This article explores the extent to which Global North mHealth apps are designed for user empowerment and persuasion in the Global South healthcare context. Findings from a case study underscore the need for decolonizing digital technology to promote more inclusive and equitable access to the digital ecosystem. The article suggests that deploying rhetorically nuanced, justice-driven decolonial design approaches can help stamp out digital colonialism and build a just future by bridging the North-South divide.

Introduction: Recently, the exponential rise of mobile health applications (mHealth apps) has drawn the attention of healthcare practitioners worldwide. This case study investigates Nepalese healthcare practitioners’ perceptions and use of mHealth tools designed in the Global North (GN). The study also explores strategies for fostering inclusivity and accessibility of these tools within Global South (GS) healthcare settings. About the case: Healthcare practitioners in Nepal widely use GN mHealth apps, such as Medscape, for diverse purposes, including aiding health-related decisions and accessing pharmaceutical and disease information. Apps like Medscape offer valuable information on diseases, conditions, and medical procedures, proving highly beneficial for treating patients in critical care situations in GS countries like Nepal. Situating the case: mHealth apps have significantly transformed healthcare delivery in resource-limited, low-income GS countries such as Nepal, enhancing accessibility and efficiency in medical services. However, research in the technical and professional communication (TPC) field regarding how GS healthcare practitioners perceive and interact with emerging digital health technologies within resource-constrained healthcare contexts is scarce. Methods: To gather data, 12 Nepalese healthcare practitioners were interviewed about their perception and use of GN mHealth apps, with a particular focus on Medscape. Results: In addition to the potential benefits of using the case app, participants indicated the need for designing culturally sensitive and context-appropriate mHealth technology. Moreover, results suggest that GN mHealth tools should be tailored to the diverse needs of underserved and underrepresented GS users to promote inclusivity and self-efficacy. Conclusion: Adopting justice-oriented localized user-experience design approaches that value diversity, equity, and social justice can help build a more inclusive form of health communication.

As a discipline and a set of practices, technical communication focuses on designing technical products through the effective implementation of usability to facilitate users in performing tasks with speed, accuracy, and satisfaction. This article proposes that designers in the Global North should consider the effective localization usability implementation in their products or systems so that social justice can be promoted in the Global South’s countries that import such products from the Global North. Using a purposeful sampling research method, this article shares findings from a study, emphasizing that technical products developed through participatory localization for usability might be in a better position to be used for promoting social justice and human rights in resource-constrained settings. The article discusses the implications of the findings, suggesting that northern products should be designed according to the usability expectations of local users in the Global South so that the North–South divide can be, at least, narrowed, if not eliminated.