Mangroves provide multiple benefits, from carbon storage and shoreline protection to food and energy for natural resource-dependent coastal communities. However, they are coming under increasing pressure from climate change, coastal development, and aquaculture. There is increasing need to better understand the changes mangroves face and whether these changes differ or are similar in different parts of the world. Using a multiple case study approach, focused on Vietnam, Zanzibar, and Brazil, this research analyzed the drivers, pressures, states, impacts, and responses (DPSIR) of mangrove systems. A qualitative content analysis was used on a purposively sampled document set for each country to identify and collate evidence under each of the DPSIR categories. Population growth and changing political and economic processes were key drivers across the three countries, leading to land use change and declining states of mangroves. This had an impact on the delivery of regulatory and provisioning ecosystem services from mangroves and on the welfare of coastal communities. Responses have been predominantly regulatory and aim to improve mangrove states, but without always considering ecosystem services or the consequences for welfare. The issue of scale emerged as a critical factor with drivers, pressures, impacts, and responses operating at different levels (from international to local), with consequences for response effectiveness.