AI technologies are increasingly deployed in high-stakes domains such as education, healthcare, law, and agriculture to address complex challenges in non-Western contexts. This paper examines eight real-world deployments spanning seven countries and 18 languages, combining 17 interviews with AI developers and domain experts with secondary research. Our findings identify six cross-cutting factors — Language, Institution, Safety, Task, End-User Demography, and Domain — that structured how systems were designed and deployed. These factors were shaped by Sociocultural (diversity, practices), Institutional (resources, policies), and Technological (capabilities, limits) influences. We find that building effective AI systems required extensive collaboration between AI developers and domain experts, with human resources proving more critical to achieving safe and effective outcomes in high-stakes domains than technological expertise alone. Additionally, we present 12 guidelines synthesizing these dynamics for designing AI for social good systems that are culturally grounded, equitable, and responsive to the needs of non-Western contexts.
ACM CHI Conference on Human Factors in Computing Systems