Building an integrated, cost-effective, national health service that delivers quality care for all is one of the critical challenges facing anyone with a stake in global health. A mum doesn't divide the health of her family up into different bits when she goes to a health clinic: ‘vaccines', ‘malaria', ‘HIV'. For her a health centre is a health centre and a nurse is a nurse. When she goes to get help, she should receive integrated care for all her family's needs not just the one thing that centre, or health practitioner, happens to know about. We need to assign inefficient, parallel health interventions to the rubbish bin.