October Health – 2025 Report

Financial Wellness in South Africa

Unemployment and underemployment are the leading drivers of financial wellness stress at the population level in South Africa. Widespread income insecurity, compounded by rising cost of living and debt, drives this stress across the population. For workplaces, implementing financial wellbeing programs (like October’s digital group sessions and assessments) can help mitigate these effects.

Financial Wellness Prevalence
30.43%
Affected people
16,736,500

Impact on the people of South Africa

Effects of high financial wellness stress on health and personal life

Health impacts

  • Physical health: increased blood pressure and cardiovascular risk; sleep disturbances; headaches; digestive issues; fatigue. In South Africa, high debt and job insecurity can intensify chronic stress.
  • Mental health: heightened anxiety and worry, rumination, mood swings, depression, reduced concentration.
  • Behavior and immune system: changes in appetite or exercise; increased use of alcohol or other substances as coping; potential immune function changes over time.

Personal and social impacts

  • Relationships: more conflict with partners and family, less intimacy, withdrawal from loved ones.
  • Parenting and caregiving: increased parental stress, reduced patience, and responsiveness.
  • Social/work life: avoidance of social activities, reduced productivity and concentration at work, spillover effects on job satisfaction.

Managing and seeking support (concise options)

  • Workplace supports: financial well-being programs, flexible work arrangements, access to employee assistance programs (EAPs).
  • Personal strategies: create a small, actionable budget plan; limit late-evening financial checking to improve sleep; seek financial counselling.
  • Professional support: consider group sessions or assessments through October to build coping skills and financial stress resilience.

Impact on the South Africa Economy

  • Reduced consumer demand and slower GDP growth.
  • Lower productivity due to stress, with higher absenteeism, presenteeism, and turnover.
  • Higher healthcare costs and greater public health burden.
  • Increased debt distress and loan defaults, leading to tighter credit and dampened investment.
  • Widening inequality and social costs that can affect market stability and social cohesion.

Workplace tip (SA context): implement financial wellness programs, debt counseling, and financial education. Digital group sessions, assessments, and content from October can help if appropriate.

What can government do to assist?

  • Strengthen social protection and income stability
    • Increase and index social grants, extend Unemployment Insurance Fund coverage, and create targeted wage subsidies during downturns.
  • Stabilize essential costs and housing
    • Expand affordable housing programs, subsidies for utilities and transport, and measures to stabilize energy and basic living costs.
  • Expand healthcare and retirement security
    • Move toward universal health coverage to reduce out-of-pocket medical debt and enhance accessible retirement savings options.
  • Improve financial literacy and regulate credit
    • Implement nationwide financial literacy programs in schools and workplaces, promote affordable banking, and tighten regulation on high-cost lending and debt collection.
  • Embed mental health support into policy and workplaces
    • Fund scalable mental health services and public awareness, partner with digital platforms (e.g., October) for group sessions and assessments, and train financial counselors to address financial-stress alongside budgeting.

What can businesses do to assist their employees?

  • Implement a tailored financial wellbeing program with budgeting education and tools, plus access to financial coaching (consider October for digital group sessions on money stress).

  • Improve salary and benefits transparency and fairness, with clear pay bands, timely raises, and visible cost-of-living adjustments tied to inflation and SA benefits (medical aid, retirement funds).

  • Provide debt and cash-flow relief options, such as salary advances, low-interest workplace loans, and access to debt counselling.

  • Support savings and retirement planning through automatic payroll deductions into savings/emergency funds and retirement accounts, with employer contributions or matching where feasible.

  • Offer practical cost-of-living supports and confidential resources, including subsidies (transport, meals, medical aid top-ups), flexible work options, and mental health support targeted at financial stress (via October or similar).