The International Society of Nephrology (ISN) surveyed 130 ISN-affiliated countries on their ability to deliver kidney care. 125 countries completed the survey, representing ∼93% of the world's population. Most countries had facilities for haemodialysis (95%), peritoneal dialysis (76%) and kidney transplantation (75%); these services were publicly funded and free at the point of care delivery in 42–51% of countries. However, although 94% of countries in Africa had facilities for haemodialysis, only 45% and 34% of African countries had facilities for peritoneal dialysis and kidney transplantation, respectively.