How to ensure the right to health for ‘rural, forest and water’ populations in Brazil?

cómo garantizar el derecho atención primaria?

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. 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.