About 21,000 people now die of AIDS-related deaths a year, down from a peak of 70,000 in 2003, according to UNAIDS data.
But a stubborn adherence to superstition and risky traditions persists, hampering efforts to lower the number of AIDS-related deaths and with new HIV infections still high among young people and key groups, according to United Nations data.
“Conventional medicines can prolong your life, but our people have a lot of attachment to traditional healers and doctors,” Martin Chongo, acting health director for the district, told the Thomson Reuters Foundation.
Roots, leaves, bark and indigenous medicines are routinely used in Zambia to treat illness and cure sexually transmitted diseases such as genital warts, herpes and chlamydia.
Healers usually cut patients’ skin with a razor then apply home-made remedies directly to the flesh: a practice that carries a risk of blood sharing and infection.
The same razors are used again and again.
Chongo said it would be insensitive to discourage traditional medicine but he has summoned traditional healers to a health summit, urging them to stop re-using razors.
“We are not sitting idle but it is a difficult issue as a health authority,” Chongo said in an interview.
He is typical of officials who must walk a delicate line in Zambia – embracing the best that modern medicine offers to control the epidemic, while tiptoeing around questionable local conventions or challenging risky behaviour.
“Unfortunately, in the villages they have their own cultural beliefs,” said Stephen Shajanika, a district health director.
“The government does not come into conflict with the people. We try to encourage everyone. It’s a way of life. It’s a democracy.”
Polygamy is common, multiple partners the norm for men, and unprotected sex the biggest carrier of the virus.
Avert, an AIDS education charity, said 90 percent of new Zambian infections follow unprotected straight sex.
But with many men enjoying multiple partners, and practicing unprotected sex, HIV – and misinformation – continues to spread.