October Health – 2026 Report

Self-esteem in Eswatini

In Eswatini, the leading cause of self-esteem stress at the population level is financial insecurity and economic vulnerability. High unemployment, underemployment, and low household incomes contribute to comparisons, perceived social status pressures, and worries about meeting basic needs, which collectively undermine collective self-esteem. This is often compounded by limited access to affordable education, healthcare, and social support, as well as urban-rural disparities in resources and opportunities. Integrating workplace mental health initiatives, financial literacy, and social protection programs can help mitigate these stresses. If helpful, digital group sessions or assessments from October could support organizations in addressing these themes among employees.

Self-esteem Prevalence
32.99%
Affected people
18,144,500

Impact on the people of Eswatini

  • Impact on health

    • Both very high and very low self-esteem can increase stress hormone levels (like cortisol), which over time may raise blood pressure and contribute to sleep problems, headaches, and fatigue.
    • Excessive self-esteem (narcissistic tendency) can lead to poor impulse control, risky behaviors, and resistance to feedback, increasing the risk of burnout and health-compromising coping strategies.
    • Chronic stress from constant self-evaluation can weaken the immune system, making individuals more susceptible to infections and slower recovery.
  • Impact on personal life

    • Relationship strain: Overconfidence or defensiveness can hinder empathy and effective communication, leading to conflicts with partners, family, and friends.
    • Dependency dynamics: Inflated self-view may push others to accommodate or placate, creating imbalanced relationships and resentment.
    • Social isolation: If high self-esteem masks insecurity, individuals may still feel misunderstood or disconnected, reducing meaningful social support.
    • Parenting and caregiving: High self-focus can reduce attunement to others’ needs, affecting parenting quality and caregiver stress.
  • Workplace implications (Eswatini context)

    • Team dynamics: Individuals with inflated self-esteem may dominate discussions, suppress collaboration, and resist feedback, impacting morale and productivity.
    • Stress coping: If self-esteem is tied to external validation (promotions, praise), setbacks can trigger significant distress and burnout.
    • Mental health risk: Persistent threats to self-image (criticism, failure) can lead to anxiety, depressive symptoms, or maladaptive coping (e.g., avoidance, substance use).
  • Practical tips

    • Seek balanced self-assessment: Regularly invite constructive feedback and reflect on strengths and areas for growth.
    • Build resilience: Practice stress management techniques (breathing, brief mindfulness breaks) during work to reduce the physiological stress response.
    • Strengthen relationships: Prioritize active listening and empathy in conversations; set boundaries to prevent overcompensation or defensiveness.
    • Use supportive resources: Consider digital group sessions or assessments (e.g., through October) to gauge self-esteem patterns and obtain structured coping strategies.
  • When to seek help

    • Persistent anxiety or depressive symptoms, sleep disruption, or relationship turmoil that interferes with daily functioning for several weeks.
    • Difficulties maintaining work performance due to rigid self-views or fear of feedback.

Impact on the Eswatini Economy

  • High self-esteem stress in the workforce can reduce productivity: employees constantly chasing perfection may struggle with decision-making, slower task completion, and more burnout, lowering overall output.
  • Increased burnout and turnover: when individuals perceive pressure to perform, they may leave roles or organizations, raising hiring and training costs for the economy.
  • Innovation vs. risk aversion: some self-esteem stress can drive high performance, but excessive stress often leads to risk-averse behavior, dampening experimentation and long-term economic growth.
  • Wage and income effects: persistent stress can impair cognitive function and job satisfaction, potentially suppressing wage growth and reducing consumer confidence and spending.
  • Mental health costs: higher prevalence of anxiety, depression, and related disorders among workers elevates healthcare costs and reduces productivity, impacting GDP.
  • Organizational inefficiencies: stress can lead to presenteeism (being at work but not fully functioning) and poor collaboration, hindering project delivery and competitiveness.
  • Resilience and leadership: in environments that emphasize perfection, leaders who model healthy coping and psychological safety can buffer negative effects, supporting stability and performance.

Practical steps (workplace-focused):

  • Promote psychological safety and realistic performance expectations to reduce self-esteem pressure.
  • Provide access to mental health resources (e.g., confidential counseling, stress management training).
  • Normalize breaks, flexible scheduling, and burnout prevention to sustain productivity.

If useful, October can offer digital group sessions and assessments to monitor and support employee mental health, helping mitigate these effects.

What can government do to assist?

  • Promote inclusive public messaging: Run campaigns that recognize diverse talents and backgrounds, reducing social pressure to fit a single ideal.
  • Improve economic safety nets: Strengthen unemployment insurance, affordable housing options, and wage support to lessen financial stress that can erode self-esteem.
  • Supportive school-to-work transitions: Provide mentorship, internships, and career guidance to help young people build confidence early.
  • Access to mental health services: Fund and normalize confidential counseling, particularly for adolescents and young adults.
  • Workplace well-being programs: Encourage employers to offer employee assistance programs, flexible work, and recognition practices that reinforce value beyond performance.
  • Media literacy and critical thinking education: Teach people to critically consume media messages about success and body image to reduce harmful comparisons.
  • Community-based supports: Create local clubs, volunteer programs, and peer-support groups that build competence and belonging.
  • Safe public spaces for dialogue: Facilitate forums where people can express insecurities without stigma, guided by trained moderators.
  • Policy alignment with cultural context: Ensure interventions respect Eswatini/Eastern Africa cultural norms while promoting healthy self-esteem.
  • Digital tools and Apps: Leverage platforms like October for confidential group sessions, self-assessments, and psychoeducation to bolster resilience and self-worth.

What can businesses do to assist their employees?

  • Normalize effort over outcomes: celebrate progress and learning, not just results. Reinforce that mistakes are part of growth.
  • Provide clear role expectations: ensure job descriptions, goals, and feedback are specific and achievable to reduce ambiguity.
  • Offer regular, constructive feedback: focus on behavior and impact, not personal traits; pair with actionable next steps.
  • Foster social connection: structured peer support, buddy programs, and respectful team rituals to reduce isolation.
  • Promote autonomy where possible: allow employees some control over tasks and scheduling to boost competence and ownership.
  • Create a private, confidential space for concerns: a safe channel to raise self-esteem-related stress without fear of stigma or retaliation.
  • Provide on-site or virtual mental health resources: access to quick self-help tools, counselling, or digital programs (e.g., October) tailored for stress and self-worth.
  • Train managers in empathetic leadership: active listening, acknowledging effort, and avoiding punitive reactions to setbacks.
  • Implement workload management: monitor deadlines and prevent chronic overload; offer flexibility or temporary resource adjustments.
  • Develop resilience and coping skills programs: short workshops on self-compassion, cognitive reframing, and stress reduction techniques.
  • Encourage skill-building opportunities: access to courses or micro-credentials to boost competence and confidence.
  • Measure and address stigma: anonymous surveys to assess self-esteem concerns and track improvements over time.

Optional: Consider integrating October for guided group sessions or short digital modules focused on self-esteem and workplace stress.