This paper aims to discuss and analyze the conditions of service provision of water supply and sanitation on the island of Caratateua, isolated area of the city of Belém, Pará State, Brazil. It presents as an object of study to evaluation the distribution and quality of those services on that island. The study area corresponds to two neighborhoods at Caratateua island: Brasília e São João de Outeiro. The neighborhoods are adjacent, located in the western portion of the island and are part of it urban area. It boundaries were defined by the Prefeitura Municipal de Belém. Caratateua island is one of the most important islands that make up the Distrito Administrativo de Outeiro – DAOUT and became more intensely occupied after construction of the bridge Éneas Martins Pinheiro in 1986, which facilitated access, especially of the poor in the search space, particularly for housing. The island also has an intense population dynamics on weekends and school vacation, periods when the flow of people increases considerably, especially on the beaches. The time frame of the research has the year 1986 as the starting point of reference. The dynamic organization of space in the island in general, was not accompanied by public politics consistent with the process of population growth and dynamism displayed by the same, thereafter. As a result, neighborhoods Brasília and São João de Outeiro have a deficit in terms of infrastructure and equipment for collective use urban services including water supply and adequate sanitation in homes. The research was based on literature review on the topic of water in ranges global, national and regional, as well as the trajectory of health policies in Brazil and metropolitan scale. The analyzes derived from field surveys, with data collected from questionnaires to heads of families, recorded interviews and meetings in neighborhood associations, demonstrate the dissatisfaction of residents in relation to the care of sanitation services in question, especially since they need to seek alternative ways to meet their daily needs. The pursuit of these alternatives gives rise to forms of union between the locals and have let them to clarification of their rights as citizens and the power they have to claim them before the local government.
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