Can screening in churches catch kidney disease before It's too late?

This trial tests whether screening for chronic kidney disease (CKD) in trusted community settings, like churches, can identify people with early kidney damage who don't yet have symptoms. Participants are adults aged 18-70 without known kidney disease who attend community health fairs. Those found to have high urine albumin levels, a sign of CKD, are offered referral to kidney-protective medical care. The study will see if these individuals accept the referral, stay in care for a year, and show improvement in kidney function and blood pressure.