I think it depends on the individual person and also the circumstances... we all know that most westerners cannot afford to have home help back home in their own countries but they can in this part of the world because it is so cheap... Back home it would be like having an employee working for you, all the same perks, same hours, same benefits, same days off etc...thats not the case here...because back home "maid, nanny etc" are considered as "proper jobs" - people train and learn how to be a "maid or nanny".. Its not someone you bring out from the village that has probably never seen a washing machine.
Some people manage well without help - others need it if they have young children and they are working etc....