Person: Dmytraczenko, Tania
Global Practice on Health, Nutrition, and Population, The World Bank
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Dmytraczenko, Tania, Dmytraczenko, T.
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Health economics
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Global Practice on Health, Nutrition, and Population, The World Bank
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Last updated:November 28, 2025
Biography
Tania Dmytraczenko, a senior economist with the World Bank’s Health Nutrition and Population Global Practice, has extensive experience as a researcher and technical advisor working on health policy, health financing and health systems strengthening in Latin America, Africa and Asia. Before joining the Bank, she was a principal at Abt Associates providing technical assistance on USAID, WHO, UNFPA and UNAIDS projects. Prior to that, she had a joint appointment with the Department of Economics and the Center for Latin American Studies at Tulane University. She holds a PhD in economics from the University of North Carolina at Chapel Hill. She has published in books and peer-reviewed journals.
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Publication Purchasing in a Pandemic: Lessons from the Health Systems Response in Armenia and Romania(World Bank, Washington, DC, 2023-04-07) Chukwuma, Adanna; Rivillas, Juan Carlos; Gong, Estelle; Wang, Huihui; Chen, Dorothee; Lylozian, Hratchia; Comsa, Radu; Pirjol, Diana-Luliana; Dmytraczenko, Tania; Sonnefeldt, KatiePurchasing for health, which includes what, how, and from whom services are purchased, was one of the policy levers available to countries as part of their health systems’ response to the COVID-19 pandemic. Ideally, the purchasing function should align with the broader health financing functions. Empirical evidence indicates that purchasing arrangements transformed during the pandemic across the world. A systematic examination of these changes can inform ongoing efforts to leverage purchasing to strengthen health system performance. The Collectivity Project is a global community of practitioners, decision makers, and re-searchers contributing to collaborative health system projects. The thematic group convened experts from eight countries to systematically assess the changes in purchasing arrangements as part of the COVID-19 health response and their implications for health system objectives. This report examines adjustments made in purchasing arrangements that occurred during the Armenia and Romanian response to the COVID-19 pandemic. The research adopted mixed methods and a deductive approach. Data were obtained from a scoping literature review, key informant interviews, and an exploratory analysis of quantitative health system indicators. The study was informed by a framework for understanding purchasing changes that adapted existing frameworks to explore the implications of purchasing adjustments on critical outcomes. The research describes critical changes in purchasing, provider and user responses to these changes, and health system outcomes that accompanied the COVID-19 response in Armenia and Romania. For example, it was essential to have a governance environment that defined shared objectives and facilitated coordination across stakeholders. During this time benefits expanded, and contracts changed, including payment mechanisms to offset the decline in essential service use and incentivize care delivery for COVID-19. Furthermore, the pandemic saw the accelerated adoption of innovation, particularly telemedicine, within service delivery. The lessons from purchasing during the pandemic have implications for improving coverage, quality, and adaptability to a crisis, including beyond the contexts studied.Publication Generating Political Priority for Primary Health Care Reform in Romania(Taylor and Francis, 2021-08-17) Comsa, Radu; Wang, Huihui; Chukwuma, Adanna; Gong, Estelle; Onofrei, Lidia; Dmytraczenko, TaniaThis paper examines how political priority was generated for comprehensive reforms to address inequitable access to high-quality primary health care (PHC) in Romania. We apply John Kingdon’s model of political agenda setting to explore how the convergence of problems, solutions, and political developments culminated in the adoption of a government program that included critical PHC reforms and approval of a results-based funding instrument for implementation. We draw on a review of the gray and peer-reviewed literature and stakeholder consultations, and use content analysis to identify themes organized in line with the dimensions of Kingdon’s model. We conclude this paper with three lessons that may be relevant for generating political priority for PHC reforms in other contexts. First, national PHC reforms are likely to be prioritized when there is political alignment of health reforms with the broader political agenda. Second, the availability of technically sound and feasible policy proposals makes it possible to seize the political opportunity when the window opens. Third, partners’ coordinated technical and financial support for neglected issues can serve to raise their priority on the political agenda.Publication Toward Universal Health Coverage and Equity in Latin America and the Caribbean: Evidence from Selected Countries(Washington, DC: World Bank, 2015-06-11) Dmytraczenko, Tania; Almeida, Gisele; Dmytraczenko, Tania; Almeida, GiseleThis volume reviews progress in reducing inequalities in health outcomes, service utilization, and financial protection, and assesses the common trends emerging from these reforms.Publication Assessing Latin America’s Progress Toward Achieving Universal Health Coverage(Project HOPE, 2015-10) Buisman, Leander R.; Wagstaff, Adam; Eozenou, Patrick Hoang-Vu; Dmytraczenko, Tania; Almeida, Gisele; Cercone, James; Díaz, Yadira; Maceira, Daniel; Bredenkamp, Caryn; Molina, Silvia; Mori Sarti, Flávia; Paraje, Guillermo; Ruiz, Fernando; Scott, John; Valdivia, Martin; Werneck, HeitorTwo commonly used metrics for assessing progress toward universal health coverage involve assessing citizens’ rights to health care and counting the number of people who are in a financial protection scheme that safeguards them from high health care payments. On these metrics most countries in Latin America have already “reached” universal health coverage. Neither metric indicates, however, whether a country has achieved universal health coverage in the now commonly accepted sense of the term: that everyone—irrespective of their ability to pay—gets the health services they need without suffering undue financial hardship. We operationalized a framework proposed by the World Bank and the World Health Organization to monitor progress under this definition and then constructed an overall index of universal health coverage achievement. We applied the approach using data from 112 household surveys from 1990 to 2013 for all twenty Latin American countries. No country has achieved a perfect universal health coverage score, but some countries (including those with more integrated health systems) fare better than others. All countries except one improved in overall universal health coverage over the time period analyzed.Publication Brazil’s Primary Care Strategy(World Bank, Washington, DC, 2013-01) Couttolenc, Bernard; Dmytraczenko, TaniaThis case study summarizes the responses to the questionnaire on The Nuts and Bolts of the Program Expanding Health Coverage to the Poor, developed within the framework of the World Bank's UNICO - Universal Challenge Program. By so doing, it assesses the key features and the achievements and challenges of Brazil s Primary Care Strategy (PCS) and analyzes the contribution of this strategy to the establishment and implementation of universal coverage. Section 2 provides context for the discussion by summarizing key reforms and the impact of the PCS and describes Brazil s health care delivery and financing system. The institutional architecture and interaction of the health care program (HCP), in this case the PCS, is discussed in section 3. Sections 4 through 8 outline the main features of the strategy, including the identification and targeting of beneficiaries, management of public funds, services covered, and the information environment. The case study concludes with a discussion of lessons learned (section 9) and the pending agenda (section 10).