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Optimization of Interpersonal Communication Training for Effective Communication in TBCC Cares in the Banyuwangi District Wardani, Rifka Pramudia; Dwi Nanda Rachman; Wulan Syarani Asdam; Eka Sari, Jayanti Dian
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.110-114

Abstract

Background: Tuberculosis (TBC) is the biggest infectious disease killer in the world. Prevention of TB transmission requires cross-sectoral cooperation by involving the community and establishing two-way communication so that comfortable communication and discussion with each other is formed so that the delivery of health messages in TB prevention and treatment is more effective. One of the community-based approaches to prevent TB can be use a communal approach is health cadres. Aims: This study aims to optimize effectiveness communication in TBC Cares with conducting formation Cadres and interpersonal communication training. Methods: The study methods used are qualitative and quantitative (mixed methods). Quantitative method was conducted by questionnaire distributed to measure the knowledge of cadres. Qualitative method was conducted by focus group discussions (FGD) aims to enhance the learning experience of TBC cadres and cadres to optimize the prevention and treatment regarding tuberculosis to patient, families the patient of TB, and the community. The data was analysed using Paired T Test for Cadre's knowledge. Results: Based on the result score Cadre knowledge on pre-test (mean=74,40, SD=16,85) and post-test (mean=86,80, SD=12,81) and (p=0.000). Conclusion: These results show that there is an effect of increasing knowledge on pre and post the intervention. Cadres' Interpersonal communication training can be used alternative way to optimize in prevention and education TBC cadres in Banyuwangi Regency.
Reducing Anxiety among University Students in East Java Indonesia during Covid-19 Pandemic Eka Sari, Jayanti Dian; Pratiwi, Xindy Imey; Wardani, Rifka Pramudia
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.37-43

Abstract

Background: Remote learning activities are one of the government's policies in the Covid-19 pandemic, which is still being implemented in the education sector. There were plenty of impacts that the students encountered, especially among college students who experienced difficulties in completing their final project to experienced anxiety. Aims: These conditions were the background in carrying out this study as it aimed to determine the efforts to reduce anxiety among final-year students. Methods: This was analytical observational research with a cross-sectional study design using the Theory of Planned Behaviour, undertaken across all cities and regencies in East Java from March to October 2021. The research population was all final-year college students with a sample of 385 respondents. Variables in this study were belief factors, intention, and behavior. Data collection was conducted by distributing online self-administered questionnaires. Data were presented statistically in tables and charts and analyzed using the non-parametric statistical test, multiple linear regression. Results: The result showed that the belief factor significantly influenced the intention variable (sig. 0.000), and the intention variable influenced final-year students' behavior in reducing anxiety (sig. 0.000). The intention variable had a significant value of 0.000 < 0.05, which indicated that the intention variable significantly influenced the final-year students' behavior to reduce anxiety. Based on the R square result, the intention variable influenced the final-year students' behaviour to reduce anxiety by 54%. Conclusion: Efforts known to reduce the anxiety of final-year students during the Covid-19 pandemic are managing stress, controlling themselves by increasing physical activity, doing hobbies, worship, positive thinking, and consuming the food they like.
ANALISIS KEPUASAN KARYAWAN DAN AKREDITASI RUMAH SAKIT UMUM DAERAH BLAMBANGAN KABUPATEN BANYUWANGI Prayoga, Diansanto; Lailiyah, Syifaul; Eka Sari, Jayanti Dian
Jurnal Riset Akuntansi Dan Bisnis Airlangga Vol 2 No 2 (2017): Jurnal Riset Akuntansi dan Bisnis Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jraba.v2i2.46022

Abstract

Health services conducted by hospitals must prioritize quality and satisfaction for consumers. Internal hospital customers are hospital works that have a major role inproviding services to consumers. Analysis Methods This study uses Quantitative Descriptive Analysis method. For a large sample of staff employees taken 20% of allemployees (589 people) at Blambangan Regional General Hospital Banyuwangi regency of 125 people by systematic random sampling. The results of this studyindicate that the level of satisfaction of employee employee karywan for 68.95included in the category of satisfaction. Hospital employee satisfaction value is the highest indicator of job satisfaction that is mentally challenging with the value of employee satisfaction of 71.72, while the lowest hospital employee satisfaction valueis a reasonable indicator of Rewards satisfaction with employee satisfaction scoreof 64.23. Accreditation of Blambangan Public Hospital of Banyuwangi Regencyearned the title of Plenary. This study reviews materials for the management of the hospital to make improvements in the role of hospital employees to perform services to the community and management evaluation in improving the performance of employees in the organization.
Edutourism Initiative in Pulau Santen Beach, Banyuwangi Through Local Community Empowerment by Sea Turtle Conservation Program Yudhana, Aditya; Firmansyah, Januar; Praja, Ratih Novita; Yulianti, Yunika Tri; Sari, Jayanti Dian Eka; Mandagi, Ayik Mirayanti; Haditanojo , Wiyanto; Hamonangan, Jonathan Mark
Journal of Basic Medical Veterinary Vol. 12 No. 2 (2023): Journal of Basic Medical Veterinary, December 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbmv.v12i2.51082

Abstract

The potential of Santen Island beach, which has been known as a tourist beach, is increasingly visible with the amount of infrastructure and tourism built by the local government. This is done as an effort to promote Santen Island, as one of the best natural tourism centers in Banyuwangi. The people of Santen Island must be prepared as a group that is aware of the potential of their village and the sustainability of its natural tourism. Santen Island is also a tourist location that is annually used as a nesting site for sea turtles that land on the coast of Banyuwangi. This is actually very contrary to the natural habits of sea turtles which prefer to make nests in quiet places without the disturbance of sound, light, and humans. Because this natural nesting site is a tourist attraction, the local residents should also be given insights related to the protection of sea turtles that land on the coast of Santen Island as wildlife protected by the Conservation Law in Indonesia. This community service aims to strengthen the awareness and knowledge of the Santen Island tourism awareness group related to the importance of the role of the community around the beach to participate in preserving wildlife and their ecosystems. The methods used to carry out community service are lectures, discussions, and brainstorming. The location of the implementation is on the beach of Pulau Santen with the target group of people in the Pulan Santen beach area. The locality development model is applied in community service activities. The understanding, awareness, and participation of the target group increased. Through the community service activities that have been carried out, the sustainability of the program is needed until a conservation education tourism model is formed that has the potential to improve the economy of the surrounding community and the preservation of biodiversity in the region. This activity provides an increase in knowledge, awareness, and participation of the target group in managing the conservation of wildlife and their ecosystems, especially sea turtles.
Introduction of Fish and Celery Broth to Prevent Hypertension (DURASI) as an Alternative to Salt in Karangrejo Community, Banyuwangi Nisa', Nahdhiah Khoirun; Mandagi, Ayik Mirayanti; Eka Sari, Jayanti Dian; Lailiyah, Syifa'ul
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 9, No 4 (2023): Desember
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.81925

Abstract

Hypertension is one of the non-communicable diseases (PTM) which isthe main cause of death in society which is a global problem. Hypertension can occuranytime and anywhere without complaints, so this disease is called a silent killer orsilently deadly. One can start to controlling their hypertension by increasing theirknowledge and self-awareness as well as adopting a healthy lifestyle. One way islimiting the consumption of salt according to WHO recommendations, which is 2,400mg/day or the equivalent of one teaspoon. Public Health students from the Facultyof Health and Natural Sciences (FIKKIA) of Universitas Airlangga created DURASIproducts as an alternative to salt to control hypertension. DURASI stands for fish andcelery broth to prevent hypertension. Fish is rich in omega 3 which can lower bloodpressure and celery has hexane extract which plays a role in lowering blood pressureas well as methanol and ethanol extract which can increase blood pressure circulation.At the Kertosari Health Center in 2021 hypertension ranks 1st out of the top 10diseases in the working area of the Kertosari Health Center, including Kerosari Villageand Karangrejo Village. In suppressing hypertension cases in the Karangrejo Village,community service activities were carried out by introducing DURASI products as analternative to salt to the Integrated Development Post (Posbindu) cadres as pioneersof healthy living to prevent hypertension. The DURASI product introduction method iscarried out for Posbindu cadres by means of an approach including counseling, trainingand mentoring. Laboratory test results obtained sodium content of 550 mg/100 gramDURASI. The result of increasing public knowledge in the first measurement wasan average increase of 50% and in the second measurement there was an averageincrease of 7%. The factor that affected the small number of increasing publicunderstanding was the awareness of using DURASI products at home.
Risk analysis of adolescent sexual activity in college Surabaya, Indonesia: cross-sectional study Qurniyawati, Eny; Husnina, Zida; Sari, Jayanti Dian Eka; Azzahra, Asma; Shabrina, Izzah Nur; Kartika, Prima; Gomaa Nasr, Nayla Mohamed
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24302

Abstract

Adolescence is characterized by active sexual hormones that can lead to sexual urges with the opposite sex. These urges, in turn, may trigger risky sexual behavior. College students, in a transitional period from adolescence to early adulthood, exhibit diversity in addressing sexual activity. This research aimed to analyze the risks associated with adolescent sexual activity in a college in Surabaya, Indonesia. The study utilizes a cross-sectional design with accidental sampling of active students aged 18-24 years. The total number of participants in this study was 221 people who filled out a questionnaire in the form of a Google Form, distributed through social media. The results show that, among all the factors identified, dating status has a significant relationship with PR 11.688 (95%CI 5.048-27.061) in engaging in risky sexual activities among adolescents. Reproductive health education at the university level is needed to reduce risky sexual activities among students.
PROMOTING EDUTOURISM AND SUSTAINABLE WASTE MANAGEMENT IN SANTEN ISLAND BEACH, INDONESIA, THROUGH COMMUNITY EMPOWERMENT Sari, Jayanti Dian Eka; Yulianti, Yunika Tri; Firmansyah, Januar; Fikri, Faisal; Yudhana, Aditya; Praja, Ratih Novita; Mandagi, Ayik Mirayanti; Hairi, Farizah Mohd
Journal of Public Health Research and Community Health Development Vol. 8 No. 1 (2024): October
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v8i1.50989

Abstract

Santen Island Beach in the Banyuwangi Regency of Indonesia possesses immense potential for beach tourism. Unfortunately, the charm of this destination has been marred by inadequate waste management. This paper outlines a community service program aimed at enhancing awareness, understanding, and active participation of local community groups in addressing waste management issues by transforming waste into ecobrick greenhouses. The program employed various methods, including lectures, discussions, and brainstorming sessions, which were conducted on Pulau Santen Beach with a focus on the local population. The application of a local development model was central to our community service activities, resulting in increased understanding, awareness, and participation among the target groups. The heightened involvement was marked by enthusiastic participation in ecobrick production, effective household waste sorting (particularly plastic waste), and the formation of committed cadres. The local community exhibited increased knowledge through their ability to respond to questions and plan follow-up actions. This initiative significantly improved the knowledge, awareness, and engagement of the target community in managing waste and converting it into ecobricks.
TEENAGE PREGNANCY PREDICTION INDEX DURING THE ONLINE LEARNING PERIOD OF THE COVID-19 PANDEMIC Qurniyawati, Eny; Martini, Santi; Syahrul, Fariani; Eka Sari, Jayanti Dian; Lubis, Rahayu; Gomaa Nasr, Nayla Mohamed
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.198-210

Abstract

Introduction: The impact of the pandemic on adolescents' lives showed that 55.1% stress and 40% anxiety due to online learning along with an increase in teenage pregnancy. Aims: To determine the predictive index of risk variables for teen pregnancy throughout the COVID-19 pandemic's online learning period. Methods: This type of research is analytic observational utilizing a case-control design. Using simple random sampling, the case sample was 40 pregnant adolescents and 80 non-pregnant controls for the Indonesian Regency of Ngawi from July 2021 until January 2022. Once each variable was significant, multivariable logistic regression analysis was performed (p < 0.05) as predictors of teenage pregnancy. Results: The findings revealed that the variables as indicators of the risk of teenage pregnancy were courtship behavior, access to reproductive health media, and parenting. The predictive index of teen pregnancy risk factors was (-7.248 + 3.833 x low risk dating + 7.726 x severe risk dating + 2.773 x access 1 media + 2.773 x access 2/more media + 3.871 x authoritarian and permissive parenting). The high probability of teenage pregnancy with an opportunity value above 0.5 is in adolescents with dating behavior or parenting patterns that show the highest risk, namely high-risk dating behavior or adolescents with authoritarian and permissive parenting patterns. Conclusion: It is hoped that this index can be considered and used as a measuring tool in assisting in reproductive health programs, in screening adolescents so that it can be known early on that adolescents have an increased risk of pregnancy.
Relevancy of the "Health Belief Model” on Behavior in Seeking Treatment among Families of Patients with Mental Disorders in the Work Area of the Public Health Center Taman Sidoarjo East Java Eka Sari, Jayanti Dian; Riris Diana Rachmayanti; Namirah Aulia Rizki Herdianisah; Andrei Ramani; Rachmah Indawati; Aninditya Ardhana Riswari; Ismayani; Anysiah Ely Yulianti
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1SI (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1SI.2023.100-107

Abstract

Background: Mental health is a part that is related to health and wellness. One of the indicators in Gerakan Masyarakat (GERMAS) [”society movement”] stated that people with mental disorders should be treated and not abandoned. Nevertheless, nowadays it is still common to find people with mental disorders that do not receive proper medical care. Aims: The aim of this research is to measure cues to action and self-efficacy of the family behavior in seeking treatment for people with mental disorders within the work area of the Public Health Centre Taman Sidoarjo. Method: This research utilized the observational method with the cross-sectional study design and was analyzed with the Health Belief Model (HBM) theory approach. Result: The statistical analysis results using the Pearson Chi-Square test with a significance level of < 0.05 showed a p-value of 0.034 for perceived susceptibility and severity, a p-value of 0.180 for perceived threat, a p-value of 0.009 for perceived benefit, a p-value of 0.696 for perceived barriers, a p-value of 0.555 for self-efficacy, and p-value of 0.099 for cues to action. Based on these results, it can be concluded that perceived susceptibility and severity have a positive relationship with the family behavior in seeking treatment, which means the more perceived susceptibility, and severity increase, the more the family behavior in seeking treatment for people with mental disorders increases. Conclusion: Likewise, perceived benefit has a positive relationship with the family's behavior in seeking treatment. However, perceived threat, perceived barriers, self-efficacy, and cues to action have no relationship with the family behavior in seeking treatment for people with mental disorders.
Indonesia HUBUNGAN WORK CAPASITY DAN TASK DEMAND DENGAN KELUHAN MUSKUSKLETAL DISORDER PEKERJA PT.XYZ Afan Alfayad; Endang Dwiyanti; Jayanti Dian Eka Sari
Journal of Industrial Hygiene and Occupational Health Vol. 9 No. 1 (2024): Industrial Hygiene and Occupational Health
Publisher : Universitas Darussalam Gontor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21111/jihoh.v9i1.11647

Abstract

Perkembangan revolusi industri 4.0 meningkatkan akumulasi persebaran perusahaan di Indonesia mencapai 300.099 perusahaan. Perusahaan tersebut salah satunya adalah manufaktur yang menyerap 5.902.367 tenaga kerja pada tahun 2020. Penyerapan tenaga kerja yang besar mengharuskan perusahaan menyediakan lingkungan kerja aman guna mencegah kecelakaan dan penyakit akibat kerja. Berdasarkan observasi awal menunjukkan adanya kegiatan manual handling yang memengaruhi penyakit akibat kerja yaitu muskuloskletal disorder. Tujuan penelitin ini adalah menganalisis aspek keseimbangan ergonomi berupa work capacity dan task demand dengan keluhan MSDs pada pekerja Departemen MPC (Material Preparation Colouring) PT. X Surabaya. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan observasi. Responden pada penelitian ini adalah 30 pekerja Departemen MPC PT. X Surabaya. Variabel yang diteliti adalah keluhan MSDs, status gizi, kebiasaan olahraga, postur kerja, dan lama kerja. Analisis hubungan dilakukan secara deskriptif dengan menggunakan chi-square dan nilai koefisien kontigensi. Hasil penelitian menunjukkan bahwa mayoritas pekerja Departemen MPC PT. X Surabaya sebesar 53,3% mengalami keluhan muskuloskletal disorder. Hal ini menunjukkan adanya hubungan kuat antara postur kerja dengan keluhan MSDs (c=0,654; p-value=0,00), adanya hubungan sedang antara lama kerja dengan keluhan MSDs (c=0,407; p-value=0,04), adanya hubungan sedang antara kebiasaan olahraga dengan keluhan MSDs (c=0,441; p-value=0,04), dan adanya hubungan sedang antara status gizi dengan keluhan MSDs (c=0,484; p-value=0,04). Berdasarkan hasil penelitian, maka rekomendasi yang dapat diselenggarakan diantaranya penyediaan stasiun dan alat kerja berupa conveyor, melakukan re-desain stasiun kerja sesuai dengan rata-rata antropometri pekerja Departemen MPC PT. X Surabaya, pengadaan senam atau olahraga, dan sosialisasi aktivitas manual handling, gerakan repetitif, serta posisi statis dalam bekerja.
Co-Authors Abdul Fattah Farid Aditya Sukma Pawitra Afan Alfayad Afan Alfayad Aidi, Bagas Aini, Wahyu Nur Ajeng Febrianti Rahayu Ajeng Febrianti Rahayu Alami, Nungki Najfaris Alamiyyah, Mirah Amalia, Nabila Khusna Andrei Ramani Aninditya Ardhana Riswari Aninditya Ardhana Riswari Anjali Putri Agustin Annisa, Nijma Anysiah Elly Yulianti Anysiah Ely Yulianti Arini Khoirunnisa Arsila Khabibi Asdam, Wulan Syarani Asma Fajar Muttaqien Astutik, Erni Athiya Adibatul Wasi Ayu Fitri Lestari Azzahra, Asma Bakomora, Brenda Bela Yuli Selfia Chintya Devi Cindi Tri Septiani Desak Made Sintha Kurnia Dewi Desak Made Sintha Kurnia Dewi Destia Ika Fitriana dewi, putri anggita Diana Agustina Diansanto Prayoga Dinayah, Khuliyah Candraning Diza Ulya Nurfaiza Dwi Nanda Rachman Endang Dwiyanti Endang Lestari Eny Qurniyawati Eqia Arum Azzahro Erlin Qur'atul Aini Fadhillah, Farah Faisal Fikri Farezi, Reza Adrio Fariani Syahrul Fatah, Mohammad Zainal Febrianti Rahayu, Ajeng Fika Ardiana Firmansyah, Januar Firrial Eksa Maulidania Putri Gomaa Nasr, Nayla Mohamed Haditanojo , Wiyanto Haditanojo, Wiyanto Hairi, Farizah Mohd Hamonangan, Jonathan Mark Heca Anggreana Herdiansyah, Akbar Dimas Hilyana Alifia Hodimatum Mahiroh Ianatul Ulya Dewi Imey Pratiwi, Xindy Indah Sari, Kurnia Indana Zulva, Dewi Inriza Yuliandari Intan Ayu Kusuma Wardani Intan Putri Rahayu Ira Nurmala Ira Nurmala Ismayani Ismayani Ismayani Izzato Millati Jessika Pramudya Wardani Jr, Fernando B. Garcia Kamila Fihir Bawazier Kartika, Prima Kenconojati, Hapsari Kezia Cathrine Siswoko Lailiyah, Syifa'ul Lailiyah, Syifa’ul Laliyah, Syifa'ul Lia Nita Arizahro Lilis Sulistyorini Lucia Yovita Hendrati M. Farid Dimjati Lusno M. Rifqo H. Farid Mabub Junaidi Mahiroh, Hodimatum Mandagi, Ayik Mirayanti Maskinah, Eni Melati Octavia Febriana Mufasirin Muhammad Harisul Ilmi Mukarromah, Nur Makkatul Muslimah, Bintang Nabila Khusna Amalia Nadranabila Intani Hidayat Namirah Aulia Rizki Herdianisah Nasr, Nayla Mohamed Gomaa Ni Putu Citra Wulandari Nikita Meilia Prita Dewi Nisa', Nahdhiah Khoirun Nurfaizah, Diza Ulya Nurul Fitriyah Oktario Dinansa Khoir Praja, Ratih Novita Pratama, Rochmad Ardiansyah Pratiwi, Xindy Imey Puspikawati, Septa Indra Puspikawati, Septa Indra Putri Anggita Dewi Rachma, Erica Feby Rachmah Indawati Rachmat Hargono Rahayu Lubis Rahayu, Ajeng Febrianti Rahmasari, Nadiyah Rengganis, Khahla Pramesti Dwi Retno Adriyani Reynaldy Bimatara Rido’i Yuda Prayogi, Ahmad Rifka Pramudia Wardani Riris Diana Rachmayanti Rizki Putri Hariyani Rizki, Meirna Mega Rochmad Ardiansyah Pratama Rosyida, Naila Zulfa Sa'adah, Irma Hanifatu Saksono, Bayu Santi Martini Sarda Ika Devi Sa’adah, Irma Hanifatu Sebayang, Susy Katikana Setya Haksama Shabrina, Izzah Nur Sintha Kurnia Dewi, Desak Made Siti Nur Hilmin Siti Nuraini Soetojo Soetojo Suhainizam Bin Muhamad Saliluddin Sukarno, Gerda Susilo, Rahadian Indarto Syadza Zahrah Shedyta Syahprevi Rayyan Zeinsar Syahrul Novenda Ramadhanny Syahrul R, Syahrul Syahrul Ramadan Syahrul Ramadhan Syifa'ul Lailiyah Syifa'ul Lailiyah Syifaul Lailiyah, Syifaul Syifa’ul Lailiyah Syifa’ul Lailiyah Syifa’ul Lailiyah Syifa’ul Lailiyah Takako Yasutome Utomo, Moch. Wirjo Vidia Nuria Rahman Wahyu Febriawan Wardani, Dian Wahyu Wardani, Rifka Pramudia Wardani, Yuniar Laksmi Eka Wulan Syarani Asdam Xindy Imey Pratiwi Yarshynta Aprilia Marshanty Yudhana, Aditya Yudho, Haryo Bimo U. Yuli Puspita Devi Yuli Puspita Devi Yulianti, Yunika Tri Yunika Tri Yulianti Yustari, Agatha Yuvianti, Yeshita Alifia Zida Husnina Zuhro, Andina Fatimatus