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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Bhisma Murti
Masters Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Path Analysis on the Effects of Psychosocial Development, Nutritional Status, and Family Acceptance on Learning Achievement in Autistic Children, in Jember, East Java Tutut Okta Diana; Didik Tamtomo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevalence of autism has been increasing worldwide annually. Autistic children are at higher risk of physical, mental, and intellectual disorders. However, autistic children may have above average academic achievement. With support from family, teacher, and society, autistic children can gain maximum academic achievement. This study aimed to determine the effects of psychosocial development, nutritional status, and family acceptance, on learning achievement in autistic children, in Jember, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Special Elementary School in Jember, East Java. A total sample of 50 autistic students were collected for this study by exhaustive sampling. The dependent variable was learning achievement. The independent variables were nutritional status, psychosocial development, and family acceptance. The data were collected by questionnaire and analyzed by path analysis.Results: Learning achievement was directly affected by psychosocial development (b= 0.36; SE= 0.13;p= 0.005) and nutritional status (b= 1.42; SE= 0.65; p= 0.029). Nutritional status was positively affected by strong family acceptance (b= 0.07; SE= 0.01; p<0.001).Conclusion: Learning achievement of autistic children is affected by psychosocial development and nutritional status.Keywords: learning achievement, psychosocial development, nutritional status, family acceptance, path analysisCorrespondence:
Determinants of Stunting and Child Development in Jombang District Vivin Eka Rahmawati; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a very short body state in children that goes beyond the 2 SD deficit below the child population height. Worldwide stunting affects about 162 million children under five. Indonesia is included in 17 countries that have three nutritional problems in children under five: stunting, wasting, and overweight. This study aimed to investigate the determinants of stunting and child development in children under five.Subjects and Method: This was a retrospective cohort study conducted at Mayangan and Jarak Kulon Community Health Centers, Jombang, East Java, in Januari 2018. A total sample of 58 children were selected for this study by fixed exposure sampling. The dependent variables were stunting and child development. The independent variables were birth-length, maternal age, maternal height, maternal education, and family income. The data were collected by questionnaire. Data on birth length was taken from maternal and child record at community health center. The data were analyzed by path analysis model.Results: The likelihood of good child development increased with maternal education (b= 1.08; 95% CI= 0.41 to 1.75; p= 0.001) and decreased with stunting (b= -0.78; 95% CI= -1.46 to -0.10; p=0.025). The risk of stunting decreased with birth-length (b= -0.90; 95% CI= -1.60 to -0.21; p=0.011) and maternal height (b=-0.92; 95% CI= -1.69 to -0.16; p=0.018). The risk of stunting increased with maternal age <20 y.0. or ?35 y.o. at pregnancy (b= 0.73; 95% CI= -0.03 to 1.46; p=0.051). The likelihood of maternal age <20 y.0. or ?35 y.o. at pregnancy decreased with higher education (b=-0.75; 95% CI= -1.44 to -0.06; p=0.033). Birth-length
What are the Factors that Affect the Risk of Parenting Stress in Mothers with Disability Children? A New Evidence from Sukoharjo, Central Java Syarifatul Fikriyyah; Rita Benya Adriani; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Mothers play an important role in the care of children with physical and psychological disabilities. However, the role of caring children with disabilities can cause stress for the mother. Parenting stress can lead to anxiety, emotional instability, and avoidance of the environment in mother. This, in turn, may deteriorate the quality of family life. As a result, children with disabilities may experience development and growth disorders. This study aimed to determine the factors that affect the parenting stress in the caring of children with disability in Sukoharjo District, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Sanggar Inklusi, Sukoharjo, Central Java, from February to March 2018. A sample of 163 mothers with disabled children was selected for this study by exhaustive sampling. The dependent variable was parenting stress. The independent variables were adversity intelligence, disability level, maternal education, maternal employment status, family income, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: The risk of maternal parenting stress increased with children disability (b= 4.64, SE= 1.72, p= 0.07) and mothers working outside the house (b= 1.68, SE= 0.93, p= 0.069). The risk of maternal parenting stress decreased with high adversity intelligence (b= -0.28, SE= 0.12, p= 0.016), high maternal education (b= -8.50, SE= 0.86, p< 0.001), high family income (b= -0.28, SE= 0.16, p= 0.078), and strong family support (b= -0.22, SE= 0.08, p= 0.007).Conclusion: The risk of maternal parenting stress increases with high children disability and maternal employment status, but decreases with high adversity intelligence, high maternal education, high family income, and strong family support.Keywords: parenting stress, children, disabilityCorrespondence:
The Effect of Parenting Style, Bilingual School, Social Environment, on Speech and Language Development in Preschool Children in Surakarta, Central Java Arum Wijayanti; CSP Wekadigunawan; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Childhood speech and language development is considered an important predictor of their future achievement. This study aimed to analyze the effect of parenting style, bilingual school, social environment, on speech and language development in preschool children in Surakarta, Central Java. Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at 25 preschools in Surakarta, Central Java, from February March 2018. A sample of 200 preschool children was selected by simple random sampling from 25 preschools selected by stratified random sampling. The dependent variable was speech and language develop-ment. The independent variables were sex, nutritional status, parental education, parenting style, family income, bilingual school, and social environment. The data of speech and language development were measured by pre-screening development questionnaire. Other variables were collected by questionnaire. The data were analyzed by a multilevel logistic regression using Stata 13.Results: Speech and language development increased with age (b= 2.03; 95% CI= 0.38 to 3.68; p= 0.016), nutritional status (b= 2.44; 95% CI= 0.38 to 4.08; p= 0.003), maternal education (b= 1.50; 95% CI= 0.14 to 2.86; p= 0.031), democratic parenting style (b= 2.76; 95% CI= 1.16 to 4.08; p<0.001), family income (b= 1.69; 95% CI= 0.15 to 3.23; p= 0.031), bilingual school(b= -4.46; CI= -6.53 to -2.39; p= 0.001), and social environment (b= 1.80; 95% CI= 0.10 to 3.50; p= 0.038). Intra-class correlation= 28.06% indicating considerable contextual effect of preschool. Conclusion: Speech and language development increases with age, nutritional status, maternal education, parenting style, family income, bilingual school, and social environment.Keywords: speech and language development, parenting style, bilingual school, pre-school childrenCorrespondence:
Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Dewi Saptowati; Ambar Mudigdo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence:
Factors Associated with Use of Intra-Uterine Device in Women of Reproductive Age in Boyolali, Central Java Bekti Susilowati; CSP. Wekadigunawan; Bhisma Murti; Setyo Rahardjo
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning is a key strategy for reduction of maternal mortality. Family planning aims to control birth in order to control population growth. Long-acting reversible contraceptives (LARCs), which include intra-uterine device (IUD), are the most effective methods of birth control. Studies into factors affecting the uptake of IUD was lacking in Indonesia. This study aimed to investigate factors associated with use of IUD in women of reproductive age in Boyolali, Central Java, using multilevel analysis model and Theory of Planned Behavior.Subjects and Method: This was a case control study carried out in 25 posyandus (integrated community health posts) in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by simple random sampling. The dependent variable was IUD use. The independent variables were education, family income, intention, attitude, subjective norm, perceived behaviour control, and husband support. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: IUD use among women reproductive age increased with higher maternal education (b= 4.06; 95% CI= 0.68 to 7.44; p=0.019), higher family income (b= 3.90; 95% CI= 1.67to 7.64; p=0.041), positive attitude (b= 4.54; 95% CI= 0.52 to 8.55; p=0.027), positive subjective norm (b= 3.06; 95% CI= 0.01to 6.10; p= 0.049), strong perceived behaviour control (b= 3.40; 95% CI= -0.04to 6.85; p=0.053), strong intention (b= 3.18; 95% CI= -0.06to 6.41; p= 0.054), and strong husband support (b= 4.28; 95% CI= 0.01to 7.44; p= 0.050). Posyandu had a contextual effect on IUD use with ICC= 32.10%.Conclusion: IUD use among women reproductive age increases with higher maternal education, higher family income, positive attitude, positive subjective norm, strong perceived behaviour control, strong intention, and strong husband support. Posyandu has sizeable contextual effect on IUD use.Keywords: intra-uterine device, utilization, determinants, multilevel analysisCorrespondence:
Factors Associated with Decision to Use a Long-Term Intra Uterine Device: A Path Analysis Evidence Rindra Deviasti; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Intra uterine device (IUD) is a highly effective contraceptive method with a 98-99 percent success rate over five years of IUD use. However, its share of modern method mix is pitifully small, at less than 5%, in 63 countries and only 5%
Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java Yustina Purwaningsih; Yulia Lanti Retno Dewi; Dono Indarto; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Asphyxia, or perinatal asphyxia, refers to oxygen deprivation during labor or delivery long enough to cause physical harm, and particularly brain damage. When birth asphyxia is severe, it can injure brain cells and cause potentially fatal conditions, including Hypoxic-Ischemic En
Prenatal Factors Associated with the Risk of Stunting: A Multilevel Analysis Evidence from Nganjuk, East Java Dewi Indriani; Lanti Retno Dewi; Bhisma Murti; Isna Qadrijati
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Globally, one in four children under the age of five suffers from stunting. Stunting is associated with an underdeveloped brain, with long-lasting harmful consequences, including diminished mental ability and learning capacity, poor school performance in childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as diabetes, hypertension, and obesity in future. This study aimed to analyze prenatal factors associated with the risk of stunting in Nganjuk, East Java, using a multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted at 25 posyandus (integrated health posts) in Nganjuk, East Java, from June 03 to July 07, 2018. Posyandu was selected by stratified random sampling. A sample of 225 children under five was selected by fixed disease sampling, consisting of 75 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were birth length, maternal height, and family size. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: The risk of stunting increased with maternal height <150 cm (b= 2.59; 95% CI= -0.75 to 4.42; p= 0.006), birth length <48 cm (b=4.17; 95% CI= 2.19 to 6.15; p<0.001), and large family size (b= 2.31; 95% CI= 0.34 to 4.29; p= 0.022). Posyandu had a contextual effect on stunting with ICC= 63.39%.Conclusion: The risk of stunting increases with maternal height <150 cm, birth length <48 cm, and large family size. Posyandu has a sizeable contextual effect on stunting.Keywords: stunting, birth length, maternal height, family size, posyandu, multilevelCorrespondence:
Multilevel Analysis: The Effect of Socioeconomic, Birth Weight, and Nutrition Intake with Wasting in Boyolali, Central Java Nur Fika Roobiati; Eti Poncorini; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Wasting is a major health problem. Globally, wasting accounts for 4.7% of all deaths of children aged under 5 years. Severely wasted children are, on average, 11 times more likely to die than their healthy counterparts. This study aimed to investigate the effect of socioeconomic, birth weight, and nutrition intake with wasting in Boyolali, Central Java, using multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Boyolali, Central Java, from April to May 2018. Twenty five posyandus (integrated health posts) were selected and positioned at level 2 in the multilevel model (MLM) analysis. A sample of 200 children under five was selected for this study by fixed disease sampling and positioned at level 1 in the MLM. The dependent variable was wasting. The independent variables were birth weight, nutrition intake, maternal education, family income, and family size. Data on wasting was measured by microtoise and weight scale. Nutrition intake was measured by food recall. The other variables were collected by questionnaire. Data were analyzed by a MLM analysis.Results: The risk of wasting decreased with high family income (b= -1.92; 95% CI= -3.77 to -0.08; p= 0.041), high maternal education (b= -2.68; 95% CI= -4.97 to -0.38; p= 0.022), small family size (b= -2.01; 95% CI= -3.67 to -0.35; p= 0.018), normal birth weight (b= -2.55; 95% CI= -4.89 to -0.21; p= 0.033), good nutritional intake (b= -2.18; 95% CI= -3.95 to -0.41; p= 0.016). Posyandu had a contextual effect on wasting with ICC= 21.45%.Conclusion: The risk of wasting decreases with high family income, high maternal education, small family size, normal birth weight, good nutritional intake. Posyandu has a contextual effect on wasting.Keywords: wasting, socioeconomic, birth weight, nutrition intake, children under fiveCorrespondence:
Co-Authors Achmad Arman Subijanto Afiono Agung Prasetyo Agung Kurniawan Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Triyono Agustaria Budinugroho Agustina Utii Ahadyah Miftahul Jannah Ahmad Syauqi Mubarok Ailsa Clarissa Cynara Alvy Nur Hidayati Amallia Wijiwinarsih Ambar Mudigdo Ana Yuliana Anastasia Dwi Anggraeni Andi Siswanto Anggi Putri Aria Gita Anggun Fitri Handayani Anindhita Saviorel Rivaldy Anisa Andriani Anitasari Kartika Putri Annisa Widya Panduwinata Annissa Devi Permata Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Argyo Demartoto Argyo Dermatoto Arinda Mukti Yuhanani Aris Widiyanto Arlina Azka Arum Kusuma Rini Arum Nuryati Arum Wijayanti Asri Wahyu Azzahro Asrori Ibnu Utomo Asruria Sani Fajriah Atika Dwi Minawati Atthahira Amalia Hafiizha Aulia Noorvita Ramadani Ayu Anulus Ayu Laela Fitriyani Ayu Novita Wulandari Ayu Trisni Pamilih Bayu Putra Dewantara Bekti Susilowati Bening Rahimi Titisari Bertha Sylvester Maingu Bibit Irawan Burhannudin Ichsan Burhannudin Ischan Cendekia Airedeta Mulianda Christiana Sri Wahyuningsih Citra Ayuningtiyas CSP Wekadigunawan CSP. Wekadigunawan Cynthia Octaviani Danti Narulita Dena Tri Solehaini Destinady Kadiser Miden Dewi Indriani Dewi Mustika Ratih Dewi Saptowati Dian Estiningtyas Dian Handayani Dian Surya Kartika Dian Winiarti Diana Sayidah Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo Didik Tamtoto Didik Tantomo Dily Ekasari Dinda Ika Pratiwi Dinda Nur Asri Mutiara Ramadhani Dono Indarto Dono Indarto Dwi Tour Kumalasari Dyah Ayu Agustin Dyah Ayu Saputri Eka Miftakhul Jannah Elsa Tursina Eltigeka Devi Apriliani Endang Palupi Endang Sutisna Sulaeman Endang Sutisna Sulaeman Endang Sutisna Sulaeman Eni Nur Rahmawati Etanaulia Marsim Eti Poncorini Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Farida Nurhayati Fatchurrohmah Ines Prabandari Fathia Mutiara Zahra Fathiyyatu Assa’diy Firda Fatimah Hasna Karima Febrina Ardianti Fiqih Agustyna Murti Fitriah Fitriah Florida Betty Apriliyani Frannesty Estu Winahyu Gabriela Advitri Febriani Galuh Tunjung Pertiwi Genn Andrean Pratama Hanifah Hanifah Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Haris Sutopo Harsono Salimo Harsono Salimo Hendra Dwi Kurniawan Hepti Widia Ningsih Herawati Prianggi Hermanu Joebagio Hermanu Joebagio Hermanu Joebagyo Iga Trisnawati Ignatius Loyola Sukamto Ikhtiarisca Olifia Mufidatun Ila Izzatus Salamah Indah Adhitama Chrisnanda Isna Andriani Isna Nur Rohmah Isna Qadrijati Istri Yuliani Jemmi Sastrawijayah Jihan Nafisah Fauziyyah Joko Tri Atmodjo Lailatul Rohmah Lanti Retno Dewi Latifah Nur Alifia Lely Tri Pangesti Lily Nabillah Lina Eta Safitri Lisa Safaah Novia Larsiani Lusia Arina Cahyaningrum Mahendra Wijaya Malinda Capri Nurul Satya Maria Regina Tri Yonita Mario Febrianus Helan Sani Maya Ayu Riestiyowati Maya Sofiyani Mei Kusumaningtyas Melinda Febianca Gaurinindi Muhammad Akhyar Muhammad Akhyar Mujiran Mujiran Mustainu Habibi Muvida Muvida Nadia Ayu Irma Nindiyastuti Nila Widya Keswara Nita Aprilia Nur Aida Yuliana Nur Fika Roobiati Nurul Fatimah Nurul Ulya Luthfiyana Okky Nurlita Sari Oktaviana Kurniawati Pawito Pawito Priscilla Jessica Pihahey Putri Pamungkas Putu Anggi Widia Karmany Ratna Purwani Siwi Ravik Karsidi Ravik Karsidi RB. Soemanto RB. Soemanto Remita Yuli Kusumaningrum Resta Dwi Yuliani Retno Wulan Reza Ramadhana Tahta Firmansyah Rezyana Budi Syahputri Rindra Deviasti Ristamaya Danar Dewi Rita Benya Adriani Rita Benya Adriani Rita Benya Adriani Riyesti Hero Fresna Rizki Aqsyari Rizki Kurniawan Saputra Rizqi Inayati Rofana Aghniya Ruben Dharmawan Ruth Apriyanti Ryanawati Putriarsih Satriyo Fajar Wicaksono Septa Decelita Wahyuni Septyandi Ramadhan Setyo Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Raharjo Shofia Maharani Khoirun Nisa Silvalia Rahma Pratiwi Sinar Perdana Putra Sintya Rosalina Sisybania Sisybania Siti Damayanti Siti Luluk Khamidahtun Ni'mah Siti Mar'atul Munawaroh Siti Mar’atul Munawaroh Siti Nurhalimah Sri Hartini Sri Panuntun Sri Panuntun Sri Umiati Sumardiyono Sumardiyono Supriyadi Hari Respati Syarifatul Fikriyyah Syndia Puspitasari Tedjo Danudjo Oepomo Titis Eka Gusti Tri Nugraha Susilawati Tri Puji Pangesti Tri Subaeti Tutut Okta Diana Tyas Aisyah Putri Uki Retno Budhiastuti Uki Retno Budihastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulfah Hidayati Umi Nadhiroh Ummy Prasetyowati Very Retnowati Veterina Rizki Amalia Victoria Husadani Permata Sari Vitri Widyaningsih Vitri Widyaningsih Vivin Eka Rahmawati Wardhatul Livia Wawan Diyantana Wekadigunawan, Cri Sajjana Prajna Widya Kurnianingsih Wulandari Wulandari Yesi Retiyansa Yeti Rahelli Yovita Galuh Eka Ariska Yudi Andriyaningtiyas Yuli Astuti Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulianda Yeimo Yunita Rusdiyanti Yustina Purwaningsih Yusuf Bachtiyar Lobis Yuzana Maung