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Nepal

Remote Ophthalmic Surgery & Emergency Initiatives

a large group of monk children sitting and laughing in front of a temple
Lorenzo Albala, MD and the local team during a health screening at a Buddhist nunnery outside of Kathmandu.

Kathmandu & Hetauda

Our focus in Nepal was on health screening and delivery of cataract surgical care. Dr. Albala worked closely with local community leaders and physicians to provide health screenings and assessments for community members. He also provided teaching and skills transfer to the local providers.
Dr. Bal worked closely with the Tilganga Eye Institute to refine her cataract surgical skills through learning manual small incision cataract surgery, a surgical technique not often used in high-income settings but which is crucial for complex, advanced cataracts in resource-limited settings. She used those skills to provide surgical care in several high volume outreaches to rural communities throughout the country.

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.