Patrick Fine Authors

Patrick Fine

Patrick Fine is an international development professional who has served in both the public and nonprofit sectors, including as CEO of FHI 360, as the vice president for compact operations at the Millennium Challenge Corporation, and as a career foreign service officer at USAID. He is currently a senior nonresident fellow at the Brookings Institution, serves on the board of trustees of Seed Global Health and is an elected trustee of the trust funds in the village where he lives.

Latest Articles

Opinion: The future of aid
Opinion: The future of aid
Is global development decolonizing or recolonizing?
8 Aug 2025
Opinion: The “neocolonial” international aid system is being replaced by more coercive and exploitative policies reminiscent of the colonial era.
The future of US aid
The future of US aid
Opinion: Revitalizing USAID is essential to reestablishing US global leadership
15 Dec 2020
USAID has lost its bearings, write IYF's Susan Reichle and FHI 360's Patrick Fine. Looking ahead to the new administration, they give their advice on two specific areas of reform.
Focus on: Global health
Focus on: Global health
Opinion: Trickle-down health care
16 Nov 2016
Do investments in private hospitals and clinics catering to the wealthy strengthen primary health care systems in poor countries? FHI 360 CEO Patrick Fine explains why we need focus on preventive and primary care and not allow expensive curative systems from consuming the lion's share of public health budgets for the benefit of a small minority of the population.
Focus on: Global health
Focus on: Global health
Does epidemic control inadvertently reinforce inequality?
15 Sep 2016
There is an irrefutable logic to concentrating resources on the areas where HIV is worst — especially the case when the goal is to prevent the spread of the disease. But FHI 360 CEO Patrick Fine asks, is this approach inadvertently reinforcing social and economic inequality?
Global development career
Global development career
Why we shouldn't be working ourselves out of a job
12 Jul 2016
Building resilience is a long-term endeavor that requires ongoing commitment. It's not an end state. FHI 360 CEO Patrick Fine explains why now is the time to recognize that human development challenges will exist as long as there are humans.
US foreign aid
US foreign aid
Achieving USAID's 30 percent local spending goal
23 Nov 2015
Five years after the launch of USAID Forward, now is a good time to look at the trade-off between greater use of local organizations to build long-term capacity and the generation of near-term results that respond to the strategic priorities of least-developed countries and donor governments, writes Patrick Fine, chief executive officer of FHI 360.
#IntegratedDev
#IntegratedDev
The age of integration
19 Oct 2015
How do we operationalize an integrated development agenda? In this exclusive guest commentary, FHI 360's Patrick Fine, CEO, and Tricia Petruney, technical adviser for research utilization and integrated development, discuss the practicalities: what to do, how to do it and how to pay for it.
Patrick Fine on #Fin4Dev
Patrick Fine on #Fin4Dev
It's time we broaden the definition of country ownership
13 Jul 2015
Despite country ownership being one of the central tenets of the aid effectiveness agenda, we have never adequately reconciled the concept of ownership with the need for a country to be accountable for its policies. Let's hope the discussions in Addis address that, FHI 360's CEO writes in this exclusive commentary.
Patrick Fine on #Fin4Dev
Patrick Fine on #Fin4Dev
Cognitive dissonance in the development community
28 May 2015
The more we put development resources into stovepiped mechanisms, the more difficult it will be to finance integrated programs, FHI 360's chief executive officer writes in the exclusive commentary.
Global health
Global health
The specter of segregation haunts global health
26 Feb 2015
Curbing the spread of diseases such as AIDS and malaria represents a major global development success. But emerging evidence shows such single-disease fascination is holding back progress in other areas. An exclusive commentary by FHI 360 CEO Patrick Fine and MDG Health Alliance Vice Chair Leith Greenslade.
See all articles by Patrick Fine