The long-term goal of this research is to form a health-oriented communication model for the poor people in West Bandung District (Kabupaten Bandung Barat), West Java. The specific purpose is to know about perception of very poor household (Rumah Tangga Sangat Miskin/RTSM) of health problem. In this study the researchers attempted to reveal the phenomenon of poor health communication by expressing their perceptions of various aspects related to health problems that they are facing daily. Therefore, the method used in this research is survey method with descriptive approach. Data analysis is done by interpreting data that have been processed, presented in single table or cross table. Interpretation in addition to referring of existing data, is also reinforced by the results of interviews, observations, studies of previous research, and concepts that connected with the phenomenon studied. The results showed perception of very poor households (RTSM) on health problem, was in medium category.