In a makeshift tent on a Gaza beach, three-month-old Muntaha’s grandmother grinds up chickpeas into the tiniest granules she can to form a paste to feed the infant, knowing it will cause her to cry in pain, in a desperate race to keep the baby from starving.

“If the baby could speak, she would scream at us, asking what we are putting into her stomach,” her aunt, Abir Hamouda, said.

Muntaha grimaced and squirmed as her grandmother fed her the paste with a syringe.

Muntaha’s family is one of many in Gaza facing dire choices to try to feed babies, especially those below the age of six months, who cannot process solid food.

Infant formula is scarce after a plummet in aid access to Gaza. Many women cannot breastfeed due to malnourishment, while other babies are separated from their mothers due to displacement, injury or, in Muntaha’s case, death.

Read the full story by Reuters here.