Preview Edition • Soft launch 26 July 2026
The Homecare
Framework
Care as Infrastructure for Everyday Life
The first systematic framework for home based care built from the Nigerian context, drawn from twenty years of nursing practice and five years of homecare implementation across Nigeria. Pre-orders open 28 July 2026.
What this book is
Homecare is not a private matter. It is social infrastructure.
The first systematic, evidence grounded framework for home based care built from within the Nigerian and African context. It argues that home care must be designed deliberately, governed structurally, and funded intentionally. The book makes three arguments at once.
A complete framework for safe care
A full architecture for delivering safe home based care, from daily monitoring to escalation, tested in real households under real conditions.
Care through an African lens
Caregiving examined through Ubuntu, Hofstede, and Tronto's ethics of care, including the realities of diaspora families and the Japa migration.
A national policy proposal
Six existing Nigerian legislative instruments mapped against the governance gaps that structured homecare would close, with mechanisms for national integration.
The problem this book answers
Recovery is decided not by the hospital, but by the home you return to.
Every year, millions return home after illness, surgery, or hospital care. What awaits them is determined by the social infrastructure of the home: whether the family has the knowledge and structure to sustain recovery, whether a caregiver has been trained or is simply trying, whether the community can hold what the health system has handed back.
Most cannot. Not because they do not love enough, but because the infrastructure of care, the knowledge, the frameworks, the professional support, has never been built. Patients are discharged into households with no clinical guidance, no follow up structure, and no system to detect when things are going wrong.
Figures as stated in the manuscript. This is a present emergency, not a future one.
Care does not fail because people do not love enough. It fails because love without structure becomes guesswork.From The Homecare Framework
The framework at a glance
Six components. The minimum architecture of safe home based care.
The Eight Universal Care Domains
Mobility, hygiene, medication, nutrition, hydration, toileting, emotional and cognitive support, home safety, and caregiver relief. The dimensions that define the scope of safe homecare.
The Safe Care Score™
A daily scoring tool built on ten indicators that turns caregiver observation into a measurable signal, with four response zones from Stable through to Danger.
The Three Category Red Flag System
Universal, condition specific, and system red flags, with escalation pathways drawn from the NEWS2, RESTORE2, and SBAR evidence frameworks.
The Unified Care Plan
A care plan built on four pillars that bridges hospital discharge and home recovery, integrating clinical guidance, daily living support, cultural norms, and monitoring.
The Cultural Intelligence Framework
Ubuntu, Hofstede's collectivism model, and Tronto's ethics of care applied to African and diaspora caregiving, including the Japa migration phenomenon.
The National Policy Proposal
Six Nigerian legislative instruments mapped against the governance gaps they could close, with five integration mechanisms and a ten question national research agenda.
Inside the full book
Six parts. Fifteen chapters. One coherent system.
- 1 The Global Homecare Crisis
- 2 Informal Caregiving, Structural Vulnerability and Gendered Labour
- 3 Care as Infrastructure: A Systems Theory Approach
- 4 The Eight Universal Care Domains
- 5 The Daily Care Rhythm: Morning to Night
- 6 Home as Care Infrastructure: Environment Design
- 7 Family Dynamics, Culture and the Emotional Architecture of Care
- 8 The Safe Care Score™: Measuring What Matters
- 9 Red Flags: Early Warning and the Chain of Response
- 10 Building a Unified Care Plan: Hospital to Home
- 11 Technology, Digital Tools and Remote Care Coordination
- 12 The Right Caregiver: Selection, Standards and the Professional Relationship
- 13 Multidisciplinary Homecare: When One Role Is Not Enough
- 14 Culture, Burnout and the Sustained Human Cost of Care
- 15 The Framework at Scale: Policy, Institutions and Replication
- • Preface, Prologue and a closing Epilogue: A Letter to Africa and the World
- • Operational tools, templates and appendices
A taste of the full book • from the Prologue
It was a regular afternoon. I was off duty and I went to see my aunt the way I always did, because we had a tradition of warm lunches at Aunty's house, and that kind of ordinary love was the rhythm of our family life. When I walked in I saw Aunty D, whom I had not seen in a while, and in the joy of seeing her I gave her the kind of hug you give someone you have missed. A big, squeezy, full bodied hug. And that was when I felt it.
She said: Biola, don't tell anyone. Like so many of us still do today. We hide the pain that becomes life threatening. We mask the hurt as though our hiding will be the answer. Somehow we have mastered the art of shielding our vulnerability, and it has cost so many people their lives.
Loss has shaped how we see. In my case it did not only shape how I see. It birthed something. The conviction that care is the vital link in any population, any system, any home. Care is the centre, and we have to design it deliberately, for safety and for effectiveness.
Care is not welfare. Care is infrastructure for everyday living. And that is the system worth building.
The road to publication
Where the book is now, and where you come in.
The manuscript is written, edited, and ready. Your pre-order or sponsorship is what moves it from this stage to the next.
Pre-order your copy
Reserve your place in the first edition.
Pre-ordering does two things. It secures your copy from the first edition, and it helps bring the book to the families, caregivers, and policymakers who need it.
International copies available via Amazon, price confirmed at the Amazon listing.
- ✓ A first edition copy of The Homecare Framework
- ✓ Your name listed in the Supporters section of the published book
- ✓ Early access to the digital edition before the conference release
- ✓ Priority invitation to the Care Conference Nigeria, November 2026
Ordering for a team or institution?
For bulk orders of five copies or more, and for institutional pre-orders, we will arrange this with you directly and confirm within 48 hours.
Email us about bulk ordersSponsor access for everyone
Put this book in the hands of everyone who needs it.
Sponsorship is not about a single copy, and it is not only about printing. It is about making The Homecare Framework available and accessible to everyone who needs it: families, caregivers, nurses, policymakers, and institutions across Nigeria and the continent. Your support helps bring the book into production, place copies in the hands of those who cannot buy them, and put the framework before decision makers at the Care Conference Nigeria, powered by The Purple Global Mission.
- Named Platinum Sponsor in the book, in all conference materials, and from the stage
- Twenty copies of the first edition
- Premium logo placement across all conference and book materials
- Speaking opportunity at the conference, November 2026
- Bespoke acknowledgement agreed with the author
- Named Gold Sponsor in the book and in all conference materials
- Ten copies of the first edition
- Logo on the sponsors page and in conference materials
- Dedicated acknowledgement at the conference
- Named Silver Sponsor in the book
- Five copies of the first edition
- Logo on the sponsors page of the book
- Acknowledgement at the conference
How to pay
One reference. Your name is your receipt.
Pre-order or sponsor using the bank transfer below. Keep your payment confirmation as proof. Your name is verified against payment records before acknowledgement is confirmed.
Bank transfer (Nigeria)
- Account name
- The Purple Global Mission
- Bank
- Providus Bank
- Account no.
- 1305118489
- Reference
- Your full name + HOMECARE
A receipt or invoice is sent within 48 hours of payment. For any receipt request, email purpleglobalmission@gmail.com.
Pay online
SelarDigital ebook editionLink coming soonAmazonInternational print editionLink coming soonFor bulk orders, institutional pre-orders, or Platinum, Gold, and Silver sponsorship, email purpleglobalmission@gmail.com.
Be part of the November feature
Not only a book. A national policy proposal.
In November 2026 the finished book is presented at the Care Conference Nigeria, in front of policymakers, health institutions, nursing bodies, and care leaders from across the continent. It arrives with a full legislative analysis, a ten question research agenda, and a coalition proposal naming the actors who can move the framework from pilot to national programme.
Confirm your pre-order or sponsorship before this date to have your name appear in the first edition. Platinum sponsors are acknowledged from the stage.
Stay connected
Follow the building of a national homecare movement.
The Purple Global Mission
A nonprofit dedicated to healthcare advocacy, caregiver education, and healthcare workforce development. Convener of the Care Conference Nigeria. To discuss institutional partnerships or speaking invitations, contact Abiola Hakeemat Etti-Ayilara directly.