Access to health services: territory, flows and borders of riverside populations of Boa Vista do Ramos, Amazonas

Abstract

Access to health services is a banner defended by social movements and informs the flow for seeking care in the urgency and emergency (UE) network. This article analyzes this access in the municipality of Boa Vista do Ramos, Amazonas, and reflects on the flow of UE riverside users. A descriptive study was conducted based on qualitative and geographical data. Research steps consisted of gathering geographic information on the locations of interest; interviewing local actors; organizing and analyzing secondary and primary data; and generating thematic maps. Removal of UE patients in Boa Vista does not follow a fixed pattern, or a similar one. Establishment of full riverside teams and their uninterrupted stay in the area has consolidated these locations as health care points. The drought and flood of the rivers determine paths, approaching or distancing spatially. Given the complexity of the life scenario, decisions regarding care itineraries are linked to previous experiences with the local health system. User flow says a lot about the unpredictability of everyday choices and options.