The current coronavirus disease (COVID-19) has resulted in massive global disruptions with major impacts in health service delivery [
1]. Bhutan recorded its first confirmed case of COVID-19 on 5
th March 2020 [
2], with a total of 356 reported cases with no deaths at the time of writing. Following the first case of COVID-19, the Government of Bhutan initiated a number of containment measures. These included vigorous contact tracing, testing and treatment (3Ts) of the cases, closing its international borders and restricting mass gatherings including closing schools and markets, limiting movements, temporarily discontinuing non-essential services, and a mandatory 21-day quarantine for all returning travellers and primary close contacts. In addition, a 21-day nation-wide lockdown was initiated on August 11, 2020 following local transmission of COVID-19. In the last decade, Bhutan pursued a successful and sustained malaria elimination programme. This has led to a low incidence of malaria that is compatible with elimination programme [
3]. The malaria cases have dwindled to just two indigenous cases in 2019 [
4]. In line with the World Health Organization (WHO) Global Technical Strategic (GTS 2016-30) and regional action plan for malaria elimination by 2030, Bhutan planned to eliminate malaria by 2020 [
5,
6]. The key interventions implemented by the programme are three-yearly rounds of mass distribution of long-lasting insecticidal nets (LLIN), focal indoor residual spraying (IRS), prompt diagnosis and case management, and case-based surveillance and response. The last mass distribution of LLINs in the malaria transmission districts was done in 2017. Currently, active malaria transmission foci are confined mainly to southern districts along the international border with India [
7,
8].