Local boys jump rope with U.S. Army Staff Sgt. Reginald Pinkney, Maritime Civil Affairs Team 216 communications sergeant, during a Medical Civic Action Program, or MEDCAP, in Tswaka, Kenya, Aug. 28, 2012. The civil affairs team is assigned to the Combined Joint Task Force - Horn of Africa, or CJTF-HOA. 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.