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Abstract The early detection of renal diseases in childhood leads to better therapy and reduction in the morbidity and mortality. This study was an attempt to find out the burden of renal diseases, their relative occurrence, clinical profile, and outcome. The difficulty in determining prevalent renal problems relates to under diagnosis, late presentation and non-availability of investigations and/or treatment in the developing countries. In our study AKI was the most common renal disease occurred during the study period. Antenatal diagnosis of renal anomalies help in early intervention and prevention of morbidity and mortality. Recommendations In light of the findings of the present study and discussions, following recommendations are made: 1. Routine urine screening programs are recommended as a basic fundamental step in early identification of renal damage. 2. The possibility of renal disease should therefore be considered in the differential diagnosis of any child presenting to hospital with acute or chronic symptoms. 3. Early diagnois and referral help in reducing renal morbidities and mortalities. This can be achieved by improving pediatric health services and strengthening training programs of health workers at primary and secondary levels. 4. Improving recording system help to detect the pattern of renal diseases acurretly 5. We need further studies to detect prevelance and out come in children visiting the out patient clinic. 6. We hope in near future to have the facilities for providing renal replacement therpy include renal transplantation to improve their quality of life |