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All Journal Science Midwifery International Journal of Midwifery Research Excellent Midwifery Journal Prosiding Konferensi Nasional PKM-CSR Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Jurnal Pengabdian Masyarakat Indonesia (JPMI) Indonesian Health Issue Jurnal Sains dan Kesehatan Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Detector: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat Journal of Public Health Science (JoPHS) Jurnal Siti Rufaidah
Kismiasih Adethia
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Analisis Faktor Yang Mempengaruhi Ketidakpatuhan Ibu Hamil Dalam Mengkonsumsi Tablet Fe Jenni Novita Simbolon; Kismi Asih Adethia; Eka Falentina Tarigan; Ngarap Muliana Harahap; Meviani Putri
Indonesian Health Issue Vol. 2 No. 2 (2023): AGUSTUS
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i2.48

Abstract

Latar Belakang: Upaya mencegah anemia pada ibu hamil dengan mengkonsumsi tablet Fe.Data Kemenkes Tahun 2019, cakupan ibu hamil mendapat tablet Fe 64,0 %.Tujuan: Analisis Faktor Mempengaruhi Ketidakpatuhan Ibu Hamil Mengkonsumsi Tablet Fe. Metode: Jenis penelitian ini observasional analitik, desain penelitian Cross Sectional. Sampel penelitian berjumlah 56 orang, tehnik pengambilan sampel total sampling.  Hasil: Mayoritas ibu hamil yang tidak patuh mengkonsumsi Tablet Fe adalah pengetahuan kurang sebanyak 9 orang (16,1 %). Diperoleh p value 0,000 < 0,05 terdapat hubungan Pengetahuan dengan Ketidakpatuhan Ibu Hamil Dalam Mengkonsumsi Tablet Fe. Mayoritas ibu hamil yang tidak patuh mengkonsumsi Tablet Fe yaitu tidak bekerja sebanyak 10 orang (17,9 %), p value 0,011 < 0,05 artinya terdapat hubungan Pekerjaan dengan Ketidakpatuhan Ibu Hamil Mengkonsumsi Tablet Fe. Mayoritas ibu yang tidak patuh mengkonsumsi Tablet Fe adalah ibu dengan sikap kurang baik sebanyak 14 orang (25,0 %), p value 0,000 < 0,05 artinya terdapat hubungan Sikap dengan Ketidakpatuhan Ibu Mengkonsumsi Tablet Fe. Mayoritas ibu hamil yang tidak patuh mengkonsumsi Tablet Fe adalah yang kurang mendapatkan dukungan suami sebanyak 12 orang (21,4 %), p value 0,002 < 0,05 artinya terdapat Hubungan Dukungan Suami dengan Ketidakpatuhan Ibu Mengkonsumsi Tablet Fe. Mayoritas ibu hamil yang tidak patuh mengkonsumsi Tablet Fe yaitu yang kurang mendapat peran dari petugas kesehatan sebanyak 13 orang (23,2 %), p value 0,001 < 0,05 artinya terdapat hubungan Peran Petugas Kesehatan dengan Ketidakpatuhan Ibu Hamil Mengkonsumsi Tablet Fe. Kesimpulan: Diharapkan bagi Pimpinan Puskesmas untuk memperhatikan ketidakpatuhan ibu hamil mengkonsumsi tablet Fe menggunakan data hasil penelitian ini sebagai acuan. Background: Efforts to prevent anemia in pregnant women by taking iron tablets According to data from the Ministry of Health for 2019, the number of pregnant women taking iron tablets was 64.0%. Purpose: Analysis of the factors that influence non-adherence of pregnant women in consuming Fe tablets. Methods: This type of research is an observational and cross-sectional analytic research design. The research sample was 56 people, the sampling technique was total sampling. Results: The majority of pregnant women who did not adhere to taking Fe tablets had insufficient knowledge, namely as many as 9 people (16.1%) and there was a relationship between knowledge and non-adherence of pregnant women about taking Fe pills, the majority of pregnant women were not adherent to taking Fe pills, namely they would not work less than 10 people (17.9%), there was a relationship between work and non-compliance of pregnant women in consuming Fe tablets. The majority of mothers who do not adhere to taking Fe tablets are mothers with bad attitudes as many as 14 people (25.0%), there is a relationship between attitude and non-adherence in taking Fe pills. The majority of mothers who do not adhere to taking Fe pills are mothers who do not receive support from their husbands as many as 12 people (21.4%). There is a relationship between the husband's support and non-compliance in taking Fe pills. According to the opinion of medical staff, 13 people (23.2%), there is a relationship between the role of health workers and non-adherence of pregnant women in consuming Fe tablets. Suggestion: It is hoped that the health center will pay attention to the disobedience of pregnant women in consuming Fe tablets using the data from this study as a reference.
The influence of peer education on mother's self efficacy in providing nutrition with the nutritional status of toddlers in the Sei Musam Langkat Kismi Asih Adethia; Ingka Kristina Pangaribuan; Debby Mayang Sari; Ade Rachmat; Mesrida Simarmata
Science Midwifery Vol 11 No 4 (2023): October: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i4.1360

Abstract

Infancy is the most important phase. Toddlers who don't get good nutrition can cause growth and development disorders. Self-efficacy is the belief and ability of a mother in providing nutrition. The low self-efficacy is due to the mother's lack of knowledge, the mother is not confident in her abilities. Efforts that can be made to increase self-efficacy by using a peer education approach are carried out with peer discussions so that mothers of toddlers can share and absorb information about providing nutrition. Aim: analyzing the Effect of Peer Education on Mother's Self Efficacy in Providing Nutrition with Toddler Nutritional Status. Method: This research uses a quasi-experimental research design with a pre-experimental design, one group pre-test and post-test design. Results: Education: majority of high school 61 people (82.4%), Occupation: Majority of housewives 48 people (64.9%), self efficacy majority not good 45 people (60.8%) Conclusion: The Influence of Peer Education on Mother's Self Efficacy in Providing Nutrition with the Nutritional Status of Toddlers
Pemeriksaan Haemoglobin pada Ibu Hamil Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Kismiasih Adethia; Retno Wahyuni; Sonia Novita Sari; Nur Azizah; Diah Pitaloka
JURNAL PENGABDIAN MASYARAKAT INDONESIA Vol. 3 No. 2 (2024): Juni : Jurnal Pengabdian Masyarakat Indonesia (JPMI)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpmi.v3i2.4215

Abstract

Anemia is the most common nutritional problem in Indonesia and in the world. Anemia is a condition where red cells are insufficient to meet the body's physiological needs. Basically, anemia is a condition where there is a decrease in hemoglobin, hematocrit and erythrocyte count below normal values. The process of this activity starts from the preparation, implementation and evaluation stages. The result was that the participants were 23 pregnant mothers who lived in Bangun Rejo Village. During the implementation, the mothers' hemoglobin levels were checked after which they were given education about anemia in pregnancy. The conclusion of this service is that 19 pregnant women (82.6%) did not experience anemia and 4 people (17.4%) experienced mild anemia and after the examination, pregnant women were given education about anemia in pregnant women. It is hoped that pregnant women will pay more attention to the condition of their pregnancy and eat food that contains good nutrition for pregnant women and have their condition checked regularly.
ANALYSIS OF FACTORS CAUSING KEK (CHRONIC ENERGY DEFICIENCY) IN PREGNANT WOMEN AT PUSKESMAS DARUL FALAH, EAST ACEH DISTRICT IN 2024 Damanik, Lisa Putri Utami; Marlina, Lenny; Adethia, Kismiasih; Pitaloka, Diah; Tobing, Nadia Elsani L; Sembiring, Mediana Br
Journal of Public Health Science Vol. 1 No. 4 (2024): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v1i4.1979

Abstract

This study aims to analyse the factors that cause Chronic Energy Deficiency (CHD) in pregnant women at Darul Falah Health Centre, East Aceh District, in 2024. SEZ in pregnant women is one of the nutritional problems that can cause serious complications, both for the mother and the fetus she is carrying, such as low birth weight babies (LBW), anaemia, and the risk of difficult childbirth. This study used an analytical survey method with a case control approach on 66 respondents selected proportionally with random sampling technique. Data were collected through questionnaires and analysed using the chi-square test. The results showed that maternal age, anaemia, and emesis gravidarum had a significant association with the incidence of SEZ in pregnant women (p < 0.05), while the gestational age factor did not show a significant association. Anaemia and emesis gravidarum were the most influential factors for the incidence of SEZ, with a risk of 17.5 times and 10.07 times greater respectively than pregnant women who did not experience these conditions. This study confirms the importance of regular health monitoring of pregnant women, nutrition education, and intervention in the form of supplementary feeding to prevent the occurrence of SEZ and its complications. Keywords: Chronic Energy Deficiency, Pregnant Women, Anaemia, Emesis Gravidarum
Hubungan Sosial Budaya dan Pengetahuan Terhadap Minat Ibu dalam Penggunaan Alat Kontrasepsi Jangka Panjang (MKJP) di Wilayah Kerja UPTD Puskesmas Singkil Tahun 2024 Kismiasih Adethia; Annisa Silvia; Retno Wahyuni; Diah Pitaloka; Sonia Novita Sari; Yasrida Nadeak
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.337

Abstract

The Long-Term Contraceptive Method (MKJP) is a contraceptive that can be used for a long period of time, more than two years, effectively and efficiently for the purpose of spacing births for more than three years or terminating pregnancies in PUS who no longer want to have more children. Family planning devices/drugs/methods that include MKJP are IUD/IUD, Implant, MOP and MOW. In Aceh Province, especially Aceh Singkil, the number of couples of childbearing age (PUS) is 17,625 pairs. The most widely used contraceptive method is PIL contraception, while 216 (1.2%) use MKJP IUD contraception and 481 (2.7%) use implant contraception. The aim of this research is to analyze the socio-cultural relationship and knowledge towards mothers' interest in using long-acting contraceptives (MKJP) in the Singkil Community Health Center UPTD Work Area in 2024. This research is quantitative with a cross-sectional research design conducted in the Singkil Community Health Center UPTD Work Area. . The population in this study was 46 women of childbearing age. The sampling technique used is Total Sampling. The instrument used was a questionnaire and bivariate analysis using the Chi Square test. In conclusion, the p-value was obtained: 0.00<0.05, which means there is a socio-cultural and knowledge relationship with mothers' interest in using long-term contraceptive devices (MKJP) in the Singkil Community Health Center UPTD Work Area in 2024.
KELAS EDUKASI TENTANG ABDOMINAL STRETCHING EXERCISE TERHADAP PENURUNAN NYERI DISMENORE PADA MAHASISWI MITRA HUSADA MEDAN Damanik, Lisa Putri Utami; Sari, Febriana; Adethia, Kismiasih; Pitaloka, Diah; Barus, Magdalena; Sianipar, Yesica Geovany; Tobing, Nadya Elsany L
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 3 No. 1 (2025): Februari
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v3i1.1990

Abstract

Kegiatan pengabdian ini bertujuan untuk mengukur pengaruh abdominal stretching exercise terhadap penurunan nyeri dismenore pada mahasiswi STIKes Mitra Husada Medan pada tahun 2022. Pengabdian dilakukan pada 60 orang mahasiswi, dengan 40 di antaranya mengalami dismenore. Sampel yang memenuhi kriteria inklusi dan eksklusi dipilih menggunakan teknik purposive sampling, yang dibagi menjadi dua kelompok, yaitu kelompok eksperimen yang mengikuti abdominal stretching exercise dan kelompok kontrol yang tidak diberikan perlakuan tersebut. Pengumpulan data dilakukan melalui observasi langsung sebelum dan sesudah perlakuan dengan menggunakan pretest dan posttest. Hasil pengabdian menunjukkan penurunan yang signifikan pada intensitas nyeri dismenore di kelompok eksperimen setelah melakukan abdominal stretching exercise, sementara kelompok kontrol tidak menunjukkan perubahan signifikan. Edukasi mengenai dismenore, teknik abdominal stretching, serta manfaatnya terhadap peningkatan kenyamanan selama menstruasi juga disampaikan selama kegiatan. Sebagian besar peserta melaporkan penurunan nyeri, peningkatan kualitas tidur, dan rasa percaya diri yang lebih tinggi dalam mengelola nyeri menstruasi. Berdasarkan hasil ini, dapat disimpulkan bahwa abdominal stretching exercise efektif dalam mengurangi nyeri dismenore pada mahasiswi STIKes Mitra Husada Medan dan bisa dijadikan alternatif pengelolaan nyeri secara alami dan aman. Ke depan, program ini diharapkan dapat terus dilaksanakan untuk meningkatkan kualitas kesehatan reproduksi perempuan. Kata Kunci: Abdominal Stretching Exercise, Penurunan Nyeri Dismenore, Mahasiswi, Kesehatan Reproduksi, STIKes Mitra Husada Medan, Pengelolaan Nyeri Menstruasi
Pengetahuan Ibu Hamil tentang Psikologi Trimester I di Klinik Sampali Medan Tembung Kota Medan Tahun 2023 Anike Lisberianti Sihomhombing; Retno Wahyuni; Kismiasih Adethia; Lisa Putri Utami Damanik; Emiya Agustina Surbakti; Grace Adelia Putri
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.2400

Abstract

Pregnancy is a natural process experienced by women during their reproductive period. During pregnancy, various changes occur both physically and psychologically. Physically, common changes include not menstruating, breast enlargement, changes in the shape of the uterus, weight gain, and changes in the body's organ systems. In addition, pregnant women also experience increased sensory sensitivity, weakened relaxation of the digestive tract muscles, and enlargement of the hands and feet (Zamriati, 2013). Meanwhile, from a psychological aspect, pregnant women tend to be more sensitive, easily anxious, require more attention, and often experience mood swings. They are also more open to themselves and like to share experiences. During pregnancy, mothers often reflect on various things, such as life, happiness, to fear of failure or death (Rahmawati, 2017). In the first trimester, unstable hormonal changes often cause fluctuating emotions, even at risk of depression. Although this anxiety is normal, pregnant women should be able to manage their feelings so that they do not drag on (Indiarti, 2013). Based on this, this study will discuss the relationship between pregnant women's knowledge of psychological changes in the first trimester and their attitudes in dealing with pregnancy at the Sampali Clinic, Medan Tembung District, Medan City, in 2023.
THE RELATIONSHIP BEHAVIOR OF PREGNANT WOMEN TO THE UTILIZATION OF TRIPLE ELIMINATION EXAMINATION IN PUSKESMAS KUALA BANGKA KAB. LABUHAN BATU UTARA Azizah, Nur; Adethia, Kismiasih; Damanik, Lisa Putri; Sinaga, Rosmani; Pitaloka, Diah
INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH Vol. 2 No. 1 (2022): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/ijmr.v2i1.29

Abstract

Pregnant women are one of the population at risk of contracting HIV/AIDS, Hepatitis, Syphilis. More than 90% of children are infected with HIV, Syphilis and Hepatitis B from their mothers. The risk of mother-to-child transmission for HIV/AIDS is 20%-45%, for syphilis it is 69-80%, and for hepatitis B it is more than 90% (Ministry of Health, 2017). Infection, syphilis and hepatitis B have the same transmission route, namely through sexual, blood and vertical transmission from mother to child. Infectious diseases such as HIV infection, hepatitis B and syphilis that can be transmitted from mother to fetus through pregnancy, childbirth and breastfeeding, and can cause illness, disability, and death, thus adversely affecting the survival and quality of life of children. However, this can be prevented by simple and effective interventions in the form of early detection (screening) during antenatal care services during a pandemic, namely a minimum of 6 times during pregnancy and services with 10 T and one of the supporting examinations carried out is hemoglobin and triple elimination. Elimination of examinations on every pregnant woman for HIV/AIDS, Hepatitis B and Syphilis which is a form of state responsibility for this problem with the aim of reducing the number of new infections in newborns so that the eyes of transmission from mother to child are cut off. The type of research used is a cross sectional study. This research was a cross sectional analytical survey research. The sample in this study amounted to 35. The sampling technique used in this study used purposive sampling. Results of the study showed that knowledge (p=0.007<0.005), attitude (p=0.45<0.05) and actions (p=0.049<0.05), so it can be concluded that there is a relationship between pregnant women's behavior on the use of triple elimination examination at the Kuala Bangka Health Center, Kab. North Stone Harbor in 2022.
THE RELATIONSHIP BETWEEN MATERNAL CHARACTERISTICS AND STUNTING INCIDENCE IN NAGARI MUARO SIJUNJUNG DISTRICT WEST SUMATERA PROVINCE IN 2024 Adethia, Kismiasih; Arte Tifa, Rezeki Syofiani; Utami, Lisa Putri; Pinem, Srilina; Pitalola, Diah
Journal of Public Health Science Vol. 2 No. 2 (2025): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v2i2.2970

Abstract

Background: The incidence of stunting in West Sumatra Province has increased significantly in 2021, with a prevalence of 23.3% to 25.2% in 2022. This figure can be considered a setback because it is above the national figure (21.6%), where Sijunjung Regency is the fourth largest contributor to stunting rates, amounting to 30% based on the results of the Indonesian Status Survey (SSGI) by the Research and Development Agency of the Ministry of Health of the Republic of Indonesia in 2022 (Ministry of Health of the Republic of Indonesia, 2022). The high rate of stunting is triggered by various factors. According to the World Health Organization (WHO, 2014), factors that cause stunting experienced by children include nutritional status, exclusive breastfeeding, lack of nutritious food consumption, and disease infections. In addition, there are other causes that influence the nutritional status of stunting, namely maternal characteristics (age, education level, occupation, and height of the mother). Methods: This quantitative research used a case-control design. The sample size was 50 children aged 1-3 years in Muaro Sijinjung Village, Sijunjung Regency, in May-June 2024. The sampling technique used was purposive sampling. The research instrument used a questionnaire, and bivariate analysis used the Chi-Square Test. Data processing was done through editing, coding, entry, and tabulation. This study adhered to the ethical principles of research, including informed consent from respondents and confidentiality of their personal data. Results: There is a relationship between maternal height and maternal nutrition with the incidence of stunting with a P value of 0.00 and there is no relationship between maternal age and the incidence of stunting with a P value-e of 0.233. Conclusion: There is a significant relationship between maternal height and maternal nutrition with the incidence of stunting and there is no significant relationship between maternal age and the incidence of stunting in Muaro Sijinjung Village, Sijunjung Regency in 2024. It is hoped that this research can increase knowledge and insight to prevent stunting in children
Pemberdayaan Ibu Balita dalam Pertolongan Pertama Tersedak di Desa Bangun Rejo, Tanjung Morawa, Deli Serdang, 2025 Kismiasih Adethia; Lisa Putri Utami; Diah Pitaloka; Tia Erviani
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 3 No. 3 (2025): August : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v3i3.1694

Abstract

Choking is a significant cause of morbidity and mortality among children, particularly those aged 3 years or younger. According to the World Health Organization (WHO) in 2011, there were approximately 17,537 reported cases of choking, with the majority of these incidents occurring in children aged between 12 to 36 months. In 2013, about 34 children per day were taken to emergency departments due to choking (Pendigrot et al., 2019). Furthermore, in Indonesia, it was reported that around 10% of the 430 infant deaths were caused by choking during breastfeeding (Suartini & Kusniawati, 2020). Given this, the need for effective first aid knowledge, especially among mothers of young children, becomes imperative. This community service activity aimed to empower 27 mothers with toddlers in the village of Bangun Rejo, Tanjung Morawa, Deli Serdang, North Sumatra, on the essential skills for performing first aid in cases of choking. The program was structured in three phases: preparation, implementation, and evaluation. During the implementation, the participants received theoretical lectures, live demonstrations, and informational leaflets on how to perform first aid for choking. Following the training, an evaluation was conducted to assess the mothers' proficiency in performing the procedure. The results showed a promising outcome, with 19 mothers (70.3%) becoming proficient in first aid for choking, while 8 mothers (29.7%) still lacked the necessary skills despite the training. This outcome highlights the importance of continuous education and practice for parents, especially mothers, to ensure that they can act quickly and effectively in emergency situations. This activity is expected to equip mothers with the skills needed to perform first aid for choking as an immediate response before seeking medical assistance, ultimately helping to reduce the risks associated with choking incidents.
Co-Authors Ade Rachmat Ani Kurniati Anike Lisberianti Sihomhombing Annisa Silvia Arte Tifa, Rezeki Syofiani Asnita Sinaga Barus, magdalena Damanik, Lisa Putri Damanik, Lisa Putri Utami Debby Chyntia Yun Debby Cintya Yun Debby Mayang Sari Diah Pitaloka Diah Pitaloka Tarigan Eka Falentina Tarigan Elis Noviana Elni Arizona Hutagaol Emiya Agustina Surbakti Ernamari Ernamari Evi Safitri Febriana Sari Febriana Sari, Febriana Grace Adelia Putri Herna Rinayanti Manurung Indri Heni Damanik Ingka Kristina Pangaribuan Inryani M.E Marpaung Jenni Novita Simbolon Kartika Afrilina Tarigan Katijah Katijah Lenny Marlina, Lenny Lidya Sinuhaji Lidyawati Surbakti Lisa Putri Damanik Lisa Putri Utami Lisa Putri Utami Damanik Lusiatun Lusiatun Mahateara Mahateara Maria Magdalena Sinaga Mesrida Simarmata Meviani Putri Ngarap Muliana Harahap Ninsah Mandala Putri Nur Azizah Nur Azizah Nur Azizah Lubis Oktaviani Oni Kurnia Pinem, Srilina Pitaloka, Diah Pitalola, Diah Putri Yani Siahaan RETNO WAHYUNI Rime Listia Tarigan Sembiring, Mediana SINAGA, ROSMANI Siska Suci Triana Ginting Siti Nurmawan Sinaga Sonia Novita Sari Sukarni Susilawatik Susilawatik Tia Erviani Tobing, Nadia Elsani L Tobing, Nadya Elsany L Utami, Lisa Putri Yasrida Nadeak Yesica Geovany Sianipar