U.S. Navy Petty Officer 1st Class Thomas Hratko, Maritime Civil Affairs Team 216 constructionman, helps unload medical supplies during a Medical Civic Action Program, in Lunga Lunga, Kenya, Aug. 21, 2012. The civil affairs team is assigned to the Combined Joint Task Force - Horn of Africa. CJTF-HOA participates in many MEDCAPs across East Africa, aiming to strengthen the capabilities of community health workers, enhance overall community health, provide medical care to underserved communities and develop trust and confidence with partner nations.