October Health – 2025 Report
Chronic illness in Eswatini 
The leading cause of chronic illness-related stress in Eswatini is often linked to healthcare access and socioeconomic factors. Limited access to quality healthcare services, high levels of poverty, and unemployment contribute to the stress associated with managing chronic illnesses. Additionally, cultural beliefs and stigmas around mental health may exacerbate this stress in the population. Addressing these systemic issues is crucial for improving overall mental health outcomes in the country.
- Chronic illness Prevalence
- 7.94%
- Affected people
- 4,367,000
Impact on the people of Eswatini
Effects of Chronic Illness Stress on Health and Personal Lives
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Mental Health Decline
- Increased anxiety and depression.
- Higher levels of emotional distress.
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Physical Symptoms
- Fatigue and chronic pain.
- Weakened immune response, leading to more illness.
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Workplace Impact
- Decreased productivity and increased absenteeism.
- Difficulty concentrating and making decisions.
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Relationships Strain
- Family and social relationship tensions due to stress.
- Isolation from friends and peer groups.
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Financial Strain
- Increased medical costs and potential loss of income.
- Stress related to managing treatment and healthcare needs.
Encouraging sessions through platforms like October can provide support for managing this stress effectively.
Impact on the Eswatini Economy
Effects of High Chronic Illness Stress on an Economy
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Reduced Productivity: Employees facing chronic illness stress may struggle with concentration and energy, leading to decreased output.
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Increased Absenteeism: Chronic illness often results in more frequent sick days, disrupting workflow and causing delays.
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Higher Healthcare Costs: Increased prevalence of mental and physical health issues raises overall healthcare expenses for both employers and the economy.
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Employee Turnover: High stress can lead to burnout and job dissatisfaction, resulting in increased turnover rates, which costs organizations in hiring and training new staff.
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Decreased Job Satisfaction: Chronic stress impacts morale, leading to lower job satisfaction and potentially affecting service quality and customer relations.
Implementing mental health initiatives, like those offered by October, can help mitigate these effects by providing employees with necessary support and resources.
What can government do to assist?
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Promote Healthy Lifestyles: Implement public health campaigns to encourage regular exercise, healthy eating, and smoking cessation.
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Access to Healthcare: Improve access to quality healthcare services, including mental health support, through community health programs or telemedicine.
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Workplace Wellness Programs: Encourage businesses to establish workplace wellness initiatives that provide resources for mental and physical health.
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Support Groups: Facilitate the creation of support groups for individuals with chronic illnesses to share experiences and coping strategies.
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Stress Management Training: Offer community-based stress management workshops that focus on techniques such as mindfulness, meditation, and relaxation exercises.
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Policy Development: Advocate for policies that address social determinants of health, such as housing, employment, and education, which significantly impact chronic illness and associated stress.
What can businesses do to assist their employees?
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Flexible Work Arrangements: Allow employees to work from home or adjust their hours to manage their health better.
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Health and Wellness Programs: Implement programs that promote physical activity, nutrition, and mental well-being, such as yoga classes or cooking workshops.
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Mental Health Resources: Provide access to mental health services, such as counseling or digital group sessions through platforms like October.
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Open Communication: Foster an environment where employees feel comfortable discussing their health challenges without fear of stigmatization.
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Training for Management: Equip leaders with training to understand chronic illnesses and how to support affected employees effectively.