ABSTRACT
Productive restructuring in the last decades has brought about great changes in the Brazilian rural area, with emphasis on the reprimarization of the economy, which induced conflicts over land and water between the State, the capital and the rural populations, causing illness, death, violence, environmental contamination and risks to human health. This essay aims at problematizing the health situation of the rural, forest and water populations, the challenges and the strategies adopted to ensure the right to health. The Family Health Strategy as a gateway for people in the SUS, still presents several problems related to its implementation, such as: worse performance in rural areas; the territorialization is still not done in the perspective of the socio-sanitary spaces of greater risk, and it presents fragility in social participation. The access of these populations to the SUS requires articulation of knowledge and experiences of planning and permanent evaluation of intersectoral actions, as well as responsibilities and shared information, in order to achieve health care with quality and comprehensiveness. It also demands an agile process of permanent education of health workers and popular education, along with a new and differentiated proposal breaking with curative logic and considering the specificities of the influence of the social determination of health.
KEYWORDS
Needs assessment; Rural health; Family Health Strategy; Primary Health Care