To improve the financial accessibility of low-income populations to quality care through self-managed and sustainable mutual health insurance.

Modalities of intervention

Based on the analysis of the background and the different evaluations, the strategic choices of PROMUS are:

- the obligation from the start to give responsibility to the populations: support for self-promotion while respecting the speed of the populations and commitment in the long term.

-local, national and international engagement.

-A significant presence in rural areas and some progress in urban areas with the current FOs and MFIs supported by SAILD as the entry point.

-The commitment to work for the whole community and not only for FOs, the mutual health insurance being the property of the communities and not the FOs.

-the strong involvement of mayors and municipal counsellors from the start.

-The commitment to work as a regional operator: 3 regions (Far North, West and North West) in the national strategy and the ambition to position ourselves as a national operator.

A mix strategy of district support (national strategy) and support for well-structured organizations (SAILD approach).

-The creation of local structures with close monitoring and refined control mechanisms.

-The obligation to continue to work with low-income populations and never fall into the trap of the mutuals' business: a market share that can be taken by private actors.

-the commitment to promote mutuality across the board by encouraging and strengthening other actors within networks: the popularisation of mutuality.

Operational approach

1. Participatory feasibility studies

2. Establishment of mutual health insurance

3. Training of elected officials and managers

4. Establishment of mutual unions

5. Design of management and monitoring tools

6. Preparation of financial statements and development plans

7. Negotiation of agreements with health care providers

8. Holding of General Meetings

9. Training of staff and managers of intervention structures

10. Advocacy and lobbying for mutual health insurance

Organisational structure

A central management based in Yaounde.

Four regional branches: Maroua, Bamenda, Bafoussam and Ngaoundere.

An experienced and diversified intervention team (sociologists, economists, lawyers, agronomists, facilitators).