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Global Health Engagement Design and Planning TTX

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04-08 MAY 2026

Global Health Engagement

TTX Overview

• Refer to this workbook for each session of the group exercise. There are 5 group exercise sessions in total. Each session is a supplemental learning opportunity for students to apply the knowledge learned via lectures and discussions.
• Each workbook section will have a list of objectives to complete during the session and “Report Outs“ for discussion with your paired groups at the end of the session. The end product of the group exercise is a 10-minute GHE program proposal with associated slide deck (template provided). This product will then be presented to the class and a panel of instructors roleplaying as various leadership elements.

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Ground Rules

• You are members of a GHE planning team assigned to the country of South Torbia. Your task is to develop a GHE program that is aligned with U.S. national security and EASTCOM strategic objectives.
• The medical program should be approximately 5 years in length with a budget allowance of roughly $250,000 annually in funding. Your funding stream allows formal training of South Torbian service members.
• The program should focus on building one or more military medical capabilities or supporting non-medical military capabilities.

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Ground Rules (continued)

• Your team has been provided with a briefing book of resources to provide valuable information on South Torbia’s history, culture, politics, and current capabilities.
• You may make up small details to fill in gaps in the briefing book as you proceed through the design and planning process, though you should defer to the information provided when it is available.
• Instructors will be available throughout the week to discuss your work, provide clarification when necessary, and answer any questions.
• Remember, focus your program on appropriate, feasible activities within a reasonable scope!

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African Peacekeeping Rapid Response Partnership (APRRP) – Ghana Armed Forces Medical LOE

Building Partner Capacity (BPC) for Deployable Level 2 Hospital (L2H) Support

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Strategic Context and Overview (WHY):

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• Purpose:
• Assess, monitor, evaluate, and enable PN rapid response to a crisis
• PN builds and maintains deployable UN Level 2 Hospital capability
• Build relationships to enable engagement and/or success.
• Guidance/Rationale: Global Peace Operations Initiative (GPOI), AFRICOM (relationships)
• Resources: dedicated multi-year funding; AD and National Guard SMEs
• Approach: train the trainer; institutionalize courses
• Key Enablers: PN L2H experience; PN manager/facilitator; senior leader visibility/interest; pledge to UN; sustained contact; dedicated U.S. management team
• Outcomes: PNs deployed L2H for COVID-19 response (resiliency), countered China influence/training, built/maintained relationships in AFRICOM AOR

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Overview of Priority Stakeholders (WHO):

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• AFRICOM Command Surgeons Office: GHE Practitioners
• AFRICOM J58: Program Managers
• Dept of State: Program Manager
• CGHE: Federal Lead, Program Manager, Support Staff, SMEs
• Security Cooperation Organizations
• Partner Nation Military: Senior Leadership, Peacekeeping Ops, Medical
• Others: Service Components, State Partnership Program (North Dakota NG)

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End State

LOE A: Tactical Combat Casualty Care

LOE B: Plans, Logistics, Sustainment

Outcomes:

• Mutual understanding of TCCC within the Ghana military context
• Commitment on both sides (U.S. & GAF) to move forward with the TCCC LOE

Outcomes:

• Commitment to sustaining the effort
• A way forward to address plans, logistics, and biomedical equipment repair needs

Outcomes:

• Progression of GAF trainers
• Development of the administrative capability to sustain the course
• Commitment to sustaining the effort

Outcomes:

• Commitment to sustaining the effort
• Commitment to review and validate the draft plan that was developed

Outcomes:

• Evidence that the GAF is able to train their own within NAEMT standards and requirements
• Evidence of institutionalization
• Commitment to sustaining the effort

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Outcomes:

• Evidence that the GAF is willing to sustain the effort
• Evidence that those that participated had the level of understanding needed to manage L2H

Mission Statement: A deployable Level 2 Hospital (L2H); the Ghana Armed Forces (GAF) is able to sustain capability through institutionalized training; the GAF has a fully trained and staffed L2H and hospital equipment is pre-staged for rapid deployment; hospital personnel are identified, trained, and available to support a rapid deployment.

Outputs:

• Delivery of TCCC course
• Identification of potential trainers
• Key Leader Engagement

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Outputs:

• Functional area experts engaged
• Structures, processes, and practices, identified
• Key Leader Engagement

Outputs:

• Partnered delivery of TCCC course
• Trained GAF members
• Key Leader Engagement

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Outputs:

• Draft plan to manage L2H package
• Draft plan to manage L2H medical equipment
• Key Leader Engagement

Outputs:

• Trained instructors
• Trained GAF members
• Key Leader Engagement

Outputs:

• Draft plan to manage L2H package further developed to include activation and deployment
• Draft plan to manage L2H medical equipment further developed to include maintenance and assemblage of medical equipment
• Key Leader Engagement

Activity: Full delivery of TCCC course and administration by the GAF

Activity: Lecture and Skills Practice and delivery of TCCC course

Activity: Overview of TCCC and delivery of TCCC course

Activity: Medical Plans, Logistics, and Biomedical Equipment Repair Workshop, Step 3- Plan to activate and deploy the L2H when required

Activity: Medical Plans, Logistics, and Biomedical Equipment Repair Workshop, Step 2

Activity: Build a common understanding of Plans, Logistics and Biomedical Equipment Repair structures, processes, and practices

LOE Overview: Tactical Combat Casualty Care- institutionalized training capability line of effort (LOE)

LOE Overview: Medical Plans, Logistics, and Biomedical Equipment Repair

African Peacekeeping Rapid Response Partnership (APRRP) – Ghana Armed Forces Medical LOE

Building Partner Capacity (BPC) for Deployable Level 2 Hospital (L2H) Support

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Partner Nation Context Considerations:

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• Proven capability to provide L2H care
• No proven capability to manage and deploy L2H package
• Commitment: Active support to UN/AU field operations; stated intent to pledge L2H capability
• Expectations not clear
• Current: basic skills/capability/capacity exists; no written plan/guidance; no resources dedicated to L2H package
• Named POC: generally yes, inconsistent

Strategic Communications Plan:

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• Repetition with U.S. Team and PN; what, why, purpose
• Pre Execution:
• Communication with U.S. Team and PN via documents, email, text/WhatsApp, virtual, In-person
• Background reading, Master Planning Document as communication tool, virtual discussion, material/content
• Letter of Invitation: via SCO generally pre-coordinated with PN
• Monitoring and Evaluation Plan: end states identified with participants skill sets/experience, active engagement, and products produced as indicators
• During execution:
• Communications with SCO upon arrival, daily sync/evaluations, ice breaker/team building, seek feedback throughout
• Post execution:
• Verbal outbrief to SCO, Post Engagement Report to CGHE, Training Activity Report to AFRICOM and DoS, presentation to leadership by participants, verbal out brief to Senior Leader(s) after closing; written recommendations via SCO in some cases, historical record keeping

African Peacekeeping Rapid Response Partnership (APRRP) – Ghana Armed Forces Medical LOE

Building Partner Capacity (BPC) for Deployable Level 2 Hospital (L2H) Support

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Session 1: Meet the Team

• Use this session to become familiar with your group members and the country for which you have been tasked to develop a GHE program proposal (South Torbia). Use the resources provided in the briefing book to synthesize the needed information for your design and planning.
• During this session you will evaluate the knowledge, skills, and abilities of your teammates. You will also assign each person a role (detailed on the next two pages) in the GHE planning team.
• In this session you will:
• Discuss how you can leverage your knowledge, skills, and abilities to successfully plan a GHE.
• What GHE experiences do the members of your group have?
• Assign roles to each member of your team
• Report Out: Assigned roles for each member of the team

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Session 1: GHE Team Roles

• CCMD (EASTCOM) GHE Chief is by default the group leader, ensuring the group is completing assignments and delegating briefing and reporting out duties as needed. This role is also responsible for ensuring that all GHE projects are responsive to U.S. and EASTCOM strategic objectives. The CCMD GHE Chief communicates GHE issues, concerns, and capacities to the CCMD Surgeon, provides guidance to subordinate units/teams to execute GHE activities, and leads the planning and execution of GHE activities, both by Service Components and subordinate units.
• CCMD J5 Country Desk Officer (CDO) – South Torbia is located in EASTCOM’s J5 Directorate. The CDO works closely with and serves as a liaison between the OSC and EASTCOM’s Strategy and Security Cooperation Planning cells. The CDO also serves as one leg of the triad (in this CCMD, this triad consists of the Office of Security Cooperation (OSC), CDO and the EASTCOM LOA OPR for South Torbia) that is responsible for determining and executing the security cooperation goals and milestones between the U.S. and South Torbia. The CDO will work with the OSC and CCMD GHE Chief on any medical security cooperation planning for South Torbia; s/he will work to help ensure that the CCMD’s security cooperation goals and strategic milestones are being met.

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Session 1: GHE Team Roles

• Component GHE Chief – Air (AFEAST), Navy (NAVEAST), and/or Army (AREAST) develops and manages the GHE program on behalf of the Service Component (Air Force, Army, Navy) and Service Component Surgeon. The Component Chief develops proposals to conduct GHE activities, guides and informs subordinate units to plan and execute tasked GHE activities, plans and facilitates key leader engagements to inform and enable GHE programs and activities, and develops an understanding of, and communicates, the U.S. and Partner Nation contexts for GHE.
• U.S. Office of Security Cooperation (OSC) Chief – South Torbia is a U.S. official located within the U.S. Embassy in Bandaria. The Chief goes by various names: Security Cooperation Office or Officer (SCO), Office of Security Cooperation (OSC), the Military Group (MILGROUP), and others. SCOs work to facilitate and enable the military-military relationship between the U.S. and PN. When and where appropriate they facilitate aspects of the military-civilian relationship. The SCO is the conduit for communication with the PN. The SCO communicates Letters of Invitation for each engagement activity to the PN. The SCO may assist or guide the coordination of the logistical aspects of activities. Like the country desk officers, the SCO acts as an SME for their assigned country and can/should advise activity planning.

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Session 1: GHE Team Roles

• Tasked U.S. Medical Planner will work with the Component GHE Chief to build a team of subject matter experts with applicable experience to refine the agenda, develop and shape the content, and to execute the activity. Team Members/SMEs should expect to contribute to the planning and preparation process, and to develop and/or provide the content for the engagement.
• South Torbia Defense Force Chief Medical Officer participates in the mission planning and preparation process by providing guidance and feedback to shape the agenda and content of the GHE activity. They could also assist to ready the PN participants for the exchange to include identifying the right participants for the purpose of the activity. Generally, communication and coordination should go through the OSC/SCO.

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GHE Design and Planning TTX Session 2: Strategic and Partner Context

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04-08 MAY 2026

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Global Health Engagement

Session 2: Strategic and Partner Context

• During this session you will analyze the U.S. and PN strategic context for a GHE program with South Torbia
• Become familiar with South Torbia by using the resources in the provided briefing book
• Identify the main U.S. and EASTCOM objectives (security, diplomatic, economic, etc.) related to your country
• Identify the major health or medical needs and interests of the partner nation and partner nation military

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• Report out:
• Identify areas where U.S. and South Torbian interests/objectives align
• Identify at least two specific strategic objectives that a GHE program may be able to respond to

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Session 2: Strategic and Partner Context

One tool security cooperation planners may use in the initial program design phase is the “bow-tie” chart. This chart serves as a visual aid connecting Allied and PN strategic objectives and national priorities to one another, and to capabilities that support the achievement of those objectives. This helps planners align programs with strategic objectives and with PN capability needs and gaps. A tool like the one shown below also allows planners to quickly reference the relative level of capability the PN possesses for identified, aligned priorities.

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South Torbia

Session 2: Strategic and Partner Context

This diagram is provided as an example of such a bow-tie chart completed for Bandaria with non-medical specific priorities. Medical capabilities may be required for the PN to fully develop the capabilities noted below.

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South Torbia

Session 2: Strategic and Partner Context

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Complete the chart on this page, identifying South Torbian strategic objectives and capability priorities and U.S. objectives and capability priorities (either for U.S. forces or for South Torbian forces). Then, complete the middle section of the diagram, identifying capability areas of alignment between U.S. and PN wants/needs.

�Session 2: Strategic and Partner Context�

Now, fill in the top capability row with the capability priorities you identified on the previous page. Using the briefing book and your own experience, provide a capability level assessment for each capability priority and write what systems support the development and maintenance of each capability.

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Capability

Current Lvl

Of Capability

(No, Low,

Med, Full)

System

Session 2: Country Context (SWOT/PMESII)

In this section your team will identify several health/country context considerations for designing, planning, and executing GHE missions within South Torbia, analyzing how those context elements might enable, challenge, or otherwise influence possible programs within the country. A SWOT (strengths, weaknesses, opportunities, threats) is one type of chart that security cooperation planners may use to analyze a partner nation context for engagement. In a SWOT chart, planners will map out the country’s strengths, weaknesses, opportunities, and threats that may influence an engagement program and capability development. They may use a variety of frameworks to conduct this analysis. For this exercise, you will analyze elements of a SWOT chart using the PMESII framework (political, military, economic, sociocultural, infrastructure, information). Even numbered groups will analyze Strengths and Weaknesses while odd numbered groups will analyze Opportunities and Threats.

Report Out:

• Groups will report out unique or particularly valuable elements of their SWOT analysis, comparing notes with their paired Scenario Group.

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SWOT Analysis

Session 2: Country Context (SWOT/PMESII/HCA)

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Complete one half of the SWOT analysis, using the PMESII framework. You will compare notes at the end of the session within your group.

Session 2: Country Context (SWOT/PMESII/HCA)

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Complete one half of the SWOT analysis, using the PMESII framework. You will compare notes at the end of the session within your group.

Political:

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Military:

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Economic:

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Sociocultural:

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Infrastructure:

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Information:

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Political:

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Military:

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Economic:

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Sociocultural:

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Infrastructure:

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Information:

Opportunities

Threats

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GHE Design and Planning TTX Session 3: Design and Planning

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04-08 MAY 2026

Global Health Engagement

Group Conference #1: SWOT Analysis

• During this conference you will share and discuss the results of your SWOT Analysis
• Group A is responsible for the Strength and Weaknesses (PMESII context), while Group B is responsible for Opportunities and Threats.

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Session 3: Design and Planning�(Logic Framework)

This is the session in which the team will finally get down to the business of designing and planning a multi-year significant security cooperation initiative GHE program, responsive to the strategic objectives and capability needs you identified during the first two sessions.

This session contains two related activities and may take longer than the time allotted for this session to complete (you will find additional time tomorrow in which to work on this).

The first activity is a logic framework that can assist security cooperation planners in drawing logical connections between specific activities to be performed and strategic objectives to be achieved or furthered. Between activities and objectives, you will note short, medium, and/or long-term objectives that will contribute to the achievement of identified objectives or end-states. The provided framework is narrative in nature, allowing it to be easily shared with leadership both within and outside the DoD, conveying the purpose, necessity, and investments of the GHE programs. The document should be persuasive and written for a lay audience to understand.

The second activity is your actual 5-year program plan, detailing activities, milestones, investments needed, trainings conducted, assessments completed, and any other necessary elements. All activities and milestones are plotted on the chart by timepoint (in fiscal years from the receipt of funding) and category within the DOTMLPF-P framework. You may need to expand this document across multiple slides for presentation and socialization purposes.

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Session 3: Design and Planning�(Logic Framework)

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Session 3: Design and Planning�(5-year GHE/SC plan)

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GHE Design and Planning TTX Session 4a: Communicate and Refine

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04-08 MAY 2026

Global Health Engagement

Group Conference #2: SMART Objectives

• Share and discuss SMART program objectives with your partnered planning group.
• Each group should have 2 primary program objectives aligned with EASTCOM objectives

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Session 4a: Communicate and Refine

Having spent some time designing and planning your 5-year GHE program, this final working session will be primarily devoted to refining your plan, developing your oral brief, and building the short slide deck that will accompany the persuasive brief to leadership. Remember, the brief must be no more than 10 minutes in length. It is up to your team to decide what slides you will use and how you will present the brief. No element of the activity is required to be presented. You may use any additional tools or frameworks to convey information that you find appropriate.

Additionally, during this portion of the TTX you should complete two activities. The first is a brief communications plan. Outlining your communication strategy to support the activities throughout your engagement program.

The second is a performance monitoring plan (session 4b), which should briefly detail the data or metrics gathered during the course of your program in order to monitor progress and make any necessary adjustments. For the performance monitoring plan, you may choose to focus on any outcomes you’ve identified throughout your planning.

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Session 4a: Communicate and Refine (Communications Strategy)

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Objectives (list 2-4):

Audience #1:

Audience #2:

Medium:

Medium:

Relevance (to them):

Relevance (to them):

Themes/Narratives:

Themes/Narratives

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GHE Design and Planning TTX Session 4b: Communicate and Refine

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November 17-21, 2025

Global Health Engagement

Session 4b: Communicate and Refine

Having spent some time designing and planning your 5-year GHE program, this final working session will be primarily devoted to refining your plan, developing your oral brief, and building the short slide deck that will accompany the persuasive brief to leadership. Remember, the brief must be no more than 10 minutes in length. It is up to your team to decide what slides you will use and how you will present the brief. No element of the activity is required to be presented. You may use any additional tools or frameworks to convey information that you find appropriate.

Additionally, during this portion of the TTX you should complete two activities. The first is a brief communications plan. Outlining your communication strategy to support the activities throughout your engagement program.

The second is a performance monitoring plan (session 4b), which should briefly detail the data or metrics gathered during the course of your program in order to monitor progress and make any necessary adjustments. For the performance monitoring plan, you may choose to focus on any outcomes you’ve identified throughout your planning.

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Session 4b: Communicate and Refine (Performance Monitoring Plan)

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GHE Design and Planning TTX Session 5: Proposal Presentations

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04-08 MAY 2026

Global Health Engagement

Group Conference #3: Context Assessment

• What additional information is needed, in general, and for your program specifically?
• Where to obtain information?
• How to ensure reliability and accuracy?
• Other information challenges and considerations

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• What initial health, context, and/or capability assessments will be needed to support?
• Build the team: who, what, where, when, why, how?
• What will be the role of the Partner Nation?
• What are the important metrics/info needed?
• What else do you hope to learn and/or gain?

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Session 5: Proposal Presentations

Today your team will brief a leadership group with the goal of persuading them of the timeliness, feasibility, and strategic purpose of your GHE proposal, above the dozens of other security cooperation proposals they are likely to receive during this funding period.

You must have a slide deck to accompany the presentation, but you do not specifically need to present any particular activity that you have worked on throughout the week.

The presentation should be no more than 10 minutes long, and the leadership panel will have 10 minutes to ask questions of your group. The leadership panel will include:

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• EASTCOM Command Surgeon
• Deputy Chief of Mission, U.S. Embassy South Torbia
• South Torbia Defense Forces Medical Command (MEDCOM) Commander
• A Panel of Allied SMEs on South Torbia and the AOR (+ your sister team)

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