October Health – 2025 Report
Burnout in Eswatini 
Leading cause: chronic work-related stress from high workloads and understaffing in essential sectors (especially healthcare and public services) in Eswatini, amplified by financial insecurity and limited social protection. Ways to address (brief): - Improve staffing levels and manage workloads; offer predictable hours. - Provide employee mental health resources and access to digital group sessions (e.g., October) and assessments. - Enhance financial security and social support where possible.
- Burnout Prevalence
- 24.44%
- Affected people
- 13,442,000
Impact on the people of Eswatini
Burnout and its effects on health and personal life
Health effects
- Chronic fatigue and sleep disturbances
- Headaches, muscle tension, and more frequent infections
- Appetite changes and weight fluctuations
- Longer-term risk of cardiovascular and metabolic problems
Mental health effects
- Persistent irritability, anxiety, or depressive symptoms
- Difficulties concentrating, memory lapses, and poorer judgment
- Sense of detachment or cynicism toward work and life
Personal life effects
- Withdrawal from friends and reduced quality time with family
- More frequent conflicts or irritability in close relationships
- Decreased empathy and patience, including with children
What to do
- Prioritize rest, set boundaries at work, and delegate tasks when possible
- Seek support from trusted people or a mental health professional; use workplace resources if available
- Explore practical tools via digital programs (e.g., October) offering group sessions, self-assessments, and coping content to manage burnout
Impact on the Eswatini Economy
Economic impact of burnout stress
- Productivity losses (absenteeism and presenteeism) reducing overall output
- Higher turnover and recruitment/training costs
- Increased healthcare, disability, and social protection expenses
- Safety incidents, quality issues, and slower innovation
- Negative macro effects: lower GDP growth, reduced tax revenue, weaker investor confidence
Eswatini-specific considerations
- Small, open economy with sector concentration; burnout can hit export competitiveness and labor supply in agriculture/manufacturing
- Strain on public health and social protection resources; potential impact on donor support and investment
- Risk of greater informal sector participation if burnout pushes workers out of formal jobs
Workplace mitigation (brief)
- Proactive burnout prevention: manageable workloads, flexible work, and digital mental health support such as October group sessions and assessments
- Leadership and culture: burnout recognition training and stigma reduction; encourage early help-seeking
- Employee support: robust EAPs, mental health days, and regular wellness check-ins
What can government do to assist?
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Strengthen labor standards and enforce working hours
- Establish a legal cap on weekly hours, require fair overtime payment, and guarantee paid annual leave and caregiver leave; tailor enforcement to rural/farming and informal sectors with flexible options.
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Expand social protection to reduce financial stress
- Improve unemployment support, social grants, and targeted cash transfers during droughts or economic shocks; prioritize households with caregiving obligations.
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Integrate mental health into primary care
- Train general clinicians and community health workers to screen for burnout, provide brief interventions, and refer as needed; align with HIV, maternal/child health programs to reduce stigma.
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Promote supportive workplace policies nationwide
- Encourage employers to adopt mental health policies, manageable workloads, flexible scheduling, and confidential counseling; offer incentives for compliant organizations.
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Invest in public awareness and destigmatization
- Run culturally resonant campaigns in local languages; engage churches, traditional leaders, and community groups; provide practical stress-management resources.
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Leverage digital tools and cross-sector collaboration
- Use digital platforms (for example October) for group sessions, assessments, and content; establish a national mental health data and monitoring system; foster partnerships across health, labor, and education sectors.
What can businesses do to assist their employees?
Strategies to lower burnout stress (Eswatini context)
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Manage workload and role clarity
- Audit tasks, define roles clearly, set realistic deadlines, and cap overtime.
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Build compassionate leadership and safe culture
- Train managers in empathetic leadership, regular check-ins, and psychological safety.
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Encourage rest and boundaries
- Enforce breaks, protect personal time, promote vacation use, and limit after-hours work.
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Provide easy access to mental health resources
- Offer confidential support (EAP/therapy), materials in siSwati and English, and consider October digital group sessions and assessments for scalable support.
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Implement a burnout prevention program with measurement
- Use anonymous surveys to monitor burnout risk, track indicators, and adjust policies with employee input.