This study aims to assess homeless people health and life needs and to establish their relation with health services. By these means, to provide support for health practice, human development and to influence formulation of public policie. Interviewes with different social actors were carried out: homeles people, health professionals, NGO leaders and officials. The lack of social organizations and hospital reference, the professional resistance, the rules of health services and the political disagreements between different levels of government, associated with the urban violence are expressions of the social exclusion that this population.
homeless people; health services; health service access; metropolitan area