The Latin American governments of Colombia and Brazil offer health services to rural populations who, according to the peasant movements themselves, often do not address their specific needs. In order to better understand this reality, an analysis of the spatial practices and experiences related to the health of the peasant communities in Brazil and Colombia was carried out, reflecting on their conditions, their knowledge, the influences that this knowledge has, trying to identify the reality of the health care for these communities and listening to the opinion of the rural population about this issue. Understanding that health promotion is beyond just living in the countryside, there is a need for minimum conditions to guarantee the quality of life, through care for nature, water and food. In Brazil, the strong influence of the city in the countryside makes the communities dependent on the products and processes that urbanity offers. In Colombia, the clash with urban realities has been even stronger, since indigenous people have had to live in a reality that they did not know in their ancestral communities and have had to live with people who do not listen to them, do not understand them, and are not open to understand them. This constant dichotomy between field and city, in the two realities visited, causes that the practices of space go through changes constantly. From these visits we learned that health has been weakened because 'Mother Earth' is not being respected. [ABSTRACT FROM AUTHOR]