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Federated States of Micronesia

Remote Ophthalmic Surgery & Emergency Initiatives

Sila Bal, MD, MPH distributing reading glasses during a remote island outreach in Chuuk State.

Chuuk State

Our focus in Chuuk State is to empower local staff, develop stronger systems, and improve access to care. Dr. Albala has worked closely with Chuuk State Hospital leadership, the local government, and clinical teams to improve care-delivery to patients. In addition to his direct clinical work and teaching in the emergency department and the wards, Dr. Albala focused on system and infrastructure strengthening. His formal analysis based on the World Health Organization Harmonized Health Facility Assessment provided hospital leadership extensive guidance in departmental and system-wide budget and stock planning.
Dr. Bal worked in partnership with the Moran Eye Center and Chuuk State Hospital to provide eye care, surgical services, and develop a comprehensive ophthalmic technician training program for the nursing and public health teams in Chuuk. Her work continues to expand and, most recently, reached patients in remote outer islands in Chuuk lagoon, bringing care directly to the communities in which patients live.
Our partnership with Chuuk is long-term and in 2024 we were awarded a $183,000 Department of Interior Technical Assistance Program Grant to develop medical simulation capacity and training.

Opportunities on the Horizon

ROSE Initiatives exists for one simple reason: geography should never decide who gets to learn, who gets help, and who gets left behind.

Across the Pacific, entire communities live beyond the reach of reliable infrastructure, not because they’re hard to serve, but because the system was never built with them in mind. ROSE is building a durable, locally anchored model that can move with the ocean, meet people where they are, and leave behind capacity, not dependency.

In the next chapter, we’re expanding marine-based remote outreach through chartered liveaboard missions. The point is continuity: returning, building trust, and strengthening local teams through consistent presence and practical resources.

At the same time, we’re investing in simulation training programs and Centers of Excellence, where clinicians can train for high-stakes scenarios, refine core skills, and build confidence before the real moment arrives.

Donors and volunteers aren’t supporting a single trip. You’re helping build an ecosystem that blends logistics, education, and partnership into something scalable. If you believe the strongest impact is the kind that keeps working long after you’ve left, ROSE is for you.