Implementation of Traditional Medicine Remedies During The COVID-19 Pandemic as Health Improvement and Empowerment of Indonesian Women

The COVID-19 pandemic is still a polemic of life in the world. WHO explains that there are still several countries showing an increase in COVID-19 incident. There are still active cases of COVID-19 in Indonesia, which is why Indonesian people should remain vigilant and follow the instruction of the Indonesian Ministry of Health, and do the 5M. In addition, the Ministry of Health in Indonesia also recommends using traditional medicine to maintain health, provide adequate nutrition and help overcome health problems. Muslim women groups from various regions in Indonesia can be suitable subjects of community service to assist the government in overcoming the COVID-19 pandemic, one of which is through education about COVID-19 and traditional medicine used during the COVID-19 pandemic. The method used in this community service is through educational webinars and measurement of understanding using an electronic questionnaire. After the educational webinar, the team collected the participant's activity in implementing traditional medicine during the COVID-19 pandemic. The results of this community service activity increased the knowledge of the community service participants to 85.83%. The participants also implemented traditional medicine by sending photos of the activities of the community service participants. This community service activity aims to overcome the problem of information gaps and increase the knowledge of Muslim women groups from various regions in Indonesia to improve and maintain the quality of life and health during the COVID-19 pandemic. Participants in this activity look active and enthusiastic during community service activities.


SARS-COV-2 is the virus that causes Corona Virus
Disease 2019 . COVID-19 is a disease that has created an imbalance in social life and created abnormal conditions. Until now, the COVID-19 pandemic is still being felt by the entire world community, including Indonesia (Cucinotta & Vanelli, 2020). Based on data from WHO, the number of COVID-19 cases globally is reported that now totals more than 220 million, and the total number of deaths is more than 4.5 million. In addition, several incidents in America were reported to have increased by the end of this week by 19% compared to last week. In contrast, in several regions in Africa, Asia and Europe, COVID-19 cases had decreased, including in Indonesia (Ministry of Health of Rwanda, 2021). Based on data from the COVID-19 Task Force in Indonesia, there has been a decline in active cases where people exposed to Sars-Cov-2 have decreased. The Government of Indonesia recommends using traditional medicinal herbs by the provisions and rules that are safe for the Indonesian people to maintain health and increase immunity during the COVID-19 pandemic. Therefore, the community service team organizes educational programs for groups of Muslim women from various regions in Indonesia. Representatives of Muslim women's groups from various regions in Indonesia are expected to obtain accurate information about COVID-19 and some of the prevention of the disease by using traditional Indonesian medicinal herbs. Starting from a group of women, the information will be shared to their family, neighbors and relatives regarding the safe use of traditional Indonesian medicinal herbs by the dosage to maintain health and increase immunity during the COVID-19 pandemic.

METHODS
Community service activities targeted all groups of Muslim women from various regions in Indonesia. In this community engagement example, Muslim women representing several regions in Indonesia participated in an educational webinar on COVID-19. The campaign is on traditional Indonesian medicinal ingredients and active compounds contained in traditional medicines that can be used during the COVID-19 pandemic. This community service activity uses a zoom meeting platform to make it easier for participants from various regions in Indonesia to participate in this activity. The number of participants who attended this community service activity was around 74 people from Riau, Sumatra, Central Java, East Java, West Java, Sulawesi, and Eastern Indonesia.
Before the Educational Activity started, the community service team asked the participants to work on a pre-test electronic questionnaire used to evaluate the participants' initial knowledge. The data is then analyzed by the community service team. Afterward educational activities were held with a webinar design attended by the community service team as event guides and resource persons. Educational background of the community service team from Pharmacy knows about the pathophysiology of COVID-19 disease, the mechanism of the immune response that occurs in COVID-19, prevention of COVID-19, the content of active compounds in traditional medicinal plants, and the traditional medicinal ingredients as recommended by the ministry of health. After the educational activity, the participants must complete the post-test electronic questionnaire that the community service team has provided. The community service team can use the pretest and post-test electronic questionnaire data to measure success in providing well-received education. Data processing were using Microsoft The counselling participants were checked for their level of knowledge before they were given the education material and another post-test after being given the educational process. The topic of questions were about COVID-19 disease, the mechanism of the immune response that occurs in prevention  The results of the normality test using Kolmogorov Smirnov resulted in normally distributed data. In the paired t-test, the p-value of 0.00 means a difference between the pre-test and post-test scores for the level of knowledge of Indonesian Muslim women about COVID-19 and Traditional Indonesian Medicines where p-value <0.05 (95% CI ). The mean value of the paired t test results is -57.50, negative means that there is a tendency to increase the knowledge level of community service participants after being given education with an average value of 57.50.

Discussion
The community service participants have implemented the results of education about traditional medicinal ingredients, which can be seen from the photos of the activities of the community service participants sent via a google form electronic questionnaire to the community service team. Based on the assessment results of the level of knowledge of Indonesian Muslim women groups about COVID-19 and Traditional Indonesian Medicines, it shows an increase in the knowledge of community service participants. This activity can also explain that education programs regarding COVID-19, COVID-19 prevention, the content of active compounds in traditional medicinal plants, traditional medicinal ingredients according to the recommendations of the Ministry of Health have succeeded in increasing their level of knowledge. The community service team hopes that from this data, community service participants now have a good knowledge about COVID-19, and ways to prevent COVID-19 through active compounds contained in traditional Indonesian medicinal plants, and how to make excellent and safe Indonesian traditional medicinal ingredients. In addition, the level of quality of life and health of community service participants can also increase along with the increase in their knowledge.
The educational webinar activity about COVID-19, ways to prevent COVID-19, the active compounds contained in traditional Indonesian medicinal plants, and traditional Indonesian medicinal herbs went smoothly and wellmanaged. The community service participants looked enthusiastic by asking ten questions to the resource persons, and the speakers had answered them well. This community service education is divided into three discussion topics. Topic 1 discusses COVID-19, the pathophysiology and mechanisms of COVID-19 immunity, prevention of COVID-19. Topic two discusses how to make traditional Indonesian medicinal herbs that can be used during the COVID-19 pandemic. Finally, topic 3 discuss the content of active compounds from traditional Indonesian medicinal plants. The three topics are made very comprehensive so that community service participants can understand the science of COVID-19 and traditional Indonesian medicinal herbs so that community service participants can implement them in daily life during the COVID-19 pandemic.
In the �irst topic regarding COVID-19, participants were asked to understand the brief Dhigna Luth�iyani Citra Pradana, pathophysiology and immune processes of COVID-19. Several studies show that increased biomarkers concentrations are associated with monocyte / macrophage, in�lammasome, NF-B, neutrophil activation, activation and polarization of T cells, type I IFN and geneinduced response to IFN, endothelial damage in COVID-19 patients (Abers et al., 2021). These biomarkers trigger in�lammation in COVID-19 patients. Traditional medicines containing active substances such as curcumin have pharmacological effects as an anti-in�lammatory and increase immunity, which can help overcome this (Edwards et al., 2017). Some traditional Indonesian medicines that contain curcumin include turmeric and temulawak ((Hadi et al., 2018); (BPOM RI, 2020)). The use of traditional medicinal herbs that need to be considered is how to cook these ingredients and use cooking utensils made of clay, heat-resistant glass, ceramics, porcelain, and stainless steel. The use of metals such as aluminum in traditional medicinal ingredients is not recommended because it can increase the risk of neurodegenerative diseases (Jabeen et al., 2016). Traditional medicinal ingredients must be washed thoroughly before further processing (Kementerian Kesehatan Republik Indonesia, 2018). In the use of dried Simplicia or dry traditional medicinal plants, attention should be focused on the presence of a�latoxin. A�latoxin contamination of this fungal toxin can be a potential carcinogen and a�latoxin is produced from Aspergillus, where Aspergillus can only be damaged at a temperature of 269oC (Pereira et al., 2015).

CONCLUSION AND RECOMMENDATION
This community service activity is an effort to overcome the problem of information gaps and increase the knowledge of Muslim women groups from various regions in Indonesia so that the participants' quality of life and health can be improved and maintained during the COVID-19 pandemic. Participants in this activity looked active and enthusiastic during community service activities. The community service participants increased their knowledge about traditional medicinal herbs used during the COVID-19 pandemic, as seen in the increase in the knowledge post-test score of 85.83. The community service team advised the participants to apply the information and knowledge obtained about these traditional medicinal