 This study examined the effects of the COVID-19 pandemic on access to cancer care at the Butaro Cancer Centre of Excellence, BCCOE, in Rwanda. It found that the number of new patients, number of clinical visits, and the proportion of scheduled visits completed on time decreased significantly during the COVID-19 period compared to the pre-pandemic period. Additionally, the number of scheduled visits did not deviate significantly from expected. These results suggest that the COVID-19 pandemic has had a significant effect on access to cancer care in Rwanda. This article was authored by Dale A. Bornhart, Frederick K. Teera, Megan Murray, and others.