Dr Saturnina Clemente pulls up to the small clinic in the impoverished Caucaguita neighborhood armed with one of Venezuela's most sought-after commodities: Hormonal implants to prevent pregnancy.
In a country where contraceptives are in short supply, word in the shantytown on the outskirts of Venezuela's capital spreads quickly. The lucky get on a list run by community leaders. The less fortunate hope there will be extras.
The veteran doctor has 104 implants and there won't be enough for everyone. As a physician at the nation's largest pediatric hospital, Clemente knows first hand that the consequences for those who don't get one are high.
"It's a sense of impotency, of frustration," she says. "You see that it's not enough, that the demand is much higher." As Venezuela's crisis deepens, women are bearing the brunt of the nation's upheaval.
Despite promises by the socialist government to provide every woman access to family planning, recent surveys and interviews with health professionals indicate access to contraceptives remains incomprehensive.
International organizations like the UN Population Fund have begun stepping in by importing tens of thousands of contraceptives this year, but their work is still limited.
It's an ordeal with increasingly international ramifications, as a growing number of pregnant women flee to countries like Colombia seeking care they cannot get in Venezuela.
"Women are getting pregnant and don't have options," said Luisa Kislinger, a women's rights activist. "They're forced into motherhood."
"But when it came to implementation, if and where it happened, it was patchy."