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JP 3-16, Multinational Operations - Defense Technical Information ...

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Planning and Execution Considerations<br />

(5) In addition, specific technical agreements in many areas (e.g., environmental<br />

cleanup, levying of customs duties and taxes, hazardous material and/or waste storage,<br />

transit, and disposal) may need to be developed to augment SOFAs that may have been<br />

concluded with HNs.<br />

For more information on NATO HNS procedures, see A<strong>JP</strong>-4.5, Allied Joint Host Nation<br />

Support Doctrine and Procedures.<br />

27. Health Services<br />

a. The medical assets committed in support of multinational operations consist of health<br />

service delivery and FHP capabilities that span the OE from point of injury/illness to the<br />

appropriate role of care. It also includes health engagements with HN civil and military<br />

authorities in support of stability operations and building partner capacity, with the goal of<br />

assisting to reestablish or strengthen the HN infrastructure and governmental legitimacy.<br />

Components within these capabilities are essential in the execution of multinational<br />

operations. The provision of medical support to multinational operations represents a<br />

number of challenges.<br />

(1) Unique nature of every individual operation.<br />

(2) Differences in individual national objectives and/or restrictions for participation<br />

in operations and integration of overall mission goals.<br />

OA.<br />

(3) Geographic, topographic, and climatic variations as well as health threats in the<br />

(4) Numbers of individual nations involved in each operation.<br />

(5) Variations in nation standards of health service delivery, FHP, and medical<br />

equipment.<br />

(6) Variations in HN standards of medical care and their ability to appropriately<br />

utilize and maintain medical equipment in the absence of foreign support.<br />

(7) Language and communications differences.<br />

(8) Political complexity and dynamic nature of each operational scenario.<br />

(9) Mission of medical support forces.<br />

(10) Medical staffs face unique problems affecting the health of multinational<br />

personnel deployed on operations. Therefore, operational health services requires clearly<br />

defined and distinctive guidance.<br />

(11) Health services plans are tailored to each operation and meet the demands of<br />

geography, individual nation’s needs, language, and communication difficulties. Plans<br />

III-45

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