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?

  • 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.
  • 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.
  • 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.
  • Promote supportive workplace policies nationwide

    • Encourage employers to adopt mental health policies, manageable workloads, flexible scheduling, and confidential counseling; offer incentives for compliant organizations.
  • 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.
  • 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)

  • Manage workload and role clarity

    • Audit tasks, define roles clearly, set realistic deadlines, and cap overtime.
  • Build compassionate leadership and safe culture

    • Train managers in empathetic leadership, regular check-ins, and psychological safety.
  • Encourage rest and boundaries

    • Enforce breaks, protect personal time, promote vacation use, and limit after-hours work.
  • 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.
  • Implement a burnout prevention program with measurement

    • Use anonymous surveys to monitor burnout risk, track indicators, and adjust policies with employee input.