Charisma Chan
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Nteasee: A qualitative study of expert and general population perspectives on deploying AI for health in African countries
Iskandar Haykel
Kerrie Kauer
Florence Ofori
Tousif Ahmad
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Background: Artificial Intelligence for health has the potential to significantly change and improve healthcare. However in most African countries identifying culturally and contextually attuned approaches for deploying these solutions is not well understood. To bridge this gap, we conduct a qualitative study to investigate the best practices, fairness indicators and potential biases to mitigate when deploying AI for health in African countries, as well as explore opportunities where artificial intelligence could make a positive impact in health.
Methods: We used a mixed methods approach combining in-depth interviews (IDIs) and surveys. We conduct 1.5-2 hour long IDIs with 50 experts in health, policy and AI across 17 countries, and through an inductive approach we conduct a qualitative thematic analysis on expert IDI responses. We administer a blinded 30-minute survey with thought-cases to 672 general population participants across 5 countries in Africa (Ghana, South Africa, Rwanda, Kenya and Nigeria), and analyze responses on quantitative scales, statistically comparing responses by country, age, gender, and level of familiarity with AI. We thematically summarize open-ended responses from surveys.
Results and Conclusion: Our results find generally positive attitudes, high levels of trust, accompanied by moderate levels of concern among general population participants for AI usage for health in Africa. This contrasts with expert responses, where major themes revolved around trust/mistrust, AI ethics concerns, and systemic barriers to overcome, among others. This work presents the first-of-its-kind qualitative research study of the potential of AI for health in Africa with perspectives from both experts and the general population. We hope that this work guides policy makers and drives home the need for education and the inclusion of general population perspectives in decision-making around AI usage.
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Google has written the book on Site Reliability Engineering best practices, but how teams actually respond to production incidents often differs from the ideal practices we put on paper.
This article will cover the reality of debugging issues in production at Google, including the types of tools, high-level strategies, and low-level tasks that engineers use in varying combinations to effectively debug. We will: 1) detail the research approach taken to capture this data and surface patterns of behavior, 2) share findings on the common engineering pathways, processes, and attitudes in this space, and 3) share examples of how experts have debugged complex distributed systems, highlighting where best practices were followed or broken.
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