The Farmer’s Personal Hygiene Improvement Through the Use of Hand Soap Gel Extract of Acem Acem Leaf

. Pesticide exposure due to poor personal hygiene is very high because farmers generally contact soil, fertilizers


Introduction
Tanah Karo Regency is an agricultural district that is dominated by horticultural crops.
Horticultural management is generally carried out using the intercropping method that is prone to pests and diseases so that it requires intensive attention with the quite high pesticides used [1].
The high of pesticides used by the agricultural community has the potential to trigger pesticide poisoning which is a serious world problem that needs attention, because of its impact on the health and death in farming communities. The use of pesticides that are not appropriate and not according to procedures will be dangerous and have an acute and chronic impact on pesticide users [2][3]. Based on literature studies, the high rate of pesticide poisoning is caused by direct exposure to pesticides that occur due to farmers not using personal protection during pesticide spraying. The highest exposure through the skin on several parts of the body is often experienced by farmers due to pump seepage that leaks, splashes, spills, or direct contact when mixing and spraying pesticides [4][5][6][7].
Personal hygiene is an action to maintain a person's cleanliness and health or personal hygiene for physical and psychological well-being. Wash the hands is the one way to improve personal hygiene. Hands are the most frequently contaminated with microorganisms. Hand washing significantly reduces the potential for spreading disease. The use of soap and water or hand sanitiser is generally more quickly accepted by the community [8][9].
Generally, the farmer's personal hygiene is in poor categorisation. Some literature states that farmers rarely wash their hands or maintain their personal hygiene. It is generally neglected because of the unavailability of water in the fields and the limited time to clean the fields, maintain crops, protect crops or other field activities. Pesticide exposure due to poor personal hygiene is very high because farmers generally contact soil, fertilizers, and pesticides which are synthetic chemicals that are harmful to health [10][11][12][13][14].
The farmers are always encouraged to take a shower and wash their hands or other body parts that are exposed to pesticides. However, the unavailability of water and soap in the fields makes farmers rarely wash their hands and carry out hand washing or bathing activities after they finish farming. This phenomenon puts farmers at risk of poisoning because of the long duration of exposure to pesticides attached and it is assumed that it enters the body through the pores of the skin in particular. Based on the results of interviews with farmers, some Karo farmers use a type of wild plant (weeds) known as " acem acem" leaf [15].
Acem acem leaf is a type of wild plant belonging to the species oxalis with the genus oxalis dehradunensis Raizada which is widely found in Karo Regency. Farmers often use this plant as a cleaning medium to clean their hands that are exposed to dirt and pesticides. This plant belongs to the type of mountain clover which contains saponins, flavonoids, polyphenols, tannins, and oxalic acid [16]. This hand soap gel can support efforts to prevent pesticide poisoning, especially to facilitate the application of personal hygiene for farmers while using pesticides. Therefore, the application of hand soap gel made from acem acem leaf extract could empower the farmers to reach their healthy lives, especially in maintaining personal hygiene by always getting used to cleaning exposure to pesticides.

Material and Method
The material used in this activity is hand soap gel acem acem leaf extract which has been formulated based on the results of the PPM team's research. Handsoap gel acem acem leaf extract has been proven to be able to bind pesticides and is effective as a pesticide cleaner. The application of a product must be packaged in a good and attractive condition so that it can stimulate the attention of the farming community to take advantage of the product being promoted or applied.  acem leaf extract. The support from the local government is shown by the enthusiasm of the government and is expected to be sustainable by preparing several important things in the dissemination of this product. Some basic points that need to be considered are how to produce it on a large scale followed by parties who can be involved in the process of making hand soap gel and how economic allocation and marketing will be encouraged. understand what the goals of the socialization target are, especially the hamlet head who understands the pattern of society in his area during farming. It can be concluded that the use of hand soap gel from acem acem leaves needs to be planned and discussed further with regional leaders. This is due to the constraints of the hand soap gel production mechanism. Farmers can only act as a provider of acem acem leaves but are powerless in producing acem acem leaves in the form of hand soap gel.

Figure 4. Outreach to Village Level Communities
The socialization as a stage of dissemination of the hand soap gel of acem acem leaf extract was carried out more comprehensively through demonstration activities of handwashing using hand soap gel. There are still many people in agricultural areas who do not pay attention to personal hygiene, especially in terms of washing hands after using pesticides. Based on the literature, personal hygiene or cleaning oneself from exposure to pesticides is a basic preventive step that must be taken by farmers because this exposure can affect farmers' cholinesterase activity.
Generally, the farmers understand how to use the pesticides but precautions to be taken during spray of pesticides and due to this various health hazards can happen to farmers health which may be a chronic or acute health hazard [17][18][19][20][21][22].
Farmers admit that they have a weakness for not being able to avoid the use of pesticides and didn't care about their personal hygiene. Based on the results of interviews with farmers, farmers understand the risk of poisoning or toxicity but are just usually ignored because the demands of farmers' necessities of life make never avoid splashes or direct contact with pesticides which have become their daily activities. On the other hand, farmers also rarely clean themselves at least by washing their hands after spraying pesticides because of the unavailability of water and soap in the fields. Farmers generally clean themselves when they return home after completing all their activities in the fields. This increases the risk of poisoning due to chronic pesticide use [23][24].
The habit of washing hands that is not right has become a routine that is not good in this village, the community thinks washing hands with water is enough to clean hands from pesticides. This is not healthy enough considering that some chemicals cannot be removed by simply washing with water. Hand soap gel acem acem leaf extract has been scientifically proven and laboratory tests can bind and clean pesticides. The strength of acem acem leaf extract with levels of 5% and 7% can clean pesticides [25] stakeholders. Indicators such as the preparation of regulations, government involvement in program preparation, assistance in implementing development, evaluation regarding audits, and utilization of development results must be considered considering the extent to which the government's ability to open access to cooperation with investors or through regional funding in managing potential in the village is still low needs to be improved. For this reason, it is necessary to further study the potential of the village so that the down streaming and dissemination of innovation can be realized [11][12][17] [21].

Conclusion
The socialization and demonstration activities as part of the downstream innovation or dissemination of science and technology in the form of hand soap gel product of acem acem leaf extract were well received and received a positive response and high enthusiasm from the community and local government. The use of hand soap gel acem acem leaf extract can improve the personal hygiene of farmers and reduce the risk of pesticides because of the ability of hand soap gel as a pesticide cleaner. The community and local government can plan to produce hand soap gel extract of acem acem leaves in a more comprehensive manner related to collaboration between the government and universities related to innovation from the research results obtained.

Acknowledgement
We extend our deepest gratitude to the Kabanjahe sub-district head and his staff, especially to the Tanah Karo farming community who have supported and participated in supporting the improvement of farmers' personal hygiene while using pesticides. The use of hand soap gel is expected to reduce the risk of pesticide poisoning and improve the occupational health of farmers so that they become safer and healthier while applying pesticides. We also thank you for the great support and participation from community leaders, Mr. Pt. Timur Tarigan, a community that cares about the poison of GEMPAR Mr. Hiskia Surbakti and all farmers Mrs. Linda Taraigan, Mrs.
Awal Marita TArigan and Nurida Tarigan (Evil Rat). Continuous promotion and socialization of the use of hand soap gel acem acem leaf extract will be a content of local wisdom that can improve the welfare of farmers.