<p>Zambia still has measles immunization coverage below WHO 95% standard. In 2018 for instance, the country’s coverage for both measles-containing vaccine (MCV1 and MCV2) was 92% and 88% respectively. The country's first case of COVID-19 was reported in March 2020, potentially disrupting routine immunization and increasing measles incidence nationwide. We assessed the impact of COVID-19 on measles immunization and incidence before and during the pandemic.</p>