Integrated Agriculture Aquaculture (IAA) is characteristic with diversity of small-scale production systems in the Red River Delta, Vietnam where most integrated aquaculture systems are closely associated to the VAC model, an ecosystem production that three components: garden (V), pond (A) and livestock pen (C) are integrated. These VAC systems effectively use all the available land, air, water and solar energy resources, and also effectively recycle by-products and waste for providing diversified agricultural products to meet the complex nutritional demands of rural communities. The IAA systems are dynamic, diverse and subject to economic and environmental changes. By investigating 167 aquaculture households, the traditional VAC, New VAC, Animal Fish (AF) and Commercial Fish (FS) systems are identified as four existing IAA systems. This paper presents the main characteristics and economic efficiency of these IAA systems. The study’s results indicate clear evidence that the traditional VAC system and New VAC system are the most efficient and effective models. The findings of this study have shed light on the important role of integrated aquaculture systems to food security and economic development of households and local communities. The VAC systems are likely to propose for improving household food security and developing the local economy.