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Pengembangan dan Validasi Postpartum Partner Support Scale (PPSS) sebagai Faktor Protektif terhadap Depresi Postpartum di Indonesia Putri, Siti Rafika; Rahardjo, Bambang Budi; Yuniastuti, Ari; Budiono, Irwan
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3753

Abstract

Dukungan pasangan memainkan peran penting sebagai faktor protektif terhadap depresi postpartum, namun masih terbatas instrumen yang secara spesifik mengukur persepsi dukungan pasangan pada ibu pascapersalinan, khususnya dalam konteks budaya Indonesia. Penelitian ini bertujuan untuk mengembangkan dan melakukan validasi awal terhadap Postpartum Partner Support Scale (PPSS) dalam versi Bahasa Indonesia. Desain penelitian menggunakan pendekatan pengembangan instrumen non-eksperimental dengan dua tahap utama: proses penerjemahan dan tahap validasi isi. Proses penerjemahan dilakukan melalui teknik forward-backward translation oleh dua penerjemah profesional, kemudian diselaraskan oleh tim ahli. Validasi isi melibatkan lima pakar multidisipliner dalam bidang kebidanan, keperawatan maternitas, psikologi, dan pengembangan instrumen. Penilaian menggunakan Content Validity Index (CVI) menunjukkan bahwa semua pernyataan memiliki I-CVI ≥ 0,8 dan S-CVI/average sebesar 0,96, yang mengindikasikan validitas isi yang sangat baik. Revisi dilakukan berdasarkan masukan ahli untuk memperjelas makna item agar sesuai dengan konteks budaya dan pengalaman ibu postpartum di Indonesia. Hasil ini menunjukkan bahwa versi Bahasa Indonesia dari PPSS layak untuk digunakan dalam tahap uji validitas dan reliabilitas selanjutnya sebagai alat ukur dukungan pasangan pascamelahirkan.
Prokes rematri Web-based App: Development, Testing and Construct Validation of Content to Control Undernutrition at Female Teenager as Early Prevent Stunting in Life Cycle Vilda Ana Veria Setyawati; Ari Yuniastuti; Handayani, Oktia Woro Kasmini; Farida, Eko
Advance Sustainable Science Engineering and Technology Vol. 7 No. 2 (2025): February-April
Publisher : Science and Technology Research Centre Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/srxr3p50

Abstract

Several measurements of female teenager undernutrition risk factors have been carried out, but the data are limited and not collected well. Technology approach needed to solve at this problem. This research was conducted to develop Prokes rematri web-based app and analysis CFA and EFA as construct validity. The variables and items as content of beta version were obtained from literature reviews and in-depth interviews who stake holder stunting program as subjects. In this study we limit the science scope about public health, nutrition, and statistic. Data analysis using explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). In conclusion, we had developed Prokes Rematri We-Based app and have blackbox tested. In the other hand, 40 items question as end result of construct validated by EFA and CFA. The scope of questionnaire consist of four topics, that are youth nutrition practice, community support, youth nutrition knowledge, and internal factor of youth nutrition.
Determinant Factors of Medication Compliance in DM2 Patients: A Systematic Review Amna, Faza Khilwan; Maharani, Chatila; Yuniastuti, Ari; Rahayu, Sri Ratna; Widowati, Evi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6587

Abstract

Type 2 Diabetes Mellitus (DM2) is a chronic disease that requires high compliance in treatment to prevent complications. However, many DM2 patients are not compliant in undergoing drug therapy, which can hinder the effectiveness of treatment. Various factors have been identified as determinants of patient compliance, including demographic factors, knowledge, social support, and technology utilization.This study aims to analyze factors that influence medication adherence in DM2 patients based on a systematic review of several studies that have been conducted. The method used in writing this article is a literature review study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Pubmed, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords being Type 2 Diabetes Mellitus, Medication Compliance, Compliance Factors, Medication Supervisors . By using PRISMA, from 10,697 articles found, 10 journal articles were obtained to be reviewed. Based on the analysis of several studies, factors that have a significant influence on patient compliance in taking medication are the level of knowledge (p = 0.002), family support (p = 0.000; PR = 8.17 ) , and support from health workers (p = 0.000; PR = 6.10). Social Marketing, Frailty Syndrome and Age were also found to have a relationship with DM medication compliance. In addition, the use of technology such as medication reminder applications (PMO) has been shown to help improve patient compliance in undergoing DM2 therapy. Compliance of DM2 patients in undergoing drug therapy is influenced by various factors, including level of knowledge, social support, social marketing, age , frailty syndrome, and use of technology. Therefore, strategies to improve compliance must involve an educational approach, strengthening the role of families and health workers, and utilizing digital-based technology to increase the effectiveness of DM2 therapy.
Hubungan  Faktor  Maternal  Ibu  dengan  Kejadian  Stunting  pada Balita Usia 24-59 Bulan di Kabupaten Grobogan Lala, Salsabila Kinaya Pranindita; Yuniastuti, Ari; Rahayu, Sri Ratna
Indonesian Journal of Public Health and Nutrition Vol. 5 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ijphn.v5i1.28999

Abstract

 Latar Belakang: Stunting adalah kondisi terhambatnya pertumbuhan pada balita, dimana panjang atau tinggi badan menurut usia berada di bawah –2 Standar Deviasi (SD) pada kurva WHO Hasil Sensus Status Gizi Indonesia (SSGI) dari penimbangan massal pada Februari dan Agustus 2023 mencatat prevalensi stunting sebesar 7,58 %, meningkat signifikan sebesar 4,17 % dibandingkan tahun 2022. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain case control. Populasi penelitian ini adalah seluruh balita usia 24–59 bulan yang terdaftar di Dinas Kesehatan Kabupaten Grobogan tahun 2024, dengan sampel minimal 45 balita pada kelompok kasus dan 45  balita pada kelompok kontrol. Variabel dalam penelitian ini antara lain usia ibu, status gizi ibu saat hamil, riwayat anemia ibu saat hamil, dan pendidikan ibu. Analisis univariat digunakan untuk menampilkan distribusi data dasar, sedangkan analisis bivariat menggunakan uji chi square. Hasil: Hasil penelitian menunjukan adanya hubungan signifikan antara status gizi ibu saat hamil (p=0,006), anemia ibu saat hamil (p=0,010), usia ibu (0,010) dan pendidikan ibu saat hamil (p=0,003) dengan kejadian stunting pada balita usia 24-59 bulan di Kabupaten Grobogan. Kesimpulan: Studi ini menemukan bahwa faktor-faktor maternal seperti gizi buruk, anemia selama kehamilan, usia ibu yang berisiko, dan tingkat pendidikan yang rendah secara signifikan terkait dengan stunting pada anak-anak berusia 24–59 bulan di Kabupaten Grobogan.
Association of TCF7L2 Gene Polymorphism With Non Obesetype 2 Diabetes Mellitus in Javanese Population Yuniastuti, Ari; Susanti, R; Nugrahaningsih, Nugrahaningsih; R, Rahmatika Saputri
Bioma : Jurnal Ilmiah Biologi Vol 12, No 2: October 2023
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/bioma.v12i2.15365

Abstract

Type 2 diabetes is characterized by insulin deficiency due to inadequate insulin secretion or decreased tissue response to insulin at one or more points. Three important factors that influence the pathogenesis of type 2 DM are individual factors or ethnic genetics, factors of pancreatic β cell damage and insulin resistance factors. The TCF7L2 gene is a gene that codes for TCF7L2 protein, a group of proteins that act as transcription factors in the Wnt signal pathway. TCF7L2 gene polymorphism occurs when cytosine is replaced with thymine in the intron 3 position in wild-type due to alternative splicing.The purpose study was to determine the frequency of TCF7L2 gene polymorphism in Javanese type 2 non-obese DM patients in Semarang. Detection of TCF7L2 gene polymorphism was carried out on 49 people with type 2 non-obese DM patients and 38 people not with type 2 DM using the PCR-RFLP method. The restriction enzyme used is Rsa1. The allele frequency of TCF7L2 gene polymorphism was analyzed by Chi-square and analysis of sample characteristics was carried out with Odds Ratio. The results showed that there were significant differences in the allele frequency of TCF7L2 gene polymorphism and in the characteristics of age, KGD and systole between case subjects and control subjects. From this study it was concluded that TCF7L2 gene polymorphism is associated with the type 2 DM through interactions between genetic factors (T allele) and life style.
Hypertension in Pregnancy: A Nested Case-Control Study Hidayah, Noor; Handayani, Oktia Woro Kasmini; Yuniastuti, Ari; Ningrum, Dina Nur Anggraini
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27483

Abstract

Hypertension during pregnancy is the leading cause of maternal and neonatal morbidity and mortality. In Indonesia, 30 % of deaths are caused by hypertension. This study was conducted to analyze the risk factors for hypertension in pregnancy in mothers with high pregnancy risk. A nested case-control study design was employed, with data sourced from secondary records of obstetric medical documents from Gondosari Health Centre, Kudus Regency, Central Java Province, Indonesia, for the years 2021, 2022, and 2023. The number of hypertension cases was 46, and the number of controls was 92. The technique for collecting case data was based on reviewing the medical records of mothers with hypertension. In contrast, control data was taken by random sampling from mothers with high risk but who did not have hypertension. Statistical analysis used the chi-square (bivariate) and logistic regression (multivariate) tests. The study’s results stated that significant factors for hypertension in pregnancy were gestational age of 20 weeks, obesity, and primigravida with p 0.037, p 0.044, and p 0.010. Pregnant women > 20 weeks have a risk of 2.267 times to experience pregnancy hypertension, obesity has a risk of 4.288 times to experience hypertension in pregnancy, and non-primigravida status is at a higher risk of hypertension in pregnancy than primigravida mothers by 0.252 times. Mothers who have these three factors together have a probability of 80.79% of experiencing hypertension during pregnancy. This study concluded that gestational age > 20 weeks, obesity, and non-primigravida were related to the risk of hypertension in pregnancy at the study site; mothers who had gestational conditions > 20 weeks, obesity, and non-primigravida had the highest likelihood of developing hypertension in pregnancy.
Postpartum Depression in Primigravida: The Influence of Maternal Factors in Indonesia Siti, Putri Rafika; Yuniastuti, Ari; Cahyati, Widya Hary
Journal of Creativity Student Vol. 8 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i1.24989

Abstract

Background: Postpartum depression (PPD) is a common non-psychotic mental disorder that occurs after childbirth and negatively impacts maternal quality of life, child development, and family stability. This study aims to analyze the association between maternal factors and the incidence of PPD in primigravida mothers in Indonesia based on the 2023 Indonesian Health Survey (SKI) data. Methods: This study used a cross-sectional design with the source of data from SKI 2023. The study subjects were 36956 primigravida mothers with infants ≤6 months of age. Postpartum depression was measured using the Indonesian version of the Mini International Neuropsychiatric Interview (MINI). Bivariate and multivariate logistic regression were used to identify factors associated with the incidence of PPD. Results: The prevalence of PPD in primigravida mothers was 6.4%. Factors that were significantly associated with PPD included: region of residence (p = 0.001), abuser relationship (p = 0.001), marital status (p = 0.001), and no antenatal care check-up (p = 0.001). Maternal age, pregnancy complications, and delivery complications showed no statistically significant association with PPD (p > 0.05). Conclusion: These findings can help in the development of policies focusing on community-centered approach, as well as enhanced mental health services for mothers to assist in the prevention of PPD.
The Influence of Main Reasons for Not Taking IFA Tablets on Adherence to ≥ 90 Tablet Consumption Among Pregnant Women Kartikasari, Anggit; Cahyati, Widya Hary; Yuniastuti, Ari; Maharani, Chatila
Journal of Creativity Student Vol. 8 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i2.26052

Abstract

Anemia during pregnancy is still a public health problem in Indonesia that affects mothers and babies. The government has implemented a supplementation program for iron tablets (IBT) to prevent anemia, but the compliance of pregnant women with these tablets is still low. Various factors, such as lack of awareness, side effects, and mothers’ perceptions of the importance of IBT, contribute to low compliance rates. This study analyzes the impact of the main reasons for not taking IBT on the number of tablets consumed during pregnancy based on data from the 2023 Indonesian Health Survey (SKI). This study used an analytical cross-sectional study design with secondary data from the 2023 Indonesian Health Survey. The independent variable was the main reason for not taking IBT, while the dependent variable was the number of tablets consumed during pregnancy (≥90). Data analysis was performed using correlation and regression. The results showed that the main reasons for not taking IBT were forgetting (30.39%), nausea/vomiting due to pregnancy (21.57%), bad taste and smell (12.60%), and side effects (12.57%). Most pregnant women did not reach the recommended consumption amount, with 60.37% consuming less than 90 tablets. The reason with the most significant influence on compliance was “not yet up to the end of time” (R=0.344, R²=0.117, p=0.030). The main factors influencing compliance of pregnant women in consuming iron tablets were perception of the need for supplements, side effects, and lack of awareness. Increasing education, social support, monitoring strategies, and reminders for consumption are needed to improve pregnant women’s compliance with iron tablets to reduce the incidence of anemia in Indonesia.
Analysis of The Relationship Between The Contact History of Patients Suspected for Covid-19 and Psychological Disorders in Nurses at Hospital X, Demak District Octarini, Dewi; Yuniastuti, Ari; Azam, Mahalul
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.2632

Abstract

The aim of this inquiry was to examine the relationship between contact history with suspected COVID-19 patients and the level of psychological distress among nurses at Hospital X, Demak Regency. A retrospective survey was conducted involving 60 nurses, representing the entire nursing population at the hospital. The analysis showed that contact history with suspected COVID-19 patients was associated with depression. The P-value is 0.008, the anxiety level shows a P-value of 0.004, the stress level shows a P-value of 0.0027, PTSD shows a P-value of 1.000. The results of the analysis show that there is a significant relationship, namely anxietyas many as 62.5% experienced moderate anxiety. Nurses in the Emergency Department showed a high rate of PTSD, at 41.7%. Furthermore, factors such as gender, age, and length of service were also statistically associated with contact history with suspected COVID-19 patients. A statistical analysis revealed a significant correlation between contact history with suspected COVID-19 patients and PTSD levels in nurses. These findings provide important insights into the potential psychological impact on nurses who have had contact with suspected COVID-19 patients. In the real world, this research can help develop plans to support nurses' mental well-being during the pandemic.
The Effect of Health Promotion (With MCH Book) on Knowlegde, Attitude, Behavior of Utilizing MCH Books in Pregnant Women at UPTD Public Health Center of Pati Distric Retnoningsih, Heriani; Yuniastuti, Ari; Zainafree, Intan
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.13248

Abstract

Health level is a measure of a country’ welfare. The purpose of this study was to determine the  impact  of health promotion with maternal and child health (MCH) books on knowledge, attitudes and health behavior of pregnant women at the UPTD Health Center of Pati Regency because high maternal mortality rate (MMR) indicates that maternal health is still poor.  The type of research is Quasy-Experiment (pre-experimental designs). The research design used Pretest-Posttest Control Group design. Sampling in this study was non-random sampling with purposive sampling type. Based on the population of pregnant women in 29 UPTD Health Centers in Pati regency, 2 Health Centers were determined to be objects of research, namely UPTD Kayen Health Center and UPTD Pati II Health Center. The results showed that frequency distribution of respondents’ answers in the control group or Pati II Health Center showed that the pretest and posttest values in responents did not increase in the value of the knowledge variable of pregnant women. Meanwhile, the frequency distribution of the respondents showed the pretest and posttest  in the experimental group or Kayen health Center respondents, where there was an increase in the value of the variable of knowledge of pregnant women which was getting better. The results of the Wilcolzon Signed Rank  Test in the control group showed that the sig pretest and posttest values of the behavioral variables in the control group were > 0.05 so it can be concluded that there was no change in the behavior or pregnant women in the control group. The results of the Wilcoxon signed rank test in the intervention group showed that the sig pretest and posttest values of the behavioral variables of pregnant women in the experimental group were <0,05 so it can be concluded that there was a change in the behavior of pregnant women in the intervention group.
Co-Authors Abdurrahman Ali, Nur Aini Abudu, Komaria Ode AD Safarina Adevia Maulidya Chikmah, Adevia Maulidya Adhisti Lutfia Hanan Adhisti Lutfia Hanan Adiba, Daniar Arof Adiba, Daniar Arof Adystia, Yusdike Aennie Widiastuti, Vinka Afniyati, Nur Afniyati, Nur Agnes Dwi Safarina Agnes Dwi Safarina Aidah, Nur Amalia, Devi Andreas Priyono Budi Prasetyo Anggit Kartikasari Ani Rusilowati Anita Dyah Listyarini Arif Kurniadi Ariyanto, Andhika Arum Kartikadewi Arum Kartikadewi Arum Kartikadewi Arumawati, Puspita Diana Asih Kuswardinah Asyumdah, Asyumdah Azkiyah, Nimas Catur Bambang Budi Rahardjo Budi Laksono Budi, Dini Wurnaning Budu - Cahya Buana Candrawan, Roni Prasetyo Chatila Maharani Darmayanti, Mey Linda Devi Dwi Jayanti Dewi Mustikaningtyas Dina Nur Anggraini Ningrum Dinda Fuji Islamiyanti Dyah Rini Indriyanti Eko Farida Elissa, Intan Ayu Ell Khaq, Arrina Ely Rudyatmi, Ely Enni Suwarsi Rahayu Eunike Raffy Rustiana Evi Widowati F. Putut Martin HB Farida, Eko Faridho, Fikrifar Rizki Fathnin, Fildza Huwaina Fatiah, Nirmala Al Faza Khilwan Amna, Faza Khilwan Feri Dwi Agustina Feri Dwi Agustina Fidia Fibriana Fitri Arum Sasi Fitri Arum Sasi, Fitri Arum Halimah, Khori Handayani, Kasmini Hidayah, Arifatul Hidayah, Salis Nur I Wayan Suardana Ibnul Mubarok Ibnul Mubarok Ikrima Khaerun Nisa Indah Hartati Indriani, Betty Innayah, Nurul Intan Zainafree, Intan Irawan Yusuf Irawan Yusuf Irwan Irwan Isnaeni, Lili Astuti Isnaeni, Lili Astuti Isti Hidayah Isti Mulyawati Istianah Istianah Istiqomah Dwi Andari, Istiqomah Dwi Istiqomah, Annisa Aulia Jiwanjaya, Yoga Juhadi Juwita, Fitra Kamala Nuriyah Kamilatussainah Kamilatussainah Kamisih, Kamisih Karomika, Ati Kasimi, Oktia Woro Khikmatul Maula, Lia Kirana Rannoe Tirta Kirana Rannoe Tirta Krispinus Kedati Pukan Lala, Salsabila Kinaya Pranindita Laraswati, Vivi Anggraeni lathifah, Ummu Lindasari, Pamela Lisdiana Lisdiana Lisdiana Lucita, Fifty K. Lyndasari, Pamela Mahalul Azam Martien Herna Susanti Mayang Siwi Dewayanti, Mayang Siwi Merzistya, Aufiena Nur Ayu Mochammad Darmawan Saputra Mohamad Endy Y Yulianto Muchamad Dafip Muchamad Dafip Muh Nasrum Massi Muh. Nasrum Massi Nabila Azzahra Luthfiah Nabila Azzahra Luthfiah Nadhifah, Shiliya Lana Nadhifah, Shiliya Lana Nasaru, Jumriyanti Nbaia, Sara M Mohamed Negarani, Eryca Nur Bela Negarani, Eryca Nur Bela Niken Subekti Nilatul Izah Ning Setiati Nirmala Al Fatiah Nirmala Al Fatiah Noor Aini Habibah Noor Hidayah Noor Hidayah Nugrahanigsih WH Nugrahaningsih Nugrahaningsih Nugrahaningsih W H Nugrahaningsih WH Nugrahaningsih WH Nugrahaningsih WH, Nugrahaningsih Nugrahaningsih, WH Nur Kusuma Dewi Nur Rahayu Utami Nurfahmi Fadlillah Nurussalma, Syafina Octarini, Dewi Oktia Woro Oktia Woro Kasmini H Oktia Woro Kasmini Handayani Parmin - Pramesti Dewi Pramusinta, Linda Prasetyowati, Tri Ari Priyantini Widiyaningrum Putri, Siti Rafika R Susanti R Susanti R Susanti R Susanti R Susanti R Susanti R Susanti R, Rahmatika Saputri Rafika Putri, Siti Rahardjo, Bambang Budi Rahayu, Rr. Sri Ratna Rahmatih, Aisa Nikmah Rahmatih, Aisa Nikmah Ramasamy, Sujatha Ratna Rahayu, Sri Ratna Rahayu, Sri Resti Fitriati Retno Sri Iswari Retno Sri Iswari Retnoningsih, Heriani Rochly, Revinta Nur Aulia Rofika, Ana Rohmah, Amalia Nor Rr. Sri Ratna Rahayu Sa’adah, Siti Rofiatus Saiful Ridlo Satriani Satriani Sekar Arum, Vriska Roro Setyoko Setyoko Sholeha, Siti Sholikah, Anik Sholikah Shovrotul Khoiriyah, Ely Sigit Saptono Siswahyudianto Siti Alimah Siti Alimah Siti Baitul Mukarromah Siti Isnaeni SITI MAHMUDAH Siti, Putri Rafika Sri Mulyani Endang Susilowati, Sri Mulyani Endang Sri Ratna Rahayu, Rr Sri Sukaesih Sugianto Sulasfiana Alfi Raida, Sulasfiana Alfi Sulistiani, Duwi Sulistyawati, Anita Sumarti Sumarti Suryo Pratikwo Syarifah, Aidah Nur Talitha Widiatningrum Totok Sumaryanto Florentinus, Totok Sumaryanto Tyas Agung Pribadi Umam, Syaiful Ishlahul Utami, Hanna Dewi Utami, Hanna Dewi Vilda Ana Veria Setyawati Vilda Ana Veria Setyawati Vilda Ana Veria Setyawati Vilda Ana Veria Setyawati Virtanti, Uji Wahyuningtyas, Arini Tri Widya Hary Cahyati Wiwi Isnaeni Woro K H, Oktia Woro Kh, Oktavia Wulan Christijanti Yanti, Erny Yuni Yanuarita Tursinawati Yanuarita Tursinawati Yanuarita Tursinawati Yanuarita Tursinawati Yenni Yenni Yuni Wijayanti yuniarti, christina ary Yusdike Adystia Zaenafree, Intan Zunikhah Zunikhah Zunikhah Zunikhah