This report examines Viet Nam's tech-based startups in two sectors: agriculture and health. It assesses the challenges for creating a more enabling ecosystem to scale up startups in these sectors and makes recommendations to overcome them. Technology-based startup enterprises are an increasingly important part of the business landscape in Asia and the Pacific. By applying innovative technologies to create new products and services, they can make a significant contribution to economic development while generating social and environmental benefits. However, to survive and then thrive, tech startups require an enabling ecosystem that includes supportive government policy, adequate access to capital, skilled personnel, and quality digital infrastructure. This is the third country report in the series Ecosystems for Technology Startups in Asia and the Pacific.