Expert 1:1 Care

Individual therapy that reaches Tarawa, Kiritimati, and every atoll between.

Individual therapy in Kiribati now runs the way it should: private, weekly, and reliable. Grouport connects I-Kiribati clients to a licensed therapist for one-on-one video sessions at $103 per session (billed at $448 per month), with intake wrapping in minutes and a first appointment usually available the same week. That matters when Kiribati's public system is centralised at Tungaru Central Hospital in Nawerewere, the resident-psychiatrist post has gone unfilled for long stretches, and reaching a specialist from Kiritimati, Butaritari, or Tabiteuea can mean a domestic flight before any care begins. Every session runs 45 minutes, in English, over HIPAA-compliant video, with the same clinician week after week rather than whoever happens to be visiting on rotation.

Greeting

The State of Mental Health in Kiribati.

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

Mental Illness Prevalence

12.5% of I-Kiribati 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 Kiribati's public system, an interval during which symptoms often deepen.

Median Household Income

$7,346 median household income in Kiribati, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

85.0% of I-Kiribati adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

68% of Kiribati's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, these figures describe a care environment where the one-on-one online therapy model fits particularly well. A 39.02-per-100,000 mental health workforce concentrated on 15.76 square kilometres of South Tarawa cannot realistically reach an English-fluent professional on Kiritimati, Tabiteuea, or Butaritari in person on a weekly basis. A six-week wait for a first appointment inside the public system delays care for individuals whose symptoms usually worsen while queuing. A lower-middle-income household with no private mental health sector to price against and no insurance market to smooth costs benefits from a transparent USD subscription rather than surprise invoicing. Grouport's one-on-one, weekly, licensed-clinician model at $103 per session is built precisely for the kind of access gap those Kiribati figures describe.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Kiribati.

The Problem

Kiribati's mental health services are delivered almost entirely through the public Ministry of Health and Medical Services. The country's only psychiatric inpatient unit sits at Tungaru Central Hospital in Nawerewere on South Tarawa, and there is no meaningful private mental health sector and no private health insurance market to fall back on. The resident-psychiatrist post has gone unfilled for extended stretches, with services covered by visiting specialists from Fiji or Australia and by Cuban-trained I-Kiribati doctors. Advanced psychiatric cases are frequently referred overseas to Suva or Brisbane, a step that removes the patient from family and kaainga entirely.

The Impact

Consider what a six-week wait actually looks like for an English-fluent adult in Kiribati carrying a depressive episode, a postnatal adjustment, chronic anxiety, or the climate-related displacement worry that WHO and UNICEF assessments have flagged as rising across the I-Kiribati population. Six weeks is a month and a half of sleep pulled apart, work slipping, and family patience thinning inside the kaainga. For a teacher on Tabiteuea or a fisheries officer on Kiritimati, that wait sits on top of a domestic flight or ferry to South Tarawa before any conversation with a specialist can begin. When the resident-psychiatrist post is vacant, which has been the case for extended periods, three or four months of waiting is not unusual. Grouport removes that friction outright. A licensed therapist is scheduled within days, the session runs from wherever the client already sits, and week two continues with the same clinician.

The Solution

One-on-one online therapy is a direct fit for how Kiribati's mental health system is actually shaped. A licensed clinician meeting one client on a private video call sidesteps the entire funnel that normally sends I-Kiribati residents through Tungaru Central Hospital, a visiting-specialist rotation, or an overseas referral. The individual format gives the client an hour that is entirely their own: history, pace, symptoms, and goals are all built around one person. Continuity matters as much as access here. Because the same Grouport therapist holds the case week after week, an English-fluent civil servant in South Tarawa, a teacher on Tabiteuea, or an NGO worker on Kiritimati can move through a full course of care without waiting on the next visiting psychiatrist to fly in, and without their treatment restarting every time the roster changes.

68% of Kiribati's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions loosen at once when a Kiribati client moves care online with Grouport. The queue collapses first: instead of waiting on the six-week baseline at the public system in Nawerewere, or considerably longer when the resident-psychiatrist post is vacant, intake closes and a licensed therapist is scheduled within days. Geography stops mattering next. Grouport reaches every atoll where a stable ATH mobile-data or fibre connection lands, so a client in Bairiki, on Abaiang, or in London on Kiritimati receives the same weekly one-on-one session without a ferry, a domestic flight, or a trip to Fiji. And the country's 39.02-per-100,000 workforce density, concentrated almost entirely on 15.76 square kilometres of South Tarawa, stops being a ceiling on what one household can access. Session times are set around Gilbert, Phoenix, or Line Islands time in English, the country's language of government and formal business.

Access and Availability Across Kiribati.

Formal mental health care in Kiribati is delivered almost entirely through the public Ministry of Health and Medical Services, with the country's only psychiatric inpatient unit at Tungaru Central Hospital in Nawerewere on South Tarawa. There is no meaningful private mental health sector, no health insurance market, and no established employee-assistance ecosystem to fall back on. Visiting specialists rotate through from Fiji or Australia when the resident-psychiatrist post is filled, and Cuban-trained I-Kiribati doctors and WHO mhGAP-trained nurses cover much of the ground work on the outer islands. Grouport slots into the gap that structure leaves open: weekly, one-on-one, English-language sessions with a licensed clinician, delivered over secure video and available to any I-Kiribati adult with an internet connection, starting this week rather than after another wait cycle.

Geographic Barriers

Kiribati stretches across 33 atolls and roughly 3.5 million square kilometres of Pacific Ocean, and the specialist workforce that exists is concentrated within a few kilometres of Bairiki, Betio, Bikenibeu, and Nawerewere on South Tarawa's 15.76 square kilometres of causeway-linked islets. A resident of Kiritimati therefore sits roughly 3,300 kilometres and two time zones from an appointment at Nawerewere, and even a resident of Abaiang, Marakei, or Butaritari is looking at an inter-island boat trip before any in-person consultation can happen. Grouport's licensed therapists reach all four regions equally: the Gilbert Islands, Phoenix Islands, Line Islands, and Banaba. The only requirement is a stable video connection, which the ATH mobile network and fibre in South Tarawa now support across much of the main Gilbert group and increasingly further out toward the Line Islands.

Extended Wait Times

Inside Kiribati's public system, six weeks is the steady-state wait for a first mental health appointment when the resident-psychiatrist post at Nawerewere is filled and the visiting-specialist rotation from Fiji or Australia is on schedule. When that post is vacant, which has been the case for extended stretches in recent history, three to four months is a realistic wait for non-urgent cases. Grouport works on a different clock entirely. Instead of waiting six weeks or longer for a first conversation, I-Kiribati clients complete a short intake and are scheduled with a licensed therapist within days. Week two follows on the same day and time with the same clinician, then week three, then week four. The wait becomes a scheduling detail rather than a barrier to starting care.

Systemic Challenges

Kiribati's care system carries several structural weights at once. Health financing leans heavily on donor assistance from Australia, New Zealand, and the World Bank, which shapes what can and cannot be sustained locally. The country has no private sector to absorb overflow demand, no health insurance market to convert household spending into predictable coverage, and a documented brain-drain pattern where trained I-Kiribati clinicians take opportunities abroad. Cultural context adds another layer: distress is often understood first through spiritual frameworks (te anti) and worked through inside the extended kaainga or with church leadership before any formal medical referral. Grouport does not try to replace any of that. It sits alongside it, offering a private one-on-one channel to a licensed clinician that does not require entering the public queue, waiting on a visiting specialist, or seeking care in a setting where a family member or neighbour might notice.

Urban-Rural Divide

Kiribati is 62.5 percent urban on paper, but urban in this country means South Tarawa, a chain of causeway-linked islets holding the bulk of the specialist workforce within walking distance of Bairiki, Betio, Bikenibeu, and Nawerewere. The remaining roughly 50,000 residents live across the outer Gilbert Islands, Banaba, the Phoenix group, and the Line Islands including Kiritimati and the town of London. For someone on Onotoa, Nikunau, Kanton, or Tabwakea, the practical specialist density in any given week is effectively zero, and coverage rests on general nurses trained under the WHO mhGAP programme. Grouport equalises that gap in a way in-person care structurally cannot. The same licensed therapist, the same 45 minute one-on-one session, and the same $103 rate reach a client in Nawerewere and a client on Kiritimati identically. Internet is the only ingredient the geography still decides.

Grouport is built for the I-Kiribati adult who wants private, weekly, one-on-one therapy with a licensed clinician and does not want to wait on a visiting-specialist rotation, board a flight to South Tarawa, or pursue an overseas referral to Fiji or Australia to make it happen. The rate is transparent, held in US dollars, and predictable: $103 per session at $448 per month for weekly care, or at $224 per month for every-other-week care. The clinician stays the same each session, the format is 45 minutes of one-on-one time over HIPAA-compliant video, and the arc of care is sustainable across the months a real therapeutic course usually takes. Whether the client is a civil servant in Bairiki, a teacher on Tabiteuea, an NGO worker on Kiritimati, or an I-Kiribati diaspora member abroad, Grouport is designed to hold the case reliably from first session onward.

Affordable Individual Therapy Costs for I-Kiribati Residents.

I-Kiribati 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 for one-on-one work with a licensed clinician. Because Kiribati has no meaningful private mental health sector, there is no in-country private benchmark to price against, only the free-at-point-of-use public queue at Tungaru Central Hospital and the effective cost of reaching it from an outer island or the Line group. Grouport delivers a licensed clinician, weekly consistency, and HIPAA-compliant video at a rate that sits well below what the same one-on-one session would cost anywhere private care is available regionally.

Affordability and Income

Against Kiribati's US$5,750 GNI per capita at purchasing power parity and US$3,580 GNI Atlas figure, the $448 monthly rate for weekly one-on-one care is a real household commitment, but one that can be planned around rather than absorbed as a series of surprise per-session invoices. Households that prefer to pace care can move to every-other-week sessions at $224 per month, halving the monthly line item while keeping the same licensed clinician. Kiribati has no health insurance market and no significant private practice to negotiate with, so what a client sees is what a client pays. That transparency, combined with a rate that sits well below the $150 to $250 global range for one-on-one therapy with a licensed clinician, makes it easier for I-Kiribati adults on salaried civil-service, teaching, health-worker, or NGO incomes, and for diaspora members funding care for family at home, to sustain a full therapeutic arc rather than a handful of scattered sessions.

Hidden Cost and Barriers

The zero-fee sticker on a Nawerewere appointment is only part of what care actually costs an I-Kiribati household outside South Tarawa. Add the Air Kiribati flight or inter-island ferry from Butaritari, Abaiang, Tabiteuea, Onotoa, or the Line Islands. Add accommodation in South Tarawa for the days it takes to see a specialist. Add days of lost wages or missed fishing and copra work. An overseas referral to Fiji or Australia layers international airfare, visa arrangements, and currency-conversion friction on top of every one of those line items. Grouport removes all of it. No commute to a physical clinic, no work hours lost to travel, no per-session invoicing to reconcile at month end, no cash surprises, no scramble to find a licensed English-speaking clinician with availability. The rate is fixed in US dollars, billed monthly, and cancellable at any time.

Immediate Availability

Kiribati's public system runs on a six-week wait for a first mental health appointment when the resident-psychiatrist post at Nawerewere is filled, and a materially longer wait, sometimes three to four months, when it is not. Grouport works on a different clock. Intake takes minutes, matching to a licensed therapist happens right away, and the first one-on-one session is typically held within the same week. Every session after that runs on the same day and time with the same clinician, so momentum builds rather than resets. For Kiribati clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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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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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

Kiribati

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, licensed clinical social workers (LCSWs), licensed marriage and family therapists (LMFTs), licensed mental health counselors (LMHCs), licensed professional counselors (LPCs), and clinicians holding PsyD and PhD credentials. All sessions run in English, which is Kiribati's language of government, education, and formal business alongside Gilbertese in daily life. Therapists are experienced working with clients across many time zones, including Gilbert Islands Time (UTC+12), Phoenix Islands Time (UTC+13), and Line Islands Time (UTC+14), the earliest time zone in the world, and are comfortable holding the case for globally-mobile professionals, expatriate staff, and diaspora clients funding care from abroad. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Kiribati.

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 Kiribati.

Do you offer financial assistance or scholarships?

While we don't currently offer financial assistance, we're committed to making therapy accessible. Group therapy at $32/session is our most affordable option and provides the same evidence-based treatment. We also provide superbills for insurance reimbursement upon request, accept HSA/FSA cards for tax savings, and offer flexible month-to-month billing with no long-term contracts. If cost is a significant barrier, contact our support team - we can discuss options that might work best for your situation.

Is online therapy confidential?

Yes, online therapy with Grouport is completely confidential and protected by the same privacy laws (HIPAA) as in-person therapy. Everything you discuss with your therapist remains private unless you give permission to share information or there's a legal requirement (such as risk of harm to yourself or others). Our video platform uses bank-level encryption to protect your sessions from unauthorized access. Your therapist maintains the same professional confidentiality standards as traditional in-person therapy, and all our systems are HIPAA-compliant to ensure your information stays secure.

Is the video platform for online therapy sessions secure and HIPAA-compliant?

Yes, Grouport uses a fully HIPAA-compliant video platform with end-to-end encryption to protect your online therapy sessions. This means your video and audio are encrypted from your device to your therapist's device, preventing anyone from intercepting or viewing your sessions. Our security measures meet or exceed healthcare industry standards and are regularly audited for compliance. Your session data is never recorded or stored unless you specifically request it, and all transmitted information is protected by the same security used by banks and healthcare systems.

What if my insurance covers individual therapy but not individual therapy?

Group therapy at $25/session - $35/session is likely cheaper than your insurance copay for individual therapy would be anyways. You can submit receipts for out-of-network reimbursement if your plan offers it. The value and cost-effectiveness of individual therapy often exceeds insured individual therapy with copays.

Can I participate if I don't have consistent internet for online groups?

Reliable internet is essential for online individual therapy since technical difficulties disrupt the group and limit your participation. So, you definitely need reliable internet for video sessions to work. If your internet is spotty, either find a more reliable location, use a different device or get your wifi fixed, or you can use cellular data. If connection issues are persistent, online therapy may not be viable currently. Discuss with a care coordinator about your internet situation so they can help you gauge what might be the best option for you.

Can individual sessions help with chronic illness or medical challenges?

Living with ongoing chronic health challenges is isolating and many people don't get what it's like. Being in individual therapy with others managing chronic conditions reduces that isolation significantly. You’ll also get practical coping strategies from people who actually live the same or similar reality. Groups help members live fully despite limitations their chronic illness may present.

Can individual sessions help with social skills and making friends?

The group itself becomes practice for connection, communication, conflict resolution, boundaries, and vulnerability. Some people join individual therapy specifically for the social skills component. You're learning through doing and practicing in real time. The skills learned in group transfer to outside relationships and help you form healthier friendships beyond therapy. Many people think of group sessions as a practice for relationship skills they can apply elsewhere.

How do time zones work for international clients?

Our therapists are located all over the world and work various hours to accommodate different time zones. Depending on where you live, sessions might be in your morning, afternoon, evening, or night. We'll work with you to find times that fit your schedule and our therapists' availability.

Does Grouport accept international insurance?

We don't directly accept insurance from any country currently. You pay out-of-pocket and can request a receipt to submit to your insurance if they offer reimbursement for mental health services. Coverage varies widely by country and insurance provider so you’d have to check with them about reimbursement.

What happens if I can't pay my bill?

Subscription services typically just cancel access if payment fails. You'd need to update payment info to resume. Some therapists work with clients on payment plans for outstanding balances. Unpaid balances might go to collections eventually. Communication is key, if you're having payment issues, talk to the platform before just ghosting.

Can I-Kiribati living abroad or students studying in Fiji or Australia use Grouport Individual Therapy?

Yes. I-Kiribati diaspora, students, and workers based overseas can book Grouport Individual Therapy from anywhere with a stable internet connection. Sessions are one-on-one weekly video meetings of 45 to 50 minutes with a licensed clinician, delivered in English over a HIPAA-compliant platform at $103 per weekly session or $448 per month. After a short intake, you match with a therapist and start right away, so distance from home and shifting time zones do not delay care.

Does Grouport Individual Therapy support I-Kiribati clients experiencing anxiety, depression, grief, or climate-related distress?

Yes. Grouport's licensed clinicians, including psychologists, LCSWs, LMHCs, LMFTs, LPCs, and PsyDs, work with adults navigating anxiety, depression, grief, trauma, and climate-related distress that is documented as a concern across the 33 atolls. Sessions run 45 to 50 minutes weekly, one-on-one over HIPAA-compliant video in English, at $103 per session or $448 per month. After intake, you match with a therapist and begin right away, bypassing the typical six-week wait for local specialist appointments.

Individual Therapy Available Across Kiribati.

Regions

Gilbert Islands, Phoenix Islands, Line Islands, Banaba

Cities

South Tarawa, Betio, Bairiki, Bikenibeu, Nawerewere, Bonriki, Buariki, London (Kiritimati), Banana, Tabwakea, Rawaki, Antebuka

Zip Codes

Grouport serves all zip codes across Kiribati. If you have an address in Kiribati, 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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