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The Influence of Home Environment and Habits on Pulmonary Tuberculosis Transmission in Teminabuan South Sorong District Naolin, Imelda; Iskandar, Ishaq; Adam, Arlin; Zamli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 9 (2024): September 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i9.5719

Abstract

Introduction: The 2023 report from the Tuberculosis Working Group of the Directorate for Prevention and Control of Communicable Diseases, Ministry of Health of the Republic of Indonesia, showed an increase in detected pulmonary TB cases from 724,309 cases in 2022 to 821,200 cases in 2023. This increase aligns with the coverage rate of pulmonary TB rising from 68% in 2022 to 77% in 2023. The estimated detection of pulmonary TB cases in Indonesia from 2023-2024 is around 1,060,000 cases. At the provincial level, the case notification achievements showed that West Papua Province had a notification coverage of 112%, while West Papua Province had only 66%. Objective: The aim of this research is to examine the influence of physical environmental factors at home and the habits of pulmonary TB sufferers on the incidence of pulmonary TB as a factor in the transmission of pulmonary TB in South Sorong Regency. Method: The method used in this research is quantitative analysis with a cross sectional approach by carrying out logistic regression analysis. Result: The results of the study showed that the type of floor, humidity, the habit of opening and closing windows, cough etiquette and the habit of expelling phlegm were related to the incidence of pulmonary TB. There is no relationship between lighting levels, residential density, ventilation area, temperature and smoking habits on the incidence of pulmonary TB. The habit of expelling phlegm is the variable that has the most influence on the incidence of pulmonary TB (aPR 7.630 95%CI 1.991-29.242).. Conclusion: This research recommends promotion of stone ethics and monitoring of the housing conditions of pulmonary TB sufferers. Evaluation of programs and infrastructure improvements by the South Sorong District Health Service.
Analysis of Achievement of Malaria Elimination Maintenance in Sorong Selatan District Allo, Maya Rante; Iskandar, Ishaq; Adam, Arlin; Zamli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 9 (2024): September 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i9.5823

Abstract

Introduction: . The goal of malaria control in Indonesia is to achieve gradual elimination by 2030, starting from the district/city, provincial, regional, and national levels. The process will begin with elimination assessments for Java and Bali in 2023; Sumatra, Nusa Tenggara Barat (NTB), and Sulawesi in 2025; Kalimantan and Maluku Utara in 2027; Nusa Tenggara Timur (NTT) and Maluku in 2028; Papua Barat and Papua in 2029; with national elimination certification expected by 2030 Objective: . This study aims to understand the inputs, activities, and outputs conducted by South Sorong District in maintaining malaria elimination Method: The method used is a qualitative approach with interviews conducted with nine informants, including healthcare workers and community members. Result: The results of this study indicate that in South Sorong District, trained healthcare workers and cross-professional collaboration play a crucial role in malaria elimination, despite limited numbers and funding from APBN, APBD, and the Global Fund. The Bela Kampung program raises community awareness, supported by routine monitoring and control activities such as blood surveys and the distribution of insecticide-treated nets. The district has successfully maintained its malaria elimination status despite challenges such as community dishonesty and budget constraints. Optimizing community awareness, cross-sector collaboration, the commitment of the regent, and program innovation help address these challenges. Conclusion: The study recommends increasing the number of healthcare workers and strengthening cross-sector collaboration to maintain malaria elimination in South Sorong District. Additionally, increasing funding and ongoing support from the local government are necessary.
Relationship Between Satisfaction and Employee Performance at Scholoo Keyen Hospital in 2024 Yulce Howay, Yuliana; Uly, Nilawati; Muttaqien Al-Maidin, Achmad R.; Zamli, Zamli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 8 (2024): August 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i8.5849

Abstract

Introduction: Human resources (HRM), as the main organ of an organization, plays a critical role in achieving the organization's goals. The degree of patient satisfaction is influenced by how the hospital serves them. Objective: The goal of this study is to determine the relationship between staff satisfaction and performance at the Scholoo Keyen District General Hospital in Sorong South District. Method: Researchers gather data from a group of respondents using a type of survey research, a quantitative research method, to try to understand how a particular phenomenon can occur. Result: The results of research based on performance variables show that the performance category is less than 0 people (0%), adequate is 11 people (8,3%), and the good category is 121 people (91,7%). The satisfaction variable shows the category of less than 0 people (0%), 34 people (25,8%) in the fair category, and 98 people (74,2%) in the good category. The Kruskall-Wallis test results show variable satisfaction with employee performance, with a p-value of 0,000. Conclusion: According to the Kruskal-Wallis test, the p-value for satisfaction with employee performance was 0.000. p-valued 0,000 < 0,05 until Ho rejected If accepted, we can assert a relationship between employee satisfaction and performance in the RSUD Scholoo Keyen district of Sorong South.
Relationship Between Patient Satisfaction and Pharmaceutical Services at Scholoo Keyen Regional Hospital 2024 Battiling, Ferida; Uly, Nilawati; Muttaqien Al-Maidin, Achmad R.; Zamli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 8 (2024): August 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i8.5850

Abstract

Introduction: The quality of hospital pharmaceutical services must be maintained because it greatly influences patient satisfaction. Pharmaceutical service is a direct and responsible service to patients related to pharmaceutical preparations with the aim of achieving definite results to improve the patient's quality of life. Patients will receive satisfaction from the quality of service provided by the hospital. Objective: The aim is to ascertain the correlation between the level of outpatient satisfaction and the quality of pharmaceutical services at the outpatient depot pharmacy installation at Scholoo Keyen Regional Hospital, South Sorong Regency, in 2024. Method: We conducted quantitative descriptive analytical research using a given questionnaire, and then we conducted interviews to supplement the qualitative data, deepening the field's findings and producing a comprehensive understanding of the studied phenomenon. Result: The satisfaction variable yielded the following results: 1 person (4%) expressed dissatisfaction, 91 expressed satisfaction (37%), and 154 expressed extreme satisfaction (62.6%). According to the reliability dimension, service quality was not important in category 0 (0%), important in category 11 (4.5%), and very important in category 235 (95.5%). Responsiveness: not important 0 (0%), important 9 people (3.7%), and very important 237 (96.3%). Assurance: not important 0 (0%), important 7 (2.8%), and very important 239 (97.2%). Empathy is not important at 0 (0%), important at 8 (3.3%), and very important at 238 (96.7%). Empathy is classified as tangible, not important at 0%, important at 20 (8.1%), and very important at 226 (91.9%). The Kruskall-Wallis test found that patients were satisfied with the services they received on all five dimensions: reliability (0.014), responsiveness (0.000), assurance (0.008), empathy (0.003), and tangible (0.009). Conclusion: According to the Kruskal-Wallis test, the p-value for satisfaction with employee performance was 0.000. p-valued 0,000 < 0,05 until Ho rejected If accepted, we can assert a relationship between employee satisfaction and performance in the RSUD Scholoo Keyen district of Sorong South.
Analisis Faktor-Faktor Yang Mempengaruhi Kelelahan Kerja Pada Tenaga Kesehatan Ningrum, Sri Hutami Ayu; Adam, Arlin; Sainuddin, Sudirman; Zamli, Zamli
Bunda Edu-Midwifery Journal (BEMJ) Vol. 7 No. 2 (2024): September 2024
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v7i2.219

Abstract

Penelitian ini membahas Faktor-Faktor Yang Mempengaruhi Kelelahan Kerja Pada Tenaga Kesehatan Di Puskesmas Basse Sangtempe Utara. Penelitian ini adalah penelitian kuantitatif dengan desain deskriptif. Hasil penelitian terdapat pengaruh pada jalur I dimana t tabel 1.696 sedangkan t hitung pada variable bebean kerja nilai t hitung 1,918 dan nilai signifikansi 0.001, umur nilai t hitung 1888 dan nilai signifikansi 0,002, waktu kerja nilai t hitung 1.719 dan nilai signifikansi 0.000. hal ini menunjukkan terdapat pengaruh dimana nilai t hitung < nilai t table, nilai signifikansi > 0.05.pada uji analisis pada jalur II diketahui terdapat pengaru dimana nilai t hitung pada variable kelelahan kerja nilai t hitung 2.050 dan nilai signifikasi 0.003, variable umur nilai t hitung 2.343 dan nilai signifikasi 0.006. variable waktu kerja nilai t hitung 3.123 dan nilai signifikasi 0.004.variabel lam kerja nilai t hitung 1.808 dan nilai signifikasi 0.007.Pada uji sobel test terdapat pengaruh antara variable beban kerja terhadap kelelahan kerja melalui lama kerja dimana nilai t hitung 3.1549 dan nilai signifikansi 0.007. variable umur terhadap kelelahan kerja melalui lama kerja dimana nilai t hitung 2.7007 dan nilai signifikansi 0.006. variable waktu kerja terhadap kelelahan kerja melalui lama kerja dimana nilai t hitung 3.6349 dan nilai signifikansi 0.002. Pimpinan harus lebih peduli terhadap pegawai puskesmas, untuk selalu memperhtikan beban kerja pegawai. Sebaiknya buat pegawai yang usianya > 35 tahun dan yang memegang program agar tugas dalam memegang pasien lebih dikurangi, mengingat mereka memilii beban kerja ganda.
Kinerja Perawat Analisis Faktor Yang Berhubungan Dengan Kinerja Perawat Di Rumah Sakit Mega Buana Kota Palopo: Analisis Faktor Yang Berhubungan Dengan Kinerja Perawat Di Rumah Sakit Mega Buana Kota Palopo Wahyuddin, Wahyuddin; Ilyas, Muh; Saenuddin, Sudirman; Zamli, Zamli
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.375

Abstract

The standard of nursing care given to patients reflects good performance, which is supported by the high competence of nurses in executing their duties .This study aims to identify the factors influencing nurse performance at Mega Buana Hospital in Palopo City. “Utilizing a quantitative approach with a cross - sectional studydesign , theresearch encompassed all nurses working at Mega Buana Hospital, with a sample size of 80 nurses selected through total sampling” . Data analysis was conducted using univariate and bivariate methods, employing the Chi -Square Test for statistical analysis. The results of the study showed that there was a relationship between attitude and nurse performance at Mega Buana Hospital Palopo (p value = 0.012), there was a relationship between skills and nurse performance at Mega Buana Hospital Palopo (p value = 0.001), there was a relationship between compensation and nurse performance at Mega Buana Hospital Palopo (p value = 0.002), and there was a relationship between workload and nurse performance at Mega Buana Hospital Palopo (p value = 0.001).It is recommended that the hospital regularly provides training and guidance to nurses to enhance their skills in delivering nursing care services.”
The Analisis Faktor yang Berhubungan dengan Penerapan Keselamatan dan Kesehatan Kerja (K3) pada Perawat di Rumah Sakit Mega Buana Palopo Tahun 2024 Justiani, Justiani; Ilyas, Muh; Sanuddin, Sudirman; Zamli, Zamli
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.387

Abstract

Hospital Occupational Safety and Health (K3RS) is a very important part of the hospital. In this study, a quantitative research design with a cross-sectional research design was used. The population in this study were all nurses at Mega Buana Palopo Hospital with a target number of 88 nurses divided into several service units. The sample used in this research was 88 respondents with sampling using total sampling. Data analysis used in this research was using IBM SPSS Statistics 29. Based on the results, the research results show that the significant value of the knowledge (X1) and K3 socialization (X2) variables is smaller than the alpha value (0.00 < 0.05) so it can be interpreted as that K3 knowledge and socialization is related to the implementation of occupational safety and health (K3) among nurses at Mega Buana Palopo Hospital. Therefore, it is hoped that hospitals can further increase the knowledge of nurses in each work unit and carry out outreach regarding information and matters relating to the management process for implementing occupational safety and health (K3). This effort can be carried out by implementing tiered training for nurses and other officers regarding K3 principles, K3 risks and how to control each existing risk or danger.
REVOLUSI DIGITAL DALAM LITERASI LAKTASI; PENERAPAN TEKNOLOGI PENDAMPING ASI MOMMY-BE DI DESA PAKATTO, KABUPATEN GOWA Azniah Syam; Indra Dewi; Firawati, Firawati; A. Rizki Amelia; Asriah Syam; Zamli, Zamli
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 8: Januari 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v4i8.9546

Abstract

Tujuan pelaksanaan kegiatan pengabdian kepada masyarakat ini adalah meningkatkan literasi dan keterampilan ibu menyusui di Desa Pakatto melalui penerapan teknologi Mommy-Be. Meningkatkan durasi pemberian ASI dan menjamin bayi mendapatkan ASI Eksklusif sebagai dasar pemenuhan gizi optimal bayi dalam pengurangan potensi stunting di Desa Pakatto. metode pelaksanaan kegiatan penerapan Mommy-Be dalam konteks pengabdian kepada masyarakat adalah Sosialisasi, Pelatihan, Penerapan Teknologi,Pendampingan dan Evaluasi, dan Keberlanjutan Program. Kegiatan sosialisasi, pelatihan, konseling, dan pendampingan intensif memberikan dampak positif terhadap pemahaman ibu menyusui mengenai pentingnya ASI eksklusif dan pengoperasian teknologi pendukung. Evaluasi menunjukkan adanya peningkatan pemahaman, namun masih ada ruang untuk perbaikan, khususnya dalam hal peningkatan partisipasi forum diskusi dan optimalisasi fitur aplikasi. Program ini juga berhasil memperkuat peran kader kesehatan dalam memberikan layanan berbasis teknologi, meskipun diperlukan pendampingan lanjutan untuk menjaga konsistensi layanan
POST-ACCREDITATION EFFICACY IN PUBLIC HEALTH INTERVENTIONS: A QUALITATIVE INQUIRY INTO COMMUNITY HEALTH CENTERS' PERFORMANCE -, Syamsuddin; Ma'rufi, Ma'rufi; zamli, zamli
Indonesian Journal for Health Sciences Vol 9, No 1 (2025): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v9i1.9928

Abstract

Community Health Efforts (CHE) function as primary healthcare services with a predominant emphasis on preventive and promotive measures. This study addresses the issue of the performance efficacy of the Community Health Efforts (CHE)Program at the Katoi Community Health Center (Puskesmas) in North KolakaRegency following accreditation. This research aims to elucidate and critically analyze the performance of the Community Health Initiatives post-accreditation at Katoi Community Health Center. Employing a descriptive methodology with a qualitative approach, the study incorporates in-depth interviews, systematic observations, and comprehensive documentation. The collected data were subjected to analysis through processes of data reduction, data display, and conclusion drawing. The findings reveal that the performance of the Health Promotion, Environmental Health, Family Health, and Community Nutrition programs is classified as Excellent, whereas the performance of the Disease Prevention and Control program is rated as Satisfactory. Additionally, there is a discernible correlation between the accreditation status of the community health center and the performance metrics of the CHE program at Katoi Community Health CenterCommunity Health Efforts (CHE) function as primary healthcare services with a predominant emphasis on preventive and promotive measures. This study addresses the issue of the performance efficacy of the Community Health Efforts (CHE)Program at the Katoi Community Health Center (Puskesmas) in North KolakaRegency following accreditation. This research aims to elucidate and critically analyze the performance of the Community Health Initiatives post-accreditation at Katoi Community Health Center. Employing a descriptive methodology with a qualitative approach, the study incorporates in-depth interviews, systematic observations, and comprehensive documentation. The collected data were subjected to analysis through processes of data reduction, data display, and conclusion drawing. The findings reveal that the performance of the Health Promotion, Environmental Health, Family Health, and Community Nutrition programs is classified as Excellent, whereas the performance of the Disease Prevention and Control program is rated as Satisfactory. Additionally, there is a discernible correlation between the accreditation status of the community health center and the performance metrics of the CHE program at Katoi Community Health Center
Behavioral and Environmental Risk Factors of Typhoid Fever: A Case-Control Study in Balongpanggang, Gresik Regency Zamli, Zamli; Amanah, Indra; Alim, Andi; Yenni, Yenni; Rosita, Rosita
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i1.4171

Abstract

Typhoid fever remains a significant public health burden in developing countries, including Indonesia, where poor hygiene and sanitation contribute to its endemicity. This study aimed to identify behavioral risk factors associated with typhoid fever in the working area of UPT Puskesmas Balongpanggang, Gresik Regency. A quantitative, analytic case control study was conducted involving 74 respondents, equally divided between the case group (patients diagnosed with typhoid fever) and the control group (individuals without the disease). Purposive sampling was applied to select participants, and data collection was carried out through structured interviews using a validated questionnaire. Statistical analysis was performed using chi square tests to evaluate associations between specific behaviors and disease occurrence. The study identified six significant behavioral risk factors: eating outside the home (OR = 5.022; 95% CI: 1.465–17.217), consuming raw food (OR = 15.231; 95% CI: 1.850–125.420), drinking untreated water (OR = 10.828; 95% CI: 3.182–36.848), poor knowledge about typhoid (OR = 90.417; 95% CI: 16.991–481.135), family history of typhoid (OR = 4.758; 95% CI: 1.720–13.164), and not washing hands after defecation (OR = 36.458; 95% CI: 7.491–177.444). These results emphasize the role of individual hygiene practices and household behaviors in typhoid transmission. In conclusion, this study provides strong evidence for prioritizing behavior focused public health interventions and educational programs as key strategies for typhoid fever prevention in endemic communities.
Co-Authors A. Rizki Amelia ABDUL MANAF Abdul Muttalib Abdul Rahman Achmad R. Muttaqien Al-Maidin Agus, Rezki Aprianti Agussalim , Agussalim Ahmad.R.Mutaqqien Almaidin Ahyana, Nur Al Maidin, Achmad R Muttaqien Al Munawarah Fattah Al-Maidin, Achmad R.Mutaqien Allo, Maya Rante Allo, Yety Bato Payung Andi Alim, Andi Arikalang, Aprillya Arlin Adam, Arlin Arman Arman Arni Arni Asdewi Asdewi Asmawati Asmawati Asmita, Ita Asmuliati, Diana Asriah Syam Audyani Suryadi, Yunhi awatiful azza, awatiful Azniah Syam B, Sudirman Bahsoan , Salma Battiling, Ferida Blisartama, Sarniaty Bulu’, Ra’idah Chandra M, Freddy Chandra, Freddy Danduru, Darmayadi Dewi, Resky Karnita Dwiana, Ester Ekafadly Jusuf ekawati, ris Elly Elly Endiyonarsi, Endiyonarsi Endriaty, Endriaty Ernawati Ernawati ernita, ernita Eva, Nur Fadli Fadli Fadli fatimah Fatimah Fatmawati, Fatmawati Firawati Firawati Fitrahningsih, Fitrahningsih Haddase, Hasriadi Hafsah Hafsah Hanafi, Sitti Hamsiar Handayani, Anna Hanis, Iin Fatimah HARTATI Hasriana Hasriana, Hasriana Hasriwandi Hikma, Nurul Ilyas, Muh Ilyas, Muh. Indra Dewi indrayana Ishaq Iskandar, Muh. Iskandar, Ishaq Iskandar, Muhammad Ishaq Islami, Rifka Augina Isna Arista Izhak Jamil, Bidasari Jumriani, Jumriani Justiani, Justiani Kaderia, Husmil Kala, Hesriana Kandou, Fricilia M W Kartono, Faradhillah Kartono Kasman Kasman Kaunang, Diane Rineke Khairani, Nurul Fitri Kowaas, Intan Novita Laise, Sri Miniarti ledia, Ida Leida, Ida Lewa, Eka Dharmawati Londok, Inggrit Fredrika Vira M. Ishaq Iskandar Ma'rufi Ma'rufi, Ma'rufi Maidin, Achmad R. Muttaqien Al Makbul, Sulastri Maqfirah Maqfirah, Maqfirah mariyati mariyati Marni Marni Ma’rufi Ma’rufi, Ma’rufi Meilani Meilani, Meilani Menga, Maria Kurni Minggu , Irvan Susyanto Miswati Miswati, Miswati Montolalu, Freddy Chandra Muhamad Nor Mudhofar Muhammad Ilyas Muliati Muliati, Muliati Muttaqien Al-Maidin, Achmad R. Naolin, Imelda Napitu, Dewi Rosmaida Natsir, Nursanita Nethanelia Pokko, Jenny Nggekan , Desmon A Ningrum, Sri Hutami Ayu Nopianto, Nopianto Nordianiwati, Nordianiwati Nurdaya Nurdin Nurdin Nurhasanah Nurhasibah, Nurhasibah Nurma Nurmaida Nurmaida, Nurmaida Nurrahmat Nurrahmat Nurul Inayah Nuruniyah Nuruniyah Obert, Hendra Augustian Onim, Florence Pakasi, Ainy Meiril Palando, Lisa Sulistiana Daeng Palungan, Dwi Jusrini Pasapan , Yasri Pasaribu, Handara Graha Poluan , Lodewyk Norman Nover Poluan , Octavia Lady Ollyvia Purba, Hitler Benny Hendrik Purnama, Sarti Widya Putri, Putu Chrisdayanti Suada Qamarya, Nurul Radiansyah Radjana, Wa Ode Hasriani Rahma Ayu Kinanti Rahmah, Lestari Rahmawati , Rahmawati Ramisa, Ramisa Raya Senolinggi, Theresia Resky, Nurhayati Resty Ryadinency Ritmala Roja, Vionni Winich Sensia Rosita Rosita Rosnida, Rosnida Rosyida, Muslihatin Khuril Rotasouw, Aswad ruf, Ma’ rufi, Ma’ Ruhwandi, Ruhwandi Rusmini Kinas Sabrina, Riska Saenuddin, Sudirman Sainuddin, Sudirman Salkamal, Salkamal Salmiati Salmiati, Salmiati Sanuddin, Sudirman Saputri Stiawati Satriani Satriani Seriyanti, Seriyanti Sinta Hikma Sirenden, Intan Solombuku, Deslince Sosiawan, Insan Stevi Yanti Nopita Sari Sudirman Sudirman Sudirman Sanuddin Suhardin, Mien Asrha Sukma, Novian Tri Sukmawati Sukmawati SULISTIYANI SULISTIYANI Sumbung, Agustina Sumolang, Suzana Martini Sunandi, Irwan Suwandi N Syamsuddin -, Syamsuddin Taroreh, Inggritd Tenge, Warni Tevri, Paula Tonglo, Ruhama Utami Uli, Nilawaty Uly, Nilawati uly, Nilawaty Uzair, Uzair Viranti, Viranti Wahyuddin Wahyuddin Walewangko, Alfriando Wongkar, Ersian Rani Gratia Wulandari, Alda Yaenuri, Petrus Yenni Yenni Yulce Howay, Yuliana Yusniati Yusniati Yusuf, Ekafadly zainuddin, sudirman