Dengue fever remains one of the most widespread and rapidly emerging vector-borne diseases, particularly affecting low-and middle-income countries in tropical and subtropical regions. Despite decades of control efforts, the disease continues to cause significant morbidity, mortality, and economic disruption. This chapter focuses on sustainable health practices for the integrated management of dengue fever, emphasizing eco-friendly interventions, community participation, and long-term resilience. It explores the complex interplay between environmental, biological, and social determinants of dengue transmission, including urbanization, climate change, and weak health infrastructure. Sustainable approaches such as biological vector control, improved water and waste management, participatory health education, and the deployment of safe and accessible vaccines are critically examined. The chapter also highlights the importance of One Health frameworks and multisectoral policies that align human, environmental, and animal health priorities to ensure a lasting impact. Implementing sustainable dengue control programs illustrates best practices and lessons learned. Special attention is given to challenges such as insecticide resistance, community engagement gaps, and climate-induced shifts in disease patterns. The chapter advocates for a shift away from short-term, reactive strategies toward integrated, preventive, and participatory models that promote environmental and public health sustainability.