significant issue for the state. Thus, PPP seems a universal adoptedmechanism to reduce costs while increasing health services quality and capacityof the system, by investing in infrastructures.In Brazil, health services have been rising considerably.The country has found in PPPs not only a solution for mitigate public issues,but also a way to provide equitable access to good quality health, benefitingthe community, and at the same time enabling return to the private sector, in win-win-winarrangements.This report analyses thePPP of the Hospitaldo Suburbio inSalvador, capital of the state of Bahia in Brazil. The main objective here isto build a framework to evaluate this PPP project, identifying issues that affected thedevelopment and maintenance of its effectiveness and providing criticalanalysis of strengths, weaknesses and areas of improvement. In despite of the Hospital do Suburbio PPP being considered one of theworlds most innovative projects by KPMG in its Infrastructure 100: WorldCities Edition report (Infrastructure 100: world cities edition 2012), issuesstill need to be addressed, such as low staff commitment, insufficient community involvement,and inefficient assessment of political and social risks.Thisreport explores the importance of effective PPP projects in promoting healthservices in Brazil, approaching some relevant features for the achievement of effectiveness.It also develops a framework that may effectively evaluate the Hospital doSuburbio PPP, providing some detail of this completed project.Whilethe literature explores various elements on evaluations of PPP projects, thisreport then focus on some key features to evaluate this particular social infrastructurePPP. Finally, this report addresses the issues based on the presented framework,identifying and analysing strengths and weaknesses of this project, pointingsome recommendations for improvement when appropriate.Public Private Partnerships in theHealth SectorThe increasingly costs of delivering health services has forcedthe public sector to look at alternative mechanisms in order to reduce costwhile increase efficiency of services. PPP rises as a solution to contain this growinghealth care costs and government budget constraints (Blanken & Dewuful2010). Infact, successful PPP projects developed in many countries around the world hasled other nations to encourage PPP procurements for social infrastructureprojects, instead of using traditional methods, motivated by the potential totransfer risks and some revenues to the private sector, as a means to createefficiency and control costs in the health public sector (Blanken & Dewuful2010). Notwithstanding, due to high complexity, it is unclear to what degreePPP arrangements are capable to respond to changing demands in health sector. Health System in BrazilBrazil has a Unified Health System (Unified Health System 2013).Created in 1989 from the merger of two state systems, one for those in formalwork and the other for everyone else, it is exceptional in Latin America, whichby and large continues with the two-tier public system Brazil abandoned. The1988 constitution declared health care to be the right of the citizen and itsprovision the duty of the state (Law 11.079/2004establishing general rules for bidding and contracting for public-privatepartnership 2004). However, there is a big gap between the aspirations of theGovernment and the reality. Funding is inadequate and varies wildly from placeto place, affecting mostly poor people living in remote rural areas or violenturban slums where the service is lacking. PPPs in BrazilIn the past decade, Brazil ina