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.
Existing Indic ASR benchmarks often use scripted, clean speech and leaderboard driven evaluation that encourages dataset specific overfitting. In addition, strict single reference WER penalizes natural spelling variation in Indian languages, including non standardized spellings of code-mixed English origin words. To address these limitations, we introduce Voice of India, a closed source benchmark built from unscripted telephonic conversations covering 15 major Indian languages across 139 regional clusters. The dataset contains 306230 utterances, totaling 536 hours of speech from 36691 speakers with transcripts accounting for spelling variations. We also analyze performance geographically at the district level, revealing disparities. Finally, we provide detailed analysis across factors such as audio quality, speaking rate, gender, and device type, highlighting where current ASR systems struggle and offering insights for improving real world Indic ASR systems.
In this work, we introduce Indic DiarBench, a speaker diarization and ASR benchmark dataset spanning all 22 scheduled languages of India. This corpus comprises approximately 108 hours of natural multi-speaker audio from near-field meetings, far-field recordings, and in-the-wild audios. All annotations are human-corrected with time-aligned speaker attributed transcriptions. The dataset captures conversational nuance prevalent in Indian speech, such as English code-mixing, dialectal variation, and frequent speaker overlap. To establish a baseline for joint ASR and diarization capabilities we evaluate leading systems including commercial speech APIs and multimodal large language models. Indic DiarBench is released as an open-access resource to advance inclusive, multilingual speech technology research for Indian languages.
Automatic speech recognition (ASR) systems remain brittle on dysarthric and other atypical speech. Recent audio-language models raise the possibility of improving performance by conditioning on additional clinical context at inference time, but it is unclear whether these models can make use of such information. We introduce a benchmark built on the Speech Accessibility Project (SAP) dataset that tests whether diagnosis labels, clinician-derived speech ratings, and progressively richer clinical descriptions improve transcription accuracy for dysarthric speech. Across matched comparisons on nine models, we find that current models do not meaningfully use this context: diagnosis-informed and clinically detailed prompts yield negligible improvements and often degrade word error rate. We complement the prompting analysis with context-dependent fine-tuning, showing that LoRA adaptation with a mixture of clinical prompt formats achieves a WER of 0.066, a 52% relative reduction over the frozen baseline, while preserving performance when context is unavailable. Subgroup analyses reveal significant gains for Down syndrome and mild-severity speakers. These results clarify where current models fall short and provide a testbed for measuring progress toward more inclusive ASR.