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All Journal ASPIRATOR Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Epidemiologi Kesehatan Komunitas Dinamika Journal : Pengabdian Masyarakat Jurnal ABDINUS : Jurnal Pengabdian Nusantara BALABA (JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA) Insights in Public Health Journal Jurnal of Community Health Development (JCHD) Jurnal Pengabdian Masyarakat Bangsa ASPIRATOR - Journal of Vector-Borne Diseases Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sri Nurlaela
Department Of Public Health, Faculty Of Health Sciences, Jenderal Soedirman University
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PENGARUH BCG SCAR TERHADAP HASIL UJ TUBERKULIN ANAK SEKOLAH DASAR (SD) KELAS I-IV (8-13 TAHUN) DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Sri Rejeki, Dwi Sarwani; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Objective research to explore the influence of BCG scar for results of tuberculin test after controlled by covariat variable e.g childrens?s characteristic (age, gender), parents?s characteristic (parents?s education, parents?s occupation) and household size. Method using a case control study held in primary school children attending class I-IV (8-13 years age) in Cilacap district from September?Desember 2008. Sample divided in two group, there are 109 case and 109 control. School children who had result of tuberculin test ? 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proporsional random sampling. Informations about children?s result of tuberculin test were obtained from secondary datas of tuberculin survey which held on center of Java. Primary datas obtained by interviewing with school children. Result logistic regression demonstrated influence of BCG scar for result pf tuberculin test showed result OR = 0.432, p value = 0,409, it means childrens who had BCG scar had a risk for positive tuberculin 0.432 greater than childrens who had not BCG scar. Based on result, age was confounding variable for influence of BCG scar for results of tuberculin test (OR = 0.434, nilai p = 0.003).
GAMBARAN KEJADIAN TUBERKULOSIS PARU DI KABUPATEN BANYUMAS TAHUN 2004-2008 Sri Rejeki, Dwi Sarwani; Nurlaela, Sri; Suratman, Suratman
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Indonesia places the third rank regarding tuberculosis cases in the world after India and China. Based on the result of a prevalence survey of Lung Tuberculosis in 2004, a national average prevalence rate of tuberculosis was 0.107%. Data of tuberculosis cases per 10.000 at Banyumas District Health Office from year 2003 until year 2005 consecutively were 1.1 in 2003, 3.7 in 2004, and 3.9 in 2005. Therefore, there needs to make a trend of a tuberculosis occurrence in order to improve the tuberclosis intervention program based on the real database. The objective of this research was to describe the occurrence of tuberculosis in Banyumas District from year until year 2008. Secondary data were obtained from Banyumas District Health Office. The result of this research showed that a number of clinical tuberculosis case in Banyumas District from year 2004 until year 2008 decreased, number of positive BTA cases increased, all cases of positive BTA had been treated, and part of cases had not been healed yet. The tuberculosis case in Banyumas District was an important health problem from year 2004 until year 2008. This condition was proved by data regarding positive BTA tuberculosis as a source of a transmission. The average of Case Detection Rate in Banyumas District was about 40-50% that was lower than the average of National Case Detection Rate (70%). Otherwise, Cure Rate was good enough (85%). As a suggestion, Head of Banyumas District Health Office and Health Centers should find a tuberculosis case both actively and passively and should increase cure rate through monitoring a behavior of drinking medicine on sufferers? group
ANALISIS FAKTOR RISIKO KEMATIAN IBU (Studi Kasus di Kabupaten Banyumas) Sri Rejeki, Dwi Sarwani; Nurlaela, Sri
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 6 No 1 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT Maternal Mortality Rate (MMR) is an indicator used to measure health developmen index, people?s prosperity or quality of life. Morbidity and mortality in women?s pregnancy and gavebirth was serious problem in developing country include Indonesia. MMR in Banyumas district was still high, in 2008 was 98,03 per 100.000 live births.The objective of this study was to indentify risk factors which influence with MMR.The type of this research was observational research with case-control design approach. There were 51 cases and 51 control sampling. As case group were maternal death in Banyumas district and control group was all mother live in pregnancy, gavebirth and postpartum and neigbour with case group. There are some significant risk factors that prove related with maternal death based on bivariat analysis: obstetrics complication, preexisting of disease, preexisting givebirth, mother ages, parity, interval time between childbirth, antenatal care, birth helper, mother?s education, mother?s work and family income. The result of multivariate analysis was complication obstetrics (OR= 31,9; 95% CI= 4,4 ? 188,9; p= 0,000), preexiting of disease (OR= 25,4; 95% CI=3,2 ? 176,1; p=0,001) and preexiting givebirth (OR=13,1; 95% CI=3,8 ? 147,2  p=0,001). Mother who are in pregnancy should do antenal care if they get obstetric complication and the disease can be detected as soon as posible, therefore it can be overcomed by medical threatment and counseling if theirs complain. Key word : risk factors, maternal death  Kesmasindo, Volume 6, ( 1 ) Januari 2013, Hal. 1-11
PELATIHAN PENGOLAHAN DATA EPIDEMIOLOGI BAGI PETUGAS SURVEILAS PENYAKIT MENULAR DI KABUPATEN BANYUMAS Sri Rejeki, Dwi Sarwani; Kuswanto, Kuswanto; Nurlaela, Sri
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 6 No 3 (2014): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT Most of Surveillance staffs were juggle for their jobs in Public Health Center (Puskesmas) on the area of Banyumas regency. However, it is the role of surveillance staffs in analyzing the data that will be used in Public Health Center or ministry of health. Regarding to the variety of education background to the Surveillance staffs in Banyumas, it effects to the different skill in analyzing the data in contagious diseases. Analyzing the data is very crucial area to be mastered by the surveillance staff since it will yield the information for taking the decision. The aim of this research was to improve the skill of surveillance staffs in analyzing and presenting the data in Public Health Center Distric Banyumas. The researcher conducted the training in a day at July 4th, 2013 in Biostatistics Laboratory, Public Health Department. 34 participants were joined in this training. Based on the training, there was an improvement 4.92% of knowledge and 136% skill in analyzing the data. Then it is suggested to the participant to implement the knowledge and skill that they obtained in the training, so it can yield accurate information and policy. Keywords: training, surveillance, staffs.   Kesmasindo, Volume 6, (3) Januari 2014, Hal. 223-231
PEMBERDAYAAN KADER PENDETEKSI TUBERKULOSIS PARU MENUJU DESA LINGGASARI YANG SEHAT DAN PRODUKTIF Dwi Sarwani Sri Rejeki; Sri Nurlaela; Dian Anandari
Dinamika Journal : Pengabdian Masyarakat Vol 1, No 4 (2019)
Publisher : Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.dj.2019.1.4.910

Abstract

Indonesia merupakan salah satu dari 5 negara dengan insiden tertinggi di dunia. Penemuan penderita TB paru secara aktif di masyarakat sangat penting untuk mencegah penularan lebih lanjut. Alternatif program pemberantasan TB paru adalah dengan Active Case Finding yaitu menjaring suspek TB paru dengan melibatkan peran serta masyarakat termasuk kader untuk meningkatkan angka cakupan (coverage) penemuan, pemeriksaan dan pengobatan TB paru. Kabupaten Banyumas termasuk kategori risiko sedang dalam kasus TB paru. Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas merupakan salah satu dengan yang angka Case Detection Rate (CDR) atau angka penemuan kasus rendah. Karakteristik lain desa ini adalah merupakan desa salah satu desa dengan tingkat sosial ekonomi rendah. Kader yang ada di Linggasari mempunyai pengetahuan yang terbatas tentang TB paru, yang berdampak pada sedikitnya penemuan aktif penderita TB paru di Desa Linggasari. Untuk membantu mengatasi masalah ada beberapa upaya yang dilakukan pengkaderan, pendidikan/pelatihan dan pendampingan. Hasil kegiatan menunjukkan ada perubahan pengetahuan dan ketrampilan kader dalam penemuan penderita TB paru. Diharapkan dari kader ini dapat membantu proses penemuan, pengobatan dan pengawasan penderita TB paru sehingga menjadikan masyarakat sehat dan produktif.Kata Kunci : Tuberkulosis Paru, kader, pemberdayaan
Analisis Kondisi Lingkungan pada Kejadian Leptospirosis di Kabupaten Banyumas dengan Pendekatan Spasial Miftakhul Janah; Dwi Sarwani Sri Rejeki; Sri Nurlaela
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 13 No 2 (2021): Jurnal Aspirator Volume 13 Nomor 2 2021
Publisher : Loka Litbang Kesehatan Pangandaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (808.209 KB) | DOI: 10.22435/asp.v13i2.4837

Abstract

Abstract. Leptospirosis is still becoming a public health problem in Indonesia. Banyumas was oneof the highest cases in Central Java by 2019 so it could be potentially endemic. GIS (GeographicInformation System) is used to determine spatial patt erns related to the environment. This researchaimed to know the distribution and spatial grouping of leptospirosis in Banyumas 2019. The type ofthis research is an observational study with a cross-sectional spatial analysis design to observe thespreading and grouping patt ern. The subjects of this study were 140 leptospirosis cases in Banyumas2019. House coordinate was collected by using GPS (Global Positioning System). The data collectionis done for a month. Data Analyzes was performed through ArcGIS 10.2, and SaTScan 9.7. Thedistribution of leptospirosis in Banyumas was spread over 14 districts, 45% cases in Cilongok, 25,71%cases were >56 years old, 62,1% cases were male, 40% cases were farmers. The results of the spatialanalysis showed 77.14% cases in residential land use areas, 70% cases with moderate populationdensity (5.00-1.249 people/km²), 62.85% cases in 0-199 altitude, 63.57% cases with low rainfall 500meters, and signifi cant grouping patt ern with p-value = 0.009 primary which is located in Cilongokand Ajibarang. Leptospirosis spread over in residential land use areas, moderate population density,low altitude, low rainfall, no history of fl ooding, a radius of river 500 meters, and occurs clusteringin Cilongok and Ajibarang. The location intervention of leptospirosis prevention and control can beprioritized in these areas.
Identification of Primary Container of Aedes Mosquitoes Breeding Site in Urban Region of Dengue Endemic Area, Purwokerto Indonesia Siwi Pramatama Mars Wijayanti; Devi Octaviana; Sri Nurlaela
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 16 Nomor 2 Desember 2020
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/blb.v16i2.2491

Abstract

Dengue prevention and control more reliant on reducing its vector, Aedes sp. mosquitoes by mosquito breeding nest eradication method. Therefore, identification of the primary container of the Aedes sp. breeding site particularly in the urban region of dengue-endemic area is a crucial effort to conduct an effective dengue prevention program. This research aimed to identify the primary container of the Aedes sp. breeding site in the urban region of the dengue-endemic area. This is a descriptive cross-sectional study, located in an urban region of dengue-endemic area within Banyumas Regency of Central Java Indonesia. A total of 300 houses in three urban areas were observed in urban areas of Purwokerto namely Arcawinangun, Purwanegara, and Karangpucung (100 houses each area). A total of 1504 water-holding containers were observed. All container was observed and recorded the type, color, lid condition, position, and the presence of mosquito larvae. The analysis was conducted by calculating the percentage of types, color, lid condition, and position of the container also the presence of mosquito larvae. The result of this study highlighted that flower pots and bathtubs were the primary types of containers with Aedes sp. larvae in the urban area. The characteristics of larvae-positive containers mostly open, bright, and located indoor position. Dengue prevention efforts by targeting the primary types of containers for mosquito breeding are expected to reduce the adult mosquito population.
Faktor – Faktor yang Berpengaruh terhadap Deteksi Dini Kanker Leher Rahim Metode IVA di Kabupaten Banyumas (Studi di Puskesmas Cilongok I) Yuni Nurul Izah; Devi Octaviana; Sri Nurlaela
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.13768

Abstract

Background: Cases of cervical cancer in Banyumas Regency have increased over the last four years but the coverage of early detection of VIA is still very low. The purpose of this study was to determinant factors of early detection of cervical cancer using visual inspection with acetic acid (VIA) method in Banyumas Regency (Study at Puskesmas Cilongok I).Methods: The research used cross-sectional design in 2021 with population of 13.679 women of childbearing. A sample of 93 women used purposive sampling technique. The research variables are knowledge, attitude, education, economic level, age, parity, access to health facilities, access to information, family support and support for health workers. The research instrument used google form. The data analysis performed was univariate analysis, bivariate analysis using chi square, and multivariate analysis using logistic regression.Result: Most of the respondents did not perform early detection of cervical cancer using VIA method (62.4%). The results of the analysis showed that there was a relationship between knowledge, attitudes, education, and family support (p-value= 0.027; 0.031; 0.025; 0.039) with early detection of cervical cancer using VIA method. Determinant factors of early detection of cervical cancer using VIA were are knowledge, attitudes, education, and family support (POR=3.984; 7.273; 0.187; 3.863).Conclusion : Attitude is the most determining factor in early detection of cervical cancer using the VIA method. Women should increase their positive attitude in supporting early detection of cervical cancer.
Analysis of Quality of Life of Children With Tuberculosis (8-14 Years) in Banyumas Regency 2023 Rahayu, Febianti; Nurlaela, Sri; Rejeki, Dwi Sarwani Sri
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12113

Abstract

Tuberculosis (TB) of school-age children (5-14 years) increases significantly every year in Banyumas Regency. Children with TB infection can be a source of TB disease can reduce the quality of human resources and quality of life in the future. It takes information on the quality of life of children TB systematically and more in-depth. This study aims to determine the quality of life of children with TB based on 7 aspects and characteristics with descriptive quantitative method of case study design. The population of all TB patients aged 8-14 years has treatment status in Banyumas Regency in 2022-March 2023. Research samples were 72 with Total sampling method. Data collection with questionnaire interviews and TACQOL CF instruments that have been translated and tested for reliability validity and univariate data analysis. Characteristics of TB patients aged 8-14 years in Banyumas Regency, the average age is 10 years old, male (68.1%), and educated in elementary school (80.6%). Most are in Sumbang District (15.3%), confirmed in February 2023 (25%). Clinical characteristics were BCG immunization (97.2%), normal nutritional status (56.3%), type of pulmonary TB (93.1%), advanced stage (75%), type of scoring diagnosis (83.3%), no OAT side effects (73.6%), no comorbidities (66.7%), and family history of TB (52.8%). The quality of life of the study subjects was moderate (51.4%), with the most aspects of the good category on positive emotions (25%) and the less good category on motor function (23.6%) and daily habits (23.6%). The total quality of life of the study subjects was good at best on the aspects of positive emotions and poor quality of life only on the aspects of daily habits. Any difficulties and disorders symptoms are experienced most when the condition is sick and mild pain. Keywords: Characteristics, Quality of Life, Childhood Tuberculosis
Upaya Pengendalian Hipertensi pada Petani di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas Rejeki, Dwi Sarwani Sri; Anandari, Dian; Nurlaela, Sri
Jurnal of Community Health Development Vol 5 No 1 (2024): Journal Of Community Health Development
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2024.5.1.9940

Abstract

Hipertensi ini sebagai penyebab utama kematian di seluruh dunia. Jika tidak terkontrol hipertensi dapat menyebabkan berbagai komplikasi jantung, stroke, penyakit ginjal, retinopati dan gangguan saraf. Kajian hipertensi di wilayah pedesaan dan perkotaan di Kabupaten Banyumas hampir sama persentasenya yaitu kisaran 40%. Di Pedesaan dimana mata pencaharian sebagai petani merupakan pekerjaan yang dominan, didapatkan sebanyak 63% petani mengalami hipertensi. Tujuan kegiatan ini adalah mencegah dan mengendalikan hipertensi pada petani di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas dengan model manajemen terpadu. Kegiatan yang dilakukan selama 3 tahun, meliputi kegiatan sosialisasi, pendidikan kesehatan, pelatihan, pendampingan, revitalisasi Posyandu Lansia, peningkatan sarana prasarana, KIE (Komunikasi, Edukasi dan Informasi) dan kemitraan. Bentuk kegiatan meliputi ceramah, diskusi, tanyajawab, roleplay, FGD, studi kasus, pendampingan dan lain-lain. Pada tahun tahun pertama kegiatan yang dilakukan meliputi 1) Sosialisasi program 2) Peningkatan pengetahun petani mengenai hipertensi dan faktor risikonya 3) Peningkatkan ketrampilan petani mengenai manajemen diri hipertensi 4) Penyediakan media informasi berupa buku pencegahan hipertensi bagi petani 5)Penyediaan sarana pengukuran tekanan darah bagi petani 6) Pendampingan. Kegiatan dilakukan di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas. Sosialisasi program dilakukan pada perangkat desa untuk memberikan pemahaman pentingnya kegiatan dilakukan. Peningkatan pengetahuan dilakukan dengan ceramah dan diskusi pada petani di Desa Linggasari. Peningkatan ketrampilan dilakukan dengan FGD pada petani untuk merumuskan manajemen diri yang baik bagi petani yang hipertensi. Penyediaan media dengan membuat buku yang diberikan kepada petani mengenai hipertensi dan pengendaliaanya. Pendampingan dilakukan dengan menjalin komunikasi dengan petani dan juga pihak Puskesmas untuk kegiatan pengendalian hipertensi pada petani. Hasil kegiatan Pendidikan Kesehatan menunjukkan rata-rata skor pengetahuan responden tentang hipertensi sesudah kegiatan meningkat sebesar 34,78% dari skor sebelumnya, yaitu dari 63,89 menjadi 86,11. Kedua skor tersebut dinyatakan berbeda secara signifikan berdasarkan hasil uji t berpasangan dengan nilai p=0,000 (< α 0,05). Hal ini menunjukkan bahwa kegiatan pendidikan kesehatan berhasil meningkatkan pengetahuan petani tentang hipertensi. ertensi ini sebagai penyebab utama kematian di seluruh dunia. Jika tidak terkontrol hipertensi dapat menyebabkan berbagai komplikasi jantung, stroke, penyakit ginjal, retinopati dan gangguan saraf. Kajian hipertensi di wilayah pedesaan dan perkotaan di Kabupaten Banyumas hampir sama persentasenya yaitu kisaran 40%. Di Pedesaan dimana mata pencaharian sebagai petani merupakan pekerjaan yang dominan, didapatkan sebanyak 63% petani mengalami hipertensi. Tujuan kegiatan ini adalah mencegah dan mengendalikan hipertensi pada petani di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas dengan model manajemen terpadu. Kegiatan yang dilakukan selama 3 tahun, meliputi kegiatan sosialisasi, pendidikan kesehatan, pelatihan, pendampingan, revitalisasi Posyandu Lansia, peningkatan sarana prasarana, KIE (Komunikasi, Edukasi dan Informasi) dan kemitraan. Bentuk kegiatan meliputi ceramah, diskusi, tanyajawab, roleplay, FGD, studi kasus, pendampingan dan lain-lain. Pada tahun tahun pertama kegiatan yang dilakukan meliputi 1) Sosialisasi program 2) Peningkatan pengetahun petani mengenai hipertensi dan faktor risikonya 3) Peningkatkan ketrampilan petani mengenai manajemen diri hipertensi 4) Penyediakan media informasi berupa buku pencegahan hipertensi bagi petani 5)Penyediaan sarana pengukuran tekanan darah bagi petani 6) Pendampingan. Kegiatan dilakukan di Desa Linggasari Kecamatan Kembaran Kabupaten Banyumas. Sosialisasi program dilakukan pada perangkat desa untuk memberikan pemahaman pentingnya kegiatan dilakukan. Peningkatan pengetahuan dilakukan dengan ceramah dan diskusi pada petani di Desa Linggasari. Peningkatan ketrampilan dilakukan dengan FGD pada petani untuk merumuskan manajemen diri yang baik bagi petani yang hipertensi. Penyediaan media dengan membuat buku yang diberikan kepada petani mengenai hipertensi dan pengendaliaanya. Pendampingan dilakukan dengan menjalin komunikasi dengan petani dan juga pihak Puskesmas untuk kegiatan pengendalian hipertensi pada petani. Hasil kegiatan Pendidikan Kesehatan menunjukkan rata-rata skor pengetahuan responden tentang hipertensi sesudah kegiatan meningkat sebesar 34,78% dari skor sebelumnya, yaitu dari 63,89 menjadi 86,11. Kedua skor tersebut dinyatakan berbeda secara signifikan berdasarkan hasil uji t berpasangan dengan nilai p=0,000 (< α 0,05). Hal ini menunjukkan bahwa kegiatan pendidikan kesehatan berhasil meningkatkan pengetahuan petani tentang hipertensi.
Co-Authors Anandari, Dian Devi Octaviana Devi Octaviana Devi Octaviana Devi Oktaviana, Devi Dwi Sarwani S.R. Dwi Sarwani SR Dwi Sarwani Sri Rejeki Dyah Retnani Basuki, Dyah Retnani Dyah Umiyarni P. Dyah Umiyarni Purnamasari E. Elsa Herdiana Murhandarwati Hari Kusnanto Isnani Zahrotul A Jayanti, Rosita Dwi Kuswanto Kuswanto Miftakhul Janah Miftakhul Janah Nurwathon Aulia, Nurwathon Rahadjo, Setiyowati Rahayu, Febianti Safitri, Dyah Retno Setiyowati Rahardjo Setyowati Rahardjo Siwi Pramatama Mars Wijayanti Suratman Suratman Wijayanti, Siwi Wijayanti, Siwi Pramatama M Yuni Nurul Izah