This document has been prepared to provide generic operational guidance to countries in the regions for preparing a continuity plan for maintaining good quality and equitable sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH) services during the COVID-19 pandemic. It is commonly observed that response to a pandemic stresses the health systems in the countries and poses the risk of disruption in provision and use of ongoing health services that are essential for population groups that are particularly vulnerable. This document builds upon the global guidance issued by WHO and UN agencies and encourages countries to adapt the guidance, based on local conditions to sustain essential SRMNCAH and nutrition services while implementing prevention, infection control and curative services for COVID-19. This guidance shall be updated as the new information and evidence emerges on the nature and stage of the pandemic.