In the morning we were able to once again participate in baby immunizations at one of the Health Clinics in Antipolo City. Together, as a group, we were a lot more comfortable administering the vaccines, as this was our second opportunity. Dr. Susan Fowler-Kerry, our Faculty Resource Person from Saskatoon, was able to join us. She reminded us of the importance of not just focusing on the task of immunizing a infant, but to be able to do a quick head to toe assessment, such as assessing infant’s fontanels, which gives evidence to the hydration status. Also, asking questions and educating the parents at the same time. This is essential, mostly because this is often their only point of assess with healthcare services.

In the afternoon, we went to the community where we have been working for the past 2 weeks. We went door to door finding children to implement the Metro Manila Developmental Screening Test (MMDST), which is very comparable to the Denver Developmental Screening Test (DDST). We utilized different standardized techniques to test the child’s gross motor, fine motor, personal social, and language skills. An example, would be to ask the child to build a tower with 8 blocks, identify a familiar object, or Buttoning up a shirt. Where the child was unsuccessful we would inform the parents, and reinforce the importance of practicing the skill. In Canada we use these tools in Child Health Clinics, while administering immunizations since we have the allotted time. In the Philippines they do not have the time to administer MMDST while immunizing, so we implemented it by going to house to house. This allowed us to take more time to focusing on the child and his or her development. Following the implementation of MMDST, we were able to document our findings so that the next time the child is assessed, their growth and improvements will be identifiable.