Eastern Mediterranean Health Journal La Revue de Santé de la Méditerranée orientale املجلد العرشون / عدد Volume 20 / No. 9 9 أيلول / سبتمرب September/Septembre 2014 Members of the WHO Regional Committee for the Eastern Mediterranean املجلة الصحية لرشق املتوسط Afghanistan . Bahrain . Djibouti . Egypt . Islamic Republic of Iran . Iraq . Jordan . Kuwait . Lebanon هى املجلة الرسمية التى تصدر عن املكتب اﻹقليمى لرشق املتوسط بمنظمة الصحة العاملية. وهى منرب لتقديم Libya . Morocco . Oman . Pakistan . Palestine . Qatar . Saudi Arabia . Somalia . Sudan . Syrian Arab السياسات واملبادرات اجلديدة ىف اخلدمات الصحية والرتويج هلا، ولتبادل اﻵراء واملفاهيم واملعطيات الوبائية Republic . Tunisia . United Arab Emirates . Yemen ونتائج اﻷبحاث وغري ذلك من املعلومات، وخاصة ما يتعلق منها بإقليم رشق املتوسط. وهى موجهة إىل كل أعضاء املهن الصحية، والكليات الطبية وسائر املعاهد التعليمية، وكذا املنظامت غري احلكومية املعنية، واملراكز املتعاونة مع منظمة الصحة العاملية واﻷفراد املهتمني بالصحة ىف اﻹقليم وخارجه. EASTERN MEDITERRANEAN HEALTH JOURNAL البلدان أعضاء اللجنة اﻹقليمية ملنظمة الصحة العاملية لرشق املتوسط IS the official health journal published by the Eastern Mediterranean Regional Office of the World Health Organization. It is a forum for the presentation and promotion of new policies and initiatives in health services; and for the exchange of ideas, con- اﻷردن . أفغانستان . اﻹمارات العربية املتحدة . باكستان . البحرين . تونس . ليبيا . مجهورية إيران اﻹسﻻمية .cepts, epidemiological data, research findings and other information, with special reference to the Eastern Mediterranean Region اجلمهورية العربية السورية . اليمن . جيبويت . السودان . الصومال . العراق . عُ ام ن . فلسطني . قطر . الكويت . لبنان . مرص -It addresses all members of the health profession, medical and other health educational institutes, interested NGOs, WHO Col laborating Centres and individuals within and outside the Region. املغرب . اململكة العربية السعودية LA REVUE DE SANTÉ DE LA MÉDITERRANÉE ORIENTALE EST une revue de santé officielle publiée par le Bureau régional de l’Organisation mondiale de la Santé pour la Méditerranée orientale. Elle offre une tribune pour la présentation et la promotion de nouvelles politiques et initiatives dans le domaine des ser-vices de santé ainsi qu’à l’échange d’idées, de concepts, de données épidémiologiques, de résultats de recherches et d’autres Membres du Comité régional de l’OMS pour la Méditerranée orientale informations, se rapportant plus particulièrement à la Région de la Méditerranée orientale. Elle s’adresse à tous les professionnels de la santé, aux membres des instituts médicaux et autres instituts de formation médico-sanitaire, aux ONG, Centres collabora- Afghanistan . Arabie saoudite . Bahreïn . Djibouti . Égypte . Émirats arabes unis . République islamique d’Iran teurs de l’OMS et personnes concernés au sein et hors de la Région. Iraq . Libye . Jordanie . Koweït . Liban . Maroc . Oman . Pakistan . Palestine . Qatar . République arabe syrienne Somalie . Soudan . Tunisie . Yémen EMHJ is a trilingual, peer reviewed, open access journal and the full contents are freely available at its website: http://www/emro.who.int/emhj.htm EMHJ information for authors is available at its website: http://www.emro.who.int/emh-journal/authors/ EMHJ is abstracted/indexed in the Index Medicus and MEDLINE (Medical Literature Analysis and Retrieval Systems on Line), ISI Web of knowledge, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), CAB International, Lexis Nexis, Scopus and the Index Medicus for the WHO Eastern Mediterranean Region (IMEMR). Correspondence Editor-in-chief EMHJ ©World Health Organization 2014 WHO Regional Office for the Eastern Mediterranean All rights reserved P.O. Box 7608 Nasr City, Cairo 11371 Disclaimer Egypt The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of Tel: (+202) 2276 5000 its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border Fax: (+202) 2670 2492/(+202) 2670 2494 lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products Email: [email protected] does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. 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Subscriptions and Distribution Enquiries regarding subscriptions and distribution of the print edition of EMHJ should be addressed to: Printing and Marketing of Publications at: email: [email protected]; tel: (+202) 2276 5000; fax: (+202) 2670 2492 or 2670 2494 ISSN 1020-3397 Permissions Requests for permission to reproduce or translate articles, whether for sale or Cover designed by Diana Tawadros non-commercial distribution should be addressed to Internal layout designed by Emad Marji and Diana Tawadros EMHJ at: [email protected] Printed by WHO Regional Office for the Eastern Mediterranean Cover 20-10 (69 Cyan - 37 Yellow).indd 4-6 14/10/2014 10:20 Eastern Mediterranean La Revue de Santé de Health Journal la Méditerranée orientale املجلد العرشون عدد Vol. 20 No. 9 • 2014 • 9 Contents Editorial Benefits and pitfalls of social health insurance in pursuit of universal health coverage: lessons for the Eastern Mediterranean Sameen Siddiqi, Awad Mataria and Eduardo Banzon .................................................................................................................................................................................................................527 Research articles Pattern of cigarette and waterpipe smoking in the adult population of Jordan M. Jaghbir, S. Shreif and M. Ahram ..................................................................................................................................................................................................................................................................529 Quitting smoking and utilization of smoking cessation services in Jordan: a population-based survey M. Jaghbir, S. Shareif and M. Ahram ...................................................................................................................................................................................................................................................538 Household storage of medicines and self-medication practices in south-east Islamic Republic of Iran B. Foroutan and R. Foroutan ..................................................................................................................................................................................................................................................................547 Use of complementary and alternative medicine among midlife Arab women living in Qatar L.M. Gerber, R. Mamtani, Y.-L.Chiu, A. Bener, M. Murphy, S. Cheema and M. Verjee .....................................................................................................................................................554 Knowledge of periconceptional folic acid use among pregnant women at Ain Shams University Hospital, Cairo, Egypt W. Al-Darzi, F. Al-Mudares, A. Farah, A. Ali and D. Marzouk ..................................................................................................................................................................................................561 Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan F. Jahan, R. Roshan, K. Nanji, U. Sajwani, S. Warsani and S. Jaffer ..........................................................................................................................................................................................569 Interobserver variations in reporting of prostatic adeno carcinoma using core biopsy specimens: a retrospective study from a tertiary referral hospital in Saudi Arabia A.C. Al-Rikabi and H. Alkhalidi ...........................................................................................................................................................................................................................................................578 Dr Ala Alwan, Editor-in-chief Editorial Board Professor Zulfiqar Bhutta Professor Mahmoud Fahmy Fathalla Professor Rita Giacaman Dr Ziad Memish Dr Sameen Siddiqi Professor Huda Zurayk International Advisory Panel Dr Mansour M. Al-Nozha Professor Fereidoun Azizi Professor Rafik Boukhris Professor Majid Ezzati Dr Zuhair Hallaj Professor Hans V. Hogerzeil Professor Mohamed A. Ghoneim Professor Alan Lopez Dr Hossein Malekafzali Professor El-Sheikh Mahgoub Professor Ahmed Mandil Dr Hooman Momen Dr Sania Nishtar Dr Hikmat Shaarbaf Dr Salman Rawaf Editors Fiona Curlet, Guy Penet (French) Freelance: Alison Bichard, Marie-France Roux Graphics Suhaib