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As a clinician actively has to register the patient as “deregistered” in the Ambu Flex system, we defined dropouts in this study as “patients who, after using PRO-based follow-up, were deregistered by a clinician.” The reason for the dropout was not registered. If the patients were deregistered due to death, this information was shown in the Ambu Flex system. Patients who died during follow-up were excluded from the study.
JMIR Form Res 2025;9:e58258
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This information could empower policy makers, immunization programs, and vaccinators to reduce dropouts and improve immunization coverage, timeliness, and equity through the targeted use of evidenced-based interventions at an individual or community level. Reduced immunization coverage and losses to follow-up do not allow communities to fully take advantage of the benefit of routine childhood immunization programs.
JMIR Public Health Surveill 2018;4(3):e63
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