Jowih Mobile Health

JOWIH MOBILE HEALTH FRAMEWORK

Pillar I Implementation: Empower Communities & Basic Needs

SECTION 1: CORE PRINCIPLES

• 1 Healthcare Comes to the People – The Foundation shall not build hospitals as the primary model. Instead, healthcare shall be delivered through mobile health capsules that travel to villages, towns, and remote settlements.
• 2 Permanent Level 3 Hospitals in Every County – Every county or district shall have its own permanent Level 3 district hospital. This hospital operates continuously, providing routine inpatient care, basic surgery, maternal health, and outpatient services.
• 3 Mobile Surgical Platoon Upgrades – When the Level 5/6 mobile surgical platoon arrives at a county hospital, the facility is temporarily upgraded to Level 5/6 capability. Advanced surgery, intensive care, CT scanning, and blood banking become available.
• 4 No Infrastructure Waste – When the platoon leaves, the Level 3 hospital remains fully operational. No building sits empty. No staff are idle. The upgrade is temporary. The baseline care is permanent.
• 5 Three Static World-Class Hospitals – The Foundation shall build three permanent world-class hospitals (Level 6) serving as ultimate referral centers: one in West Africa, one in East Africa, and one in Southern Africa.
• 6 Predictable Rotation Schedule – Counties shall know when the surgical platoon will arrive (e.g., "Every 4 months"). Predictability builds trust and enables surgical planning.
• 7 Integrated with Existing Systems – Mobile health shall work alongside government clinics, hospitals, and community health workers. It shall not replace them.
• 8 Scalable Across Africa – The same hospital design, capsule specifications, and operational protocols shall work in any country, any terrain.

SECTION 2: THE THREE STATIC WORLD-CLASS HOSPITALS

• 1 Purpose – These are permanent, non-mobile referral centers for long-term or highly complex cases beyond the capability of the mobile surgical platoon.

2.2 Locations

• Hospital 1 (West Africa): Nigeria or Ghana
• Specialties: Cardiology, Oncology, General Surgery
• Hospital 2 (East Africa): Kenya or Tanzania
• Specialties: Neurology, Neurosurgery, Infectious Diseases
• Hospital 3 (Southern Africa): South Africa or Zambia
• Specialties: Trauma, Emergency, Pediatrics, Maternal Health

2.3 Functions

• Ultimate referral center for cases beyond Level 5/6 capability
• Training ground for medical staff
• Medical research and innovation
• Complex surgeries (organ transplant, advanced neurosurgery, etc.)
• Teaching hospital for the Mega STEM University medical program
• Patients airlifted from any country when needed

SECTION 3: PERMANENT LEVEL 3 HOSPITALS (EVERY COUNTY)

• 1 Concept – Every county or district in every country shall have a permanent Level 3 district hospital. This hospital operates continuously, 24 hours a day, 7 days a week, 365 days a year. It is never closed.

3.2 Services Always Available

• Outpatient consultations for routine illnesses
• Inpatient wards for observation and recovery
• Normal deliveries and basic obstetric care
• Basic laboratory services (blood tests, urinalysis, malaria, HIV)
• Basic pharmacy for essential medications
• Emergency stabilization and first aid
• Minor surgical procedures (sutures, wound care, abscess drainage)

3.3 When the Surgical Platoon Arrives

• The Level 5/6 mobile platoon sets up within the hospital compound
• The facility is temporarily upgraded to Level 5/6 capability
• Advanced surgery becomes available (general, orthopedic, obstetric)
• Intensive care with ventilators becomes available
• CT scanning and advanced radiology become available
• Blood bank and advanced laboratory become available
• Specialist surgeons, anesthesiologists, and intensivists are present

3.4 When the Surgical Platoon Leaves

• The Level 5/6 capsules and specialist staff depart
• The Level 3 hospital remains fully operational
• Routine care continues without interruption
• No infrastructure sits idle
• No staff are displaced
• 5 Compound Components (Permanent Level 3 Hospital)

The permanent compound includes the following facilities that operate continuously:

• Outpatient department for general consultations
• Inpatient wards with 20 to 50 beds for observation and recovery
• Maternity unit for normal deliveries and basic obstetric care
• Basic laboratory for routine blood tests, urinalysis, malaria, and HIV screening
• Basic pharmacy for essential medications and chronic disease management
• Emergency room for stabilization and first aid
• Minor surgery room for sutures, wound care, and minor procedures
• Administration offices for records, admissions, and staff
• Staff quarters for permanent hospital staff
• Security perimeter with walls, fencing, access control, and guard house
• Green spaces including healing gardens and outdoor areas for patients and staff
• Solar power array for primary or backup power
• Water treatment system for on-site purification and storage
• Basic waste management for medical waste handling

3.6 When Surgical Platoon Arrives (Temporary Additions)

When the mobile surgical platoon arrives, the following capsules are added to the compound:

• Operating Theater Capsules for major surgery (general, obstetric, orthopedic)
• Intensive Care Unit Capsules with ventilators for critical care
• Advanced Laboratory Capsule for blood bank, microbiology, and pathology
• Radiology Capsule with CT scanner and advanced ultrasound
• Sterilization and Supply Capsule for surgical instrument processing
• Command and Telemedicine Capsule for coordination and remote specialist consults
• Staff Quarters Capsules for rotating specialist staff

3.7 Compound Specifications

• Land area: 2 to 5 acres per hospital

- Permanent

• Capsule parking area: Space for 12 to 14 capsules when platoon arrives
• Construction time: 6 to 12 months for permanent Level 3 structure
• Power: Solar plus grid backup plus battery banks
• Water: On-site borehole plus purification plus storage
• Security: 24/7 monitoring, access control, perimeter wall
• 8 Number of Hospitals per Country
• Small countries such as Rwanda or Burundi with 30 to 40 counties: 4 to 6 hospitals
• Medium countries such as Kenya or Ghana with 40 to 60 counties: 6 to 8 hospitals
• Large countries such as Nigeria or Democratic Republic of Congo with 100 to 200 counties: 10 to 15 hospitals

3.9 Total Hospitals Across Africa

• Average hospitals per country: 6 to 10
• Total countries: 54
• Total permanent Level 3 hospitals: 324 to 540

SECTION 4: THE MOBILE SURGICAL PLATOON (TIER 4)

• 1 Concept – A coordinated platoon of specialized capsules that together function as a fully mobile Level 5/6 surgical hospital. One platoon rotates between multiple permanent Level 3 hospitals within a country.

4.2 Platoon Composition

The platoon consists of the following capsules:

- Triage and Emergency Capsule

• Function: Initial assessment, stabilization, resuscitation
• Staff: 2 ER nurses plus 1 ER doctor
• Operating Theater 1 Capsule
• Function: General surgery, emergency surgery
• Staff: 1 surgeon plus 1 anesthesiologist plus 2 scrub nurses
• Operating Theater 2 Capsule
• Function: Obstetric surgery including C-sections and gynecology
• Staff: 1 OB-GYN plus 1 anesthesiologist plus 2 scrub nurses
• Operating Theater 3 Capsule (optional)
• Function: Orthopedic or specialty surgery
• Staff: 1 orthopedic surgeon plus 1 anesthesiologist plus 2 scrub nurses

- Intensive Care Unit Capsule

• Function: Post-operative recovery, critical care, ventilators
• Staff: 1 intensivist plus 2 ICU nurses
• Inpatient Ward 1 Capsule
• Function: Post-surgery recovery with 6 to 8 beds
• Staff: 2 nurses
• Inpatient Ward 2 Capsule
• Function: Medical patients and observation with 6 to 8 beds
• Staff: 2 nurses

- Laboratory Capsule

• Function: Blood bank, hematology, microbiology, biochemistry, pathology
• Staff: 2 lab techs plus remote pathologist

- Radiology Capsule

• Function: X-ray, portable CT scanner, ultrasound
• Staff: 1 radiographer plus remote radiologist

- Pharmacy and Blood Bank Capsule

• Function: Medications, blood products, cold storage, blood typing
• Staff: 1 pharmacist plus 1 blood bank technician

- Sterilization and Supply Capsule

• Function: Autoclaves, surgical instrument sterilization, central supply
• Staff: 1 technician

- Staff Quarters Capsule

• Function: Sleeping, rest, meals for rotating shifts
• Staff: None (accommodation only)

- Command and Telemedicine Capsule

• Function: Coordination, remote specialist consults, patient records
• Staff: 1 coordinator

4.3 Platoon Summary

• Total capsules: 12 to 14
• Total clinical staff: 22 to 28
• Total support staff: 4 to 6
• Daily surgical capacity: 10 to 20 major surgeries
• Daily patient capacity: 100 to 200 inpatient and outpatient
• 4 Number of Platoons per Country
• 4 to 6 hospitals in a country: 1 platoon
• Rotation pattern: 2 to 3 months at each hospital
• 6 to 8 hospitals in a country: 1 to 2 platoons
• Rotation pattern: 1 to 2 months at each hospital
• 10 to 15 hospitals in a country: 2 to 3 platoons
• Rotation pattern: 1 to 2 months at each hospital

SECTION 5: THE ROTATION MODEL

5.1 How Rotation Works

Within a country, the mobile surgical platoon rotates between permanent Level 3 hospitals on a predictable schedule.

When the platoon arrives at a hospital, that facility is temporarily upgraded from Level 3 to Level 5/6 capability. Advanced surgery, intensive care, CT scanning, and blood banking become available.

When the platoon leaves, the capsules and specialist staff depart. The Level 3 hospital remains fully operational. Routine care continues without interruption.

Hospitals without the platoon continue operating as normal Level 3 hospitals. No facility sits empty. No services are lost.

• 2 Rotation Schedule Example for a Country with 6 Hospitals and 1 Platoon
• January to February: Hospital 1 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.
• March to April: Hospital 2 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.
• May to June: Hospital 3 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.
• July to August: Hospital 4 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.
• September to October: Hospital 5 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.
• November to December: Hospital 6 is active with platoon. Hospital becomes Level 5/6. Major surgeries performed.

5.3 Follow-Up Rotation (Next Year)

• January to February: Hospital 1 is active again. Follow-up surgeries performed. New surgical cases addressed.
• The cycle repeats continuously. Every hospital receives the platoon on a predictable schedule.

5.4 Between Rotations

• Hospitals without the platoon continue operating as normal Level 3 hospitals.
• Routine outpatient care continues.
• Normal deliveries continue.
• Basic inpatient care continues.
• Minor surgical procedures continue.
• Emergency stabilization continues.
• Patients requiring major surgery are either transported to the hospital currently hosting the platoon or scheduled for the next rotation.

SECTION 6: TIER 1-3 MOBILE CLINICS (VILLAGE LEVEL)

• 1 Concept – Multiple health capsules travel together as a coordinated platoon, arriving at villages on a predictable schedule. These clinics bring routine healthcare directly to communities.

6.2 Capsule Types

- Diagnostics Capsule

• Function: General check-ups, vital signs, laboratory tests
• Staff: 1 to 2 clinical officers plus 1 lab technician

- Maternal and Child Health Capsule

• Function: Prenatal care, vaccinations, well-baby checkups, nutrition counseling
• Staff: 1 midwife plus 1 nurse

- Emergency and Minor Surgery Capsule

• Function: Sutures, wound care, fracture stabilization, emergency triage
• Staff: 1 doctor plus 1 trauma nurse

- Pharmacy Capsule

• Function: Dispensing medications, family planning supplies, chronic disease management
• Staff: 1 pharmacist or pharmacy technician

- Telemedicine Capsule

• Function: Remote consultations with specialists
• Staff: 1 nurse coordinator plus video link
• Dental Capsule (optional)
• Function: Extractions, cleanings, basic dental care
• Staff: 1 dentist plus 1 assistant

6.3 Platoon Configurations

Basic Configuration (2 capsules):

• Diagnostics plus Pharmacy
• Staff: 3 to 4
• Daily patient capacity: 50 to 100

Standard Configuration (4 capsules):

• Diagnostics plus Maternal plus Pharmacy plus Telemedicine
• Staff: 6 to 8
• Daily patient capacity: 150 to 250

Full Configuration (5 to 6 capsules):

• All available capsules
• Staff: 10 to 12
• Daily patient capacity: 300 to 500

6.4 Deployment Schedule

• Weekly visits: High-population villages with more than 5,000 residents
• Platoon type: Standard or Full
• Bi-weekly visits: Medium villages with 1,000 to 5,000 residents
• Platoon type: Basic or Standard
• Monthly visits: Remote villages with fewer than 1,000 residents
• Platoon type: Basic
• Emergency response: Any village on-call
• Platoon type: Emergency capsule only

6.5 Predictable Scheduling

• Villages receive printed and digital calendars
• Community Development Entities announce arrival dates through the Jowih Asta and local announcements
• Patients can pre-register via the Jowih Asta , which reduces wait times

SECTION 7: CAPSULE SPECIFICATIONS (ALL TIERS)

• 1 Dimensions (same as CRT capsules for manufacturing efficiency)
• Length: 13 meters
• Width: 3m meters
• Height: 3.20 meters
• Wheels: Rugged road-friendly, airless tires (no punctures)
• Suspension: Advanced active and passive suspension
• Power: Electric hub motors plus swappable battery packs
• Solar charging: Available at depots and compounds

7.2 Diagnostics Capsule Interior

• Examination table
• Basic laboratory equipment including microscope, centrifuge, and rapid test kits
• Vital signs monitor for blood pressure, pulse, temperature, and oxygen saturation
• Electrocardiogram machine
• Portable ultrasound
• Storage for consumables including gloves, swabs, and reagents

7.3 Maternal and Child Health Capsule Interior

• Two examination beds
• Solar-powered vaccination refrigerator
• Baby weighing scale
• Growth monitoring charts
• Prenatal education materials
• Emergency delivery kit

7.4 Emergency and Minor Surgery Capsule Interior

• Treatment beds
• Surgical light
• Sterilization equipment
• Minor surgery kit including sutures and instruments
• Oxygen concentrator

- Defibrillator

• Emergency drug kit

7.5 Pharmacy Capsule Interior

• Dispensing counter
• Locked temperature-controlled medication storage
• Cold chain refrigerator for vaccines and insulin
• Dispensing software linked to patient records
• Pill counters and labeling equipment

7.6 Telemedicine Capsule Interior

• Workstation with large screen
• High-quality camera and microphone
• Satellite or 4G or 5G internet connection
• Remote specialist scheduling system
• Patient couch for remote examination guidance

7.7 Dental Capsule Interior

• Dental chair
• Autoclave for instrument sterilization
• Extraction instruments
• Compressor and suction equipment
• Basic restorative materials
• 8 Operating Theater Capsule Interior (Tier 4)
• Operating table
• Surgical light
• Anesthesia machine
• Patient monitors
• Surgical instrument tables
• Sterile storage
• 9 Intensive Care Unit Capsule Interior (Tier 4)
• 2 to 4 ICU beds

- Ventilators

• Patient monitors
• Infusion pumps
• Emergency crash cart
• Central nursing station
• 10 Laboratory Capsule Interior (Tier 4)
• Hematology analyzer
• Chemistry analyzer
• Microbiology workstation
• Blood bank refrigerator

- Microscope

- Centrifuge

- Autoclave

• 11 Radiology Capsule Interior (Tier 4)
• Portable CT scanner
• Digital X-ray machine
• Ultrasound machine
• Radiologist workstations
• Radiation shielding

SECTION 8: STAFFING MODEL

• 1 Permanent Level 3 Hospital Staff (Per Hospital)
• Hospital Administrator: 1
• Medical Officer or General Practitioner: 2 to 3
• Clinical Officers: 3 to 5
• Nurses: 8 to 12
• Midwives: 2 to 3
• Laboratory Technician: 1 to 2
• Pharmacist or Pharmacy Technician: 1 to 2
• Administrative and Records Staff: 2 to 3
• Security Guards: 2 to 4
• Maintenance and Grounds Staff: 2 to 3
• Total permanent staff: 25 to 40
• 2 Tier 1-3 Mobile Clinic Staff (Per Platoon, Standard Configuration)
• Platoon Lead (Clinical Officer or Nurse): 1
• Clinical Officer: 1 to 2
• Nurse: 2 to 3
• Laboratory Technician: 1
• Pharmacist or Pharmacy Technician: 1
• Driver and Logistics Coordinator: 1
• Community Health Worker (local, per village): 2 to 3
• Total staff: 10 to 12
• 3 Tier 4 Mobile Surgical Platoon Staff (Per Platoon)
• Platoon Commander (Senior Doctor): 1
• General Surgeon: 1 to 2
• Obstetrician and Gynecologist: 1
• Orthopedic Surgeon (optional): 1
• Anesthesiologist: 1 to 2
• Emergency Physician: 1
• Intensivist (ICU): 1
• General Practitioner: 2
• Clinical Officers: 3 to 4
• Nurses for ER, ICU, wards, and theater: 8 to 12
• Laboratory Technicians: 2
• Radiographer: 1
• Pharmacist: 1
• Blood Bank Technician: 1
• Sterilization Technician: 1
• Logistics Coordinator: 1
• Drivers: 2 to 3
• Total staff: 30 to 40

8.4 Remote Specialist Network (Telemedicine)

• Cardiologist: Available via video consultation
• Dermatologist: Available via video consultation
• Psychiatrist: Available via video consultation
• Pediatrician: Available via video consultation
• Radiologist: Available for image review
• Pathologist: Available for laboratory results review
• Neurosurgeon: Available for remote surgical guidance (from static world-class hospitals)

8.5 Training Requirements

• All clinical staff trained in mobile health protocols
• Emergency response certification for all clinical staff
• Cultural competence training as required by Article XXXVIII
• Equipment maintenance training for technical staff
• Mobile surgical platoon staff trained in disaster response and mass casualty management

SECTION 9: COMPLETE REFERRAL PATHWAY

9.1 Village Level

Tier 1-3 mobile clinics visit villages on a predictable schedule.

• Routine care: Treated on-site. Patient discharged.
• Severe case detected: Patient stabilized. Referred to nearest Level 3 hospital.
• 2 County Level (Level 3 Hospital)

The permanent Level 3 hospital is always open.

• If the mobile surgical platoon is present at this hospital:
• Hospital is upgraded to Level 5/6 capability
• Surgery performed immediately
• Patient recovers in inpatient ward or ICU capsule
• Discharged to community
• If the mobile surgical platoon is at another hospital:
• Patient stabilized at this Level 3 hospital
• Transported to the hospital currently hosting the platoon
• Surgery performed there
• Or scheduled for next rotation when platoon returns

9.3 Beyond County Level

Cases beyond Level 5/6 capability are referred to the three continental world-class hospitals.

Examples of such cases include:

• Organ transplantation
• Advanced neurosurgery
• Complex oncology requiring specialized treatment
• Any long-term or highly complex condition

These patients are stabilized at the Level 3 hospital and then airlifted or transported to the nearest static world-class hospital.

• 4 Static World-Class Hospitals (Level 6)

These hospitals are always open and always staffed.

• West Africa hospital serves West and Central Africa
• East Africa hospital serves East and Horn of Africa
• Southern Africa hospital serves Southern Africa

They provide:

• Complex specialist surgery
• Advanced oncology treatment
• Long-term care for complex conditions
• Medical research and innovation

SECTION 10: SELF-CONTAINED INFRASTRUCTURE

10.1 Power

• Solar panels on each capsule roof
• Large battery banks for overnight operation
• Backup generator for critical functions including surgery and ICU
• Swappable battery packs compatible with CRT and Solar Tree batteries

10.2 Water

• Onboard water tanks with 500 to 1000 liters per platoon
• Water purification system
• Grey water treatment
• Surgical scrubs and sterilization water supply for Tier 4

10.3 Waste Management

• Segregated waste storage for general, infectious, and sharps waste
• Incinerator capsule for medical waste (Tier 4)
• Contracts with local waste management services where available

10.4 Climate Control

• Air conditioning in all clinical capsules
• Temperature-controlled medication storage
• Positive pressure for operating theaters (Tier 4)

SECTION 11:cost STRUCTURE

• 1 Capitalcosts (Permanent Level 3 Hospital per County)
• Land acquisition: $100,000 to $500,000 or lease from government.
• Pre-built modular buildings: $500,000 to $1,000,000
• Solar power system plus battery banks: $200,000 to $500,000
• Water treatment plus borehole: $100,000 to $200,000
• Waste management system: $100,000 to $200,000
• Security perimeter plus access control: $50,000 to $100,000
• Permanent medical equipment: $500,000 to $1,000,000
• Total per hospital: $1.55 million to $3.5 million
• 2 Capitalcosts (Tier 4 Mobile Surgical Platoon)
• Capsules (12 to 14 units): $600,000 to $1.4 million
• Surgical and intensive care unit equipment: $500,000 to $1.5 million
• Radiology equipment including CT scanner, X-ray, and ultrasound: $300,000 to $800,000
• Laboratory equipment: $100,000 to $300,000
• Sterilization and supply equipment: $50,000 to $100,000
• Self-contained infrastructure (solar, water, waste): $200,000 to $500,000
• Specialist staff training: $100,000 to $200,000
• Total per platoon: $1.85 million to $4.8 million
• 3 Capitalcosts (Tier 1-3 Mobile Clinic Platoon)
• Capsules (4 to 5 units): $200,000 to $400,000
• Medical equipment: $100,000 to $200,000
• Staff training: $20,000 to $50,000
• Total per platoon: $320,000 to $650,000

11.4 Capitalcosts (Static World-Class Hospitals)

• Land, construction, and equipment per hospital: $50 million to $150 million
• Total for three hospitals: $150 million to $450 million

11.5 Total Continental Investment

• Permanent Level 3 hospitals: 324 to 540 units
• cost per unit: $1.55 million to $3.5 million
• Total: $500 million to $1.9 billion
• Tier 4 mobile surgical platoons: 54 to 162 units
• cost per unit: $1.85 million to $4.8 million
• Total: $100 million to $778 million
• Tier 1-3 mobile clinic platoons: 1,370 units
• cost per unit: $320,000 to $650,000
• Total: $438 million to $891 million
• Static world-class hospitals: 3 units
• cost per unit: $50 million to $150 million
• Total: $150 million to $450 million
• Grand total: $1.2 billion to $4.0 billion

11.6 Operatingcosts (Annual, Full Deployment)

• Permanent Level 3 hospitals: $300 million to $600 million
• Tier 4 platoons: $127 million to $256 million
• Tier 1-3 platoons: $390 million to $726 million
• Static world-class hospitals: $30 million to $90 million
• Total annual operatingcost: $847 million to $1.67 billion

11.7 Revenue Model

• Patient fees (lowcost)Subsidized for poorest patients.
• Surgical fees (Tier 4): Income-based sliding scale.
• Government service contract: Negotiated per patient, per surgery, or per diem.
• Health insurance claims: Market rate where available.

- Africa Health Fund

11.8 Funding Source

- Surplus from AHF

- Mission Fund

- Country Health Pot from Foundation

SECTION 12: GOVERNMENT PARTNERSHIP

• 1 ADFA Integration – Mobile health shall be included in Accelerated Development Framework Agreements (Article XX.9).

12.2 Government Obligations

• Regulatory approval for mobile health services
• Permission to operate mobile clinics in villages
• Integration with national health surveillance systems
• Referral acceptance at government hospitals
• Exemption from facility licensing for mobile services
• Permission for mobile surgical platoon to rotate between counties
• Waiver of import duties on medical equipment and capsules
• Permission for airlift or transport of patients to static world-class hospitals

12.3 Foundation Obligations

• Build permanent Level 3 hospitals in every county
• Deploy and operate mobile health platoons
• Employ and train all clinical staff
• Procure and maintain capsules and equipment
• Coordinate with Community Development Entities for village scheduling
• Provide free care for the poorest patients (subsidized by donations)
• Conduct surgical campaigns with mobile platoon
• Report outcomes to Ministry of Health
• Operate three static world-class hospitals as ultimate referral centers
• Arrange airlift or transport for patients requiring Level 6 care

12.4 Revenue Share

• Government receives data for public health planning
• No revenue share required for basic services
• For surgeries, government may receive nominal fee per procedure for referred patients

SECTION 13: EMERGENCY RESPONSE

13.1 Mass Casualty Activation

The mobile surgical platoon can be deployed within 48 hours to respond to:

• Natural disasters including earthquakes, floods, and cyclones
• Disease outbreaks including Ebola and cholera
• Mass casualty events including accidents and violence
• Refugee or displacement crises

13.2 Emergency Configuration

• Trauma and emergency surgery prioritized
• Intensive care unit capacity expanded
• Triage and stabilization focused
• Coordination with international relief organizations as needed

13.3 Government Request Protocol

• Government requests activation through ADFA emergency clause
• Foundation deploys within 48 hours
• costs shared: Foundation covers capital, government covers consumables for emergency response