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US, Tanzania medical professionals conduct a pediatric knowledge exchange during JA26
U.S. Air Force and Tanzania People's Defence Force medical personnel pose for a group photo after completing a knowledge exchange on pediatric best practices as part of a medical readiness exercise during Justified Accord 26 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 6, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside of traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US Soldier performs surgery during the first-ever MEDREX in Tanzania as part of Justified Accord 2026
U.S. Army Maj. Woo Do, chief of pediatric surgery with the Directorate for Surgical Services, Walter Reed National Military Medical Center, and Tanzania People’s Defence Forces medical personnel perform a surgery on a Tanzanian patient as part of a medical readiness exercise during Justified Accord 2026 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 4, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US Soldier performs surgery during the first-ever MEDREX in Tanzania as part of Justified Accord 2026
U.S. Army Maj. Woo Do, the chief of pediatric surgery with the Directorate for Surgical Services, Walter Reed National Military Medical Center, and Tanzania People’s Defence Forces medical personnel perform surgery on a Tanzanian patient as part of a medical readiness exercise during Justified Accord 2026 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 4, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US medical professionals receive an orientation of Lugalo Military Hospital during Justified Accord 2026
U.S. Air Force Lt. Col. Angela Ling, the lead medical readiness exercise planner for Justified Accord 2026, assigned to the 155th Medical Group, 155th Air Refueling Wing, Nebraska Air National Guard, meets the Tanzania People's Defence Force hospital commander as part of a medical readiness exercise during Justified Accord 26 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 3, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US, Tanzania senior military leaders visit Msata Military Training Base during JA26
U.S. and Tanzania People's Defence Force senior military leaders pose for a group photo at a medical readiness exercise site ahead of the closing ceremony for Justified Accord 2026 at Msata Military Training Base, Msata, Tanzania, March 11, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command’s largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US, Tanzania military medical professionals visit pediatric patients during JA26
U.S. Air Force and Tanzania People's Defence Force medical personnel conduct patient rounds as part of a medical readiness exercise during Justified Accord 26 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 6, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US, Tanzania military medical professionals conduct a medical outreach during JA26
U.S. Air Force and Tanzania People's Defence Force medical personnel offer medical assistance and care as part of a medical readiness exercise during Justified Accord 26 at Msata Military Training Base, Msata, Tanzania, March 9, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
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US, Tanzania medical professionals conduct otolaryngology surgery during Justified Accord 26
U.S. Air Force Col. Halton Beumer, an ear, nose and throat and facial plastic and reconstructive surgeon assigned to the Surgical Operations Squadron, Brooke Army Medical Center, Fort Sam Houston, performs surgery as part of a medical readiness exercise during Justified Accord 26 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 3, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations.
JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)
Photo by: 1st Lt. Tucker Chase
DAR ES SALAAM, Tanzania – U.S. and Tanzanian medical professionals completed the first-ever medical readiness exercise at Lugalo General Military Hospital and Msata Military Training Base, Tanzania, March 2-12. The mission served as an operational component of Justified Accord 2026, U.S. Africa Command's largest exercise in East Africa.
Led by the U.S. Army Southern European Task Force, Africa (SETAF-AF), JA26 focused on readiness, innovation and crisis response. The MEDREX advanced those priorities by testing U.S. medical proficiency in austere, resource-constrained environments and supporting the Nebraska-Tanzania State Partnership Program.
The joint medical team integrated professionals from U.S. Army and U.S. Air Force units from the Nebraska National Guard and active-duty forces. The team treated more than 800 patients across 10 distinct medical specialties, including trauma surgery, infectious disease, orthopedic surgery, optometry and pediatrics.
Tanzanian partners identified the required capabilities, shaping the U.S. medical team's composition.
"We collaborate with the host nation about the types of specialties they prefer," said U.S. Air Force Lt. Col. Angela Ling, a medical officer assigned to the 155th Medical Group, 155th Air Refueling Wing, Nebraska Air National Guard. "It's not just what Nebraska has available, it's what they need and desire, and then how do we improve readiness by fulfilling their needs."
Providing these tailored, host-nation requirements ensures U.S. forces increase their technical proficiency and advance the interoperability required for rapid crisis response. This training promotes shared responsibility and positions African partners to achieve operational independence and lead regional security efforts.
About 20 U.S. military medical personnel provided care alongside Tanzanian counterparts at Lugalo General Military Hospital. Meanwhile, a smaller joint team deployed to the remote village of Msata, testing medical decision-making under severe resource constraints.
Treating unfamiliar regional illnesses, such as malaria, provides military physicians with hands-on experience they cannot replicate in standard U.S. treatment facilities.
"Operating in this austere environment forces us to rely on our foundational clinical skills and adapt to logistical constraints," said U.S. Air Force Col. Halton Beumer, an ear, nose, throat and facial plastic/reconstructive surgeon assigned to the Surgical Operations Squadron, Brooke Army Medical Center, Fort Sam Houston. "The interoperability we build here directly translates to our own operational readiness, ensuring we are prepared to deploy and provide trauma care anywhere in the world."
Such field training ensures medical units remain tactically prepared to support large-scale combat operations globally.
“At home station, our main priority in the National Guard is ensuring that our Airmen are medically ready to deploy, and then also maintaining our readiness," said U.S. Air Force Col. Brooke Sciuto, family medicine physician and commander of 155th Medical Group, Nebraska Air National Guard. "Here, we have the great opportunity to provide care and practice our readiness skills."
The exercise also functioned as a battle lab for the total force. The U.S. Army tested a digital field-medicine tracker for the first time in Africa to quantify operational readiness. Providers logged encounters, procedures, diagnoses and clinical hours through a mobile interface.
Developed by the U.S. Air Force, the Medical Currency Application for Readiness Tracking 2.0 is a cloud-enabled, modular system. The platform aggregates clinical data and adds calculated measures like work-relative value units, as well as joint knowledge, skills and abilities metrics, then populates a near real-time dashboard accessible to leadership.
"The most significant improvements came from the hundreds of end users across the Army, Navy and Air Force who tested the application during operational missions and exercises," said U.S. Air Force Col. Justin Fo, professor of surgery at the Uniformed Services University of the Health Sciences. "Their feedback was critical in improving usability and ensuring the platform met the practical needs of clinicians operating in real-world environments."
The platform's ongoing success relies on continuous user-driven feedback from the field. Testing by end users during the exercise ensures the application meets the practical needs of medical personnel.
By synchronizing the state partnership, specialized clinical expertise and digital innovation, this historic MEDREX validated U.S. medical readiness and reinforced the operational value of partnered training in East Africa.
