title: Barriers and enablers to integrating maternal and child health services to antenatal care in low and middle income countries.
abstract: Antenatal care (ANC) represents a delivery platform for a broad range of health services; however, these opportunities are insufficiently utilised. This review explores key barriers and enablers for successful integration of health s"ervices with ANC in different contexts. Data from peer-reviewed and grey literature were organised using the SURE checklist. We identified 46 reports focusing on integration of HIV, tuberculosis, malaria, syphilis or nutrition services with ANC from Asia, Africa and the Pacific. Perspectives of service users and providers, social and political factors, and health system characteristics (such as resource availability and organisational structures) affected ease of integration.
  
  
  CONCLUSIONS
  Health system factors, context and stakeholders must be considered for integrated antenatal care services.
authors: Gephyra IHC, Amsterdam, the Netherlands.
authors: T E
authors: TE
authors: de Jongh
authors: London School of Hygiene and Tropical Medicine, London, UK.
authors: I
authors: I
authors: Gurol-Urganci
authors: Department of Global Health and Population, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA.
authors: E
authors: E
authors: Allen
authors: Department of Global Health and Population, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA.
authors: N
authors: N
authors: Jiayue Zhu
authors: Department of Global Health and Population, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA.
authors: R
authors: R
authors: Atun
mesh_terms: D000328:Adult; D057189:Checklist; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards; D003906:Developing Countries; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D039382:Maternal Nutritional Physiological Phenomena; D000068101:Maternal-Child Health Services / Q000458:organization & administration*; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D011295:Prenatal Care / Q000458:organization & administration*
keywords: Antenatal care; integration; low and middle income countries