Health is a universal right in Brazil at all levels of care, and it is the duty of the State to
provide the indispensable conditions for its full exercise, without prejudice or privilege of
any kind. Quilombola communities are affected by multiple inequalities, despite constant
transformations and attempts to promote equity and universal access to health. In this
sense, this dissertation seeks to answer how is access to health services offered by SUS in
the remaining quilombo communities Murumuru and Saracura? Seeking to understand if
there are conditions of access, if it is effective, if the services offered are able to meet the
needs of quilombos and how health care is planned for these communities. For this
purpose, the study had as its methodological principle the qualitative approach, using for
the interpretation and analysis of the data the Collective Subject Discourse (CSD)
technique, by Lefrève and Lefrève (2003). Access to the health services offered by the SUS
for the two quilombola communities is hampered by distance; precarious means of
transportation and financial resources to travel to the Basic Health Units (UBSs); and the
difficulty of obtaining care at the UBSs in the urban area of Santarém.Issues of
transportation, infrastructure, lack of financial incentives, and seasonality are obstacles for
Family Health Teams (EqSF) to promote health actions more frequently and offer services
in the communities.In the quilombos, families resort to the manipulation of medicinal
plants in the preparation of teas, syrups, juices, bottles, and also seek benzedeiras, healers,
midwives and puxadores for the prevention or treatment of diseases. In both communities,
it is common for CHWs to schedule medical appointments when requested, community
members have a strong bond with these professionals, who, because they live in
quilombos, are the first ones sought by users. In addition, managers' lack of knowledge
about public health equality policies that include the black and quilombola population is an
obstacle to promoting health equity.
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