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A Scoping Review of Epilepsy Care in Low-Resource Settings: Addressing Stigma, Healthcare Disparities, and Socioeconomic Barriers Willie, Michael Mncedisi
Journal of Indonesian Health Policy and Administration Vol. 10, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Epilepsy affects around fifty million people worldwide, with stigma and limited healthcare access posing significant challenges, especially in low-resource settings. This scoping review aimed to identify key barriers to epilepsy care, focusing on stigma, healthcare access, and socioeconomic factors in sub-Saharan Africa and similar contexts. Using the Arksey and O’Malley framework, a systematic search was conducted across online databases for peer-reviewed studies published. The review found that stigma significantly delayed diagnosis, increased social isolation, and reduced treatment adherence. Healthcare barriers included a lack of trained professionals and inadequate treatment protocols. Socioeconomic challenges, such as poverty and rural residency, were linked to lower healthcare utilisation and medication non-adherence. Additionally, limited public awareness reinforced misinformation and discrimination. The findings highlight the urgent need for targeted health interventions, public education, and stronger integration of epilepsy care into primary healthcare, particularly in underserved regions.
Value-Based Administration Services and Value-Based Care: Aligning Administrative Efficiency with Patient Outcomes Willie, Michael Mncedisi
Journal of Management and Informatics Vol. 4 No. 3 (2025): December Season | JMI: Journal of Management and Informatics
Publisher : University of Science and Computer Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51903/jmi.v4i3.308

Abstract

Value-Based Care (VBC) is reshaping healthcare delivery by incentivising improved patient outcomes over service volume. However, its success is closely tied to the efficiency and responsiveness of administrative systems.This study introduces the concept of Value-Based Administration Services (VBAS) and explores how its integration with VBC can strengthen clinical performance, enhance operational efficiency, and support organisational sustainability. A qualitative literature review was conducted to analyse peer-reviewed articles, policy documents, and case studies. Thematic analysis was used to identify patterns and construct a conceptual framework illustrating the interdependence of VBAS and VBC. Findings indicate that administrative functions such as claims processing, fraud detection, and performance-based contracting are essential to achieving VBC objectives. Misaligned or inefficient administrative processes can compromise patient care, while well-structured VBAS systems support transparency, regulatory compliance, and cost control. VBAS enables VBC, transforming administrative functions from transactional support roles into strategic mechanisms for delivering value. The proposed framework offers healthcare leaders a practical model for aligning administrative and clinical strategies to achieve high-quality, patient-centred, and financially sustainable care.
Exploring Health Advice Adoption in Digital Spaces: A Dual-Theory Approach Willie, Michael Mncedisi
Vokasi Unesa Bulletin of Engineering, Technology and Applied Science Vol. 3 No. 1 (2026)
Publisher : Universitas Negeri Surabaya or The State University of Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/vubeta.v3i1.39662

Abstract

Digital health platforms, including social media sites like TikTok and Facebook, have become important spaces for health communication, offering opportunities for peer support and information sharing. However, these platforms also pose significant risks, including misinformation, privacy violations, and a lack of professional oversight. This scoping review investigated the coping mechanisms used by patients and healthcare providers in digital health environments, with a focus on navigating misinformation and unregulated content on social media. A thematic analysis was conducted to identify dominant coping strategies and recurring challenges. The most common coping strategies included cross-checking health information with verified sources, avoiding unverified accounts, and seeking direct consultation with qualified professionals. Despite these strategies, users remain vulnerable due to inconsistent regulation, limited digital health literacy, and the lack of mechanisms for verifying professional credentials online. Digital health ecosystems must be supported by more robust and enforceable regulatory frameworks. Strengthening privacy protocols and issuing platform-specific guidelines for ethical conduct can further protect users and improve trust in digital health communication. This study advances understanding of coping mechanisms in digital health by synthesizing how users manage misinformation, privacy, and oversight challenges on social media, offering insights to improve safety and accountability and to inform future policy
Conducting High-Quality Literature Reviews in Academic Research Willie, Michael Mncedisi
Indonesian Journal of Innovative Teaching and Learning Vol. 3 No. 1 (2026): Indonesian Journal of Innovative Teaching and Learning, 3(1), 2026
Publisher : Academia Edu Cendekia Indonesia (AEDUCIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64420/ijitl.v3i1.426

Abstract

Background: Literature reviews are essential in academic research because they establish theoretical foundations and identify research gaps. However, inconsistencies in methodological rigour and reporting practices often weaken their credibility and impact, underscoring the need for clearer standards to guide the conduct of high-quality reviews. Objectives: This study aimed to identify, analyse, and synthesise key methodological, theoretical, and practical principles that underpin rigorous and credible literature reviews in academic research. Methods: The study employed a qualitative integrative review design. Data were collected through a systematic examination of international methodological guidelines, peer-reviewed empirical studies, and relevant grey literature. The selected sources were analysed using thematic synthesis techniques to identify recurring standards, frameworks, and best practices in literature review methodology. Results: The findings indicated that high-quality literature reviews are characterized by clear alignment between review objectives and design, theoretically grounded analysis, researcher reflexivity, transparent search and selection procedures, and systematic coding and synthesis processes. The study also highlighted the importance of peer review mechanisms, adherence to ethical research standards, and the inclusion of diverse and credible sources in strengthening validity, reliability, and scholarly impact. Conclusion: Conducting a rigorous literature review requires structured methodological frameworks, procedural transparency, and ongoing critical reflection throughout the research process. A systematic and reflective approach enhances coherence, credibility, and academic contribution. Contribution: This study consolidates dispersed methodological insights into a practical and structured framework that offers actionable guidance for postgraduate students, early-career researchers, and experienced scholars seeking to produce coherent, trustworthy, and impactful literature reviews.
Addressing Counterfeit Medicines and Community Risk: Insights from South African Spaza Shops Willie, Michael Mncedisi; Athandile Hadebe
Indonesian Journal of Health Research and Development Vol. 4 No. 1 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i1.593

Abstract

Background: Governance and regulatory enforcement in South Africa reveal complex interactions among formal legal frameworks, operational capacity, and informal market practices. While deliberative processes, such as public consultations on the draft Traditional Courts Regulations, demonstrate transparency and inclusivity, interventions in the healthcare sector are often reactive, triggered by crises such as food contamination fatalities and the sale of illegal medicines. This contrast underscores disparities in institutional capacity and sectoral prioritisation.Objectives: This paper investigated regulatory gaps and enforcement challenges in informal medicine markets, with a focus on spaza shops. The focus was on structural, operational, and social factors influencing the circulation of counterfeit, expired, and improperly stored medicines, and explores how governance, public service delivery, and community dynamics interact to affect public health outcomes.Methods: A qualitative case-study approach guided this research, focusing on the analysis of secondary data sources and qualitative literature. Purposive selection of documents and reports included government communications, regulatory guidelines, parliamentary hearing transcripts, media coverage, and peer-reviewed studies, ensuring that the sources provided rich insights into governance, regulatory enforcement, and informal pharmaceutical practices.Findings: Systemic gaps exist between regulatory intent and operational reality. Although legal frameworks restrict the dispensing of scheduled medicines to licensed pharmacies and authorised health professionals, widespread non-compliance persists in township spaza shops.Conclusion: Effective mitigation of counterfeit and illegally sold medicines requires an integrated, multi-dimensional approach that strengthens regulatory oversight, secures supply chains, mobilises community engagement, and leverages technological monitoring. The proposed Integrated Regulatory-Community Framework for Counterfeit Medicines in Spaza Shops (IRCF-CMSS) aligns formal legislation with practical enforcement and social realities, promoting sustained compliance, enhanced public safety, and institutional trust.