Brilliantly put. Ending open defecation is most definitely attributed to a huge shift in cultural attitudes of dwellers as well.
When I went for a sanitation drive recently, I was amazed to find that so many of these areas already had toilets, ones with a toilet to people ratio of 1:10, which I thought was quite impressive, and convenient. However, around 60% of the people preferred to defecate openly. And nearly all of these people, were men. I’m not generalizing or drawing gender stereotypes but it definitely is something to think about. Perhaps the patterns are different elsewhere, but I have a feeling they may be similar.