# CHW-AI Assistant — Nigeria
An AI-powered clinical decision support tool for Community Health Workers (CHWs) in Nigeria, built to close the gap between where patients are and where medical expertise exists.
## The Problem
Nigeria has roughly one doctor for every 9,000+ people, and rural and conflict-affected communities often rely entirely on Community Health Workers with limited formal training. When a CHW is unsure whether a symptom is manageable at the primary care level or needs urgent hospital referral, there is often no fast, reliable way to check, and by the time uncertainty resolves, it can be too late.
## What It Does
CHW-AI Assistant is a chat-based tool that lets a CHW describe a patient's symptoms in plain language and receive:
- The most likely condition based on the symptoms described
- Key red flags to watch for
- Clear immediate action steps
- A decisive **REFER TO HOSPITAL NOW** or **MANAGE HERE — MONITOR** recommendation
- A prevention tip
- A short communication tip in Nigerian Pidgin, to help the CHW explain the situation to the patient's family
The tool works in **English, Nigerian Pidgin, and Hausa**, since language should never be the reason a CHW can't get clear guidance.
## Design Principles
- **Decisive, not vague.** CHWs in the field need a clear yes/no, not hedged clinical language.
- **Safety-first.** The assistant never gives specific drug dosages, always defers to the CHW's own training protocols, and defaults to referral for any life-threatening sign.
- **Built for real conditions.** Quick-tap symptom chips (e.g. "child with high fever," "heavy bleeding after delivery," "snake bite") reflect real presentations CHWs encounter, minimizing typing time in urgent situations.
- **Not a replacement for physicians.** Every session includes a visible disclaimer: for trained CHWs only, always refer when in doubt, not a substitute for physician care.
## How It's Built
A lightweight frontend (HTML/CSS/JS) communicates with an AI model …