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Objective: Investigate the realities and challenges of Intersectoriality in cities/regions that have structured municipal intersectoral working groups (GTI-M) in the Health at School Program (PSE) in the period 2017-2021. Method: Research with documental survey and integrative review to select articles in Ingles and Portuguese. Results: Records of official documents that guide the guidelines for actions of adherence, agreement, planning, execution and monitoring of the PSE and nine articles from different regions of the country where the forms of work in front of the intersectoriality were observed: southeast (five); northeast (two); south regions (1) and north region (1). Conclusion: The perception of intersectoral work still lacks understanding, involvement and effectiveness of the GTI-M, which makes it difficult to implement mechanisms that facilitate PSE actions. In addition, there is a lack of municipal articulation, based on the official decree for GTI-M, which ends up promoting fragmented actions, team wear, reducing the positive impacts that the PSE can promote in collective health. The study can serve as a basis for reformulating strategies and control mechanisms of the federal government to execution and release of funds for PSE. [ABSTRACT FROM AUTHOR]