1) Two districts in Nghe An province, Vietnam were heavily impacted by floods in September 2007, affecting over 214 communes. 2) The floods destroyed crops, livestock, houses, schools, health clinics, and transportation infrastructure. Over 2,600 hectares of crops and thousands of animals were lost. 3) The immediate needs of the affected communities included food, temporary shelter, clean water, health services, and support for recovery of livelihoods and infrastructure. Recommendations focused on food assistance, basic needs support, shelter reconstruction, health services recovery, and education support.