As the international community marks World Refugee Day, a Somali woman's tale of how she helped fellow refugees terminate pregnancies has highlighted the shortcomings of reproductive health care in refugee camps. Humanitarian assistance to people in this and other camps has understandably focused on providing food, water, shelter and sanitation. In the scramble to ensure that refugees stay alive, however, the contraceptive needs of women sometimes fall by the wayside - despite the fact that women may be more vulnerable to sexual abuse and disease, and unwanted pregnancies, in a refugee setting.