Abstract CKD is emerging as a major public health problem in recent years.Studies conducted worldwide concluded that the number of patients with earlier stages of CKD ( stage 1 – 4 ) are likely to exceed by as much as 50 fold that of those reaching End stage Renal Disease. Early detection of CKD and interventions aimed at preventing progression into advanced stages are likely to be the key factors in alleviating the future burden of ESRD