Engaging refugees in development projects by the United Nations, or any other international aid organisation, should not be an elitist practice that presumes a hierarchy that places the organisation at the top and refugees at the bottom. For both ethical and pragmatic reasons, such projects and initiatives should take into consideration culture, religion, geography, politics, and social aspects when planning and delivering their services, otherwise their outreach and success will be hindered. This commentary looks at the emotional toll of diaspora on the Somali women interviewed for Bagelman and Gitome’s article, ‘Birthing Across Borders: “Contracting” Reproductive Geographies’, and contemplates the effects that this potentially has on the relationship between these women and health professionals in Dadaab, as well as their relationship with traditional Somali midwives.

由联合国或任何其他国际援助组织参与的难民参与发展项目，不应是一种推崇精英主义的做法，这种做法假定等级制度将组织放在首位，将难民放在最底层。出于伦理和务实的考虑，此类项目和计划在规划和提供服务时应考虑文化，宗教，地理，政治和社会方面，否则将影响其推广和成功。这篇评论着眼于散居者对在Bagelman和Gitome的文章“跨境出生：“缩小”生殖地理学”的采访中采访的索马里妇女的情感损失，并考虑了这可能对这些妇女与卫生专业人员之间的关系产生影响。达达卜