Lack of Hygiene and apathy towards cleanliness in public spaces

Hello folks, I am a NRI, we moved to the US early in my life (8) and never been to India until recently. I love my grandmother's place in AP. I have fond memories growing up there. On my trip in about 30 years I was utterly shocked to see the lack of hygiene and cleanliness among our people. Why is this the case?. Before anyone says it's the religion, even churches and mosques seem to be as unclean as any other religious places. Why do we give such low importance to hygiene in general?. Does our culture lack keeping places hygienic?. Case in point I visited my childhood friend recently, he has his 3 year old daughter pee right infront of their house. This whole thing is just shocking to me. Would we ever see a clean, hygienic and healthy India? Sorry if this sounds like a rant. It just pains my heart to see this country being spoiled by her own people.