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PERLINDUNGAN HUKUM PASIEN DALAM LAYANAN KONSULTASI KESEHATAN ONLINE Rani Tiyas Budiyanti; Penggalih Mahardika Herlambang
Jurnal MHKI Vol 1 No 01 (2021): Volume 01, Nomor 01, April 2021
Publisher : Masyarakat Hukum Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.728 KB) | DOI: 10.53337/jhki.v1i01.1

Abstract

Online medical consultation or often known as teleconsultation is part of telemedicine. The technology began to develop in Indonesia in line with the development of information technology. Flexibility of time, lower consultation costs, wide coverage, and improved health services are the benefits gained from implementing the technology. Nevertheless, the implementation of online medical consultation has potency to create ethical and legal issues in Indonesia such as legality of healthcare, legality of practice licenses, therapeutic transactions, and the issue of confidentiality and security of patient data. Indonesia does not yet have a specific regulation on the implementation of online doctor consultations. Regulations are required for the implementation of online medical consultation so that not to conflict with ethics and law. In addition, information technology in the health sector should be developed to support the implementation of online medical consultation services.
SYSTEMATIC REVIEW PELAKSANAAN PROGRAMMATIC MANAGEMENT OF DRUG-RESISTANT TUBERCULOSIS PADA PASIEN TUBERKULOSIS RESISTAN OBAT Fitri Aviana; Sutopo Patria Jati; Rani Tiyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (43.52 KB) | DOI: 10.14710/jkm.v9i2.28719

Abstract

Drug Resistance Tuberculosis (DR TB) adalah penyakit TB yang telah mengembangkan resistansi terhadap satu atau lebih obat anti tuberkulosis (OAD) berdasarkan uji laboratorium yang terstandarisasi dan merupakan salah satu masalah kesehatan yang mengancam keberhasilan pengendalian TB. WHO membentuk Programmatic Management of Drug-Resistant Tuberculosis (PMDT) sebagai upaya pengendalian DR TB. Kajian pustaka ini bertujuan untuk mengetahui implementasi strategi PMDT dalam pengendalian DR TB. Penelitian ini menggunakan metode tinjauan sistematis dengan pendekatan sederhana. Pencarian artikel dilakukan pada sepuluh database dengan kriteria pencantuman artikel berbahasa Indonesia dan Inggris, batasan publikasi tahun 2011-2020, open access, full text, dan menggunakan strategi PMDT dalam pengobatan. Sebanyak 138 artikel ditemukan dalam pencarian awal. Hasil pemilihan artikel diperoleh 21 artikel yang sesuai dengan kriteria inklusi yang telah ditentukan. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat.
Pelaksanaan Pelayanan Neonatal Berdasarkan Standar Pelayanan Minimal Kesehatan Bayi Baru Lahir di Puskesmas Dukuhseti Kabupaten Pati Arum Rohana; Ayun Sriatmi; Rani Tyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 1 (2020): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.479 KB) | DOI: 10.14710/jkm.v8i1.25877

Abstract

The Minimum Service Standards (MSS) are a national strategic program and the Puskesmas are the leading unit in efforts to achieve the MSS targets. Pati Regency occupies the top 6 highest infant mortality cases in the province of Central Java in 2018 and the highest number of cases is in the Dukuhseti Primary Health Center (PHC). Dukuhseti PHC is a BLUD PHC that must apply MSS including newborn health services, but the implementation is not optimal as indicated by the coverage of neonatal visits that have not reached the target. The study aims to analyze the implementation of health MSS in newborn health services in Dukuhseti PHC. This research is a qualitative research with in-depth interviews and observations using content description analysis. The results showed that the implementation of SPM in newborn health services was constrained in the implementation of KN2 and KN3, neonatal care counseling, health examination with MTBM, and handling neonatal referral cases. That was because most of the midwives had not received MTBM training, there was no budgeting for health training, double jobs because midwife HR at the PHC was lacking, the targets used a lot of real data, recording and reporting were not in order, supervision from the leadership was not optimal, difficulties in finding health facilities referral, and there is no strict sanction from the District Health Office (DHO). PHC are expected to be able to budget funds for training for health workers, provide guidance for better coordination, fix information systems and referral applications by implementing an online-based Integrated Referral System. The DHO is expected to be able to improve supervision by implementing more systematic evaluations and reinforcing sanctions so that the implementation of MSS in newborn health services runs optimally.
GAMBARAN KEPATUHAN PERAWAT TERHADAP PENERAPAN UNIVERSAL PRECAUTION (STUDI DI RSUD UNGARAN) Raditya Noriski; Septo Pawelas Arso; Rani Tyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 6 (2020): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.026 KB) | DOI: 10.14710/jkm.v8i6.27965

Abstract

Universal Precaution (UP) is a program created by the Centers for Disease Control and Prevention (CDC) that aims to reduce the risk of transmission of pathogens through blood and body fluids. In Indonesia, this is regulated in the Minister of Health Regulation No. 27 of 2017 concerning infection prevention and control programs in health care facilities. But in its application in Ungaran Regional Hospital is still not optimal because there are still several cases of Stick Injury. In theory, there are several factors associated with the level of compliance. The purpose of this study was to determine the description of nurse approval in implementing Universal Precaution in Ungaran District Hospital. This research is a quantitative study using a cross sectional study with a sample of 96 respondents. The results of this study indicate that most nurses have complied with UP. Associated with hospitals to conduct routine inspections and sudden inspections to verify nurses while working.
IMPLEMENTASI PROGRAM JOGO TONGO DALAM MENANGGULANGI COVID-19 : STUDI KASUS DI KELURAHAN SISWODIPURAN KABUPATEN BOYOLALI Ervina Yuni Ariani; Rani Tyas Budiyanti; Wulan Kusumastuti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 6 (2021): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.979 KB) | DOI: 10.14710/jkm.v9i6.31446

Abstract

Penemuan kasus COVID-19 di Indonesia terus mengalami penambahan jumlah sehingga segera diperlukan upaya penanggulangan. Menyikapi hal itu, Pemprov Jateng mengeluarkan Instruksi Gubernur No.1 Tahun 2020 tentang Pemberdayaan Masyarakat dalam Percepatan Penanganan COVID-19 di Tingkat RW melalui pembentukan Satgas Jogo Tonggo. Kelurahan Siswodipuran merupakan salah satu wilayah di Kabupaten Boyolali, Jawa Tengah dengan peningkatan kasus COVID-19 setiap bulannya dan ditemukan total 36 warga terkonfirmasi. Dukuh Gatak RW 05 meruapakan daerah perkotaan padat penduduk yang rawan akan penyebaran COVID-19. Seluruh wilayah RT di Dukuh Gatak pernah ditemukan kasus konfirmasi serta terdapat cluster baru penyebaran virus di wilayah tersebut, akan tetapi masih tedapat warga yang kurang peduli dan belum mengetahui akan pelaksanaan program Jogo Tonggo. Artikel ini menggunakan metode kualitatif dengan pendekatan deskriptif. Hasil penelitian menunjukkan bahwa program Jogo Tonggo Dukuh Gatak, Siswodipuran belum optimal, hanya sedikit kegiatan bidang Jogo Tonggo yang berhasil di implementasikan. Pelaksanaan program belum optimal disebabkan oleh beberapa faktor, yaitu pelaksana yang kurang memahami tujuan dari program sehingga menyebabkan presepsi yang berbeda mengenai mekanisme pelaksanaannya. Pelaporan Jogo Tonggo tidak berjalan secara rutin dan tertulis dan tidak terdapat pelatihan anggota Satgas maupun anggaran khusus. Fasilitas dan sarana prasarana yang tersedia masih terbatas serta belum semua anggota Satgas berperan aktif karena ketergantungan yang tinggi pada Ketua RW dan pemerintah desa. SOP Jogo Tonggo tingkat RT/RW belum terbentuk, begitu juga dengan sosialisasi kepada anggota Satgas maupun masyarakat yang masih sangat minim. 
ANALISIS PENGAWASAN MENELAN OBAT PASIEN TUBERKULOSIS (TB) DALAM PROGRAM PENANGGULANGAN TB DI PUSKESMAS SEMPOR II KABUPATEN KEBUMEN Nida Adyaningrum; Chriswardani Suryawati; Rani Tiyas Budiyanti
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.328 KB) | DOI: 10.14710/jkm.v7i4.24819

Abstract

Sempor II Primary Health Care is one of the health centers with a success rate that has not yet reached the target set by the Kebumen District Health Office, which is 85%. Failure in the success of treatment causes a more severe TB disease condition which results in increased cases of MDR (Multi Drug Resistant), complications, and causes of death. One of the strategies in achieving the target of TB success rate and preventing drop out is by monitoring the ingestion of drugs. This study aims to  analyze the supervision of swallowing drug of TB patients in the tuberculosis (TB) control program at the Sempor II Primary Health Care in Kebumen Regency in the input, process and output variables. This research was a qualitative research with descriptive analytic. Data was colected by in-depth interviews. The object of study was the Supervision of Drug Swallowing in the TB Control Program at the Sempor II Primary Health Care in Kebumen Regency, viewed from the input, process and output aspects. The results of research on the implementation of drug swallowing control activities carried out at the Sempor II Primary Health Care from input variables, there are obstacles in the aspects of human resources, funds and methods. While in the material aspects there are no obstacles In the process variables there are obstacles in the planning process and implementation and there are no obstacles in the mobilization process. Evaluation of drug swallowing control activities has never been done. The output variable found that regarding timeliness at the time of the supervision of the main informant one said that the supervision activities to swallow drugs, for home visits could not be on schedule. 90% of TB patients at the Sempor II Primary Health Care have carried out regular treatment even though they have not yet reached the target of success of the treatment that is set at 85%. 
PELAKSANAAN PROGRAM INTERVENSI PADA PENYAKIT HIPERTENSI DI PUSKESMAS PURWOYOSO KOTA SEMARANG Addela Sekar Pramesthi Artyasari; Antono Surjoputro; Rani Tyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (59.663 KB) | DOI: 10.14710/jkm.v9i3.29610

Abstract

 Purwoyoso Primary Health Care is a health center that has completed data collection on Healthy Indonesian Programs with Family Approaches (PIS-PK) reaching 99% in 2018. The results of the data collection showed that hypertension sufferers who seek regular treatment are still low. Purwoyoso Primary Health Care was chosen as the location for hypertension intervention and focused on RW 11 Purwoyoso Village which is the area with the lowest Healthy Family Index (IKS) due to a decrease caused by indicators of hypertension sufferers who have not reached 100%. There are three intervention programs which include the Cetar program, jemput bola, and Taman Hepi. The purpose of this study was to analyze the implementation of the PIS-PK intervention program on hypertension at Purwoyoso Health Center. This study used a qualitative method through in-depth interviews with the research subjects of the head of the Purwoyoso Health Center, hypertension program holders, program implementors, cadres, and the community. The results showed that the intervention program did not have a target indicator of success. In the Cetar and Taman hepi programs, there were insufficient resource constraints, unclear division of labor, and inadequate supervision activities. This research concludes that the variables that influence the intervention program are resources and bureaucratic structure. Purwoyoso Health Center need to develop indicators of success as benchmarks for assessment, cross-sector collaboration related to resources, training cadres, collaboration with other programs, and periodically conducting monitoring and evaluation.
FAKTOR-FAKTOR YANG MEMPENGARUHI PENGGUNAAN LAYANAN TELEMEDICINE PADA MASA PANDEMI COVID-19 DI PULAU JAWA Maylin Djuana Siboro; Antono Surjoputro; Rani Tiyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 5 (2021): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.385 KB) | DOI: 10.14710/jkm.v9i5.30762

Abstract

The spread of COVID-19 in Indonesia has prompted the government to urge health agencies to develop telemedicine and direct people to minimize activities outside the home, including visiting health services. In its implementation, the use of telemedicine has increased rapidly even though it is still in the development stage and there is no specific regulation. Java Island as a region with a high number of COVID-19 cases has the potential to utilize telemedicine. The purpose of this study was to analyze the factors that influence the use of telemedicine during the COVID-19 pandemic on the island of Java. This research is a quantitative study with a cross-sectional approach. Respondents of the study were 269 people using the incidental sampling method. The results of this study indicate factors related to the use of telemedicine services during the Covid-19 period in Java, namely knowledge (p = 0.000), attitude (p = 0.000), trust (p = 0.000), accessibility (p = 0.000), role environment (p = 0.000), individual health assessment (p = 0.000), and perceived benefits (p = 0.006). Meanwhile, the unrelated factor was the perception of obstacles (p = 0.090). It is recommended that the government formulate telemedicine regulations related to patient protection guarantees, medical record safety, information and communication technology standards, and quality assurance. The health office conducts telemedicine education to the public and supervises telemedicine providers to ensure that services remain integrated with the health facilities.
HUBUNGAN EKSPEKTASI KINERJA, EKSPEKTASI USAHA, DAN PENGARUH SOSIAL DENGAN PENERIMAAN MASYARAKAT DALAM PENGGUNAAN PUSKESMAS TANPA ANTRIAN KOTA SEMARANG (PUSTAKA) DI PUSKESMAS PONCOL SEMARANG Irvine Nahla Anggraini; Septo Pawelas Arso; Rani Tiyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 4 (2021): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.262 KB) | DOI: 10.14710/jkm.v9i4.29701

Abstract

Poncol Health Center is one of the health center in Semarang City which has a high number of queues at the outpatient registration place, so this must be addressed immediately because it can affect patient satisfaction and impact the quality of health center services as well. In an effort to overcome this queuing problem, the Poncol Health Center implements the Puskesmas Tanpa Antrian Kota Semarang (PUSTAKA), namely outpatient registration via Whatsapp, SMS, or an application, that has been made by the Semarang Health Office. In its implementation, PUSTAKA has not been optimally utilized by patients, so this study aims to determine the factors which are associated with acceptance in the use of PUSTAKA program. This type of research is a quantitative research with a cross-sectional study design. The sample in the study amounted to 100 respondents who are users of PUSTAKA at Poncol Health Center. Data processing used univariate and bivariate analysis methods with the chi-square statistical test. The results of the study show that the variables which are significantly correlated to acceptance in the use of PUSTAKA program are performance expectancy (p=0,037) and effort expectancy (p= 0,015). The variable which is not significantly correlated is social influence (p= 0,434). Poncol Health Center are advised to optimizing the socialization of PUSTAKA, advise the Semarang Health Office to simplify the registration format, and provide another telephone number as an alternative for patients who have problems registering via SMS or Whatsapp
ANALISIS KUNJUNGAN RUMAH DALAM PENANGANAN KASUS ORANG DENGAN GANGGUAN JIWA PASCA PENDATAAN PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA (Studi kasus di Puskesmas Padangsari Kota Semarang) Nur Laili Agustin; Ayun Sriatmi; Rani Tyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 1 (2020): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.8 KB) | DOI: 10.14710/jkm.v8i1.25815

Abstract

The number of ODGJ cases in Padangsari Public Health Center in Semarang has increased from 2016 to 2018. The increase in the number of patients must be balanced with an increase in the process of providing Puskesmas services specifically for mental disorders. The purpose of the study was to analyse home visit process in handling ODGJ cases after the collection of PIS-PK data at Padangsari Health Center, Semarang City. This research is a qualitative research with a descriptive analytic approach. Data collection was carried out by an in-depth interview. The research subjects were the current ODGJ Program Holders, Health Cadres in the work area, and PIS-PK Coordinator Padangsari Health Center as the main informant.. Whereas triangulation informants were the person in charge of the Health Office’s PIS-PK, Head of Padangsari Community Health Center, ODGJ Family and Referral Hospital Health Workers. Factors analyzed include input, process, and environmental variables in home visit handling ODGJ cases. The results of this study are that in the home visit process of handling ODGJ cases after PIS-PK data collection there is shows that in the home visit process in handling ODGJ cases, only a few houses have been visited. Of the 64 cases, there are still many ODGJ families who have not been conducted regularly. In this process, ODGJ families tend not to be visited because they are closed or ashamed. Health workers ask for help from the head of the local RT to be communicated to the families of the ODGJ concerned. There are several obstacles in the home visit process of handling ODGJ cases after the collection of PIS-PK data at Padangsari Public Health Center in Semarang City which have an impact on the running of home visit process that is less than optimal.
Co-Authors Addela Sekar Pramesthi Artyasari Alvira Putri Calista Amalia Ninggar Annisa Rakhmaningtyas Annisa, Viona Antono Surjoputro Antono Surjoputro Antono Suryoputro Antono Suryoputro Arum Rohana Astriyani, Sri Ayun Sriatmi Ayun Sriatmi Bella Octaviani Violinansa Budiyono Budiyono Chriswardani Suryawati Dyah Ayu Oktavia Eka Yunila Fatmasari Ervina Yuni Ariani Farah Fauziah Rahmasari Fathahidin, Ghaniya Afiifa Fitri Aviana Gunanto Gunanto Hendry Gunawan Irvine Nahla Anggraini Lumbanraja, Anggita Doramia Marcheda Rahma Rosalia Martini Martini Matsna Hanifah Matsna Hanifah Matsna Haniifah Maylin Djuana Siboro Mela Nofitri Mela Notri Melinda Novitasari Muhammad Junaedi Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Nadira Hafizatin Izza Nailil Izza Sofiyyah Nanang Wiyono Ni Made Deviana Widiantari Nida Adyaningrum Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nissa Kusariana Nofitri, Mela Nur Laili Agustin Nurhasmadiar Nandini Nurhasmadiar Nandini Patricia Lydia Honey Patricia Penggalih M Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Permata Ganggi, Roro Isyawati Pratiwi, Rachma Widya Pujiyono Pujiyono Pujiyono Putri Asmita Wigati Putri Asmita Wigati Putri, Farah Afanindya Jessedanta Raditya Noriski Rahmadani, Annisa Nurindra Ramadhanisa Dwi Primastuti Rinna Dwi Lestari Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi, Roro Isyawati Permata Septo Pawelas Arso Septo Pawelas Arso Septo Pawelas Arso Septo Pawelas Arso Surjoputro, Antono Sutop Patria Jati Sutopo Patria Jati Syamsulhuda BM Undayani Cita Sari Unzila, Erliana Wida Khoirunnisa Wulan Kusumastuti Wulan Kusumastuti Yudhanto, Yoga