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S.A.R.A.H. and the decline of trust in health information: a case study

Germani F., Spitale G., Biller-Andorno N. (2025) Health Policy and Technology 14(3):101032 10.1016/j.hlpt.2025.101032

In two lines

In 2024 the World Health Organization launched S.A.R.A.H., an AI chatbot meant to give reliable health information, and we examined how it actually performed. Its limitations, launched behind promises of empathetic design, risk eroding trust in the WHO itself, the very asset the tool was supposed to strengthen.

Abstract

This case study critically examines S.A.R.A.H. (Smart AI Resource Assistant for Health) as an element of the World Health Organization’s (WHO) digital health strategy, focusing on its design and generated content. Launched in April 2024 to provide accessible health information and combat misinformation, S.A.R.A.H. utilizes generative AI to engage users across diverse health topics. Despite its purported empathetic design, concerns arise regarding its operational functionality and empathetic capabilities. By critically analyzing S.A.R.A.H.’s operational limitations and discussing the implications for trust, this paper highlights the tool’s potential to erode public trust in WHO as a reliable health information source. It also identifies potential strategies for the development and release of similar tools. The paper underscores the importance of ethical considerations and operational effectiveness in deploying digital health initiatives, aiming to inform future strategies in AI integration within public health. Ultimately, it emphasizes the critical need to uphold trust and credibility in global health institutions.

Cite

Germani, F., Spitale, G., & Biller-Andorno, N. (2025). S.A.R.A.H. and the decline of trust in health information: a case study. Health Policy and Technology, 14(3), 101032. https://doi.org/10.1016/j.hlpt.2025.101032
@article{germani2025sarah,
  author  = {Germani, F. and Spitale, G. and Biller-Andorno, N.},
  title   = {{S.A.R.A.H. and the decline of trust in health information: a case study}},
  journal = {Health Policy and Technology},
  year    = {2025},
  volume  = {14},
  number  = {3},
  pages   = {101032},
  doi     = {10.1016/j.hlpt.2025.101032}
}

Published in

Health Policy and Technology

Year

2025

DOI

10.1016/j.hlpt.2025.101032

Topics