190722-N-JI086-0010 SEKONDI, Ghana (July 22, 2019) Cmdr. Catherine Luna, a Navy nurse embarked aboard the Spearhead-class expeditionary fast transport ship USNS Carson City (T-EPF 7), speaks with a Ghanaian midwife at the Sekondi Army Base hospital while the ship is in Sekondi, Ghana, July 22, 2019. Carson City is deployed to the Gulf of Guinea to demonstrate progress through partnerships and U.S. commitment to West African countries through small boat maintenance assistance, maritime law enforcement engagement, and medical and community relations outreach. (U.S. Navy photo by Mass Communication Specialist 2nd Class Ford Williams/Released)