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Your AI works. But is it trusted? 42% of data science results are ignored by decision-makers. Not because the models are wrong — but because nobody can explain why they're right. I learned this the hard way deploying ML systems for health projects across Uganda. We'd build technically sound models, achieve impressive accuracy metrics, and watch clinicians and ministry officials ignore the outputs entirely. The problem wasn't performance. It was the black box. Predictions delivered without explaining the "why" create SUSPICION. Outputs that can't be traced back to a verified data source become impossible to defend when stakeholders ask hard questions. In grant-funded health projects, where every decision faces scrutiny from ethics committees, ministry partners, and funders, opaque AI is dead AI. Three shifts changed our deployment outcomes: Demand explainability from day one. Every prediction must come with a clear rationale. Not post-hoc explanations bolted on for compliance — but architectures designed so the reasoning is visible. In African healthcare contexts where AI recommendations affect treatment decisions, clinicians need to understand why before they'll act. Implement data observability. Most model failures I've debugged traced back to data quality issues that corrupted outputs silently. Proactive monitoring of the entire data lifecycle catches pipeline problems before they reach decision-makers as confident wrong answers. Trace to a single source of truth. When a ministry official challenges a prediction, you need to connect that insight directly back to a governed, authoritative record. Data lineage isn't bureaucratic overhead — it's how you defend your system when it matters. The models that actually influence decisions in African health informatics aren't necessarily the most sophisticated. They're the ones stakeholders trust enough to act on. Technical performance without institutional trust is expensive research that changes nothing. How do you build trust with non-technical stakeholders for AI systems in your grant projects? What's worked to move decision-makers from skepticism to action? #HealthInformatics hashtag #AITrust #ExplainableAI #DigitalHealthAfrica #MLOps #DataGovernance #GlobalHealth #AfricanAI