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All Journal Jurnal Kesehatan Hesti Wira Sakti Journal of Islamic Medicine Jurnal Ilmiah Kebidanan JKM (Jurnal Kebidanan Malahayati) Health Sciences Journal Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Kesehatan Oksitosin : Jurnal Ilmiah Kebidanan JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Pengabdian Masyarakat dalam Kesehatan Jurnal Kesehatan Tambusai Jurnal Kesehatan Saintika Meditory Journal of Public Health Innovation (JPHI) Journal of Nursing Practice and Education Jurnal EduHealth Binawan Student Journal Indonesian Journal of Health Science Proceedings Series on Health & Medical Sciences Jurnal Impresi Indonesia Jurnal Locus Penelitian dan Pengabdian Hang Tuah Medical Journal Maternity and Neonatal : Jurnal Kebidanan Jurnal Sehat Indonesia (JUSINDO) Jurnal Ilmu Multidisplin Jurnal Pengabdian Masyarakat Medika International Journal of Medicine and Health Jurnal Multidisiplin West Science Innovative: Journal Of Social Science Research Prosiding Seminar Informasi Kesehatan Nasional Health and Technology Journal (HTECHJ) Journal of Educational Innovation and Public Health Jurnal Pengabdian Soepraoen JPK : Jurnal Penelitian Kesehatan Journal of Innovative and Creativity Journal Research Midwifery Politeknik Tegal EDUCATIONE: Journal of Education Research and Review Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Observasi: Jurnal Publikasi Ilmu Psikologi Jurnal Siti Rufaidah Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Syaikhuna: Jurnal Pendidikan dan Pranata Islam STAI Syaichona Moh. Cholil Bangkalan Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Green Health: Journal of Health Sciences, Nursing and Nutrition Jurnal Pengabdian Ilmu Kesehatan
Anik Sri Purwanti
Institut Teknologi Sains Dan Kesehatan RS Dr. Soepraoen Malang
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The Effect of Prenatal Massage Therapy on Pregnant Women in the Third Trimester on Back Pain Complaints at Primary Health Care Bulango Karmila Daud; Widia Shofa Ilmiah; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.186

Abstract

Back pain is one of the most common complaints experienced by pregnant women, especially during the third trimester of pregnancy. This discomfort is generally caused by physiological and biomechanical changes in the body, such as an increase in body weight, a shift in the center of gravity, and hormonal changes that affect muscle and joint flexibility. If not managed properly, back pain can reduce mobility, interfere with daily activities, and impact the quality of life of pregnant women. One safe and non-pharmacological method to reduce back pain is prenatal massage therapy. This study aimed to determine the effect of prenatal massage on reducing back pain among pregnant women in the third trimester at Primary Health Care (PHC) Bulango. This research used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 pregnant women in their third trimester who were selected through purposive sampling. Data collection was carried out using observation and interviews with a numerical pain rating scale administered before and after the prenatal massage intervention. The massage sessions were performed following standardized prenatal massage procedures focusing on the lower back area. Data were analyzed using the paired t-test with the assistance of SPSS software. The results showed a statistically significant difference in back pain scores before and after the intervention, with a p-value of 0.000 (p < 0.05). This finding indicates that prenatal massage effectively reduces back pain in third-trimester pregnant women. Based on these results, prenatal massage can be recommended as a safe, non-invasive, and beneficial complementary therapy to improve maternal comfort during pregnancy. Incorporating prenatal massage into routine antenatal care could enhance the overall well-being and quality of life of expectant mothers.
Relationship between CED Status, Pregnant Women and LBW with Stunting Incidence in Toddlers at Dolodou Health Center, West Dumoga District Millennia Mokoginta; Widia Shofa Ilmiah; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.187

Abstract

Stunting is a medical condition that significantly affects children's growth and development, resulting in long-term impacts on physical health, cognitive abilities, and productivity in adulthood. The problem often begins during pregnancy and early life, when nutrition and health care play a critical role in determining a child's developmental trajectory. This study aimed to analyze the relationship between the prevalence of stunting among toddlers in the operational area of the Dolodou Health Center UPTD and two key maternal and perinatal factors: chronic energy deficiency (CED) in pregnant mothers and low birth weight (LBW). A cross-sectional design was applied using a quantitative research approach. The study population consisted of all mothers with toddlers in the Dolodou Health Center area, and 31 respondents were recruited using a total sampling technique. Data were collected using structured questionnaires to gather information on maternal nutrition history, pregnancy conditions, and child anthropometric measurements. Chi-square statistical analysis was used to examine the relationships between variables. The results revealed a significant association between stunting and maternal CED status (p = 0.024), indicating that children born to mothers with chronic energy deficiency were at a higher risk of experiencing stunting. Additionally, children with a history of LBW were found to be more likely to suffer from stunting compared to those with normal birth weight. These findings underscore the importance of preventive measures during pregnancy, including nutritional monitoring, dietary supplementation, and health education to prevent both CED and LBW. In conclusion, addressing maternal nutritional health before and during pregnancy, along with continuous monitoring of child growth, is crucial to reducing stunting prevalence. Collaborative efforts between health workers, families, and the community are essential to ensure adequate nutrition and promote healthy development in children.
The Impact of Maternal Age on the Incidence of Low Birth Weight in Newborns Chrisye Rani Kuheba; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.216

Abstract

Low birth weight (LBW) is a significant public health problem, with varying prevalence across countries. According to data from the World Health Organization (WHO), approximately 15% of all births worldwide are LBW babies. LBW can be caused by various factors, including maternal health conditions, nutritional status, and environmental factors. One factor that is often overlooked is maternal age during pregnancy. This study aims to explore the relationship between maternal age and the incidence of LBW. Research This study used an observational design with a cross-sectional approach. The sample consisted of 200 pregnant women who gave birth at the Hospital in 2024. Data were collected through medical record data tracing, which included maternal age, infant birth weight, and other risk factors. Statistical analysis was performed using the chi-square test to determine the relationship between maternal age variables and LBW. Results: The results of the analysis showed that 32% of the total babies born had LBW. From the age group under 20 years, the prevalence of LBW reached 15%, while in the age group over 35 years it reached 9%. After conducting the Spearman test in the Halsil test, the significant relationship between maternal age and the incidence of LBW was p (Sig) 0.02 (<0.05). Public health programs should focus more on education and intervention for pregnant women, especially those in their teens and the elderly. This is important to reduce the number of LBW and improve maternal and infant health. In the future, further research is needed to explore other factors that may affect LBW.
Effectiveness of Finger Hold Relaxation Technique on Pain in Mothers Who Have Sex 640-645 Etni Yeyem Sumaila; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.218

Abstract

Post-cesarean section (CS) pain is a common issue faced by postpartum mothers, significantly affecting their recovery process and overall well-being. Effective pain management is crucial to enhance recovery and improve quality of life. One promising non-pharmacological approach gaining attention is the finger hold relaxation technique, which has been shown to alleviate various forms of pain. This study aimed to assess the effectiveness of the finger hold relaxation technique in reducing post-CS pain. A quasi-experimental design was used with two groups: an intervention group that received the finger hold relaxation technique and a control group that did not receive the intervention. The study involved 60 post-CS mothers, randomly divided into the two groups. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data analysis was performed using the Mann-Whitney U test. Results indicated a significant decrease in pain levels in the intervention group compared to the control group (p < 0.05). The average pain score in the intervention group before the intervention was 7.5, which decreased to 4.2 after the intervention. In contrast, the control group exhibited relatively stable pain scores, with an average of 7.3 before the intervention and 6.9 after. The Mann-Whitney U test confirmed a significant difference, with a p-value of 0.01, indicating that the finger hold relaxation technique had a significant effect on reducing post-CS pain. In conclusion, the finger hold relaxation technique is effective in reducing pain in post-CS mothers. It is recommended that this technique be incorporated into post-operative care programs to enhance maternal comfort and facilitate faster recovery.
The Connection between Pregnancy Spacing and the Occurrence of Stunting in Children : An In-Depth Analysis of Contributing Factors Hetty Johana Sulung; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.222

Abstract

Stunting is a serious nutritional problem in Indonesia, affecting the growth and development of children under five years of age. Non-ideal pregnancy spacing is one of the factors that can contribute to stunting, as closely spaced pregnancies can lead to inadequate maternal nutrition, which affects the child’s development. This study aims to analyze the relationship between pregnancy spacing and the incidence of stunting in children under five. The research design employed is observational analytic with a case-control approach. Data collection was conducted from February to October 2024, focusing on children with stunting and children with normal growth as control cases. The case-control study involved a total sample size of 60 children, with 30 stunted children as cases and 30 non-stunted children as controls. The control cases were selected using simple random sampling to ensure unbiased representation. The primary analysis technique used was the chi-square test to examine the relationship between pregnancy spacing and the incidence of stunting. The results indicated that children born with a pregnancy spacing of less than 24 months had a 1.5 times higher risk of experiencing stunting compared to those born with a pregnancy spacing of more than 24 months. Statistical analysis using the chi-square test yielded a significant p-value of 0.002 (< 0.05), which confirms a strong association between short pregnancy spacing and stunting. This study concludes that insufficient pregnancy spacing is a significant factor contributing to the incidence of stunting in children under five. Therefore, it is recommended that public health campaigns and education programs on family planning and reproductive health be strengthened to reduce the risk of stunting in Indonesia. Such initiatives will help prevent future generations from experiencing the negative effects of inadequate growth and development.
The Impact of Work Experience, Knowledge, and Motivation on Cadre Performance in Stunting Prevention in Malang District Rifzul Maulina; Anik Sri Purwanti; Dian Pitaloka Priasmoro
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.223

Abstract

Stunting is a critical issue that can be addressed through various interventions, one of which involves the active participation of community cadres. This study aimed to assess the role of knowledge and motivation as mediating factors between the duration of service as a cadre and their performance in the stunting prevention program at the Tajinan and Wagir Health Centers. The research used an analytic observational study design with a cross-sectional approach. The study population consisted of 608 cadres across two health centers, and a sample of 125 cadres from each health center was selected using proportional cluster random sampling. To analyze the data, an Independent Sample T-Test was used to compare the duration of service as a cadre, knowledge, motivation, and performance between the two health centers. Path analysis was conducted to explore the impact of the duration of service as a cadre on performance, mediated by knowledge and motivation. The results indicated that there were significant differences in the knowledge and performance of the cadres, while the duration of service and motivation did not show significant differences between the two health centers. Path analysis revealed that knowledge and motivation were not significant mediators in the relationship between the duration of service and cadre performance. Furthermore, the length of time as a cadre did not significantly impact performance in either health center. However, motivation emerged as the most influential factor, with a substantial effect on the performance of the cadres in both health centers. Based on these findings, it is recommended that stunting prevention programs focus on enhancing the motivation of cadres to improve their performance, rather than solely relying on the duration of their service or their knowledge levels.
The Relationship Between Pregnant Women With Kek and The Birth of Lbw Babies in The Work Area of Bere-Bere Community Health Center Asriani M. Djauhar; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.227

Abstract

Background: Low Birth Weight (LBW) is one of the indicators of infant health that is greatly influenced by the nutritional status of the mother during pregnancy. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with low birth weight. This study was conducted to examine the relationship between the nutritional status of pregnant women and the incidence of LBW in the work area of bere-bere community health center  work area. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of LBW at the work area of bere-bere community health center  in 2023. Method: This study used an observational analytical design with a cross-sectional approach. The number of respondents was 16 pregnant women selected through a purposive sampling technique. Data were collected by measuring nutritional status using Body Mass Index (BMI) before pregnancy and collecting medical record data on the baby's birth weight. Statistical analysis was performed using the Chi-Square test with a significance level of 0.05. Results: Based on the results of the analysis, it was found that out of 16 respondents, 6 pregnant women (37.5%) with poor nutritional status gave birth to babies with LBW, while 10 pregnant women (62.5%) with normal nutritional status gave birth to babies with normal weight. The results of the statistical test showed a p-value of 0.000 (p < 0.05), which indicated a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Conclusion: There is a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with LBW. Suggestion: It is recommended that health workers at the work area of bere-bere community health center  be more active in providing education and monitoring the nutritional status of pregnant women through nutritional counseling and regular pregnancy check-ups. Nutrition intervention programs also need to be strengthened to prevent the incidence of LBW
The Relationship Between Knowledge, Attitudes Of Pregnant Women And Husband's Support For Antenatal Care Examinations At The Leo Leo Health Center Cece Indrawati; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.228

Abstract

Generally, pregnancy develops normally until delivery, but some pregnancies can be at risk in certain circumstances so that pregnancy checks (antenatal care) are needed. Some pregnant women do not do ANC (K1 and K4) allegedly due to lack of husband's support, lack of knowledge and negative attitudes about ANC. To determine the effect of husband's support, knowledge, and attitudes of pregnant women on Antenatal Care Visits. This type of research is an analytical survey with a Cross Sectional approach. The research was conducted at the Leo Leo Health Center, with the research time in Desember 2024. The population in this study were all pregnant women in the third trimester of the Leo Leo Health Center, namely 38 people and all of them were used as samples (total population). Data were analyzed univariately, bivariately with the chi-square test, and multivariately using multiple logistic regression tests at a 95% confidence level (=0.05). The study showed that the majority of ANC visits by pregnant women were not up to standard (52.6%), those up to standard (47.4%). Pregnant women's ANC visits at the Leo Leo Health Center were influenced by husband's support (p = 0.033), and knowledge (p = 0.004), while attitude had no effect (p = 0.156). The knowledge variable was the most dominant variable influencing ANC visits. Pregnant women with good knowledge were 13.7 times more likely to make ANC visits according to standards compared to pregnant women with less knowledge. The probability of pregnant women making ANC visits according to standards was 90.99% if husband's support was good and mother's knowledge was good. Husband's Support and Pregnant Women's Knowledge influenced ANC Visits at the Leo Leo Health Center. Gather pregnant women and husbands or families to provide counseling on the importance of ANC Visits and remind pregnant women and husbands to always read the KIA Book so that they know the importance of ANC Visits
The Effect of Providing 10t Antenatal Care Services on Pregnant Women's Visits At UPTD Popayato Health Center Desriyanti Nusi; Anik Sri Purwanti; Widia Shofa Ilmiah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.229

Abstract

Antenatal Care (ANC) is one of the important aspects in maintaining the health of pregnant women and fetuses. Provision of good and standard antenatal care services, one of which is the 10T program, plays an important role in reducing maternal and infant mortality rates. However, visits by pregnant women to health centers often do not match the expected number. Therefore, this study aims to determine the effect of providing 10T ANC services on the level of visits by pregnant women at the Popayato Health Center UPTD. This study aims to determine the effect of providing 10T antenatal care services on the level of visits by pregnant women at the Popayato Health Center UPTD. This type of research is quantitative with a pre-experimental design using a one group pretest-posttest approach. The study was conducted at the Popayato Health Center UPTD involving 16 pregnant women respondents who were registered during the study period. Data were obtained through observation and interviews, and tested using the Wilcoxon test. The results of the Wilcoxon test obtained a p value = 0.000, which means p-value <0.05. This shows that there is a significant influence between the provision of 10T ANC services on increasing visits by pregnant women at the Popayato Health Center UPTD. Before the intervention, the majority of pregnant women did not make regular visits, but after being given 10T ANC services, almost all respondents increased the frequency of their visits. The provision of 10T antenatal care services has a significant effect on increasing the level of visits by pregnant women at the Popayato Health Center UPTD. The implementation of the 10T program can increase the awareness of pregnant women to undergo regular visits, which has a positive impact on the health of the mother and fetus. For health workers, it is hoped that they will continue to improve the quality of 10T ANC services in order to attract more pregnant women to make regular visits. It is hoped that health facilities will educate pregnant women more often about the importance of 10T ANC services. Further research with a larger sample size can be conducted to strengthen these findings
The Association Body Mass Index with the Incidence of Anaemia Among Students Karmila Djihu; Widia Shofa Ilmiah; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.240

Abstract

Anaemia among teenagers is a significant public health concern that can adversely affect their quality of life, cognitive function, and academic performance. Nutritional status, commonly assessed using Body Mass Index (BMI), is suspected to influence the risk of developing anaemia. This study aims to analyse the relationship between BMI and the incidence of anaemia among students at Senior High School II Rilamuta. The primary objective is to determine whether there is a statistically significant association between BMI and anaemia occurrence in this population. A quantitative correlational research design was employed, involving a purposive sample of 30 students. Data collection comprised measuring each student’s BMI and examining haemoglobin levels to assess anaemia status. The BMI was calculated based on height and weight measurements, while haemoglobin concentrations were measured using standard clinical laboratory techniques. Statistical analysis was performed using the Pearson correlation test to evaluate the strength and direction of the relationship between BMI and anaemia incidence.The results revealed a significant positive correlation between BMI and anaemia, with a Pearson correlation coefficient of 0.746 and a p-value of 0.000, indicating strong statistical significance. This finding suggests that students with higher BMI tend to have a lower risk of anaemia, highlighting the protective role of adequate nutritional status. The study confirms that BMI is a relevant factor in predicting anaemia risk among teenagers. Based on these findings, the study recommends promoting healthy nutritional habits and improving nutritional status as crucial strategies to prevent anaemia in school-aged adolescents. School health programs should emphasize balanced diets and nutritional education to address this issue effectively. Future research with larger sample sizes and longitudinal designs is encouraged to further explore causal relationships and additional factors influencing anaemia in this population.
Co-Authors ., Sulistiyah Ajeng Indah Prastika Andriani, Maya Fitri Susi Anik Purwati Asriani M. Djauhar Awa, Cyntanila Rambu Naha Ana Ayuni, Siti Qurotul Azilla Nur Hafiza Bambang Rahardjo br Ginting, Berlianta Cece Indrawati Chrisye Rani Kuheba Cicik Widayanti DANIA SAFA'ATIN AINI Delista Wodjur, Efan Desriyanti Nusi Dian Pitaloka Priasmoro, Dian Pitaloka Dyah Lestari, Aisyah efraini, emil Etni Yeyem Sumaila Firda Firliana Karim Fitri Priyanti Fitriyanti Madina Fure, Elsianty Hasanah, Ulfatul Hetty Johana Sulung Iif Wahyu Kusumawati Illa Kurnia Ikhtiar In Novalita Intan Wulandary iznih rahmi Lessy Jannahuthor, Sayyidaty Lailatul Karmila Daud Karmila Djihu Karni Simbolon, Ceti Kartikasari, Linda Keswara, Nila Widya Khoirun Nizaq Khoirurnisa, Addina Lalogiroth, Fineke Lestiya, Dita Lisnawati Husen Luthfi Mutiara Fitri Mudhofir Mahmud, Ekawati Maulina, Rifzul Mega Anita Wulandari Mega Nanda Dahlan, Putri Meliyanti Esa Mila Krisnawati Millennia Mokoginta Mudhofir, Luthfi Mutiara Fitri Nabilla, Anggita Cantika Nafisah, Izki Millah Ningsi Baizurah Nirwati Nirwati Nur Aulia Putri Nurbaya Tehuayo Pingkan JB Walean Pitaloka, Riris Dea Qurothul QUROTUL A, SITI Raden Maria Veronika Widiatrilupi Rani Safitri Ren Retnaningsih Reny Retnaningsih Reyhanah, Siti Rizka Adenanthera Putri Sugianto Rohi, Shelindian Lanesta Rombon, Savsenko Rosyidah Alfitri Salsabila, Salsabila Saputri, Hindun Wasaynab Dian Cahya Sayyidaty Lailatul Jannahuthor Siti Khusnul Khotimah, Siti Khusnul SITI MARYAM Siti Munawaroh Sri Poeranto, Sri sriwiningsih, sriwiningsih Sudarti . Sulistiyah Sumarno . Susanti Bioto Tut Rayani Aksohini Wijayanti Tut Rayani Aw Utari, Teodosia Manja Wahyuni, Rita Indra Widia Shofa Ilmiah Winasih, Sri Yulia Tri Jayantj, Yulia Yuliana Elusai Sasoloa Yunita Waney, Jein Zainal Alim