PPPs in health are to facilitate theimprovement of health services, providing equitable access for the poor people,stakeholder engagement is one of the first priorities as it may bring in unmeasurablebenefits from different perspectives.Moreover,a holistic and continuous appreciation of risks in healthcare PPPs due to its complex milieus, is extremelyimportant, as it can reduce the probabilities of unexpected financial, socialand political crisis that could negatively affect long-term outcomes.Finally, alot of work still need to be done, not only in Brazil but worldwide, to improvethe accountability and transparency, the regulatory framework, and the mutualtrust in healthcare PPPs projects to enable governments, by these type ofprocurement, accommodate problems of access and equity, quality improvement andcost containment. ReferencesAkintove, A & Beck, M2008, Policy, management and finance for public-private partnerships,Wiley-Blackwell, New York. Benoit, W. L. 1995, Accounts, excuses, apologies: A theory of image restoration discourse,State University of New York Press, Albany.BahiaHospital - better access to Healthcare for Poor 2013, United Nations SocialDevelopment Network, viewed 20 May 2013, Blanken, A & Dewulf, G2010, PPP in health: static or dynamic?, TheAustralian Journal of Public Administration, vol. 69, no. S1, pp. 35-47, Business Source Complete, EBSCOhost, viewed 1 May 2013.Brazil: Hospital do Suburbio 2013, International Finance Corporation, viewed 1 May 2013, .Bresnen, M 2007, Deconstructing partnering in project-basedorganisation: Seven pillars, seven paradoxes and seven deadly sins, International Journal of Project Management,vol. 25, no. 4, pp. 365-374, Emerald Management Xtra Plus, Emerald, viewed 3May 2013.Bovis, C 2010, Public Private Partnerships in the 21st century, ERA Forum, vol.11, no. 3, pp. 379-398, EmeraldManagement Xtra Plus, Emerald, viewed 3 May 2013.Buse, K & Walt, G 2000,Global public-private partnerships: part I - a new development in health?, Bulleting of the World health organization,vol. 78, no. 4, pp. 549-561, Business Source Complete, EBSCOhost, viewed 1May 2013.Buse, K & Walt, G 2000,Global public-private partnerships: part II- what are the health issues forglobal governance?, Bulleting of theWorld health organization, vol. 78, no. 5, pp. 699-709, Business Source Complete, EBSCOhost, viewed 1 May 2013.Changingthe rules of the game: a diagnosis of corruption in Brazil 2011, European researchcentre for anti-corruption and state building, viewed 2 May 2013, <http://www.againstcorruption.eu/wp-content/uploads/2012/02/WP-29-Changing-the-Rules-of-the-Game.pdf>.Delmon J 2009, Private sector investment in infrastructure:project finance, PPP projects and risks, Kluwer Law International, TheNetherlands.Flinders, M 2005, The politicsof public private partnerships, Britishjournal of Politics and International Relations, no. 7, pp. 215-239, Emerald Management Xtra Plus, Emerald, viewed 1 May 2013. Hodge, G.A & Greve, C 2005, TheChallenge of Public-Private Partnerships: Learning from InternationalExperience, Edward Elgar Publishing Limited, Cheltenham.Hodge,G.A & Greve, C 2007, Public-private partnerships: An internationalperformance review, PublicAdministration Review, vol. 67, no. 3, pp. 545-558, Business Source Complete, EBSCOhost, viewed 1 May 2013.Infrastructure procurement: delivering long-termvalue 2008, HM Treasury, viewed 1 May 2013, < http://www.hm-treasury.gov.uk/d/bud08_procurement_533.pdf>InfrastructureAustralia 2008,National PPP Guidelines: Policy Framework, viewed 1 May 2013, http://www.infrastructureaustralia.gov.au/public_private/files/National_PPP_Policy_Framework_Dec_08.pdfInfrastructure 100: worldcities edition 2012, KPMG International Cooperative, viewed 2 May2013, <http://www.kpmg.com/AU/en/IssuesAndInsights/ArticlesPublications/Documents/infrastructure-100-world-cities-edition.pdf>. Kwak, Y H, Chih, Y Y &Ibbs, C W 2009, Towards a comprehensive understanding of public private partnershipsfor Infrastructure Developments, Californiamanagement review, vol. 51, no. 2, pp. 51-78, EmeraldManagement Xtra Plus, Emerald, viewed 1 May 2013. Law11.079/2004 establishing general rules for bidding and