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Dmytraczenko, Tania

Global Practice on Health, Nutrition, and Population, The World Bank
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Health economics
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0000-0001-9831-2763
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Global Practice on Health, Nutrition, and Population, The World Bank
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Last updated: January 31, 2023
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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Now showing 1 - 4 of 4
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    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, Tania
    This 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.
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    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, Gisele
    This volume reviews progress in reducing inequalities in health outcomes, service utilization, and financial protection, and assesses the common trends emerging from these reforms.
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    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, Heitor
    Two 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.
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    Brazil’s Primary Care Strategy
    (World Bank, Washington, DC, 2013-01) Couttolenc, Bernard; Dmytraczenko, Tania
    This 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).