The objectives of this study were to analyze chemical the water quality related to the fish community and to evaluate the ecosystem health based on the faunal composition and guild structure in 2007 in Baekma River. Mean concentrations of biological oxygen demand (BOD) and chemical oxygen demand (COD) were 2.8 and $4.0mg;L^{-1}$, respectively and total nitrogen (TN) and total phosphorus (TP) were $5.0mg;L^{-1}$ and $158{mu}g;L^{-1}$, which is indicating that the river is in an eutrophic state. Especially, organic pollution and eutrophication occurred in the downstream reach of Baekma River. A total of 19 fish species were collected during the study and the most dominant species was Opsariichthys uncirostris amurensis accounted 48% of the total abundances. The proportion of sensitive species was low (2.3%), compared with that of tolerant species (71.8%). These results suggest that tolerant species and the biotic quality of the fish community was severely degraded. According to the multi-metric model, the Index of Biological Integrity (IBI), the mean model value of the fish community in Baekma River was estimated as 14.8 indicating a "poor" condition. The minimum values of the IBI were observed in the downstreams, and this was mainly attributed to chemical pollutions of nutrients (N, P) and organic matters.