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Various factors—including natural disasters and health emergencies—considerably affect vaccination programs. The reasons can be multiple. This is visible during the 2 years of the ongoing coronavirus pandemic causing COVID-19, which has overwhelmed the entire world and yet fearing its consecutive waves of various variants, eg, Omicron (1). With no exception, the significant health effects are associated with measures to contain COVID-19, such as physical distancing (2). Consequently, all routine immunization activities including Maternal Neonatal Tetanus (MNT) vaccination have been affected around the world, including in Pakistan (3).