Expert 1:1 Care

Individual therapy in Cuba, without the twenty-week wait.

Getting to individual therapy in Cuba usually means a family-doctor referral, roughly a six-week wait for a psychology consulta at the polyclinic or provincial hospital, and then an appointment squeezed between many others. Even after all of that, finding a clinician actually trained in the specific approach your situation needs, whether that is CBT for anxiety, ERP for OCD, EMDR for trauma, DBT for emotional regulation, or steady work on depression, grief, panic, bipolar, ADHD, relationship strain, or anything else you are carrying, is a separate hurdle. Grouport's online individual therapy is built for exactly that gap. After a short signup, you are presented with licensed clinician options fitted to your situation, you choose the therapist you would like to work with, and you typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions run over secure HIPAA-compliant video at $103 per session on average ($448 per month), with the same therapist week over week and automatic discounts included for every additional weekly session.

Greeting

The State of Mental Health in Cuba.

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

Mental Illness Prevalence

17.9% of Cuban adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$14,200 median household income in Cuba, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

55.0% of Cuban adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

99% of Cuba's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, the numbers describe a country where mental health need clearly exists but where formal one-on-one specialist care is scarce, slow, and geographically concentrated. WHO's 0.44 mental health workers per 100,000 residents translates to roughly forty-eight specialists across the entire island of nearly eleven million people, most of them working through the community mental health centers and provincial hospitals. Combined with a six-week average wait and a median household income around $14,200, the practical result is that many Cubans who could benefit from weekly individual therapy never actually reach a specialist. That is precisely the gap a HIPAA-compliant, USD-subscription, licensed-clinician video service is built to fill for the share of the population that can meet its language and connectivity requirements.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Cuba.

The Problem

Cuba built its mental health model around the family doctor and polyclinic system, which handles first contact well but funnels specialist demand to a very thin bench. WHO records 0.44 mental health workers per 100,000 people, so roughly 48 specialists for the entire 10.98 million. The economic squeeze of the past few years, the 2021 monetary reform and shortages of imported psychotropic medication have added pressure at exactly the moment household stress has risen. Provincial hospitals in Santiago, Camaguey and Pinar del Rio report the longest queues.

The Impact

Six weeks looks manageable on paper. In practice, for a Cienfuegos accountant with rising anxiety or a Camagüey teacher who has been struggling with grief since a family member emigrated, it means six weeks of trying to hold a full workload while sleep, appetite, and concentration slide. The pathway usually runs through the family doctor at the local consultorio, a referral to a psychology consulta at the polyclinic or provincial hospital, and eventually a first session that has to fit inside a heavily booked clinician's day. Many Cubans quietly drop out somewhere along that path and lean on family instead. Grouport collapses the whole sequence into a short intake and a scheduled hour with a licensed therapist, starting this week rather than in mid-autumn.

The Solution

Grouport's online individual therapy sits in the exact gap Cuba's public network is not currently sized to fill. Instead of joining a provincial waitlist and waiting on a rotating consulta at the polyclinic, a Cuba resident goes through a short intake, reviews licensed clinician options fitted to their situation, and picks the therapist they would like to work with, typically starting within 24 to 72 hours. Sessions are 45 minutes, one-on-one, over secure HIPAA-compliant video, and the same clinician stays through the whole arc so the work builds week to week rather than restarting. That continuity matters especially for conditions that need a specific evidence-based approach, whether CBT, DBT, EMDR, ERP, IFS, ACT, or trauma-focused work, because the therapist is chosen for what the client is actually navigating rather than assigned by whoever has an open slot at the hospital. Pricing is $103 per session on average ($448 per month), or $224 per month on an every-other-week cadence, with automatic discounts included for any additional weekly session, and a care coordinator on hand throughout to help adjust care as circumstances change.

99% of Cuba's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions in the Cuban pathway loosen with Grouport. First, the public queue disappears: instead of a six-week wait after a family-doctor referral, intake and the first video session usually happen within the same week. Second, geography stops mattering, since a client in Bayamo or Guantánamo City no longer has to plan a guagua ride to a provincial capital when the session runs from a phone or laptop wherever ETECSA reaches. Third, Cuba Standard Time aligns exactly with US Eastern Time, so scheduling with a Grouport clinician is straightforward across morning, afternoon, and evening slots. Home internet has been legal since 2019 and 4G coverage is now nationwide, which makes weekly video sessions practical for far more households than they were five years ago.

Access and Availability Across Cuba.

Formal mental health care in Cuba runs almost entirely through one channel: the Ministry of Public Health network of family doctors, polyclinics, and community mental health centers, anchored by provincial hospitals and specialist units in Havana. Legal private practice barely exists, there is no employer-based mental health benefit tradition, and NGO or university clinics are limited to a few academic settings. Grouport is a distinctly different fourth option: individual weekly sessions with a licensed clinician, delivered over HIPAA-compliant video, priced in US dollars, and available to any Cuban resident who can join a scheduled video call. It sits alongside the public system rather than trying to replace it, filling the weekly one-on-one slot that Cuba's formal landscape does not currently offer at scale.

Geographic Barriers

Cuba is an archipelago of more than four thousand islands and cays, and specialist mental health capacity is even more concentrated than the overall geography suggests. The bulk of psychologists and psychiatrists sit in Havana, Santiago de Cuba, Santa Clara, and Camagüey. A resident of Baracoa in the far east, a rural municipality of Pinar del Río, or the Isla de la Juventud can face a long day of travel, sometimes involving a ferry or short flight, to reach an in-person appointment. Online one-on-one therapy makes that geography irrelevant. As long as an ETECSA line or 4G signal holds for the session, the same licensed clinician is available in Havana, Guantánamo, or a bohío outside Bayamo, with no travel time added to the appointment itself.

Extended Wait Times

Once a family doctor writes the referral to a psychology consulta, the typical wait for a first appointment in Cuba's public network runs about six weeks, and that clock only starts after the referral itself is issued. During those weeks a client is expected to lean on the family doctor, family, and sometimes a grupo de ayuda mutua at the local polyclinic. For someone whose anxiety, depression, or grief is actively disrupting work and sleep, that is a long stretch to be functionally unattended. Instead of waiting six weeks and then attending a heavily booked hospital consulta, Cuba clients can be in their first Grouport session within days of finishing intake, working one-on-one with a licensed therapist rather than joining a rotating provincial list.

Systemic Challenges

Several structural factors keep specialist care thin in Cuba: a workforce ratio of 0.44 mental health workers per 100,000 people, a significant share of clinicians working on medical missions abroad rather than at home, medication supply constraints that intensified after 2020, and a health system built around universal primary care rather than dedicated one-on-one talk therapy at scale. Private consulta is rare and informal when it exists. There is no local mental health insurance to file against, no reimbursement chase, and no gatekeeper deciding whether talk therapy is warranted. Grouport works around those constraints by delivering individual sessions from a licensed clinician over the internet, billed as a flat USD subscription, with none of the referral paperwork or medication-supply questions attached to the therapy itself.

Urban-Rural Divide

With 77.2 percent urbanization, roughly 2.5 million Cubans live in rural municipalities and small towns. Rural Guantánamo, Granma, and the Ciego de Ávila countryside are the sharp end of the specialist shortage, with the nearest psychology consulta often at a provincial hospital an hour or more away by shared transport. Even inside larger cities the picture is uneven: a resident of Playa or Vedado in Havana is closer to specialist care than a family in Alamar or a similar peripheral neighborhood. Online individual therapy flattens that gap. Whether the client logs in from a downtown apartment in Cienfuegos or a rural home outside Baracoa, the same licensed clinician runs the session, and the only real precondition is a private corner and a working connection for the hour.

For Cuba residents ready to start weekly work with a therapist actually trained for what they are dealing with, Grouport is a direct route. Intake takes a few minutes. You are then presented with licensed clinician options fitted to your situation, whether the work is around OCD, trauma, anxiety, depression, panic, grief, bipolar, ADHD, relationship strain, or something else, and you pick the therapist you would like to work with. From signup, most Cuba clients are working with their chosen clinician within 24 to 72 hours, and the first 45-minute one-on-one session typically lands the same week over secure HIPAA-compliant video from Havana, Santiago de Cuba, Camagüey, Holguín, or anywhere with a stable ETECSA connection. Pricing is $103 per session on average ($448 per month), or $224 per month on the every-other-week plan, with automatic discounts included for every additional weekly session. The same therapist stays with you across the arc of your work, and cadence can step up during heavier stretches or drop back once things stabilize. If group, couples, family, or an intensive outpatient program would help alongside, those can be layered in. A care coordinator is available throughout for anything you need along the way.

Affordable Individual Therapy Costs for Cuba Residents.

Cuba residents get immediate access to individual therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one care typically runs internationally. Inside Cuba, private consulta is rare and informal, prices vary widely between provinces when it exists at all, and public therapy is free but rationed by long queues. Grouport slots between those two realities, priced in USD as a flat monthly subscription with a licensed clinician, weekly sessions, and no session-by-session invoicing to negotiate.

Affordability and Income

Against a median household income figure of roughly $14,200 for Cuba, $103 per session on average, billed at $448 per month for weekly one-on-one therapy is a real commitment, and Grouport's $224 per month every-other-week option () is often the more realistic entry point for clients who don't have regular remittance support. Either plan sits well below the global $150 to $250 per session norm for private therapy with a licensed therapist, and the USD subscription structure fits how many Cuban households already handle discretionary spending through MLC accounts or remittance-fed dollar budgets. What the flat monthly rate buys is predictability: the same line item every month, in dollars, with no session-by-session invoice to interpret and no cash-only surprises at the consulta. That predictability is what makes it feasible to plan a full course of therapy rather than a few isolated appointments spread across a year.

Hidden Cost and Barriers

Public therapy in Cuba is nominally free but rarely costless. A rural resident may spend 200 to 500 pesos on shared transport to a provincial hospital for a single appointment, plus a full day away from work or caregiving. Urban patients avoid the travel bill but often lose half a workday between the ride to the polyclinic, the waiting room, and the ride home. Repeated visits during the assessment and follow-up phase compound quickly. With Grouport there is no commute, no lost work hours, no cash-only surprises, no currency-conversion friction, and no hunt for a licensed clinician with open availability. Pricing is one predictable monthly line in USD, cancel anytime, and the session runs from wherever the client already is.

Immediate Availability

The cost argument only works if the service is actually available when the client needs it, and this is where Grouport diverges most sharply from Cuba's public pathway. Instead of a six-week wait after a family-doctor referral, matching to a licensed clinician happens right after intake and the first session typically runs within days. There is no referral form, no medical justification to draft, and no rotating provincial list to wait behind. For Cuba clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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Explore Virtual Mental Health Services

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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

Cuba

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 licensed across the spectrum of talk-therapy credentials: psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, all with graduate-level training and years of clinical practice behind them. Rather than a general roster, therapists come with specific evidence-based training so a Cuba client can pick someone whose approach actually fits their situation, whether that is CBT for generalized or social anxiety, ERP for OCD, EMDR or somatic work for trauma and PTSD, DBT skills for emotional regulation and BPD, IFS or ACT, or structured work on depression, panic, grief, bipolar, ADHD, addiction recovery, or relationship and life-transition strain. Sessions run in English on secure HIPAA-compliant video, and clinicians are used to working with internationally based clients, which for Cuba often means the daily texture of life on the island, family split across Miami or Madrid, dual-currency budgeting through MLC accounts and remittances, and the ordinary rhythms of resolviendo. Therapists adapt pace and approach to what each client is actually bringing in, and the same clinician stays with them across the arc of care.

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Affordable Individual Therapy & Care Options in Cuba.

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 Cuba.

What happens if my internet cuts out mid-session?

If your internet disconnects during a group session, rest assured your therapist will still be there as it's a group session with other group members, so they will be there when you rejoin. For private sessions, like individual therapy, your therapist will wait 20 minutes for you to reconnect. Try refreshing your browser, using a private or different web browser, restarting your device, switching to a different device, or switching to mobile data if wifi isn't working. If you can't resolve the issue contact our technical support team at and they will work with you

Can I use my phone for video sessions?

We recommend joining from a computer, laptop or tablet in a private setting as that typically provides for a better therapeutic experience. If you’d prefer to join from a smartphone, you can absolutely do so as our platform works well on smartphones (both iPhone and Android). Using your phone can be convenient as it allows you to attend therapy from anywhere private. However, we recommend using WiFi rather than cellular data when possible to ensure stable video quality and avoid data charges. Consider using headphones for better audio quality and privacy, and position your phone so your therapist can see your face clearly (many clients use a phone stand). While phones can work well, many clients prefer larger screens like tablets, laptops, or computers for a more immersive experience.

Do I need to download any software?

If your sessions happen through our member portal, then no, Grouport's therapy platform works directly through your web browser, no downloads or installations are required. Simply click the session on your home page within your member portal, and you'll join your session from there. If your sessions happen outside of our member portal, then you should download Zoom on your device which can be downloaded for free. If your sessions happen outside of our member portal, you’ll receive an auto session reminder email 24-hours before each session with a unique HIPAA compliant Zoom link to join that week’s session. Our care coordinators and technical support staff will assist you with anything you need, to ensure you know how to smoothly access your sessions.

What if my partner thinks I don't need therapy?

Your decision to attend therapy is yours alone. No one else knows your mental health or the challenges you experience, except for yourself. If you’re struggling and you need help, you will know that best. What goes on in your mind is not visible to others and you shouldn’t have to face internal challenges alone. You don’t need anyone else’s permission to take care of yourself. You should set a boundary that this is your decision and therapy helps you be your best self. If still needed, your therapist can certainly discuss strategies on how to address these challenges with your partner.

How do I know when I'm ready to end therapy?

Many people continue therapy on an ongoing basis beyond needing it because they value ongoing support and maintenance. There's no pressure to end when symptoms improve. You can also discuss your thoughts about ending with your therapist, and they'll be able to help you evaluate what the best course of action is and create an ending plan if relevant. If you have achieved your goals and feel like you have the tools to handle future challenges on your own, and you know which skills to draw on by yourself, then it's a matter of evaluating if you feel like you need additional maintenance even if less frequent or if you feel ready to address your challenges on your own. Whichever way you decide, you can always come back at any time and it’s totally up to what you think is best for your needs.

What is individual therapy?

Individual therapy is one-on-one mental health treatment between you and a licensed therapist. Unlike group or family therapy where multiple people participate, individual therapy focuses entirely on your personal goals, challenges, and growth. Sessions provide a confidential space to explore thoughts and feelings, develop coping strategies, address mental health conditions like anxiety or depression, work through past experiences, improve relationships, and make desired life changes. Your therapist tailors treatment to your specific needs using evidence-based approaches like CBT, DBT, ERP, EMDR, or trauma-focused therapy. Individual therapy is collaborative and you and your therapist work together toward goals you define.

How do I know if I need online individual therapy?

You should consider individual therapy if you're experiencing persistent sadness, worry, or mood changes; difficulty coping with stress or life changes; relationship patterns you want to change; trauma or past experiences affecting current life; decreased interest in activities you once enjoyed; sleep or appetite changes; substance use concerns; difficulty managing emotions; feeling stuck or unfulfilled; grief that feels overwhelming; or simply wanting personal growth and self-understanding. You don't need a crisis or diagnosis to benefit from therapy. If something in your life causes distress or you want to improve your mental health, online therapy can help. Many people attend therapy proactively to maintain wellbeing.

Can therapy help with work stress in Cuba?

Work culture varies by country. Some countries have intense work demands, limited worker protections, or expectations that harm mental health. Whether you're dealing with burnout, toxic workplace, career pressure, or unemployment stress, therapy addresses work-related mental health impacts regardless of where you live.

What if I'm dealing with poverty or financial stress in Cuba?

Financial stress affects mental health everywhere. Therapy helps you cope with the anxiety and depression that come with economic insecurity. If money is tight, group therapy costs less than individual therapy so that might be a great way to affordably access therapy. Through our platform, we want therapy to be accessible.

Do I have to commit long-term or can I just try it?

No long-term commitment required. Grouport operates month-to-month. Try it for a month, see if it helps, continue or cancel. Most therapists recommend giving therapy at least 8-12 sessions to really assess whether it's working, but you're not locked into contracts. Month-to-month flexibility makes it lower-risk to try. Additionally you can always switch therapists or groups at any time, so we’ll work with you to make sure you're happy with the fit.

Can I schedule Individual Therapy sessions around a Havana work schedule?

Yes. Cuba Standard Time (UTC-5) aligns directly with US Eastern Time, so scheduling with Grouport clinicians is straightforward whether you work standard daytime hours in Havana or shift work in tourism, healthcare, or academic roles. Weekly 45 minute one-on-one video sessions with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) can be booked in early mornings, lunch windows, or evenings. After a short intake you match with a therapist and start right away, at $103 per weekly session or $448 per month.

Can I bring my faith or spiritual background into Individual Therapy sessions from Cuba?

Yes. Grouport clinicians work with clients from a wide range of religious, spiritual, and secular backgrounds, and you decide how central faith is to your sessions. In your one-on-one weekly video sessions, 45 minutes with a licensed clinician, you can name what matters to you and ask that it be respected in how goals and coping strategies are framed. Sessions are confidential, HIPAA-compliant, and conducted in English at $103 per weekly session or $448 per month. You can match and start right away after intake.

Individual Therapy Available Across Cuba.

Regions

Pinar del Rio, Artemisa, La Habana, Mayabeque, Matanzas, Cienfuegos, Villa Clara, Sancti Spiritus, Ciego de Avila, Camaguey, Las Tunas, Granma, Holguin, Santiago de Cuba, Guantanamo, Isla de la Juventud (special municipality)

Cities

Havana, Santiago de Cuba, Camaguey, Holguin, Santa Clara, Guantanamo, Bayamo, Las Tunas, Cienfuegos, Pinar del Rio, Matanzas, Ciego de Avila, Sancti Spiritus, Manzanillo, Cardenas

Zip Codes

10100, 10200, 10300, 10400, 10500, 10600, 10700, 10800, 10900, 11000

If you have an address in Cuba, 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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