Preference Robustness for DPO with Applications to Public Health

We study an LLM fine-tuning task for designing reward functions for sequential resource allocation problems in public health, guided by human preferences expressed in natural language. This setting presents a challenging testbed for alignment due to complex and ambiguous objectives and limited data availability. We propose DPO-PRO, a robust fine-tuning algorithm based on Direct Preference Optimization (DPO), which accounts for uncertainty in the preference distribution using a lightweight Distributionally Robust Optimization (DRO) formulation. Unlike prior DRO-based variants, DPO-PRO focuses solely on uncertainty in preferences, avoiding unnecessary conservatism and incurring negligible computational overhead. We evaluate DPO-PRO on a real-world maternal mobile health program operated by the nonprofit organization ARMMAN, as well as on standard alignment benchmarks. Experimental results demonstrate that our method consistently improves robustness to noisy preference signals compared to existing DPO variants. Moreover, DPO-PRO achieves comparable performance to prior self-reflection-based baseline for reward function design, while requiring significantly lower inference-time cost.