The Healthcare system of India provides outreach services to the rural population with a key focus on the maternal and child health through its flagship program of Community Health Workers (CHWs). The program since its launch has reached a scale of over 900000 health workers across the country and observed significant benefits on the health indicators. However, traditional face to face training mechanisms face persistent challenge in providing adequate training and capacity building opportunities to CHWs which leads to their sub-optimal knowledge and skill sets. In this paper, we propose Sangoshthi, a low-cost mobile based training and learning platform that fits well into the environment of low-Internet access. Sangoshthi leverages the architecture that combines Internet and IVR technology to host real time training sessions with the CHWs having access to basic phones only. We present our findings of a four week long field deployment with 40 CHWs using both qualitative and quantitative methods. Sangoshthi offers a lively environment of peer learning that was well received by the CHW community and resulted into their knowledge gains (16%) and increased confidence levels to handle the cases. Our study highlights the potential of complementary training platforms that can empower CHWs in-situ without the need of additional infrastructure.

In low-and middle-income countries like India, people with severe mental illness (PSMI) rely on their families as a primary source of care, given the lack of support from healthcare systems. The demanding nature of caregiving places significant physical and mental demands on caregivers, who are the primary source of support to PSMI. We explore how caregivers in under-resourced settings can be better supported through everyday digital technologies. We conducted interviews with caregivers (from urban and rural India), as well as workshops with professionals from Indian NGOs that work directly with PSMIs. We found that technology has the potential to (1) provide carer-centred support that empowers carers who experience stigma and issues with existing support networks; (2) provide support for carers to overcome barriers and progress in the recovery of the PSMI. We conclude with design considerations, proposing how an online peer community can leverage carers’ expertise to actualise support provision.

International program development is a complex process involving many stakeholders. Current international practice affords limited, if any, opportunities for direct community-led input into the program commissioning process, resulting in programs that may not meet the specific needs of communities on the ground. Community voice is one source of data that could help focus the design of effective development programs and interventions. However, development programs are primarily formulated based on representative and often quantitative data conducted by experts from outside the community. Through a participatory video production process with disadvantaged women farmers in rural Bangladesh, we explore the opportunities for including meaningful community voices in these institutionalized processes. We present practical design implications for how community-generated voices can act as rich data, establishing confidence, community bonds and senses of accountability to inform early stages of project development, and to specifically augment and contextualize other data sources.

Community voice is widely used in computer-supported cooperative work (CSCW) and human-computer interaction (HCI) work with underserved communities. However, the term is unresolved, denoting disparate activities, methods, and phenomena that are at their most useful when combined. We argue for a rethink by setting out a more nuanced understanding of "community" and "voice". Building on our own experiences of HCI for development (HCI4D) work and the existing literature, we propose a framework for the benefits it can bring to those who actively engage with communities as part of their work. This framework can be understood in terms of its four constituent benefits for CSCW and HCI4D practitioners: (i) understanding context, (ii) creating empathy, (iii) leveraging local skills and knowledge, and (iv) building trust and buy-in. We reflect on how an improved understanding of these benefits applies to three prior projects with women living in Bangladesh and discuss the issues and need for more work on community voice. Finally, we discuss how this more detailed perspective on community voice helps us understand power dynamics and polyvocal communities in development contexts.

Although listening to community voice is a core value in HCI4D, we have limited methods to capture the community voice of marginalized groups within disadvantaged communities. Working with NGOs and 24 marginalized women farmers in Bangladesh, we promoted psychological safety and empowerment through our configuration of the process. Our stakeholders decided to record and produce a radio-style audio recording that presented their counter-collective narratives for development projects. We reflect on this process using the Benefits of Community Voice framework to document rich insights into community contexts, lived experiences, local knowledge, and building trust and buy-in and through interviews with three NGO workers. We discuss the fundamental need of stakeholders for a safe place to share, the value of letting stakeholders guide method selection, the significance of counter-collective narratives, the benefits of participatory audio to hear community voices for democratizing and sustaining development and design implications of our work for HCI4D.