Problems following ABI vary; different services are required to suit the needs of patients with different problems. Patients presenting acutely to hospital with moderate to severe brain injury should be routinely followed up to assess their need for rehabilitation. Intensive intervention appears to lead to earlier gains. The balance between intensity and cost-effectiveness has yet to be determined. Patients discharged from in-patient rehabilitation should have access to out-patient or community-based services appropriate to their needs. Those with milder brain injury benefit from follow-up, and appropriate information and advice. Not all questions in rehabilitation can be addressed by traditional research methodologies. There are important questions still to be answered and future research should employ the most appropriate methodology.
We acknowledge the help of all the immunisation workers of the child health programme of the ICDDR,B, and the WHO expanded programme on immunisation, and the patients who gave us their time and cooperation. We also acknowledge the expanded programme on immunisation for the necessary logistics for immunisation. We are grateful to Mr M A Hasnat for his assistance with data analysis, Mr A R Patwary for invaluable help, and Dr Mridul K Chowdhury for his comments. We also express our sincere thanks to Drs A K Mitra, R Bairagi, and K Stewart for reviewing the manuscript.
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