Not surprising. Even in places with running water and electricity the toilets can be horrible. The reason the toilet cleaning people are shunned is because they

Not surprising. Even in places with running water and electricity the toilets can be horrible. The reason the toilet cleaning people are shunned is because they are not given the right tools and protection. When we clean a toilet in the US we have plastic gloves, toilet bowl cleaning solution, disposable cleaning pad and/or a brush meant for cleaning toilets. Often a worker cleaning that in India doesn't have that. Hence only the lowly person does the cleaning and is looked as doing something icky. Giving toilet and bathroom cleaners a uniform and the proper tools and protections might be a good places to spend money to ensure better toilets. This is my total pop psych opinion after visiting lots of Indian toilets and talking with different people about why toilets in India are so bad.