Zimbabwean children can “eat only once a day” while having to walk for hours to collect drinking water over current worsening food crisis, a humanitarian agency warned in a report Wednesday.

“This is an extremely complex situation evolving in Zimbabwe, where families that had four or five ways of making a living, can no longer rely on any of them,” William Lynch, Country Director of the Save the Children agency in Zimbabwe, was quoted as saying in the report.

“The preliminary results of our assessments have been grim; we’ve seen spikes in unattended births and a decline in vaccinations

Read more: Zimbabwean children suffer severe food insecure: Report