Care accessibility and availability for hypertensive patients in primary health care in a remote rural municipality in the state of Amazonas, Brazil, 2019

This single-case study aimed to evaluate access the geographic accessibility and availability of prima-ry health care (PHC) in a remote rural municipal-ity in Amazonas Stater, Brazil, to control systemic arterial hypertension. A thematic analysis was conducted to interpret the content of 11 semi -structured interviews with municipal managers, PHC professionals, and hypertensive healthcare users. Geographical accessibility is associated with river mobility, transportation availability, users' financial travelling condition, and the presence of services near riverine communities, whereas availability to diagnose and monitor hyperten-sive patients depend on the presence of healthcare providers, medications, and equipment and the integration of PHC with the local health care net-work. Although access to health is more complex than our research goals, the evaluated dimensions show weaknesses which are exacerbated by a con-text marked by socio-spatial disparities and absent public policies, compromising the guarantee of in-dividuals' right to health.