The Near East and North Africa (NENA) region with its generally arid climate, predicted population growth and increased water scarcity, needs a coordinated regional approach, among others, to increase fish production and consumption, rural employment and the sustainable use and conservation of the aquatic resources. In this respect, the “Integrated Aquaculture Agriculture” (IAA) represents an irreplaceable source of animal protein and essential minerals for the most vulnerable populations. The goal of this ongoing project was to promote a regional framework with exchange of knowledge and expertise among participating countries. The project comprised cases from Algeria, Egypt and Oman.