October Health – 2025 Report
Productivity in Eswatini 
Unemployment and underemployment are the leading drivers of productivity-related stress in Eswatini, driven by a stagnant economy and limited wage growth that create financial insecurity for the population. Workplaces can mitigate this through financial wellness programs, upskilling opportunities, and supportive leadership. October’s digital group sessions, assessments, and content can support employee mental health around financial stress when used in a workplace context.
- Productivity Prevalence
- 29.32%
- Affected people
- 16,126,000
Impact on the people of Eswatini
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Physical health effects: Chronic stress from high productivity pressure can cause sleep problems, headaches, muscle tension, fatigue, high blood pressure, and a weakened immune system.
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Mental health effects: Anxiety, irritability, burnout, mood swings, depressive symptoms, and cognitive issues like poor concentration or memory.
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Impact on personal life: Increased irritability and withdrawal can strain relationships with partners, family, and friends; reduced quality time and increased conflict or parenting stress.
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Work performance effects: Decreased focus, more mistakes, decision fatigue, procrastination, lower productivity, and higher risk of burnout or longer sick leave.
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Coping and support (Eswatini context): Set clear boundaries and realistic goals; prioritize sleep and regular physical activity; take short breaks during the day; lean on trusted colleagues or family for support; use workplace resources (HR policies, EAP) or digital supports like October for group stress-management sessions; seek professional help if symptoms persist.
Impact on the Eswatini Economy
Effects of high productivity-related stress on an economy
- Burnout and absenteeism decrease labor output and GDP growth.
- Presenteeism lowers actual productivity and service quality across sectors.
- Higher turnover and recruitment/training costs erode firm competitiveness and innovation.
- Increased health care costs and long-term productivity losses from stress-related illnesses.
- Weaker consumer demand due to job insecurity and reduced disposable income, impacting local businesses.
- In Eswatini, these effects can widen urban–rural disparities and strain public health capacity; mitigation through workplace mental health support (e.g., October digital group sessions and assessments) can help sustain productivity and economic resilience.
What can government do to assist?
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Reasonable work hours and overtime
- Legally cap weekly hours, limit compulsory overtime, and ensure mandated rest periods; enforce consequences for non-compliance; protect vulnerable workers.
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Accessible mental health care
- Integrate mental health services into primary care, expand affordable treatment and medications, and use telemedicine and public–private partnerships to broaden reach.
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Work-life balance and caregiving support
- Promote flexible scheduling and where possible remote work; provide paid parental/guardian leave and affordable childcare options; support eldercare arrangements.
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Workplace mental health programs and digital tools
- Encourage employers to implement mental health policies, train managers to spot burnout, and offer confidential counseling; leverage digital tools like October for group sessions and assessments to scale support.
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Social safety nets and financial stability
- Strengthen social protection (unemployment benefits, social grants, living wages); create targeted job-creation programs; provide crisis support to households to reduce financial stress that worsens productivity pressure.
What can businesses do to assist their employees?
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Clarify workload and expectations
- Regular workload reviews, clearly defined roles, and realistic deadlines. Limit to 2–3 top priorities per week to reduce task overload.
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Normalize breaks and recovery
- Enforce breaks and lunch, protect focus time, and limit after-hours emails. Consider a no-meeting day to preserve mental downtime.
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Invest in managers and psychological safety
- Train managers to spot burnout, conduct regular supportive check-ins, and foster a safe space for concerns without blame.
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Flexible work design and autonomy
- Offer flexible hours and, where possible, remote/hybrid options. Empower employees to choose how to meet outcomes while staying aligned with goals; account for local needs like commuting and family duties.
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Accessible mental health support
- Provide confidential resources (EAP), digital group sessions and content via October, and quick assessments to monitor stress. Promote mental health literacy and reduce stigma.