BackgroundMalaria remains one of the main causes of morbidity and mortality in Cameroon. To inform vector control intervention decision making, malaria vector surveillance was conducted monthly from October 2018 to September 2020 in five selected sentinel sites (Gounougou and Simatou in the North, Bonabéri, Mangoum and Nyabessang in the South).MethodsHuman landing catches (HLCs), U.S. Centers for Disease Control and Prevention (CDC) light traps, and pyrethrum spray catches (PSCs) were used to assess vector density and species composition, human biting rate (HBR), endophagic index, indoor resting density (IRD), parity, sporozoite infection rates, entomological inoculation rate (EIR), and Anopheles vectorial capacity. ResultsA total of 139,322 Anopheles mosquitoes from 21 species were collected across all sites and methods. Out of the 21 species, eleven were implicated in malaria transmission including An. gambiae s.l., An. funestus s.l., An. nili, An. moucheti, An. paludis, An. demeilloni, An. pharoensis, An. ziemanni, An. multicinctus, An. rufipes, and An. marshallii. Anopheles gambiae s.l. remains the major malaria vector (71% of the total Anopheles) collected across all sites, though An. moucheti and An. paludis had highest sporozoite rates in Nyabessang. The mean indoor HBR of Anopheles ranged from 11 bites/person/night (b/p/n) in Bonabéri to 104 b/p/n in Simatou, while outdoors, it varied from 24.2 b/p/n in Mangoum to 98.7 b/p/n in Simatou. Anopheles gambiae s.l. was actively biting until at least 8:00 a.m., and similarly for An. moucheti in Nyabessang. The mean Anopheles IRD was 17.1 females/room, and the parity rate was 68.9%. The monthly mean EIRs recorded was 46.1 infective bites/person/month (ib/p/m) in Gounougou, 91.2 ib/p/m in Simatou, 38.2 ib/p/m in Mangoum, 28.4 ib/p/m in Nyabessang, and 19.9 ib/p/m in Bonabéri. Anopheles gambiae s.l. was confirmed as the main malaria vector with the highest vectorial capacity in all sites based on sporozoite rate, except in Nyabessang. ConclusionThese findings highlight the high malaria transmission occurring in Cameroon and will support the National Malaria Control Program to design evidence-based malaria vector control strategies, effective and integrated vector control interventions deployment to reduce malaria transmission and burden in Cameroon, where several Anopheles species could potentially maintain year-round transmission.