October Health – 2025 Report
Productivity in South Africa 
- Leading cause of productivity stress (population level) in South Africa: Unreliable electricity supply due to ongoing load shedding, driven by capacity constraints, which disrupts operations, planning, and cash flow across industries. - Implications: Creates pervasive uncertainty, fatigue, and reduced throughput at scale. - Practical workplace actions (short list): 1) Strengthen business continuity with backup power and contingency planning. 2) Implement flexible work arrangements and clear outage communications to reduce disruption. 3) Provide accessible mental health support (digital group sessions, assessments, and content) through October; train managers to recognize systemic stress indicators.
- Productivity Prevalence
- 22.88%
- Affected people
- 12,584,000
Impact on the people of South Africa
Health impacts
- Mental health: burnout, persistent anxiety, depressive symptoms, irritability.
- Sleep and energy: insomnia or non-restorative sleep, chronic fatigue.
- Physical symptoms: headaches, muscle tension, chest tightness, high blood pressure.
- Immune and metabolism: increased susceptibility to infections, potential weight changes and metabolic strain.
- Long-term risk: higher likelihood of cardiovascular problems and burnout if stress remains unmanaged.
Personal life impacts
- Relationships: increased conflict or withdrawal from partners, family, and friends.
- Time and energy: less quality time for loved ones and social activities.
- Parenting and caregiving: reduced patience, attention, and consistency.
- Overall satisfaction: diminished enjoyment of hobbies and personal interests.
Early warning signs
- Persistent fatigue, sleep problems, irritability, or difficulty concentrating.
- Headaches or muscle tension that don’t improve with rest.
- Withdrawal from social interactions or enjoyment.
- Increased use of substances (caffeine, alcohol, other substances) to cope.
Quick coping steps
- Set clear boundaries: negotiate workload and protect non-work time; use planned breaks.
- Structure and focus: single-task, time-blocking, and realistic goals; avoid perfectionism.
- Sleep and movement: consistent sleep schedule; regular physical activity; limit screens before bed.
- Seek support: talk to a supervisor or HR about workload; access employee assistance programs or therapy.
- Consider digital support: if appropriate, use October’s digital group sessions, assessments, and content to support teams under productivity pressure.
When to seek help
- If symptoms persist beyond a few weeks or impair daily functioning, consider speaking with a mental health professional or your healthcare provider.
Useful South Africa resources
- SADAG (South African Depression and Anxiety Group) offers confidential support and resources.
- Workplace programs: check if your employer offers an Employee Assistance Program (EAP) or mental health benefits.
- October (if your company uses it): available group sessions and assessments to help teams cope with productivity stress.
Impact on the South Africa Economy
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Health costs and productivity loss: Burnout and chronic stress raise absenteeism and presenteeism, increase healthcare costs, and push up unit labor costs, reducing overall efficiency.
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Short-term gains vs long-term sustainability: Firms may see quick output boosts under high pressure, but long-run productivity and innovation suffer as workers tire, disengage, or leave.
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Talent retention and skills gaps: Sustained stress drives turnover among skilled staff, leading to tacit knowledge loss and slower skill development and training.
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Macro growth and demand effects: Higher costs and weaker worker well-being can dampen consumer spending and investor confidence, slowing GDP growth and potentially raising unemployment if firms cut back.
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Context in South Africa: Inequality and unemployment amplify stress effects; investing in worker well-being (e.g., mental health programs, digital supports like October for group sessions and assessments) can improve retention, morale, and productivity, supporting more sustainable economic performance.
What can government do to assist?
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Psychosocial risk management in workplaces
- Require employers to conduct psychosocial risk assessments, set reasonable workloads, cap overtime, ensure adequate breaks, and provide accessible employee assistance programs (EAPs).
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Expand accessible mental health care
- Integrate mental health into primary health care; fund public services; scale digital platforms (e.g., October) for group sessions, assessments, and educational content; ensure confidential support.
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Strengthen social and economic protections
- Improve sick leave and paid family/medical leave; strengthen unemployment insurance and social safety nets; provide targeted support for low-income and vulnerable workers to reduce financial stress.
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Promote flexible, humane work policies and the right to disconnect
- Encourage flexible/hybrid work arrangements; set clear expectations about after-hours work; enforce reasonable maximum working hours; protect workers’ personal time.
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Build leadership, literacy, and data-driven accountability
- Train managers on mental health, workload management, and burnout prevention; run national awareness campaigns to reduce stigma; collect and publish data on productivity stress to guide policy; partner with platforms like October to deliver scalable, evidence-based support.
What can businesses do to assist their employees?
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Clarify workload and priorities: Define what “done” looks like, set realistic deadlines, and limit work-in-progress to match team capacity.
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Set boundaries and predictable rhythms (with loadshedding in mind): Encourage fixed hours, no after-hours emails, and occasional no-meeting days; allow asynchronous work during outages or transport delays.
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Reduce cognitive load and meetings: Trim meetings, use clear agendas, templates, and checklists; prefer async collaboration where possible.
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Provide easy access to mental health support: Offer EAPs, October digital group sessions, quick assessments, and bite-sized content; enable simple manager check-ins and anonymous pulse surveys.
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Improve processes and leadership support: Simplify workflows, automate repetitive tasks, and train managers to recognize burnout and model healthy boundaries.