This policy brief on community-based health insurance is the second product developed by CDBPH to synthesize and communicate research evidence backing particular policy options for the consideration of decision-makers. The policy options discussed in this document are not mutually exclusive; that is some or all of the options could be adapted concurrently as they are complementary strategies to reduce the level of out of-pockets spending for healthcare and to protect Cameroonian households from catastrophic health expenditures. Our intention is not to recommend any one option in particular over another but we attempt to highlight existing research evidence on the effects of several strategies tested in LMIC to improve equity in health systems. Decision-makers should remain the one choosing to consider one option over another, or all the options together according to the actual decision-making process with the relevant stakeholders. The primary audience is interested parties in health financing efforts in Cameroon namely: governmental and administrative authorities, local municipalities, health development financial and technical partners, civil society organizations, media and promoters of health mutual organizations. 

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