In a landmark victory for the global movement against period poverty, Scotland has become the first country in the world to make menstrual products freely available to all who need them. The Scottish Parliament unanimously passed the Period Products (Free Provision) (Scotland) Bill on Tuesday, designed to create a legal obligation for the government to ensure sanitary products are free and accessible for all who menstruate, including tampons and pads in public facilities nationwide.

There are roughly 1.57 million menstruating individuals in Scotland, according to the bill’s associated financial memorandum. Based on that figure, it’s estimated the new law will cost the Scottish government roughly £8.7 million in 2022/23, although the real cost will depend on how many individuals use the products made available. The Bill was introduced by Scottish Parliament member Monica Lennon, who has been campaigning to end period poverty since 2016. After the vote, Lennon said the decision was “a signal to the world that free universal access to period products can be achieved.”

After the passing of the bill, the sanitary products will be made available in public buildings including schools and universities across Scotland. The new rules stipulate that the local authorities are required to ensure the free availability of the products. The MSP further said that periods don’t stop for pandemics and the work to improve access to essential tampons, pads and reusables have never been more important.

According to the Scottish government’s website, there were roughly 220,000 girls and women between the ages of 12 and 54 living in relative poverty after housing costs as of 2018. A lack of proper menstrual products can have a negative impact on personal health. Prolonged tampon usage can result in Toxic Shock Syndrome (TSS), which can be fatal. Those who have additional health issues may need more period products than the average every month, creating a higher cost burden. It can also lead to anxiety, as many women and girls experience feelings of shame or embarrassment about their periods and are uncomfortable asking for products, even if they can’t afford them.

According to the organization, 10% of girls across the U.K. cannot afford sanitary products such as pads and tampons, and 15% of girls in the U.K. struggle to afford them. Another 19% of girls in the four nations — Scotland, England, Wales and Northern Ireland — had to use less suitable products because of cost. Just under 50% of girls in the U.K. reported having missed school because of their periods. Lennon further said that Scotland will not be the last country to make period poverty history. She said the new rule was a signal to the world that free universal access to period products can be achieved.