very successful initiative, brought together business, labour and civilsociety organizations to advise the government on its economic policy,resulting in a considerable development for the nation, evidencing the power ofcollaborative governance alliances (Landells 2013).As privateorganizations play an increasingly role in the global economy, public-privatecollaborative alliances have been strongly defended by credible experts andinstitutions as essential for the global community welfare. The private sector,because it is motivated by something other than good public policy, is preparedto make tougher decisions and act more quickly to get outcomes (Bovis 2010).In recentyears, Brazil has developing various PPP infrastructure projects as aninevitable requisite for the economic and social development of the country. In 2002, the society finally understood the importanceof reviewing its investment policy, started involving businesses, labours and civic leaders to advise oneconomic aspects in order to promote the engagement of business in thedevelopment of the nation (Nobre et al. 2012). By the union of every segmentsof the Brazilian society in collaborative governance alliances, the countrytook its first steps toward Public Private Partnership infrastructure projects in essential sectors of the economy. After having executed concession agreements forthe construction of several large infrastructure projects, the Federal Governmentalso transferred the management of many others to the private sector. Besides, ithas recently launched the first part of its Investment Program in Logistics,which provides for the application of approximately US$ 67bn in the renovationand construction of federal motorways and railways (PPP Brazil 2013). Furthermore,since 2010, states and municipalities have also engaged on a variety ofinfrastructure projects in diverse sectors of the economy, including the healthsector.The Suburban Hospital in Salvador:Brazils first healthcare PPP Brazils first public-private partnership (PPP)in health dramatically improved health services for Salvadors community,establishing a new paradigm of quality into the Health Care Network in Brazil.Brazil: Hospital do Suburbio 2013RationaleBrazilis a country with widely diverging income levels, where the access to quality healthcareis unfortunately very unfair. Peoplewith high-income levels have the privilege to access private hospitals, whilethose with low incomes, that is, the majority of the population, must rely onpublic hospitals, which are often poorly equipped and serviced, as well asovercrowded. With the objective to reduce social inequalities in health (Sen 1999) by ensuring that all its population had accessto high quality health services, the government of Bahia embraced this PPPproject. AsBrazils first healthcare public-private partnership (PPP), the Hospital doSuburbio effectively made an impact, improving emergency hospital services formore than one million people living in an extremely underserved district inSalvador, the capital of the state of Bahia. According to Bahia Hospital - betteraccess to Healthcare for Poor (2013) the district where was built,presents ranks much lower than the state and national average on the Human DevelopmentIndex (PPP Development stage-establishing principles 2012). Although notinitially planned as a PPP project, the state government looked at the privatesector as a partner to supply equipment and carry out all services andmaintenance. TransactionProdal Health SA, consortiumcomposed by Promedica, a leading Brazilian regional healthcare company, andDalkia, a French company specializing in facilities management and non-medicalservices, won the bid. The concessionaire is responsible for equipping,maintaining and operating both clinical and non-clinical services at thehospital for a term