While devolution has led to county based public health risk management and WASH planning, gaps still exist. In many towns and cities, the WASH systems have greatly deteriorated and many people are exposed to grave public health risks. In rural areas, with the massive deforestation and low sanitation network, many people have less access to clean water and sanitation leading to worse health outcomes. Further, COVID-19 has greatly exposed African public health systems as being vulnerable to pandemics and lacking in equity. From our Risk Communication and community Engagement (RCCE) knowledge built over 2 years during the COVID-19 response including interaction and joint projects implementation with Nairobi Metropolitan Services(NMS), County Government of Kisumu and World Health Organization (WHO) we narrowed down the context to 5 major issues. These are (1) resource gaps and incentives for community engagement, (2) strategic leadership and response coordination (3)Trust among health workforce, government and communities , (4)misinformation and infondemic (5) community and health systems preparedness