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This paper proposes an adaptation of the Rural Water Sustainability Index (RWSI) to the Brazilian Amazon region. Policymakers can use this tool to identify areas of water stress and develop actions to guarantee water access to rural communities. Multicriteria analysis and a geographical information system were integrated to incorporate various indicators and produce maps displaying spatial water sustainability levels in rural communities. The RWSI was employed on a case study at 16 rural communities in Santa Luzia do Pará, Pará, Brazil. In total, 380 closed and structured interviews were conducted with people living in the area to collect local information for the model application. The results showed a varied spatial behavior between rural communities of Santa Luzia do Pará, with similarities and differences based on the overall condition of water resources (final index values). Half of the locations had ‘Poor’ or ‘Poor-Medium’ water quality. The remaining sample obtained scores ranging from ‘Medium-Good’ to ‘Good’ water sustainability. RWSI scores varied widely (from 5.7 to 6.5) among the communities. It was also found that localities more distant from surface water presented more water stress. [ABSTRACT FROM AUTHOR]