Measuring Cultural Alignment Beyond the Average: A Framework for Evaluating Maternal-Health LLM Interactions in Indian Contexts

To interact with users fairly and without stereotyping, AI models must display cultural competency, i.e., the ability to infer and adapt to a user's implicitly signaled cultural values, rather than relying on static demographic traits. We introduce CCBENCH, a framework for evaluating cultural competency in large language models (LLMs), treating culture as a continuum of norm adherence states rather than as a binary state of cultural belongingness. As a case study on health, we create CCBENCH-Health, which includes 60 theoretically grounded personas exhibiting varied norm-adherence states across six cultures, each engaging in 18 realistic dialogues. Each persona is evaluated on 52 authentic healthcare questions drawn from real user forums, yielding 3,120 unique interactions. Benchmarking five leading models reveals that even the best achieve culturally appropriate responses only 20-30% of the time. When explicitly prompted to focus on culturally relevant cues from the conversational history (CoT), performance improves modestly by 3-5% on average. We find that models perform best when personas avoid cultural norms rather than follow them, revealing a persistent asymmetry, suggesting a preference in the models to align with built-in biases than adapt to cultural cues. This is especially observed in the Afghan context (Avg: 8.8%), where cultural cues rarely yield appropriate health advice. Finally, we find that models sometimes adapt more readily to implicit, cultural conversational styles than to explicitly stated cultural practices, though this varies across cultures.

India is a vast nation of over 1.4 billion people, varied by hundreds of diverse and locally specific traditions and cultures and 22 officially recognized languages. Large language models (LLMs) are now being deployed on a massive scale throughout the mainland as well as in remote villages. However, the common benchmarks - MMLU, BIG-Bench, and TruthfulQA are almost exclusively English- and Western-centric. They do not identify those safety, fairness, and accuracy failures unique to the Indian context. That is the gap Inspect India Evals seeks to fill. It is an open-source framework built on top of UK AISI's Inspect AI platform. It has six benchmarks: Multilingual MMLU across sixteen Indian languages, BharatBBQ (our adaptation of BBQ for Indian social bias), a safety evaluation for Digital Public Infrastructure, a multilingual safety test using harmful prompts in Indian languages, a multi-turn jailbreak resistance test, and an Indian cultural knowledge benchmark scored using LLM-as-judge rubrics. In this study, we tested five open-weight models ranging from 8B to 32B parameters. Sarvam-M 24B and Gemma 2 27B came out on top, both scoring 80% on the composite India Fairness Index, with Sarvam-M even beating larger 32B models on Indian cultural knowledge and DPI safety compliance. All models scored 100% refusal on Multilingual Safety, whereas DPI safety varied from 20% to 100%. The framework is public. It's built to work with the UK AISI registry. Anyone can reproduce or extend this work.

Cultural alignment in Large Language Models (LLMs) is essential for producing contextually aware, respectful, and trustworthy outputs. Without it, models risk generating stereotyped, insensitive, or misleading responses that fail to reflect cultural diversity w.r.t Helpful, Harmless, and Honest (HHH) paradigm. Existing benchmarks represent early steps toward cultural alignment; yet, no benchmarks currently enables systematic evaluation of cultural alignment in line with UNESCO's principles of cultural diversity w.r.t HHH paradigm. Therefore, to address this gap, we built Align-Cultura, two-stage pipeline for cultural alignment. Stage I constructs CULTURAX, the HHH-English dataset grounded in the UNESCO cultural taxonomy, through Query Construction, which reclassifies prompts, expands underrepresented domains (or labels), and prevents data leakage with SimHash. Then, Response Generation pairs prompts with culturally grounded responses via two-stage rejection sampling. The final dataset contains 1,500 samples spanning 30 subdomains of tangible and intangible cultural forms. Stage II benchmarks CULTURAX on general-purpose models, culturally fine-tuned models, and open-weight LLMs (Qwen3-8B and DeepSeek-R1-Distill-Qwen-7B). Empirically, culturally fine-tuned models improve joint HHH by 4%-6%, reduce cultural failures by 18%, achieve 10%-12% efficiency gains, and limit leakage to 0.3%.