Science to action for people and the planet

Dr. Caroline Bulstra

Veterinarian · Epidemiologist · Scientist

I am Caroline, a veterinarian and epidemiologist dedicated to reimagining global systems for a healthier and more livable planet.

Working at the intersection of science, policy and practice, I help organizations address interconnected challenges in health, climate and biodiversity. Over the past 10 years, I have supported policymakers, academic partners, non-profits and community-led initiatives with the design, implementation and evaluation of solutions across public and planetary health.

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Dr. Caroline Bulstra standing in front of a willow treePhoto by Janne Hoevelaken

Working across science, policy and practice

Science

Providing applied research and impact evaluation support using epidemiology, quasi-experimental approaches, geospatial modeling, and mixed-methods.

Policy

Bridging science and decision-making by translating evidence into clear, policy-relevant insights and strengthening collaboration between academia and policymakers across sectors.

Practice

Supporting non-profits, governments, and international organizations to translate evidence into community-led action.

Illustrated overview of Caroline Bulstra's work, connecting planetary health, One Health, biodiversity, climate change and community health through evidence, policy and action

Key areas of work

An eagle hunter and a child on a rocky mountain plateauPhoto by Lightscape

Planetary Health, Climate Change and Biodiversity

Identifying local interventions that improve outcomes for people, animals and ecosystems and help scaling different community-led nature-based solutions.

Three women holding bed nets in front of an earthen wallPhoto by Protecting Global Gains

Neglected Tropical Diseases and Malaria

Applying geospatial epidemiology and mathematical modeling to infectious diseases including leishmaniasis, leprosy, soil-transmitted helminths and malaria to improve where and how prevention and control efforts are targeted.

A street scene in sub-Saharan AfricaPhoto by Hennie Stander

HIV and Chronic Noncommunicable Diseases

Leveraging established HIV care systems to integrate prevention and treatment for diabetes and hypertension and strengthen chronic disease care in sub-Saharan Africa.

A busy city crossing with people in motionPhoto by Mauro Mora

Innovation in Global Health Systems

Designing and testing healthcare delivery innovations with governments, multilateral organizations and civil society to improve health outcomes, efficiency and equity across health systems.

Fields of expertise

Global Health and Development | Planetary Health | One Health | Emerging and Re-emerging Infectious Diseases | Climate Change and Health | Health Systems | Healthcare Innovation | Health Equity | Chronic Disease Prevention and Care | Sustainable Agriculture | Regeneration | Sustainable Food Systems | Wildlife and Marine Life Conservation | Biodiversity | Migration and Health | Female Empowerment

Honours & Awards

  • NWO logo

    NWO Rubicon Laureate

    NWO · 2022

  • DFG logo

    Benjamin Walter Programme

    DFG · 2024

  • Harvard T.H. Chan logo

    Academic Scholarship

    Harvard T.H. Chan · 2024

  • Cultuurfonds logo

    Young Talent Award

    Cultuurfonds · 2021

  • McKinsey & Company logo

    Next Generation Women Leaders

    McKinsey & Company · 2020

  • AIDS logo

    Young Investigator Award

    AIDS · 2020

The Co-Flourish logo

Co-Flourish

We're building Co-Flourish: a platform that supports community-led initiatives in nature restoration and nature-based solutions. It provides funding access, monitoring and evaluation, and connections to research and policy partners to help initiatives demonstrate and scale impact.

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Scientific research

I study how environmental and societal change affects human health. My work identifies where health risks persist, evaluates whether interventions improve health and societal outcomes, and examines how climate adaptation, ecosystems and healthcare systems shape health across populations.

Cover of the PhD thesis The Last Decade of HIV?

PhD thesis and defence

The Last Decade of HIV? Reaching sustainable HIV control through improved epidemiological understanding and health systems innovations

Summary

The HIV pandemic has been one of the most devastating public health threats in recent history. After emerging as a new human pathogen during the mid-20th century, the virus spread rapidly, infecting more than 79 million people worldwide, of whom 36 million have died due to its consequences. In the late 1990s, HIV related mortality peaked worldwide, with over 2 million deaths annually.

Publications

Peer-reviewed scientific publications. For full overview see Google Scholar.

Media

Blog

Perspectives

Two people in front of the COP30 sign in Belem, Brazil

Co-Flourish · 21 November 2025

Listening, learning, connecting: Co-Flourish at COP30

Reflections from COP30 with Katrine de Angeles on what it means to listen first, and how community-rooted work finds its place in global climate negotiations.

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A nectar-feeding bat pollinating an agave flower at night

Co-Flourish · 2 July 2025

The quiet work of forests, fungi, and pollinators in upholding human health and wellbeing

With Estefania Fernandez and Katrine de Angeles, on the largely invisible ecological labour that keeps people healthy — and what happens when it is lost.

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A patch of tropical forest in Costa Rica

Europe for Nature · 21 May 2024

Exploring Costa Rica's green corridors and insights for Europe

A hidden patch of forest within agricultural land, and what it suggests about how green corridors could work for both nature and communities in Europe.

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Collaborators and partners

  • Harvard T.H. Chan School of Public Health logoHarvard T.H. Chan School of Public Health
  • Harvard Health Systems Innovation Lab logoHarvard Health Systems Innovation Lab
  • Harvard Innovation Labs logoHarvard Innovation Labs
  • Utrecht University logoUtrecht University
  • Wageningen University & Research logoWageningen University & Research
  • FAO logoFAO
  • University of Pretoria logoUniversity of Pretoria
  • Africa Health Research Institute logoAfrica Health Research Institute
  • Ministry of Infrastructure and Water Management logoMinistry of Infrastructure and Water Management
  • Ministry of Health, Welfare and Sport logoMinistry of Health, Welfare and Sport
  • London School of Economics logoLondon School of Economics
  • THRIVE logoTHRIVE
  • WECare Worldwide logoWECare Worldwide
  • Mission Rabies logoMission Rabies
  • World Bank logoWorld Bank
  • World Health Organization logoWorld Health Organization
  • UNAIDS logoUNAIDS
  • Erasmus University Rotterdam logoErasmus University Rotterdam
  • Erasmus MC logoErasmus MC
  • NLR International logoNLR International
  • Médecins Sans Frontières logoMédecins Sans Frontières
  • VSF Nederland logoVSF Nederland
  • HIGH — Heidelberg Institute of Global Health logoHIGH — Heidelberg Institute of Global Health
  • Heidelberg University logoHeidelberg University
  • Ministry of Health and Child Care, Zimbabwe logoMinistry of Health and Child Care, Zimbabwe
  • Health In Harmony logoHealth In Harmony
  • Leprosy Relief logoLeprosy Relief
  • MIT logoMIT
  • Emory Rollins School of Public Health logoEmory Rollins School of Public Health
  • Novo Nordisk Foundation logoNovo Nordisk Foundation
  • Commonland logoCommonland
  • KIN Nederland logoKIN Nederland
  • Leiden-Delft-Erasmus logoLeiden-Delft-Erasmus
  • Global Protagonists logoGlobal Protagonists
  • Duke University logoDuke University
  • Zanzibar Mayor's Office logoZanzibar Mayor's Office
  • RIVM logoRIVM
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About

Dr. Caroline Bulstra is a veterinarian and epidemiologist working at the intersection of global health, planetary health and health systems. She is currently based at the Erasmus School of Health Policy & Management at Erasmus University Rotterdam, where she researches how nature-based solutions can restore ecosystems while improving human health.

Her work focuses on generating evidence that can inform how societies respond to complex health and environmental challenges. She combines epidemiological methods, geospatial modelling and quasi-experimental approaches to study interventions in real-world settings and understand what works, for whom and under what conditions. Across her work, she has focused on how evidence can move beyond academic research to inform decision-making, institutional change and practical action.

Previously, Caroline was an NWO Rubicon Research Fellow and worked at the Harvard T.H. Chan School of Public Health, where she served as Associate Director of the Health Systems Innovation Lab. She has also held research and leadership roles at the Heidelberg Institute of Global Health, Heidelberg University, including as Group Lead for Global Health Systems and Planetary Health. She has collaborated with international organisations including the World Bank, World Health Organization, UNAIDS and the Food and Agriculture Organization of the United Nations, as well as with governments, academic institutions and community-based organisations across Europe, sub-Saharan Africa and South Asia.

Her research has been published in leading journals including The Lancet HIV, The Lancet Diabetes & Endocrinology, Nature Communications and PLOS Medicine.

Caroline holds a PhD in Epidemiology and Global Health and a Master of Health Sciences in Epidemiology and Biostatistics from Erasmus University Rotterdam, as well as a Doctor of Veterinary Medicine degree from Utrecht University.

Caroline examining a puppy with a colleague at a veterinary clinicPhoto by Lauren Willcox
“The good man is the friend of all living things.”
Mahatma Gandhi

This philosophy lies at the heart of my work: connecting human, animal and environmental health and helping drive systemic change towards a future in which we can flourish together.