This report presents the findings of the study on the state of healthcare for End-Stage Renal Disease in Nairobi County. End Stage Renal Disease (ESRD) is the degree of Chronic Kidney Disease (CKD) for which Renal Replacement Therapy (RRT) is needed for survival. ESRD patients in Kenya are experiencing barriers in trying to access quality Renal Replacement Therapy (RRT) services. It is against this backdrop that this study sought to explore the state of healthcare for ESRD in Nairobi County in a bid to highlight the plight of the renal disease patients. To achieve the objectives of this study, a total of 294 patients and 11 service provides (nurses and doctors) within Nairobi County were interviewed. The findings may enlighten and give insight to the National and County government and other stakeholders to increase access to RRT in Kenya.