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Self-efficacy for Re-acceptance in Communities Among Obstetric Fistula Patients in Africa: A Systematic Review of Qualitative Data
Journal of Gynecology and Obstetrics
Volume 8, Issue 2, March 2020, Pages: 39-44
Received: Feb. 27, 2020; Accepted: Mar. 11, 2020; Published: Mar. 31, 2020
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Shallon Atuhaire, Department of Teacher Instructor Education and Training, Ministry of Education and Sports, Kampala, Uganda; Department of Obstetrics and Gynecology, Pan African University of Life and Earth Sciences Institute, University of Ibadan, Ibadan, Nigeria
Akin-Tunde Ademola Odukogbe, Department of Obstetrics and Gynecology, Pan African University of Life and Earth Sciences Institute, University of Ibadan, Ibadan, Nigeria; Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan / University College Hospital, Ibadan, Nigeria
John Francis Mugisha, Department of Health Sciences, Cavendish University, Kampala, Uganda
Oladosu Akanbi Ojengbede, Department of Obstetrics and Gynecology, Pan African University of Life and Earth Sciences Institute, University of Ibadan, Ibadan, Nigeria; Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan / University College Hospital, Ibadan, Nigeria
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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.
Africa, Obstetric Fistula, Rehabilitation, Rectovaginal Fistula, Self-efficacy, Vesicovaginal Fistula, Social Reintegration, Women’s Health
To cite this article
Shallon Atuhaire, Akin-Tunde Ademola Odukogbe, John Francis Mugisha, Oladosu Akanbi Ojengbede, Self-efficacy for Re-acceptance in Communities Among Obstetric Fistula Patients in Africa: A Systematic Review of Qualitative Data, Journal of Gynecology and Obstetrics. Vol. 8, No. 2, 2020, pp. 39-44. doi: 10.11648/j.jgo.20200802.12
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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