October Health – 2025 Report
Productivity in South Africa 
Energy insecurity, driven by recurrent load shedding and unreliable electricity supply, is the leading population-level cause of productivity stress in South Africa.
- Productivity Prevalence
- 22.96%
- Affected people
- 12,628,000
Impact on the people of South Africa
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Physical health effects: Chronic productivity stress can raise blood pressure and heart disease risk, weaken immunity, and worsen headaches, digestive issues, and weight changes.
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Mental health effects: Burnout, persistent anxiety or mood changes, irritability, and difficulties with concentration and memory.
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Sleep and energy: Sleep disturbances (insomnia or restless sleep) and daytime fatigue, which impair decision‑making and overall energy.
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Personal life and relationships: Less time and energy for family and friends, increased relationship strain, reduced self-care and hobbies.
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Work performance and long-term outcomes: Lower quality of work, more errors, presenteeism, higher burnout and turnover risk, and potential career dissatisfaction.
Tips:
- Set boundaries and a daily shutdown routine to protect evenings and weekends.
- Prioritize sleep and micro-breaks during the day; maintain a regular schedule.
- Seek support: talk to your manager/HR or use your EAP; consider October digital group sessions for stress management or burnout; consult a GP if symptoms persist.
Impact on the South Africa Economy
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Health and productivity costs: High productivity stress drives burnout, anxiety or depression, sleep problems; leads to more sick days and reduced effective work (presenteeism).
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Economic costs for employers: Increased turnover and recruitment/trainee costs; higher healthcare and disability claims; salary costs from lowered motivation and engagement.
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Impact on quality and safety: More mistakes, lower service/product quality, and higher accident or error rates, which can damage brands and customer trust.
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Short-term vs long-term growth: May yield a temporary spike in output due to urgency, but is unsustainable and typically depresses long-term productivity and innovation.
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South Africa context: Existing unemployment and inequality can amplify the macroeconomic harms of chronic stress; stigma around mental health can reduce help-seeking and worsen outcomes.
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Mitigation strategies (workplace): Manage workload and realistic targets; increase autonomy and social support; flexible scheduling and psychological safety; invest in mental health resources and manager training; monitor burnout signals (and consider programs like October’s digital group sessions, assessments, and content to support employee mental health).
What can government do to assist?
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Strengthen psychosocial risk management: require employers to assess psychosocial hazards, implement controls (like workload limits and support), and provide guidance and penalties for non-compliance; include SMEs in the rollout.
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Regulate working hours and protect the right to disconnect: cap overtime, ensure minimum rest periods, and promote flexible or remote work options to reduce after-hours spillover.
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Expand social protection and health access: improve sick leave (including mental health days), broaden unemployment benefits, and ensure universal or affordable access to mental health care through primary care networks.
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Integrate mental health into primary care and scale digital support: fund training for healthcare workers, implement routine mental health screening, and pilot digital platforms (e.g., October) to deliver group sessions and assessments at scale.
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Address social determinants and systemic stress: invest in housing, transport, safety, and energy reliability; reduce inequality and unemployment-related stress through targeted programs and inclusive policies.
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Promote workplace mental health culture and incentives: national campaigns to destigmatize mental health, incentives for employers to adopt employee assistance programs, and public sector leadership to model healthy work practices.
What can businesses do to assist their employees?
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Clear workload and priorities: Regular workload reviews; realistic deadlines; limit scope creep.
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Meeting hygiene: Clear agendas; limit meeting numbers/duration; designate no-meeting blocks.
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Flexible work and boundaries: Flexible hours and remote options; defined core hours; guidelines for after-hours communication.
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Breaks and recovery: Protected breaks; scheduled micro-pauses; encourage a proper lunch break.
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Manager training and psychological safety: Train managers to spot burnout; regular check-ins; create a safe space for concerns.
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Mental health support access: Promote Employee Assistance Programs; use October for group sessions and content; encourage using mental health resources.