This 2021 comprehensive report from Joint WHO-UNICEF –UNFPA Initiative for SRMNCAH Programme Officers from the ministries of health and UN Partners shares 1) findings from a rapid survey of the situation of delivery of essential SRMNCAH services during March-April 2020 and 2) a summary of national plans for continuation during the COVID-19 pandemic and lockdown periods and innovative strategies to protect and deliver services during lockdown and in containment zones, and 3) lessons learned – what worked well and what challenges were faced.