Can we get the benefits of integrated services? An evaluation of the delivery of integrated prenatal HIV, syphilis and hepatitis B testing services in China

Background Integration of services for prevention of mother-to-child transmission (PMTCT) of HIV into routine maternal and child health care has been promoted as a priority strategy by WHO to help optimize health outcomes for mother and children [1]. However, integrated services require a shift in the management model from providing stand-alone services to integrating services, which requires more complex management [2]. China initiated the process of integrating prenatal HIV, syphilis and hepatitis B testing services in 2009, and many health agencies need to work together [3]. So this study is to evaluate the effectiveness of the current integrated services and examine barriers to coordination in this complicated service system in China.