolescents and parents and peer group with premarital sexual behavior of adolescents. This study uses analytical survey methods with Cross Sectional design. The sample in this study were adolescents who met the inclusion and exclusion criteria totaling 87 people. The sampling technique used is simple random sampling. Data were analyzed by univariate to describe the frequency distribution of each of the variables studied and bivariate by using the chi-square test. The results showed that there was a relationship between adolescent communication with parents (p= 0.01) with premarital sex behavior and there was no statistical test on the variable peer group because in the peer group weakthere was a proportion of 0% teenagers who were at low risk. There is a significant relationship between adolescent communication with parents and premarital sex behavior in adolescents. For this reason parents can provide communication that educates teenagers on topics related to sexuality and openness to communication so parents can control and provide good direction to their children.
Hubungan Aktivitas Fisik dengan Kebugaran Jasmani Siswa SDN 13 Sungai Pisang Zul'afiyati Huwaida; Fika Tri Anggraini; Firdawati Firdawati
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 4 (2021): Desember 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v2i4.361

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Latar Belakang: Kebugaran jasmani menempati peran penting dalam segala komponen tubuh manusia. Tingkat kebugaran jasmani dipengaruhi oleh berbagai faktor, salah satunya aktivitas fisik. Masih rendahnya aktivitas fisik pada anak akan berdampak pada kualitas sumber daya manusia untuk pembangunan nasional di masa yang akan datang. Objektif: Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik dengan kebugaran jasmani siswa. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan potong lintang. Teknik pengambilan sampel dilakukan dengan total sampling dan jumlah sampel sebanyak 46 orang. Pengumpulan data menggunakan Global Physical Activity Questionnaire (GPAQ) dan Tes Kebugaran Jasmani Indonesia (TKJI). Analisis data menggunakan uji korelasi Pearson. Hasil: Rerata skor aktivitas fisik dan kebugaran jasmani siswa berturut-turut adalah 4362,43 MET/minggu dan 12,83. Terdapat korelasi bermakna antara aktivitas fisik dengan kebugaran jasmani siswa dengan nilai p=0,001 dan derajat korelasi Pearson sebesar 0,464. Kesimpulan: Terdapat hubungan aktivitas fisik dengan kebugaran jasmani siswa SDN 13 Sungai Pisang.
Capaian Pelaksanaan Empat Pilar Pengelolaan Diabetes Melitus di Wilayah Kerja Puskesmas Mungo Muhammad Luthfi; Eva Decroli; Firdawati Firdawati
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 1 (2022): Maret 2022
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v3i1.869

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Latar Belakang: Angka kejadian diabetes melitus selalu meningkat setiap tahun akibat faktor genetik dan pola hidup yang tidak sehat. Pengelolaan yang tidak tepat akan mempengaruhi kualitas hidup pasien akibat adanya komplikasi. Untuk mencegahnya, dibutuhkan pengelolaan diabetes melitus yang terdiri atas manajemen glukosa, terapi nutrisi, aktivitas fisik serta penggunaan fasilitas kesehatan. Objektif: Mengetahui persentase capaian pelaksanaan empat pilar pengelolaan diabetes melitus dan karakteristik pasien diabetes melitus di wilayah kerja Puskesmas Mungo pada tahun 2022 Metode: Penelitian ini merupakan survey deskriptif kuantitatif menggunakan kuesioner DSMQ (diabetes self-management questionnaire) terhadap pasien diabetes melitus yang berada di wilayah kerja Puskesmas Mungo yang telah memenuhi kriteria inklusi dan eksklusi. Hasil: Terdapat 101 responden yang telah memenuhi kriteria inklusi dan eksklusi dalam penelitian ini. Mayoritas responden merupakan perempuan (76,2%) dan berusia ≥60 tahun (55,4%). Pendidikan terakhir responden sebagian besar merupakan tamatan SD/sederajat (27,7%). Mayoritas responden tidak bekerja (51,5%) dan terdiagnosis diabetes melitus selama kurang dari 5 tahun (49,5%). Mayoritas responden tidak pernah mengalami hipoglikemia (90,1%), tidak memiliki alat pengukur gula darah sendiri (88,1%) dan menggunakan obat antidiabetes oral (87,1%). Mayoritas responden melakukan manajemen glukosa (59,4%), kontrol diet (37,6%) dan perawatan kesehatan (55,4%) dengan baik, namun mayoritas responden melaksanakan aktivitas fisik yang buruk (46,5%). Berdasarkan seluruh indikator DSMQ, mayoritas responden melaksanakan self-management dalam kategori cukup 46,5%. Kesimpulan: Mayoritas responden telah melakukan manajemen glukosa, kontrol diet dan perawatan kesehatan dengan baik. Namun aktivitas fisik dinilai buruk.
Identification of Intestinal Protozoa in Adults in Pasie Nan Tigo Sub-Distric Koto Tangah Padang Genia Alda Fitria; Nuzulia Irawati; Firdawati Firdawati
Journal of Agromedicine and Medical Sciences Vol 8 No 3 (2022)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v8i3.29697

Abstract

Intestinal protozoan infection is one of the leading causes of morbidity and mortality worldwide. However, it is difficult to estimate the true problem of protozoal infections because cases are under-reported. This study aimed to identify intestinal protozoa in healthy adults. This study used a categorical descriptive research design and used a multistage random sampling technique. This research was conducted in Pasie Nan Tigo, Koto Tangah, Padang from July 2020 to December 2021 with a total of 61 samples obtained. Furthermore, the samples were examined using the direct stool examination method and with modified Ziehl-Neelsen staining. The results of this study were obtained, from 61 subjects the most age group was 45-49 years (27.9%), the most gender was female (88.5%), and the incidence of intestinal protozoal infection was 3.3% where only Blastocystis hominis found. The vacuole stage and cyst stage were found to be 50%, respectively. All samples examined were single infection. The conclusion of this study is that Blastocystis hominis infection is still found in healthy adults in Pasie Nan Tigo, Koto Tangah, Padang. Therefore, supportive therapy and measures to prevent infection transmission need to be carried out so that the incidence and morbidity rates can be reduced. Keywords: Intestinal protozoa infections, healthy adult
Co-Authors Abdiana Abdiana Abdiana Abdiana, Abdiana Abdiana, Abdiana Adang Bachtiar Ade Rahmadini Adrial Adrial Afrah, Rahmayani Al Hafiz Aladin Aladin ALADIN ALADIN Amir, Arni Amri, Dudi Anisa Ulfah Antonius, Puja Agung Aprila, Prety Zinta Arde Hidayat Ariadi Ariadi Arni Amir Assyura, Fazhladia Asterina, Asterina Bobby Indra Utama David Perdana Defrin Defrin Defrin, Defrin Deswinda Deswinda Dewi Ayu Ningsih Dia Rofinda, Zelly Dia Dolly Irfandy Dwiesfiza Muharawita Edison Edison Enda Gusnita Erda Mutiara Halida Erkadius Erkadius Esinelya Esinelya Eva Decroli Fahmelia, Diva Fauzan F Fauzan Junanda Putra Fiandra, Yudha Fika Tri Anggraini Fitria, Henni Genia Alda Fitria Gusti Revilla Gustina Lubis Halida, Erda Mutiara Hanum, Fathiya Juwita Hardisman Hasmiwati Helmi Helmi Hendra, Gabriel Septian Hendriani, Berliana Husna Yetti Husni, Lailatul Ida Rahma Burhan Ida Rahmah Burhan Iffah, Uliy Ilma Nuria Sulrieni Indah Lisfi Ismul Ismul Laras Surakusuma Laura Suciono Lisma Evareny Lubis, Siska Ilannur M. Fadil Machmud, Rizanda Maharani, Rifty Zhafira Mahata, Liganda Endo Maputra, Yantri Marwis Marwis Masrul Masrul Masrul Masrul Masrul Masrul Masrul Masrul Masrul, Masrul Meka Melani Sari Merri Syafrina Miftah Irrahmah Milano, Ryan Suheil Mohamad Reza Muhammad Luthfi Muhammad Zaldy Rasyid Putra Najirman, Najirman Nelmi Silvia Netti Suharti, Netti Nizwardi Azkha Nora Harminarti Novizar Nazir Nur Afrainin Syah Nur Indrawati Lipoeto Nurhayati Nurhayati Nuzulia Irawati Oktavia, Mutiara Pom Harry Satria Putri Azzahroh Putri, Biomechy Oktomalio Putri, Viorika Marsafa Rahmadian, Rizki Rahmadini Faricha Hakim Rahman, Andio Rahmatias, Fadiyah Ratu Fawwaz Efendi Rauza Sukma Rita Rina Gustia Rizal, Wadratul Jannah Rosfita Rasyid Rosfita Rasyid Russilawati, Russilawati Rustam, Musfardi Sakinah Sakinah Salsabila Dhiyaa Syifa Sari, Fitri Yunita Selfi Renita Rusjdi Selian, Rada Almina Siti Nurhajjah, Siti Sri Melda Br Bangun Suradi, Asy Syfa Teguh Widodo Tuti Ernawati Ulfa Esterina Ulfa Farrah Lisa, Ulfa Farrah Utama, Bobby Indra Vera Pujani Wetra Fauza Wiwit Fetrisia Yanti, Farah Sevnell Yanti, Roza Sri Yantri Maputra Yonariza Yonariza Yosi Aguslida Yulia Fitriani Yulia, Dwi Yulika, Marzatia Yulistini, Yulistini Yulizawati, Yulizawati Yuniar Lestari Yuniar Lestari Zul'afiyati Huwaida