The aim of this thesis is to analyze the different dimensions of access by Congolese refugees to comprehensive women s health care in the municipality of Rio de Janeiro. It was understood that with the principle of universality established in the Unified Health System (SUS), both Brazilians and migrants and refugees who are in the country can access health services without the imposition of legal, economic, physical or cultural accessibility barriers. The thesis deals with a topic that has not yet been explored in studies on refugee and migrant women, especially in relation to studies on: gender and refuge, gender violence and intersectionality. Thus, it is understood that women already experience various forms of rights violations and are more affected by social inequalities, however this is aggravated by factors such as race and class and in this study, nationality and their status as migrants and refugees are added. The study was carried out in Primary Care in Rio de Janeiro. The methodology used is a qualitative approach. Twelve semi-structured interviews were conducted with managers (4), Family Clinic professionals (5) and Congolese refugee women (3). Thematic content analysis was used to analyze the data collected. The research revealed that in the municipality of Rio de Janeiro, there is still no policy on health care for refugee women; it is still being drawn up, but the professionals provide care in the health units. The culture and lack of translators in health units are challenges for health professionals and managers, and this appears to be linked to other problems such as violence against women and the absence of a public policy for translators in units. The context of the dismantling of PrimaryCare under the Crivella government interfered with the work that was being carried out in the municipality of Rio de Janeiro in relation to refugee health. Primary Care is the main gateway for refugee women who seek services mainly for prenatal care, pregnancy appears to be a search for the right to citizenship in Brazil from the point of view of the professionals and it is also important to point out the professionals search to make refugee women understand and access their sexual and reproductive rights. It is worth noting that the Congolese women use the health services and say that the service was good, demonstrating that health in Brazil is better than in the DRC, and although they are grateful, they question the delay in service, the poor medical care and the precariousness of the services. Finally, it can be seen that the context of the dismantling of the SUS also affects refugee women who seek health care in the same way that it affects Brazilians and other migrants. However, it is in this context that the health policy for refugees is being designed, since it has not yet been legitimized and it is a process of struggle with significant achievements in recent years.