scopes, blood pressure cuffs in various sizes, scales, glucose monitors, and
stethoscopes should be available at health fairs.
7. A dedicated personnel asset is required for robust medical assessment data
collection. OICs should have a basic understanding of intent of assessment and
appropriate input. A visual assessment of engagements by a medical assessment officer (MAO) provides an additional perspective adding great value to data
collection. Debriefs with the entire engagement team by the MAO post-engagement (between mission stops) provides even greater perspective and insight
regarding the activities and should be part of the assessment process. Mission
stops that are being led by a PN should have a U.S. MAO embedded with the
medical team to assess those sites and activities. Clear guidance should be
given the MAO regarding his role on the mission and expectations for reports,
updates, and AARs.
8. Dedicated information technology (IT) assets should be supplied to provide
adequate capacity for entering data in a timely manner. This would lead to more
robust data collection.
9. Modify MAARs data collection tool to reflect insights gained during PP13
mission.
10. When feasible and safe, consideration for RON should be made. Staff
should be prepped for expeditionary conditions. Being on-site creates greater
rapport with community, increases time dedicated to engagements, and has
potential for increased contribution to the local economy.
11. No pharmaceuticals should be brought into country for dispensing. Medications cannot be sustained by HN. Dispensing them takes away from local
pharmacy business. Most medications dispensed on this mission were
temporary relief for chronic problems (i.e., joint pain, dermatologic conditions).
Expectation of clinical care can be avoided if no pharmaceutical treatment is
available. Dispensing of excess supply creates confusion and unnecessary
paperwork shuffles.
12. Consideration for no veterinary surgical engagements should be considered.
Surgical de-sexing cannot be completed for large numbers of animals. Pacific
islands have their own management of dog and cat populations (whether we
approve or not). De-sexing does not seem to impact their management strategy.
Significant supplies are required for surgery, creating logistical challenges.
Transporting narcotics into foreign countries is often difficult.
13. Too many HMCs were assigned to medical administrative staff. Recommend
1 HMC SEL, 1 LS1, and 1 LPO.
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