Dyah Pradnyaparmita Duarsa
Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana

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Consumption and Distribution of Iodized Salt in Subamia Village Tabanan District 2014 Manik Ulan Dewi; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p05

Abstract

Background and purpose: Consumption of iodized salt is essential to prevent iodine deficiency disorders. One of the key success of iodized salt program is the distribution. This study explored the consumption and logistical distribution patterns of iodized salt among housewives in Subamia Village Tabanan District. Methods: The study was a qualitative with data collection using two focus group discussions (FGD) of 6 active and 6 inactive cadres. Indepth interviews were conducted with two health staffs, two community leaders, one staff of Trade/Industrial Office at Tabanan District and one salt seller. Data was analysed using thematic method. Results: Respondents preferred uniodized salt because of several reasons including less bitter, tastier and cheaper than iodized salt. Moreover, the distribution of iodized salt regulated by the government was reported to be impeded the salt distribution, this resulted in the difficulty of villagers to access the iodized salt Conclusion: Appetizing flavor, access and no local regulations on distribution of iodized salt is the cause of low consumption of iodized salt in Subamia Village Tabanan District.
Factors Associated with Exclusive Breastfeeding among Mothers who Work at Home at Tabanan Regency Hesteria Friska Armynia Subratha; I Wayan Gede Artawan Eka Putra; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p10

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Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it. Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic,knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis. Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape change of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76). Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.
Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency Luh Sudemi; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p12

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Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it. Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data  were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method. Results: The EIB was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the EIB more compared with those having ≤4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of EIB had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% p<0.001 and those having received supervision, namely 77.5% vs. 33.3%(p=0.001). Multivariate analysis showed that factors associated with implementation of EIB were knowledge with APR=1.5 (95%CI: 1.04- 2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3). Conclusion: Knowledge and attitude had a significant relationship to the implementation of EIB by midwives.
The Relationship Between Self Efficacy and Mother’s Experience in Assisting Adolescents Using Gadgets Made Dewi Sariyani; Kadek Sri Ariyanti; Dyah Pradnyaparamitha Duarsa; Nur Fatihah Mutmainah
Nursing and Health Sciences Journal (NHSJ) Vol. 2 No. 3 (2022): September 2022
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v2i3.152

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Mother is the closest person to teenagers. In addition to caring, mothers also have the ability to supervise and assist teenagers in using gadgets. Self-efficacy is important in conducting supervision because it is a part of the cognitive competence. Tha purpose knowing the relationship between self-efficacy and mother's experience in assisting adolescents using gadgets. The research method uses quantitative research with 345 teenager mothers in public junior high schools in Denpasar. The result of the study is the most of the informants' mothers still had bad experiences, that is about 243 people (70.4%). The variables that have a significant effect on the dependent variable. DIII education increases the chance of 27 times (AOR = 27.54) the level of mother's efficacy in medium compared to other education. The results show that in general, most mothers still have low efficacy in terms of assisting early teenagerss who use gadgets before intervention. There is a significant positive relationship between mother's experience and mother's self-efficacy in assisting early teens who use gadgets. The suggestions that can be conveyed is Mothers are expected to be able to provide assistance to their children in the use of gadgets
STUDY FENOMENOLOGI PEMERIKSAAN TRIPLE ELIMINASI PADA IBU HAMIL DI KABUPATEN BULELENG TAHUN 2023 Ni Komang Sulyastini; Dyah Pradnyaparamita Duarsa
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 8 No. 1 (2023): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v8i1.300

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Secara global World Health Organization (WHO) melaporkan bahwa penduduk di Dunia berkisar 35 juta orang hidup dengan HIV/AIDS, selanjutnya hampir 2 milyar penduduk dunia juga menderita hepatitis B kemudian 1,46 juta telah mengalami kematian akan hal tersebut. Prevalensi infeksi HIV, Sifilis dan Hepatitis B pada ibu hamil berturut-turut adalah 0,3%, 1,7% dan 2,5%. Risiko penularannya adalah 20-45% pada HIV, 69-80% pada sifilis dan 90% pada Hepatitis B. ini mengindikasikan bahwa ketiga penyakit ini memiliki risiko morbiditas dan mortalitas yang tinggi pada ibu dan janinnya. Hal inilah yang akhirnya menjadi salah satu alasan pemeriksaan secara intensif dengan melakukan kolaborasi bersama antenatal terpadu dan program triple eliminasi.Tujuan penelitian ini ntuk mengetahui fenomena pemeriksaan Triple Eliminasi Pada Ibu Hamil Di Buleleng Tahun 2023.Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi, dilakukan di tiga puskesmas dikabupaten Bulleng dengan 15 orang partisipan. Tehnik sampling menggunakan purposive sampling, pengumpulan data dilakukan dengan wawancara semi terstruktur menggunakan pedoman wawancara serta dengan telaah dokumen. Data dianalisis dengan analisis kualitatif menggunakan metode thematic review menggunakan software Invivo12. Tema yang didapatkan meliputi: 1) Informasi, Pengetahuan, Motivasi dan persepsi Ibu hamil. 2) Hambatan. 3) Waktu Kunjungan
POSYANDU LANSIA : AKSES DAN PEMANFAATANNYA OLEH LANJUT USIA DI WILAYAH KERJA PUSKESMAS UBUD I, GIANYAR, BALI Komang Srititin Agustina; Dyah Pradnyaparamita Duarsa; Desak Putu Yuli Kurniati
Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Vol. 6 No. 1 (2020): JURNAL PENELITIAN DAN KAJIAN ILMIAH KESEHATAN POLITEKNIK MEDICA FARMA HUSADA MA
Publisher : Politeknik Medica Farma Husada Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (625.965 KB) | DOI: 10.33651/jpkik.v6i1.49

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Elderly integrated service post (Posyandu) is a place for health services which is emphasize more on promotion and preventive efforts for the elderly. In the work area of , the Community Health center (Puskesmas) Ubud I, has a sufficiently high number, but the utilization of integrated service post (Posyandu) is still low. As a result, this research aims to find out the perception of the utilization of Elderly Posyandu. Qualitative descriptive methods are used to explore and obtain in-depth information about perceptions that make it possible to get things implied about the actuality of action in utilizing the Elderly Posyandu. A total of 11 elderly women, 4 elderly men , and 1 health worker in the program was informed in this study. Information was collected with in-depth interview methods. Data were collected in May-July 2019. Data were analyzed thematically and presented using a narrative approach. This study found that the implementation of Elderly Posyandu followed the scheduling of the elderly group gymnastic. Therefore, those who visit the Posyandu were only those who participate the gymnastic group only, because those who are not in the group get less information about the implementation of integrated service post. Elderly who visit the Posyandu get health benefits (the body members have more functioning, insecure supplies, blood circulation smoothly, and sleep sleeps more soundly), healing, and a place to socialize. Perceptions of factors that encourage adherents to utilize integrated service post posyandu are the involved in the activities of Elderly Posyandu as the gymnastic instructor and the group commitee,general health check up, family support in the form of buying gymnastic equipment, and advice from the family to come to Elderly Posyandu, and suggestions by health officials to attend so the integrated health post keep exist. Elderly people who declared posyand useless because they were not present . Their Absenteeism due to the lack of information of the implementation of elderly integrated post,too busy in the household, cultural activities and work, as well as being present outside elderly gymnasitic group.
PERSEPSI SEHAT SAKIT MASYARAKAT PADA YANKES ALTERNATIF GHANTA YOGA DENPASAR Erlin Fitriyanti; Nadip Adiputra; Dyah Pradnyaparamita Duarsa
Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Vol. 7 No. 1 (2021): JURNAL PENELITIAN DAN KAJIAN ILMIAH KESEHATAN POLITEKNIK MEDICA FARMA HUSADA MA
Publisher : Politeknik Medica Farma Husada Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.498 KB) | DOI: 10.33651/jpkik.v7i1.228

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Pelayanan kesehatan tradisional di Indonesia sudah mulai diperhatikan sejak dikeluarkannya UU nomor 36 tahun 2009 tentang kesehatan dan mengalami perkembangan pada peraturan pemerintah nomor 103 tahun 2014 yang menjelaskan tata laksana dan jenis pelayanan kesehatan tradisional (Yankestrad) (Kemenkes, RI 2015). Peminat pengobatan tradisional di Bali dapat dikatakan cukup banyak. keadaan ini justru menjadi pertanyaan, mengingat fasilitas kesehatan dan pelayanan kesehatan konvensional sudah tersedia dengan cukup baik. Berdasarkan keadaan tersebut maka peneliti tertarik melakukan penelitian mengenai persepsi sehat dan sakit masyarakat terhadap pelayanan kesehatan alternatif Ghanta Yoga di Kota Denpasar. Tujuan Penelitian ini adalah mengetahui gambaran persepsi masyarakat yang berkunjung ke Pelayanan Kesehatan Alternatif Ghanta Yoga di Kota Denpasar. Penelitian ini bersifat kualitatif dengan pendekatan eksplorasi yang dilaksanakan di Yayasan Taman Bukit Pengajaran Kota Denpasar pada bulan 26 Juli – 25 Agustus 2020. Total informan sebanyak 12 orang yang terdiri dari 5 orang pengunjung sakit, 5 orang pengunjung sehat, 1 orang pengelola, dan 1 orang praktisi yoga. Hasil penelitian menunjukkan bahwa persepsi sakit sebagian besar informan yaitu penyakit yang dideritanya merupakan penyakit kronis yang telah dikonsultasikan ke tenaga medis, sering minum obat dan perlu melakukan kunjungan rutin untuk memeriksa kesehatan secara medis. Persepsi sehat informan berkaitan dengan upaya maintain kesembuhannya dan kesehatannya dengan melakukan yoga. Proses labeling penyakit yang dilakukan oleh pengunjung berawal dari diagnosa medis. Informan yang berkunjung hampir seluruhnya menderita penyakit tidak menular dan kronis seperti tumor otak, kanker payudara, prediabetes, lupus, hingga gangguan psikis. Tidak ada tarif yang berlaku bagi pengunjung yang ingin mendapatkan pengobatan di Ghanta Yoga, namun bersifat punia yang berarti sukarela sesuai kemampuan pengunjung.
PERSEPSI WUS DAN INTENSITAS PELAKSANAAN DETEKSI DINI KANKER SERVIKS METODE IVA DI WILAYAH KERJA PUSKESMAS AIKMEL LOMBOK TIMUR Raden Supini; Dyah Pradnyaparamita Duarsa; Luh Seri Ani
Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Vol. 6 No. 1 (2020): JURNAL PENELITIAN DAN KAJIAN ILMIAH KESEHATAN POLITEKNIK MEDICA FARMA HUSADA MA
Publisher : Politeknik Medica Farma Husada Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (895.745 KB) | DOI: 10.33651/jpkik.v6i1.56

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Kanker serviks merupakan penyebab utama kematian dan kecacatan, yang berdampak lebih dari 14 juta orang setiap tahun. Deteksi dini kanker serviks bertujuan untuk mengetahui perubahan prekanker, apabila tidak ditangani secara dini dapat menyebabkan kanker. Di Indonesia proporsi masyarakat yang melakukan deteksi dini kanker serviks masih rendah. Penelitian ini bertujuan untuk mengetahui bagaimana persepsi WUS dan intensitas pelaksanaan deteksi dini kanker serviks metode IVA. Penelitian ini menggunakan metode deskriptif kualitatif. Data diperoleh melalui wawancara mendalam dengan 10 WUS sebagai informan inti dan 1 orang penanggung jawab program dan 1 kepala puskesmas sebagai informan tambahan. Data dikumpulkan pada bulan September-Oktober 2019. Data dianalisis secara tematik dan disajikan dengan menggunakan pendekatan naratif. Penelitian ini menemukan bahwa gambaran persepsi WUS terhadap pemeriksaan IVA yaitu adanya rasa takut, malu dan tabu serta rasa percaya diri tidak beresiko terkena kanker serviks, hal ini disebabkan karena kurangnya intensitas dan kerja sama stake holder, tokoh agama dalam melakukan penyuluhan IVA. Meskipun semua WUS memiliki persepsi bahwa pemeriksaan IVA sangat bermanfaat untuk mencegah terjadinya kanker serviks, tetapi masih banyak wanita usia subur belum memiliki kemampuan untuk melakukan pemeriksaan. Selain itu juga faktor pendorong dalam pemeriksaan IVA adalah proses pengambilan keputusan dan dukungan suami, dimana sebagian besar suami yang dominan dalam mengambil keputusan terutama untuk kesehatan. Persepsi WUS dalam pemeriksaan IVA sebagian besar wanita enggan melakukan tes IVA karena adanya rasa takut, malu dan dan tabu, rasa percaya diri tidak berisiko pada diri individu, meskipun WUS tahu manfaat yang pemeriksaan IVA. Proses pengambilan keputusan dan dukungan suami merupakan faktor pendorong bagi WUS dalam melakukan deteksi dini kanker seviks. Serta intensitas pelaksanaan program IVA mempengaruhi persepsi WUS terhadap IVA
Evaluation of hypertension screening guidelines implementation at the public health centers in Tabanan District, Bali, Indonesia Ratnata, Gede Agung; Duarsa, Dyah Pradnyaparamita; Ani, Luh Seri
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (717.05 KB) | DOI: 10.53638/phpma.2021.v9.i2.p03

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Background and purpose:World Health Organization (WHO) reported the number of people with hypertension worldwide reached one billion in 2015. Hypertension screening is an effort to manage and control hypertension through hypertension management stages. This study aims to explore in-depth the implementation of hypertension screening guidelines performed by the public health centers (PHCs). Methods: This is a qualitative exploration with an exploratory case study approach by adopting the Lawrence W. Green Theory. This study was conducted in two PHCs in Tabanan District, those with the highest and the lowest target achievement. The factors examined were the implementation of guidelines and factors affecting it. The data were collected using in-depth interviews with ten informants and data were analyzed using thematic methods. Results: We found the predisposing factors of the implementation including the management of Health Operational Assistance (HOA) funds, the grouping of targets at risk of hypertension, hypertension screening guidelines, and the attitudes and beliefs of the officers and the community. The driving factors consisted of the lack of community participation. The inhibiting factors were indicated by the insufficient number of health workers and community support. Conclusion: There are several obstacles for the implementation of hypertension screening guidelines both from the health services side including budget allocation and community participation. Therefore, more thorough planning and measures to improve participation is needed.
Elderly perception of hypertension and its treatment in Gianyar District, Bali Ida Ayu Ratna Trisna; Duarsa, Dyah Pradnyaparamita; Ani, Luh Seri
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p03

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Background and purpose: The risk of hypertension increases in the elderly, while treatment adherence plays a crucial role in controlling blood pressure in the elderly. This study aims to explore the elderly's perception of hypertension and its treatment. Methods: This study used an exploratory qualitative design. Data were obtained through in-depth interviews about the elderly's perception of hypertension and its medication, health-seeking behavior, and cues to action in undergoing treatment for 6 elderlies with hypertension and 4 health workers in Gianyar District in July-September 2020. The data obtained were analyzed using thematic methods. Results: This study identified 2 big themes, namely the elderly's perception of hypertension and seeking behavior. The elderly's perception of hypertension is described from the perceived vulnerability from the aspect of age, lifestyle, and heredity. Hypertension is seen as a serious disease by the elderly, particularly from the complications aspect, while complaints felt are not considered serious unless they interfere with activities or have to undergo treatment. Reduced complaints and controlled blood pressure are the perceived benefits of treatment and lifestyle adjustments: long-term medication, side effects of drugs, and traditional medicine as obstacles for the elderly in undergoing treatment. The elderly seek treatment based on their trust and comfort in health workers, infrastructure, access to health services, and support from health workers and the government. Conclusion: The perception of barriers to treatment and health-seeking behavior of the elderly in seeking treatment play a significant role in determining the medicational therapy that the elderly undergoes, which can prevent complications. Family support for the elderly is essential in overcoming obstacles and increasing elderly adherence to medication.
Co-Authors Abadi, Moh Fairuz Ajeng Diantini, Ajeng Ani Agustini Gaspersz Ariana, Putu Agus Ariastuti, Luh P. Ariwidyastuti, Cokorda Istri Ayu Ratih Cempakasari Cokorda Bagus Jaya Lesmana Cokorda Istri Ariwidyastuti DA Mirah Ardrini Desak Putu Risna Dewi Desak Putu Yulita Kurniati Dewi, Desak Putu Risna Dewi, I Gusti Agung Ayu Chandra Iswari Dewi, Manik Ulan DIGAA, Chandra Iswari Dinar Lubis Dinar Lubis Emiliana Mariyah Erlin Fitriyanti Florensa Krismawati Gde Ngurah Idraguna Pinatih Handayani, Ni Made Astini Hesteria Friska Armynia Subratha I Gusti A. Ayu Sherlyna Prihandhani I Gusti Ngurah Pramesemara I Made Ady Wirawan I Made Santiana I MADE SUTARGA I Nyoman Hariyasa Sanjaya I Nyoman Mangku Karmaya I Nyoman Sutarsa I Nyoman Sutarsa, I Nyoman I Wayan Ardika I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Murdita I Wayan Weta Ida Ayu Ratna Trisna Ida Bagus Ngurah Rai IWA, Wirya Pratama K Tangking Widarsa Kadek Sri Ariyanti Kadek Tresna Adhi Kadek Yowanda Pangestu Karminiasih, Ni Luh Putu Komang Ayu Kartika Sari Komang Srititin Agustina Luh Putu Lila Wulandari Luh Seri Ani Luh Sudemi M. FAIRUZ ABADI, M. FAIRUZ Made Dewi Sariyani Made Sugiana Manik Parmelia Manik Ulan Dewi Maria Ulfah Maria Ulfah Mathew Giyan Mde Dewi Sariyani Mohammad Hakimi Murdita, I Wayan Nadip Adiputra Nara Adriana Nara Adriana, Nara Ni Kadek Neza Dwiyanti Ni Kadek Yuliati Ni Komang Ekawati Ni Komang Sulyastini Ni Luh Putu Devhy Ni Luh Putu Devhy, Ni Luh Putu Ni Luh Putu Karminiasih Ni Luh Putu Suariyani Ni Made Astini Handayani Ni Made Sri Nopiyani Ni Made Widya Juliati Ni Nyoman Sri Budayanti Ni Putu Idaryati Ni Wayan Sutarmi Ni Wayan Tianing Ni Wayan Trisnadewi, Ni Wayan Nida Gustikawati Nida Gustikawati, Nida Ninik Andrias Nur Fatihah Mutmainah Nyoman Sri Ariantini Nyoman Sri Ariantini Olivia Vanya Wardoyo Ompusunggu, Hillary Sekarningrum P., Gede Odi Bayu D. Pande Made Respa Dharma Syantih Pande Putu Januraga Pratama, I Wayan Agus Wirya Prihandhani, I Gusti A. Ayu Sherlyna Putu Ayu Indrayathi Putu Ayu Sani Utami Putu Ayu swandewi astuti Putu Cintya Denny Yuliyatni R. A.T. Kuswardhani Raden Supini Raditya Putra Pratama Suryadhi Rai, Ida Bagus Ngurah Ratnata, Gede Agung Rini Winangsih Rini Winangsih, Rini Santiana, I Made Sawitri, Anak Agung Sagung Sitompul, Jos Iswadi Sri Idayani Sri Idayani, Sri Suaryani, Luh Putu Sudemi, Luh Sugiana, Made Trisnadewi Trisnadewi, Trisnadewi Vivin Sumanti Vivin Sumanti Wardana, Ketut Eka Larasati Wayan Citra Wulan Sucipta Putri Widowati, I Gusti Ayu Rai - Wulandari, Luh Putu Lila Yudha Rahina, Yudha Yuliati, Ni Kadek