Plan for data collection: A data collection questionnaire will be developed comprising questions on social-demographic data and associated variables in section one and questions based on "Self-Reported Questionnaire (SRQ)" to measure psychological distress in section two. Self-Reported Questionnaire has already been validated in Malawi. While Tumbuka is spoken in the rural northern region, many people in the city of Mzuzu speak Chichewa hence no problem is anticipated in participants understanding of the language. The entire questionnaire will be administered to all subjects in both groups at Baseline as well as at six and twelve months follow-up. These interviews will take 20 minutes each. The training will comprise of Ten- 40 minutes sessions conducted twice every week. Participant will be expected to attend all training sessions and transport to the venues will be reimbursed.