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Keaina is a rural region south of Honowewe and north of Honoulimaloo, on Molokai’s eastern shoreline. Hawaii State Route 450 leads through the area on its way towards Puu O Hoku Ranch and Halawa Park. A small road branching off from the main highway leads along the coast, continuing through the gulches towards Honowewe. Not far from shore you might spot Mokuhooniki Islet Seabird Sanctuary. There are no residential or commercial developments in Keaina.