NATO awards the NATO Medal for NATO Operations and Activities in Africa for service in direct support of one of the following operations or activities:
- North Atlantic Council-approved NATO support activities in relation to the African Union
- Operation ALLIED PROVIDER
- Operation ALLIED PROTECTOR
- Operation OCEAN SHIELD
- Operation UNIFIED PROTECTOR
For a list of the NATO medals that have been authorized for acceptance and wear by U.S. service members, see DoD Manual 1348.33, Manual of Military Decorations and Awards, Volume 3.