Kidney disease is a significant worldwide public health problem and is linked to high health care costs, poor quality of life, and serious adverse health outcomes. In an attempt to better define the current worldwide state of kidney care for AKI and CKD, and provide policy recommendations for improvements, the ISN launched the ISN Global Kidney Health Atlas (GKHA), to collect information on the current state of readiness, capacity, and competence for kidney health care delivery in each country and region. The first global report published in 2017 highlighted kidney disease as a silent epidemic and the neglect of treatment and prevention. An updated report was published in 2019 to draw attention to the growing burden of kidney diseases and the significant inequities in access to treatment across countries and regions. The GKHA reports define the current state of kidney disease care, management, and prevention worldwide, and identify key gaps in specific areas and regions. This information alerts local and international bodies to the initiatives and health care policies needed to improve outcomes. Future work will include tools and strategies to address regional and national gaps over the long-term.