The registration of births and deaths in Myanmar started in 1907. The system was gradually improved in order to reach all the areas to register the vital events. Nowadays, four institutions are involved in the CRVS system. At the village level, data collection is the responsibility of the local workers of the General Administration Department, in collaboration with midwives. They work in close collaboration with the Department of Immigration for household listing. At the township level, medical officer, under the Ministry of Health and Sport (MOHS), issue the certificates. At the national & sub-national levels, the gathering of vital events in a database is carried by the Central Statistics Office (CSO) under the Ministry of Planning and Finance, which then proceeds to produce and publish vital statistics. Considering the complexity of such relations, coordination committees on Birth and Death Registration were formed at the national level, state/regional level, district level, township level, ward and village tract level. The national level committee is led by Deputy Minister for Immigration and Population

Any death must be registered within 3 days. Birth registration has currently been extended to all children under 10 years old without fees to speed up the process to universal registration. According to the 2010 Multiple Indicator Cluster Survey, the birth registration completeness was 72%. However, there is a strong inequality between urban and rural, with 93.5% and 63.5% respectively. In 2014, the government estimated that death registration was 60% complete. For cause of death coding, only hospital deaths (16% of total deaths) have medically certified cause of death by doctors, and the coding is usually of poor quality, with an estimated 45% of these deaths coded to ill-defined codes.

Reliable cause of death information for community deaths (84% of total deaths) is not available.

The challenges for Myanmar include its lack of a legislative framework for CRVS and limitation in resources and personnel. Combined with a lack of community awareness on the importance of birth and death registration, this has led to inequitable access to services within the country. Suggested solutions include the linkage between birth registration and public services such as immunization, school enrolment, and application of household registration, as an incentive for registration.