End-Use Verification Survey

The contents on this webpage support the collection, validation, analysis, and reporting of the End-Use Verification (EUV) survey in a way that aims for consistency and quality of data across the entities that conduct this survey. Per data confidentiality policies of the countries collecting this data, the data are not distributed publicly.

If you would like access to the EUV Survey Toolkit (available in English and French), please contact PSMEUVCoordination@ghsc-psm.org

History of the Survey

The EUV survey, funded by the U.S. Agency for International Development (USAID), is a country-implemented and managed health facility survey used to monitor the availability of malaria, family planning (FP), and maternal, newborn, and child health (MNCH) commodities by:

Establishing stock statuses for key malaria, MNCH, and FP medicines and commodities
Collecting data not captured in logistics management information systems (LMIS) (e.g. stock management challenges, stockout reasons, why products are not managed at facilities, case management)
Assessing gaps or challenges with inventory management, commodity storage practices and conditions of facilities and equipment
Assessing gaps in training and supervision or doubling as a supportive supervision activity
Informing strategic planning at country and global levels (e.g. trend analysis)

The survey was developed in 2008 by the U.S. President’s Malaria Initiative (PMI) in collaboration with the USAID | DELIVER PROJECT and the Strengthening Pharmaceutical Systems Program (later known as the Systems for Improved Access to Pharmaceuticals and Services Program) to monitor the availability of malaria commodities in PMI-supported countries. The EUV was designed as an interim exercise led by USAID implementing partners to collect important supply chain data that a country’s LMIS may not be able to provide at a sufficient level of quality or geographic reach. Starting in 2019, TO3 (FP) and TO4 (MNCH) began implementing the EUV with the same objectives.

EUV Revisions and Additional Tools

As EUV data continue to be used by many country stakeholders to make policy and planning decisions and to monitor changes over time, PMI together with the USAID Global Health Supply Chain Program – Procurement and Supply Management (GHSC-PSM) project updated the questionnaire and accompanying materials (referred to as the “EUV Toolkit”) in 2018 – 2019, 2022, and 2023 with the following goals:

To standardize the survey across countries for uniform data quality;
To centralize survey management to ensure timely access to the raw and analyzed data by authorized users and to better coordinate support to country EUV teams;
To ensure a minimum and quantifiable level of data confidence that is representative of the sampling frame in all countries (typically nationally representative);
To strengthen the reliability of the data by increasing the robustness of the survey questionnaire;
To refine survey questions and indicators to improve clarity and streamline the process to align with current uses of the survey;
To add the COVID Continuity of Care module for proper tracking of COVID-19 disruptions to end use (2020-2023); and
To add the Community Health Worker (CHW) module in 2023 to inform activities designed to strengthen supply chain functionality at the community level.

The revised EUV toolkit intends to make the data more useful for decision making, while still maintaining the original goal of ensuring rapid data availability to monitor the availability of malaria commodities in PMI-supported countries, and other health commodities where applicable.

Contents of the Updated EUV Package

Standardized survey questionnaires in SurveyCTO, including a separate questionnaire for the new CHW module
Robust sampling approach methodology description, sampling tool, and sampling tool instructions
Standard training curriculum covering data collection and validation
Performance Indicator Reference Sheets (PIRS)
Excel and document-based (“paper”) survey tools to supplement/support the electronic data entry
Separate Power BI report templates for the facility and community-level surveys
EUV planning quick reference guide
Background and information sheets
Data dictionary