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## Dod Instruction 2000.30 Global Health Engagement (Ghe) Activities



Originating Component:
Office of the Under Secretary of Defense for Policy

Effective:
July 12, 2017

Releasability:
Cleared for public release.  This instruction is available on the Directives Division Website at http://www.esd.whs.mil/DD/.

Approved by:
Robert S. Karem, Performing the Duties of the Under Secretary of Defense for Policy

Purpose: In accordance with the authority in DoD Directive (DoDD) 5111.1 and the November 30,
2006 Deputy Secretary of Defense Memorandum, this issuance:

- Establishes policy, assigns responsibilities, and prescribes procedures for the conduct of GHE
activities with partner nation (PN) entities.
- Establishes the DoD GHE Council, and prescribes Council functions, responsibilities, membership,
and procedures.
- Establishes the definition for GHE and is distinguished from the Global Health definition in
accordance with the May 15, 2013 DoD GHE policy guidance; integrates health engagement language
in the GHE definition consistent with Section 715 of Public Law 112-239.

## Table Of Contents


SECTION 1:  GENERAL ISSUANCE INFORMATION ........ 3
1.1.  Applicability. ........ 3 1.2.  Policy. ........ 3
SECTION 2:  RESPONSIBILITIES ........ 6
2.1.  Under Secretary of Defense for Policy (USD(P))........ 6 2.2.  ASD(SO/LIC). ........ 6 2.3.  Assistant Secretary of Defense for Homeland Defense and Global Security
(ASD(HD&GS)). ........ 7
2.4.  Under Secretary of Defense for Personnel and Readiness (USD(P&R)). ........ 7 2.5.  Assistant Secretary of Defense for Health Affairs (ASD(HA)). ........ 8
2.6.  Under Secretary of Defense for Acquisition, Technology, And Logistics (USD(AT&L)).
........ 8
2.7.  Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs
(ASD(NCB)). ........ 9
2.8.  Director, Defense Security Cooperation Agency (DSCA). ........ 9 2.9.  Secretaries of the Military Departments. ........ 10 2.10.  CJCS. ........ 10 2.11.  Chief, National Guard Bureau. ........ 10 2.12.  GCCs. ........ 11
SECTION 3:  DOD GHE ACTIVITIES ........ 12 SECTION 4:  DOD GHE COUNCIL CHARTER ........ 14
4.1.  DoD GHE Council Purpose. ........ 14 4.2.  DoD GHE Council Functions. ........ 14 4.3.  Responsibilities. ........ 14 4.4.  Membership. ........ 14
a.  Senior Group. ........ 15 b.  Deputy Group........ 15 c.  Action Officer Group. ........ 16
4.5.  Procedures. ........ 16
GLOSSARY ........ 18
G.1.  Acronyms. ........ 18 G.2.  Definitions. ........ 19
REFERENCES ........ 20 FIGURES Figure 1.  Conceptual Framework for the Spectrum of DoD GHE Activities ........ 4 Figure 2.  DoD GHE Council Membership ........ 17

## Section 1:  General Issuance Information

1.1.  APPLICABILITY.  This issuance applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff (CJCS) and the Joint Staff, the geographic Combatant Commands (GCCs), the Office of the Inspector General of the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities within the DoD.

1.2.  POLICY.  It is DoD policy to:
a.  Promote and enhance PN stability and security; develop military and civilian PN capacity;
build trust, confidence, and resilience; share information; coordinate mutual activities; and maintain influence to enable implementation of the Guidance for Employment of the Force and to support the achievement of U.S. Government (USG) national security objectives.
b.  Enhance DoD's awareness of GHE, and improve its relationship and interoperability with each PN and region by:

(1)  Fostering collaboration with each PN's military, government, or civil society.
(2)  Engaging with each PN to achieve security cooperation objectives.
c.  Seek to develop and improve the human and animal health capabilities and capacities of DoD and PN personnel to:
(1)  Enhance the readiness of DoD medical forces and sustainably improve the operational skills of PN personnel.

(2)  Improve interoperability in coalition, bilateral, and/or multinational activities. (3)  Promote stability and security.
(4)  Establish or maintain a level of health and a state of preparedness conducive to healthy human and animal populations, in turn bolstering the civilian population's confidence in PN governance.
d.  Use GHE as a tool, where appropriate, to support the achievement of the above objectives.

Figure 1 provides a conceptual framework for the spectrum of DoD GHE activities.



e.  Conduct DoD GHE activities in support of U.S. national security policy and defense security cooperation strategy.  GHE activities are not limited to those listed in Figure 1, and are a means to partner with other nations in order to achieve security cooperation objectives and build partner capacity through health-related activities and exchanges.

(1)  DoD GHE activities allow DoD and PN military or civilian authorities and agencies to:

(a)  Build trust and confidence.
(b)  Share information. (c)  Coordinate activities.
(d)  Maintain influence.
(e)  Achieve interoperability.
(2)  DoD GHE uses the full spectrum of health capabilities in military-to-military, military-to-civilian, or multilateral activities.  Priorities and sequencing of activities should:
(a)  Build the capacity of the PN government to maintain a level of health care conducive to a healthy population.

(b)  Bolster the civilian population's confidence in PN governance.
(c)  Lower the PN's susceptibility to destabilizing influences.


## Section 2:  Responsibilities

2.1.  UNDER SECRETARY OF DEFENSE FOR POLICY (USD(P)).  The USD(P) provides guidance and oversight for global health engagement through the Assistant Secretary of Defense for Special Operations and Low-Intensity Conflict (ASD(SO/LIC)).
2.2.  ASD(SO/LIC).  Under the authority, direction, and control of the USD(P), the ASD
(SO/LIC):
a.  Develops policy and guidance for DoD GHE activities pertaining to SO/LIC.

b.  Coordinates development of GHE-related policy and guidance with the CJCS, and with other ASDs as needed.

c.  Provides policy guidance for conducting assessment, monitoring, and evaluation of GHE
activities, in accordance with DoDI 5132.14.

d.  In accordance with DoDD 5111.10, serves as the USD(P) lead for foreign humanitarian assistance and humanitarian civic assistance.
e.  Coordinates DoD GHE activities with relevant OSD agencies and components, Military Department, and Joint Staff offices, and when appropriate, U.S. departments and agencies.
f.  Coordinates GHE activities applicable to ASD(SO/LIC)'s oversight responsibilities, as defined in DoDD 5111.10, with the GCCs prior to execution, in accordance with the Foreign Clearance Guide (FCG) and other relevant guidance.

g.  Through the Deputy Assistant Secretary of Defense for Stability and Humanitarian Affairs, provides policy oversight of GHE activities and funding pertaining to SO/LIC.
h.  Provides policy oversight for humanitarian assistance (HA), and foreign disaster relief
(FDR) activities:
(1)  Prior to execution by GCCs of GHE activities such as HA and FDR, coordinates with the Defense Security Cooperation Agency (DSCA) for annual budget allocation and prioritization of GHE activities for GCCs in accordance with Chapter 12 of DSCA Manual 5105.38-M.

(2)  Coordinates with DSCA for the annual Overseas Humanitarian, Disaster, and Civic Aid appropriation for HA and FDR.

(3)  Monitors, through the Overseas Humanitarian Assistance Shared Information System, the Overseas Humanitarian, Disaster, and Civic Aid budget execution by GCCs.
i.  Provides policy oversight for the Humanitarian and Civic Assistance (HCA) Program.
Before execution of HCA projects, coordinates with CJCS J5 Global Policy and Partnerships
(GPP) and utilizes the Overseas Humanitarian Assistance Shared Information System, a database managed by DSCA to review, approve, monitor, and report on all DoD HA and HCA activities as executed by the GCCs.
j.  Serves as DoD GHE Council Chair, in accordance with Section 4 of this issuance.

k.  Coordinates responses to congressional inquiries on GHE.  Prepares and submits reports to Congress in compliance with statutory requirements, other requests for information, program evaluations, and fiscal audit requests, as they relate to GHE.

l.  Informs the DoD GHE Council of ASD(SO/LIC)'s relevant programs and capabilities that are being used, or could be used, to conduct GHE activities.

m.  Provides oversight for assessment, monitoring, and evaluation of HA activities in accordance with DoDI 5132.14 and the August 10, 2016, OSD Policy Guidance.
2.3.  ASSISTANT SECRETARY OF DEFENSE FOR HOMELAND DEFENSE AND
GLOBAL SECURITY (ASD(HD&GS)).  Under the authority, direction, and control of the USD(P), and in accordance with DoDD 5111.13, the ASD(HD&GS):
a.  Serves as the USD(P) lead for GHE policies, programs, and activities related to countering weapons of mass destruction (CWMD) and homeland defense, and global health security.

b.  Oversees the development of international partnership capacity to combat weapons of mass destruction, in accordance with DoDD 2060.02.
c.  Serves as DoD lead for the Global Health Security Agenda, in support of the November 4,
2016 White House Executive order.

d.  Coordinates GHE activities applicable to ASD(HD&GS)'s oversight responsibilities, as defined in DoDD 5111.13, with the GCCs prior to execution, in accordance with the FCG and other relevant guidance.

e.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance, coordinates with members of the Council on matters related to the GHSA, and informs the Council of relevant programs and capabilities that are being used, or can be used, to conduct GHE activities.
f.  Participates in the GHSA Interagency Review Council, as convened by the National Security Council, apprising that Council of GHSA-related activities within respective DoD
agencies and components, and as necessary, representing DoD GHE equities aligned to achieving GHSA objectives.

2.4.  UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS
(USD(P&R)).  The USD(P&R) develops policies, plans, and programs for health and medical affairs to provide and maintain readiness, and to provide health services and support to Service members and others entitled to or determined eligible for DoD medical care.

2.5.  ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS (ASD(HA)).
Under the authority, direction, and control of the USD(P&R), and in accordance with DoDD
5136.01, the ASD(HA):
a.  Develops and oversees:
(1)  Human and animal health, force health protection, and agriculture-related DoD GHE
policies, programs, and activities.  As required, coordinates with CJCS J5 Global Policy and Partnerships for review of HCA-related projects under this category.

(2)  Policies regarding required competencies, professional conduct and standards of Military Health System personnel in the planning, conduct, assessment, monitoring, and evaluation of DoD GHE activities.

b.  Oversees:
(1)  The Uniformed Services University of the Health Sciences, including the Center for Global Health Engagement (www.cghe.org).

(2)  The Defense Health Agency, including the Armed Forces Health Surveillance Branch and the DoD Veterinary Services Branch.
c.  Ensures that Military Health System research, development, and acquisition activities address DoD GHE capabilities and needs, as appropriate.

d.  Coordinates GHE activities applicable to ASD(HA)'s responsibilities, as defined in DoDD 5136.01, with the GCCs prior to execution, in accordance with the FCG and other relevant guidance.

e.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance, and informs the Council of relevant programs and capabilities that are being used, or can be used, to conduct GHE activities.

f.  Participates in the GHSA Interagency Review Council, as convened by the National Security Council, apprising that Council of GHSA-related activities within respective DoD
agencies and components, and as necessary, representing DoD GHE equities aligned to achieve GHSA objectives.

2.6.  UNDER SECRETARY OF DEFENSE FOR ACQUISITION, TECHNOLOGY, AND
LOGISTICS (USD(AT&L)).  The USD(AT&L) is the principal advisor for all matters concerning defense acquisition, technology, and logistics; and provides guidance on global health engagement related to nuclear, chemical, and biological defense through the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs (ASD(NCB)).

2.7.  ASSISTANT SECRETARY OF DEFENSE FOR NUCLEAR, CHEMICAL, AND
BIOLOGICAL DEFENSE PROGRAMS (ASD(NCB)).  Under the authority, direction, and control of the USD(AT&L), the ASD(NCB):
a.  Serves as the principal advisor to the Secretary and Deputy Secretary of Defense and the USD(AT&L) for nuclear energy, nuclear weapons, and chemical and biological defense.

b.  Serves as the USD(AT&L) lead for DoD GHE-related activities and the primary point of contact in the Office of the USD(AT&L) for CWMD matters.

c.  Develops policies, provides advice, makes recommendations, and serves as the USD(AT&L) lead for DoD GHE-related activities regarding: chemical, biological, radiological, and nuclear (CBRN) medical and non-medical defense; safety and security of chemical and biological agents; CWMD; NCB arms control activities; and related plans and programs.

d.  Coordinates oversight of CWMD research, development, and acquisition activities with the USD(P), USD(P&R), Under Secretary of Defense for Intelligence, and Assistant Secretary of Defense for Research and Engineering.

e.  Coordinates GHE activities applicable to ASD(NCB)'s responsibilities, as defined in DoDD 5134.08, with the GCCs prior to execution, in accordance with the FCG and other relevant guidance.
f.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance, and informs the Council of relevant programs and capabilities that are being used, or could be used, to conduct GHE activities.
2.8.  DIRECTOR, DEFENSE SECURITY COOPERATION AGENCY (DSCA).  Under the authority, direction, and control of the USD(P), and in accordance with DoDD 5105.65, the Director, DSCA:
a.  Executes and administers all security cooperation programs and activities of the Department of Defense involving the provision of defense articles, military training, and other defense-related services by grant, loan, cash sale, or lease.

b.  Consistent with statutory requirements, ensures applicable GHE is incorporated into the full spectrum of security cooperation planning.

c.  Exercises overall program management responsibility for DoD humanitarian assistance and demining activities, including those that constitute GHE, funded by the Overseas Humanitarian Disaster and Civic Aid, also known as "OHDACA" appropriation, in coordination with the ASD(SO/LIC).
d.  Manages the Overseas Humanitarian Assistance Shared Information System (OHASIS)
database.
e.  Assists ASD(SO/LIC) in developing, coordinating, implementing, and managing HA
policy and procedures.
f.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance, and informs the Council of relevant programs and capabilities that are being used, or can be used, to conduct GHE activities.

g.  In accordance with Sections 382 and 386 of Title 10, United States Code, consolidates security cooperation-related activities information, submitted by the Military Departments, GCCs, and NGB for each fiscal year by country for inclusion in required congressional security cooperation annual reports.

2.9.  SECRETARIES OF THE MILITARY DEPARTMENTS.  The Secretaries of the Military Departments:

a.  Prepare budget and programming requests compliant with DoDD 7045.14.
b.  Allocate approved funds for DoD GHE activities to GCCs under appropriate budgetary authorities.  Provide periodic reporting data as directed by DoD relevant to the execution of GHE
activities.

c.  Review and recommend changes to the CJCS for DoD GHE activities proposed by the GCCs, as appropriate.  This will ensure activities enhance the specific operational readiness skills of the U.S. military personnel who participate in such activities.

d.  Integrate foreign language, cultural, and regional proficiency capabilities into DoD GHE
pre-deployment training and preparation in accordance with DoDDs 1322.18, 5100.03, 5100.46, 5132.03, and 5160.41E, and DoD Instruction (DoDI) 5160.70.

e.  Plan, coordinate and prioritize GHE activities applicable to the Services' responsibilities, as defined in DoDDs 1322.18, 5100.03, 5132.03, 5105.65, and 5160.41E, and DoDI 5160.70, with the GCCs prior to execution, in accordance with the FCG and other relevant guidance.

f.  Participate as members of the DoD GHE Council, in accordance with Section 4 of this issuance.

## 2.10.  Cjcs.  The Cjcs:

a.  Monitors execution of DoD GHE operations and activities by the GCCs.
b.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance.
c.  Assists ASD(SO/LIC) in developing, coordinating, implementing, and managing HCA
policy and procedures.

## 2.11.  Chief, National Guard Bureau.  The Chief, National Guard Bureau:

a.  Plans, coordinates, and prioritizes its GHE activities with the relevant GCC and U.S.

Chief of Mission (COM) prior to execution, in accordance with DoDI 5111.20, the FCG, and other relevant guidance.
b.  Participates in the DoD GHE Council, in accordance with Section 4 of this issuance.

## 2.12.  Gccs.  The Gccs:

a.  Plan and execute DoD GHE activities in their area of responsibility (AOR), including the identification of language, regional expertise, and cultural capabilities required to execute and support DoD GHE activities.

b.  Coordinate with interagency GCC liaison officers and with requisite USG country team personnel at relevant embassies to identify appropriate DoD GHE activities consistent with the U.S. Embassy's Integrated Country Strategy and its applicable health, social, economic, and environmental mission goals and objectives and, if applicable, complementary to USAID's Country Development Cooperation Strategy.

c.  Develop an annual execution plan for command GHE activities within their respective AORs.

d.  Ensure a united effort for all GHE activities by synchronizing and integrating component GHE operations and activities into theater campaign plans.  In accordance with the June 1, 2015, OSD Memorandum and the August 29, 2016, Deputy Secretary of Defense Memorandum, the Global Theater Security Cooperation Management Information System should be used to record GHE activities and to identify appropriate links among campaign objectives and de-conflict campaign plan activities.

e.  Ensure command GHE activities in their respective AORs conform to U.S. policy guidelines and principles by establishing appropriate policies and procedures for component commands and offices of security cooperation.
f.  Conduct command GHE activities with the approval of the appropriate U.S. Ambassador, or designee.

g.  Obtain any required diplomatic notes, temporary status of forces agreements, or memoranda of agreement required to conduct GHE activities, in accordance with applicable regulations and procedures.

h.  Measure effectiveness and evaluate the outcomes of command GHE operations in accordance with DoDI 5132.14.

i.  Inform the DoD GHE Council of the GCC's GHE activities.

## Section 3:  Dod Ghe Activities

In addition to the responsibilities in Section 2, OSD, the Military Departments, the Joint Staff, the National Guard Bureau, and Combatant Commands will, in the conduct of GHE activities with PN
entities:
a.  Include both military-to-military and military-to-civilian engagement activities in support of joint and civil-military operations, in accordance with Joint Publications 3-0 and 3-57.  GHE
activities establish, reconstitute, maintain, or improve the capabilities or capacities of the PN's military, civilian health sector, or its Ministry of Defense, Ministry of Health, and/or appropriate PN ministry or agency in order to achieve USG national security objectives and DoD strategic objectives.
b.  Use the full spectrum of DoD health capabilities to execute and support:

(1)  Force health protection, in accordance with DoDD 6200.04. (2)  Foreign humanitarian assistance, in accordance with Joint Publication 3-29. (3)  Foreign disaster response, in accordance with DoDD 5100.46. (4)  Humanitarian and civic assistance, in accordance with DoDI 2205.02.
(5)  Cooperative threat reduction to counter weapons of mass destruction, in accordance
with DoDD 2060.02.
(6)  Stability operations, in accordance with DoDD 3000.05 and DoDI 6000.16 as applicable.

(7)  Veterinary public and animal health services, in accordance with DoDD 6400.04E. (8)  Other security cooperation activities, in accordance with DoDD 5132.03.
c.  Plan, coordinate, and prioritize with the GCCs prior to execution, in accordance with GCC
theater campaign plans, the FCG, and other relevant guidance.
d.  Support DoD efforts to promote regional stability and security by achieving theater campaign plan objectives and Guidance for the Employment of the Force end-states.
e.  Conceive, plan, and execute GHE activities in coordination with the respective U.S.

Embassy; relevant U.S. departments and agencies; and with approval by the PN's military, national, and local civilian authorities.

f.  Ensure GHE activities are consistent with relevant U.S. Embassy-integrated country strategies and complement, not duplicate, other forms of assistance provided to the PN by:

(1)  Other DoD entities.
(2)  Department of State. (3)  USAID.
(4)  Other USG departments or agencies.
g.  Limit direct health care to PN populations, except when required or requested by the PN
and during humanitarian civic assistance activities designed for the purposes of individual and unit-level training of DoD personnel.

(1)  Activities involving direct health care to PN human and animal populations should be undertaken with caution and require extensive planning and coordination with U.S departments and agencies, as well as PN medical authorities, and international civilian health professionals, as applicable.

(2)  Direct health care planning will emphasize PN autonomy and include:

(a)  An assessment of the capabilities of the local healthcare systems. (b)  A clear statement of desired clinical outcomes.
(c)  Steps to minimize disruption of the local healthcare system, in compliance with U.S., PN, and international laws.

(d) Measures to maximize long-term effects and promote sustainability of care with the PN health systems.
(3)  These activities should augment, not replace, the PN health systems:

(a)  Minimize the displacement of PN health systems and PN practitioners. (b)  When possible, avoid initiating treatment that is not sustainable by the PN. (c)  Redirect patients back into the PN health systems as soon as practicable.
h.  Assess, when applicable, the achievement of sustainable health improvements, as well as effectiveness in achieving security strategy objectives and military end-states in accordance with Section 715 of Public Law 112-239.

i.  Review and submit security cooperation-related activities information for each fiscal year, by country, for inclusion in required congressional security cooperation annual reports, in accordance with Sections 382 and 386 of Title 10, United States Code.

## Section 4:  Dod Ghe Council Charter

4.1.  DOD GHE COUNCIL PURPOSE.  Establishes functions, membership, responsibilities, and procedures for the GHE Council (referred hereafter as "the Council"), which aims to increase information sharing, improve collaboration, eliminate redundancy, increase efficiency, and promote best practices.
4.2.  DOD GHE COUNCIL FUNCTIONS.  The Council will:

a.  Collaborate and coordinate on GHE strategic advice to the Secretary of Defense.
b.  Coordinate GHE within DoD at the strategic policy level.
c.  Understand DoD GHE objectives.
d.  Evaluate and improve DoD's ability to meet its GHE objectives.
e.  Advocate for GHE inclusion in appropriate strategic policy and guidance documents. f.  Improve awareness of GHE across DoD and among other agencies.
g.  Promote GHE collaboration and partnering activities with Federal government and nongovernmental organizations.

h.  Support, as appropriate, the USG response to international health emergencies.
4.3.  RESPONSIBILITIES.  In accordance with Section 715 of Public Law 112239, the Council serves to ensure that health engagements conducted by DoD are aligned with U.S. national security goals.

a.  ASD(SO/LIC) will serve as the Chair of the Council and ensure participation in accordance with Paragraph 4.4.

b.  ASD(HD/GS) will participate in accordance with Paragraph 4.4.
c.  ASD(HA) will participate in accordance with Paragraph 4.4. d.  ASD(NCB) will participate in accordance with Paragraph 4.4.
e.  The Joint Staff J-5, Strategic Plans and Policy, will participate in accordance with Paragraph 4.4. and will represent the GCCs and the Military Departments.

4.4.  MEMBERSHIP.  See Figure 2.  Organized into three main groups, the Council is composed of the following:
a.  Senior Group.  The Senior Group is comprised of:

(1)  ASD(SO/LIC).
(2)  ASD(HD/GS).
(3)  ASD(HA).
(4)  ASD(NCB).
(5)  The Joint Staff, Director for Strategic Plans and Policy (J-5).
b.  Deputy Group.  The Deputy Group is composed of:

(1)  The Deputy Assistant Secretary of Defense for Stability and Humanitarian Affairs.
(2)  The Deputy Assistant Secretary of Defense for Health Readiness Protection and Oversight.

(3)  The Deputy Assistant Secretary of Defense for Countering Weapons of Mass Destruction.

(4)  The Deputy Assistant Secretary of Defense for Homeland Defense Integration and Defense Support of Civil Authorities.

(5)  The Deputy Assistant Secretary of Defense for Threat Reduction and Arms Control.

(6)  The Deputy Assistant Secretary of Defense for Chemical and Biological Defense.
(7)  The Deputy Assistant Secretary of Defense for Security Cooperation. (8) The DSCA Representative (Senior Executive Service). (9)  The Deputy Director for Global Policy and Partnerships, Joint Staff (J5). (10)  The Joint Staff Surgeon. (11)  Army Representative (General officer or Senior Executive Service). (12)  Navy Representative (Flag officer or Senior Executive Service). (13)  Marine Corps Representative (General officer or Senior Executive Service). (14)  Air Force Representative (General officer or Senior Executive Service).
(15)  National Guard Bureau Representative (General officer or Senior Executive Service).

(16)  The Commandant of the U.S. Coast Guard will be invited to send an appropriate representative to participate as an ad-hoc member.
c.  Action Officer Group.  The Action Officer Group is composed of:

(1)  Deputy Group members' action officers.
(2)  Representatives from the GCCs and from DoD agencies and academic institutions involved in DoD GHE may attend.  This includes, but is not limited to, the Defense Health Agency, the Defense Threat Reduction Agency, the Uniformed Services University of the Health Sciences, and the National Defense University.

(3)  Other DoD members may be invited to participate on an ad-hoc basis.
(4)  Non-DoD guests may be invited to participate as required.

## 4.5.  Procedures.

a.  Recommendations and decisions will be made by consensus.
b.  The Senior Group will meet at least annually.
c.  The Deputy Group will:
(1)  Meet at least semi-annually.
(2)  Be chaired by Deputy Assistant Secretary of Defense for Stability and Humanitarian Affairs.

(3)  Prioritize issues for the Action Officer Group to address.
(4)  Establish additional working groups to address specific issues as required.
d.  The Action Officer Group will submit a summary of its activities to the Deputy Group prior to every Deputy Group's semiannual meeting.

e.  The Office of the Deputy Assistant Secretary of Defense for Health Readiness Policy and Oversight will provide administrative support.  This includes:

(1)  Distribution of meeting announcements.
(2)  Drafting agendas and read-ahead materials in advance of the Council meetings.
(3) Distribution of meeting summaries, along with copies of presentations and reports as early as possible after each meeting, as appropriate.

## Glossary G.1.  Acronyms.

| AOR                | area of responsibility                                               |
|--------------------|----------------------------------------------------------------------|
| AMHS               | automated message handling system                                    |
| ASD(HA)            | Assistant Secretary of Defense for Health Affairs                    |
| ASD(NCB)           | Assistant Secretary of Defense for Nuclear, Chemical, and Biological |
| Defense Programs   |                                                                      |
| ASD(HD&GS)         | Assistant Secretary of Defense for Homeland Defense and Global       |
| Security           |                                                                      |
| ASD(SO/LIC)        | Assistant Secretary of Defense for Special Operations and Low-       |
| Intensity Conflict |                                                                      |
|                    |                                                                      |
| CJCS               | Chairman of the Joint Chiefs of Staff                                |
| CWMD               | countering weapons of mass destruction                               |
|                    |                                                                      |
| DoDD               | DoD directive                                                        |
| DoDI               | DoD instruction                                                      |
| DSCA               | Defense Security Cooperation Agency                                  |
| DTG                | date time group                                                      |
|                    |                                                                      |
| FCG                | Foreign Clearance Guide                                              |
| FDR                | foreign disaster relief                                              |
|                    |                                                                      |
| GCC                | Geographic Combatant Commander                                       |
| GHE                | global health engagement                                             |
| GHSA               | Global Health Security Agenda                                        |
|                    |                                                                      |
| HA                 | humanitarian assistance                                              |
| HCA                | humanitarian and civic assistance                                    |
|                    |                                                                      |
| PN                 | partner nation                                                       |
|                    |                                                                      |
| USD(AT&L)          | Under Secretary of Defense for Acquisition, Technology, and          |
| Logistics          |                                                                      |

USD(P)
Under Secretary of Defense for Policy
USD(P&R)
Under Secretary of Defense for Personnel and Readiness
G.2.  DEFINITIONS.  Unless otherwise noted, these terms and their definitions are for the purpose of this issuance.
DoD GHE.  Interaction between individuals or elements of DoD and those of a PN's armed forces or civilian authorities, in coordination with other U.S. Government departments and agencies, to build trust and confidence, share information, coordinate mutual activities, maintain influence, and achieve interoperability in health-related activities that support U.S. national security policy and military strategy.  GHE activities establish, reconstitute, maintain, or improve the capabilities or capacities of the PN's military or civilian health sector, or those of the DoD.
This term and its definition are proposed for inclusion in the next edition of the DoD
Terminology Program.

GHSA.  An international initiative to enhance global capabilities to prevent, detect, and respond to infectious disease threats.  GHSA is designed to break down barriers between the health, defense, security, and development sectors by creating common, measureable targets that can only be achieved through the employment of a collaborative, whole-of-government approach.

## References

Defense Security Cooperation Agency (DSCA) Policy Memorandum 12-20, "Reissuance of the
Security Assistance Management Manual (SAAM) as DSCA Manual 5105.38-M," April 30, 2012
Deputy Secretary of Defense Memorandum, "Delegations of Authority," November 30, 2006
Deputy Secretary of Defense Memorandum, "DoD Guidance for Security Cooperation," August
29, 2016
DoD Directive 1322.18, "Military Training," January 13, 2009 DoD Directive 2060.02, "Department of Defense (DoD) Combating Weapons of Mass
Destruction (WMD) Policy," January  27, 2007
DoD Directive 5100.03, "Support of the Headquarters of Combatant and Subordinate Unified
Commands," February 9, 2011
DoD Directive 5100.46, "Foreign Disaster Relief (FDR)," July 6, 2012 DoD Directive 5105.65, "Defense Security Cooperation Agency," October 26, 2012
DoD Directive 5111.1, "Under Secretary of Defense for Policy (USD(P))," December 8,1999
DoD Directive 5111.10, "Assistant Secretary of Defense for Special Operations and Low-
Intensity Conflict (ASD(SO/LIC))," March 22, 1995, as amended
DoD Directive 5111.13, "Assistant Secretary of Defense for Homeland Defense and Americas'
Security Affairs (ASD(HD&ASA))," January 16, 2009
DoD Directive 5132.03, "DoD Policy and Responsibilities Relating to Security Cooperation,"
December 29, 2016
DoD Directive 5134.08, "Assistant Secretary of Defense for Nuclear, Chemical, and Biological
Defense (ASD(NCB))," January 14, 2009, as amended
DoD Directive 5136.01, "Assistant Secretary of Defense for Health Affairs (ASD(HA)),"
September 30, 2013
DoD Directive 5160.41E, "Defense Language, Regional Expertise, and Culture (LREC)
Program," August 21, 2015, as amended
DoD Directive 6200.04, "Force Health Protection," October 9, 2004
DoD Directive 6400.04E, "DoD Veterinary Public and Animal Health Services," June 27, 2013,
as amended
DoD Directive 7045.14, "Planning, Programming, Budgeting, and Execution (PPBE) Process,"
January 25, 2013
DoD Instruction 2205.02, "Humanitarian and Civic Assistance (HCA) Activities," June 23, 2014
DoD Instruction 3000.05, "Stability Operations," September 16, 2009 DoD Instruction 5111.20, "State Partnership Program (SPP)," October 12, 2016 DoD Instruction 5132.14, "Assessment, Monitoring and Evaluation Policy for the Security
Cooperation Enterprise," January 13, 2017
DoD Instruction 5160.70, "Management of the Defense Language, Regional Expertise, and
Culture (LREC) Program," December 30, 2016
DoD Instruction 6000.16, "Military Health Support for Stability Operations," May 17, 2010
Joint Publication 3-0, "Joint Operations," August 11, 2011 Joint Publication 3-29, "Foreign Humanitarian Assistance," January 3, 2014 Joint Publication 3-57, "Civil-Military Operations," September 11, 2013
OSD Policy Guidance for "DoD Global Health Engagement (GHE)," May 15, 20131
OSD Policy Guidance for "DoD Humanitarian Assistance Programs (HAP)," August 10, 20162
OSD Memorandum, "Global-Theater Security Cooperation Management Information System Governance Council; Subject: G-TSCMIS Vision Statement," June 1, 2015

Public Law 112239, Section 715, "The National Defense Authorization Act for Fiscal Year
2013," January 2, 2013
The White House Executive Order, "Advancing the Global Health Security Agenda to Achieve a
World Safe and Secure from Infectious Disease Threats," November 4, 2016