Two-year-old Shaina is connected to an IV in one of the few functioning hospitals in Haiti's capital, Port-au-Prince.
Her mother, Venda, desperately hopes that this will alleviate the acute malnutrition from which this emaciated little girl suffers.
Shaina is one of 760.000 children on the brink of starvation in Haiti.
Terrified by the gang war that has been raging in her neighborhood for weeks, Venda was too afraid to leave home to seek treatment for her daughter.
Now that she's managed to make her way to the pediatric ward, she hopes it's not too late for Shaina.
"I want proper care for my child, I don't want to lose her," she says in tears.
"The situation is extremely bad," says Erwan Roumen, deputy director of the World Food Programme in the country.
"5,4 million people in Haiti are suffering from severe hunger."
"That's practically the population of a Switzerland."
Haiti has been hit by a wave of gang violence since the 2021 assassination of then-President Jovenel Moise, and it is now estimated that 85 percent of the capital is under gang control.
Even inside the hospital, Haitians are not safe from the fighting, which the UN says has claimed the lives of 5.000 people this year alone and left the country on the brink of collapse.
The hospital's medical director explains that the previous day, police had clashed with gang members in the emergency department among terrified patients.
There are gang victims everywhere.
One ward is full of young people with bullet wounds.
Pierre is one of them.
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He says he was walking home from work when he was caught in the crossfire of a street fight, and a bullet went through his collarbone.
"I think if the government were more stable, if they launched better programs for the youth, then they wouldn't join gangs," he says of the young people who make up a huge percentage of the groups terrorizing the capital.
To combat the growing violence, the UN Security Council approved the establishment of the Multinational Security Support Mission (MSS) in October 2023.
Funded primarily by the US, this Kenyan-led force was sent to Haiti six months ago with the task of establishing law and order.
On patrol in downtown Port-au-Prince, the intensity of gang violence is evident.
Kenyan police officers drive through the streets in heavily armored personnel carriers through once bustling areas of the capital that are now deserted.
Abandoned shops and houses are covered with nailed-up boards.
Burnt cars and rubble were piled high along side streets – into barricades erected by gangs to block access.
The convoy is winding through the ruins when it suddenly finds itself under a hail of bullets.
Bullets hit the armour of the personnel carrier as Kenyan police return fire with their assault rifles through gun ports in the vehicle's walls.
After almost an hour of exchange of fire, the convoy moves on.
But it is not long before signs of even more horrific gang violence become visible.
A human body is burning in the middle of the street.
One of the Kenyan police officers in our armored personnel carrier says he suspects it's a gang member cornered by a rival group, and his body was set on fire to send a chilling warning.
The Kenyan police officers on our patrol are now used to seeing this kind of brutality on the streets of Port-au-Prince, but they also tell us that they are exhausted.
Four hundred police officers arrived in June – but they were vastly outnumbered.
In July, the Haitian government estimated that there were 12.000 armed gang members in the country.
The Kenyans were promised more troops.
When the UN approved the mission, a force of 2.500 police officers was envisaged, but that support, which was supposed to arrive in November, has not yet appeared.
Despite the situation, the leadership of the police force remains optimistic.
Commander Godfrey Otunga is under great pressure from the Kenyan government to make this mission a success.
The mission commander says the MSS enjoys "tremendous support" in Haiti.
"The population is demanding that our team expand and go to other places and bring them peace," he says.
The uphill struggle they face is evident in the former Haitian police station, which was first seized by the gang but has since been recaptured by Kenyan forces.
She is still completely surrounded by other gangs and, as the police climb onto the roof, they suddenly find themselves under sniper fire.
Kenyan police officers return fire while urging everyone else to take cover.
Kenyan police say some of their much-delayed reinforcements will arrive by the end of the year, eventually totaling 1.000 men.
And support is really needed.
There are areas in Port-au-Prince that are so tightly controlled by gangs that they are literally impenetrable to the police.
In one such area, Wharf Jeremy, a gang killed nearly 200 civilians over a weekend in early December.
Overall, it is estimated that as many as 100 gangs operate in the Port-au-Prince area, and boys as young as nine years old are known to join their ranks.
And this problem seems to be only growing.
According to UNICEF, the number of children recruited into gangs has jumped by 70 percent in a year.
One of the gang leaders that the kids gravitate towards is Ty Lapley, whose real name is Renelle Destine.
As head of the Grand Ravine gang, he commands more than 1.000 men from a fortified headquarters high above Port-au-Prince.
Gangs like his have only further exacerbated the already difficult situation in Haiti, and are known to slaughter, rape, and terrorize civilians.
Grand Ravine is notorious for kidnappings for ransom, a practice that earned Ty LaPley a spot on the FBI's Most Wanted list.
Ti Lapley tells us that he and his gang members "love their country very much" – but when asked about the rapes and murders that gangs like his commit among civilians, he claimed that his men "do things they shouldn't do to members of rival gangs because they do the same to us".
The reason the children join Gran Ravino is simple, he says: "The government doesn't create jobs, it's a country without any economic activity. We live off garbage, it's practically a failed state."
He refused to acknowledge the detrimental impact that gangs like his have on the Haitian economy.
Often afraid to leave their homes to go to work, civilians are also regularly extorted for money.
With 700.000 residents forced to flee their homes due to violence from groups like Grand Ravin, schools in the capital have become camps for internally displaced people.
Negosijant is one of hundreds of residents who fled their homes in the city area.
She sits with her five children, huddled in a small section of the school balcony they now call home.
"Just a few weeks ago I was living in my own house," she says.
"But the gangs have taken over my neighborhood."
She explains that she moved to a part of town called Solino, until gangs took over that part too, and she fled from there along with hundreds of other people.
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