This review was commissioned by the WorldFish Center as part of a global review. It reviews the published and grey literature concerning economic valuations of river fisheries in eastern and southern Africa, extracting the best available information on their direct economic value and on the impacts of changes in water management on this value. It then assesses the methods used and makes recommendations regarding approaches to be used in future. The review concentrates on rivers with their associated floodplains, and major deltas. The values and issues associated with estuaries and lakes are different and are not considered.