Recent advances in multimodal and speech-native large language models (LLMs) have delivered impressive speech recognition, translation, understanding, and question-answering capabilities for high-resource languages. However, African languages and non-native French or English accents remain dramatically underrepresented in benchmarks limiting the understanding and applicability of leading LLMs for millions of francophone and anglophone users in low-resource settings. We presents AfriVox, an open-source benchmark (including novel domain-specific and unscripted datasets) across 20 African languages, African-accented French, Arabic, and 100+ African English accents, contrasting leading multimodal speech LLMs with traditional unimodal automatic speech transcription (ASR) and translation (AST) models. Our analysis reveals significant language coverage variation, surprising LLM translation performance gains (e.g. Gemini), robustness concerns with unscripted speech, and substantial performance disparities for "supported" African languages. We profile the strengths, limitations, and language support of each model, and conduct the first targeted fine-tuning of a modern speech LLM (Qwen2.5-Omni) for three Nigerian languages, exceeding SOTA, and achieving up to 54% relative WER reduction and significant BLEU gains, offering practical guidance for implementers seeking to serve local language users.

Speech technologies are transforming interactions across various sectors, from healthcare to call centers and robots, yet their performance on African-accented conversations remains underexplored. We introduce Afrispeech-Dialog, a benchmark dataset of 50 simulated medical and non-medical African-accented English conversations, designed to evaluate automatic speech recognition (ASR) and related technologies. We assess state-of-the-art (SOTA) speaker diarization and ASR systems on long-form, accented speech, comparing their performance with native accents and discover a 10%+ performance degradation. Additionally, we explore medical conversation summarization capabilities of large language models (LLMs) to demonstrate the impact of ASR errors on downstream medical summaries, providing insights into the challenges and opportunities for speech technologies in the Global South. Our work highlights the need for more inclusive datasets to advance conversational AI in low-resource settings.