Because both The Keeper and Moon Cup require thorough, frequent cleaning they are not an ideal feminine hygiene product for women in third world countries or in poorer, remote areas. The two big reasons for this are that many poor, developing communities do not have ready access to clean water and/or soap and that women in these communities sometimes share menstrual cloths. In order to protect the health of women in these communities and support the highest standards of cleanliness and hygiene, we recommend that girls and women in these communities use other feminine hygiene products that can be disposed of after one use.

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