
About us
We envision a continent where every older persons can age with dignity, supported by skilled caregivers and strong community systems.
WHO WE ARE
Strengthening the Future of Eldercare in Africa
Homecare Alliance Africa (HOCA-A) is a pan African, not-for-profit alliance dedicated to developing systems, standards, and regulatory frameworks for the home-based and geriatric care industry across the African Continent.
Our Mission
Build capacity for governments, partners and professionals for quality elderly and homecare services in Africa .
Our Vision
Universal access to quality home care services in Africa .
Our Core Values
Dignity
We affirm the inherent worth of every individual — especially older persons, caregivers, and community members — ensuring that all actions, services, and communications promote respect, compassion, and human value.
Integrity
We operate with honesty, transparency, and accountability in all decisions and partnerships, maintaining public trust and upholding the highest ethical standards in leadership and financial management.
Innovation
We encourage creativity and the use of new ideas, technologies, and models of care to improve the quality, accessibility, and sustainability of elder-care systems in Africa.
Service Excellence
We strive for quality, professionalism, and continuous improvement in all programs and operations, ensuring that every service reflects commitment, empathy, and competence.
Value for Money
We pursue efficiency and prudent use of resources, guaranteeing that every shilling and dollar invested in HOCA-A yields measurable social and health impact for African communities.
Equitable Partnerships
We believe in collaboration built on mutual respect, fairness, and shared benefit — engaging governments, institutions, communities, and the private sector as co-creators of Africa’s care future.
OUR TEAM
HOCA-A’s leadership brings 26+ years of combined local and international experience in geriatric care, hospice and palliative care, research, education, administration, finance, and communications—with representation from policy makers, diplomats, and senior citizens to ensure credible, practical, and culturally grounded solutions.
OUR GOAL
Build a credible home-care ecosystem that supports families, strengthens health systems, and ensures older Africans age with dignity wherever they live. We build the systems that make home care trustworthy: standards, workforce development, quality assurance, and government collaboration.
Meet Our Leadership Expertise

Dr. David M. Wahl, MD, MPH
Board Member
Dr. David M. Wahl is an American Family Physician and Geriatric Care Advocate dedicated to accessible, patient-centered elder care. Trained at George Washington University and Boston University, he began in community family practice before pioneering house call services for frail elders and extending care to nursing homes and surrounding communities. With an MPH, he has led HIV outreach, diabetes education, and cultural health initiatives, while mentoring medical students and providing CPR/First Aid training. Dr. Wahl is recognized for his compassion, innovation, and commitment to honoring the dignity of older adults across diverse healthcare settings.

Patricia M. Anastasia, RN
Board Member
Patricia M. Anastasia, RN, is a versatile healthcare and spiritual professional with over 30 years of experience as a registered nurse, paramedic, Reiki Master, ordained minister, and massage therapist. She specializes in elder care, wound and continence management, and end-of-life support, integrating clinical expertise with holistic healing. Patricia is the founder of Anastasia’s Health Happenings, where she trains healthcare providers and the public in First Aid, CPR, wound care, and caregiver self-care. Dedicated to both people and animals, she champions dignity, wellness, and empowerment through her unique, integrative approach to caregiving and patient support.

Dr. Asif Merchant, MD, FACP, CMD, C.P.E
Board Member
A board-certified physician in Internal Medicine, Geriatric Medicine, and Hospice & Palliative Care, with advanced training in the U.S. after graduating from Bombay University (K.J. Somaiya Medical College). He completed an Internal Medicine residency and Geriatric Medicine fellowship at North Shore University / Long Island Jewish Medical Center (New York), and later earned a Medical Education fellowship at Harvard Medical School—reflecting his commitment to clinical excellence, leadership, and training the next generation of clinicians. As a Board Member of Home Care Alliance Africa (HOCA-A), Dr. Merchant brings deep expertise in elder care quality, post-acute systems, and standards-based practice. Professionally, he is the Chief of Geriatrics and Extended Care Network at Newton-Wellesley Hospital, a Partner at New England Community Medical Services (post-acute care), and Medical Director for multiple nursing homes and a hospice in the Greater Boston area. He holds faculty appointments including Harvard Medical School and serves as an Associate Clinical Professor at Tufts School of Medicine, with multiple publications. A recognized leader in health policy and quality improvement, Dr. Merchant chairs the Geriatrics Committee of the Massachusetts Medical Society, serves on committees within the Massachusetts Health & Hospital Association, and has contributed to public discourse through interviews with major media outlets (e.g., CNN, MSNBC, The Washington Post, Boston Globe). He was appointed in September 2020 to Governor Charlie Baker’s Advisory Group for COVID-19 Vaccination in Massachusetts. With over two decades of leadership in AMDA (The Society for Post-Acute and Long-Term Care Medicine), he helped revive and grow the Massachusetts chapter into the regional Greater New England Society of Post-Acute and Long-Term Care (GNES), where he served as Past President, and he has supported national committees shaping physician competencies, quality metrics, advocacy, and public policy.

Barnabas Nkore, RN
CEO & Founder
Barnabas Nkore, RN, is a healthcare entrepreneur and geriatric care advocate with over 25 yearsof experience in the United States and Africa. He is the President and Board Chair of Vantage Care Limited (Uganda) and the Home Care Alliance Africa (HOCA-A), where he leads efforts to professionalize eldercare across the continent. In Boston, he owns Edgelife Healthcare Inc. and Vantage Care Inc., providing Medicare-accredited skilled nursing, hospice, and palliative care. In Uganda, Barnabas has pioneered structured home care, influenced national health policy, and developed training curricula to empower caregivers and prepare Africa for its rapidly aging population.

Dr. Raymond Tweheyo, MBChB, PGDip (PPM), MPH, PhD
Executive Director
Dr. Raymond Tweheyo is a Ugandan physician, public health specialist, and academic leader with extensive experience in health systems strengthening, research, and medical education. He has served in senior roles within Uganda’s Ministry of Health and as a lecturer and mentor in medical institutions, advancing both clinical and public health leadership. His work spans policy development, workforce training, and regional collaboration. As Executive Director of the Home Care Alliance Africa (HOCA-A) since 2025, Dr. Tweheyo drives initiatives that expand access to quality healthcare and strengthen eldercare and community-based care across Uganda and the African continent.

Mr. Ronald Tumusiime
Director of Business Development, Fundraising & Finance
Ronald Tumusiimi is a finance and strategic management expert with 13+ years of experience in grant acquisition, nonprofit finance, and sustainable funding models. As Director of Fundraising and Finance at the Home Care Alliance Africa (HOCA-A), he drives financial strategy to secure long-term sustainability in eldercare services across the continent. Ronald has mobilized and managed over $2 million for organizations in healthcare, education, and agribusiness. He is also founder of ZoeNet Consult and co-founder of ADAI Labz. With an MBA in Finance and PMP certification, he champions youth empowerment, digital innovation, and inclusive development in Africa.

Dr. Rosemary Kusaba Byanyima
Strategic & Policy Advisor
Dr. Rosemary Kusaba Byanyima is the Executive Director of Mulago National Referral Hospital, Uganda’s leading public hospital. A physician, radiologist, and seasoned healthcare administrator, she has served Mulago since 1993 in roles including Head of Radiology, Clinical Head of Diagnostics, Deputy Executive Director, and Acting Executive Director before her 2024 appointment by President Yoweri Museveni. She holds medical degrees from Makerere University and an Executive MBA from ESAMI. Beyond Mulago, Dr. Byanyima serves on the boards of the Uganda Heart Institute, Uganda Cancer Institute, and National Drug Authority, and is a Visiting Professor of Radiology at Mbarara University.

Vivian Kobusingye Birchall, MSc
Consultant, Communications & Strategic Engagement
Vivian Kobusingye Birchall, MSc is the Founder and CEO of HealthCare Blind Spots Consulting, a strategic communications and advisory firm focused on identifying and addressing overlooked gaps (“blind spots”) in global health systems. A Harvard Medical School graduate with an MSc in Media, Medicine, and Health, she blends evidence-based communication with real-world program leadership to strengthen the intersection of innovation, policy, and public engagement. Vivian serves on the Global Health Catalyst (GHC) team alongside Harvard and Dana-Farber Cancer Institute partners, leading communications that convene governments, academia, and industry to advance equitable access to care. Her work includes UN General Assembly (UNGA)-related dialogues and multi-stakeholder engagement on sustainable health financing and cross-border collaboration. She recently coordinated Uganda’s first Esophageal Cancer Symposium and Stent Insertion Workshop, bringing together the Uganda Cancer Institute, AfrECC, Olympus, Kyabirwa Surgical Center, and the Ugandan Embassy in Washington, D.C., to expand clinical capacity and awareness. She has also supported Uganda’s health security efforts through a technical delegation to the University of Nebraska Medical Center, advancing simulation-based preparedness and implementation partnerships. Through her television programs HealthCare Blind Spots and Africa2U on Acton TV, Vivian elevates conversations with policymakers, clinicians, and scientists translating complex health challenges into practical insight and action. She is driven by a clear purpose: to make health information, innovation, and systems more inclusive, effective, and responsive to the people they serve.
OUR JOURNEY
A Mother’s Story — The Birth of a Movement

Born and raised in the rural village of Bugangari, Rukungiri District, Uganda , I learned early that caring for elders is not charity it is duty, identity, and love. I watched my parents care for my grandparents with patience, respect, and the quiet strength that defines African family life.
Years later, I trained and worked as a Registered Nurse in Boston, USA , spending over 26 years in geriatric care, home health, palliative, and hospice practice. In that system, I saw what happens when compassion is supported by structure: trained caregivers, clear standards, strong ethics, and coordinated care that protects dignity and independence.
But every time I looked back home, I saw the painful contrast. In Uganda and across Africa ageing remains a silent crisis, not because families do not care, but because families are asked to manage complex care without guidance, systems, or support.
That reality became deeply personal when my mother entered her eighties and began living with multiple chronic conditions hypertension, diabetes, arthritis, recurrent infections and the frailty that can turn small problems into repeated hospital admissions. Each hospitalization revealed something bigger than illness: the absence of geriatric home-care structures, the heavy burden on women caregivers, and the ethical gap that often removes elders from decisions about their own lives.
I knew something had to change. So I brought care home simple, consistent, dignity-centered support delivered with professionalism. The results were profound. My mother lived four more years without a single hospitalization , surrounded by comfort, respect, and love, until her final years without a single hospitalization, surrounded by comfort, respect, and love, until her final breath. That outcome was not luck. It was the power of organized home care.
In 2021, I founded Vantage Care Limited to prove this model can work in Uganda at scale training caregivers, strengthening families, and restoring dignity to elders. What began at my mother’s bedside soon revealed a larger mission: Africa does not need more crisis care alone it needs a home-care system.
That vision became Home Care Alliance Africa (HOCA-A) a pan-African movement to professionalize compassion by building standards, workforce systems, safeguards, and partnerships that make quality home-based elder care possible across the continent. Today, HOCA-A is transforming elder care in Africa
- No African elder should suffer for lack of care.
- No caregiver should serve without recognition.
- No family should carry this burden alone.
Barnabas Nkore, RN
- Founder & President, Home Care Alliance Africa (HOCA-A)
- Founder & CEO, Vantage Care Limited (Uganda)
- Boston – Kampala