In the field of Collective Health, the debate about the interrelations between territory and
health has as one of its communicating vessels the Family Health Strategy, a public policy
based on the principles of Primary Health Care, whose organization of the work process
follows a territorial and multiprofessional logic with the perspective of bringing the services
of individuals, families, communities and social groups closer together. Following the
theoretical guidelines of the social production of space and critical epidemiology, this
research adopts the territory as a category of privileged analysis for the understanding of the
factors related to the social determination of the health-disease process, adopting as locus the
neighborhood of Terra Firme in Belém - PA, a pioneer neighborhood during the process of
implementing the Family Health Strategy in the municipality. Taking as a methodological
perspective the clues of post-structuralist orientation cartography, after a period of immersion
in the territory, the research process comprised the registration of 12 open and semi-structured
interviews with social agents who lived or lived the historical context of the neighborhood
from different points of view such as residents, doctor, former manager, afro-religious
leadership and popular leaderships. It was observed that the understanding of the healthdisease
process from the territorial approach requires theoretical and methodological efforts
that allow us to understand the dynamics surrounding territory and health beyond a strictly
functionalist perspective, administrative and bureaucratic and superficially operational. It is a
question of understanding the territory based on its relational aspects, its symbologies and
uses, as well as understanding it as a dimension of practices and knowledge that can re-signify
health policies and the dynamics of the organization of services from a local perspective.
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