Background: Social accountability encompasses a variety of strategies that enable citizens to express their concerns about the performance of health-care services. Community dialogues provide a forum for community engagement and participation in the health care system. However, there is little documentation on how it is used to improve social accountability within government community health structures. The purpose of this study was to determine the influence of community dialogues on social accountability in Nairobi County, Kenya.Methods: A qualitative study was conducted that included in-depth interviews with key stakeholders purposively selected. A total of three focus group discussions with 23 participants, eight key informant interviews and document review of minutes were conducted. Data analysis was done using thematic analysis.Results: Findings showed that community dialogues were held quarterly. The forums were mostly used for education purposes with little evidence on community engagement. Minutes showed what the community health assistant and community health volunteer said to the community with minimal input from the community members. Feedback was a challenge because the health management team hardly attended community dialogues due to logistic and workload issues.Conclusions: There is need of practical strengthening community dialogues through use of tools like chalk board and community scorecard as advocated in the community health policy. However, in practice, these tools were hardly used resulting to missed opportunity for the community to voice their opinions on health services.

Aims: The aim of this study was to assess factors influencing ease of access on intentional organophosphate self-poisoning among persons aged 15-30 years in Kericho County, Kenya. Study Design:  The study adopted prospective cross-sectional study design and purposive sampling technique. Place and Duration of Study: The study was conducted in 3 level 4 health facilities (Kericho County Referral Hospital, Kapkatet Sub-County Hospital, Londiani Sub- County Hospital and Sigowet Sub- County Hospital) in Kericho County, Kenya; which were systematically sampled base on the highest monthly workload one year prior to the study period. Study was conducted between December 2021 and March 2022.  Methodology: 100 participants of age between 15 year and 30 years old were included in the study (88 males and 12 females). It was a study of all cases of intentional organophosphate self- poisoning, relied majorly on the diagnosis made by clinicians and doctors at emergency departments. Participants were sampled based on the presenting symptoms and history from the respondents. All respondents brought to hospital presenting to emergency department with a history of intentional organophosphate self-poisoning were recruited for the study depending on their eligibility where only respondents who were admitted and recovered after treatment were enrolled after signing or assenting to the consent voluntarily. Results: A sampled of 100 participants were eligible and managed to have 100% response rate. The study found out that there was a statistical relationship between the parameters since the chi square value were 0.001 which was less than the standard p value which is 0.05 at 95% confidence interval. Bivariate analysis showed a strong positive correlation was found between self-poisoning and easy access to organophosphate (p<0.05, r=0.631). With regard to easy access to organophosphate, the majority indicated yes with 71(71%) responses while those who indicated no were 29 (29%) respondents out of 100 respondents. Conclusion: It was concluded that ease of access of organophosphate poisons predisposed the high-risk group to find easiest way of committing suicide when they encountered challenges in their daily lives, therefore, laxity on sales, storage and distribution of pesticides give those at risk a chance to fulfill their suicidal ideation.