https://jurnal.penerbitsign.com/index.php/sjph <p><em><strong>SIGn Journal of Public Health</strong></em>&nbsp;is a scientific publication published every <strong>January – June</strong> and <strong>July – December</strong>. The published article is the result of selection with a <em>double–blind review</em> system. <em><strong>SIGn Journal of Public Health</strong></em> accepts manuscripts in the form of research results, theoretical studies, theoretical applications, conceptual ideas, and book reviews relevant to the Multidisciplinary of Public Health Science. In addition, the Editor of <em><strong>SIGn Journal of Public Health</strong></em>&nbsp;processes manuscripts that have never been published before.</p> CV. Social Politic Genius (SIGn) en-US SIGn Journal of Public Health 2962-4347 https://jurnal.penerbitsign.com/index.php/sjph/article/view/v4n2-001 <p><em>The responsiveness of non-medical services is a crucial indicator in determining the governance quality of referral healthcare facilities. The phenomenon of disparities in administrative service performance and the limitations of supporting infrastructure remain operational constraints affecting public satisfaction levels. This study aims to explore and analyze outpatient care responsiveness based on the direct experiences of patients at the Regional General Hospital of Syekh Yusuf, Indonesia. This qualitative study with a descriptive case study design employed a purposive sampling technique involving ten informants, primarily comprising patients as the main data source. Primary data were collected through in-depth interviews, which were validated through source triangulation and non-participant field observations. The thematic analysis revealed five fundamental weaknesses in the service system. First, patients experienced inefficiencies in waiting times due to network information system constraints and bureaucratic complexities in the insurance system. Second, there was a discrepancy in interpersonal communication standards, characterized by fluctuating attitudes and the unfriendliness of the registration counter staff. Third, although the verbal delivery of procedural information was considered adequate, the availability of visual guidance facilities was very limited. Fourth, the cramped and narrow waiting room layout significantly degraded physical comfort standards. Fifth, patients’ smooth physical mobility was compromised by broken escalators and by overlapping elevator use. These empirical findings conclude that the failure to meet service responsiveness expectations stems from institutional managerial oversight deficiencies, rather than medical clinical capabilities. Therefore, management is recommended to immediately upgrade the information system’s operational capacity, establish standard operating procedures for frontline staff etiquette, redesign waiting room capacities, and prioritize maintenance of building accessibility infrastructure for vulnerable patient groups.</em></p> A. Ulfiana Fitri Nurul Halima Andi Hardianti Copyright (c) 2025 A. Ulfiana Fitri, Nurul Halima, Andi Hardianti https://creativecommons.org/licenses/by/4.0 2025-12-15 2025-12-15 4 2 70 82 10.37276/sjph.v4i2.682 https://jurnal.penerbitsign.com/index.php/sjph/article/view/v4n2-002 <p><em>Seaweed farmers in coastal areas face a high occupational risk of allergic contact dermatitis due to persistent exposure to aquatic environments. This study aimed to analyze the determinants of this skin disease by evaluating its association with personal hygiene levels, compliance with personal protective equipment (PPE) usage, and exposure duration. A quantitative, analytical cross-sectional design was employed, involving 47 respondents selected via simple random sampling based on strict inclusion and exclusion criteria. Primary data were collected through a validated questionnaire and physical examinations, followed by Chi-square analysis at a 0.05 significance level. The results indicated a dermatitis prevalence of 55.32% among the sample. Poor personal hygiene (p = 0.003) and inadequate compliance with PPE usage (p = 0.016) were identified as significant determinants of the disease. Interestingly, analysis of the work duration revealed an anomaly: the group with less than 8 hours of daily contact exhibited the highest morbidity rate (p &lt; 0.001), suggesting a potentially strong influence of individual genetic susceptibility and seawater contamination. Based on these findings, local primary healthcare authorities should implement targeted educational programs on behavioral modification and facilitate the construction of clean-water rinsing facilities to effectively interrupt the pathogen transmission chain.</em></p> Dian Furqani Hamdan Rifkha Ayu Andira Rini Faramita Sadar Copyright (c) 2025 Dian Furqani Hamdan, Rifkha Ayu Andira, Rini Faramita Sadar https://creativecommons.org/licenses/by/4.0 2025-12-16 2025-12-16 4 2 83 93 10.37276/sjph.v4i2.684