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It's a case of education. You're dealing with a superstitious and suspicious population. Imagine the World when the first person suggested tiny unseeable organisms live on everything and some of them could make us sick so we should wash things, including ourselves? That's essentially what you're dealing with. It's no mean feat to at once convince these people such things exist and these things are making them sick and they should expend with a lifetimes worth of learning about their religions and beliefs and burn bodies as well as convincing them that certain hygiene steps would help. You have to remember some of these people still visit a witch doctor when sick. They truly believe the disease is a curse in some areas.