5. Human centric

AI systems should be designed with a clearly articulated public benefit that considers those who interact with the system and those who are affected by it. These groups should be meaningfully engaged throughout the system’s life cycle, to inform development and enhance operations. An approach to problem solving that embraces human centered design is strongly encouraged. Why it matters Clearly articulating a public benefit is an important step that enables meaningful dialogue early with affected groups and allows for measurement of success later. Placing the focus on those who interact with the system and those who are affected by it ensures that the outcomes do not cause adverse effects in the process of creating additional efficiencies. Developing algorithmic systems that incorporate human centred design will ensure better societal and economic outcomes from the data enhanced technologies.
Principle: Principles for Ethical Use of AI [Beta], Sept 14, 2023

Published by Government of Ontario, Canada

Related Principles

1. Transparency and Explainability

Transparency refers to providing disclosure on when an AI system is being used and the involvement of an AI system in decision making, what kind of data it uses, and its purpose. By disclosing to individuals that AI is used in the system, individuals will become aware and can make an informed choice of whether to use the AIenabled system. Explainability is the ability to communicate the reasoning behind an AI system’s decision in a way that is understandable to a range of people, as it is not always clear how an AI system has arrived at a conclusion. This allows individuals to know the factors contributing to the AI system’s recommendation. In order to build public trust in AI, it is important to ensure that users are aware of the use of AI technology and understand how information from their interaction is used and how the AI system makes its decisions using the information provided. In line with the principle of transparency, deployers have a responsibility to clearly disclose the implementation of an AI system to stakeholders and foster general awareness of the AI system being used. With the increasing use of AI in many businesses and industries, the public is becoming more aware and interested in knowing when they are interacting with AI systems. Knowing when and how AI systems interact with users is also important in helping users discern the potential harm of interacting with an AI system that is not behaving as intended. In the past, AI algorithms have been found to discriminate against female job applicants and have failed to accurately recognise the faces of dark skinned women. It is important for users to be aware of the expected behaviour of the AI systems so they can make more informed decisions about the potential harm of interacting with AI systems. An example of transparency in an AI enabled ecommerce platform is informing users that their purchase history is used by the platform’s recommendation algorithm to identify similar products and display them on the users’ feeds. In line with the principle of explainability, developers and deployers designing, developing, and deploying AI systems should also strive to foster general understanding among users of how such systems work with simple and easy to understand explanations on how the AI system makes decisions. Understanding how AI systems work will help humans know when to trust its decisions. Explanations can have varying degrees of complexity, ranging from a simple text explanation of which factors more significantly affected the decisionmaking process to displaying a heatmap over the relevant text or on the area of an image that led to the system’s decision. For example, when an AI system is used to predict the likelihood of cardiac arrest in patients, explainability can be implemented by informing medical professionals of the most significant factors (e.g., age, blood pressure, etc.) that influenced the AI system’s decision so that they can subsequently make informed decisions on their own. Where “black box” models are deployed, rendering it difficult, if not impossible to provide explanations as to the workings of the AI system, outcome based explanations, with a focus on explaining the impact of decisionmaking or results flowing from the AI system may be relied on. Alternatively, deployers may also consider focusing on aspects relating to the quality of the AI system or preparing information that could build user confidence in the outcomes of an AI system’s processing behaviour. Some of these measures are: • Documenting the repeatability of results produced by the AI system. Some practices to demonstrate repeatability include conducting repeatability assessments to ensure deployments in live environments are repeatable and performing counterfactual fairness testing to ensure that the AI system’s decisions are the same in both the real world and in the counterfactual world. Repeatability refers to the ability of the system to consistently obtain the same results, given the same scenario. Repeatability often applies within the same environment, with the same data and the same computational conditions. • Ensuring traceability by building an audit trail to document the AI system development and decisionmaking process, implementing a black box recorder that captures all input data streams, or storing data appropriately to avoid degradation and alteration. • Facilitating auditability by keeping a comprehensive record of data provenance, procurement, preprocessing, lineage, storage, and security. Such information can also be centralised digitally in a process log to increase capacity to cater the presentation of results to different tiers of stakeholders with different interests and levels of expertise. Deployers should, however, note that auditability does not necessarily entail making certain confidential information about business models or intellectual property related to the AI system publicly available. A risk based approach can be taken towards identifying the subset of AI enabled features in the AI system for which implemented auditability is necessary to align with regulatory requirements or industry practices. • Using AI Model Cards, which are short documents accompanying trained machine learning models that disclose the context in which models are intended to be used, details of the performance evaluation procedures, and other relevant information. In cases where AI systems are procured directly from developers, deployers will have to work together with these developers to achieve transparency. More on this will be covered in later sections of the Guide.

Published by ASEAN in ASEAN Guide on AI Governance and Ethics, 2024

4. Human centricity

AI systems should respect human centred values and pursue benefits for human society, including human beings’ well being, nutrition, happiness, etc. It is key to ensure that people benefit from AI design, development, and deployment while being protected from potential harms. AI systems should be used to promote human well being and ensure benefit for all. Especially in instances where AI systems are used to make decisions about humans or aid them, it is imperative that these systems are designed with human benefit in mind and do not take advantage of vulnerable individuals. Human centricity should be incorporated throughout the AI system lifecycle, starting from the design to development and deployment. Actions must be taken to understand the way users interact with the AI system, how it is perceived, and if there are any negative outcomes arising from its outputs. One example of how deployers can do this is to test the AI system with a small group of internal users from varied backgrounds and demographics and incorporate their feedback in the AI system. AI systems should not be used for malicious purposes or to sway or deceive users into making decisions that are not beneficial to them or society. In this regard, developers and deployers (if developing or designing inhouse) should also ensure that dark patterns are avoided. Dark patterns refer to the use of certain design techniques to manipulate users and trick them into making decisions that they would otherwise not have made. An example of a dark pattern is employing the use of default options that do not consider the end user’s interests, such as for data sharing and tracking of the user’s other online activities. As an extension of human centricity as a principle, it is also important to ensure that the adoption of AI systems and their deployment at scale do not unduly disrupt labour and job prospects without proper assessment. Deployers are encouraged to take up impact assessments to ensure a systematic and stakeholder based review and consider how jobs can be redesigned to incorporate use of AI. Personal Data Protection Commission of Singapore’s (PDPC) Guide on Job Redesign in the Age of AI6 provides useful guidance to assist organisations in considering the impact of AI on its employees, and how work tasks can be redesigned to help employees embrace AI and move towards higher value tasks.

Published by ASEAN in ASEAN Guide on AI Governance and Ethics, 2024

4. Accountable and responsible

Organizations and individuals developing, deploying or operating AI systems should be held accountable for their ongoing proper functioning in line with the other principles. Human accountability and decision making over AI systems within an organization needs to be clearly identified, appropriately distributed and actively maintained throughout the system’s life cycle. An organizational culture around shared ethical responsibilities over the system must also be promoted. Where AI is used to make or assist with decisions, a public and accessible process for redress should be designed, developed, and implemented with input from a multidisciplinary team and affected stakeholders. Algorithmic systems should also be regularly peer reviewed or audited to ensure that unwanted biases have not inadvertently crept in over time. Why it matters Identifying and appropriately distributing accountability within an organization helps ensure continuous human oversight over the system is properly maintained. In addition to clear roles related to accountability, it is also important to promote an organizational culture around shared ethical responsibilities. This helps prevent gaps and avoids the situation where ethical considerations are always viewed as someone else’s responsibility. While our existing legal framework includes numerous traditional processes of redress related to governmental decision making, AI systems can present unique challenges to those traditional processes with their complexity. Input from a multidisciplinary team and affected stakeholders will help identify those issues in advance and design appropriate mechanisms to mitigate them. Regular peer review of AI systems is also important. Issues around bias may not be evident when AI systems are initially designed or developed, so it's important to consider this requirement throughout the lifecycle of the system.

Published by Government of Ontario, Canada in Principles for Ethical Use of AI [Beta], Sept 14, 2023

4 Foster responsibility and accountability

Humans require clear, transparent specification of the tasks that systems can perform and the conditions under which they can achieve the desired level of performance; this helps to ensure that health care providers can use an AI technology responsibly. Although AI technologies perform specific tasks, it is the responsibility of human stakeholders to ensure that they can perform those tasks and that they are used under appropriate conditions. Responsibility can be assured by application of “human warranty”, which implies evaluation by patients and clinicians in the development and deployment of AI technologies. In human warranty, regulatory principles are applied upstream and downstream of the algorithm by establishing points of human supervision. The critical points of supervision are identified by discussions among professionals, patients and designers. The goal is to ensure that the algorithm remains on a machine learning development path that is medically effective, can be interrogated and is ethically responsible; it involves active partnership with patients and the public, such as meaningful public consultation and debate (101). Ultimately, such work should be validated by regulatory agencies or other supervisory authorities. When something does go wrong in application of an AI technology, there should be accountability. Appropriate mechanisms should be adopted to ensure questioning by and redress for individuals and groups adversely affected by algorithmically informed decisions. This should include access to prompt, effective remedies and redress from governments and companies that deploy AI technologies for health care. Redress should include compensation, rehabilitation, restitution, sanctions where necessary and a guarantee of non repetition. The use of AI technologies in medicine requires attribution of responsibility within complex systems in which responsibility is distributed among numerous agents. When medical decisions by AI technologies harm individuals, responsibility and accountability processes should clearly identify the relative roles of manufacturers and clinical users in the harm. This is an evolving challenge and remains unsettled in the laws of most countries. Institutions have not only legal liability but also a duty to assume responsibility for decisions made by the algorithms they use, even if it is not feasible to explain in detail how the algorithms produce their results. To avoid diffusion of responsibility, in which “everybody’s problem becomes nobody’s responsibility”, a faultless responsibility model (“collective responsibility”), in which all the agents involved in the development and deployment of an AI technology are held responsible, can encourage all actors to act with integrity and minimize harm. In such a model, the actual intentions of each agent (or actor) or their ability to control an outcome are not considered.

Published by World Health Organization (WHO) in Key ethical principles for use of artificial intelligence for health, Jun 28, 2021

6 Promote artificial intelligence that is responsive and sustainable

Responsiveness requires that designers, developers and users continuously, systematically and transparently examine an AI technology to determine whether it is responding adequately, appropriately and according to communicated expectations and requirements in the context in which it is used. Thus, identification of a health need requires that institutions and governments respond to that need and its context with appropriate technologies with the aim of achieving the public interest in health protection and promotion. When an AI technology is ineffective or engenders dissatisfaction, the duty to be responsive requires an institutional process to resolve the problem, which may include terminating use of the technology. Responsiveness also requires that AI technologies be consistent with wider efforts to promote health systems and environmental and workplace sustainability. AI technologies should be introduced only if they can be fully integrated and sustained in the health care system. Too often, especially in under resourced health systems, new technologies are not used or are not repaired or updated, thereby wasting scare resources that could have been invested in proven interventions. Furthermore, AI systems should be designed to minimize their ecological footprints and increase energy efficiency, so that use of AI is consistent with society’s efforts to reduce the impact of human beings on the earth’s environment, ecosystems and climate. Sustainability also requires governments and companies to address anticipated disruptions to the workplace, including training of health care workers to adapt to use of AI and potential job losses due to the use of automated systems for routine health care functions and administrative tasks.

Published by World Health Organization (WHO) in Key ethical principles for use of artificial intelligence for health, Jun 28, 2021