Imagining Caring Futures for Frontline Health Work
Azra Ismail, Deepika Yadav, Meghna Gupta, Kirti Dabas, Pushpendra Singh, Neha Kumar
Abstract
Care workers are increasingly using digital technology in their daily lives, for monitoring, financial compensation, training, coordination, and more. State and corporate actors have invested significant resources to enable this digital shift, particularly during the COVID-19 pandemic. However, care work has remained chronically underpaid, and continues to rely on women from minoritized and marginalized backgrounds. Our paper examines how care workers carefully navigate digitization, precarity, and complex social relationships, in an attempt to care for their communities and each other. We analyze the emerging digital ecosystem for frontline health workers in India during the COVID-19 pandemic where these dynamics have been highly visible. Our research draws attention to four interconnected ways in which workers practiced care, by directing their efforts towards survival, resilience, advocacy, and/or resistance. We suggest these also as care orientations that can be adopted by researchers and practitioners, to critically reflect on and direct technology design towards enabling more caring futures, for (and with) workers and communities.
CCS Concepts: • Human-centered computing → Empirical studies in HCI.
Ask about this paper
Your agent reads all of it.
Lune indexed this paper to the last equation, along with the top-tier papers that cite it. Ask a question and the answer quotes them.
Cited by top-tier papers12
- Understanding Contestability on the Margins: Implications for the Design of Algorithmic Decision-making in Public ServicesNaveena Karusala, Sohini Upadhyay, Rajesh Veeraraghavan, Krzysztof Z. GajosCHI 2024 · 33 citations
- Let's Talk Futures: A Literature Review of HCI's Future OrientationCamilo Sanchez, Sui Wang, Kaisa Savolainen, Felix Anand Epp et al.CHI 2025 · 30 citations
- ASHABot: An LLM-Powered Chatbot to Support the Informational Needs of Community Health WorkersPragnya Ramjee, Mehak Chhokar, Bhuvan Sachdeva, Mahendra Meena et al.CHI 2025 · 26 citations
- Explorable Explainable AI: Improving AI Understanding for Community Health Workers in IndiaIan René Solano-Kamaiko, Dibyendu Mishra, Nicola Dell, Aditya VashisthaCHI 2024 · 21 citations
- Marginalization and the Construction of Mental Illness Narratives Online: Foregrounding Institutions in Technology-Mediated CareSachin R. Pendse, Neha Kumar, Munmun De ChoudhuryCSCW 2023 · 18 citations
Builds on18
- Between Subjectivity and Imposition: Power Dynamics in Data Annotation for Computer VisionMilagros Miceli, Martin Schuessler, Tianling YangCSCW 2020 · 148 citations
- "It cannot do all of my work": Community Health Worker Perceptions of AI-Enabled Mobile Health Applications in Rural IndiaChinasa T. Okolo, Srujana Kamath, Nicola Dell, Aditya VashisthaCHI 2021 · 90 citations
- Watched, but Moving: Platformization of Beauty Work and Its Gendered Mechanisms of ControlIra Anjali Anwar, Joyojeet Pal, Julie HuiCSCW 2020 · 75 citations
- AI in Global Health: The View from the Front LinesAzra Ismail, Neha KumarCHI 2021 · 60 citations
- Sociocultural Dimensions of Tracking Health and Taking CareKarthik S. Bhat, Neha KumarCSCW 2020 · 57 citations
Related papers
- The Invisible Work of Maintenance in Community Health: Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South IndiaNervo Verdezoto, Naveen Bagalkot, Syeda Zainab Akbar, Swati Sharma et al.CSCW 2021 · 74 citations
- Counting to be Counted: Anganwadi Workers and Digital Infrastructures of Ambivalent CareAzhagu Meena, Palashi Vaghela, Joyojeet PalCSCW 2022 · 15 citations
- Understanding the Technology-Mediated Home Phlebotomy Ecosystem in IndiaMeghna Gupta, Nimisha Karnatak, Mohit JainCSCW 2024 · 3 citations
- Orienting Participatory AI for Frontline Care Work: A Conceptual Framework for TechnologistsJoy Ming, Ian René Solano-Kamaiko, Emily TsengCSCW 2026
- "We can learn. Why not?": Designing Technologies to Engender Equity for Home Health AidesEmily Tseng, Fabian Okeke, Madeline R. Sterling, Nicola DellCHI 2020 · 34 citations
