October Health – 2025 Report
Burnout in South Africa 
Chronic work-related stress from high workloads and job insecurity, exacerbated by South Africa’s high unemployment and broader economic pressures. Organizations can help with workload management, flexible scheduling, supportive leadership, and accessible mental health resources (e.g., October’s digital group sessions and assessments).
- Burnout Prevalence
- 10.41%
- Affected people
- 5,725,500
Impact on the people of South Africa
Burnout stress: effects on health and personal life
Health effects
- Physical: chronic fatigue, sleep disturbances, headaches or muscle tension, appetite/weight changes, and changes in immune function.
- Mental: increased anxiety or depression, irritability, and concentration/memory difficulties.
- Cardiometabolic: elevated stress hormones, potential rise in blood pressure and long-term cardiovascular risk.
Personal life effects
- Relationship strain: more conflict, less patience, and poorer communication.
- Parenting and caregiving: less energy and quality time with loved ones.
- Social withdrawal: reduced social activity and intimacy.
- Financial/daily stress: budgeting pressures and missed plans due to burnout.
Workplace and daily functioning spillover
- Lower productivity, more errors, absenteeism or presenteeism, higher turnover risk.
Quick coping steps (practical, workplace-linked)
- Set boundaries at work and schedule short restorative breaks; protect sleep.
- Seek support: talk to your supervisor/HR, use employee assistance programs, or join October digital group sessions and burnout assessments if available.
- Prioritize basics: regular meals, hydration, and light physical activity.
- Connect with others: reach out to trusted colleagues, friends, or family; avoid isolation.
When to seek urgent help
- Thoughts of harming yourself or danger to self/others.
- Severe depressive or anxiety symptoms that impair functioning.
- Sudden severe physical symptoms (e.g., chest pain, difficulty breathing) require urgent medical care.
Impact on the South Africa Economy
Effects of high burnout stress on an economy
- Reduced productivity and output due to cognitive fatigue, reduced concentration, and disengagement.
- Increased absenteeism and presenteeism, raising direct and indirect costs and diminishing team performance.
- Higher turnover and recruitment/training costs, leading to loss of skills and institutional knowledge.
- Greater healthcare and social costs from mental health needs, activity limitations, and disability claims.
- Sector-specific and macroeconomic impacts in South Africa: burnout disproportionately affects lower-income workers and essential sectors, widening productivity gaps and threatening growth.
Mitigation for workplaces (South Africa context)
- Normalize mental health, reduce stigma, and implement manageable workloads with flexible work where possible.
- Offer accessible mental health support (EAPs, group sessions, digital resources) and consider tools like October for assessments and content.
- Train managers to spot early burnout signs and respond with practical, confidential supports and clear help pathways.
What can government do to assist?
National actions to reduce burnout in South Africa
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Enforce workplace norms that cap weekly hours, require fair overtime compensation, provide mandatory paid leave, and establish a legally protected right to disconnect to prevent chronic overwork.
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Strengthen mental health care access: integrate mental health into primary health care, require employer-provided mental health benefits, and expand funding for school and workplace mental health programs.
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Promote healthy work culture: mandate manager training on recognizing burnout, fostering psychological safety, and supporting work–life balance; run anti-stigma campaigns.
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Support flexible work and infrastructure: incentivize flexible and remote work options, invest in reliable ICT and transport, and address energy security to reduce stress from outages.
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Bolster social safety nets: improve unemployment support, affordable housing, and financial protections to lessen financial stress, with targeted programs for vulnerable populations.
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Use data-driven prevention and digital tools: implement a national burnout surveillance system; pilot and scale digital mental health solutions (e.g., October) for group sessions and early intervention, ensuring privacy and language accessibility.
What can businesses do to assist their employees?
- Manage workloads and role clarity
- Conduct capacity planning, set realistic deadlines, limit overtime, and align tasks with available resources.
- Protect rest and time off
- Enforce regular breaks, no after-hours emails, encourage use of annual leave and wellness days.
- Build supportive leadership and psychological safety
- Train managers to spot burnout, model work-life balance, and encourage safe speaking up.
- Provide accessible mental health support
- Offer confidential EAP; provide digital resources and group sessions (e.g., October) and mental health assessments.
- Enable flexible work design
- Offer hybrid options and flexible hours; allow job crafting; define clear boundaries and expectations.
- Use data to guide policy and stay compliant
- Run anonymous burnout surveys; implement improvement plans; ensure BCEA-compliant leave policies.