Towards culturally-appropriate conversational AI for health in the majority world: An exploratory study with citizens and professionals in Latin America

There is justifiable interest in leveraging conversational AI (CAI) for health across the majority world, but to be effective, CAI must respond appropriately within cultur ally and linguistically diverse context s . Therefore, we need ways to address the fact that current LLMs exclude many lived experience s globally . Various advances are underway which focus on top - down approaches and increas ing training data . In this paper, we aim to complement these with a bottom - up locally - grounded approach based on qualitative data collected during participatory workshops in Latin America. Our goal is to construct a rich and human - centred understanding o f: a) potential areas of cultural misalignment in digital health; b) regional perspectives on chatbots for health and c) strategies for creating culturally - appropriate CAI; with a focus on the understudied Latin American context . Our findings show that academic boundaries on notions of cultur e lose meaning at the ground level and technologies will need to engage with a broad er framework; one that encapsulates the way economics, politics, geogr aphy and local logistics are entangled in cultural experience. To this end, we introduce a framework for ' Pluriversal Conversational AI for H ealth ' which allows for the possibility that more relationality and tolerance, rather than just more data, may be called for .