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Kidney diseases today have posed a significant challenge to global health, and bridging the gulf of nephrology in community development calls for greater scientific diplomacy. Investing in treating Chronic Kidney Disease (CKD) is among the most pressing concerns of the 21st century, notwithstanding other kidney diseases. Convincing evidence suggests that simple laboratory tests can pick up CKD, complications can be deferred, the progression of the disease can be slowed, and other risk factors avoided. Effective governance by health ministries worldwide must translate the technological advances into shaping nephrology care at a community level by strengthening health systems at the grassroots.