October Health – 2026 Report

Burnout in Eswatini

In Eswatini, a leading driver of burnout stress at the population level is chronic workplace pressure and job insecurity, amplified by high workloads, long hours, limited staffing, and inadequate support. This is often worsened by strained economic conditions, limited access to mental health resources, and workplace cultures that stigmatize help-seeking. Addressing this requires organizational changes (reasonable workloads, clear expectations, supportive management), better psychosocial safety nets, and accessible, culturally sensitive mental health services (e.g., digital group sessions and assessments) to reduce burnout risk.

Burnout Prevalence
25.11%
Affected people
13,810,500

Impact on the people of Eswatini

  • Physical health: Chronic burnout can weaken the immune system, increase fatigue, headaches, sleep disturbances, and worsening of existing conditions (e.g., cardiovascular issues, GI problems). It heightens risk for migraines, muscle tension, and chronic pain.
  • Mental health: Higher prevalence of anxiety, depression, irritability, cognitive impairments (difficulty concentrating, memory problems), and reduced motivation. Burnout can lead to cynicism and emotional exhaustion.
  • Sleep and energy: Persistent stress disrupts sleep patterns, leading to insomnia or restless sleep, which in turn worsens daytime fatigue and mood.
  • Work performance: Decreased productivity, frequent mistakes, poorer judgment, avoidance of work tasks, and strained relationships with colleagues and supervisors.
  • Personal relationships: Increased irritability and withdrawal from social activities, conflicts at home, reduced capacity for empathy, and less time/energy for family and friends.
  • Coping and behaviors: Possible increases in maladaptive coping (alcohol or substance use, comfort eating, binge-watching, gaming) as attempts to numb stress.
  • Long-term risks: If unaddressed, burnout can contribute to lasting burnout syndrome, burnout-related depression, chronic illness, and burnout recurrence with each new stressor.
  • Eswatini workplace considerations: Cultural expectations, dual roles (work and family), and limited access to mental health resources can amplify stigma and barriers to seeking help. Strong social support and accessible workplace mental health programs are protective.
  • Early signs to watch: Persistent fatigue, detachment from work, cynicism, sleep problems, physical symptoms without clear medical cause.
  • What helps (brief): Set clear boundaries, prioritize rest, seek social support, engage in brief, regular physical activity, and access structured mental health resources. If possible, explore digital options like October for group sessions and assessments to normalize discussion and reduce stigma.

Impact on the Eswatini Economy

  • Reduced productivity: Burnout lowers employee efficiency and output, increasing downtime and time lost to mistakes, which diminishes overall GDP.
  • Higher healthcare costs: Chronic stress-related illnesses raise public and private healthcare expenditure, diverting resources from growth-focused investments.
  • Increased turnover and hiring costs: Burnout drives higher absenteeism and voluntary quits, raising recruitment, onboarding, and training expenses.
  • Innovation slowdown: Exhausted workers contribute fewer new ideas and slower problem-solving, hindering competitive advantage and technological progress.
  • Shifts in labor supply: Prolonged burnout can push experienced workers to exit the workforce earlier, reducing skilled labor available for critical industries.
  • Lower consumer demand: Widespread workplace stress can dampen consumer confidence and spending, impacting sectors reliant on discretionary purchasing.
  • Inequality and social costs: Burnout spikes can widen income and health disparities, leading to greater social spending and reduced economic mobility.

Tips for workplaces (Eswatini context):

  • Implement targeted mental health support and regular check-ins to identify burnout early.
  • Normalize flexible work arrangements and reasonable workloads to protect staff well-being.
  • Provide digital resources and group sessions (e.g., October) for accessible mental health care and resilience coaching.
  • Train managers to recognize burnout signs and respond with practical workload adjustments and supportive conversations.

What can government do to assist?

  • Strengthen workload management
    • Set realistic expectations for project timelines and hours.
    • Encourage reasonable pace, avoid chronic overtime, and monitor workload distribution.
  • Promote psychological safety
    • Create spaces where employees can voice concerns about workload, support, or burnout without fear of repercussion.
  • Improve leadership practices
    • Train managers to recognize signs of burnout, provide timely support, and model work-life balance.
  • Invest in mental health resources
    • Provide access to confidential counseling, stress management programs, and resilience training.
  • Normalize breaks and time off
    • Encourage regular micro-breaks, lunch breaks, and paid leave usage; avoid stigma around taking time off.
  • Flexible work options
    • Offer flexible hours or remote work where feasible to reduce commuting stress and improve balance.
  • Enhanced job design
    • Align roles with strengths, provide meaningful work, and reduce repetitive high-stress tasks.
  • Social support and peer programs
    • Facilitate peer support groups, buddy systems, and team-building activities to strengthen social connectedness.
  • Health-promoting workplace culture
    • Promote sleep hygiene, physical activity, and healthy nutrition through programs and facilities.
  • Systemic policy changes
    • Enforce caps on consecutive long shifts, ensure adequate staffing, and implement burnout screening at scale.
  • Data-driven monitoring
    • Use anonymous surveys to track burnout indicators and evaluate intervention effectiveness.
  • Leverage digital tools
    • Provide access to digital mental health platforms for scalable support (e.g., digital group sessions, assessments, and content) to reach remote or busy employees.

What can businesses do to assist their employees?

  • Normalize workloads and set realistic expectations
    • Conduct regular workload reviews and reallocate tasks to prevent chronic overwork.
    • Set clear, achievable goals and communicate timelines.
  • Promote boundaries and time management
    • Encourage predictable work hours and discourage after-hours replies.
    • Offer flexible scheduling or remote options where possible.
  • Foster supportive leadership and culture
    • Train managers to recognize early burnout signs and have open check-ins.
    • Normalize taking mental health days without stigma.
  • Provide access to mental health resources
    • Offer confidential counseling or digital group sessions (e.g., October) for employees.
    • Create a short, accessible well-being toolkit (breathing exercises, micro-breaks, grounding techniques).
  • Encourage regular breaks and recovery
    • Implement cadence for breaks (e.g., 5-minute micro-breaks every hour, lunch away from screens).
    • Design quiet spaces or zones for mental resets.
  • Improve job design and control
    • Increase autonomy where possible; involve staff in decision-making about tasks.
    • Align roles with strengths and provide clear role clarity.
  • Strengthen social support at work
    • Facilitate peer support groups or buddy systems.
    • Schedule team check-ins focused on well-being, not just productivity.
  • Promote physical well-being
    • Encourage movement breaks, access to water and healthy snacks, and short on-site wellness activities.
  • Monitor and evaluate
    • Use short, anonymous pulse surveys to gauge burnout risk and adjust programs.
    • Track indicators like absenteeism, turnover, and engagement for continuous improvement.
  • Eswatini-specific considerations
    • Ensure cultural relevance in mental health messaging and resources.
    • Provide language-appropriate materials and access to local counselors if possible.