Initiating "Healthy Batik Village"/ “Desa Batik Sehat” to Empower Batik Workers Through Collaborative Health, Environmental and Social Interventions
Penulis/Author
dr. Sri Awalia Febriana, M.Kes., Sp.KK(K)., Ph.D. (1); Dr. Ir. Katharina Oginawati, M.S. (2); Prof. Dr. Ir. Ikeu Tanziha, MS (3); Roto Roto (4); Fean Davisunjaya Sarian (5); Prof. Dr. dr. Cita Rosita Sigit Prakoeswa, Sp.KK(K) (6); Dr. dr. Cempaka Thursina Srie Setyaningrum, Sp.S(K) (7); Dr. Dra. Suhartini, Apt., SU (8); LIMYANTI DWI VICARIA (9); dr. Dewanto Yusuf Priyambodo.,M.Sc.Sp.F (10); KEISHA A. LYUBIANA (11); Prof. Dr. Med. dr. Retno Danarti, Sp.KK(K). (12); Prof. Dr. dr. Hardyanto, Sp.KK(K). (13); Dr. Dra. Retna Siwi Padmawati, MA. (14); Sunrise Dewantara S (15); KARTIKA AYU P (16)
Tanggal/Date
24 2021
Kata Kunci/Keyword
Abstrak/Abstract
Background: Beautifully and colorfully dyed batik cloth is an Indonesian cultural heritage. Batik
production exposes workers and the environment to various physical and chemical hazards. This
interdisciplinary study aimed to assess the environmental and health parameters of batik workers, and
apply environmental and health interventions to achieve environmentally friendly batik production with
no human hazards.
Methods: To assess the environmental pollutants, the wastewater quality parameters were measured. Air
pollutant assessment was done using a low volume sampler. Liver, kidney function and blood chromium
were compared between batik workers and healthy controls. Health interventions were done to choose the
best gloves for the batik workers followed with assessing convenience level of selected gloves and
identifying obstacles that prevent them from using gloves properly. The effectiveness of nerve gliding
and wrist exercises in improving carpal tunnel syndrome clinical symptoms were evaluated.
Environmental interventions were done by developing wastewater treatment technology using modified
electrochemical systems. To assess the sustainability of the “Healthy Batik Village”, we analyzed batik
owners’ and workers’ commitment using multi-dimensional scaling methods.
Results:The parameters of water pollutants were above the national standard for wastewater, while theair
pollutants were still below the standard threshold, withAl, Fe, Cu, and Zn having the highest breathing
zone concentrations. There were significant differences (p<0.05) in liver and kidney function levels
between batik workers and controls. The modified electrochemical system using graphene electrodes was
effective to degrade the dyes used in batik production. Based on the market survey, literature study and
comfort assessment, neoprene gloves were chosen as a test glove. Neoprene gloves were considered
significantly more convenient compared to polyvinylchloride (PVC) gloves as the workers’ daily gloves
(p<0.05).Nerve gliding exercises and wrist splints were effective in causing noticeable carpal tunnel
syndrome clinical improvement. Improvements in workers' health, high quality of batik waste treatment,
and an ideal management strategy are needed for the sustainability of the "Healthy Batik Village".
Conclusion: This study showed there were occupational and environmental hazards exposed to the
workers. The health, environmental, and social interventions executed are part of the implementation
research to establish the “Healthy Batik Village”.
