Moketsi Nleya, a subsistence farmer in rural Madlambuzi, western Zimbabwe, painfully retrieves a bunch of thin brown roots from under his pillow, which he breaks into tiny fragments and chews, followed by a cupful of an analgesic herbal concoction that also acts as a sedative. Nleya, 55, is among a growing number of HIV/AIDS patients in rural Zimbabwe who have to resort to traditional medicine because they have no direct access to antiretroviral (ARV) therapy.