Our objective was to determine whether Combined Joint Task Force-Horn of Africa (CJTF-HOA) officials were adequately planning and executing civil-military operations (CMO) in accordance with U.S. Africa Command (USAFRICOM) objectives. We reviewed 40 of 137 humanitarian assistance and humanitarian and civic assistance projects that were planned, ongoing, or completed from FY 2010 through FY 2014 with an estimated value of $8.70 million.