This report provides an overview of the potential implications of the suspension of birth registration in Cox’s Bazar district from 2017–2020. It outlines the birth registration process, the procedural changes made since 2020, and what these changes mean for host community children and adults in Cox’s Bazar. The three-year suspension has reportedly negatively affected social cohesion between the host and refugee communities. Some members of the host community have used local news outlets and social media platforms to air their grievances about the impact of hosting the refugee population. This report is intended to support programming in the host community.