Armed Forces of the Philippines and U.S. Forces participate in a Medical Civil Assistance Project in support of Balikatan 2009 at Umiray Elementary School in Dingalan, Aurora province, Republic of the Philippines, April 20. Civil military humanitarian assistance activities enable Armed Forces of the Philippines and U.S. personnel to get to know each other, train together, and provide assistance in communities where the need is greatest, improving their ability to operate as one team on joint projects.