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Oxfam says it will set up a commission to investigate past and present allegations of exploitation by staff.
Oxfam International's executive director Winnie Byanyima said it would "do justice" and "atone for the past".
She invited victims to come forward "for justice to be done" for them, saying she was "here for all the women who have been abused".
The British charity has faced criticism over the way it handled claims staff hired prostitutes in Haiti in 2011.
She said the organisation was "hurt", but added: "There is no way this organisation can die… the world needs it."
Ms Byanyima, the most senior Oxfam executive to speak on the issue, said she first heard of the controversy after news reports last week.
In an interview with the BBC's diplomatic correspondent James Landale, she switched to speaking in the Ugandan language of Runyankore to make an apology: "From the bottom of my heart forgive us, forgive Oxfam."
She admitted she could not guarantee there were not sex offenders currently working at the organisation but vowed Oxfam would "build a new culture that doesn't tolerate that behaviour".
Charity reform
She said the reforms at Oxfam would include:
- setting up a high-level independent commission that will look into culture and practices at the organisation, with a mandate to investigate past and current claims of sexual exploitation
- more than tripling the budget for the charity's safeguarding team, and doubling the number of staff working in the department
- setting up a global database of accredited referees to ensure sex offenders cannot falsify references and reoffend at other charities
- making the organisation's "whistleblowing mechanism" external, safe and confidential
Earlier this month, news reports said that during a humanitarian mission in Haiti in 2011, the charity's country director Roland van Hauwermeiren hired prostitutes at a villa paid for by Oxfam.
Mr Van Hauwermeiren, who left Oxfam in 2011 amid a sexual misconduct inquiry, has denied hiring prostitutes but said he had "intimate relations" with a woman who was "not a prostitute".
Oxfam had staff working in Haiti following the earthquake in the country which killed about 200,000 people in 2010.
As a result of the revelation, the charity has faced severe criticism from the British government and the Haitian president.
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International Development Secretary Penny Mordaunt has threatened to cut the charity's government funding, which was £32m last year.
The charity has also lost a number of celebrity ambassadors including Good Will Hunting actress Minnie Driver, and Nobel Peace Prize winner Archbishop Desmond Tutu.
Ms Byanyima said she was sad to lose ambassadors she "respects so much", but added: "What hurts me most is out there in Haiti, there are poor women who have been abused and have not received justice."
The UK's Charity Commission is to launch a full inquiry into Oxfam, saying the organisation may not have "full and frankly disclosed material details" about the Haiti sex scandal.
On Thursday a new allegation came to light that a worker fired by Oxfam over sexual misconduct allegations in Haiti was rehired later the same year by the charity.
Oxfam said its decision to rehire the man in Ethiopia was a "serious error".
Oxfam has almost 10,000 staff working in more than 90 countries across the globe.
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