Beyond the Rubric: Cultural Misalignment in LLM Benchmarks for Sexual and Reproductive Health

arXiv — cs.CLTuesday, November 25, 2025 at 5:00:00 AM
  • A recent benchmarking exercise evaluated a chatbot designed for sexual and reproductive health (SRH) in an underserved community in India, revealing significant cultural misalignment in the assessment of Large Language Models (LLMs). The evaluation utilized HealthBench, a benchmark by OpenAI, which rated responses low despite many being culturally appropriate and medically accurate according to qualitative analysis by experts.
  • This development highlights the limitations of existing evaluation frameworks for LLMs, which often reflect Western norms and may not adequately assess the utility of these models in diverse cultural contexts. The findings suggest a need for more inclusive benchmarks that consider local values and practices in health communication.
  • The issue of bias in LLMs extends beyond cultural misalignment, as studies have shown that these models can inherit both explicit and implicit biases from their training datasets. This raises concerns about the fairness and accuracy of AI systems in providing equitable health information, particularly in low-resource settings where cultural nuances are critical for effective communication.
— via World Pulse Now AI Editorial System

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