This report presents findings from an inequality assessment of births and deaths in Bhutan between 2017 and 2022, based on Civil Registration and Vital Statistics (CRVS) data from the Bhutan Civil Registration System. Developed in collaboration with ESCAP and the Department of Civil Registration and Census, National Statistics Bureau (NSB) of Bhutan, the report was strengthened through expert input, technical support and feedback provided by ESCAP. Key national stakeholders―including officials from the Ministry of Health, the Department of Civil Registration and Census, and the Department of Immigration―also contributed significantly to the development of the report.