For more than a decade, Health Development Initiative (HDI), a local health organization located on the outskirts of Kigali, has attended to the critical and often taboo health needs of underrepresented Rwandans including the poor and LGBTQ communities. In Rwanda, participating in sexual activity as a youth, a sex worker, or a homosexual – HDI’s target healthcare recipients – is either illegal or so heavily stigmatized that it can destroy lives and fracture communities. Therefore, seeking – and providing – care for these individuals can be a risky endeavor.