Army Civil Affairs provides medical care to Djibouti village

DIKHIL, Djibouti – Members from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel work together to provide health assessments and treatment to approximately 140 people during the two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical teams spent a total of 10 hours with patients treating a variety of illnesses with women, children and men of all ages. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – Members from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel work together to provide health assessments and treatment to approximately 140 people during the two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical teams spent a total of 10 hours with patients treating a variety of illnesses with women, children and men of all ages. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti – Members from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel work together to treat approximately 119 people during the two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical teams spent a total of 10 hours with patients treating a variety of illnesses with women, children and men of all ages. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – Members from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel work together to treat approximately 119 people during the two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical teams spent a total of 10 hours with patients treating a variety of illnesses with women, children and men of all ages. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti - Soldiers from the 403rd Civil Affairs Battalion work with the Djibouti Ministry of Health and Cuban medical personnel to provide medical attention and education to people of Dikhil, Djibouti, May 11, 2016. The medical civic action program, funded by the Ministry of Health, allows the medical teams to work together and provide medical treatment for illnesses prominent to the area. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti - Soldiers from the 403rd Civil Affairs Battalion work with the Djibouti Ministry of Health and Cuban medical personnel to provide medical attention and education to people of Dikhil, Djibouti, May 11, 2016. The medical civic action program, funded by the Ministry of Health, allows the medical teams to work together and provide medical treatment for illnesses prominent to the area. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti – U.S. Army Spc. Kristie Richardson, 403rd Civil Affairs Battalion medical assistant, completes a health assessment to patients during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The MEDCAP brought together the 403rd CA BN with the Djibouti Ministry of Health and Cuban medical personnel for a two-day event to provide medical care and education. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – U.S. Army Spc. Kristie Richardson, 403rd Civil Affairs Battalion medical assistant, completes a health assessment to patients during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The MEDCAP brought together the 403rd CA BN with the Djibouti Ministry of Health and Cuban medical personnel for a two-day event to provide medical care and education. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti – Soldiers from the 403rd Civil Affairs Battalion work with Djibouti Ministry of Health, Cuban medical personnel and translators to provide treatment to the people during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical team spent 10 hours together treating around 140 people while comparing and exchanging medical knowledge for the illnesses prominent in the region. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – Soldiers from the 403rd Civil Affairs Battalion work with Djibouti Ministry of Health, Cuban medical personnel and translators to provide treatment to the people during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The medical team spent 10 hours together treating around 140 people while comparing and exchanging medical knowledge for the illnesses prominent in the region. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti – U.S. Army Maj. Andrew Mosier, 403rd Civil Affairs Battalion medical cell chief medical officer, conducts a health assessment on a Dikhil woman during a two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The 403rd CA BN partnered with Djibouti Ministry of Health and Cuban medical personnel to provide medical care and treatment to approximately 140 patients while exchanging medical knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – U.S. Army Maj. Andrew Mosier, 403rd Civil Affairs Battalion medical cell chief medical officer, conducts a health assessment on a Dikhil woman during a two-day medical civic action program at Dikhil, Djibouti, May 11, 2016. The 403rd CA BN partnered with Djibouti Ministry of Health and Cuban medical personnel to provide medical care and treatment to approximately 140 patients while exchanging medical knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, Djibouti – U.S. Army Capt. Anthony Rakofsky and Spc. Kristie Richardson, 403rd Civil Affairs Battalion assigned to the Combined Joint Task Force-Horn of Africa, conduct a health assessment on a child during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The MEDCAP was a two-day event where the 403rd CA BN came together with the Djibouti Ministry of Health and Cuban medical personnel to provide medical care, education and exchange knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, Djibouti – U.S. Army Capt. Anthony Rakofsky and Spc. Kristie Richardson, 403rd Civil Affairs Battalion assigned to the Combined Joint Task Force-Horn of Africa, conduct a health assessment on a child during a medical civic action program at Dikhil, Djibouti, May 11, 2016. The MEDCAP was a two-day event where the 403rd CA BN came together with the Djibouti Ministry of Health and Cuban medical personnel to provide medical care, education and exchange knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)
DIKHIL, DJIBOUTI – Villagers of Dikhil, Djibouti, wait to be seen by medical professionals from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel during a medical civic action program, May 11, 2016. During the two-day program, MEDCAP offers medical care, medication and education to patients and allows the medical teams to work and exchange medical knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault) Combined Joint Task Force - Horn of Africa Image DIKHIL, DJIBOUTI – Villagers of Dikhil, Djibouti, wait to be seen by medical professionals from the 403rd Civil Affairs Battalion, Djibouti Ministry of Health and Cuban medical personnel during a medical civic action program, May 11, 2016. During the two-day program, MEDCAP offers medical care, medication and education to patients and allows the medical teams to work and exchange medical knowledge. (U.S. Air Force photo by Staff Sgt. Tiffany DeNault)

U.S. Army Soldiers from the 403rd Civil Affairs Battalion, assigned to the Combined Joint Task Force-Horn of Africa, worked with Djibouti Ministry of Health and Cuban medical personnel to provide medical care and education to the people of Dikhil, Djibouti, May 11-12, 2016.

The medical civic action program, brought together American, Djiboutian and Cuban doctors. The team worked together to compare diagnoses for illnesses seen during the two-day program and also provided medications to patients.  

The Cuban physicians are contracted providers, hired by the government of Djibouti to provide medical support where needed. The Djibouti Ministry of Health reached out to them for their participation in the MEDCAP.

“Our goal is to see as many people as we possibly can, health-wise. Sometimes it takes the form of medication, fluids or sometimes just reassurance,” said Maj. Andrew Mosier, 403rd Civil Affairs Battalion Medical Cell chief medical officer. “I think reassurance was the most difficult because if I had a physician that didn’t speak my language and they are telling me I am doing the right thing and to wait it out 7-10 days, that might be frustrating but our interpreters were helpful and conveyed the message really well.”

The medical teams worked with translators to cross the cultural and language barriers between two medical personnel and patients. Sometimes they needed to translate through more than one language, such as French, Spanish and Afar, to be able to communicate. People from the village also offered their help with translation.

The majority of cases medical personnel saw were viral gastroenteritis, or stomach flu, caused by poor hand and mouth hygiene, Mosier said. They saw additional illnesses as they treated women, children and men of all ages.

After spending 10 hours over two days, the team saw approximately 140 people during the trip. The top three common illnesses they encountered were gastroenteritis, upper respiratory and ear infections. Out of the 140 people, 72.6% were children averaging around six years old.

This is not the first time the CA BN has worked with the Djibouti Ministry of Health personnel. They provide other medical assistance programs as well.

“Having the American doctors here helps me a lot and I am happy for the support,” said Dr. Moustapha Amain Mouhammad, Djiboutian Chief of Medicine. “This is the third time I have worked with the Civil Affairs and today we are doing a MEDCAP.”

Moustapha hopes MEDCAP will continue their efforts in Dikhil and in surrounding areas, as they are people who do not readily have access to proper medications and care. 

“We don’t normally see that level of illness in the United States, so I felt very useful and was humbled to be able to use our skills to help the people of Dikhil and work with the Djiboutian and Cuban medical personnel,” said Mosier.

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Djibouti Djibouti Ministry of Health MEDCAP Combined Joint Task Force-Horn of Africa Army Civil Affairs

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