The Red River Delta in Vietnam, though the smallest in area, is the most densely populated region in the country. Like many deltas worldwide, the northern coastal provinces face a range of natural and man-made hazards, including typhoons, floods, saltwater intrusion, and water pollution. These issues significantly impact local livelihoods and affect the region’s ability to supply food both domestically and for export. This study aims to explore how local communities adapt to these hazards. Qualitative research methods were employed, including 33 in-depth interviews, 36 group discussions, and surveys of 900 households across three provinces: Thai Binh, Ninh Binh, and Hai Phong. The research reveals that while households have implemented some measures to adapt to storms, floods, and saltwater intrusion, water pollution remains unresolved. Factors influencing adaptation, such as socioeconomic status, infrastructure, and cultural practices, were examined. The findings underscore the importance of community- based initiatives, early warning systems, and government support in enhancing disaster resilience in the region. Recommendations for future research and policy interventions are discussed to further strengthen community resilience and reduce vulnerability to hazards.