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    Healthcare professional in early cancer detection
    Success story · Public health in Central America

    When technology arrives on time, it saves lives.

    A public health system reached 71% attendance for cancer screenings through digital automation. Without increasing costs or staff.

    See results
    +17k
    Appointments managed
    +8.8k
    Women served
    71%
    Effective attendance
    72.3%
    Self-service
    +8,800 women served
    Explore
    The problem

    A structural problem with a proven solution.

    The obstacle is not clinical. It is operational.

    Manual call
    No answer
    Lost slot
    Low attendance and wasted resources

    High no-show rates in preventive appointments.

    Reliance on phone calls and manual processes.

    Impossible to scale without hiring more staff.

    No data to plan or evaluate.

    Lost slots with no reassignment.

    Low accessibility in remote areas.

    Cervical cancer: the cost of inaction

    • Late diagnoses that reduce treatment options.
    • Clinical costs multiplied by lack of prevention.
    • Preventable deaths with technology that already exists.

    With organized screening, cervical cancer mortality drops by more than 60%.

    — WHO

    The challenge

    Scaling prevention without collapsing the system.

    Cervical cancer screening in Latin America
    Cervical cancer screening in Latin America

    Cervical cancer kills thousands of women every year in LATAM. Over 90% of those deaths are preventable with timely screening.

    A public health system in Central America needed to expand its national program without adding staff or budget.

    The goals were clear:

    • Identify the target population systematically.
    • Proactively reach out to patients.
    • Schedule and confirm appointments without friction.
    • Measure results in real time.

    The challenge was not only technological. It was operational, institutional and population-wide.

    Result: 71% effective attendance at screenings through digital automation. Without increasing costs or staff.

    The solution

    Automation that does not disrupt clinical flows.

    A multichannel system that integrates with existing infrastructure.

    • Automated WhatsApp

      Direct communication where patients already are.

    • 24/7 web portal

      Scheduling with no office-hour limits.

    • Native integration

      Connects to existing systems.

    • Smart reminders

      Confirmations that eliminate no-shows.

    • Real-time metrics

      Data by channel, facility and age group.

    • Public health standards

      Simplicity, institutional scalability and sustainability.

    The whole system was designed around:

    • Simplicity for the patient.
    • Institutional scalability.
    • Operational sustainability.
    • Public health standards.

    Without touching the clinical model. We only improved access and operational efficiency.

    Methodology

    Project flowchart.

    Structured implementation process between the institution and COCO.

    Project start

    Prerequisites

    Multilateral agency RFQ approvalContract and NDA signed
    1

    Discovery

    • Institution – COCO kickoff
    • Process mapping
    • Needs assessment
    • KPI definition

    Flows approved?

    Yes → move onNo → phase 1
    2

    Operational design

    • Operating model
    • Patient outreach
    • Scheduling rules
    • Conversational flows

    Messages approved?

    Yes → move onNo → phase 2
    3

    Technical setup

    • COCO platform
    • Patient and schedule data
    • WhatsApp / email / voicebot
    • Integration with institutional systems
    4

    Testing

    • Reachability tests
    • Test messages
    • Scheduling and confirmation

    Tests successful?

    Yes → move onNo → phase 3
    8

    Closure

    • Final results report
    • Institutional and agency presentation
    7

    Monitoring

    • Reachability monitoring
    • Attendance and rescheduling

    KPIs on target?

    Yes → move onNo → phase 5
    6

    Training

    • Staff training
    • Schedule management
    • Reporting

    Staff trained?

    Yes → move onNo → phase 6
    5

    Go live

    • Active campaigns
    • Outbound contacts
    • Automated scheduling
    • Reminders
    1

    Discovery

    • Institution – COCO kickoff
    • Process mapping
    • Needs assessment
    • KPI definition

    Flows approved?

    Yes → move onNo → phase 1
    2

    Operational design

    • Operating model
    • Patient outreach
    • Scheduling rules
    • Conversational flows

    Messages approved?

    Yes → move onNo → phase 2
    3

    Technical setup

    • COCO platform
    • Patient and schedule data
    • WhatsApp / email / voicebot
    • Integration with institutional systems
    4

    Testing

    • Reachability tests
    • Test messages
    • Scheduling and confirmation

    Tests successful?

    Yes → move onNo → phase 3
    5

    Go live

    • Active campaigns
    • Outbound contacts
    • Automated scheduling
    • Reminders
    6

    Training

    • Staff training
    • Schedule management
    • Reporting

    Staff trained?

    Yes → move onNo → phase 6
    7

    Monitoring

    • Reachability monitoring
    • Attendance and rescheduling

    KPIs on target?

    Yes → move onNo → phase 5
    8

    Closure

    • Final results report
    • Institutional and agency presentation
    Project closure
    Verifiable data

    Proven ROI in 12 months.

    Appointment management

    Self-managed (web + WhatsApp)72.3%Other channels27.7%

    Attendance comparison

    Traditional campaigns
    40%
    With COCO
    71%
    0255075100
    +31% attendance increase

    Conversion funnel

    Contacted17,372
    Confirmed14,216
    Effective attendance8,897

    Operational results

    +17,000
    Appointments managed automatically
    72.3%
    Self-service (web + WhatsApp)
    81.8%
    Reachability without human intervention
    81.9%
    Confirmation rate

    Clinical results

    8,897
    Women effectively attended their appointment
    71%
    Effective attendance
    25-54
    Coverage in priority age groups

    Institutional results

    Significant reduction in administrative workload
    Efficient reassignment of cancelled slots
    Reliable data for territorial expansion
    +8,800 women served
    Strategic impact

    Aligned with public policy.

    Effective protection of women's health

    Optimization of public spending

    Modernization without disruption

    Fewer access gaps

    Well-designed digitalization does not dehumanize. It makes care timelier, fairer and more efficient.

    One platform, multiple programs.

    A replicable model for any population health campaign.

    Cervical cancer screening

    The proven model with +17,000 appointments managed and 71% effective attendance.

    8,897
    Women served
    71%
    Effective attendance
    72.3%
    Self-service

    Results proven over 12 months of operation.

    Your technology partner

    COCO: technology that transforms healthcare.

    A LATAM healthtech specialized in automation and AI for the public sector.

    A hub of digital solutions with AI and automation that coordinates demand, scheduling and clinical operations. More precision, efficiency and impact without manual processes or fragmented tools.

    AIAutomationSchedulingCommunicationsClinical operations

    We work with:

    • Governments and public health entities
    • National and regional health systems
    • Multilateral agencies and international cooperation
    • Hospital networks, clinics and medical centers

    Our purpose:

    Transform care processes into digital models that optimize resources, expand access and generate real impact.

    Ready to implement

    A validated model, not an experimental pilot.

    This model is ready to be adapted and scaled to:

    • Other programs (mammograms, prenatal care, vaccination)
    • New regions or provinces
    • Other countries in LATAM and Central America
    ReplicableScalableSustainableInternational standards

    Lessons for health leaders

    At COCO, every flow designed and every line of code has one clear goal: reduce friction, gain clinical time and let more people access timely care.

    • Populations are ready for simple digital channels.
    • WhatsApp and web have very high adoption in public settings.
    • Initial configuration defines success.
    • Real-time metrics = evidence-based management.
    • Institutional co-branding builds citizen trust.
    Frequently asked questions

    Questions about this success story

    Public health evidenceWorld Health Organization

    On organized screening programs

    With organized screening, cervical cancer mortality drops by more than 60%.

    Replicate this model in your institution

    Let's talk about automating your screening or patient outreach program.

    +17k
    Appointments managed
    8,897
    Women served
    71%
    Effective attendance
    72.3%
    Self-service

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