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Health Belief Model and Labelling Theory in the Analysis of Preventive Behaviors to Address Biopsychosocial Impacts of Sexual Violence among Street Children in Yogyakarta Khalifah, Intan Noor; Demartoto, Argyo; Salimo, Harsono
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Street children are at high risk of sexual violence. Necessary measures should be undertaken to address deleterious biopsychosocial impacts of sexual violence. This study aimed to analyze the preventive behaviors to address biopsychosocial impacts of sexual violence among street children in Yogyakarta using Health Belief Model and Labelling Theory.Subjects and Method: This study was qualitative descriptive with phenomenology approach. The key informants for this study included Head of Rumah Impian Indonesia Foundation (a social non-government organization) and Director of PKBI, Yogyakarta. The main informants were the street children with assistance from Rumah Impian Indonesia Foundation. Supporting informants were health personnels of Jetis community health center and the street children’s brothers.Results: Street children who had experienced sexual violence were taken care by Rumah Impian Indonesia Foundation. The biopsychosocial effects of sexual violence included anxiety, anger, shock, trauma, fear, feelings of revenge, irritation, emotion, stress, unwillingness to eat, bad mood, and staying alone in the room. Preventive behaviour to overcome biopsychosocial impacts of sexual violence included forgetting, letting it go, not mentioning the problem again. Label or negative stigma given by the community to street children included marred children, dirty children, and social garbage.Conclusion: Sexual violence experienced by street children cause various psychologic impacts, which calls for appropiate preventive behaviors to minimize the deleterious impacts of sexual violence. The social impacts of sexual violence in street children include labelling and negative stigma.Keywords: Health Belief Model, Labelling Theory, sexual violence, biopsychosocial, preventive behavior, street children.Correspondence: Intan Noor Khalifah. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tanlifah@gmail.com Mobile: +6285728000164.Journal of Maternal and Child Health (2017), 2(4): 309-323https://doi.org/10.26911/thejmch.2017.02.04.03
Effect of Sexual Knowledge and Attitude, Exposure to Electronic Media Pornography, Peer Group, and Family Intimacy, on Sexual Behaviors among Adolescents in Surakarta Wardhani, Yeni; Tamtomo, Didik; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Globalization has tremendous impact on adolescent behaviors, including sexual behavior. Sexual behaviors that exceed socially accepted norms may result in undesireable impact adolescent health. Many factors can affect the sexual behavior of adolescents, both from within and from outside the adolescent self. This study aimed to investigate the effect of sexual knowledge and attitude, exposure to electronic media pornography, peer group, and family intimacy, on sexual  behaviors among adolescents.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at SMA Negeri Kota Surakarta, Central Java, from March to April 2017. A sample of 100 students were selected for this study by multi-stage sampling. The dependent variable was sexual behaviour. The independent variables were sexual knowledge, attitude toward sex, exposure to electronic pornography, peer group, and family intimacy. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis.Results: Adolescent sexual behavior was affected by sexual knowledge (b=0.16; SE=0.05; p=0.006), attitude toward sex (b=0.18; SE=0.06; p= 0.005), exposure to electronic pornography (b=-0.13; SE=0.05; p=0.026), peer group (b=0.06; SE=0.03; p= 0.042), and family intimacy (b=0.07; SE=0.03; p=0.038). Sexual knowledge was affected by exposure to electronic pornography (b=-0.20; SE=0.09; p=0.037), and peer group (b=0.14; SE=0.05; p=0.005). Attitude toward sex was affected by exposure to electronic pornography (b=-0.21; SE=0.08; p=0.013), sexual knowledge (b=0.14; SE=0.08; p=0.110), and group (b=0.12; SE=0.05; p=0.009). Conclusion: Sexual behavior of adolescents is directly affected by their sexual knowledge, attitude toward sex, exposure to electronic pornography, peer group, and family intimacy.Keywords: sexual behavior, exposure to electronic pornography, PRECEDE PROCEED model, path analysisCorrespondence: Yeni Wardhani. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ynwardhani@gmail.com. Mobile: +6285244390776.Journal of Health Promotion and Behavior (2017), 2(2): 138-147https://doi.org/10.26911/thejhpb.2017.02.02.04
Association between Knowledge, Perceived Seriousness, Perceived Benefit and Barrier, and Family Support on Adherence to Anti-Retrovirus Therapy in Patients with HIV/AIDS -, Sunaryo; Demartoto, Argyo; Adriyani, Rita Benya
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The cumulative of HIV/AIDS cases in Surakarta are 1.212 cases, and 376 of them died in the span of Oktober 2005 until Januari 2014 . HIV infections have not found a cure, so it is possible someone with AIDS often experience psychological problems, especially anxiety, depression, which can suppress the immune system, making people more vulnerable against illness and pain. AIDS can not be cured, but the life expectancy of people living with HIV/ AIDS (PLWHA) can be extended with antiretroviral treatment (ART). This treatment can boost immunity so that the quality of life of PLHIV increasedSubjects and Method: The study was observational analytic research with cross sectional design. The location of research in PHC Manahan Surakarta total of 36 patients with HIV / AIDS who do ARV therapy. The data analysis using logistic regression.Results: There is a positive correlation was not statistically significant from the knowledge of the drugs with antiretroviral therapy adherence (OR=4.03; 95% CI= 0.22 to 73.32; p=0.347). There is a positive correlation was statistically significant on the perception of the seriousness of the disease with antiretroviral therapy adherence (OR=26.70; 95% CI= 1.30 to 550.51; p=0.033). There is a positive relationship and statistically significant on the perception of the benefits and barriers to compliance with antiretroviral therapy (OR=17.73; 95% CI= 1.12 to 279.59; p=0.041). There is a positive correlation was statistically significant from family support with antiretroviral therapy adherence (OR=28.89; 95% CI= 1.24 to 647.71; p=0.036). Conclusion: The perception of the seriousness of the disease is the most variable bergubungan with antiretroviral therapy adherence (p=0.033).Keywords: knowledge about ARV, seriousness of the disease, barriers and family support, adherence ARV therapyCorrespondence: Sunaryo. Department of Health, Surakarta. Email: Sunaryomanahan@gmail.com.Journal of Health Promotion and Behavior (2016), 1(1): 54-61https://doi.org/10.26911/thejhpb.2016.01.01.08          
REPRESENTASI SEMANGAT BERBAGI EKOFEMINISME MELALUI BATIK TULIS Demartoto, Argyo
PALASTREN Jurnal Studi Gender Vol 10, No 1 (2017): PALASTREN
Publisher : STAIN Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21043/palastren.v10i1.2271

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The objective of research was to explore the attempt the women producing batik tulis using natural colorant as the manifestation of environment care. This study was a qualitative research using explorative method taken place in Kampung Batik Laweyan and Kauman, Surakarta. The result of research showed that the emergence of stamping and printing batik led the batik tulis (written batik) to be marginalized. Many batik entrepreneurs shifted to them and only few survived with batik tulis production. The opportunity of working and applying the female batik laborers’ skill reduced. The production of stamping and printing batik using artificial colorant affected adversely the environment with its waste as the form of injustice as it contaminated the environment and marginalized the women. The spirit of ecofeminism sharing through batik tulis creation with natural colorant was the women’s attempt of working and contributing to conserve the environment. This social movement is the manifestation of women’s care about the living environment sustainability, conveying self-controlling values and controlling the passion of dominating amid industrialization, and the manifestation of sustainable development and ethical business.
The Representation of Prevention-of-Mother-to-Child Transmission Service System in Surakarta Indonesia Demartoto, Argyo
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i2.9567

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The data trend showing the increase in number of HIV/AIDS case through perinatal transmission in Indonesia, including Surakarta, is worrying. This qualitative study with exploratory method took place in Surakarta on February to May, 2015. The units of analysis in this study were recipient and provider of Prevention of Mother-To-Child Transmission (PMTCT) service. The informants were selected using purposive sampling. The data was collected using observation, in-depth interview, Focus Group Discussion and documentation, and was then analyzed using Parsons’ system theory. PMTCT service system in Surakarta was ineffective because of HIV-positive women’s limited knowledge and information on PMTCT, unequal relation between provider and recipient of PMTCT service, medical decision making pattern that is inherent to service provider, and inadequate financial resource and supervision process. For that reason, an action plan is required to accommodate the need of women and children in term of budget allocation, program implementation and civil society involvement in PMTCT to prevent and to cope with HIV/AIDS.
Fulfilment of Gender Needs in HIV and AIDS Control Programs: A Case Study of Housewives in Surakarta, Indonesia Haryani, Tiyas Nur; Nurhaeni, Ismi Dwi Astuti; Demartoto, Argyo
Jurnal Perempuan Vol 22, No 2 (2017): SRHR and Development Policy
Publisher : Yayasan Jurnal Perempuan

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Since 2011, the number of case of HIV and AIDS suffered by Indonesian women tends to increase. However, the prevention of HIV and AIDS in Indonesia focuses only on high-risk group. Besides that, measures are not differentiated base on different needs of targetedgroup of programs. The article discusses gender mainstreaming in the prevention of HIV and AIDS program in Surakarta as well as the fulfilment of gender need of housewife who is prone to HIV and AIDS infection. The article is the result of a qualitative study with interactive analysis method. The research targeted housewives as research subjects due to the increasing number of housewives who suffer from HIV and AIDS infection. Moreover, they even placed as the second highest group infected by the disease in Surakarta. The data was collected from an in-depth interview, documentation and observation. The finding showed that the quality of gender equality in the HIV and AIDS mitigation policy in Surakarta is positioned in a gender neutral level, providing the equal rights and obligations for all citizens, regardless of their sex. This matter gives impact to the prevention of HIV and AIDS program that only focuses on the fulfilment of housewives practical gender needs.
Phenomenology Study: Community Non Acceptance of Children with HIV/AIDS in Surakarta Wachdin, Fetty Rosyadia; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: There were 13 cases of children with HIV/AIDS in Surakarta in 2016. They were infected from their mothers. These children got stigma and discrimination from the community due to their HIV positive status. This study aimed to describe stigma and discrimination from the community to the children with HIV/AIDS.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at Rumah Singgah Lentera (Halfway House Lentera), Surakarta. The key informants for this study included managers of Rumah Singgah Lentera, fulltime secretary, children with HIV, and community members living in the neighborhood. The data were collected by in-depth interview, and then grouped into coding units and described and analyzed.Results: The community surrounding Rumah Singgah Lentera, Surakarta, viewed children with HIV/AIDS as a disgrace. Various kinds of discrimination such as non-acceptance, alienation, restriction have been addressed by the community to the children with HIV/AIDS. The community has also stigmatized managers of Rumah Singgah Lentera, Surakarta, that they were also HIV infected and made profit of HIV/AIDS donation they received. This stigma occured because of lacking in HIV/AIDS knowledge, particulary its mode of transmission. Stigma and discrimination have caused psychological disorder among children with HIV/AIDS. They often feel sad, alienated, and cry, so that they often withdraw from their social environment. In term they feel dispair and decline to take ARV drugs.Conclusion: there is a need to enhance knowledge in HIV/AIDS, its mode of transmission, method of prevention, and its treatment for the community, in order to repress stigma and discrimination from the community.Keywords: HIV/AIDS, children, stigma, discrimination.Correspondence: Fetty Rosyadia Wachdin. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fettyrosyadia@gmail.comJournal of Epidemiology and Public Health, 1(3): 148-153https://doi.org/10.26911/jepublichealth.2016.01.03.01
Knowledge, Attitude, Sexual Behavior, Family Support, and Their Associations with HIV/AIDS Status in Housewives Laksana, Budi; Demartoto, Argyo; Indarto, Dono
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Approximately 36.7 million people in the world were infected by HIV and 2.1 million new cases occured in 2015. A total of 191,073 HIV cases were reported in Indonesia in 2016, including 77,940 AIDS cases, and 13,247 deaths. Housewives ranked highest among HIV/AIDS patients in Indonesia. This study aimed to investigate knowledge, attitude, sexual behavior, family support, and their associations with HIV status in housewives using PRECEDE PROCEED model.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Toroh community health center, Grobogan, Central Java, in July, 2017. A total sample of 129 housewives were selected for this study using exhaustive sampling technique. The dependent variable was HIV status. The independent variables were knowledge, attitude, sexual behavior, and family support. The data was measured by a set of questionnaire and analyzed using path analysis.Results: HIV status was directly and positively associated with risky sexual behavior (b= 4.48; 95% CI= 2.30 to 6.65; p<0.001). Risky sexual behavior was associated with attitude (b= -1.27; 95% CI = -0.03 to -2.51; p<0.045) and family support (b= -1.86; 95% CI= -0.69 to -3.03; p<0.002). Attitude was associated with knowledge (b= 2.06; 95% CI = 0.86 to 3.25; p<0.001).Conclusion: HIV status is directly and positively associated with risky sexual behavior. HIV status is indirectly associated with attitude, knowledge, and family support.Keywords: HIV, AIDS, risky sexual behavior, housewives, PRECEDE PROCEED modelCorrespondence: Budi Laksana. Diploma III Program in Midwifery Muhammadiyah, Madiun, East Java. Email: lakortikosteroid@gmail.com. Mobile: +6285655612000.Journal of Epidemiology and Public Health (2017), 2(2): 154-163https://doi.org/10.26911/jepublichealth.2017.02.02.06
Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java Ekasari, Dily; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. Gay community often experience stigma, discrimination, and rejection by the society and health personnel. Stigma and discrimination may worsen the quality of life among gay community. This study aimed to examine the effects of sexual behavior, family support, family income, peer support, stigma, and discrimination on quality of life among gay community in Tulungagung, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Pelangi Gay Community, Tulungagung District, from October to November, 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family support was positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008).Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life among gay community. Stigma and discrimination have indirect effect on lower quality of life among gay community.Keyword: quality of life, sexual behavior, family support, stigma, discrimination, gayCorrespondence: Dily Ekasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dilyekasari89@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 50-59https://doi.org/10.26911/jepublichealth.2018.03.01.04 
Safe Sexual Behaviors for Early Detection and Prevention of HIV/AIDS Transmission among Queers in Tulungagung, East Java, Using Theory of Planned Behavior Arisona, Widya Lusi; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Sexual intercourse is one of the primary modes of HIV transmission. Sexual activity among heterosexuals has the highest risk of HIV transmission. However, sexual activity among queers also contributed much of the HIV/AIDS case increase. The prevalence of HIV/AIDS infection was high among queers in Tulungagung, East Java. This study aimed to examine safe sexual behaviors for early detection and prevention of HIV/AIDS transmission among queers using Theory of Planned Behavior.Subjects and Method: This was a qualitative study with phenomenology approach. The study was carried out at queers’ peer group namely Aprikot basecamp, Tulungagung, East Java, from 23 April to 17 June, 2017. The informants in this study included queers with positive HIV status and those with negative HIV status. These informants consisted of queer commercial sex workers, queers with steady partner, queers who had recently been registered as Apricot members, queers who had become Apricot members for long, Cesmid NGO, program manager of Local Commision for AIDS Control, health personnels, and officers at District Health Office Tulungagung. The informants were selected by maximum variation sampling. The data were collected using in-depth interview, observation, and document review methods. The data were analyzed by interactive analysis method, including data collection, data reduction, data display, and verification.Results: Five queer informants who worked as commercial sex workers were HIV positive. A queer informant who owned beauty salon had a steady partner. In general, queers had positive attitude towards early detection and prevention of HIV by undertaking regular three monthly HIV tests. The subjective norm in the community was very influential such that all Apricot members always complied with every rule available in the community. As a result, the queers had a stronger intention to do HIV early detection and prevention.Conclusion: Subjective norm is an important determinant for HIV early detection and prevention among queers. It is suggested that the positive norm in the community pertinent to sexual behavior be capitalized and strengtened so as to increase adherence to healthy and safe sexual behaviors among the queers.Keywords: risky sexual behaviors, early detection, prevention,  HIV/ AIDS, queerCorrespondence: Widya Lusi Arisona. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: widyalusi@gmail.com. Mobile:  +6285646430617.Journal of Epidemiology and Public Health (2017), 2(2): 164-173https://doi.org/10.26911/jepublichealth.2017.02.02.07
Co-Authors Achmad Arman Subijanto, Achmad Arman Adita, Kingkin Aditya, Stefanus Adriyani, Rita Benya Al Ghifari, Muhammad Fahrezi Ambar Mudigdo Ambarsari, Maecelina Hestin Anawati, Sri Andriyani, Shofia Annuchasari, Helmi Aprilia Susanti, Aprilia Ari Natalia Probandari Aris Sudiyanto Arisona, Widya Lusi Ayu, Elsa Jumasni Bagus Haryono Bhisma Murti Cahyanto, Erindra Budi Dasairy, Hana Fathiya Desiderius Priyo Sudibyo, Desiderius Priyo DEVI INDRAWATI Didik Tamtomo, Didik Dono Indarto Drajat Tri Kartono Ekasari, Dily Endang Gerilyawati IES, Endang Gerilyawati Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fajriyah, Yuli Lutfatul Fetty Rosyadia Wachdin Flora, Viola Holly Hakim, Fatwa Nur Hapsari, Dini Harsono Salimo Hastjarjo, Sri Himawati, Yulia I Wayan Sutama Indrawati, Fika Lilik Indriani, Fenita Karima, Fatimah Hasna Karina Cibro, Adeyle Datna Keswara, Nila Widya Khalifah, Intan Noor Khasanah, Widia Nur Kogoya, Tena Kurniasari, Mia Ashari Laksana, Budi Lestari, Anis Dwi Lestari, Heni Eka Lianawati, Feny Lina Puspitasari Mahendra Wijaya Marsela, Chesa Amanda Masriyatun, Masriyatun Ma’rufah, Aprilia Nurul Mubarok, Ahmad Syauqi Mulya Tarmidi, Mulya Mundayat, Aris Arif Nabillah, Lily Nahak, Maria Paula Marla Nazalah, Rajba Ningrum, Anis Lupita Nisa, Azka Zahrotun Nisriina, Zain Nadaa Novika, Revi Gama Hatta Novika, Revi Gamma Hatta Nugraheni, Aulia Putri Nuha, Riya Ulin Nurul Husna Nuryuliana, Nuryuliana Paramita, Windya Kartika Pawito Pawito Perdana, Muhammad Vidi Permana, Fransisca Novalia Perwitosari, Henny Poncorini, Eti Pranita, Liliana Dwi Prasetya, Hanung Pratiwi, Ajeng Christiana Putri Pujihartati, Sri Hilmi Purbanova, Reni Purbondari, Elysa Wahyu Purnamasari, Elvira Purwanti, Titis Cipta Purwanto - Puspitaningtyas, Danty Indra Putry, Mentary Febryant Rachmadi, Aditya Yudha Rahmawati, Dechoni Rahmawati, Fatimah Raraningrum, Vita Ratih Rahmawati Respati, Supriyadi Hadi Retnaningsih, Isna Rahmawati Rita Adriani Benya Adriani Rosyidah Alfitri RUBEN DHARMAWAN Safitri, Ayun Saidah, Ayu Santoso, Nathanael Aditya Sanusi, Sita Rahayu Saputri, Chelsy Sumardi Saputri, Enriawati Ika Dyah Sari, Heni Elmiani Setyadi, Ahmad Wasis Setyani, Rizka Ayu Setyowati, Eka Yuni Silvia Ari Agustina Soemanto, RB Soesyasmoro, R. Asto Soesyasmoro, R. Asto Sofiani, Hindun Solikatun Solikatun, Solikatun Subaeti, Tri Sugma, Saras Vati Manvatarini Sukma, Sukma Sumardiyono Sunaryo - Supriyadi Hari Respati Surya Gumilar, Karismatika Suryono, Anike Nurmalita Rizki Putri Sutopo, Haris Syarifah Syarifah, Syarifah Syefira Ayudia Johar Tiyas Nur Haryani, Tiyas Nur Tri Sulistyawati, Tri Trisni Utami Tristian, Deviana Uki Retno Budihastuti Utami, Fitria Nur Utami, Indri Nur Utari, Sri Utsani, Wimmy Safaati Veibiani, Nindita Arum Wardhani, Putri Kusuma Wardhani, Yeni Wekadigunawan, C.S.P Wibowo, Galih Aprilia Yuni Lestari Yuvrista, Yuliana Yuyun Sunesti Zahro, Hallisa’tu Zahroh Shaluhiyah Zartika, Maoli