Pluriversal Conversational AI for Health - Framework
Pluriversal Framework for CAI in Health is a way to map the holistic landscape with which technologies must engage in order to address cultural appropriateness.
In a recent international participatory study with collaborators and communities in Latin America, we sought to contribute to addressing the fact that current LLMs exclude many lived experiences globally. Various advances are underway which focus on top-down approaches and increasing training data. We aimed to complement these with a bottom-up locally-grounded approach based on qualitative data collected during participatory workshops.
Our findings show that academic boundaries on notions of culture lose meaning at the ground level and technologies will need to engage with a broader framework; one that encapsulates the way economics, politics, geography and local logistics are entangled in cultural experience. Toward this end, we present the Pluriversal Framework for CAI in Health as a way to map this holistic landscape.
The framework and paper are available open access from the journal AI and Ethics:
https://link.springer.com/article/10.1007/s43681-026-01196-y