Population Services International (PSI) leads the USAID County Wide Sanitation Activity (CWSA), a USAID five-year initiative designed to assist the Government of Liberia to permanently end open defecation and achieve universal sustained access to basic sanitation across five counties. The activity implements a market-based sanitation strategy and uses DHIS2 to monitor toilet sales. To monitor progress against these goals, annual household surveys are conducted. Although DHIS2 is typically used for routine monitoring, it is increasingly being used for questionnaire-based activities. CWSA implemented these surveys using DHIS2 so that survey data co-existed with sales data. CWSA developed a DHIS2 event program for a survey in which communities were randomly sampled per county, households were randomly selected per community, samples sizes were calculated using 95% confidence level and 5% margin of error, and the EquityTool was used to assess wealth quintiles. The tool was used successfully in 2023 and 2024 with more than 5000 respondents including in rural and poor communities. This serves as a proof of concept that DHIS2 can reliably serve for household surveys, can eliminate the need for multiple software or migrating data, enabling teams to cross-reference survey and routine programmatic data, and simplify transitions to government than use of traditional survey software.
2024 DHIS2 Annual Conference - Rollup banner poster - PSI Liberia (Updated v2).pdf (276.5 KB)