73 (1 November) • CORRESPONDENCE services while stay-at-home orders were in effect.Unfortunately, despite these efforts, coverage for several childhood vaccines has fallen below the WHO's 90% goal during the COVID-19 pandemic (personal communication was oral and performed on 9/18/2020 by Dr. Arscott-Mills, Ndibo Monyatsi, Child Health Division, Botswana Ministry of Health).Approaches to mitigate the impact of the COVID-19 pandemic on preventive services for children must consider local severe acute respiratory syndrome coronavirus 2 transmission, health system capacity, and the substantial benefits of these programs to child health [9].Moreover, these efforts will be influenced by local priorities and resources and must be flexible in the setting of frequently evolving COVID-19 precautions and restrictions [10].In Botswana, several efforts to improve vaccine coverage are currently planned, including programs that target children of mothers with HIV and linkage of child health screenings to household vector spraying in malaria-endemic districts.We applaud the efforts in Cambodia, Syria, and Burkina Faso highlighted by Anderson and Caniza and encourage continued discourse regarding strategies to maintain childhood vaccine coverage rates during the COVID-19 pandemic. NotesAcknowledgments.We thank Ndibo Monyatsi