This article shows a research about the implantation of the Family Helath Program, carried through 12 pioneer cities, related to the access to the basic health services. It was based in the context of social sciences, in the method of the hermeneutics-dialectics. Scripts of interview and focal groups for data collection were used. The study highlights regarding to the primary care accessibility to health sercives, that the PSF has contributed on the reduction of inequalities. However, it faces a sort of social, political, institutional, economic and cultural challenges, that are materialized in the deficiencies of coordination, management, financing, and mainly in medical practical assistance, strongly present in the daily professional practice of the PSF's teams.
Family Health Program; Primary health care; Health services acessibility