This study is cross-sectional descriptive hospital based-study to assess nutritional status and dietary intake for children with end stage renal disease out patients undergoing hemodialysis attended Mohamed Alamen Hamed Pediatric Hospital, Omdurman locality. During the period from November 2015 to February 2016. The study included 40 patients. Their ages range between (7-18) year’s old. Data was collected by using questionnaire, food frequency questionnaire, 24-hour food recall and anthropometric measurements. The results reveals that 62.5% of patients were severe thinness and (27.5%) were thinness, 67.5% of the patients had inadequate protein intake, 87% of patients had inadequate energy intake, 85% of these children eat two meals per day and 70% had poor appetite and nausea. 75% of the patients did not obey the dietary advice. Significant relationship was found between BMI for age Z score with GIT problems and dietician advice or monitoring, P value (0.04, 0.03) respectively. The study concluded that most of the patients had inadequate energy and two third had inadequate protein intake and recommended that nutrition counseling should employ more innovative methods directed towards patients on maintenance hemodialysis (MHD) who suffer from both illiteracy/poor education and poverty.