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title: "Success story: 71% screening attendance with AI automation | COCO Tech AI"
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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.

Book your demo[See results](#resultados)

+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.

Traditional problemCOCO approach

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](/assets/context-latam-v4-DXcSnYu8.jpg)

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 approval Contract and NDA signed 

1 

### Discovery

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

Flows approved? 

Yes → move on No → phase 1 

2 

### Operational design

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

Messages approved? 

Yes → move on No → 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 on No → phase 3 

8 

### Closure

-   Final results report 
-   Institutional and agency presentation 

7 

### Monitoring

-   Reachability monitoring 
-   Attendance and rescheduling 

KPIs on target? 

Yes → move on No → phase 5 

6 

### Training

-   Staff training 
-   Schedule management 
-   Reporting 

Staff trained? 

Yes → move on No → 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 on No → phase 1 

2 

### Operational design

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

Messages approved? 

Yes → move on No → 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 on No → phase 3 

5 

### Go live

-   Active campaigns 
-   Outbound contacts 
-   Automated scheduling 
-   Reminders 

6 

### Training

-   Staff training 
-   Schedule management 
-   Reporting 

Staff trained? 

Yes → move on No → phase 6 

7 

### Monitoring

-   Reachability monitoring 
-   Attendance and rescheduling 

KPIs on target? 

Yes → move on No → 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 channels**27.7%** 

### Attendance comparison

Traditional campaigns 

40% 

With COCO 

71% 

0 25 50 75 100 

+31% attendance increase 

### Conversion funnel

Contacted 17,372 

Confirmed 14,216 

Effective attendance 8,897 

### 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 cancerMammogramsVaccination

### 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.

AI Automation Scheduling Communications Clinical 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 

Replicable Scalable Sustainable International 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 

### What results did the cancer screening program achieve?

### How was patient outreach automated?

### What share of patients managed their appointment without human help?

### Does automation change existing clinical workflows?

### Can this model be replicated in other institutions?

> Public health evidence World 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

Book your demo

## Other success stories

Explore more results achieved with COCO.

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