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In 1996, the Central African Republic was shaken by a politico-military crisis that stemmed to a large extent from widespread public discontent over social and economic problems. On 25 January 1997, an agreement was signed in Bangui, and from 31 January 1997 an inter-African force in the Central African Republic was established in order to restore peace and security in the Central African Republic by monitoring the implementation of the Bangui agreements.

In its resolution 1159 of 27 March 1998, the Security Council decided to establish the United Nations Mission in the Central African Republic (MINURCA), with effect from 15 April 1998. The Mission was terminated in February 2000.

Qualifying time for the medal is 90 days of service in the Mission. Personnel contributors are: Burkino Faso, Canada, Chad, Cote D'Ivoire, Egypt, France, Gabon, Mali, Senegal and Togo.