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Quantification and standardization of concepts like risk and vulnerability are increasingly being used in high-stakes, client-facing social services, also presenting the potential for data-driven tools for decision-making in this context. These trends necessitate an understanding of the role of quantitative data in the work of street-level decision-makers in social services. We present a qualitative study of existing data practices and perceptions of potential data-driven tools in housing allocation, engaging the perspective of service providers and policymakers in homeless services in a large urban county in the United States. Our findings highlight participants' concerns around centering clients' choices and ensuring integrity in a resource-constrained, high-stakes context. We also highlight differences between the perspectives of policymakers and service providers on standardization and fairness in the decision-making process. We discuss how use of and policies around data in social services need to consider the importance of the relationships that client-facing service providers have with other workers in the organization, with their work, and with clients.

We conducted a field study of Mohalla Clinics in Delhi (India), drawing on Haraway's work to highlight the importance of considering disparate, partial perspectives in the ecologies of such clinics. We emphasized that inadequate attention given to patients' and health workers' perspectives, and the low preparedness of the doctors at the clinics, resulted in the clinics being unable to address the needs of target patient groups. We concluded by contributing to ongoing, important conversations in the fields of ICTD, CSCW, and HCI towards redesigning healthcare interventions, revisiting patient empowerment, and redefining the role of ASHAs as infomediaries.

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