Expert 1:1 Care

Online Individual Therapy Across Lesotho.

For adults across Lesotho, from the lowlands around Maseru to highland villages in Mokhotlong and Thaba-Tseka, individual therapy in Lesotho with Grouport means weekly 45 minute video sessions with the same licensed clinician for $103 per session, billed at $448 per month. Online therapy in Lesotho used to mean a minibus ride to the capital; with Grouport it happens over HIPAA-compliant video from wherever a data connection reaches, so a hospital nurse in Leribe, an NGO officer in Maseru, or a Basotho professional working across the border can begin one-on-one therapy this week rather than waiting the roughly six weeks a first specialist appointment through the public system typically takes.

Greeting

The State of Mental Health Care in Lesotho.

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

Mental Illness Prevalence

14.0% of Basotho 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 Lesotho's public system, an interval during which symptoms often deepen.

Median Household Income

$3,267 median household income in Lesotho, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

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

Provider Shortage

78% of Lesotho's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Roughly 2.3 million people live in Lesotho, served by about 34 mental health workers per 100,000 population, and that workforce is heavily anchored in Maseru and the western lowlands while the majority of the country lives in the foothills and highlands. In practice, that ratio caps how many adults can sit down for structured one-on-one therapy in any given month. A six-week average wait for a first specialist appointment lengthens the interval between the moment a person recognises they need help and the moment they begin talking to a clinician, and lower-middle-income household budgets make repeated private-practice visits difficult to sustain. Grouport's one-on-one model is designed for exactly this shape of constraint, connecting Lesotho clients directly to a licensed therapist at $103 per session without adding to the queue at Mohlomi Hospital or the district hubs.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Lesotho.

The Problem

Lesotho's specialist mental health capacity is centred on Mohlomi Mental Health Hospital in Maseru and a small network of district-level clinics, meaning that for the majority of the kingdom's 2.3 million residents, a psychologist or psychiatrist has never lived within an hour's travel. District hospitals in Thaba-Tseka, Qacha's Nek, and Mokhotlong rely on nurses and visiting clinicians to cover psychiatric needs, and structured talk therapy, particularly individual therapy, remains uncommon outside a handful of NGO-run programs. Layered on top of the workforce shortage is enduring stigma around emotional distress within extended-family and church-community structures, which keeps many Basotho from ever presenting at a clinic in the first place.

The Impact

Consider what a six-week wait actually costs a working adult in Lesotho. A garment worker in Maputsoe whose anxiety is disrupting sleep spends the intervening month and a half trying to hold shifts together on four hours of rest. A university student in Roma facing exam-period panic loses a semester's momentum before a first appointment is even scheduled. A young mother in Teyateyaneng grieving a loss carries that grief through six more weeks of school runs, meal planning, and quiet nights. Symptoms rarely pause for the queue. Grouport removes that specific gap: a short intake, a licensed therapist matched to the client's presenting concerns, and a first 45 minute one-on-one session usually within the same week the client signs up.

The Solution

One-on-one online therapy changes the arithmetic that has always constrained Lesotho's mental health system. Instead of routing every conversation through Mohlomi Mental Hospital or a handful of Maseru-based private psychologists, an adult in Butha-Buthe or Qacha's Nek connects with the same licensed clinician week after week over video. The individual format keeps the full 45 minute session focused on one person's story, one treatment plan, and one working relationship, so continuity is preserved rather than diluted across a shifting caseload. That continuity matters especially in Lesotho, where the small specialist workforce means many patients rarely see the same clinician twice in the public system. At $103 per session weekly, or at every-other-week pacing, Grouport turns sustained one-on-one care into something Lesotho clients can realistically keep on the calendar for a full course of treatment rather than a rushed one-off consultation.

78% of Lesotho's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific frictions loosen the moment a Lesotho client opens their first Grouport session. The queue disappears: rather than waiting six weeks for a public-system slot, intake usually places a new client with a licensed therapist within days. Geography stops mattering: whether the client lives in central Maseru or in a Semonkong farming household, the session runs over the same phone or laptop already used for WhatsApp and mobile banking, so mountain travel no longer decides who can access specialist care. And the scheduling works: Lesotho's SAST time zone (UTC+2) sits comfortably alongside US and European therapist availability, so evening slots after work in Maputsoe or Hlotse line up cleanly with a licensed clinician's daytime hours.

Access and Availability Across Lesotho.

Formal mental health care in Lesotho spans a few thin layers. The Ministry of Health runs Mohlomi Mental Hospital in Maseru as the country's only dedicated psychiatric facility, backed by outpatient units in district hospitals and some primary-care integration through the WHO mhGAP framework. The Christian Health Association of Lesotho (CHAL) mission network fills additional gaps, and a small private sector operates from Maseru serving those able to pay out-of-pocket. What that landscape has never included is a reliable weekly one-on-one English-language option that starts right away, at a predictable price, no matter which district a client lives in. That is the slot Grouport fills.

Geographic Barriers

Lesotho is an enclave country wrapped inside a larger neighbour, and its interior is dominated by the Maluti Mountains rather than an easy transport grid. Only about 43.7 percent of the population lives in urban areas; the remaining 1.3 million or so Basotho live in villages and small trading centres spread across the highlands, the Senqu River Valley, and the foothills. Specialist mental health capacity, by contrast, sits almost entirely in Maseru with thin outposts in Leribe, Mafeteng, and Berea. For a household in Qacha's Nek or Mokhotlong, that mismatch turns a single therapy appointment into an overnight expedition down winding mountain roads. A video session with a Grouport clinician skips the roads entirely; the session travels over cellular data and meets the client wherever they already are.

Extended Wait Times

The public-system wait for a first specialist mental health appointment in Lesotho commonly runs about six weeks, and that clock only starts once a referral is moving. Six weeks is a long time for a Roma student in exam season or a Ha Thetsane factory worker whose sleep has been unravelling for months to keep functioning on their own. Grouport is a direct response to that specific gap. Instead of waiting six weeks, a Lesotho client typically finishes intake, is matched to a licensed clinician, and completes a first 45 minute one-on-one session within the same week. The queue that shapes so much of the local system is simply not part of the pathway.

Systemic Challenges

Several systemic realities constrain in-country therapy access in Lesotho at the same time. There is no national health insurance, and private schemes with meaningful outpatient mental health benefits exist mostly for civil servants and a subset of formal-sector workers, so private-practice fees typically land as full out-of-pocket costs. Specialist psychiatrists number in the low single digits nationwide, leaving most day-to-day care with psychiatric nurses and general practitioners. And cultural stigma still keeps many Basotho from ever presenting at a clinic for emotional distress. Grouport sidesteps most of those constraints: sessions happen in the privacy of the client's own home over HIPAA-compliant video, pricing is a flat USD subscription with no referral letter or scheme approval required, and every session is delivered by a licensed clinician rather than triaged down through a shortage-stressed rota.

Urban-Rural Divide

The urban-rural divide shapes almost every access question in Lesotho. Roughly 43.7 percent of Basotho live in Maseru and other lowland towns; the rest live in highland villages, farming settlements, and remote trading centres where the closest psychologist may be a full day of minibus travel over mountain passes. Historically that has left rural households with three unappealing options: travel repeatedly at real cost, wait for infrequent outreach visits, or forgo formal care altogether. Grouport flattens that divide by design. A herder in Thaba-Tseka and a public servant in Maseru each meet their own licensed therapist over the same secure video platform each week, from wherever they happen to be, with no distinction in access.

For adults in Lesotho who want to start weekly one-on-one therapy this week, with a licensed clinician they meet with consistently, at a predictable USD subscription price, Grouport is built for that exact ask. There is no six-week queue, no minibus ride down from the highlands to a Maseru consulting room, no per-visit invoicing to reconcile. Clients receive 45 minute sessions delivered over HIPAA-compliant video, in English, with the same therapist week over week for as long as the work continues. That combination makes it realistic to sustain a full course of care in Lesotho, not just a scattered handful of appointments.

Affordable Individual Therapy Costs for Basotho Residents.

Lesotho residents get immediate access to Individual Therapy at $103 per session on average, billed at $448 per month, 50 to 60 percent below the global average of $150 to $250 per session for licensed one-on-one care. For clients who prefer a lighter cadence, every-other-week pacing runs at $224 per month. Where in-country private psychology in Maseru is often priced against the capital's professional class and paid entirely out-of-pocket, Grouport's flat monthly USD rate stays predictable across a full course of care while still delivering sessions led by a fully licensed clinician on HIPAA-compliant video.

Affordability and Income

Against Lesotho's GNI per capita of roughly $3,730 PPP, therapy is unavoidably a real financial decision, and the shape of the commitment matters as much as the number. A Grouport subscription is a fixed $448 per month for weekly sessions, or $224 per month for every-other-week pacing, priced in USD and charged on a predictable cadence. That planning clarity is different from stacking unpredictable per-visit invoices from a Maseru private practice, or cross-border referral costs into a neighbouring country, against a monthly household budget that already flexes around school-fee terms, agricultural seasons, and remittance timing from family working abroad. And the underlying quality is a fully licensed clinician, meaning Lesotho clients get the specialist-level care that in-country typically costs more, waits longer, or is not reliably available at all, at a rate that still lands well below the global average.

Hidden Cost and Barriers

The advertised session fee for in-person therapy in Lesotho tells only part of the cost story. A resident of Mafeteng seeing a Maseru-based psychologist typically absorbs minibus fares up the M1, a day of lost wages or leave, meals on the road, and sometimes overnight lodging if the appointment runs into the evening. From Mokhotlong or Qacha's Nek, an in-person appointment easily becomes a two-day trip. Layered on top are unpredictable per-visit invoices, occasional cash-only surprises, and, for cross-border referrals, currency-conversion friction on every payment. A Grouport subscription removes that stack: no commute, no lost work hours, no cash-only surprises, no scramble to find a licensed English-speaking clinician with an open slot, one predictable USD rate a client can plan a full quarter around, cancel anytime from the account dashboard.

Immediate Availability

Affordability only matters if the service is actually available when it is needed. In Lesotho's public system, the typical wait for a first specialist mental health appointment runs about six weeks; in private Maseru practices, availability is thinner still. A Grouport subscription starts delivering value the same week a Lesotho client signs up. The intake is short, the client is matched to a licensed therapist based on their presenting concerns, and the first 45 minute one-on-one session typically lands within days. For Lesotho clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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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

Lesotho

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 clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs with graduate-level training and years of one-on-one practice experience. Sessions are conducted in English, which aligns with Lesotho's official-language secondary schooling, university instruction, and professional workplace norms. Therapists routinely hold sessions with clients across sub-Saharan Africa and the broader global diaspora, and they are attentive to the family, community, and cultural context Basotho clients bring into the room without projecting assumptions onto any one person's experience. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Lesotho.

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 Lesotho.

What if I need more intensive treatment than weekly therapy?

If you need more support than weekly therapy provides, Grouport provides the flexibility to combine care at any frequency that you’d like on the schedule and duration that works for your needs. So, for example many people combine individual therapy with group therapy at various levels of frequencies, or they combine couples therapy with individual therapy, or family therapy with individual therapy etc… It’s normal to combine therapy options or increase session frequency during difficult periods. For higher levels of support, Grouport also offers a virtual Intensive Outpatient Program (IOP) with 10 sessions per week which consists of nine group therapy sessions plus one-three individual therapy sessions per week depending on which IOP plan you choose. We're committed to matching you with the right level of care that fits your needs.

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 support@grouporttherapy.com and they will work with you on resolving.

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.

What if I need medication as well as therapy?

Grouport therapists cannot prescribe medication since they are licensed therapists (LCSW, LMFT, LMHC, PhD, PsyD, LPC), not psychiatrists or medical doctors. However, many clients see both a Grouport therapist and a prescriber for combined treatment, and research shows therapy plus medication is often more effective than either alone for conditions like depression, anxiety, and bipolar disorder. Your therapist can coordinate care with your prescriber if you're already taking medication, and can help you find a prescriber if you need one.

Can I do individual therapy with Grouport if I'm outside the United States?

Yes. Grouport delivers individual therapy in English over HIPAA-compliant video to clients in over 200 countries worldwide. There is no residency requirement. Sessions run on rolling schedules across US time zones, which lines up naturally with most international time zones for morning or evening sessions. Payment is in USD, which is easier to plan around than local-currency clinical rates that fluctuate with exchange rates. Your therapist is a licensed clinician who is used to working with international clients.

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 need to contact the therapist between therapy sessions?

For most things you need in between sessions, contact a care coordinator and they will be able to assist you with most things or point you in the right direction. The therapist of the group isn't intended for individual contact in between sessions for the most part, but if it's an extenuating circumstance of course your care coordinator can help put you in touch with them if it's an extenuating situation. Most questions you need outside of session, should be able to be addressed by a care coordinator and accelerated to the group therapist in an extenuating circumstance. If you need individual support, then a care coordinator can get you set up with individual therapy with either your group therapist or another qualified therapist who is a good fit for you.

Can therapy help with mental health stigma in my country?

Many countries have strong stigma around mental health care. Therapy might be seen as shameful or only for crazy people. This is far from the truth. Online therapy offers privacy, you can get help without anyone in your community knowing. Working through internalized stigma with your therapist is part of the process. Seeking help is actually a sign of strength.

What if mental health services in my country aren't good?

Some countries have limited mental health infrastructure, long waiting lists, or services that don't meet your needs. Online therapy provides access to quality care regardless of what's available locally. Many people use Grouport specifically because local options are inadequate. Our therapists specialize across the full range of mental health diagnoses and life challenges, so whatever you’re dealing with we’ll be able to get you situated with an individual therapist or in group therapy that’s right for your needs.

How much does online therapy typically cost?

It varies a lot. Grouport's individual therapy costs less than traditional in-person therapy, which typically runs $150-$300+ per session depending on where you live. For example, Grouport’s individual therapy sessions average $103/session. Online group therapy is more affordable, Grouport's group therapy is $25- $35/session or $448/month total, that’s less than the cost of one in person individual therapy session. What surprises a lot of people is that self-pay rates are usually cheaper than going through insurance after you factor in copays and deductibles. Online platforms often cost less than in-person because there's no office overhead to pay for. Not to mention, Grouport offers discounts when you combine sessions together or are doing more than one session per week.

How does Grouport compare to Mohlomi Mental Hospital in Maseru for accessing therapy?

Mohlomi Mental Hospital is Lesotho's only dedicated psychiatric facility, and with just a handful of specialists nationwide, Basotho commonly wait around six weeks to be seen, on top of a multi-hour or multi-day journey from highland districts. Grouport skips both hurdles. You join a weekly video sessions of one-on-one members led by a licensed therapist right away from any private space with internet, at $103 per session. Sessions are HIPAA-secure and completely discreet, so there is no clinic waiting room in Maseru to visit.

What time do Grouport sessions run in Lesotho's SAST time zone?

Lesotho runs on South Africa Standard Time (SAST, UTC+2) year-round with no daylight saving shifts, which lines up conveniently with Grouport's schedule. US evening groups translate to early-to-mid morning in Maseru, and late-morning US groups land in your late afternoon or early evening, so you can pick a weekly slot that fits around work in Maseru, university classes, or NGO fieldwork. Groups meet at the same time each week with a licensed therapist and one-on-one members, and you can join right away for $103 per session over a HIPAA-secure video link.

Individual Therapy Available Across Lesotho.

Regions

Maseru, Leribe, Berea, Mafeteng, Mohale's Hoek, Quthing, Qacha's Nek, Mokhotlong, Thaba-Tseka, Butha-Buthe

Cities

Maseru, Teyateyaneng, Mafeteng, Hlotse, Mohale's Hoek, Maputsoe, Qacha's Nek, Quthing, Butha-Buthe, Mokhotlong, Thaba-Tseka, Roma, Semonkong, Ha Thetsane

Zip Codes

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