Vol. 6 No. 06 (2025): Volume 06 Issue 06

Abnormal Uterine Bleeding (AUB) is a common gynecological complaint affecting women across various age groups, significantly impacting their quality of life. The diverse etiologies of AUB necessitate a thorough investigation to identify underlying pathologies, particularly those involving the endometrium. This study aims to establish a clinicopathological correlation between different patterns of abnormal uterine bleeding and findings from endometrial histopathology. By analyzing a cohort of patients presenting with AUB, this research will categorize bleeding patterns based on clinical history (e.g., menorrhagia, metrorrhagia, postmenopausal bleeding) and subsequently correlate these patterns with specific histological diagnoses obtained from endometrial biopsies or curettage samples. The study will assess the prevalence of various endometrial pathologies, such as endometrial hyperplasia (simple, complex, atypical), endometrial polyps, endometritis, carcinoma, and hormonal imbalances, across different AUB presentations. Furthermore, it will investigate the diagnostic utility of endometrial sampling in distinguishing between benign and malignant conditions in patients with AUB. The findings of this clinicopathological correlation will provide valuable insights for clinicians in the effective diagnosis, management, and prognostication of patients presenting with abnormal uterine bleeding, thereby optimizing patient care and minimizing unnecessary invasive procedures.

All community health centers (Puskesmas) within the working area of the Banda Aceh City Health Office have implemented non-communicable disease (NCD) prevention efforts, including bottom-line campaign strategies such as banners, posters, brochures, and leaflets. However, based on surveillance data, the incidence of NCDs continues to rise. According to the Banda Aceh City health profile, in the context of minimum service standard indicators for NCD services—specifically hypertension and type 2 diabetes mellitus—there were 13,077 recorded cases of hypertension in 2021, increasing to 19,394 cases in 2022. Similarly, the number of individuals with type 2 diabetes mellitus rose from 9,573 in 2021 to 12,653 in 2022. This study aims to identify the factors influencing the effectiveness of bottom-line campaigns for NCD prevention in Banda Aceh City. This research employed a quantitative survey method supported by qualitative data, analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). The study population comprised all residents of Banda Aceh City, totaling 262,960 individuals. The sample included individuals aged 15 years and older who accessed general polyclinic services at three selected Puskesmas in Banda Aceh and had seen or received information on NCD prevention through bottom-line campaign media. Data collection was conducted using a questionnaire. The results indicate that accessibility, target audience characteristics, and media content significantly influence the effectiveness of bottom-line NCD prevention campaigns in Banda Aceh City. The study concludes that the effectiveness of bottom-line NCD prevention campaigns in Banda Aceh City is determined by media accessibility, audience characteristics, and the content of the campaign materials.