I recently moved one of my modules over to Module::Build because I don't like make and all the things it entails, and ExtUtils::MakeMaker turned me off due to its complexity and uglyness for expansion.
The first thing that really annoyed me was, that there was no pass-through Makefile.PL included and that I had to hunt down one of your distributions to find a Makefile.PL so that the make && make test && make install dance still works. I don't like make, but it is a very convenient way to unify my automated nightly testing scripts. For something that claims to be the next best thing, this was a bad decision.
Recently, I've gone to writing some meta-packages that automate the installation of other modules, and while battling it out with ExtUtils::MakeMaker, I found it actually not that convoluted and ugly, as long as it is about generating one-shot makefiles and not some ingenious framework to do it all.
I think that the lack of Win32 feedback mostly stems from people shortly evaluating Module::Build under Win32 and then deciding that it's not worth the bother. If you want acceptance, you will have to actively seek out the people there, and not supporting a proper, automatic CPAN installation will not make people like Module::Build, at least, it made me not like it.