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Analysis Environmental Factors of Diarrhea in East Kalimantan Province Based on a Large-Scale Survey Muhammad Aidil Fitrah; Ayudhia Rachmawati; Vivi Filia Elvira; Morrin Choirunnisa Thohira; Syamsir Syamsir
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Diarrhea remains a global public health problem with high morbidity and mortality rates. Environmental conditions such as poor sanitation infrastructure and hygiene practices have the potential to increase the risk of diarrhea. Objective : This study aims to analyze the relationship between environmental factors and the incidence of diarrhea in East Kalimantan Province based on big data from the 2023 Indonesian Health Survey (SKI). Research Methods/ Implementation Methods : This study employed a cross-sectional design using secondary data from 15,854 SKI respondents. Variables included gender, education, drinking water sources, water quality and treatment, storage containers, wastewater disposal, waste management, sanitation access, and hygiene practices. Data were analyzed using Chi-square and logistic regression to determine independent environmental factors influencing diarrhea incidence. Results : The prevalence of diarrhea was 2.1%. Bivariate analysis showed a significant association between the incidence of diarrhea and education (p=0.001), drinking water source (p=0.003), physical quality of drinking water (p=0.000), raw water source (p=0.012), waste management (p=0.002), and sanitation hygiene (p=0.000). In the models of multivariable logistic regression analysis, it was found that physical quality of drinking water (AOR=2.058; p<0.001), level of education (AOR=2.008; p<0.001), and waste management (AOR=1.276; p=0.032) were the main determinants of diarrhea incidence. Conclusion/Lesson Learned : Poor drinking water quality, low levels of education, and inadequate waste management increase the risk of diarrhea in East Kalimantan. Efforts to improve water quality, environmental health education, and household-based waste management need to be strengthened to reduce the incidence of diarrhea.
Assessment of Housing Conditions and Clean Water Sources as Determinants of Environmental Health in Rural Areas of Tenggarong Seberang District, Indonesia Abdul Ridho Dhafa Risqillah; Tirsa Aulia Juniarti; Siti Fadilah Harun; Ashri Rahmaya Nur; Angela Lionthin Salsa; Putri Fitria Listi; Ayudhia Rachmawati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/mictoph.v2i2.4274

Abstract

Background : Community health status is strongly influenced by environmental factors, particularly housing conditions and access to clean water. Poor environmental quality increases the risk of environmentally related diseases such as diarrhea, skin infections, and acute respiratory infections (ARI). Objective : This study aimed to assess the physical quality of houses and sources of clean water as a basis for improving environmental health in rural areas. Research Methods/ Implementation Methods : A quantitative descriptive design with univariate analysis was employed in Bukit Pariaman Village, Suka Sari Hamlet, Tenggarong Seberang District. Data were collected through field observation, structured interviews, and questionnaires involving 57 household heads. Results : Findings revealed that 84.2% of houses had adequate ventilation and 73.7% had permanent walls, whereas 26.3% lacked sufficient natural lighting. Approximately 96.5% of households accessed clean water through piped water systems; however, 33.3% stored water in uncovered containers and 12.3% had wells located less than 10 meters from septic tanks, posing contamination risks. In addition, 70.2% of households owned private latrines, while 29.8% used shared facilities. Conclusion/Lesson Learned : Most households met the criteria for healthy housing, yet improvements are needed in lighting, water source distance, and water storage practices to minimize the risk of environmentally related diseases.
Faktor Fisik Lingkungan dan Perilaku Merokok sebagai Prediktor Sick Building Syndrome Pada Pegawai di Kantor Dinas Kesehatan Provinsi Kalimantan Timur Syafira Fitri; Vivi Filia Elvira; Dewi Novita Hardianti; Ayudhia Rachmawati; Masithah Masithah
Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat Vol 26 No 1 (2026): Jurnal Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/sulo.v26i1.2145

Abstract

Sick Building Syndrome (SBS) is a group of health complaints caused by poor indoor air quality and commonly affects office workers. This study aimed to analyze the effect of humidity, lighting intensity, PM₁₀ concentration, and smoking behavior on SBS symptoms among employees of the East Kalimantan Provincial Health Office. This research was conducted in 2025 using an analytic observational design with a cross-sectional approach. The population consisted of 128 employees selected using total sampling. Data were collected through direct measurement using hygrometer, lux meter, and particulate matter monitor, along with structured questionnaires for SBS symptoms and smoking behavior. The questionnaire was adapted from the US EPA BASE Study instrument (US EPA, 1998) with adequate validity and reliability (Cronbach's alpha >0.7). Data were analyzed using univariate, chi-square test, and binary logistic regression. The results showed that 52.3% of respondents experienced SBS symptoms. PM₁₀ concentration significantly affected SBS occurrence (p = 0.029; OR = 3.263; 95% CI = 1.131–9.418), while humidity, lighting intensity, and smoking behavior were not significant. PM₁₀ was identified as the dominant factor influencing SBS. Priority interventions including HEPA filter installation, 5R K3 program, and intensive cleaning are recommended to reduce PM₁₀ concentration and lower the risk of SBS in office environments.
Analisis Pajanan PM10 dan PM2,5 terhadap Gangguan Pernapasan pada Pekerja Sektor Informal Industri Tahu di Kelurahan Selili Alfina Rahma Adila; Ayudhia Rachmawati; Masithah Masithah; Vivi Filia Elvira; Syamsir Syamsir
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 2 (2026): Mei - Agustus 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.2.105-115.2026

Abstract

Industri tahu sektor informal yang menggunakan bahan bakar kayu berpotensi menghasilkan partikulat PM10 dan PM2,5 dalam konsentrasi tinggi di lingkungan kerja. Kondisi ini menurunkan kualitas udara pada ruang produksi semi-indoor sehingga meningkatkan risiko gangguan pernapasan pada pekerja. Penelitian ini bertujuan untuk menganalisis pajanan PM10 dan PM2,5 terhadap gangguan pernapasan pada pekerja industri tahu di Kelurahan Selili. Metode yang digunakan adalah Analisis Risiko Kesehatan Lingkungan (ARKL) melalui pengukuran konsentrasi particulate matter menggunakan alat Dust Detector, serta wawancara menggunakan kuesioner St. George’s Respiratory Questionnaire (SGRQ) untuk menilai gangguan pernapasan. Selain itu, dilakukan perhitungan intake, Risk Quotient (RQ), dan analisis manajemen risiko. Hasil penelitian menunjukkan rata-rata konsentrasi PM10 sebesar 1,054 mg/m³ dan PM2,5 sebesar 0,333 mg/m³ pada 21 titik. Seluruh responden memiliki nilai RQ > 1 dengan rata-rata RQ PM10 sebesar 9,190 dan PM2,5 sebesar 2,258, yang menunjukkan pajanan melebihi batas aman. Kesimpulan penelitian ini adalah pajanan PM10 dan PM2,5 berada pada tingkat berisiko dan berpotensi menyebabkan gangguan pernapasan. Disarankan pengendalian melalui penambahan ventilasi (exhaust fan), penggunaan masker N95, serta bahan bakar lebih ramah lingkungan, disertai edukasi dan pengawasan rutin untuk meningkatkan keselamatan kerja.
Analisis Risiko Kesehatan Lingkungan Pajanan CO2 Pada Pekerja TPAS Manggar Kota Balikpapan Vivi Filia Elvira; Morrin Choirunnisa Thohira; Ayudhia Rachmawati; Muhammad Aidil Fitrah; Syamsir Syamsir; Akhmad Dzikri
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 2 (2026): Mei - Agustus 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.2.123-133.2026

Abstract

Paparan karbon dioksida (CO2) di Tempat Pemrosesan Akhir Sampah (TPAS) berpotensi menimbulkan gangguan fisiologis pada pekerja akibat akumulasi gas dari dekomposisi sampah organik. Penelitian ini bertujuan menganalisis risiko kesehatan lingkungan akibat paparan CO2 pada pekerja TPAS Manggar, Kota Balikpapan, menggunakan pendekatan Analisis Risiko Kesehatan Lingkungan (ARKL). Penelitian analitik observasional ini melibatkan 40 pekerja. Konsentrasi CO2 diukur menggunakan metode direct reading/real-time monitoring, disertai pengukuran faktor meteorologis dan respons fisiologis pekerja. Analisis risiko dilakukan melalui perhitungan Risk Quotient (RQ), sedangkan hubungan kategori intake dengan temperatur, frekuensi napas, kadar oksigen, dan denyut jantung dianalisis menggunakan uji chi-square dan independent t-test. Hasil menunjukkan konsentrasi CO2 meningkat dari 380 ppm menjadi 430 ppm pada kondisi kecepatan angin rendah (1,94 m/s), suhu 29–31°C, dan kelembaban tinggi (75–85%). Nilai RQ real-time (0,076), 10 tahun (0,426), dan 20 tahun (0,776) masih berada pada kategori aman (RQ<1), sedangkan RQ 30 tahun (1,126) menunjukkan potensi risiko kesehatan non-karsinogenik akibat paparan jangka panjang. Frekuensi napas memiliki hubungan bermakna dengan kategori intake. Paparan CO2 di TPAS Manggar berpotensi meningkatkan risiko kesehatan jangka panjang sehingga diperlukan pemantauan kualitas udara, penggunaan APD, pengaturan waktu kerja, dan edukasi kesehatan kerja.
Faktor- Faktor yang Berhubungan dengan Penyakit Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Temindung Kota Samarinda Desy Hajizah; Irfansyah Baharuddin Pakki; Ayudhia Rachmawati; Siswanto Siswanto; Muh Amri Arfandi
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.6089

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health concern, particularly in tropical regions such as Indonesia, where it has persisted for over five decades. In 2023, Samarinda ranked third among ten regencies or cities in East Kalimantan with the highest number of DHF cases. One of the primary health centers consistently ranking among the top three with the highest DHF cases in Samarinda from 2021 to 2023 is Temindung Public Health Center. Environmental conditions and community behavior are believed to play significant roles in the transmission of this disease. This study aimed to identify factors associated with DHF incidence, including the condition of water storage containers (TPA), lighting, the presence of mosquito larvae, and Mosquito Nest Eradication (PSN) behavior. A cross-sectional design with a quantitative approach was used, involving 138 respondents selected through purposive sampling within the working area of Temindung Public Health Center. Data were collected using questionnaires, direct observation, and lighting measurements, and analyzed using the Chi-square test. The results showed significant associations between the availability of TPA covers (p = 0.037), household lighting (p = 0.017), PSN behavior (p = 0.000), and the presence of mosquito larvae (p = 0.000) with DHF incidence. These factors are interrelated in increasing the risk of DHF transmission in residential areas. Proper management of water storage, adequate household lighting, mosquito larvae control, and improved PSN behavior are crucial in reducing DHF cases. Active involvement of both the community and public health centers is essential in implementing continuous and sustainable preventive measures.
ECOBRICK SEBAGAI SOLUSI DALAM MINIMASI LIMBAH PADAT DI KAWASAN WISATA PESISIR KABUPATEN BERAU Muhammad Aidil Fitrah; Vivi Filia Elvira; Syamsir Syamsir; Ayudhia Rachmawati; Riyan Ningsih; Blego Sedionoto; Sitti Badrah
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29578

Abstract

Abstrak: Produksi limbah padat di kawasan wisata pesisir terus meningkat akibat perilaku dan praktik pengelolaan sampah yang tidak memadai sehingga menyebabkan pencemaran lingkungan pesisir. Salah satu solusi inovasi untuk minimasi limbah padat khususnya plastik secara sederhana melalui pembuatan ecobrick. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat dalam pengelolaan limbah padat di kawasan wisata pesisir Kab. Berau. Metode yang diterapkan dalam kegiatan pengabdian Masyarakat meliputi tahap persiapan, sosialisasi, simulasi praktik, serta monitoring dan evaluasi menggunakan instrumen pre-test dan post-test dengan jumlah sampel 13 Orang (n-13). Hasil evaluasi menunjukkan rata-rata pengetahuan masyarakat dari 76,92% pada pre-test menjadi 92,3% pada post-test, dengan peningkatan sebesar 15,38%. Berdasarkan hasil tersebut maka disimpulkan terdapat peningkatan pengetahuan masyarakat tentang pengelolaan limbah plastik menjadi ecobrick. Kegiatan ini diharapkan dapat memberikan kontribusi signifikan terhadap pengelolaan lingkungan yang berkelanjutan dan bernilai ekonomis di kawasan wisata pesisir.Abstract: Solid waste production in coastal tourism areas continues to increase due to inadequate waste management behavior and practices, causing pollution of the coastal environment. One of the innovative solutions for solid waste minimization, especially plastic, is simply through ecobricking. This community service activity aims to increase community knowledge and skills in solid waste management in the coastal tourism area of Teluk Sulaiman Village, Biduk-biduk District, Berau Regency. The methods applied in community service activities include the preparation stage, socialization, practical simulation, and monitoring and evaluation using pre-test and post-test instruments with a sample size of 13 people (n-13). The evaluation results show the average community knowledge from 76.92% in the pre-test to 92.3% in the post-test, with an increase of 15.38%. Based on these results, it is concluded that there is an increase in community knowledge about managing plastic waste into eco-bricks. This activity is expected to significantly contribute to sustainable environmental management and economic value in coastal tourism areas.
Association Between Indoor Environmental Conditions and Airborne Bacterial Counts in Inpatient Rooms at I.A. Moeis Regional Public Hospital, Samarinda Nur Nazliyatun Nada; Ayudhia Rachmawati; Riyan Ningsih; Blego Sedionoto; Vivi Filia Elvira
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.2.230-244

Abstract

Hospitals are highly vulnerable to indoor air pollution, particularly in inpatient rooms where interactions among patients, visitors, and healthcare workers may influence environmental sanitation and infection risk. This study aimed to assess airborne bacterial counts and indoor environmental conditions and to explore their associations in inpatient rooms at I.A. Moeis Regional Public Hospital, Samarinda. An exploratory cross-sectional environmental assessmentwas conducted in 7 rooms selected purposively based on room class and function. Airborne bacteria were measured using the Total Plate Count method, while environmental parameters included temperature, humidity, lighting, occupancy density, disinfection frequency, and ventilation conditions. Data were analyzed using univariate and correlation tests. The mean bacterial count was 317.86 CFU/m³, ranging from 98 to 397 CFU/m³, and no room exceeded the upper reference limit of 500 CFU/m³. The mean temperature was 25.5°C, above the recommended range, while mean humidity was 71% and reached 83%, exceeding the recommended range of 40–60%. Two rooms had lighting below 100 lux, and room-space compliance varied. Disinfection was performed twice daily. No significant associations were observed between bacterial counts and temperature, humidity, lighting, or occupancy density (p > 0.05). These findings should be interpreted cautiously because the small sample size (n = 7) limited statistical power. Hospitals should strengthen routine microbial monitoring, maintain ventilation and air-conditioning systems, assess airflow and air-exchange effectiveness, control temperature and humidity, manage occupancy, and consistently implement disinfection and environmental hygiene practices.
Determinant of PM2.5 and PM10 Concentrations in Residential Areas of Sungai Pinang and Samarinda Ulu Districts, Samarinda City, Indonesia Aprilianus Reynaldy Nurak; Ayudhia Rachmawati; Rea Ariyanti; Riyan Ningsih; Dewi Novita Hardianti
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol. 20 No. 2 (2026)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v20i2.5618

Abstract

Indoor air quality significantly affects occupants’ health, particularly by increasing the risk of respiratory disorders. This analytical observational study employed a cross-sectional design to examine the relationship between the physical characteristics of house and their surrounding environment and the concentrations of PM2,5 and PM10 particulates in Sungai Pinang and Samarinda Ulu Districts. A total of 151 houses were selected using purposive sampling. The variables investigated included wall condition, ventilation, ceiling condition, type of cooking fuel, occupancy density, and the presence of plants. PM2,5 and PM10 concentrations were measured using a Dust Sampler, and the data were analyzed using univariate and bivariate analyses (Mann-Whitney and Kruskal-Wallis tests). The results showed variations in particulate concentrations between the two study locations. At he first location, the mean PM2,5 and PM10 concentrations were 9 µg/m³ and 52 µg/m³ respectively (temperature 32.15°C; relative humidity 71%). At the second location, the mean concentrations were 12 µg/m³ and 71 µg/m³ (temperature 33.14°C; relative humidity 72%). Most houses had non-permanent walls (72.8%) and ventilation that did not meet the recommended health standards (99.3%). Bivariate analysis indicated that wall conditions was the only variable significantly associated with PM2.5 (p=0.040) and PM10 (p=0.049) concentrations. No statistically significant associations were observed for the other variables. In conclusion, wall condition is an important determinant of indoor particulate concentrations. Improving building quality, particularly wall construction, along with strengthening environmental health education, may help reduce particulate exposure and its associated health risks within the community.
Association between occupational NO₂ exposure and hypertension risk: a PRISMA-based systematic review with risk-of-bias assessment Ayudhia Rachmawati; Morrin Choirunnisa Thohira; Muhammad Aidil Fitrah; Vivi Filia Elvira
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27111

Abstract

Nitrogen dioxide (NO₂) is a major air pollutant generated from fossil fuel combustion in transportation and industrial activities and is associated with adverse health effects. Prolonged exposure to NO₂ may induce chronic inflammation and endothelial dysfunction, which contribute to the development of hypertension. This study aimed to systematically review the association between NO₂ exposure and the incidence of hypertension among workers. The review was conducted in accordance with PRISMA guidelines, with literature searches performed in Google Scholar, PubMed, and ScienceDirect for publications from 2020 to 2025. Inclusion criteria comprised full-text articles in English or Indonesian employing observational study designs (cross-sectional, cohort, case-control, or ecological) and involving workers in both formal and informal sectors. Eligible studies examined NO₂ exposure as the independent variable and hypertension as the outcome. Of 2,051 records identified, five studies met the inclusion criteria, originating from China and Nigeria. Risk of bias was assessed using the office of health assessment and translation (OHAT) risk of bias tool. The findings demonstrated a consistent association between NO₂ exposure and an increased risk of hypertension, particularly in poorly ventilated work environments. These results underscore the importance of improving workplace air quality management, strengthening exposure monitoring, and implementing preventive occupational health strategies.
Co-Authors Abdul Ridho Dhafa Risqillah Adam Prima Harum Adelina Butar Butar, Bellinda Afanin Qanit Adhanajwan Afifah Bidayah Ainida Dewi Arwana Akhmad Dzikri Akhmad Dzikri Al Mubarok, Ahmad Zakki Alfina Rahma Adila Alif Fajar Saputra Alifka Ramadani, Sela Amalia, Syaumi Nur Amirah, Nada Anastasya, Melisa Angela Lionthin Salsa Anitatia Ratna Megasari Aprilia Sarwani, Audi Aprilianus Reynaldy Nurak Arnelya Natasha Lumadyo Arsyina, Lia Ashri Rahmaya Nur Ayu Amalia Rahmi Azzahra, Gasella Aurelia Bambang Wispriyono Bella Sapitri Blego Sedionoto Blego Sedionoto Blego Sedionoto, Blego Bryan Setya Pradita Cica Rahmawati Daffi Maulany, Ahmad Danang Wahansa Sugiarto Danang Wahansa Sugiarto Desy Hajizah Dewi Novita Hardianti Dewi Novita Hardianti Dhafin, Ahmad Dortua Lince Sidabalok Dwi Wahyu Wardhana Ellanda Yunisa Elvira, Vivi Filia Erna Fidyatun Erri Larene Safika Ervini Ervini Evi Martha Fauzi , Fahri Frisa Nabila Hasbiah Ika Wulan Sari Inayah, Andini Nur Tsabita Irene Fidela Fuan Taruk Padang Irfansyah Baharuddin Pakki khadri, Albrian Lasya Fauzia Marsanda, Siti Masithah Masithah Masithah Masithah Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Masyhuri Majiding, Chaidir Mei Riesda Putri Suhartono Mei Rieska Putri Suhartono Misnawati Morrin Choirunnisa Thohira Morrin Choirunnisa Thohira Muh Amri Arfandi Muhammad Aidil Fitrah MUHAMMAD RIZAL Munawati Banne La’bi Muzaqi , Muhammad Choirul Nabilla Nabilla Nabillah, Nur Annisa Nur Nazliyatun Nada Nur, Muhammad Roihan Nurhidayat , Rifki Nurilmi, Alifani Siti Nurmala Indika Oniek Lestari, Oniek Pardilla , Irva Alrisyaduhita Puri Handayani Puspita , Shindy Putra, Umar Farauk Eka Putri Fitria Listi Rachmadani, Nova Sri Rahma Nabilla, Hanifah Rahmadani, Tiara Fitri Ratih Wirapuspita Wisnuwardani Ratu Zulaikha Ravli Saputra, Ardi Rea Ariyanti Redi Yudha Irianto Riagil , Julia Putri Ridho Abdilah, Muhammad Noval Riyan Ningsih Riyan Ningsih Riyan Ningsih Rosandini , Adella Nadhif Rugayyah, Syarifah Sabrinanova, Monanda Sartika, Afnila Sasmita, Khania Fazza Siswanto Siswanto Siti Fadilah Harun Siti Nuraini Sitohang, Yohana Sitti Badrah Sri Rahmayanti, Sri Syafira Fitri Syamsir Syamsir Syamsir Syamsir Syamsir Syamsir Syamsir Syamsir Syamsir Syamsir Sya’diah Rahmah Fulaiyah Tiara Fitri Aulia Tirsa Aulia Juniarti Tirsa Tonapa Umhersuny, Brithnay Vensca Valencia Utami, Reza Evelin Virgil, Aron Natala Vivi Filia Elvira Wulandari, Tiara Sahfitri Wulandari, Yanti Nur Yumanda , Inayah Dwi Setia Zalzabila Maharani, Siti Malikha