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Michael Peters and colleagues argue that concerted efforts to embed implementation research can improve health services, even in the most challenging operating environments As countries emerge from the acute phase of the SARS-CoV-2 (covid-19) pandemic, there is a need to reflect on global systems of knowledge production and uptake. The rapidly evolving context of the covid-19 pandemic response demanded timely interpretation and translation of evidence into policy and action to reduce morbidity and mortality, yet existing systems were largely unable to keep up with demand.1 Decision making informed by health services research was essential during this time of flux but is also important for continuous improvement of quality healthcare delivery. Before 2020, poor quality healthcare contributed to more lives lost in low and middle income countries (LMICs) than lack of access to health services.2 The size of the gap between the care patients should receive and the care patients actually re

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