Abstract
This paper draws attention to the obligation and
opportunity to respond to the mental health impacts of collective sexual
violence (CSV) among genocide-rape survivors in post-genocide Rwanda.
Qualitative data gathered from CSV survivors who were members of Rwandan women's genocide survivor associations are presented to illustrate how they strive to
overcome adversity while seeking access to quality mental health care and using
informal community mental health services. The results reveal that a system of
high quality, holistic health and mental health care is yet needed to meet
Rwandan CSV survivors' complex and serious health and mental health needs. Given
that a rural health system, modeled on community-based, comprehensive HIV/AIDS
care and treatment, is currently being implemented in Rwanda, we recommend
enhancements to this model that would contribute to meeting the mental health
care needs of CSV survivors while benefiting the health and mental health system
as a whole within Rwanda.

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