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Bredenkamp, Caryn

Health, Nutrition and Population Global Practice, The World Bank
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Fields of Specialization
HEALTH FINANCE, HEALTH ECONOMICS, HEALTH INSURANCE
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ORCID
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Health, Nutrition and Population Global Practice, The World Bank
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Last updated: February 14, 2024
Biography
Dr. Caryn Bredenkamp is Lead Economist and Program Leader for Human Development for Eastern Europe, and is based in Kyiv, Ukraine. In this role, she coordinates the World Bank’s program in the health, education, and social protection sectors in these three countries, and leads key sectoral dialogue with government counterparts, civil society and development partners. Since joining the World Bank in 2006, Caryn has worked on a number of complex sectoral reform programs and lending activities in human development across diverse client countries in Eastern Europe, South Asia, Africa, and East Asia. She has worked most extensively in Vietnam and the Philippines (both countries where she completed field-based assignments), India, the Democratic Republic of Congo, and Myanmar. Her expertise lies in health sector reforms that enhance efficiency and sustainability, improve financial protection, and promote equity, and in bringing together multisectoral interventions to improve human capital outcomes. Caryn holds a Ph.D. in Public Policy (Health Economics) from the University of North Carolina–Chapel Hill (USA), a Master’s degree in Economics and a Bachelor’s degree in Economics and Political Science from the University of Stellenbosch (South Africa), and post-graduate qualifications in demography and international health. Her publications include more than 20 peer-reviewed journal articles and books. Prior to joining the World Bank, Caryn worked as a lecturer in Economics at the University of KwaZulu-Natal, South Africa.
Citations 223 Scopus

Publication Search Results

Now showing 1 - 10 of 33
  • Publication
    Health Financing Reform in Ukraine: Progress and Future Directions
    (Washington, DC: World Bank, 2022-06-30) Bredenkamp, Caryn; Doroshenko, Olena; Dzhygyr, Yuriy; Habicht, Jarno; Hawkins, Loraine; Katsaga, Alexandr; Maynzyuk, Kateryna; Pak, Khrystyna; Zues, Olga
    In 2015, the government of Ukraine initiated fundamental reform of its health system with the goals of improving the health outcomes of the population and providing financial protection from excessive out-of-pocket health care payments. This reform was to be implemented through modernizing and integrating the service delivery system, introducing changes to provider payment arrangements that incentivize efficiency, and improving the quality of care. It culminated in the passage of a new health financing law—the Law on Financial Guarantees for Health Care Services 2017—which established a health benefit package called the Program of Medical Guarantees (PMG) and created the National Health Service of Ukraine to serve as the strategic purchaser for this program. Health Financing Reform in Ukraine: Progress and Future Directions provides a comprehensive description and assessment of the development and implementation of policies associated with the PMG reform from the start of the reform in 2017 through mid-2021. It examines (1) how the PMG is financed, (2) strategic purchasing of the different components of the PMG benefit package, and (3) the governance arrangements of the PMG. The report also positions these developments within broader contextual discussions of the financing and organization of health care in Ukraine to make the key features of the financing reforms and their importance accessible to domestic and international audiences.
  • Publication
    What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
    (Taylor and Francis, 2021) Vu, Lan T.H.; Bales, Sarah; Bredenkamp, Caryn
    This analysis aims to assess the association between commune health station (CHS) service availability/readiness and health service utilization. Data from the 2015 Vietnam District and Commune Health Facility Survey was used to build a series of multivariate negative binomial regressions to measure the association between domains of service availability/readiness and CHS's average number of visits per capita. Three domains of service availability/readiness are significantly associated with higher utilization rates: health infrastructure, basic equipment availability, and capacity to deliver services for non-communicable diseases. If all three modifiable CHS characteristics were to be improved from their current level, the predicted utilization rate of the CHS would be 3.3–3.7 times as high as current levels. Investments in improving facility infrastructure, making available essential equipment items, and enabling the CHS to provide hypertension and diabetes services would all likely increase health service utilization at CHS level.
  • Publication
    Public-Private Partnerships for Health in Vietnam: Issues and Options
    (Washington, DC: World Bank, 2020-05-12) Le, Sang Minh; Govindaraj, Ramesh; Bredenkamp, Caryn
    This book describes the nature of public-private partnerships (PPPs) in the health sector in Vietnam. It defines health-related PPPs, describes their key characteristics, and develops a taxonomy of the different types of PPPs that exist in practice, illustrated by international examples. It also assesses the regulatory and institutional framework for the health PPP program in Vietnam, as well as financing and accountability mechanisms for PPPs at its national and subnational levels. It provides an overview of the PPP project pipeline in Vietnam and analyzes important issues in the health PPPs’ design, preparation, and implementation, using eight case studies involving projects in different phases of the project cycle. This book also examines barriers that have hampered the successful design and implementation of health care PPPs in Vietnam. These barriers may be broadly categorized as barriers in the PPP policy and regulatory framework, in the public sector, in the private sector, and in the financial sector. It proposes feasible and actionable recommendations so that the government can consider tackling the identified barriers and advance the successful design and implementation of health PPPs.
  • Publication
    Transition to Diagnosis-Related Group Payments for Health: Lessons from Case Studies
    (Washington, DC: World Bank, 2020) Bredenkamp, Caryn; Kahur, Kristiina; Bredenkamp, Caryn; Bales, Sarah; Kahur, Kristiina
    This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.
  • Publication
    What Drives Utilization of Primary Care Facilities in Vietnam?: Evidence from a Facility Survey
    (World Bank, Washington, DC, 2019-06) Vu, Lan TH; Bales, Sarah; Bredenkamp, Caryn
    This analysis aims to assess the association between commune health station (CHS) service readiness and health service utilization to inform the design of a World Bank project and policies to strengthen primary health care in Vietnam. Using data drawn from the 2015 Vietnam district and commune health facility survey (DCHFS), a series of multivariate negative binomial regressions was estimated to measure the association between domains of service readiness and CHS utilization rates (average number of visits per capita). To conclude, investments in improving facility infrastructure (especially ensuring that facilities have the mandated number of rooms and building area), making available essential equipment items, and enabling the CHS to provide hypertension and diabetes services, whether made independently or together, would all likely increase CHS utilization. Investment in CHSs in zone 3 and zone 2 should be prioritized over investments in zone 1, since investments in the former would result in the highest utilization rates.
  • Publication
    The Future of Health Financing in Vietnam: Ensuring Sufficiency, Efficiency, and Sustainability
    (World Bank, Washington, DC, 2019-06) Teo, Hui Sin; Bales, Sarah; Bredenkamp, Caryn; Cain, Jewelwayne Salcedo
    Vietnam is changing rapidly economically, with parallel shifts in epidemiology and demographics. There have also been significant policy shifts in recent years, including in the health sector. The combined effects of these transitions pose some risks to the sustainability of essential public health services, and will continue to put upward pressure on health spending. This report analyzes how Vietnam can maintain a sufficient level of public spending on health to sustain and further good health outcomes and respond to new health challenges.
  • Publication
    Awareness of Health Insurance Benefits in the Philippines: What Do People Know and How?
    (World Bank, Washington, DC, 2017-03) Bredenkamp, Caryn; Kraft, Aleli; Poco, Louis; Quimbo, Stella; Tan, Carlos Antonio, Jr.
    In recent years, the Philippines has seen a rapid expansion of health insurance coverage, especially among the poor. In particular, the implementation of the 2012 Sin Tax Law, which increased tobacco and alcohol excise tax and earmarked most of the incremental revenues for PhilHealth premium subsidies for indigent households, contributed to an increase in the number of families receiving government-subsidized health insurance from 5.2 million to 15.3 million poor families and senior citizens between 2012 and 2015. This paper assesses how people who are eligible for government-subsidized (free) health insurance through Philippines Health Insurance Corporation (PhilHealth) find out about their eligibility and their benefits, and also how well people know the PhilHealth benefits.
  • Publication
    Expansion of Health Insurance in the Philippines: Evidence from Panel Data
    (World Bank, Washington, DC, 2017-03) Bredenkamp, Caryn; Kraft, Aleli; Poco, Louis; Quimbo, Stella; Tan, Carlos Antonio, Jr.
    In December 2012, the government of the Philippines passed the Sin Tax Law (RA 10351) which restructured and raised tobacco and alcohol taxes, while earmarking 85 percent of the incremental revenues for health. Of this 85 percent, 80 percent was intended to be used to provide free health insurance for poor and near-poor families through the National Health Insurance Program managed by PhilHealth, programs intended to speed progress of the health Millennium Development Goals, and programs to promote health awareness. The remaining 20 percent augments the financing of the Medical Assistance Program of the Department of Health (DOH), which is a hospital-based fund (in the name of mayors, congressmen, and DOH officials) that can be used at the discretion of the facility to cover the medical costs of those who cannot afford to pay, and also the DOH’s Health Facilities Enhancement Program which allows the DOH to supplement the local governments’ investments in health facilities. This reform was important from a health financing perspective.In November 2014, free health insurance coverage was also extended to the elderly. This paper assesses the extent to which the automatic enrollment of a large number of poor and elderly people into health insurance programs, as a result of the Sin Tax Law, has been associated with an increase in self-reported health insurance coverage, especially among the poorest quintiles and households living below the poverty line.
  • Publication
    Sin Tax Reform in the Philippines: Transforming Public Finance, Health, and Governance for More Inclusive Development
    (Washington, DC: World Bank, 2016-07-06) Kaiser, Kai; Bredenkamp, Caryn; Iglesias, Roberto
    Excise taxes on tobacco and alcohol products can be an effective instrument for promoting public health through curbing smoking and excessive drinking, while raising significant revenues for development priorities. In 2012, the Philippines successfully passed a landmark tobacco and alcohol tax reform—dubbed the “Sin Tax Law.” This book describes the design of the Philippines sin tax reform, documents the technical and political processes by which it came about, and assesses the impact that the reform has had after three years of implementation.
  • Publication
    Assessing Latin America’s Progress Toward Achieving Universal Health Coverage
    (Project HOPE, 2015-10) Wagstaff, Adam; Dmytraczenko, Tania; Almeida, Gisele; Cercone, James; Díaz, Yadira; 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.