Algorithmic Management for Community Health Worker in Sub-Saharan Africa: Curse or Blessing?

被引：1

作者：

Staehelin, Dario ^{[1
]}

Dolata, Mateusz ^{[1
]}

Peyer, Nicolas ^{[1
]}

Gerber, Felix ^{[2
,3
]}

Schwabe, Gerhard ^{[1
]}

机构：

[1] Univ Zurich, Dept Informat, Zurich, Switzerland

[2] Univ Hosp Basel, Dept Clin Res, Basel, Switzerland

[3] Univ Basel, Swiss Trop & Publ Hlth Inst, Basel, Switzerland

来源：

HUMAN-COMPUTER INTERACTION - INTERACT 2023, PT III | 2023年 / 14144卷

关键词：

Community Health Worker; Algorithmic Management; Digital Empowerment; PSYCHOLOGICAL EMPOWERMENT; WORKPLACE; IMPACT;

D O I：

10.1007/978-3-031-42286-7_6

中图分类号：

TP18 [人工智能理论];

学科分类号：

081104 ; 0812 ; 0835 ; 1405 ;

摘要：

Algorithmic management can potentially improve healthcare delivery, for example, in community-based healthcare in low-andmiddle-income countries. However, most research neglects the user perspective and focuses on health-related outcomes. Consequently, we know little about the effects of algorithmic management on the user: community health workers. This paper reports on a 12-week pilot study in ComBaCaL, a community-based healthcare project tackling the increasing burden of non-communicable diseases (NCDs). We evaluate the Community Health Toolkit (CHT), a digital tool designed to support CHWs in community-based NCD care. We find that CHT is generally suitable for this purpose and can help CHWs to assume broader responsibilities. However, its design creates a tension between control and autonomy when confronted with reality. This tension could lead to disempowerment and attrition among CHWs. We propose design adaptations for CHT's task scheduling, balancing the socio-technical system to resolve the tension between control and autonomy.

引用

页码：94 / 114

页数：21