This policy paper provides an analysis of the role of CGSs in promoting MSMEs financial inclusion and the impact of digital strategies. First, this paper provides an overview of MSMEs financial inclusion in the region and the challenges faced by these firms in accessing formal banking services. Second, it reviews the design and performance of guarantee schemes operating in Egypt, Tunisia, and Lebanon (the target countries for the INVESTMED project). The analysis is based on a comprehensive literature review, desk research, survey and interviews conducted with guarantee schemes operating in these countries and a survey conducted with the entrepreneurs participating in the INVESTMED project.