Agência de Cooperação Intermunicipal em Saúde Pé da Serra

Acispes, also known as Agência de Cooperação Intermunicipal em Saúde Pé da Serra, is headquartered in Brazil and operates within the nation's public health system. The organisation provides administrative and healthcare support services to the municipalities that participate in its cooperation agreement. Its primary function is to facilitate joint health initiatives, shared procurement, and technical assistance among member local governments. By pooling resources, Acispes aims to improve the efficiency and reach of health services across the region. The agency’s activities are limited to the health sector, reflecting its specialised mandate. Being situated in Brazil places it directly under the country's public health infrastructure.

As a public entity created by the participating municipalities, Acispes does not have a private parent company or subsidiary structure. Its governance follows the rules that apply to inter‑municipal health consortia in Brazil, giving it a distinct role compared with standalone health providers. The agency’s distinguishing attribute is its exclusive focus on cooperative health administration rather than direct clinical care. In May 2023, Acispes was the target of a cyber attack that forced the temporary suspension of all its operational functions. After the incident, the organisation worked with relevant authorities to address the breach and began restoring its services. This event highlights the cybersecurity challenges faced by public health cooperation bodies.