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