Expert 1:1 Care

Individual therapy for Cook Islanders, from Rarotonga to the outer islands.

For a Cook Islander needing individual therapy in Cook Islands, the path has usually meant an eight-week wait at Te Marae Ora's Mental Health Unit in Rarotonga or an inter-country flight to Auckland for private care. Grouport removes that trade-off. Licensed clinicians deliver weekly one-on-one therapy over HIPAA-compliant video for $103 per session ($448 per month), or $224 per month for every-other-week for a lighter cadence. A brief intake, a therapist match, and residents from Avarua to Aitutaki to Penrhyn can be in their first session within days. Online therapy Cook Islands residents can lean on week after week, from wherever they happen to have connectivity.

Greeting

The State of Mental Health Access in the Cook Islands.

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

12.7% of Cook Islander adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

8 weeks the average wait to secure a first mental health appointment in the Cook Islands' public system, an interval during which symptoms often deepen.

Median Household Income

$103,158 median household income in the Cook Islands, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

58.4% of Cook Islander adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

89% of the Cook Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

5.73 per 100,000 mental health workers in the Cook Islands, a density that shapes availability, wait times, and access across the country.

The workforce ratio of 5.73 mental health workers per 100,000 sits well below the WHO minimum for reliable specialist access, and the eight-week public-system wait is a direct downstream consequence. Combined with a middle-low income context and a workforce concentrated almost entirely on Rarotonga, the country's stats describe a system doing its best under constrained conditions but unable to deliver weekly individual therapy at scale. That is precisely where Grouport's model fits. A licensed clinician working one-on-one over HIPAA-compliant video, at $103 per session and available this week, sidesteps the workforce shortage, the geography, and the referral queue in a single move, and makes weekly individual care realistic for a Cook Islands resident on Rarotonga, Aitutaki, or any outer island with a stable connection.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in the Cook Islands.

The Problem

The Cook Islands is home to roughly 15,000 people spread across 15 islands and two million square kilometers of ocean. Formal mental health services are concentrated on Rarotonga through Te Marae Ora, the national Ministry of Health, and the country reports only 5.73 mental health workers per 100,000. There is no resident psychiatrist based full-time in the Pa Enua, and psychological services on islands like Atiu, Mangaia, or Pukapuka rely on periodic visits, telehealth from Rarotonga, or referral off-island. The result is a system built more around triage than sustained talk therapy.

The Impact

Eight weeks of waiting sounds procedural until it lands on a specific person: a teacher in Arorangi whose anxiety is disrupting sleep before term begins, a tourism operator in Aitutaki watching burnout compound through the shoulder season, a young accountant in Avarua carrying grief that has not eased since a bereavement in Auckland. Two months is a full school term, most of a tuna season, and long enough for improvised coping strategies to harden into habits that are difficult to unwind later. During that stretch, family relationships absorb the strain, work performance suffers, and connections to relatives who moved to New Zealand or Australia can feel further away than the flight time suggests. Grouport removes that wait. A licensed clinician can be on the screen this week.

The Solution

Grouport's model is one licensed clinician working with one client, weekly, for as long as the work needs to unfold. That format lines up with what the Cook Islands system cannot currently offer at scale: sustained talk therapy with a specialist, in a private space, without a referral to New Zealand. With only 5.73 mental health workers per 100,000 residents and the specialist bench concentrated at Rarotonga Hospital, most residents cannot count on continuity with the same therapist week after week through the public route. Online one-on-one therapy fills that specific gap. The relationship stays consistent, the treatment plan follows the client rather than the roster, and the conversation happens in a video room that no one else in a tight-knit village needs to know about.

89% of the Cook Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three access barriers ease as soon as sessions move online. The public queue is the first: instead of waiting eight weeks for a first appointment through Te Marae Ora, a Cook Islands resident can complete a Grouport intake in the morning and be in an opening session within days. Geography is the second: with 15 islands spread over roughly two million square kilometers of ocean, a licensed clinician on video reaches Omoka on Penrhyn the same way it reaches Nikao on Rarotonga, no Air Rarotonga booking required. Privacy is the third: on a chain of islands where nearly everyone shares family or church ties, a HIPAA-compliant video session with a therapist based off-island removes the risk of running into someone who also happens to be a cousin, neighbour, or colleague at the clinic door.

Access and Availability Across the Cook Islands.

Formal mental health care in the Cook Islands runs almost entirely through Te Marae Ora, the Ministry of Health, with the main Mental Health Unit based at Rarotonga Hospital in Avarua. Outer islands are served through visiting clinicians, general nurses, and telehealth links back to Rarotonga. Private practice inside the country is minimal, there is no domestic health insurance market to speak of, and residents who want specialist talk therapy are frequently referred across the bilateral pathway to New Zealand. What that landscape does not include is a licensed one-on-one clinician available weekly, in English, starting this week, at a predictable monthly price. Grouport fills that specific gap for Cook Islands residents.

Geographic Barriers

The Cook Islands stretch from the Southern Group of Rarotonga, Aitutaki, Atiu, Mauke, Mitiaro, and Mangaia up to the Northern Group of Manihiki, Rakahanga, Penrhyn, Pukapuka, Nassau, and Palmerston, spread across roughly two million square kilometers of ocean. About three-quarters of the population lives on Rarotonga, where the country's only specialist mental health unit sits. From an outer island, an in-person session means booking Air Rarotonga a few days ahead, arranging accommodation in Avarua, and missing several days of work, and from the northern atolls it can involve a multi-day ship passage. Online individual therapy erases that logistics stack entirely. The same licensed Grouport clinician is on the screen for a resident of Omoka as for a resident of Titikaveka, with no travel between the client and the appointment.

Extended Wait Times

The public system's typical wait for a first talk-therapy appointment sits around eight weeks, a reflection of both the workforce ratio of 5.73 mental health workers per 100,000 and the reality that the same handful of clinicians on Rarotonga cover the entire country. For someone whose panic attacks started this month, whose grief is fresh, or whose relationship stress is escalating week over week, two months is not a neutral interval. Symptoms often deepen during that wait, and sleep, work, and family all take on water. Instead of waiting eight weeks for a first appointment through Te Marae Ora, Cook Islands residents can be in their first Grouport session within days of completing a short intake, with a licensed clinician who stays with them week after week.

Systemic Challenges

Cook Islands mental health services sit under a public model funded through Te Marae Ora, with long-standing arrangements to refer complex cases to specialist services in New Zealand. Two structural realities shape day-to-day access: the workforce is tiny, at roughly 5.73 mental health workers per 100,000, and private specialist practice inside the country is close to non-existent. There is no domestic health insurance market to fall back on, and stigma in close-knit village and church communities still keeps many residents from raising mental health concerns locally. Grouport works around all of it. Sessions happen with a licensed therapist based off-island, over HIPAA-compliant video, at a transparent USD subscription price, with no need to enter a public queue or arrange an overseas referral.

Urban-Rural Divide

Roughly 55 percent of Cook Islanders live in urban areas, almost entirely around Avarua on Rarotonga, and that is where the clinical mental health capacity of the country is concentrated. The other 45 percent are dispersed across smaller islands where the local health centre may be staffed by a nurse practitioner with only occasional specialist visits. A resident of Omoka on Penrhyn, Tauhunu on Manihiki, or Amuri on Aitutaki faces a very different access reality than someone living a few blocks from Rarotonga Hospital, even though both hold the same New Zealand citizenship and the same public entitlements. A weekly Grouport session from a home in Aitutaki looks identical to one from a home in Nikao. The internet connection equalises what geography has not.

Grouport is built for exactly this geography and this pricing reality. A licensed clinician is available this week, sessions run 45 minutes over HIPAA-compliant video, and the same therapist stays with the same client from the opening session through the full arc of care. Pricing is a transparent USD subscription, $103 per session on the weekly plan ($448 per month) or on the every-other-week plan ($224 per month), which is easier to plan around than per-appointment invoicing in NZD plus airfare and accommodation. From Penrhyn in the north to Mangaia in the south, individual therapy in Cook Islands looks the same on the screen: private, weekly, in English, in a room only the client and clinician share.

Affordable Individual Therapy Costs for Cook Islands Residents.

Cook Islands residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), roughly 20 to 30 percent below the NZD 180 to 250 (about $108 to $150) per session that private clinicians in Auckland and Wellington typically charge Cook Islands residents referred off-island for one-on-one care. On the every-other-week plan, sessions run ($224 per month). Both cadences are billed in USD as a transparent subscription, which is easier to plan around than per-session NZD invoicing plus the airfare, accommodation, and days off work that a New Zealand appointment usually requires.

Affordability and Income

For a country with a WHO regional GNI benchmark of around $15,000 per capita (PPP), talk therapy at Auckland private rates plus the cost of getting there is out of reach for most Cook Islander households on any sustained schedule. Grouport is structured differently. A flat monthly USD price ($448 per month on the weekly plan, $224 per month on the every-other-week plan) keeps the cost predictable across a full course of care, without per-session invoicing swings, currency-conversion surprises, or the periodic airfare that overseas care requires. The tradeoff Cook Islands residents usually face, between quality with a licensed clinician on one side and affordability on the other, largely disappears when that clinician is available on video at rates well below the local NZ private range.

Hidden Cost and Barriers

The advertised session fee in Cook Islands care rarely reflects what an appointment actually costs a household. An in-person visit from Aitutaki to Rarotonga is a full day's engagement once Air Rarotonga, ground transport, and hours out of a small-business day are counted, and a specialist appointment in Auckland typically adds a NZD 800 to 1,200 return airfare plus a hotel night or two. Even on Rarotonga, taxi or rideshare fares to the hospital and time off from tourism, public-service, or agricultural work add up quickly. Grouport removes almost all of it: no commute, no lost work day, no overseas travel, no cash-only invoice at the end of each visit, no NZD-to-USD conversion friction per session, and one predictable subscription rate that can be cancelled at any time.

Immediate Availability

The typical wait for a first talk-therapy appointment through the Cook Islands public system runs about eight weeks, and adding a New Zealand referral into the mix tends to extend rather than shorten that timeline. Grouport does not use a waitlist. After a short intake, a licensed clinician is matched to the client and the first session is usually scheduled within days. For Cook Islands clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

Community

Explore Virtual Mental Health Services

With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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Personalized match

We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)

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Start Online Therapy

Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

Cook Islands

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our online therapy services have helped our members see life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

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Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport's clinician bench is made up of licensed psychologists, LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, each with graduate-level training and years of one-on-one practice. Sessions are conducted in English, which matches near-universal adult fluency across the Cook Islands, and therapists are briefed on working with internationally distributed clients, including the Pacific cultural context around family, faith, and community obligation that often shapes how residents describe wellbeing. Clients can request a re-match at no additional cost if the first pairing does not feel right. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in the Cook Islands.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in the Cook Islands.

How do you protect my information from data breaches?

We use multiple layers of security to protect your information: (1) All data is encrypted both when stored and during transmission. (2) Our systems are HIPAA-compliant and regularly audited by third-party security experts. (3) Access to client data is strictly limited to essential staff with multi-factor authentication required. (4) We use intrusion detection systems to monitor for unauthorized access attempts. (5) Regular security training for all staff members. (6) Secure backup systems to prevent data loss. In the unlikely event of a breach, we're legally required to notify affected clients immediately and take corrective action.

How long does therapy take to work?

Most clients begin noticing improvements within 8-12 sessions, though this varies based on your goals and situation. Grouport research shows that 70% of clients improve significantly within 8 sessions. Some issues (like learning specific coping skills for anxiety) may show progress quickly, while others (like healing from trauma or changing long-standing relationship patterns) take longer. Your therapist will discuss realistic timelines and measurable goals during your first few sessions, and you'll regularly review progress together to ensure therapy remains effective and on track with your goals.

What conditions do your licensed therapists treat?

Grouport licensed therapists treat a wide range of mental health conditions and life challenges, including: anxiety disorders, OCD, depression and mood disorders, relationship and family conflicts, grief and loss, trauma and PTSD, anger management, borderline personality disorder (BPD), bipolar disorder, stress management, life transitions, parenting challenges, communication issues, self-esteem concerns, chronic illness, DBT skills for emotion regulation and more. Whatever you’re dealing with, we’ll have a therapist fit who specializes in your needs and would be the right fit for you. We have plenty of therapist and online group therapy options to choose from. Our licensed therapists utilized evidence based techniques where appropriate like Dialectical Behavior Therapy (DBT) , Cognitive Behavioral Therapy (CBT), Exposure Response Prevention Therapy (ERP), Acceptance and Commitment Therapy (ACT), Exposure Therapy, Motivational Interviewing, Interpersonal Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). If you need help finding care for your specific challenges, contact us, and we’ll be sure to assist you and relay the relevant therapy options.

Can I be in an online therapy therapy if I have social anxiety?

Yes, and actually online individual therapy is highly effective for social anxiety specifically. Initial anxiety about joining is normal and expected. It's practice in a safe environment and you get to work on the very thing that scares you with support right there. Most people with social anxiety find that the fear of individual therapy is way worse than the reality. Social anxiety only improves through experience and not avoidance, so group provides a structured opportunity for this. Many people who have social anxiety find that individual therapy is the number one driver of their improvement.

Can I leave a therapy if it's not working for me?

Yes, but planned endings benefit both you and the group. If the group isn't helping after 6-8 sessions, discuss concerns with the therapist first as well as a care coordinator and sometimes the therapist can ultimately make adjustments that will result in a major difference for you. If you're certain the group isn't the right fit, you can always switch individual sessions as fit is important and dictates the quality of your experience in group. This is why we provide the flexibility to switch individual sessions at any time, and our care coordinators will work with you to make sure you’re satisfied with whichever group fit you’re in.

How is online individual therapy different from in-person?

Online individual therapy provides the same therapeutic benefits as in-person individual sessions while adding some unique features. Everyone joins by video from wherever they are physically located. It’s the same therapeutic experience, just a different format. Many people actually prefer online since there’s no commute, you can do it from home, and this way it's easier to make it part of your consistent routine. The therapist also manages online-specific differences like coordinating turn taking, managing technology problems, and ensuring engagement. Nonetheless it's shown to be as effective as in person individual therapy, and many people find it to be even more effective for a variety of reasons.

Does Grouport offer specialized individual therapy for specific conditions?

Yes. Grouport therapists are trained across the full spectrum of mental health concerns including anxiety disorders, depression, trauma and PTSD, OCD symptoms, grief and loss, chronic stress and burnout, relationship and family dynamics, and general life transitions. At intake, you share what you're working on, and we match you with a therapist whose training and clinical style fits your needs. Modalities include CBT, DBT skills, ACT, psychodynamic, and integrative approaches.

What if I'm in a country where therapy is culturally unfamiliar?

Some cultures don't have a concept of therapy or view it very differently than Western psychology does. If you're from a culture where you wouldn't normally do therapy, it can feel strange or uncomfortable initially. Your therapist can explain how it works and adapt their approach to fit your cultural background.

Can therapy help with immigration stress?

Immigration processes are stressful. Visa applications. Documentation requirements. Uncertainty about legal status. Fear of deportation. Separation from family. Having to prove you deserve to be somewhere. Therapy helps you cope with immigration anxiety. Your therapist maintains confidentiality about your immigration status.

Can I use my HSA or FSA for Grouport?

Yes\! You can use your HSA (Health Savings Account) or FSA (Flexible Spending Account) debit card to pay for Grouport services. This gives you tax savings, you're paying with pre-tax dollars. Most online therapy platforms, including Grouport, are set up to accept HSA/FSA cards at checkout.

How does Grouport Individual Therapy fit alongside community and faith-based support that's common across the Cook Islands?

Many residents first turn to family, village networks, or church-based support before considering clinical care, and Grouport is designed to sit alongside those sources rather than replace them. Our one-on-one weekly video sessions with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) give you a confidential 45 to 50 minute space to work through what community support cannot, at $103 per weekly session or $448 per month, delivered over HIPAA-compliant video in English.

With roughly an 8-week wait to see a specialist at the Mental Health Unit in Avarua, how can I tell within a few sessions whether Grouport is the right fit?

You don't have to wait 8 weeks to find out. After a short intake you're matched with a licensed clinician and can start right away, then use the first 2 or 3 weekly video sessions as a working evaluation of the therapist and the approach. Each session runs 45 to 50 minutes over HIPAA-compliant video in English at $103 per week or $448 per month. If the fit isn't right, you can request a different clinician and keep going without losing momentum.

Individual Therapy Available Across the Cook Islands.

Regions

Rarotonga, Aitutaki, Atiu, Mauke, Mitiaro, Mangaia, Palmerston, Manihiki, Rakahanga, Penrhyn (Tongareva), Pukapuka, Nassau, Suwarrow, Takutea

Cities

Avarua, Titikaveka, Nikao, Arorangi, Matavera, Ngatangiia, Muri, Amuri (Aitutaki), Arutanga, Omoka, Tauhunu, Roto

Zip Codes

Grouport serves all zip codes across Cook Islands. If you have an address in Cook Islands, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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