Many people mix the meaning of culture and religion. Visiting a poor
muslim country we can see the dirty streets with dirty people which is sad but there is no relation with islam itself. Sad but this mostly depends on the material things and of course the lack of water make the things more difficult.
We, people who live in a west culture hardly can accept that lifestyle, but not sure our hyper hygienic life is much better.....
What means cleanliness to you?