This paper discusses innovation in low and middle-income countries, focusing on the role it has played in local and national responses to the COVID-19 pandemic, and the lessons from this effort for how innovation might be harnessed to address wider development and humanitarian challenges by mobilising resources, improving processes, catalysing collaboration and encouraging creative and contextually grounded approaches. The paper also examines how international development and humanitarian organisations can improve their support for local and national innovation efforts.

One-fifth of the innovative solutions to fight the Covid-19 pandemic have emerged from low and middle-income countries, and these responses offer promising insights for how we think about, manage, and enable innovation. As the international community now faces the historic challenge of vaccinating the world, more attention and resources must be directed to the innovators who are developing technically novel, contextually relevant, and socially inclusive alternatives to mainstream innovation management practices.

Addressing 21st century development challenges requires investments in innovation, including the use of new approaches and technologies. Currently, many development organisations prioritise investments in isolated innovation pilots that leverage a specific approach or technology rather than pursuing a strategic approach to expand the organisation's toolbox with innovations that have proven their comparative advantage over what is currently used.

How do innovations move from the edges to the core of what an organization does? For maximum impact, innovations must cease to be innovative and become institutionalized and normalized.