Is cleanliness ever an issue?

Hope so!

I think your question might have posted before you were quite ready?

You really need to give more information if you want something back. It’s quite possible that your ideas of cleanliness are less than your wife’s expectations, and less than is required for health. I assume you don’t go as far as maggots in left-over food! However some personal cleanliness does matter. If you can’t keep you wife clean from bowel movements, she is quite likely to get a Urinary Tract Infection that can be very difficult to manage.

Getting a house cleaner perhaps once a fortnight – even once a month - is one of the easiest and most economical types of assistance available. It might be worth a try if you are finding the job is not up to expectations.