Introduction

The Tuberculosis (TB) keeps being a big public health problem in the world, having the poverty, the bad life condition, the bad income distribution, the social iniquity and the disability on the health system as a substrate to its maintenance. 

Objective

To identify the scientific knowledge produced under the access to the health service of the homeless person sick by TB. 

Method

Integrative literature review conducted from April to June, 2016, having as inclusion criteria: publications written in Portuguese, English or Spanish, published from 1990 to 2015, indexed on the data basis: LILACS, SciELO, MEDLINE and Web of Science and portals Virtual Health Library (VHL) and MEDLINE/PubMed, that had the text completely available online. The data analyzes was made in qualitative terms, using the technique of content analysis proposed by Bardin, it was possible to construct three categories: Specific characteristics of the homeless people access to the health services to tuberculosis diagnostic and treatment; Access difficulty to the health care: factors related to homeless people and factors related to health services; Strategies to overcome the access difficulties of the homeless person (HLP) to the health care.

Results

Pointed that the homeless people have a higher risk to get sick by TB, presenting TB incidence rate 10 to 20 times higher than the general population. Many obstacles that limited those people ac-cess to the health services were identified. Many times they presented difficulty to identify the appropriated place to search for assistance and not always this place had the opened doors to this social group. Another important finding treats about the low adhesion to the TB treatment, because treating about the search for health care, the ho-meless people are less inclined to search the health services, seen that living on the street implies in a daily fight for survival. To those people, the sickness treatment has a lower priority than the meal obtaining, the searching for shelter, or the search for a job. 

Conclusion

It is necessary that the health actions break the strictly technical caring barriers and include the psychosocial and educative perspective in all the health care process to homeless people with different conformations due to the individuals’ singularities and their scenarios. Thus, the search by the more integral care and, therefore, more efficient possible, it is wait that be included on the health team daily work, routines and process to a systematic search for the health necessities, and developed abilities to recognize the adequacy of the offers to the specific context, in which is given the meeting from the individual and the team.