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ArHo ,strange thing indeed , to me he carries a circasian dagger into a bayonet sheat and frog ,notable also the handgun of the sanitater, a 1879 Reichsrevolver . Austro Hungarian medics carried the M1853 Pioniersabel , 1853 sappers sabre . a short weapon heavier and with a wide blade . Perhaps your man served some time in the eastern front or cared some Russian POW
I have found a link with some activity concerning the Gold Medal for Independence of Mali.
It refer to only 415 Awards.
Maybe this one works :
The first photo (with cream background), Ilja shall be credited for have found that photo.
Best regards to all.