Abstract:
The physical and psychosocial problems associated with obstetric fistula affect the patients’ efficacy to function
within specific realms of life and affect their quality of life. This study documented the obstetric fistula patients’ self-efficacy for
reacceptance in the communities in Africa. The study used keywords and the year of publication (2000 to 2019) as a search
strategy to obtain data for review. A Critical Appraisal Skills Programme checklist specifically for qualitative studies was used.
The search resulted in 284 studies: Google Scholar; 37, PubMed; 12, Hinari; 3, African Journals Online; 36, Psych-INFO; 1 and
other websites; 195. Subsequently, 258 studies were excluded due to duplication and failure to meet the study objective leaving
26 studies, which were thematically analyzed. Studies report loss of hope, dignity, confidence, and self-esteem among obstetric
fistula patients. They feel unfit, and are often anxious, attributes that impede their employability, mobility, connections, conjugal
affairs, childbearing, and enthusiasm to accomplish various tasks; an index of low self-efficacy. However, when repaired and
empowered through skills training and counseling, their self-efficacy improves. Self-efficacy is generally low among obstetric
fistula patients especially those that have not yet had fistula repair. Alongside repair of the fistula, activities intended for societal
reintegration reduce levels of anxiety, increase confidence and overall self-efficacy, which enables reacceptance.
