Maritime Engagement Missions

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Maritime Engagement Missions

• CAPT Jim Terbush MC USN
• Fourth Fleet Surgeon

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Maritime Strategy Core Capabilities

• Forward Presence
• Deterrence
• Sea Control
• Power Projection
• Maritime Security
• Humanitarian Assistance and Disaster Response
  (Smart Power)

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Purpose

• The purpose of these missions is to train U.S.
  personnel while providing humanitarian assistance
  to our Host Nations and send a strong message of
  U.S. compassion.

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Endstates

• Security, stability and cooperative partnerships
  are enhanced throughout the region and countries
  visited.
• U.S. personnel are trained and postured to return
  and conduct future humanitarian support and
  disaster relief missions.

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PACIFIC PARTNERSHIP
USNS MERCY (T-AH 19) anchored off the coast of
Chuuk, Federated States of Micronesia
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PACIFIC PARTNERSHIP 2009
Pearl Harbor 8-9 June 24-25 Sep
San Diego
Marshall Islands 17 - 28 June
Kiribati 1 14 July
Samoa 5 16 Sep
Solomon Islands 30 July 12 Aug
Cairns 23 26 July
New Caledonia 16 19 Aug
Tonga 22 Aug 2 Sep
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PACIFIC PARTNERSHIP 2006-2009
PP10
Bangladesh Cambodia East Timor Indonesia Kiribati
Marshall Islands Micronesia New
Caledonia Palau Papua New Guinea Philippines Solom
on Islands
Samoa Tonga Vietnam
CP10
Legend MERCY 06 PP 09
PP07 MERCY 10 MERCY
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A young patient onboard USNS MERCY walks for the
first time in seven years after surgery on his
leg Republic of the Philippines
Photo Department of the Navy/Department of
Defense collection
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CONTINUING PROMISE Missions
The U.S. Navy Amphibious Assault Ship USS
Kearsage (LHD 3)
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CONTINUING PROMISE 2009
Norfolk, VA
Miami, FL 4-6 Apr Ft. Lauderdale, FL 26-28 Jul
Port Au Prince, Haiti 9-20 Apr
Santo Domingo, Dominican Republic 21 Apr 2 May
La Union, El Salvador 21 Jun 2 Jul
St Johns, Antigua 5-16 May
Corinto, Nicaragua 3-14 Jul
VBN, Panama 18-21 Jul
Cartagena, Columbia 20-23 May
Colon, Panama 24 May-2 Jun
Tumaco, Columbia 6-17 Jun
UNCLASSIFIED//FOUO
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CP-09 deliverables

• Continuing Promise 2009 services provided
• Patients treated 100,049
• Surgeries conducted 1,657
• Prescriptions filled   
  135,000
• Dental patients 15,003
• Animals treated 13,238  
• Seabees construction projects 13 complete

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Continuing Promise Countries Visited 2007-2009
CP10
Bahamas Barbados (Lesser Antilles) Belize Brazil C
hile Colombia Costa Rica Dominican
Republic Ecuador El Salvador Guatemala Guyana
Haiti Honduras Jamaica Nicaragua Panama Peru Surin
ame Trinidad Tobago Uruguay Mexico
CP10
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Hospital ship USNS Comfort (T-AH 20) receives
supplies from the supply ship USNS Peary
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LHD Characteristics

• Cargo Handling
• 1X 40-ton aircraft elevator aft
• 1X 20-ton aircraft elevator port
• Vehicle Square 28,700 sq ft
• Cargo Cube 156,000 cu ft
• 5X Centerline cargo elevators
• 1X Longitudinal pallet conveyor
• 2X 3-ton Monorails

• Helicopter Deck
• Nine spots
• Hangar deck
• 43X CH-46 equivalents

• Well Deck
• 249 ft L x 76 ft W x 26 ft 8 in H
• 4X LCU

• Ship's Boats
• 2X Mk-12 36 ft LCPLs

UNCLASSIFIED//FOUO
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Expected Medical Capabilities

• Direct provision of medical care
• General and specialty surgical care
• Primary care for children and adults
• Consultative care for children and adults
• Obstetrical/Gynecological consultative care
• Dental Care
• Ophthalmologic services (e.g. cataracts)
• Optometry services (glasses)
• Public Health initiatives
• Immunization services
• De-worming
• Food and water system assessments
• Structural assessments
• Assistance in setting up public health systems
• Veterinary services
• Epidemiologic/Public Health consultation (i.e.
  assistance in Avian
• Influenza preparedness)
•  

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Expected Medical Capabilities

• Infrastructure support
• Basic biomedical repair
• Engineering assessments
• Water/sewer system assessments
• Structural assessments
• IM/IT and COMS assessment/support
• Medical/nursing education
• Grand rounds -- mutual education with training in
  both directions (tropical medicine being one
  example)
• Mid-wife training
• Basic nursing skill training
• Veterinary services
• Large animal focus livestock/food chain
• Care and immunizations
• Working Animals

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Cooperative Surgery with Dominican medical staff
on board the USS Kearsarge CARIBBEAN SEA
Photo Department of the Navy/Department of
Defense collection
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Engineering Capabilities

• Broad range of capabilities
• Building repairs and improvements examples -
  clinic or school rehab projects
• New construction
• (small projects) example - pump house
• Pier repair
• Road repair/construction
• Runway repair
• Drainage projects, trenching etc.

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NGO Partners

• Development experience
• Cultural and language skills
• From the American people

CP-07 International Aid donated 111,000 worth
of medical supplies, Hugs Across America donated
600 teddy bears, Lions Club International
donated 30,000 pairs of eyeglasses, PAHO donated
20,000 worth of sealants and varnishes, Project
Hope donated 3.4 million in vaccines, medical
supplies and books
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What We Measure

• Physical Impacts
• Outputs and outcomes of the engagement activities
• Medical Treatments, Engineering Projects,
  Training Classes
• Increase in capability and/or capacity resulting
  from a training event
• Impacts on Attitudes
• Change in attitude towards the U.S. or U.S.
  Military
• Essentially encompasses different intended
  audiences
• National/Regional/Local officials
• HN Armed Forces
• HN Populations
• Participating PN and NGOs/PVOs
• Impacts on Behaviors
• Change in behavior resulting from a change in
  attitude due to the mission
• Very difficult to measure since there is no clear
  cause and effect link and these likely take
  awhile to become observable

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