Access to mobile phones in many low- and middle-income countries has increased exponentially over the last 20 years, providing an opportunity to connect patients with healthcare interventions through mobile phones (known as mobile health). A barrier to large-scale implementation of interactive mobile health interventions is the human effort needed to manage participant messages. In this study, we explore the use of natural language processing to improve healthcare workers’ management of messages from pregnant and postpartum women in Kenya. Using multilingual, low-resource language text messages from the Mobile solutions for Women and Children’s health (Mobile WACh NEO) study, we developed models to assess urgency of incoming messages. We evaluated models using a novel approach that focuses on clinical usefulness in either triaging or prioritizing messages. Our best-performing models did not reach the threshold for clinical usefulness we set, but have the potential to improve nurse workflow and responsiveness to urgent messages.

Language models increasingly rely on massive web crawls for diverse text data. However, these sources are rife with undesirable content. As such, resources like Wikipedia, books, and news often serve as anchors for automatically selecting web text most suitable for language modeling, a process typically referred to as quality filtering. Using a new dataset of U.S. high school newspaper articles—written by students from across the country—we investigate whose language is preferred by the quality filter used for GPT-3. We find that newspapers from larger schools, located in wealthier, educated, and urban zones (ZIP codes) are more likely to be classified as high quality. We also show that this quality measurement is unaligned with other sensible metrics, such as factuality or literary acclaim. We argue that privileging any corpus as high quality entails a language ideology, and more care is needed to construct training corpora for language models, with better transparency and justification for the inclusion or exclusion of various texts.