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AI-powered hyper-personalization exposes consumer privacy and ethical gaps that South Africa’s POPIA does not fully plug; compared with the EU’s GDPR, weaker specificity and enforcement risk leaving consumers vulnerable to manipulation and biased profiling.

EXPLORING THE LANDSCAPE OF DEMAND MANAGEMENT PRACTICES IN PUBLIC HEALTH SECTOR IN THE GAUTENG PROVINCE, SOUTH AFRICA: AN EMPIRICAL ANALYSIS
Ellsworth Chouncey Jonathan, Phathutshedzo David Lavhelani · April 01, 2026 · African and global issues quarterly.
openalex review_meta low evidence 6/10 relevance DOI Source PDF
The paper argues that AI-driven hyper-personalization in digital marketing creates ethical and privacy risks that South Africa's POPIA currently addresses less specifically and less enforceably than global standards like the GDPR.

This paper aims to examine the demand management practices implemented within public health sector institutions in Gauteng, South Africa. The study adopted a quantitative survey approach, where structured questionnaires were distributed to 235 demand management practitioners across various public health facilities in the province. A total of 207 completed questionnaires were returned, resulting in a high response rate of 88.08%, which strengthens the reliability and credibility of the findings.The results indicate that, although demand management practices are formally recognised within the public health sector, their implementation remains constrained by several significant challenges. These include weaknesses in organisational structures, ineffective demand management techniques, limited budget allocations, and poor alignment between demand planning and institutional strategic objectives. Furthermore, inconsistencies in the application and interpretation of supply chain management (SCM) policies, regulations, and specifications were identified as additional barriers affecting effective demand management. The limited and inconsistent implementation of demand management in public sector organisations highlights a concerning misalignment between strategic goals, demand planning, and operational processes. This misalignment ultimately leads to inefficiencies and a potential loss of value for public institutions, particularly in a sector as critical as public health. Strengthening coordination between strategic planning and demand management processes is therefore essential to enhance service delivery, optimise resource utilisation, and improve overall organisational performance. Since the study was confined to Gauteng Province, the findings may not fully represent the situation in other provinces. Future research should be conducted in other regions of South Africa to provide comparative insights and determine whether similar challenges exist across the broader public health sector. Such studies could contribute to the development of more standardised and effective demand management frameworks at a national level.

Summary

Paper: Navigating Artificial Intelligence Personalisation and Consumer Privacy in Digital Marketing across South Africa and Global Contexts Authors: Suraksha Moothura & Andrisha Beharry‑Ramraj Source: African And Global Issues Quarterly (AGIQ), Vol. 7(1) April 2026, p. 261 (editorial summary)

Main Finding

AI‑driven hyper‑personalization in digital marketing raises significant ethical and privacy risks—manipulation, algorithmic bias, and erosion of consumer autonomy—that South African legal frameworks (notably POPIA) currently under‑specify and under‑enforce compared with international standards such as the GDPR, leaving consumers and markets exposed to harms and regulatory gaps.

Key Points

  • AI personalization delivers targeted marketing gains (engagement, conversion) but produces non‑trivial externalities: behavioral manipulation, discriminatory outcomes via biased models, and reduced consumer autonomy.
  • South Africa’s privacy regime (POPIA) lacks the specificity, enforcement mechanisms, and algorithmic oversight present in GDPR‑style regimes, creating regulatory lag.
  • Ethical concerns (transparency, consent quality, explainability) are inadequately addressed in practice and policy, increasing risks of consumer harm and reputational/legal risk for firms.
  • There is a tension between innovation/adoption benefits for firms (better targeting, higher revenue) and social costs (privacy erosion, information asymmetry, reduced welfare).
  • Comparative perspective underscores need for tailored regulatory and industry responses rather than wholesale importation of foreign rules.

Data & Methods

  • Methodology: Desktop literature review and comparative policy analysis.
  • Evidence base: Academic studies, policy documents, and regulatory frameworks comparing South African context with global standards (e.g., GDPR).
  • Analytical focus: Ethical implications, legal/regulatory adequacy, and normative assessment of AI personalization practices in digital marketing.

Implications for AI Economics

  • Market efficiency & consumer welfare: Personalization can raise firm profits and short‑term consumer surplus but may produce welfare losses through manipulation and biased targeting; welfare analyses should account for behavioral externalities and distributional effects across consumer groups.
  • Market failures & information asymmetry: Lack of transparency and low consumer understanding can sustain information asymmetries, justifying regulatory interventions (disclosure, consent standards, algorithmic audits).
  • Competition & entry: Firms investing in AI personalization may gain dominant data advantages, raising barriers to entry and potential market concentration; antitrust and data portability policies become economically relevant.
  • Regulatory economics: Weak enforcement (POPIA) increases regulatory uncertainty and reputational risk; stronger, predictable rules (targeted obligations on explainability, fairness audits, consent metrics) can reduce negative externalities but impose compliance costs—policies should balance innovation incentives and protections.
  • Measurement & research priorities: Need for empirical estimates of economic harms (consumer surplus changes, discriminatory pricing impacts), causal studies on manipulation effects, and cost‑benefit analyses of proposed regulatory remedies.
  • Policy recommendations (economic framing): implement enforceable transparency and consent requirements calibrated to reduce behavioral manipulation; require algorithmic impact assessments for high‑risk personalization; promote data portability and competitive interoperability; design targeted subsidies or technical support to help smaller firms comply without stifling innovation.

Suggested next research steps: quantify welfare impacts of AI personalization in South Africa, measure distributional biases across demographics, and estimate compliance cost curves for different regulatory designs to inform policy tradeoffs.

Assessment

Paper Typereview_meta Evidence Strengthlow — The article is a desktop literature review and comparative policy analysis rather than an original empirical study; it does not provide causal identification or quantitative estimates of economic impacts and relies on secondary sources and legal texts, so claims about effects are illustrative rather than empirically established. Methods Rigormedium — The paper synthesizes relevant literature and regulatory frameworks (POPIA, GDPR, and global practices) and offers a structured critique, but the editorial summary indicates a narrative/desk-review approach with no clear systematic search protocol, inclusion/exclusion criteria, or formal evidence grading, and no original data or robustness checks. SampleA desk-based literature review drawing on academic articles, policy analyses, legal instruments (notably South Africa's POPIA and the EU GDPR), industry reports, and existing commentary on AI-driven personalization and digital marketing practices across South Africa and international contexts; no primary data collection. Themesgovernance adoption GeneralizabilityFindings are based on secondary literature and legal comparisons and do not include new empirical measurement, limiting inference to observed regulatory texts and published commentary., Regulatory and market context varies substantially across countries, so comparative conclusions may not generalize beyond South Africa and jurisdictions explicitly discussed (e.g., EU)., Rapidly evolving AI capabilities and commercial practices mean conclusions may become outdated quickly as new tools, business models, and enforcement actions emerge., Absence of original consumer-level or firm-level data limits ability to generalize about economic or behavioral effects of personalization across sectors or demographics.

Claims (21)

ClaimDirectionConfidenceOutcomeDetails
Indigenous Knowledge Systems (IKS) represent a dynamic body of wisdom encompassing sustainable agriculture, natural resource management, and community resilience, and offer proven, contextually grounded solutions to modern challenges like climate change and food insecurity. Innovation Output positive high role of IKS in addressing climate change and food insecurity
0.24
Despite strict AML and anti-corruption laws, South African banks may profit from, handle, or ineffectively stop the flow of monies associated with corruption. Regulatory Compliance negative high handling/profit from proceeds of crime and AML compliance effectiveness
0.24
Enterprise and Supplier Development (ESD) adoption in South Africa remains limited. Adoption Rate negative high ESD adoption rate
0.24
Digitalization significantly enhances market access and supplier diversity for SMMEs. Adoption Rate positive high market access and supplier diversity for SMMEs
0.24
Infrastructure and skills gaps persist and limit the benefits of ESD digitalization for SMMEs. Adoption Rate negative high constraints to digitalization benefits (infrastructure, skills)
0.24
Competition from domestic and foreign retail companies contributed to Shoprite's disinvestment (exit) from the Nigerian market. Market Structure negative high disinvestment/market exit drivers
0.24
Teacher unions function as a counter-hegemonic force challenging neoliberal geopolitics and political norms and are repositioning as intellectual activists rather than compliant officials. Governance And Regulation positive high role/ideology of teacher unions in political emancipation
0.24
Youth disengagement from agriculture in Sub-Saharan Africa is not uniform but context-specific; key determinants include land scarcity, education, labor market structures, gender norms, and limited access to finance and technology. Employment mixed high youth engagement/disengagement with agriculture
0.24
In an international religious NGO in Eswatini, unconscious bias, gaps in policy implementation, and organizational culture are primary obstacles to achieving gender equality in the workplace. Inequality negative high obstacles to workplace gender equality
n=20
0.24
Individuals in Thohoyandou used traditional healing practices (e.g., steam inhalation with stones and salt; herbal concoctions including various named plants and mixtures) to survive COVID-19 without hospitalization, underscoring the significance of traditional healing practices during the pandemic. Other positive high use and perceived role of traditional healing practices during COVID-19
n=3
0.12
Demand management practices in Gauteng public health sector are substantially impeded by organizational structure, demand management techniques, budget constraints, misalignment between demand planning and strategic goals, and supply chain management rules and specifications, producing a misalignment that results in loss of value for public sector organizations. Organizational Efficiency negative high implementation/effectiveness of demand management and resultant value loss
0.24
ICT can enhance indigenous knowledge preservation, improve youth engagement, facilitate intergenerational learning, and broaden global visibility of African knowledge systems when implemented with community participation; however, challenges remain regarding digital access, cultural sensitivity, intellectual property rights, and sustainability. Adoption Rate mixed high effectiveness and barriers of ICT for indigenous knowledge dissemination and education
0.24
President Donald Trump's use of Twitter constituted a significant departure from institutional diplomacy and contributed to broader challenges facing the post-World War II international order by bypassing institutional constraints, undermining multilateral consensus-building, and creating new vulnerabilities in international relations. Governance And Regulation negative high impact on diplomatic norms and international order
0.24
Households engaged in small-scale livestock production in Malawi earned, on average, an additional MWK 36,405.76 compared to non-producing households. Other positive high household income effect of livestock production
n=8795
an additional MWK 36,405.76
0.4
Determinants that significantly increase the likelihood of participation in small-scale livestock production in Malawi include household size, access to credit, access to extension services, landholding size, distance to the market, and location in the Northern region. Other positive high likelihood of participation in livestock production
n=8795
0.4
AI-driven hyper-personalization in digital marketing raises ethical concerns (manipulation, algorithmic bias, reduced consumer autonomy) that are inadequately addressed in South Africa, where POPIA lacks the specificity and enforcement capacity evident in global standards like the GDPR. Regulatory Compliance negative high adequacy of privacy/ethical regulatory frameworks addressing AI personalization
0.24
Public–Private Partnerships (PPPs) in South African energy development have attracted substantial private investment and benefited the economy through job creation and community development, but institutional and systemic barriers (Eskom monopoly, regulatory uncertainty, grid integration constraints, dependency on coal) impede full implementation. Employment mixed high investment attraction and employment/community benefits vs. barriers to PPP effectiveness
0.24
Weak institutions, corruption, bureaucratic inefficiencies, low accountability, and marginalization in policymaking bedevil Nigeria’s sustainable development, distorting policy implementation and weakening effective service delivery. Governance And Regulation negative high factors undermining sustainable development and service delivery
0.04
If higher-quality information is available, voters' reliance on ethnic cues should decrease. Governance And Regulation negative high voter reliance on ethnic cues
0.04
Resource scarcity (leadership skills, financial institutional barriers, entrepreneurial experience, regulatory constraints, access to financial resources, technological limitations, limited training opportunities) has statistically significant relationships with entrepreneurial performance among rural women in KwaZulu-Natal. Firm Productivity negative high entrepreneurial performance
n=273
0.24
Repositioning informal systems as co-creators in urban governance (relational public administration) enables transformative governance and effective localization of SDGs in sustainable cities in South Africa. Governance And Regulation positive high governance inclusivity and localization of SDGs
0.04

Notes