WHO’s fourth round of the global pulse survey on continuity of essential health services during COVID-19 Pandemic revealed that countries are showing first major signs of health system recovery.  Among the 139 countries, 84 countries trend analysis is possible. The disruption of services was 56% in July- September 2020 and in Nov2022- Jan 2023 it is 23%.  The national supply chain system of countries was improved and integration of COVID-19 services into essential health services is a crucial step towards recovery and transition.  For further long-term system recovery, resilience and preparedness countries would be needing additional funding allocation.