Human interventions at the river basin scale, such as sand mining and hydropower dam construction, have profoundly affected hydrological and hydraulic alteration regimes, sediment budgets, and morphological changes worldwide. Quantifying the consequences of unsustainable ongoing sand mining and hydropower is crucial for obtaining sediment load data and managing hydrogeomorphology. In this study, comprehensive long-term consecutive four-field monitoring, statistical methods, and hydrological models (SWAT) were applied to quantify the spatiotemporal changes in long-term discharge and sediment load from 1996 to 2020 for the tropical river of the Vu Gia Thu Bon (VGTB) in the central region of Vietnam. The SWAT model was calibrated from 1996 to 2010, validated from 2011 to 2020 and showed good performance for daily discharge and monthly sediment. The evolution of river bathymetric data (2010, 2015, 2018, and 2021) was analysed to clarify the upstream sediment supply trapped in the riverbed and how the sand mining volume was removed. The results showed that the mean annual sediment in the Vu Gia and Thu Bon Rivers decreased by 57.3% and 23.8%, respectively, in the postdam period compared with the predam period. The thalweg elevation decreased at the Ai Nghia and Giao Thuy stations from 2010 to 2021 by 1.8 m and 3.9 m, respectively. The water level decreased by 21.1% at Ai Nghia and 44.3% at Giao Thuy. Dam development, sand mining, and changes in land use are the main factors responsible for flow discharge and sediment morphodynamic alterations. Morphological change have increased the water transfer rate from the Vu Gia River to the Thu Bon River through the Quang Hue channel. Downstream of the Vu Gia River, water transfer and riverbed incision have decreased flow discharge and water level and increased saltwater intrusion in recent years. As a result, water shortages induced by saltwater intrusion during drought periods have emerged as a significant constraint in hindering the domestic water supply and agricultural production.
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