October Health – 2025 Report

Self-esteem in Kenya

- Leading cause: Economic hardship, primarily unemployment/underemployment and poverty leading to income insecurity. This is driven by rising cost of living and social pressures around success and education. - Additional context: The impact is especially pronounced among youth and women, with urban–rural disparities. - Workplace suggestion: Provide financial wellness resources, career development support, and accessible mental health programs (e.g., October digital group sessions) to help employees manage self-esteem stress.

Self-esteem Prevalence
39.76%
Affected people
21,868,000

Impact on the people of Kenya

What is high self-esteem stress? Chronic pressure to maintain a flawless self-image or constant validation, often linked to perfectionism.

Health effects

  • Physical: headaches, fatigue, sleep disturbances, stomach issues.
  • Mental/cognitive: anxiety, mood swings, burnout, concentration problems.

Personal life effects

  • Relationship strain due to perfectionism, defensiveness, and need for approval.
  • Social withdrawal or overreliance on external validation, reduced leisure time.

Quick coping steps

  • Practice self-compassion; set realistic goals; celebrate small wins.
  • Create boundaries between work and home; schedule regular breaks.
  • Seek supportive feedback from trusted colleagues or friends.

When to seek help / Resources

  • If symptoms persist for weeks and impair daily functioning.

Support options

  • October offers digital group sessions focused on stress management and perfectionism; helpful for teams dealing with self-esteem stress.

Impact on the Kenya Economy

Effects of High Self-Esteem Stress on an Economy (Kenya context)

  • Productivity and performance: Chronic self-esteem stress can drive rumination, perfectionism, and fear of failure, slowing decision-making and reducing work quality across sectors.

  • Absenteeism and turnover: Ongoing stress increases sick days and staff turnover; in Kenya’s competitive labor market, replacement and training costs erode efficiency and growth.

  • Health costs: Elevated mental health symptoms raise healthcare utilization and related expenses for employers and public systems.

  • Innovation and risk-taking: Excessive self-criticism or overconfidence under stress can dampen experimentation and adoption of new technologies, hindering competitiveness.

  • Intervention potential and ROI: Implementing workplace mental health supports (e.g., October digital group sessions) can reduce burnout, improve retention and productivity, and bolster economic resilience.

What can government do to assist?

  • Normalize mental health and self-worth: nationwide campaigns in local languages to reduce stigma and encourage healthy self-esteem and help-seeking.

  • Improve access to care: integrate mental health into primary care, train frontline workers, and expand affordable, confidential services (including tele-mental health).

  • Strengthen social and economic safety nets: provide unemployment support, skills training, and stable housing to reduce financial stress that harms self-esteem.

  • Invest in schools and workplaces: implement life-skills curricula, anti-bullying policies, and accessible counseling; promote supportive, inclusive environments.

  • Leverage digital tools: adopt scalable platforms like October for group sessions, self-assessments, and psychoeducation; ensure privacy and multilingual access.

What can businesses do to assist their employees?

  • Normalize and reframe feedback

    • Train managers to give behavior- and effort-based feedback, with timely, specific praise; separate performance from personal worth.
  • Align workload and role clarity

    • Define roles clearly, set SMART goals, monitor workload, and offer flexible options or support when workloads spike.
  • Recognition and development opportunities

    • Regularly acknowledge effort and progress; provide upskilling, mentoring, and clear pathways for advancement.
  • Confidential mental health support (including October)

    • Offer a confidential EAP; provide October digital group sessions and related content; ensure access in local languages and with privacy protections.
  • Promote psychological safety and supportive leadership

    • Foster safe spaces to discuss mistakes, train leaders in empathetic communication, and enforce anti-bullying and inclusive practices.