G L O B A L H E A L T H Global Health Strategies for Security

"The idea of human security, though simple, is likely to revolutionize society in the 21st century"

UNDP’s 1994 Human Development Report

W E L C O M E !

Dear Students,

Welcome to the Global Health Strategies for Security (GHSS) Course. This two-week course is designed to enhance programs and efforts in order to conduct global health activities and provide a comprehensive framework for understanding and action. This course will review and assess policy and explore various entities' roles in global health and Department of Defense Global Health Engagement in particular.

This course was developed and facilitated by the Uniformed Services University's Center for Global Health Engagement (CGHE). As part of CGHE's mission, GHSS falls within the center's goal to integrate, synchronize, educate, train and support the Department of Defense (DoD) Global Health Engagement (GHE) enterprise to meet objectives of the Joint Force, Combatant Commands (CCMDs), Services, the Military Health System (MHS) and national security.

Within this workbook you will find an overview of the course, bios for each of the speakers, an agenda, a list of acronyms, and questions to guide the group discussion. is intended to facilitate the learning process. As with all components of this course, feedback and recommendations are welcome to benefit future efforts.

Enjoy the course,

GHSS Course Staff/Instructors Center for Global Health Engagement

Uniformed Services University 4301 Jones Bridge Road, Bethesda, Maryland 20814 Website: https://www.usuhs.edu/cghe Email: [email protected] ABOUT GHSS

Purpose: To enable success for global health programs planned and conducted by U.S. Government Agencies. This course is designed to develop an understanding of the civil and military considerations at the nexus of global health and security, and enhance competency to develop whole-of-government strategies and programs to strengthen health systems and counter transnational health threats. Participants will build and strengthen their understanding of the global health arena and their capacity to use strategic guidance to develop effective global health strategies and programs. Instruction and exercises will provide the understanding and skill set needed to plan and execute programs that support the National Security Strategy, US Global Health Security Agenda, Combatant Command Theater Cooperation Plans, and country-specific campaign plans. Participants will learn to collect and analyze health information to identify and plan appropriate health engagement strategies to meet the needs of the partner country and fit within USG priorities and guidance From a DoD perspective, this course is designed to provide the CCMD GHE Program Manager with the understanding and tools necessary to plan and execute a Command’s GHE Program. This task/mission being to develop and manage a program where the CCMD is providing the strategic/long term level oversight and guidance to shape the use of health as a military engagement tool. This includes the development of processes and products to guide the shaping and execution of the tactical level health engagement activities conducted under the authority of the CCMD and the Service Components. This will be accomplished through a process of building a contextual understanding of the global health space (week 1) and then applying this understanding to enable the conduct of health engagement activities (week 2). The GHSS course was first conducted in August of 2012 at the Johns Hopkins University Rockville campus. This first iteration was a 4-week in residence effort developed and conducted in collaboration with Dr. Gil Burnham of Johns Hopkins University. Subsequent iterations of the course were reduced to two weeks and conducted annually since 2014. Each of these iterations was conducted in partnership with the Division of International Health Security under the Office of the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services. The course has been conducted via a combination of lecture, group discussion, and small group activities designed to help participants apply the lessons discussed in the course to produce a country-specific global health engagement plan. ACRONYMS DoD-related Non-DoD global health stakeholders AOR: Area of responsibility (in reference to CCMD CDC: US Centers for Disease Control and AORs) Prevention APRRP: African Peacekeeping Rapid Response CSO: Civil society organization Partnership DHHS: US Department of Health and Human CBEP: Cooperative Biological Engagement Program Services CCMD: Combatant Command; DoS: US Department of State Geographic CCMDs include: US Northern Command FAO: Food and Agriculture Organization (of the (NORTHCOM), US Southern Command UN) (SOUTHCOM), US European Command (EUCOM), HN: Host nation US Africa Command (AFRICOM), US Pacific MOH: Ministry of Health Command (PACOM) and US Central Command NGO: Non-governmental organization (CENTCOM) OFDA: (USAID’s) Office for Foreign Disaster CGHE: Center for Global Health Engagement (your Assistance course facilitators) OIE: World Organization for Animal Health COIN: Counterinsurgency PN: Partner nation DHAPP: Defense HIV/AIDS Prevention Program RC/RC: International Red Cross/Red Crescent DIMO: Defense Institute for Medical Operations Movement DSCA: Defense Security Cooperation Agency UN: United Nations DTRA: Defense Threat Reduction Agency UNOCHA: UN Office for the Coordination of FHA: Foreign Humanitarian Assistance Humanitarian Affairs FHP: Force health protection USAID: United States Agency for International FMF: Foreign military financing Development FMS: Foreign military sales USDA: US Department of Agriculture GEF: Guidance for Employment of the Force WHO: World Health Organization GVE: Global veterinary engagement Non-specific HCA: Humanitarian and civil assistance AME: Assessment, monitoring, and evaluation IMET: International military education and training GHSA: Global Health Security Agenda JTF: Joint task force GHSI: Global Health Security Initiative MHS: Military Health System HA: Humanitarian assistance NMS: National Military Strategy HA/DR: humanitarian assistance and disaster relief ODACHA: Overseas humanitarian, disaster and civic ID: Infectious disease aid IDP: Internally displaced person OHASIS: Overseas Humanitarian Assistance Shared M&E: Monitoring and evaluation Information System MOE: Measure of effectiveness SCO: Security Cooperation Office (housed in US MOP: Measure of performance embassies) NCD: Non-communicable disease TCCC: Tactical combat casualty care NSS: National Security Strategy TCP: Theater campaign plan PEPFAR: President’s Emergency Plan for AIDS Relief TSCMIS: Theater Security Cooperation SDGs: Sustainable Development Goals (previously Management Information System Millennium Development Goals (MDGs)) USUHS: Uniformed Services University of the Health TAD: Transboundary animal disease Sciences WASH: Water, sanitation and hygiene

Concepts, Strategy, and Cooperation

Introduction to Global Health Day 1: Monday, 01 April 0900-0950: Senior Leader Perspective Mr. Thomas McCaffery Office of the Assistant Secretary of Defense for Health Affairs Mr. Tom McCaffery was sworn in as the Principal Deputy Assistant Secretary of Defense for Health Affairs on August 23, 2017. In this role, Mr. McCaffery is the principal medical advisor to the Secretary of Defense. He administers the Military Health System (MHS) $50 billion Defense Health Program (DHP) budget and is responsible for ensuring the global delivery of quality, cost effective health care to 9.4 million Service Members, retirees, and their families. Mr. McCaffery oversees the Defense Health Agency and the Uniformed Services University of the Health Sciences. Mr. McCaffery has extensive experience in the health care industry. Most recently, he served as Vice President, California State Partnerships at Blue Shield of California. Prior to his tenure at Blue Shield, he served as Chief Deputy Director of the California Department of Health Services, California’s public health and health care services agency. Mr. McCaffery also served as Senior Vice President / Chief Operating Officer at the Alliance of Catholic Health Care, the public policy and advocacy organization representing California’s Catholic health systems and hospitals.

1000-1050: Introduction/Current Issues Mr. Joshua Michaud Associate Director of Global Health Policy Team, Kaiser Family Foundation Josh Michaud is an Associate Director with the Global Health Policy team at the Kaiser Family Foundation, where he directs a variety of research projects. Dr. Michaud is an authority on the role of the Department of Defense in global health, innovative financing, and global health diplomacy, among other topics. He has published numerous articles and book chapters and teaches graduate-level courses as a Professorial Lecturer with the International Development department at the Johns Hopkins University School of Advanced International Studies (SAIS), in Washington D.C.

1100-1200: Course Overview and Participant Introductions CAPT Carolyn Currie Director of Training, Professional Development Center for Global Health Engagement Dr. Burnham founded the Center for Refugee and Disaster Response at Johns Hopkins in 1998, which was renamed to the Center for Humanitarian Health on September 1, 2017. He has extensive experience in emergency preparedness and response, particularly in humanitarian needs assessment, program planning, and evaluation that address the needs of vulnerable populations, and the development and implementation of training programs. He also has extensive experience in the development and evaluation of community-based health program planning and implementation, health information system development, management and analysis, and health system analysis. He has worked with numerous humanitarian and health development programs for multilateral and non-governmental organizations, regional health departments, ministries of health (national and district level), and communities in sub- Saharan Africa, Asia, the Middle East and Eastern Europe. Current activities include work with the health systems in Iraq and Afghanistan.

Concepts, Strategy, and Cooperation

Introduction to Global Health Day 1: Monday, 01 April

1300-1350: Health Diplomacy Ambassador Jimmy Kolker Georgetown University Ambassador Jimmy Kolker retired in January 2017 as Assistant Secretary for Global Affairs at the US Department of Health and Human Services (HHS). In this role, Kolker was the Department’s chief health diplomat, representing the United States at World Health Organization meetings and as alternate Board Member of the Global Fund to Fight AIDS, Tuberculosis and Malaria. Ambassador Kolker had a 30-year diplomatic career with the US Department of State where he served as the US Ambassador to Burkina Faso (1999-2002) and to Uganda (2002-2005). From 2005-2007, he was Deputy Global AIDS Coordinator in the Office of the US Global AIDS Coordinator, leading the implementation of the President’s Emergency Plan for AIDS Relief (PEPFAR). Ambassador Kolker was Deputy Chief of Mission at US embassies in Denmark and Botswana and won awards for political reporting at earlier posts in the UK, , Zimbabwe, and Mozambique. From 2007-2011, Ambassador Kolker was Chief of the AIDS Section at UNICEF’s New York headquarters. During this time, he led UNICEF's work on HIV and AIDS, focusing on mother-to-child-transmission of HIV, pediatric treatment, prevention among adolescents and young people, and protection for children and families affected by AIDS.

1400-1450: Health Security Mr. Matthew Shearer Managing Senior Analyst Johns Hopkins Center for Health Security Mr. Shearer is a Managing Senior Analyst at the Johns Hopkins Center for Health Security and Research Associate at the Johns Hopkins Bloomberg School of Public Health. Mr. Shearer is part of the project team for the Emerging Leaders in Biosecurity Initiative (ELBI) Fellowship program. In 2016, he represented the Center and the ELBI program at the 8th Review Conference of the Biological Weapons Convention in Geneva, Switzerland. Prior to joining the Center, he served as an Anti-Terrorism/Force Protection Officer in the US Navy. Additionally, he conducted medical countermeasure exercises, conducted infectious disease surveillance and outbreak investigations, and supported emergency preparedness activities— including Ebola preparation and returning traveler monitoring—at local health departments in Michigan and California. Mr. Shearer also serves as an Associate Editor of the peer-reviewed journal Health Security, and he has previously contributed to projects exploring risk communication for medical countermeasures, infectious disease surveillance, and international collaboration for infectious disease incident response.

Concepts, Strategy, and Cooperation

Introduction to Global Health Day 1: Monday, 01 April

1500-1550: Global Health Law/Governance Mr. John Monahan Senior Adviser for Global Health Georgetown University Professor Monahan is the Senior Adviser for Global Health to Georgetown University President John J. DeGioia; Senior Fellow, McCourt School of Public Policy; and Senior Scholar, O’Neill Institute for National and Global Health Law. Most recently, he served as the Special Adviser for Global Health Partnerships at the US Department of State as well as Counselor to the Secretary and Director of Global Health Affairs at the US Department of Health and Human Services. Professor Monahan served as the founding Executive Director of the O’Neill Institute for National and Global Health Law and as a visiting professor at Georgetown Law School; Director of Intergovernmental Affairs at the US Department of Health and Human Services.

1600-1700: Group Activity 1. Introductions 2. Assess GHE strengths/weaknesses 3. Develop a mission/purpose statement for your group 4. Identify two takeaways from today’s discussions Concepts, Strategy, and Cooperation

The USG in the Global Health Space Day 2: Tuesday, 02 April

0900-0950: Department of State Panel Dr. Jason Bowman Deputy Director for Health Diplomacy Office of the U.S. Global AIDS Coordinator and Health Diplomacy Dr. J. Jason Bowman currently serves as Deputy Director for Health Diplomacy in the Office of The U.S. Global AIDS Coordinator and Health Diplomacy (S/GAC/GHD) at the Department of State. In this role, Jason leads a team of Foreign and Civil Service professionals to elevate health as part of the broader U.S. foreign policy dialog. He also serves as the S/GAC Chair for the Namibia, Uganda, and Ukraine PEPFAR Programs. Before joining GHD, Jason completed an AAAS Science Policy Fellowship in the Office of the Global Health Initiative, serving as a policy advisor and chief of staff. Prior to working at the Department of State, Jason worked at the National Institute of Allergy and Infectious Diseases (NIAID), developing and evaluating novel vaccine technologies for human herpes viruses, and completed a fellowship at Harvard Medical School, Brigham and Women’s Hospital, studying bio-threat pathogens.

Mark Lucero Office of International Affairs and Bio Defense

1000-1050: Department of Health and Human Services Panel Thomas Mampilly Lead, External Relations and Strategic Partnerships Center for Disease Control and Prevention Mr. Mampilly joined the U.S. Centers for Disease Control and Prevention (CDC) in 2015, as the Lead for External Relations and Strategic Partnerships in the CDC Center for Global Health. Before joining CDC, Thomas served for more than 8 years as a Regional Program Officer, and as a Deputy Division Director within the Fogarty International Center of the U.S. National Institutes of Health. Thomas’s previous public health positions have included: global health policy officer within the U.S. Department of Health and Human Services’ Office of the Secretary; environmental health scientist position at the CDC’s Agency for Toxic Substances and Disease Registry; West Nile Virus coordinator within the DeKalb County Board of Health; and various positions within the private sector. Thomas received a Masters of Public Health degree from Emory University in Atlanta, where he also completed a one-year graduate fellowship focused on Development/Globalization Studies. Thomas holds a double-major bachelor degree in Biological Sciences and the Individualized Major Program, from Indiana University in Bloomington.

Concepts, Strategy, and Cooperation

The USG in the Global Health Space Day 2: Tuesday, 02 April Dr. Peter Killmarx Deputy Director of the John E. Fogarty International Center of NIH National Institute of Health Dr. Peter H. Kilmarx, an expert in global health and infectious disease research, policy, and programs, is the Deputy Director of the John E. Fogarty International Center of the National Institutes of Health, a preeminent center for global health research and capacity building. Dr. Kilmarx previously served as the Center for Disease Control and Prevention’s Country Director in Zimbabwe and in Botswana and as the chief of the CDC’s Sexual Transmission Research Section in Thailand. He held a variety of leadership positions at the CDC, including senior advisor to the Director for Health Reform and chief of the Epidemiology Branch — both in the Division of HIV/AIDS Prevention. An Assistant Surgeon General and Rear Admiral in the U.S. Public Health Service, Dr. Kilmarx served in leadership roles in CDC Ebola response efforts in Guinea, Sierra Leone, and the Democratic Republic of Congo (DRC).

Erika Elvander Director of the Office of Asia-Pacific Office of Global Affairs United States Department of Health and Human Services Ms. Elvander is currently director of the Office of Asia-Pacific in the Office of Global Affairs at the Department of Health and Human Services. Prior to her position at OGA she worked on post- deployment health issues for the Department of Defense, and coordinated women's health research at the National Institutes of Health. She has also worked on US-Russia and US-Ukraine health activities. Early in her career she worked for a grassroots women's health organization. Ms. Elvander has an MA in World History and a BA in Asian studies. She has worked in public health for nearly 20 years.

1100-1150: United States Agency for International Development

1300-1420: Discussion on Interagency Coordination w/USG Panelists CAPT Michelle Huddleston During this period, CAPT Huddleston was selected as the only nurse to provide support for Operation Provide Hope IV to Almaty, Kazakhstan. Upon return from Kazakhstan, CAPT Huddleston served as the Division Officer for the Emergency Department, and served as the Senior Nurse in both the OB/GYN and ENT Clinics at Naval Hospital Naples. CAPT Huddleston reported to USS RONALD REAGAN (CVN76) and completed two deployments as Ship’s Nurse, including its first wartime operational tour in support of OIF. CAPT Huddleston returned to NMCSD in 2006, and was selected as Clinical Educator and Division Officer of the Cardiac Stepdown Unit. During this tour, CAPT Huddleston deployed with the Joint Theater Trauma System (JTTS) as the In-Theater Program Manager. CAPT Huddleston reported on board Medical Treatment Facility, USNS MERCY (T-AH 19) as Executive Officer in September 2015 and served in that role through October 2017. CAPT Huddleston reported to BUMED headquarters (M96, Global Health Engagement) in October 2017 to serve as the US Navy Liaison to the U.S. Agency for International Development (USAID) and to establish new and strengthen current partnerships within the interagency arena, academia and the private sector. Concepts, Strategy, and Cooperation

The USG in the Global Health Space Day 2: Tuesday, 02 April

CAPT Jeffrey O’Dell Associate Professor, Center for Global Health Engagement After completing a residency in pediatrics at the Naval Medical Center, Portsmouth, VA to include serving as Chief Resident his final year, he has reported as staff to Naval Hospital Pensacola. He was selected as the Pediatric Department Head and led the department through several significant events, including 3 hurricanes in 2004 and 2005. He also served in the Incident Command Center for the hospital’s support of the Hurricane Katrina relief efforts. He served his second tour of duty as a pediatrician at USNH Naples, , where he was heavily involved in the work with special needs children both in the hospital and the DoDS school on base. During his assignment there, he was elected the Chair of the Executive Committee of the Medical Staff and also served as the Director of Medical Services. The following tour, he served as the Medical Specialties Assignments Officer (PERS-4415N) at NPC, Millington, TN. During this duty, he has also deployed with the USNS MERCY (TAH-19) in support of Pacific Partnership 2010 from April-August 2010. After his tour as detailer, he reported as a staff pediatrician and member of the residency teaching faculty at Naval Medical Center, Portsmouth, VA. Following this, he served as the Health Affairs Attaché at the U.S. Embassy in Hanoi, Vietnam. He is now assigned to the Uniformed Services University, Center for Global Health Engagement.

Megan Delaney Senior Interagency Liason/GHE policy Adviser OSD Health Affairs Office of GHE and Center for Global Health Engagement Ms. Megan DuLaney serves as the Senior Interagency Liaison and Global Health Engagement Policy Advisor for the OSD Health Affairs Office of Global Health Engagement and the Center for Global Health Engagement at the Uniformed Services University. She has extensive experience operating at senior levels of the U.S. government, successfully managing relationships within the DoD and across US government agencies, international organizations, thinks tanks, and non-governmental organizations. Prior to this position, she served as the Confidential Assistant to the Assistant Secretary of Defense for Health Affairs, providing direct support on a wide range of priority health care policy assignments, studies, reports, and projects. Her professional and academic background encompasses comprehensive subject matter expertise in civil- military relationships and the complex intersection of health, diplomacy, and security-related policy and operations.

Concepts, Strategy, and Cooperation

The USG in the Global Health Space Day 2: Tuesday, 02 April

1430-1520: International Military Liaison Perspectives Lcol Andrew Currie Health Services Attache Canadian Defence Liaison Staff LCol Currie joined the Canadian Armed Forces through the Medical Officer Training Program in 1992. After graduating Family Medicine residency in 1997, he was posted to Edmonton as the Regimental Medical Officer for 1 PPCLI, a mechanized infantry battalion. Following deployment to Bosnia in 1998 and then Kosovo in 1999, he finished his first of two post graduate degrees, Masters of Science Occupational Health, and was posted to Ottawa into the Medical Intelligence cell where he specialized in Health Care Capability and Blood Transfusion Services safety. Having finished a Fellowship in Sport Medicine and successfully challenging the CASEM exam in 2010, he was posted to CFB Borden as the Base Surgeon. In 2012, he was deployed to Kabul as head of the Graduate Medical Education Advisory team, part of Op ATTENTION. From there, he was posted to Geilenkirchen, Germany, as Officer Commanding the CAF medical detachment. Upon his return to Canada in 2015, he was deployed to Beirut as Task Force Surgeon during Op PROVISION. In 2017, he was selected to be the Health Services Attaché on the Canadian Defence Liaison Staff in Washington. He also fills the role of Foreign Medical Liaison Officer at Defence Health Headquarters, and Regional Medical Officer for the Canadian Forces Health Services.

Group Captain Martin Ruth British Healthcare Liaison Officer to the U.S. DAvMed DipRTM MRAeS FRCA FFICM RAF Gp Capt Ruth was commissioned into the Royal Air Force in 1988 when he joined as a medical student in his hometown of Glasgow. After brief periods in general practice at RAF Lossiemouth and RAF (Hospital) Wegberg, he started anaesthesia at RAF (Hospital) Halton in 1993. He is the immediate past Consultant Adviser in Anaesthetics/ICU for the RAF and Clinical Lead for the Critical Care Air Support Teams (CCASTs) heading 15 other consultants and 30 trainees. He spent 14 months in Afghanistan performing patient retrieval and transfer from around the battlespace and is proud to have been clinical lead during the CCASTs’ successful tactical movement of over 800 critically ill patients between 2006 and 2014. He previously deployed with KFOR (Kosovo) and on Op TELIC (Iraq). He was appointed as the British Healthcare Liaison Officer at the US Defense Health HQ in Virginia in Aug 16 and is due to return to the UK as a senior RAF clinician in Aug 19. Concepts, Strategy, and Cooperation

The USG in the Global Health Space Day 3: Wednesday, 03 April

0900-1100: DoD Perspectives Panel CDR Joey Piansay Global Health Engagement Council CDR Piansay has 28 years of enlisted (Hospital Corpsman) and officer active duty naval service. As a Navy Medical Service Corps (MSC) officer, he has 20 years of experience in combined/allied-joint and Marine Air-Ground TF (MAGTF) at the tactical, theater and strategic levels in planning for and executing DoD Health Services Support (HSS), to include GHE activities in security cooperation (steady state) and contingency operations. In his current post as Chief, GHE and MILMED for OSD-Policy, CDR Piansay also serves as Chair of the DoD GHE Council at Action Officer Expert Work Group (20-plus members at O-6/GS- 15 level) where he provides policy oversight to DoD's role, and working with the USG interagency, for GHE and MILMED initiatives in support of the National Defense Strategy, the National Security Strategy and the USG Global Health Security Agenda (GHSA). He is also the DoD Policy Representative to the ASEAN Center for MILMED (ACMM) and the Conference of the Defense Ministers of the Americas (CDMA) for Disaster Preparedness Planning and Humanitarian Assistance Response Operations. A graduate of the USMC Expeditionary Warfare School, the USMC Command Staff and the Naval War Colleges, he earned MS degrees in Foreign Affairs and National Security Strategic Studies. CDR Piansay serves as adjunct faculty for the Defense Medical Readiness Training Institute (DMRTI), and the Center for GHE.

Mr. Marshall Mantiply Chief Humanitarian Engagement Branch Global Health Engagement Council Stability & Humanitarian Engagement Division, Deputy Directorate for Global Policy and Partnerships, Strategy, Plans and Policy (J-5), on the Joint Staff, the Pentagon, Washington, D.C. He advises the Chairman of the Joint Chiefs of Staff (CJCS) and Director of Strategy, Plans, and Policy on global and regional matters pertaining to Department of Defense policy on foreign disaster relief, foreign humanitarian assistance, global health engagement, and civil-military cooperation. He manages the multi- million dollar global Humanitarian and Civic Assistance (HCA) program. Mr. Mantiply began his civilian career in July 2012, after serving over 25 years in the U.S. Air Force as a transportation officer and political- military planner. He served in a variety of assignments at the Joint Staff, headquarters, major command, and base level. He concluded his military career serving as the Senior Defense Official/Defense Attaché in Bamako, Mali.

Lt Col Elizabeth Erikson Center for Global Health Engagement

1030-1200 Group Activity 1. Consider the rationale for USG involvement in the global health space 2. Consider the rationale for U.S. military involvement in the global health space. 3. What is a rationale for U.S. military engagement with your assigned country? 4. What is the nature of current U.S. military engagement with your assigned country? 5. Identify two takeaways from today’s discussions.

Concepts, Strategy, and Cooperation The USG in the Global Health Space Day 3: Wednesday, 03 April

Dr. Stephanie Petzing Senior Global Health Security Adviser Center for Global Health Engagement Dr. Stephanie Petzing served at the Department of Defense in the Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs as a global health and scientific advisor assisting in the coordination of the Global Health Security Agenda for the Department of Defense. Her duties included leading engagements related to global biological security as a whole, including eliminating biological weapons, improving biosafety and biosecurity in research labs, and establishing and enhancing bio surveillance capacity in partner countries. Dr. Petzing’s extensive expertise covers bacteriology, parasitology, pathology, statistics, immunology, and virology with a focus on military health and biodefense, as well as extensive high level interagency and policy work in the Global Health, Force Health Protection, Global Health Engagement, and Threat Reduction arenas. She is an experienced public speaker, having presented scientific and policy talks in national and international conferences, as well as supported Department of Defense officials in high-level international meetings. She now serves as the Lead, Contract Support for the Global Health Security Agenda contracted to the Armed Forces Health Surveillance Branch.

1500-1550 Case Study RADM (Ret) Thomas R. Cullison Senior Advisor Center for Global Health Engagement Rear Admiral (Ret) Thomas R. Cullison has been actively involved in health policy and international health engagement issues since retiring in 2010 following a 38-year Navy career that culminated in service as Deputy Surgeon General. Prior to joining CGHE, he was Deputy Surgeon General of the Navy and Deputy Chief Bureau of Medicine and Surgery. He began as a surface warfare officer in USS Charles R. Ware (DD 865), participated in riverine salvage operations in Vietnam and served as a saturation diving officer. Rear Admiral Cullison’s Navy Medicine leadership career began in as Surgeon General Specialty Leader for Orthopedic Surgery and Director of Surgical Services. He later served as Deputy Commander Naval Medical Center Portsmouth, Commanding Officer Naval Hospital Camp Lejeune, Fleet Surgeon U.S. Pacific Fleet, Command Surgeon U.S. Pacific Command, Medical Officer of the Marine Corps, Commander Naval Medical Center Portsmouth VA and Commander Navy Medicine East.

Case Study Jeffrey O'Dell Associate Professor Center for Global Health Engagement

Concepts, Strategy, and Cooperation The USG in the Global Health Space Day 4: Thursday, 04 April

0900-0950 GHE Discussion Points CAPT Carolyn Currie Director of Training, Professional Development Division Center for Global Health Engagement

1000-1050: Pan American Health Organization Mr. Ciro Ugarte Director, Department of Emergency Preparedness and Disaster Relief Dr. Ugarte started working for the Pan American Health Organization/World Health Organization (PAHO/WHO) as a consultant in Honduras, where he coordinated the United Nations Interagency Team for Disaster Reduction. In 2000 he was appointed as Sub-regional Advisor for South America in Ecuador and in 2002 as Regional Advisor based in Washington, DC. In 2014 he was appointed as Director of the Emergency Preparedness and Disaster Relief Department of PAHO/WHO. Dr. Ugarte has extensive experience in emergency preparedness and disaster relief. He coordinated the implementation of public health measures and provision of health care and recovery at national and international levels in cases of earthquakes, severe floods, volcanic eruptions, landslides, hazardous materials incidents, armed conflicts, terrorist attacks, taking of hostages, epidemics, pandemics, and others.

1100-1150: International Medical Corps Ambassador William Garvelink Senior Adviser for Global Security, International Medical Corps Ambassador Garvelink serves as senior adviser for global strategy at the International Medical Corps. During his tenure at USAID, he served as deputy coordinator for development for the presidential Feed the Future: Global Hunger and Food Security Initiative, where he assumed his duties in May 2010. From October 2007 to May 2010, he served as U.S. ambassador to the Democratic Republic of Congo, where he managed a staff of 470 and oversaw bilateral and multilateral assistance programs of more than $900 million annually. Prior to his appointment as ambassador, he served as principal deputy assistant administrator in USAID’s Bureau for Democracy, Conflict, and Humanitarian Assistance, where his responsibilities included oversight of USAID’s worldwide humanitarian assistance and democracy programs.

1300-1350: Center for Strategic and International Studies Mr. Stephen Morrison Center for Strategic and International Studies, Senior Vice President and Director J. Stephen Morrison is senior vice president at the Center for Strategic and International Studies (CSIS) and director of its Global Health Policy Center. Dr. Morrison writes widely, has directed several high-level commissions, and is a frequent commentator on U.S. foreign policy, global health, Africa, and foreign assistance. He served in the Clinton administration, as committee staff in the House of Representatives, and taught for 12 years at the Johns Hopkins School of Advanced International Studies. He holds a Ph.D. in political science from the University of Wisconsin and is a magna cum laude graduate of Yale College.

Concepts, Strategy, and Cooperation

International and Non-governmental players in the Global Health space Day 4: Thursday, 04 April 1400-1450: Relief International Ms. Nancy Wilson Presidents and Chief Executive Officer, Relief International Nancy Wilson has served as CEO of Relief International since March 2014. Prior to joining RI, Nancy completed ten years in the leadership of the Jonathan M. Tisch College of Civic Life at Tufts University. Under her leadership, the college became a national model for university civic engagement and building citizen participation skills among students of all schools, degrees and fields of study. Nancy is Treasurer of InterAction, the preeminent U.S. alliance of over 190 international humanitarian and development organizations, and has been on the board of InterAction since 2015. Her prior experience includes managing the livelihoods, emerging micro- finance and gender grant portfolios in East Africa for the Ford Foundation and leading capacity-building projects on adult education and NGO strengthening in Namibia as Chief of Party for World Education. Nancy led the customer relationship management division in Sub-Saharan Africa with Price Waterhouse Coopers while stationed in Johannesburg, .

1500-1550: Doctors for the World Mr. Ron Waldman President, Doctors of the World A physician specializing in child health in developing countries, Dr. Ronald Waldman began his career with the World Health Organization’s (WHO) Global Smallpox Eradication Program in Bangladesh. He subsequently worked at the Centers for Disease Control and Prevention (CDC) for more than 20 years where, among other assignments, he directed technical support activities for the Combating Childhood Communicable Diseases Project. In the 1980s and 1990s he and his colleagues at the CDC published a series of studies on the epidemiology of refugee health and provided public health assistance in many international humanitarian crises. Dr. Waldman was the coordinator of the Task Force on Cholera Control at WHO and the technical director of the USAID-funded child survival BASICS Project, and has worked in complex emergencies in Somalia, Rwanda, Bosnia, Albania, Democratic Republic of Congo, Afghanistan and, most recently, Iraq. Dr. Waldman was the founder and former director of the Program on Forced Migration and Health at the Mailman School of Public Health of Columbia University.

1550-1700: Group Activity 1. Consider the rationale for IO and NGO involvement in the global health space. 2. What is a rationale for an IO and/or NGO engagement with your assigned country? 3. What is the nature of current IO or NGO engagement with your assigned country? 4. Identify two takeaways from today’s discussion. Concepts, Strategy, and Cooperation

International and Non-governmental Organizations in the Global Health space Day 5: Friday, 05 April

0900-0950: DoD Keynote RADM Colin Chinn Chief Medical Adviser Joint Staff Surgeon Rear Admiral Chinn is the Joint Staff surgeon at the Pentagon, Washington, D.C. He serves as the chief medical adviser to the chairman of the Joint Chiefs of Staff, providing advice to the chairman, the Joint Staff and the combatant commanders. He coordinates all issues related to health services to include operational medicine, force health protection and readiness among the combatant commands, the Office of the Secretary of Defense and the services. Chinn is a Fleet Marine Force qualified officer.Since completing his medical training, Chinn has served his country both domestically and overseas in a number of roles, including as director of Tricare Region West/Pacific, chief of the Navy Medical Corps, United States Pacific Command surgeon and as the dual-hatted director of the Research & Development Directorate (J9) of the Defense Health Agency and U.S. Army Medical Research and Materiel Command deputy commander. His most recent assignment was as the acting deputy director of the Defense Health Agency. His accomplished career as a doctor and leader with the U.S. Navy makes him a vital asset as he strives to help the Military Health System deliver an integrated system of readiness and health.

1000-1200/1300-1400: Global Health Security Agenda-Case Study Dr. Stephanie Petzing Senior Global Health Security Adviser Center for Global Health Engagement Dr. Stephanie Petzing served at the Department of Defense in the Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs as a global health and scientific adviser assisting in the coordination of the Global Health Security Agenda for the Department of Defense. Her duties included leading engagements related to global biological security as a whole, including eliminating biological weapons, improving biosafety and biosecurity in research labs, and establishing and enhancing bio surveillance capacity in partner countries. Dr. Petzing’s extensive expertise covers bacteriology, parasitology, pathology, statistics, immunology, and virology with a focus on military health and biodefense, as well as extensive high level interagency and policy work in the Global Health, Force Health Protection, Global Health Engagement, and Threat Reduction arenas. She now serves as the Lead, Contract Support for the Global Health Security Agenda contracted to the Armed Forces Health Surveillance Branch.

1600-1700: Group Activity 1. Consider the rationale for, and the methodology of, the GHSA. 2. Identify two takeaways from today’s discussion. 3. Where does your assigned country stand with respect to the GHSA? 4. Consider the task before you: a. What additional information is needed? b. Identify a course of action to deliver the presentation.

Concepts, Strategy, and Cooperation

Case Studies from the Global Health Day 6: Monday, 08 April 0900-0950: Senior Leader Perspective VADM Raquel Bono Director, Defense Health Agency Vice Adm. Raquel C. Bono is the Director, Defense Health Agency (DHA), Defense Health Headquarters, Falls Church, VA. She leads a joint, integrated Combat Support Agency enabling the Army, Navy, Air Force, and Marine Corps medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. In support of an integrated, affordable, and high quality military health service, the DHA directs the execution of ten joint shared services to include the health plan (TRICARE), pharmacy, health Information Technology, research & acquisition, education & training, public health, medical logistics, facility management, budget resource management, and contracting. The DHA administers the TRICARE Health Plan providing worldwide medical, dental and pharmacy programs to more than 9.4 million uniformed service members, retirees and their families.

1000-1150: Women Peace and Security CMDR Suzanne Mainor Political-Military Adviser Joint Staff/J5 Stability and Humanitarian Engagement Division Commander Suzanne L. Mainor serves as a political-military advisor on the Joint Staff Strategy and Policy Directorate (J-5) where she manages the Women, Peace, and Security portfolio. Mainor served in USS HOPPER (DDG 70), USS VINCENNES (CG 49), USS VANDEGRIFT (FFG 48), USS JOHN S. MCCAIN (DDG 56) and USS PATRIOT (MCM 7). Ashore, she served as a Navy Legislative Fellow for Representative Ander Crenshaw of Florida’s Fourth Congressional District and as Executive Assistant for the Commander of Naval Special Warfare Command. Mainor commanded forward deployed USS PATRIOT (MCM 7) where she shepherded the ship through an extended and arduous maintenance period and subsequently led her on a highly successful patrol across the Japanese archipelago, further strengthening bilateral relations and flexing maritime competencies. During her time onboard, Mainor led USS PATRIOT to earn her fourth, fifth, and sixth consecutive Battle E Awards. Her personal decorations include the Meritorious Service Medal (2 awards), Navy and Marine Corps Commendation Medal (3 awards), Navy and Marine Corps Achievement Medal (2 awards) and various service and campaign awards.

Ms. Cori Fleser Gender Adviser Contractor Booz Allen Hamilton U.S. Africa Command Cori Fleser is a contractor with Booz Allen Hamilton currently serving as the Gender Advisor at U.S. Africa Command. In this capacity, she is responsible for implementing the U.S. Women, Peace, and Security Act of 2017 within the command’s exercises, operations, engagements, and security force assistance efforts. Prior to starting her role at U.S. Africa Command in 2016, Cori was in the Joint Staff J5 (Joint Strategic Plans) as a Joint Operations Planner and supported Special Operations Command Europe and Special Operations Command Africa as an analyst. Prior to that, she spent two years as a wargame designer for military and commercial organizations. Before entering the national security field in 2012, Cori worked for non-governmental organizations from 2007-2011 focusing on girls’ leadership development, gender-based violence prevention, and foreign aid reform. From Strategy to Engagement

Planning Principles-Assessment, Monitoring, Evaluation Day 6: Monday, 08 April

Jacqueline Cincotta (Moderator) Center for Global Health Engagement

1330-1350: Strategic Guidance Col Wesley Palmer Director of IHS program Defense Health Headquarters Colonel (Dr.) Wesley D. Palmer is the Director of the Air Force International Health Specialist (IHS) Program on the Air Force Surgeon General’s staff at the Defense Health Headquarter Falls Church, Virginia. He serves as the principle Consultant to the Air Force Surgeon General for Global Health Engagement and provides program oversight, policy guidance, and organizing, training, and equipping of 54 full-time International Health Specialists on 9 teams, as well as the IHS development and utilization of USAF medical personnel assigned throughout the AFMS. Dr. Palmer has 21 years of international health experience, having worked on health issues in over 22 countries in Asia, , Central America, and Africa. In addition to serving as a strategic planner for global health engagements, his health and medical experiences include providing primary care in resource limited environments, disaster relief and response, development of disease surveillance and response systems, health promotion in developing countries, military health systems development, and health/medical education and lecturing.

1400-1450: Contextual Considerations in Planning-U.S. Context Lt Col Elizabeth Erickson Director of Center Operations, USU's Center for Global Health Engagement Lt Col Erickson is the Director of Center Operations at the Uniformed Services University of the Health Sciences (USU) Center for Global Health Engagement (CGHE). She served as a Senior Medical Officer and Chief of Women’s Affairs on Provincial Reconstruction Team Zabul, Afghanistan from 2009-2010. From October 2012 to July 2013 she was the first medical officer to serve on the PACAF Commander’s Action Group as the Strategic Affairs Officer. In July 2013 she became the first Air Force IHS assigned to the US Pacific Command (USPACOM) Surgeon’s Office (J07). From 2013-2016 she served as the Chief of Strategic Health Engagement Operations, conducting strategic planning for USPACOM Health Theater Security Cooperation throughout the Indo-Asia-Pacific region. In this role, she coordinated health engagements of subordinate components and directed reporting units and coordinated with numerous agencies within the Department of Defense and the US Government interagency as well as multiple nations in the Indo-Asia-Pacific region.

From Strategy to Engagement

Planning Principles-Assessment, Monitoring, Evaluation Day 6: Monday, 08 April

Contextual Considerations in Planning-U.S. Context Dr. Sayed Shinwari Senior Academic Adviser for GHE, USU's Center for Global Health Engagement Dr. Sayed Alam Shinwari works as an International Health Systems Advisor for Training & Professional Development Division at Center for Global Health Engagement. Dr. Shinwari is a Faculty member, Assistant Professor, and Course Director at the Uniformed Services University of the Health Sciences (USUHS). He started his career working as a general practitioner in Kabul, before joining various US Army-sponsored medical trainings and observation programs in hospitals located in Afghanistan, India, and the US. Since the onset of Operation Enduring Freedom, Dr. Shinwari has worked as a public health coordinator for the U.S. Army (2003-2007). He coordinated and conducted various public health projects, serving as a liaison between the Afghan National Army/National Police, the Afghan public health sector, the Afghan population, the International Security Assistance Forces (ISAF), NATO, International Organizations, NGOs, and U.S. Army officials.

1500-1550: Planning Considerations for Assessment, Monitoring and Evaluation Ms. Jessica Jackson Assessment, Monitoring and Evaluation Specialist Center for Global Health Engagement Jessica Jackson is a health behavior researcher and program evaluator. Ms. Jackson’s ten plus years in public health have included working with diverse organizations and stakeholders; including governmental agencies, hospitals, healthcare systems, and academic institutions. Her approach to evaluation involves translating public health surveillance, health care, and programmatic data into actionable products that can be used to drive decision making and ultimately, empower communities. Most notably, Ms. Jackson’s experience lies in community health, with an emphasis on needs assessment, community-based participatory research, strategic planning, and innovation. Other areas of expertise include performance monitoring and evaluation, mental health, HIV/AIDS, health disparities, and substance abuse disorders. Ms. Jackson’s theory of evaluation centers on creating collective efforts that result in recommendations that are implemented, have value, and result in positive changes for the most relevant stakeholders. Her belief is that organizations can and will change, but only through a guided coaching process that builds excitement to improve; recognizes limitations and strategizes for innovative solutions; builds capacity to continuously improve processes and offerings; and establishes infrastructure that assures sustainability.

From Strategy to Engagement

Planning Principles-Program Selection, Design, Management Day 7: Tuesday, 09 April

0900-1100: State Partnership Program Mr. Kevin Mulalley Medical Plans and Operations Specialist Department of the Army

1100-1200: Veterinary GHE COL Nicole Chevalier Strategic Capability Developer for Veterinary GHE, Army Public Health Center COL Nicole Chevalier is a preventive medicine veterinarian and currently serves as the strategic capability developer for veterinary Global Health Engagement (GHE) at the Army Public Health Center. She has experience in conducting GHE activities with the Baghdad Police College and Afghan Border Police working dog programs. She has a Master’s in Public Health and is a diplomate of the American College of Veterinary Preventive Medicine. Previous assignments include a policy research and analysis fellowship at the RAND Corporation; Chief of veterinary public health at the Defense Health Agency Veterinary Service; Commander of the 72nd Medical Detachment (VSS), deployed to Afghanistan from June 2014 through March 2015; combat developer for the Army Medical Department (AMEDD); branch chief in the Department of Veterinary Science at the AMEDD Center and School; and operations officer of the 64th Medical Detachment (VS), deployed to Iraq in 2009.

1300-1600: U.S Agency for International Development Mr. Mark Austin Middle East & Asia Health Specialist, US Agency for International Development Mr. Austin is a global health and development expert with over 20 years of experience in health, including strategic planning, program design, program coordination, and policy and legislative analysis. Of particular interest are health and development issues in the Middle East and Asia regions, including civilian-military coordination and collaborative planning. He brings a comprehensive perspective of quantitative and qualitative understanding to global health issues with a goal of ensuring that interventions are technically sound, culturally relevant, and effectively integrated within the local context. Mr. Austin holds a Master’s of Science in Population and International Health from the Harvard School of Public Health, speaks Arabic and German, and has lived and worked extensively in the Middle East, Asia, and Africa regions.

1600-1700: Group Activity 1. Consider the day’s presentations. 2. Identify two takeaways from today’s presentations. 3. Consider the purpose of Assessment, Monitoring, and Evaluation (AME). 4. How should AME be incorporated into your effort? 5. Identify two takeaways from today’s discussion. 6. How should the day’s discussions be utilized to shape your group effort? From Strategy to Engagement

Planning Principles-Program Selection, Design, Management Day 8: Wednesday, 10 April

0900-1200: NGO Michael O’Brien Global Director for Health Nutrition, Relief International Mike O'Brien is the Global Director for Health and Nutrition for Relief International. Mike has been working in domestic and international health for 18 years and has a primary interest in the transition of humanitarian programs to development. During Mike's career, he has been involved in humanitarian responses such as the Ebola outbreak in West Africa, Haiti cholera response, Nepal earthquake, the South Sudanese refugee crisis. From his office in Washington DC, Mike overseas RI's health and nutrition programs which conduct approximately 2 million clinical consultations per year in some of the toughest operating contexts in areas such as South Sudan, Yemen, and inside of Syria.

1300-1600: African Peacekeeping Rapid Response Partnership (APRRP) Mr. Palmer Phillips Program Coordinator, Center for Global Health Engagement Palmer Phillips is the Program Coordinator for the African Peacekeeping Rapid Response Partnership (APRRP) in the Bureau of Political-Military Affairs’ Office of Global Programs and Initiatives (PM/GPI) at the U.S. Department of State. In this role, he primarily manages State’s oversight of this jointly-implemented State and Department of Defense (DoD) peacekeeping initiative. Since joining the State Department in 2008, Mr. Phillips worked in variety of roles supporting State’s foreign assistance programs, including management of other peacekeeping and counter terrorism programs. Prior to joining the State Department, Mr. Phillips served nearly ten years on active duty as a U.S. Army Infantry Officer, where he held numerous leadership, teaching, and staff positions while stationed in Europe and the United States.

Ms. Jordan Limoges Training Coordinator, Center for Global Health Engagement Jordan Limoges is the Training Coordinator for the African Peacekeeping Rapid Response Partnership (APRRP). As such, she liaises with U.S. instructors and partner country stakeholders to develop training materials and facilitate implementation of APRRP engagements. Prior to joining CGHE, Ms. Limoges served as a Peace Corps volunteer in Ukraine and Lesotho, executing education and health projects in local communities.

1600-1700: Group Activity 1. Consider the day’s presentations. 2. Identify two takeaways from today’s presentations. How should the day’s discussions be utilized to shape your group effort From Strategy to Engagement

Course Wrap-up and conclusion of Group Activity Day 9: Thursday, 11 April 0900-1000: The Way Ahead for Global Health Engagement CAPT Danny Shiau Director, USU's Center for Global Health Engagement CAPT Danny Shiau is Director of the USU Center for Global Health Engagement. He previously served as Director of the Programs and Joint Force Support Division at the Center. Prior to joining CGHE, he served as Director of Public Health and Force Health Protection at the USPACOM Surgeon’s Office. CAPT Shiau is a board-certified preventive medicine physician. CAPT Shiau deployed as the OIC for Forward Deployed Preventive Medicine Unit in Kuwait and served as Head of Threat Assessment as a preventive medicine officer at Navy Preventive Medicine Unit TWO. While there, he provided operational consultation and surveillance to units deploying to USCENTCOM, USAFRICOM, and USSOUTHCOM. He then served as Deputy Director for Emergency Preparedness, M3/5 Medical Operations at Navy Bureaus of Medicine and Surgery. His primary focus was Pandemic Influenza policy and planning, ensuring emergency preparedness at Navy medical facilities worldwide. He was attached to OPNAV 093, designated by the Surgeon General as the Navy’s Senior Public Health Emergency Officer, providing public health consultation to senior commanders.

1000-1200: Service Panel Col Wesley Palmer Director of IHS program Defense Health Headquarters

Mr. Ken Wade United States Army

LCDR Analiza Enriquez Lieutenant Commander Enriquez is currently serving as the Security Cooperation Branch Chief, Office of Global Health Engagement at the Bureau of Medicine and Surgery and the Global Health Engagement Liaison Officer to the Defense Security Cooperation Agency. Upon commissioning, she was assigned to 2d Medical Battalion, Camp Lejeune, North Carolina as a staff officer and ultimately as a Company Commander. While stationed in Camp Lejeune, she deployed with 2d Maintenance Battalion as the Surgical Company Executive Officer in support of Operation Iraqi Freedom in 2009 and 22d Marine Expeditionary Unit as the command element Medical Planner in support of Operations Unified Protector, Odyssey Guard and Odyssey Dawn in 2011 to 2012. Lieutenant Commander Enriquez transferred to U.S. Naval Hospital (USNH) Yokosuka, Japan in 2012 and was appointed as the Performance Improvement Coordinator. While stationed in USNH Yokosuka, she deployed onboard the USS Pearl Harbor (LSD-52) in support of Operation Pacific Partnership 2013 as the lead Medical Planner and Medical Administration Officer. After she completed her tour at USNH Yokosuka in 2015, Lieutenant Commander Enriquez completed the Global Health Engagement Fellowship at the Defense Security Cooperation Agency in 2016. While at DSCA, she was an Overseas Humanitarian, Disaster, and Civic Aid Appropriation Program Manager who managed USAFRICOM, USSOUTHCOM, and USNORTHCOM geographic combatant command humanitarian and disaster relief portfolios.

From Strategy to Engagement

Course Wrap-up and conclusion of Group Activity Day 9: Thursday, 11 April

Rachelle Paul-Kagiri (Moderator) Director of Research Development and Assessment, Monitoring and Evaluation Center for Global Health Engagement Colonel Rachelle Paul-Kagiri is the Director of Research Development and Assessment, Monitoring and Evaluation at the Center for Global Health Engagement. Col Rachelle Paul-kagiri is a board-certified Emergency Medicine Physician and Internist. She holds an appointment as assistant Professor in the Preventive Medicine and Biostatistics Department at the Uniformed Services University where she oversees the Global Health concentration as the International Health Specialist Academic Director. Prior her current assignment, Col Rachelle Paul-Kagiri served as the Director of the Defense Institute for Medical Operations an organization with the medical Security Cooperation mission to trained international students both military and civilian in medical skills. She was deployed to Afghanistan; her other assignments include: Surgeon General of the Hospital at GoodFellow Air Force Base, Deputy Surgeon of United States Military Entrance Processing Command and Flight Commander of Emergency Services at Travis Air Force Base.

1200-1300: Course Wrap-Up and Final Group Activity Guidance 1300-1700: Group Activity 1. Consider the day’s presentations. 2. Identify two takeaways from today’s presentations. 3. How should the day’s discussions be utilized to shape your group effort? Finalize your presentation.

From Strategy to Engagement

Wrap-up Day 10: Friday, 12 April

0900-1000: Closing Remarks CAPT Carlos Williams Health Policy Fellow The Robert Wood Foundation Carlos Williams is an active duty officer in the U.S. Navy and the immediate past director of the Office of Global Health Engagement for the Department of the Navy. He holds an appointment as assistant professor at Uniformed Services University of the Health Sciences. In 2015, Williams was selected as an inaugural U.S. Presidential Leadership Scholar, where his scholarly activities focused on social change, community development, and servant leadership. In 2012, Williams was appointed the U.S. health affairs attaché to the Pacific Islands, serving as a senior US advisor for health assistance. He deployed to Iraq in support of Operation Iraqi Freedom, has served as the former deputy director of the Military Enteric Diseases Program at the Naval Medical Research Center, where he also was the principle investigator for several first-in-human enteric vaccine trials. Williams was the principal agent for a hallmark U.S. Agency for International Development and U.S. Africa Command–funded program that focused on crisis responses to public health emergencies in African nations.

1000-1100: Final Presentation Preparation *In order to receive your certificate of completion you must fill out and submit an evaluation.

1200-1400: Group Presentations

1400-1430: Final Comments and Presentation of Certificates GROUP EXERCISE

Purpose To identify takeaways and action items for their own unique professional context, and apply the instruction to develop a health engagement program for the selected case/country.

Task As a team you have been tasked with developing and presenting a formal Geographic Combatant Command country-specific health engagement that would meet the needs of the partner nation and be of strategic value to the US Government.

Expectations Use PowerPoint to create a 20 minute presentation with your team (include time for Q&A). Not all members of the team are required to present, the presentation style is up to each team to determine.

Time will be allocated daily to discuss the instruction of the day and apply the instruction to your selected country.

Due Date: 12 April 2019

Format 1. Description of Program a. Mission/Purpose: articulate your mission and/or purpose as it relates to the task. b. Goals/objectives, assumptions, desired end state, lines of effort, execution plan, monitoring and evaluation, civil-military considerations, USG stakeholders, host nation stakeholders, funding, timeline and sustainability c. Long-term impacts of the activities d. Priority areas for your country for a health engagement (country’s needs, country perspective)? *Hint: your HCA can help in this step 2. US Context for Engagement a. Rationale: What is the strategic rationale for USG/DOD engagement in health activities in this country? b. USG/DoD Guidance c. CCMD Guidance/Structure d. Strategic Message i. Description of plan should include the audience(s), messaging, dissemination approach(es), etc. e. Funding f. Manpower g. Planning/Engagement Cycle 3. Partner Context for Engagement a. Country Context. b. Socio-cultural Background c. Health Culture d. Determinants of Health e. Health Systems f. Aid and Development Assistance g. Conclusion 4. Strategy/Program 5. Management

*Note: not all considerations need to be mentioned in the final presentation. Highlights should include which considerations drove the design of the project, or will be impacted by the project. THANKS!

This course would not have been possible without our devoted speakers and students. We want to send a special thanks to all those that participated and presented their knowledge and expertise. This knowledge exchange could not occur without your participation. We also want to thank the eagerness of the students for putting in the hours of course work and willing to be on the receiving end of this knowledge exchange. Sending out a general thanks to every member of the Training and Development Team for coordinating and developing the curriculum for the course. Thank you to the Uniformed Services University for their support throughout the process and fellow employees at the Center for Global Health Engagement for your input. We hope that we brought together a GHSS course you won't forget. Looking forward to next year.