U.S. Navy Chief Petty Officer Scott Rogoff, Maritime Civil Affairs Team 216 team chief, unloads medical supplies during a Medical Civic Action Program, in Lunga Lunga, Kenya, Aug. 21, 2012. The civil affairs team is assigned to 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.