HACOCA was founded in 2000 by a group of friends in Morogoro region who shared compassionate goals towards supporting people who passed through tides in life. It was purely a volunteering organization established as Civil Based Organization (CBO) and later registered as a non governmental organization.

There were inter-connected reasons that made HACOCA founder members to think of establishing the Organization. These were linked to continued HIV/ AIDS prevalence, Food insecurity and Income Poverty. Others included Ignorance and Gender based violence. HIV/ AIDS and Poverty were observed to affect many communities within Morogoro and national as a whole.