When Multiple Scripts Matter: Evaluating ASR in Clinical Settings

Word Error Rate (WER) is the dominant metric for automatic speech recognition (ASR), but it can overestimate errors when references and hypotheses encode the same words in different scripts. This issue is common in multilingual settings where ASR models may emit romanized text. We propose Script-Normalized WER (SN-WER), a training-free, evaluation-only scoring method that transliterates both reference and hypothesis text into a language-specific canonical script before computing WER. We evaluate SN-WER on 5 Indic languages, 2 datasets, and 3 ASR models. On curated FLEURS data, SN-WER reduces inflated model gaps by up to 12%, while on noisier Common Voice data the reductions are smaller or inconsistent, indicating genuine recognition weaknesses rather than only script mismatch. Controlled stress tests show a 67% attenuation of artificial romanization-induced WER inflation, while lexical-substitution controls show near-identical sensitivity to semantic errors, with Delta SN-WER / Delta WER approximately 1.09. SN-WER is robust to transliterator choice, normalization changes, and shows low token-collision rates below 0.1% in the evaluated Indic setting. We argue that SN-WER should be reported alongside WER and CER as a companion metric for script-insensitive ASR evaluation, especially when transcripts feed downstream search, indexing, or multilingual LLM pipelines.

Automatic Speech Recognition (ASR) is increasingly used to document clinical encounters, yet its reliability in multilingual and demographically diverse Indian healthcare context remains largely unknown. In this study, we first conduct the systematic audit of ASR performance on real-world psychiatric interview data spanning Kannada, Hindi and Indian English, comparing eight state-of-the-art models including IndicWhisper, WhisperLargeV3, Sarvam, GoogleS2T, Gemma3n, OmniLingual, Vaani, and Gemini. Our results reveal substantial variability across models and languages, with some systems performing competitively in Indian English but failing in regional speech. We further fine-tune two of the best performing opensource models, i.e., Gemma3n and OmniLingual, using various methods. With this, we uncover systematic performance gaps tied to speaker role and gender, raising concerns about equitable deployment in clinical settings, which are further mitigated by fairness-aware fine-tuning. To this end, we propose SamaVaani, a unified debiasing technique that simultaneously improves ASR performance and improves fairness across demographic groups.

Automatic Speech Recognition (ASR) systems are commonly evaluated using aggregate metrics such as Word Error Rate (WER), which do not capture the linguistic structure of errors. Fine-grained analysis, such as Part-of-Speech (PoS)-wise error characterization, requires accurate alignment between ASR hypotheses and reference transcriptions. However, existing alignment tools are often unreliable for languages written in non-Latin scripts. In this work, we address this gap by proposing a robust, automated, language-agnostic alignment mechanism applicable across ASR architectures and across languages written in both Latin and non-Latin scripts. This enables consistent alignment of hypotheses, references, and evaluation sequences, forming the basis for downstream linguistic analysis. Building on this, we employ standard PoS taggers to perform scalable and reproducible PoS-wise error analysis. Notably, we perform alignment and downstream ASR error analysis across three major segmented writing systems, namely, Abugida (Tamil, Hindi, Kannada), Alphabetic (English, Russian, Greek), and Abjad (Arabic). We further demonstrate how such error information can be leveraged during ASR training to improve metrics such as WER.