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AI-driven tools are increasingly deployed to support low-skilled community health workers (CHWs) in hard-to-reach communities in the Global South. This paper examines how CHWs in rural India engage with and perceive AI explanations and how we might design explainable AI (XAI) interfaces that are more understandable to them. We conducted semi-structured interviews with CHWs who interacted with a design probe to predict neonatal jaundice in which AI recommendations are accompanied by explanations. We (1) identify how CHWs interpreted AI predictions and the associated explanations, (2) unpack the benefits and pitfalls they perceived of the explanations, and (3) detail how different design elements of the explanations impacted their AI understanding. Our findings demonstrate that while CHWs struggled to understand the AI explanations, they nevertheless expressed a strong preference for the explanations to be integrated into AI-driven tools and perceived several benefits of the explanations, such as helping CHWs learn new skills and improved patient trust in AI tools and in CHWs. We conclude by discussing what elements of AI need to be made explainable to novice AI users like CHWs and outline concrete design recommendations to improve the utility of XAI for novice AI users in non-Western contexts.more » « less
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Privacy scholarship has shown how norms of appropriate information flow and information regulatory processes vary according to environment, which change as the environment changes, including through the introduction of new technologies. This paper describes findings from a qualitative research study that examines practices and perceptions of privacy in Cambodia as the population rapidly moves into an online environment (specifically Facebook, the most popular Internet tool in Cambodia today). We empirically demonstrate how the concept of privacy differs across cultures and show how the Facebook platform, as it becomes popular worldwide, catalyzes change in norms of information regulation. We discuss how the localization of transnational technology platforms provides a key site in which to investigate changing cultural ideas about privacy, and to discover misalignments between different expectations for information flow. Finally, we explore ways that insufficient localization effort by transnational technology companies puts some of the most marginalized users at disproportionate information disclosure risk when using new Internet tools, and offer some pragmatic suggestions for how such companies could improve privacy tools for users who are far -geographically or culturally - from where the tools are designed.more » « less
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