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All Journal International Journal of Public Health Science (IJPHS) Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat Media Penelitian dan Pengembangan Kesehatan Jurnal Kesehatan Reproduksi Jurnal Ekologi Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Martabe : Jurnal Pengabdian Kepada Masyarakat Hearty : Jurnal Kesehatan Masyarakat Holistik Jurnal Kesehatan Jurnal Dunia Kesmas Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Kesehatan Global Jurnal Kesehatan Jurnal Bidan Cerdas JURNAL ILKES (Jurnal Ilmu Kesehatan) Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Malahayati International Journal of Nursing and Health Science Jurnal Ilmiah Kesehatan JPKM: Jurnal Profesi Kesehatan Masyarakat Poltekita: Jurnal Pengabdian Masyarakat Jurnal Ilmu Kesehatan Masyarakat Indonesia Jurnal Kesehatan Tambusai PROFESSIONAL HEALTH JOURNAL Jurnal Kesehatan Amanah Journal of Public Health Concerns NMI THE JOURNAL OF Nursing Management Issues Madago Community Empowerment for Health Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nurhalina Sari
Faculty Of Health Science, Universitas Mahalahayati, Bandar Lampung, Indonesia
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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SPATIAL ANALYSIS OF DENGUE HEMORRHAGIC FEVER CASES IN RELATION TO POPULATION DENSITY IN BANDAR LAMPUNG CITY Kurnia Ramayudha; Agung Aji Perdana; Nurhalina Sari; Dina Dwi Nuryani
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21446

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health burden in Indonesia, particularly in densely populated urban areas. Bandar Lampung City is classified as an endemic region, with fluctuating case numbers each year. This study aims to analyze the relationship between population density and the distribution of DHF cases using a spatial analysis approach. A cross-sectional ecological design was employed. Secondary data were obtained from the Lampung Provincial Health Office regarding DHF cases and from the Central Bureau of Statistics regarding population density. The analysis involved Pearson’s correlation test to examine the association between population density and case numbers, as well as spatial mapping using QGIS 3.4.11 to illustrate distribution patterns. The findings revealed that DHF cases occurred not only in highly populated areas but also in subdistricts with moderate population density, particularly where the larva-free index (LFI) was low. Correlation tests demonstrated a significant negative relationship in 2022 (r = –0.341; p = 0.049) and 2023 (r = –0.327; p = 0.043), while the result for 2021 was not statistically significant (r = –0.276; p = 0.061). This study concludes that population density is not the primary determinant of DHF incidence. Environmental conditions, sanitation, and community behavior appear to play a more substantial role in disease transmission within Bandar Lampung City.
Faktor Risiko yang Berhubungan dengan Hipertensi pada Tenaga Kesehatan di Lampung Selatan Rizka Rahmawati; Achmad Farich; Nurhalina Sari; Nova Muhani; Agung Pradana Putra
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.17502

Abstract

ABSTRACT Until now, hypertension is still a global health problem because it is a silent killer disease. Health workers are figures who have an important role in providing examples of healthy living behavior but are often neglected in health checks, therefore research is needed in South Lampung to find out what risk factors are related to hypertension in health workers in South Lampung. This study aims to analyze factors related to the incidence of hypertension among health workers in South Lampung. This type of research uses observational analytics with a cross-sectional approach. Based on the results of the study, the frequency distribution of the prevalence of respondents based on female gender was 113 people (92.6%), most respondents were in the adult category (26-45 years), based on the results of blood pressure measurements, there were 66 people (54.1%) who did not experience hypertension, did not smoke as many as 117 people (95.9%), lacked fruit consumption as many as 119 people (97.5%), lacked vegetable consumption as many as 102 people (83.6%) and sufficient physical activity as many as 104 people (83.6%). There was no significant relationship between smoking, fruit consumption, vegetable consumption, physical activity, gender, age with the incidence of hypertension. There was no most dominant factor in the incidence of hypertension in health workers in South Lampung, but the variables smoking, physical activity, age and gender were confounding variables. There is no significant relationship between smoking, fruit consumption, vegetable consumption and physical activity on the incidence of hypertension in health workers.  Keywords: Risk Factors For Hypertension, Incident Of Hypertension, Health Workers  ABSTRAK Hingga saat ini hipertensi masih menjadi masalah kesehatan dunia karena merupakan penyakit the silent killer. Tenaga kesehatan merupakan sosok yang memiliki peran penting dalam memberikan contoh perilaku hidup sehat namun sering abai dalam pemeriksaan kesehatan, oleh karenanya perlu dilakukan penelitian di Lampung Selatan untuk mengetahui faktor risiko apa yang berhubungan dengan hipertensi pada tenaga kesehatan di Lampung Selatan. Penelitian ini bertujuan untuk menganalasis faktor yang berhubungan dengan kejadian hipertensi pada kalangan tenaga kesehatan di Lampung Selatan. Jenis penelitian ini menggunakan analitik observasional dengan pendekatan cross sectional.  Berdasarkan hasil penelitian didapatkan distribusi frekuensi prevalensi responden berdasarkan jenis kelamin perempuan sebanyak 113 orang (92,6%), sebagian besar responden masuk kedalam kategori dewasa (26-45 tahun), berdasarkan hasil pengukuran tekanan darah yang dilakukan terdapat 66 orang (54,1%) tidak mengalami hipertensi, tidak merokok sebanyak 117 orang (95,9%), kurang konsumsi buah sebanyak 119 orang (97,5%), kurang konsumsi sayur sebanyak 102 orang (83,6%) dan cukup aktivitas fisik sebanyak 104 orang (83,6%). Tidak terdapat hubungan signifikan antara merokok, konsumsi buah, konsumsi sayur, aktivitas fisik, jenis kelamin, usia dengan kejadian hipertensi. Tidak terdapat faktor paling dominan kejadian hipertensi pada tenaga kesehatan di Lampung Selatan, namun variabel merokok, aktivitas fisik usia dan jenis kelamin merupankan variabel confounding. Tidak ada hubungan yang signifikan antara merokok, konsumsi buah, konsumsi sayur, aktivitas fisik, jenis kelamin dan usia terhadap keadian hipertensi pada tenaga kesehatan. Kata Kunci: Faktor Risiko Hipertensi, Kejadian Hipertensi, Tenaga Kesehatan
Use of Moringa Leaves to Meet Toddler Nutrition in The Prevention of Stunting Zelda Nora Afriza; Nova Muhani; Nurhalina Sari; Fitri Eka Sari
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.4325

Abstract

In 2017, 43.2% of children under five in Indonesia had an energy deficit and 28.5% had a mild deficit. For protein adequacy, 31.9% of toddlers experienced a protein deficit and 14.5% experienced a mild deficit. The high prevalence of stunting is a priority that must be resolved with local food sources that are abundant and high in nutritional content, namely moringa leaves. Moringa leaves have high nutritional content and are easily available in the surrounding environment, but are still very diverse in their utilization. The purpose of this study was to determine the factors associated with the utilization of moringa leaves by mothers of toddlers in preventing stunting in Sumber Rejo Village. This study is a quantitative study with a Cross Sectional design with a population and sample size of 120 respondents with total sampling technique and univariate and bivariate analysis tests using Chi Square. Respondents who had insufficient knowledge were 13.3%, respondents who had a negative attitude were 43.3%, respondents who did not have moringa availability were 23.3% and respondents who had a moringa consumption pattern were 11.7% and respondents who did not utilize moringa leaves were 40%. There is a relationship between knowledge (p-value 0.039), attitude (p-value 0.000), moringa availability (p-value 0.034) and moringa consumption patterns (p-value 0.000) with the utilization of moringa by mothers of toddlers in preventing stunting in Sumber Rejo Village. It is hoped that health workers will conduct education or counseling for mothers of toddlers to increase the knowledge of mothers of toddlers about the use of moringa and it is hoped that mothers will improve moringa consumption patterns for toddlers and families with various variations of moringa preparations in order to increase the utilization of moringa as food intake for stunting prevention.
Analysis of Risk Factors for Fire Protection Febri Anindita Suralaga; Nurhalina Sari; Dina Dwi Nuryani; Samino
Jurnal Penelitian Pendidikan IPA Vol 10 No 1 (2024): January
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i1.5402

Abstract

Active fire protection system in RSD. A. Dadi Tjokrodipo Bandar Lampung has not met the standards related to the Technical Requirements for Fire Protection Systems. Inside the building there is an alarm system and fire protection system that is not maintained and not functioning, there are no automatic sprinklers installed in the room, and there is no fire extinguishing system installed. permanent and uneven. The aim of this research is to determine the suitability analysis of RSD active fire protection system facilities. Dr.A Dadi Tjokrodipo, Bandar Lampung City, 2023. The aim of the research is to determine the risk factors for fire protection at RSD Dr. A. Dadi Tjokrodipo Bandar Lampung. This type of qualitative descriptive research uses an observation and documentation interview approach. The total sample was 4 respondents using purposive sampling technique. The research results show that active fire protection facilities are APAR, alarm, detector, sprinkler and hydrant with a total of 43 indicators, consisting of APAR (13 indicators), 12 indicators (90%) are met, 1 indicator (10%) is not met. . Of all these indicators. RSD dr. Dadi Tjokrodipo, Bandar Lampung City, 12 indicators were met (5.16%) and 34 (94.84%) other indicators were not met. It can be concluded that hospital fire response readiness in dealing with potential fires is still minimal and inadequate. It is hoped that the hospital will continue to improve the quality of facilities and infrastructure.
Faktor-Faktor Kejadian Stunting pada Anak Usia 12-23 Bulan di Kecamatan Kedondong Kabupaten Pesawaran Chintia Margareta; Fitri Ekasari; Nurhalina Sari
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1167

Abstract

Background: Stunting threatens the future of the nation’s next generation, until 2022 the National stunting incidence rate (21,6%) is still high including in Lampung Province (15,2%) and Pesawaran Regency ranks first for children who experience stunting where the incidence of stunting increased from the previous year to 25,4%. Based on the data of Public Health Office of Pesawaran Regency the highest incidence of stunting is Public Health Center of Kedondong with a total of 124 children out of a total of 584 stunted children. Research method: analytic survey research with a cross sectional approach. The population of the research is all mothers and children aged 12-23 months, while the number of samples from 12 villages obtained as many as 110 respondents. Sampling technique using is proportional simple random sampling and the data obtained in the analysis using is logistic regression. Research results: maternal height (OR= 9.836, pV=0.001) and IMD (OR=4.326, pV= 0.011) were the most dominant factor associated with the incidence of stunting in Kedondong District Pesawaran Regency in 2023. Special attention needs to be given to pregnant women who have a height <150cm to be able to prioritize nutritional intake in 1000 HPK, starts from the pregnant until the child is 2 years old, especially the high intake of protein and ensure when the child is born must get IMD to avoid risks of stunting and avoid passing on short stature to the next generation.
Analisis faktor internal yang berhubungan dengan persepsi pasien tentang pelayanan balai pengobatan Indra Jaya Putra; Wayan Aryawati; Nurhalina Sari
THE JOURNAL OF Nursing Management Issues Vol. 1 No. 1 (2023): Edition December 2023
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v1i1.137

Abstract

Latar Belakang: Pemerintah telah bertekad untuk memberikan pelayanan kesehatan dasar yang maksimal kepada masyarakat dengan menetapkan standar teknis pemenuhan mutu pelayanan sesuai standar pelayanan minimal di bidang kesehatan. Puskesmas sebagai institusi di bidang kesehatan diharapkan dapat meningkatkan dan memajukan kesehatan masyarakat. Tujuan: Untuk mengetahui faktor internal yang mempengaruhi persepsi pasien terhadap pusat pelayanan kesehatan Puskesmas Baru Kabupaten Way Kanan Tahun 2021. Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan desain potong lintang. Populasi penelitian adalah pasien rawat jalan yang berkunjung ke puskesmas sebanyak 821 responden. Jumlah sampel yang dihitung berdasarkan ukuran sampel diperoleh sebanyak 246 sampel. Teknik analisis data menggunakan analisis univariat, bivariat (chi kuadrat), dan multivariat (regresi logistik berganda). Hasil: Persepsi pasien terhadap layanan lebih positif (57,7%). Hasil analisis chi-square membuktikan adanya hubungan antara pengetahuan (pv=<0,001; OR=2,8), harapan (pv=0,001 OR=2,4), kebutuhan (pv=<0,001 OR=2,7), (pv=0,012 OR=2,0), emosi (pv=0,005 OR=2,1), dan budaya (pv=0,001 OR=2,4) dengan persepsi pasien terhadap Puskesmas Baru Medical Center Kabupaten Way Kanan tahun 2021. Faktor yang paling dominan berhubungan dengan persepsi pasien adalah kebutuhan (pv=0,001; OR=2,5). Kesimpulan: Ada hubungan antara harapan dan persepsi pasien, ada hubungan antara harapan dan persepsi pasien, ada hubungan antara motivasi dan persepsi pasien, ada hubungan antara emosi dan persepsi pasien, dan ada hubungan budaya dengan persepsi pasien.   Kata Kunci: Faktor Internal ; Persepsi ; Pelayanan .   Pendahuluan: Pemerintah bertekad memberikan pelayanan kesehatan dasar secara maksimal kepada masyarakat dengan menetapkan standar teknis menjamin mutu pelayanan sesuai dengan standar minimal pelayanan di bidang kesehatan. Puskesmas sebagai lembaga dalam bidang kesehatan diharapkan dapat memperbaiki dan meningkatkan kesehatan masyarakat. Tujuan : untuk mengetahui faktor internal yang mempengaruhi persepsi pasien tentang pelayanan balai pengobatan Puskesmas Negeri Baru Kabupaten Way Kanan tahun 2021 Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Populasi penelitian adalah pasien rawat jalan yang berkunjung ke Puskesmas yaitu sebanyak 821 responden. Jumlah sampel dihitung dengan ukuran sampel diperoleh sebanyak 246 sampel. Teknik analisis data menggunakan analisis univariat, bivariat ( chi square ) dan multivariat (regresi logistik berganda) Hasil: persepsi pasien terhadap pelayanan lebih positif (57,7%). Hasil analisis chisquare membuktikan ada hubungan pengetahuan ( pv =<0,001; OR=2.8), harapan ( pv =0.001 OR=2.4), kebutuhan ( pv =<0.001 OR=2.7), ( pv =0.012 OR=2.0), emosi ( pv =0.005 OR=2.1) dan budaya ( pv =0.001 OR=2.4) dengan persepsi pasien Balai Pengobatan Puskesmas Negeri Baru Kabupaten Way Kanan Tahun 2021. Adapun faktor yang paling dominan berhubungan dengan persepsi pasien adalah kebutuhan ( pv =0.001; OR=2.5). Simpulan: Ada hubungan harapan dengan persepsi pasien, Ada hubungan harapan dengan persepsi pasien, Ada hubungan motivasi dengan persepsi pasien, Ada hubungan emosi dengan persepsi pasien, Ada hubungan budaya dengan persepsi pasien   Kata Kunci: Faktor Internal; Persepsi; Pelayanan.
Capaian indikator kapitasi berbasis kinerja (KBK) dan faktor yang menghambat Taufiqqurokhim Taufiqqurokhim; Khoidar Amirus; Nurhalina Sari; Nova Muhani
THE JOURNAL OF Nursing Management Issues Vol. 2 No. 2 (2025): April Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v2i2.672

Abstract

Background: Performance-Based Capitation Payments, hereinafter referred to as KBK Payments, are adjustments to the amount of capitation rates based on the results of an assessment of achievement of agreed individual health service indicators in the form of performance results of First Level Health Facilities in the context of improving service quality. The indicators referred to are the number of contacts, the ratio of non-specialist outpatient referrals and the ratio of controlled prolanis participants. Purpose: To determine Performance-Based Capitation Indicator Achievements (Kbk) and Inhibiting Factors Method: This study uses a qualitative case study approach using in-depth interviews, observation, and document review as a way to collect data. There were five informants in this study, namely the Head of the Health Center, General Practitioner, PIC JKN, PIC P-Care, PIC Prolanis. Data analysis in qualitative research consists of the stages of data reduction, data presentation, drawing conclusions, and verification. Results: The contact number indicator was not achieved because people were afraid to go to the puskesmas for treatment and health visit activities were not carried out during the COVID-19 pandemic so that sick visits and health visits decreased. Conclusion: The outpatient referral ratio for non-specialist cases was not achieved more due to the lack of understanding of the participants regarding the referral flow. Prolanis activities did not run optimally such as medical consultations, education of prolanis participant groups and monitoring of health status while home visits, SMS Gateway reminders and club activities did not done.   Keywords: Indicators; Inhibiting Factors; Performance-Based Capitation (CBC).   Abstrak   Pendahuluan: Pembayaran Kapitasi Berbasis Kinerja, yang selanjutnya disebut dengan Pembayaran KBK, adalah penyesuaian besaran tarif kapitasi berdasarkan hasil penilaian pencapaian indikator pelayanan kesehatan perseorangan yang disepakati berupa hasil kinerja Fasilitas Kesehatan Tingkat Pertama dalam rangka peningkatan mutu pelayanan. Adapun indikator   dimaksud   adalah   angka   kontak,   rasio   rujukan   rawat   jalan   non spesialistik dan rasio peserta prolanis terkendali. Tujuan: Untuk mengetahui Capaian Indikator Kapitasi Berbasis Kinerja (Kbk) Dan Faktor Yang Menghambat Metode: Penelitian ini menggunakan pendekatan kualitatif studi kasus dengan menggunakan metode wawancara mendalam, observasi, dan telaah dokumen sebagai cara untuk mengumpulkan data. Informan penelitian ini berjumlah lima orang, yaitu Kepala Puskesmas,Dokter umum, PIC JKN, PIC P-Care, PIC Prolanis. Analisis data dalam penelitian kualitatif terdiri dari tahap reduksi data, penyajian data, penarikan kesimpulan, dan verifikasie. Hasil: Tidak tercapainya indikator angka kontak disebabkan karena masyarakat takut berobat ke puskesmas dan tidak terlaksananya kegiatan kunjungan sehat pada masa pandemi COVID-19 sehingga kunjungan sakit dan kunjungan sehat menurun. Simpulan: Rasio rujukan rawat jalan kasus non spesialistik tidak tercapai lebih di sebabkan oleh belum pahamnya peserta terkait alur rujukan,  Kegiatan prolanis tidak berjalan optimal seperti konsultasi medis, edukasi kelompok peserta prolanis dan pemantauan status kesehatan sedangkan home visit, reminder SMS Gateway dan aktivitas klub tidak terlaksana.    Kata Kunci : Faktor Penghambat; Indikator; Kapitasi Berbasis Kinerja (KBK).
Co-Authors Abdullah, Rochman Aribowo Aditia Arief Firmanto Agung Aji Perdana Agung Pradana Putra Agung Supriyadi Alwa Ayu Azzahra Alwa Ayu Azzahra Amalia Amraini Anisa, Zahra Apriyani, Risma Aprizal Hendardi Ardika, Muhammad Fajar Aryastuti, Nurul Aryawati, Wayan Aulyya Rahmah Chanita Sari Manulang Chintia Margareta Christin Angelina F Christin Angelina Febriani Delima Selviyani Putri Desna Sari Putri Destriana Hasan Desy Fatmawaty Devi Kurnia Sari Dewi Sri Sumardilah Dewi, Friska Novira Maya Diah Astika Winahyu Diah Astika Winahyu Diana Sari Diana, Liza Dias Dumaika Dias Dumaika Diki Septian Dina Dwi Nuryani Dina Dwi Nuryani Dina Dwi Nuryani Dinda Dwi Fajarwati Dwita Canggi Siregar Dwiyana, M Rizal Easter Yanti, Dhiny Echa Rafika Eka Yuliana Eka Yuliana Eka Yuliana Eliza Eka Nurmala Endang Setiawati Fahrul Syah Fani Santika Hermawan Farich, Achmad Fatmawaty , Desy Fatmawaty, Desy Febri Anindita Suralaga Febrianti Febrianti Febrianti Febrianti Febrianti Febrianti, Christin Angelina Fitri Eka Sari Fitri Eka Sari Siregar Friska N M Dewi Hafiratul Fitri Usfa Hardini Ariningrum Hermawan, Dessy Hikmah Ifayanti Indra Jaya Putra K Widhi Indra Pagestu Khoidar Amirus Kiki Karlina Koidar Amirus Kurnia Ramayudha Kurniati, Mala Lolita Sary Madeleine Randell Manjorang, Marlida Yuliza Manulang, Chanita Sari Marlida Yuliza Manjorang Miftah Lisalwa Lubis mislianti - Mislianti Mislianti Muhammad Ricky Pratama Muhani, Nova Nadia Nur Azizah Nanang Dismiantoni Nanang Dismiantoni Natalina Natalina Ni Gusti Ayu Dewi Rismasari Nova Muhani Nova Muhani Nova Muhani Nova Muhani Nova Muhani Nurmala, Eliza Eka Nurul Atika Prima Dian Furqoni Prince Syahtri Prince Syahtri Putri, Desna Sari Rafika, Echa Rahmadhan, Arif Ramadayanti, Desty Monica Randell, Madeleine Rissa Afni Matinouva Rita Utari Rivan Nur Rizki Riyanti Riyanti Riyanti Riyanti Rizka Rahmawati Robby Dewan Tanjung Samino Samino Samino Samino Samino Samino Samino Samino Samino Saputra, Firman Dwi Sekar Dewi Cahyani SETIAWATI, ENDANG Slamet Widodo Sri Wulandari Suralaga, Febri Anindita Susanto Susanto Taufiqqurokhim Taufiqqurokhim Torry Duet Irianto Torry Duet Irianto Trisia Dira Yuniar Usfa, Hafiratul Usfa, Hafiratul Fitri Wayan Aryawati Wayan Aryawati Winahyu, Diah Astika Windy Febriani Yanti, Dhiny Easter Yasi, Indi Iska Yelfi Yanti Yuli Yandara Yuliati Amperaningsih Yuniar, Trisia Dira Yusuf, Ghina Gabrilla Zakiyah Zakiyah Zakiyah Zakiyah Zaleha Ulfa Zelda Nora Afriza