Background: Over the past few decades, Myanmar has faced mass internal migration to seek job opportunities and pursue a better life. Migration gives rise to unambiguous stress and depression. This study aimed to assess the magnitude of depression and to identify the association between socioeconomic disparity and depression among migrant workers in Myanmar. Methods and Materials: Cross-sectional study was done among 1,201 migrants in Yangon Region. To assess the socioeconomic status, mental health status, accessibility of health care service and Quality of Life by developing self–administered questionnaire. The Generalized Linear Mixed Model was applied to determine the association between socioeconomic disparity and depression after adjusting for other covariates. Result: Their average age was 31.44 ±10.31 years. Gender distribution was not much different. About one third of respondents were factory workers and had low level of education. The magnitude of depression was 38.22% (95%CI= 35.50-41.00). Regarding the socioeconomic disparity, adequacy of income (AOR= 1.79, 95%CI: 1.35-2.37, p value<0.001) and floor surface area of the houses (AOR= 1.21, 95%CI: 1.00-1.47, p value<0.001) were strongly associated with depression. Moreover, other factors that were associated with depression were stress, quality of life and burden of medical service cost. Conclusion: Two-fifth of internal migrant workers suffered depression. The findings highlighted to develop intervention aimed to improve mental health status among migrants. In order to achieve the sustainable development goals, it is important to make investment on mental health of the migrant workers.

Background and Objectives: Anticoagulation clinics are widely used for anticoagulation management in many countries, but have only recently began to gain acceptance in Taiwan. Our service model is a physician-managed outpatient clinic collaborating with clinical pharmacist and nurse. This study aimed to evaluate the adequacy of anticoagulation and rates of warfarin-related complications before and after referral to our collaborative anticoagulation clinic (CAC). Methods: Stroke patients taking warfarin from the neurology department were identifi ed and referred to the CAC during the 12-month period from February 2009 to January 2010. Quality markers include percentage of international normalized ratio (INR) values in the therapeutic range, frequency of INR monitoring, and frequency of follow-up visits and the mean interval of next INR monitoring after non-therapeutic INRs were compared one year before and after management in the CAC. Using studied patients as self-control, they were included in the analysis if patients had at least 3 months follow-up or 3 INR values both before and after referral. Results: A total of 44 stroke patients were included: mean age of 75.0 ± 9.7 years, with a CHADS2 score of 3.71 ± 0.69. The adequacy of anticoagulation was signifi cantly greater during CAC care compared with the period before referral; the percentage of INR within expanded therapeutic range was 60.9% versus 53.7%, respectively (p=0.049). Reduction in sub-therapeutic INR values from 31.8% to 24.2% (p=0.023) contributed mostly to the improved quality of care. The time interval of next INR monitoring after non-therapeutic INRs ( 4.0 or 1.5) was also signifi cantly shorter. However, there was no signifi cant difference in the rates of thromboembolic and hemorrhagic events which may be attributed to a small sample size. Conclusion: Based on results of our study, a CAC may be the optimal structure for anticoagulation management service in the future.