Sexual and reproductive health (SRH) remains shaped by structural barriers that leave many without judgment-free information. AI chatbots offer anonymous alternatives, but access alone does not ensure equity when socioeconomic determinants shape whose capabilities these tools expand or constrain. Conventional methods for evaluating human-AI interaction were not designed to capture whether technologies holistically support reproductive autonomy. We introduce CARE, Capability Approach for Reproductive Equity, developing capabilities, functionings, and conversion factors into a Normative Design Lens and an Evaluation Lens for AI in SRH contexts. Evaluating SRH-specific non-LLM chatbots, general-use LLMs, and search engine features along credibility and reasoning, we identify two epistemic harms: source opacity and response rigidity. We conclude with design and evaluation recommendations, participatory auditing strategies, and policy implications for high-stakes domains where AI intersects with inequity.
@article{arxiv.2603.20511,
title = {"Girl, I'm so Serious": CARE, a Capability Framework for Reproductive Equity in Human-AI Interaction},
author = {Alice Zhong and Phoebe Chen and Anika Sharma and Kandyce Brennan and Snehalkumar 'Neil' S. Gaikwad},
journal= {arXiv preprint arXiv:2603.20511},
year = {2026}
}