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The Dimensions of the Structure of MSM with HIV toward the Prevention of HIV and AIDS Transmission: A Qualitative Study M. Nur Khamid; Eti Poncorini Pamungkasari; Argyo Demartoto; Dewi Rokhmah
International Applied Science Vol. 1 No. 2 (2022)
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ias.v1i2.167

Abstract

Men who have sex with men (MSM) are the most vulnerable key population in the transmission of HIV AIDS. They have closed behavior that makes it difficult for health programs to reach. This study explores the structural dimensions of MSM with HIV in preventing HIV AIDS transmission from the perspective of social networks and associations among MSM with HIV. This qualitative study with a grounded theory approach was conducted in Jember. Data were collected by using in-depth interviews with 12 HIV-positive MSM. Data were analyzed with the stages of codes, categorizing, and basic social-psychological processes. The triangulation is used to obtain the validity of the information. Being an MSM group for a long time, related to social networks and associations. The social network perspective is built through gathering activities with fellow MSM communities, gathering in cafes, boarding houses, own homes, rented houses, town square, and night entertainment places. Providing health information, safe sex, asking for HIV tests, and monitoring ARV is more manageable through the same HIV-positive MSM. The involvement of HIV-positive MSM in social activities or other environments can reduce the stigma and discrimination. From the association's perspective, to facilitate the socialization of HIV AIDS prevention are carried out through social activities. A few HIV-positive MSM use herbal medicine and do not believe in ARV. Regular peer group support activities can provide a correct understanding of the importance of ARV to minimize the risk of loss to follow-up. Elements of social networks and associations through peer group supports involved in social activities can facilitate communication, information, and education; also, controlling sexual behavior prevents HIV AIDS transmission. The policymakers need to strengthen community-based associations.
IMPLEMENTASI DESA SEHAT MELALUI PROGRAM PELITAKU: STUDI DI DESA TANGSIL KULON BONDOWOSO Annisa Grazelia Viyolina; Nabila Anisa Toyibah; Rizki Amelia Firdaus; Salsabilla Fitri Dwi Bawanti; Sofiyatoen Hasanah; Dewi Rokhmah
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 5 (2023): Volume 4 Nomor 5 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i5.19368

Abstract

Desa Tangsil Kulon merupakan salah satu desa di Kabupaten Bondowoso yang menjadi lokus stunting karena tingginya angka stunting (20%) di wilayah tersebut. Masalah kesehatan lainnya seperti penambahan susu formula dibawah satu tahun (45,71%), rendahnya konsumsi mineral pada bumil  (18,81%) sehingga bayi yang lahir mengalami BBLR (9,26%), dan KEK pada wanita usia subur (13,04%). Berdasarkan masalah yang ada, kami dan masyarakat menetapkan solusi PELITAKU (Pusat Informasi dan Edukasi Kesehatan Masyarakat Desa Tangsil Kulon). Tujuan kegiatan ini adalah mewujudkan Desa Tangsil Kulon sebagai desa sehat melalui kegiatan PELITAKU berbasis aplikasi PELITAKU PINTAR,  membentuk dan meningkatkan kualitas kader PELITAKU yang terdiri dari kader posyandu, dan kader remaja, serta meningkatkan derajat kesehatan dan kesadaran masyarakat melalui penerapan gizi seimbang dalam makanan sehari-hari. Metode pelaksanaan dari kegiatan ini terbagi atas tiga tahapan diawali dengan tahap sosialisasi dan launching program PELITAKU berbasis aplikasi PELITAKU PINTAR pada desa mitra dan sasaran. Tahap dua meliputi pelaksanaan program dan kegiatan. Tahap tiga berupa monitoring dan evaluasi pelaksanaan program. Hasil dari pengabdian ini yaitu terbentuknya Kader PELITAKU yang mampu berkontribusi dalam peningkatan derajat kesehatan di desa. Kesimpulan program ini menjadikan Desa Tangsil Kulon menjadi desa sehat dengan meningkatknya derajat kesehatan masyarakat desa.
Analysis of the Effect of the Application of Total Quality Management (TQM) on Performance Improvement through Leadership Dewi Kholifatul Ummah; Saiful Bukhori; Dewi Rokhmah
Management Analysis Journal Vol 12 No 2 (2023): Management Analysis Journal
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/maj.v12i2.58116

Abstract

The results of the study indicate that there is a direct and indirect effect. Total Quality Management (TQM) is a method used by customer satisfaction oriented companies to improve managerial performance. This study aims to determine the direct and indirect effect of TQM on performance through leadership as a moderating variable. The research method is a quantitative research conducted at the Jatibanteng Public Health Center. The number of samples in the study was 73 with a sampling technique using the entire total population. Analysis of the data used is using smartPLS. First, leadership has a direct effect on employee performance with a t statistic of 8,581. Second, TQM has a direct effect on leadership with a t statistic of 54.377. Third, TQM has a direct effect on employee performance with a t statistic of 11.762. Fourth, the results of the analysis of P value < 0.005 means that there is an indirect effect between TQM on employee performance, which can also be interpreted if the intervening variable (leadership) plays a role in mediating the relationship between TQM and employee performance.
Availability of information and standard operating procedures affects the implementation of cigarette billboard regulation in Jember, East Java, Indonesia Saiful, Brima Sahwa Sukma; Sandra, Christyana; Rokhmah, Dewi; Rochmawati, Ajeng Humami; Hidayah, Barika Isti’anatil
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p05

Abstract

Background and purpose: Jember District has adopted a tobacco control policy, Jember Regent Regulation No. 27 Year 2013 that includes provision on regulating tobacco advertisement. This study aims to evaluate the policy implementation based on the availability of information and standard operational procedures (SOPs). Methods: This was a qualitative case study which was conducted in Jember District in 2020. Eleven informants were interviewed, consisted of policy actors, billboard building owner, tobacco factory, and student group for tobacco control. Data were collected through in-depth interview, observation, documentation, and triangulation. The data was then analysed thematically. Results: Information related to the policy was well comprehended by the implementers, but not by the community. The information is usually conveyed in conjunction with the coordination process between agencies, which is during field assessment. The observation for monitoring and evaluation in 2020 showed that there were tobacco billboards placed around the health facilities and government agencies, and one of them did not include the “18+” information. The SOP for this policy is the same as the standards for billboard installation permits in general. The barriers to this policy implementation were in regard to clarity of the main duties and functions of each implementer, especially when there was a violation, since it yet been outlined in the current SOP. Conclusion: Implementation of the regulation yet optimal from the availability of information and SOPs aspects. Policy dissemination as well as improvement on the SOP is needed to improve coordination process, monitoring, and evaluation.
PMT Sehat Berbasis Pangan Lokal untuk Mencegah Diare dan Stunting di Desa Mandiro Kabupaten Bondowoso Pratiwi, Farika Nadiya; Setyawati, Julianda; Permatasari, Marshanda Sofi; Mahdyah, Nafisah Amira; Medisa, Cahya Dhawiya; Agdiansyah, Naufal Thaariq; Al Adzim, Manarul Huday; Maulida, Naila Faricha; Rokhmah, Dewi
AJAD : Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 2 (2024): AUGUST 2024
Publisher : Divisi Riset, Lembaga Mitra Solusi Teknologi Informasi (L-MSTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59431/ajad.v4i2.366

Abstract

Diarrhea can lead to disturbances in nutrient absorption in the body, which may result in growth failure if not promptly addressed. In an effort to prevent diarrhea and stunting in Mandiro Village, the PPK Ormawa HIMA Nutrition FKM UNEJ team provided training on making local food-based supplementary food, specifically chicken-carrot-moringa nugget and chicken-cassava sempol, to Posyandu cadres and mothers of toddlers. The aim of this training is to improve knowledge and understanding the preparation of local food-based supplementary food to address public health issues in Mandiro Village. The training materials were delivered using expositional and demonstrative methods. Monitoring and evaluation of the activities were carried out using pre-test and post-test questionnaires. The pre-test average correct answer rate was 72.2%, while the post-test average correct answer rate was 95.4%. This reflects a 23.2% increase in respondents' knowledge and understanding
Feasibility Test of Picture Book Recognizing the Dangers of Smoking as a Media for Educating Children about The Dangers of Smoking Firda Atika Awaliya Putri; Nafikadini, Iken; Dewi Rokhmah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.56-66

Abstract

Introduction: The picture book media 'Recognizing the Threat of Smoking' as education about the dangers of smoking for children. The theme used in the picture book media is the danger of smoking, which was appropriately given to children, especially those in grades 4-6 of elementary school, with an age range of 10-12 years old. Objective: The general aim of this research was to test the feasibility of the picture book as a media for educating children about the dangers of smoking. Methods: This research was a research and development study with a qualitative approach conducted in January 2021 in Jember Regency. Data collection was done through interviews, observations, and documentation. Data analysis used Thematic Content Analysis. Results: This picture book consists of 18 pages, created through four stages: starting from the synopsis made directly by the researcher, creating a storyline also done directly by the researcher. Followed by a colleague as an illustrator for creating digital images, and a digital book is also done by the illustrator, then the final stage is printing done by the researcher. Conclusion: The material presented in the picture storybook about the dangers of smoking to children was suitable for children to read, but there were suggestions regarding the exposure of information on the health effects of smoking, which was considered insufficient. It was feared that if the health effects of smoking were only limited to a few diseases, the educational message would be less effective for children, who might think that smoking only causes minor health issues.
Intention to Quit Smoking in Active Smoking Health Students: What is the Role of Self-Efficacy? Dwi Anggraini Puspitasari; Rokhmah, Dewi; Iken Nafikadini
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.32-47

Abstract

Background: Students were agents of change, meaning they were movers, pioneers, and initiators in driving positive change. Specifically, health students were considered to have high abilities, skills, and knowledge regarding health issues and the dangers of smoking. Each student had different levels of self-efficacy.  Aims: This study aimed to analyze the relationship between self-efficacy and the intention to quit smoking among active smoker health students by involving the dimensions of self-efficacy. Additionally, the researcher described the aspects of self-efficacy dimensions possessed by active smoker health students. Methods: This research was a type of analytical survey research using a quantitative method approach. The population of this study consisted of 60 active smoker health students with the criteria of active S1 health students from the 2016-2018 cohorts. The independent variable in this study was the dimension of self-efficacy, which consisted of the level, strength, and generality dimensions. Meanwhile, the dependent variable was the intention to quit smoking. The research data were collected through interviews and data acquisition tools using questionnaires. Data analysis used univariate and bivariate analysis with the Spearman test. Results: The analysis results of the relationship between respondent characteristics and the intention to quit smoking showed no relationship between respondent characteristics (faculty p=0.609, cohort p=0.928, gender p= -0.925, and age p= -0.673) and the intention to quit smoking. Additionally, the analysis results of the relationship between self-efficacy dimensions (level dimension p=0.000, strength p=0.000, and generality p=0.009) and the intention to quit smoking showed that there was an interrelated relationship affecting the intention to quit smoking. Conclusion: From this research, it can be concluded that there was a relationship between self-efficacy and the intention to quit smoking among health students who are active smokers at the University of Jember.
Strategi Menghafal Al-Qur’an di Pondok Tahfidz Yaumi Sleman Yogyakarta M. Utsman Arif Fathah; Dewi Rokhmah
HEUTAGOGIA: Journal of Islamic Education Vol. 2 No. 1 (2022)
Publisher : Fakultas Ilmu Tarbiyah dan Keguruan Universitas Islam Negeri Sunan Kalijaga Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/hjie.2022.21-07

Abstract

Penelitian ini bertujuan untuk memberikan gambaran tentang strategi menghafal yang digunakan pondok Yaumi Sleman Yogyakarta. Pendekatan penelitian ini dilakukan dengan pendekatan kualitatif. Pengumpulan data dilakukan dengan teknik observasi, wawancara dan dokumentasi. Kemudian tahapan pada analisis data dilakukan dengan reduksi data, penyajian data dan dilakukan pengambilan kesimpulan. Berikutnya keabsahan data dilakukan dengan melakukan triangulasi data. Dari penelitian ini dijelaskan bahwa ada tiga strategi initi yang digunakan Pondok Tahfidz Yaumi yaitu persiapan menghafal, proses menghafal, dan evaluasi menghafal Al-Qur’an. Persiapan menghafal meliputi penentuan target menghafal, tahsin Al-Qur’an, penggunaan mushaf standar, dan i’dadu at-tahfidz. Selanjutnya proses menghafal Al-Qur’an meliputi halaqah tahfidz, penggunaan metode menghafal Al-Qur’an, ‘iqab, program khusus dan pengembangan khusus. Kemudian evaluasi menghafal Al-Qur’an meliputi tasmi’ hafalan, ikhtibar dan evaluasi hafalan serta sanad hafalan Al-Qur’an.
Peningkatan Kesadaran Perilaku Hidup Bersih Dan Sehat Remaja Melalui Program PELITAKU di MTS/MA Bahrul Ulum Tangsil Kulon Bondowoso Rokhmah, Dewi; Lubis, Khofifah Annum; Safira, Tasya Cahya; Aulia, Anisatun; Nafis, Mirza Fairuz; Kholidah, Nabila Diana
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 3 (2023): Desember 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v2i3.210

Abstract

Menciptakan hidup sehat sebenarnya sangatlah mudah serta murah, apabila dibandingkan dengan biaya yang harus dikeluarkan untuk pengobatan jika sakit. Perilaku Hidup Bersih dan Sehat (PHBS) merupakan sebuah upaya untuk menularkan pengalaman mengenai perilaku hidup sehat melalui individu, kelompok, ataupun masyarakat dengan jalur komunikasi sebagai media informasi. Tujuan kegiatan ini adalah untuk mengedukasi pentingnya penerapan PHBS dalam kehidupan sehari-hari. Kegiatan sosialisasi Perilaku Hidup Bersih dan Sehat (PHBS) ini dilaksanakan di MTS/MA Bahrul Ulum Bondowoso yang lokasinya di Desa Tangsil Kulon yang diikuti oleh remaja putri berjumlah 67. Pelaksanaan kegiatan ini dilakukan dengan metode sosialisasi mengenai pentingnya 8 indikator PHBS dalam kehidupan sehari-hari. Setelah dilakukan pemaparan materi dan praktik, dilanjutkan oleh pengisian post-test dengan pertanyaan yang sama dan sebelumnya telah dikerjakan pada saat sesi pre-test. Dari jawaban responden di soal pertama, terdapat 3% responden yang mengetahui apa itu PHBS. Terdapat perubahan yang cukup signifikan setelah dilakukan sosialisasi. Seluruh responden atau 29 responden menjawab pertanyaan dengan benar dan memahami 3M serta pendapat lainnya menurut masing-masing. Masyarakat khususnya siswa MTS/MA Bahrul Ulum agar selalu mencuci tangan sebelum dan sesudah kegiatan belajar mengajar serta selalu menjaga kebersihan lingkungan sekitar untuk menciptakan lingkungan yang bersih, sehat dan bebas dari berbagai sumber penyakit, sehingga diharapkan hal ini dapat diterapkan dalam kehidupan sehari-hari masyarakat Desa Tangsil Kulon. PHBS yang dilaksanakan di MTs/MA Bahrul Ulum harus lebih diperluas lagi, dengan melakukan sosialisasi kepada sekolah-sekolah di Desa Tangsil Kulon atau masyarakat Desa Tangsil Kulon, agar pelaksanaan PHBS dapat dilaksanakan secara merata dan maksimal oleh masyarakat Desa Tangsil Kulon.
Pelatihan Pengolahan Sampah Menggunakan Maggot untuk Mengurangi Timbulan Sampah Rumah Tangga di Desa Mandiro, Kabupaten Bondowoso Kirana; Nurhalisa, Siti; Alfaidah, Catryna; Amalia, Shofiya; Imamah, Dina Yusrotul; Fakhiroh, Lailah Izza; Steven, Syahrul; Akbar, Syarifil Hidayatul; Rokhmah, Dewi
Jurnal Pengabdian Nasional (JPN) Indonesia Vol. 5 No. 3 (2024): September
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM) STMIK Indonesia Banda Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35870/jpni.v5i3.1063

Abstract

Waste is a global problem in various countries, including Indonesia. Based on SIPSN data (2023), Indonesia has a total waste generation of 34,599,396.49 tons/year, with 51.11% of waste coming from household activities. Mandiro is one of the villages in Bondowoso Regency that still has problems with household waste management. Waste is simply dumped in vacant lots and water bodies that are not supposed to be used as landfills. This triggers environmental pollution that can also have an impact on health. The purpose of this training and mentoring activity is to improve the skills and knowledge of ELANGGHU Environmental Cadres related to waste management with maggots so that ELANGGHU Environmental Cadres can actively participate in reducing household waste in Mandiro Village. In this activity, two methods were used, namely education through providing materials and direct demonstrations to further improve the understanding of ELANGGHU Environmental Cadres. From the results of the pre-test and post-test, it can be seen that there is an increase in the knowledge of ELANGGHU Environmental Cadres regarding waste processing using maggots by up to 100%.
Co-Authors -, Della Aprisa -, Prehatin Trirahayu Ningrum . Ari P Abdus Salam Abu Khoiri Ade Ananta Pratiwi Adittian, Faiz Affierni, Siti Indriyanti Agdiansyah, Naufal Thaariq Agnes Candrika Trisna Maharani Agustus Sani Nugroho & Ema Rahmawati Heryaman, Agustus Sani Nugroho & Akbar, Syarifil Hidayatul Al Adzim, Manarul Huday Al Munawir Alfaidah, Catryna Alfia Nurul Fatiha Ali Santosa Almukarromah, Khaerunnisa Amalia, Shofiya Ancah Caesarina Novi Marchianti Anita Dewi Moelyaningrum Anita Dewi Prahastuti Sujoso Anita Dewi Prahastuti Sujoso Annisa Grazelia Viyolina Annisa Nur Mahmudah Annisa’ Kholifatu Qurrota A’yun Arfiani, Sinta Argyo Demartoto Arif Ikhwan Hanafi Asti Nuris Astikah Aulia, Anisatun Baskoro Setioputro Berliana Mulazamah, Nandini Candra Bumi Carri Noer Fida Yanik Christyana Sandra Dedek Sutinbuk Dessy Raharyani Desy Iswari Amalia Dewa Putra Dewantika Santoso Putri, Aisyah Dewi Kholifatul Ummah Dhea Ninda Putri Diana Diana Farhati Dwi Anggraini Puspitasari Dwi Wahyuni Dyah Ayu Edy Supriyanto Eka Ayu Syahfitri, Regita Elen Nofita Elly Nurus Shakinah Erdi Istiaji Erna Desi Faradinah Erwin Nur Rif&#039;ah Erwin Nur Rif&#039;ah Erwin Nur Rif&#039;ah Erwin Nur Rif'ah Erwin Nur Rif'ah Erwin Nur Rif’ah Eti Poncorini Pamungkasari Evi Riski Permatasari Fakhiroh, Lailah Izza Falih, Ahmad Fani Lailatul Rochmah Farida Wahyu Ningtyias, Farida Wahyu Fathah, M. Utsman Arif Fatimatus Sahro Faza Naila Khoiron Firda Atika Awaliya Putri FX Ady Soesetijo, FX Ady Ghaniyu Putri Habsari Globila Nurika Hadi Prayitno Hanatha Pasha, Yessinia Hesty Damayanti Saleh Hidayah, Barika Isti’anatil Hurin Fitriatun Nuriyah Husni Abdul Gani Husni Abdul Gani Husni Abdul Gani, Husni Abdul Huwaidah, Rizka Ida Srisurani Wiji Astuti Iken Nafikadini Iken Nafikadini, Iken Imamah, Dina Yusrotul Ira Nurmala Ira Rahmawati Irma Prasetyowati Isa Ma'rufi Isa Marufi Isa Ma’rufi Isa Ma’rufi Islahul Fikriyah Istifada, Rizkiyani Isworo, Tirta Amerta Keliat , Budi Anna Khoiron Khoiron Khoirun, Khoirun Kholidah, Nabila Diana Khusnul Hidayati Kirana Kirana, Kirana Krish Naufal Anugrah Robby Lailatul Rochmah, Fani Leersia Yusi Ratnawati Lubis, Khofifah Annum Luh Putu Ratna Sundari M. Nur Khamid M. Nur Khamid M. Utsman Arif Fathah Mahdyah, Nafisah Amira Marlita Primastuti, Amanda Maulida, Naila Faricha Medisa, Cahya Dhawiya Meylina Parela Ningsih Mirza Fairuz Nafis Mohamad Revaldo Maury Mubarok, Ibnu Muhammad Adilya Rahman Mukaromah, Chaerunnisa Al Mury Ririanty Nabila Anisa Toyibah Nabila Diana Kholidah Nabila, Ichda Naila Nafis, Mirza Fairuz Nanda Prima Nihayati, Hanik Endang Niken Asih Laras Ati Nindha Ayu Berlianti Nindy Shara Meiyana Ninna Rokhmawati Novia Luthviatin Novita sari Novitasari Novitasari Nur Astuti Nur, Zilvi Fuadiyah Nurhalisa, Siti Ode, Taufan Asrisyah Oktafiani, Lirista Dyah Ayu Permatasari, Marshanda Sofi Poutry Dhewy Roushita Shary Pratiwi, Farika Nadiya Pratiwi, Kurnia Nata Puspitasari, Cindy Putri, Dhea Ninda Putriyani Putriyani Qurrota 'Aini, Tazqia Rachmad Gusti Irwansyah Rahayu Sri Pujiati Rahmah, Saila Dzirwati Rayen Rifaqih Ricko Pratama Ridzkyanto ricko pratama ridzkyanto, ricko pratama Ricta Huniana Pratiwi Rif'ah, Erwin Rif'ah, Erwin Nur Rika Agustin Rini Safitri Rismawan Adi Yunanto Rista Dwi Hermilasari Ristya Widi Endah Yani Rizka Huwaidah Rizki Amelia Firdaus Rochmawati, Ajeng Humami Rokhmawati, Ninna Ruris Haristiani Safira Khoiratun Nissa' Safira, Tasya Cahya Saiful Bukhori Saiful, Brima Sahwa Sukma Saila Dzirwati Rahmah Salsabila, Sania Salsabilla Fitri Dwi Bawanti Sephiana Diah Anggraini Septi Handayani Setyawati, Julianda Shella Putri Permadani Hardi Antono Shinta Dwi Nurwidyansyah Sofiyatoen Hasanah Sri Widati Steven, Syahrul Sugeng Winarso Suharsono Suharsono Syahroni Bahtiar Syahroni Bahtiar Syahvira Septyanarindri Syahvira Septyanarindri Tantut Susanto Wakhyudin, Muhammad Fahd Wantiyah Wantiyah Windarwati , Heni Dwi Yennike Tri Herawati Yumna Nurul Ismah, Adinda Yuyun Triwahyuni Zuwina Eka Puspita Arini