Poor food safety hinders economic development and widens health inequalities. Traditional markets in Vietnam drive 40% of food‑borne illness. Without swift and coordinated action, health costs will continue to rise. A risk-based approach allows local authorities to act where risk is highest and therefore where action is most urgently needed. Success of a risk-based approach depends on vendors willingly adopting safer practices. This requires a supportive environment that removes fear and practical obstacles and positive incentives that make sustained good behavior rewarding.