In the 100-day genocide of 1994, an estimated 250,000 Rwandan women experienced multiple episodes of brutal rape, torture and violence. Many of these women contracted HIV, likely as a result of this brutality. In late 2003, survivors learned that the perpetrators of their rapes, who were jailed while waiting trial at the International Tribunal, were receiving antiretroviral therapy (ART)—while the women they had infected died of AIDS. Women’s Equity in Access to Care and Treatment for HIV (WE-ACTx) was created in early 2004 in response to a request from these women for help in accessing ART. Working collaboratively with five local genocide survivors associations, the Rwandan Ministry of Health and the Rwandan National AIDS Program, WE-ACTx founding members mobilized resources to develop a treatment program for the survivors. The first patients received comprehensive primary care by June of 2004. Since then, our programs have expanded in both size and scope, but our deep commitment to helping Rwandan survivors of genocidal rape and sexual violence, and empowering HIV-infected and affected women and children to take charge of their lives and become leaders in the fight against AIDS, guides our vision and continuing efforts.