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Maritime Engagement Missions. CAPT Jim Terbush MC USN Fourth Fleet Surgeon. 1. Maritime Strategy: – Core Capabilities. Forward Presence Deterrence Sea Control Power Projection Maritime Security Humanitarian Assistance and Disaster Response (Smart Power). Purpose.

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maritime engagement missions

Maritime Engagement Missions

CAPT Jim Terbush MC USN

Fourth Fleet Surgeon

1

maritime strategy core capabilities
Maritime Strategy: – Core Capabilities
  • Forward Presence
  • Deterrence
  • Sea Control
  • Power Projection
  • Maritime Security
  • Humanitarian Assistance and Disaster Response (Smart Power)
purpose
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.

3

endstates
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.

4

slide5

PACIFIC PARTNERSHIP

USNS MERCY (T-AH 19) anchored off the coast of Chuuk, Federated States of Micronesia

slide6

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

slide7

PACIFIC PARTNERSHIP 2006-2009

PP10

Bangladesh

Cambodia

East Timor

Indonesia

Kiribati

Marshall Islands

Micronesia

New Caledonia

Palau

Papua New Guinea

Philippines

Solomon Islands

Samoa

Tonga

Vietnam

CP10

Legend

MERCY 06 PP 09

PP07 MERCY 10

MERCY 08

7

slide8

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

slide9

CONTINUING PROMISE

Missions

The U.S. Navy Amphibious Assault Ship USS Kearsage (LHD 3)

slide10

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

10

cp 09 deliverables
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  
  • Seabee’s construction projects; 13 complete
slide12

Continuing Promise Countries Visited 2007-2009

CP10

Bahamas

Barbados

(Lesser Antilles)

Belize

Brazil

Chile

Colombia

Costa Rica

Dominican Republic

Ecuador

El Salvador

Guatemala

Guyana

Haiti

Honduras

Jamaica

Nicaragua

Panama

Peru

Suriname

Trinidad & Tobago

Uruguay

Mexico

CP10

12

lhd characteristics
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

14

expected medical capabilities
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)

15

expected medical capabilities1
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

16

slide17

Cooperative Surgery with Dominican medical staff on board the USS Kearsarge: CARIBBEAN SEA

Photo: Department of the Navy/Department of Defense collection

engineering capabilities
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.

18

ngo partners
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, Lion’s 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

what we measure
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

20

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