October Health – 2025 Report
Chronic illness in South Africa 
The leading cause of chronic illness related to stress in South Africa at the population level is the high prevalence of socio-economic challenges, including unemployment, poverty, and inequality. These factors contribute to chronic stress, which is linked to illnesses like hypertension, cardiovascular disease, and diabetes. Workplace stress, often due to job insecurity and poor working conditions, also significantly impacts chronic stress levels. Implementing workplace mental health programs, such as October's digital group sessions and assessments, can aid companies in supporting employee well-being and reducing stress-related illness.
- Chronic illness Prevalence
- 8.36%
- Affected people
- 4,598,000
Impact on the people of South Africa
Effects of High Chronic Illness Stress on Health and Personal Life
-
Physical Health Decline
Increased risk of cardiovascular diseases, weakened immune system, fatigue, and worsened symptoms of existing conditions. -
Mental Health Impact
Higher likelihood of anxiety, depression, and burnout due to ongoing stress and uncertainty. -
Workplace Challenges
Reduced productivity, increased absenteeism, difficulty concentrating, and potential conflicts with colleagues. -
Personal Relationships
Strained family and social interactions due to irritability, withdrawal, or exhaustion. -
Overall Quality of Life
Decreased enjoyment in daily activities, feelings of helplessness, and lowered resilience.
Support Tip:
Encourage your workplace to use resources like October’s digital group sessions and assessments to help employees manage chronic illness stress effectively.
Impact on the South Africa Economy
- Reduced workforce productivity: Chronic illness stress leads to higher absenteeism and presenteeism, decreasing overall work output.
- Increased healthcare costs: More spending on medical treatments and support services strains employer and government resources.
- Higher disability claims: Greater stress-related chronic conditions increase long-term disability and social security burdens.
- Lower employee morale and engagement: Stressed employees often experience burnout, reducing innovation and business growth.
- Decreased labor participation: Chronic illness stress can force people out of the workforce prematurely, shrinking the active labor pool.
Workplace Mental Health Tip: Implement proactive mental health support like October’s digital group sessions and assessments to reduce chronic illness stress impact and boost employee well-being and productivity.
What can government do to assist?
Strategies for a Country to Lower Chronic Illness Stress
-
Public Health Education
- Raise awareness about chronic illnesses and stress management.
- Promote healthy lifestyle choices (nutrition, exercise, sleep).
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Accessible Healthcare Services
- Improve access to primary care and mental health support.
- Provide affordable medication and treatment options.
-
Workplace Mental Health Programs
- Encourage employers to adopt mental health support systems.
- Implement flexible work hours and reasonable accommodations for chronically ill employees.
- Use digital group sessions and assessments like those offered by October for employee support.
-
Community Support Networks
- Foster community groups for people with chronic conditions.
- Provide caregiver support and respite services.
-
Policy and Social Support
- Implement policies that reduce economic burdens linked to chronic illness.
- Offer social grants or subsidies for affected individuals.
Workplace-Specific Note Supporting employees with chronic illness through mental health programs like those provided by October and October can significantly reduce workplace stress and improve productivity.
What can businesses do to assist their employees?
How Companies Can Lower Chronic Illness Stress
1. **Flexible Work Arrangements**
Allow remote work or flexible hours to accommodate medical appointments and fluctuating energy levels.
2. **Create Supportive Policies**
Implement clear policies around sick leave, disability accommodations, and gradual return-to-work plans.
3. **Offer Mental Health Resources**
Provide access to counseling and digital group sessions like October’s, focusing on chronic illness and stress management.
4. **Promote Open Communication**
Encourage a culture where employees feel safe discussing their health needs without stigma.
5. **Educate Managers and Teams**
Train leadership on the impacts of chronic illness and how to support affected employees empathetically.
These steps can reduce stress and improve productivity by creating a more understanding and flexible workplace.