Expert 1:1 Care

Individual therapy that reaches every atoll with a signal.

Individual therapy in Marshall Islands has always been shaped by two hard limits: a national mental health workforce that can be counted on one hand, and a geography that spreads roughly 37,000 people across 29 atolls and hundreds of miles of open ocean. Grouport rewrites both. For $103 per session, billed as a $448 monthly subscription, or on an every-other-week rhythm at $224 a month, Marshallese adults are matched with a licensed clinician and meet weekly over HIPAA-compliant video, in English, from Majuro, Ebeye, or any outer atoll with a stable signal. There is no ministry referral to secure, no flight into Majuro to book, no 20-week queue to survive. If you are ready to start one-on-one therapy this week, a therapist is available.

Greeting

The State of Mental Health in the Marshall Islands.

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

Mental Illness Prevalence

12.2% of Marshallese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$9,271 median household income in the Marshall Islands, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

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

Provider Shortage

96% of the Marshall Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, the stat cards on this page describe a country where individual mental health care is functionally scarce rather than just delayed. A workforce density of 1.89 mental health workers per 100,000 residents means the entire specialist bench for the Republic of the Marshall Islands is measured in single digits of clinicians. A 20-week wait for a first appointment sits inside that reality. A household income figure well under the levels of higher-income Pacific neighbours means fee-for-service off-island care in Honolulu is rarely a sustainable option either. That combination is exactly what a HIPAA-compliant online one-on-one model is built to answer: a licensed therapist, weekly, in English, from anywhere in the country with a signal, at a monthly rate a Marshallese household can plan for.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in the Marshall Islands.

The Problem

The Republic of the Marshall Islands spreads roughly 42,000 people across 29 atolls and five isolated islands scanning a swath of the Central Pacific larger than the continental United States. Public mental health capacity is concentrated at Majuro Hospital and to a lesser extent at the Leroj Kitlang Memorial Health Center on Ebeye, with outer-atoll coverage handled by periodic visiting-clinician rotations and by health assistants without specialist training. The WHO-reported ratio of 1.89 mental health workers per 100,000 residents translates in practice to a headcount most Marshallese can name.

The Impact

Consider what a 20-week wait means for a public-sector worker in Majuro whose anxiety has started interfering with sleep, or for a teacher on Ebeye processing the departure of an adult child to Arkansas under the Compact of Free Association. Five months is long enough for a treatable moderate condition to deepen into something that eventually requires an off-island referral to Honolulu, which itself takes weeks to arrange and pulls the person away from work and family. In a country where the entire mental health workforce is under two clinicians per 100,000 residents, the wait is not administrative. It reflects that the professionals simply are not there. Grouport removes that gap by making a licensed therapist available this week over video, at a fixed monthly rate the household can plan around.

The Solution

Online one-on-one therapy is a direct answer to what the Marshall Islands' system cannot supply at scale, which is a private weekly appointment with a licensed clinician who knows your history. Grouport pairs each client with a single therapist and holds that pairing week over week, so the work compounds rather than restarting each time a visiting rotation arrives. The 45 minute session is yours alone, tailored to what you are actually working on, whether that is anxiety alongside a diabetes diagnosis common on Majuro, grief around a family member who left for Springdale under the Compact migration route, or the low-grade stress that builds when the nearest specialist is a flight away. Confidentiality holds inside the video room and outside a small-community context where anonymity matters.

96% of the Marshall Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific frictions loosen the moment a Marshallese client moves to online individual therapy. First, the ministry referral chain and the visiting-specialist rotation are replaced by direct matching, so a resident of Delap-Uliga-Djarrit or Wotje can start with a licensed therapist within days rather than waiting a fifth of a year for a first appointment. Second, geography collapses to bandwidth: the same weekly session runs from Majuro, from Ebeye across Kwajalein lagoon, or from Jaluit or Ailinglaplap, without an Air Marshall Islands flight or a field-trip ship rotation attached to it. Third, sessions are held in English, one of the country's two co-official languages and the medium of instruction in secondary schools, and Grouport routinely schedules across international time zones including UTC+12 so the appointment lands in a working-adult evening rather than the middle of a workday.

Access and Availability Across the Marshall Islands.

Formal mental health care in the Marshall Islands runs through a small set of channels. The Ministry of Health and Human Services operates a hospital-based psychiatric unit at Majuro Hospital and a smaller service at the Leroj Kitlang Memorial Health Center on Ebeye, both funded through government appropriations, US Compact grants, and the RMI Basic Health Plan. Complex or subspecialty cases are referred off-island to Honolulu or Manila under Compact medical arrangements. There is no domestic private psychiatry sector of any real scale, and no private insurance market to underwrite one. What is missing from that map is a weekly one-on-one appointment with a licensed clinician, delivered in English, available now, that a working Marshallese adult can build around. Grouport is exactly that missing option.

Geographic Barriers

The Marshall Islands sit across roughly 750,000 square miles of Central Pacific ocean with a combined land area under 70 square miles. Traveling from Mili, Namdrik, Ailinglaplap, or Wotje into Majuro for a psychiatric appointment typically means an Air Marshall Islands flight when the schedule cooperates, a Ministry of Transportation field-trip ship rotation when it does not, and lodging on Majuro Atoll around the appointment window. For most outer-atoll households, that is not a weekly commitment anyone can sustain. National online reach matters here in the most literal sense: a Grouport session runs the same over a Delap-Uliga-Djarrit connection as it does over one in Jabor, Rita, or Rongrong, and the geography stops being part of the treatment equation.

Extended Wait Times

The practical wait for a first appointment with a specialist mental health clinician in the RMI runs around 20 weeks, whether the case is being routed through the small Majuro-based workforce or queued for a Compact-referral slot in Honolulu. Subspecialties like child and adolescent psychiatry sit further back in that line, because the referring clinician is waiting for a visiting rotation to arrive or a partner facility abroad to open a slot. Instead of waiting 20 weeks, Marshallese clients can be in their first Grouport session within days. That timing shift is not a small optimization. It is often the difference between catching a moderate condition early and watching it settle into something more entrenched.

Systemic Challenges

The RMI health system is funded through Ministry appropriations, US federal grants tied to the Compact of Free Association, and payer-of-last-resort coverage for off-island medical referrals. Mental health has historically drawn a smaller share of that envelope than communicable disease, non-communicable disease, and maternal and child health, all of which face their own real pressures including the country's diabetes burden. Compounding the funding constraint is the workforce ratio itself, one of the lowest in the Pacific, and a cultural context in which distress is often first brought to family, church leadership, or traditional healers rather than to the hospital-based psychiatric unit. Grouport sidesteps every one of those constraints. The clinician is licensed, the appointment exists, the delivery is private, and the pathway to care does not depend on scaling the domestic system.

Urban-Rural Divide

World Bank data classifies 78.7 percent of the Marshallese population as urban, which in practice means concentrated on Majuro Atoll, particularly the Delap-Uliga-Djarrit corridor, and on Ebeye in Kwajalein Atoll. The remaining roughly 21 percent live across the outer atolls. That urban share does not translate into meaningful access the way it might in a larger country: even Majuro and Ebeye together are served by a specialist mental health workforce measured in single digits. A resident of Rita or Laura runs into essentially the same appointment scarcity as a resident of Ujae or Namu. Grouport flattens the split by giving both starting points the same option, which is a weekly individual session with a licensed therapist over video, priced the same either way.

For Marshallese adults ready to work with a licensed clinician, Grouport delivers weekly individual therapy over HIPAA-compliant video at $103 per session, billed as a $448 monthly subscription, with the option to switch to an every-other-week cadence at $224 per month if that fits better. There is no 20-week queue to survive, no Air Marshall Islands flight into Majuro to arrange, no per-session invoicing to reconcile in a household budget. The relationship is with one therapist, held week over week, sustainable across a full arc of care rather than the handful of visits an off-island referral usually allows. Anywhere in the Marshall Islands with a stable internet connection is a place where care can start this week.

Affordable Individual Therapy Costs for Marshallese Residents.

Marshall Islands residents get immediate access to online therapy in Marshall Islands at $103 per session on average, billed as $448 per month, which sits 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands, including the Honolulu rates that off-island Compact referrals from the RMI generally run into. For clients who prefer a lighter cadence, every-other-week sessions are billed at $224 per month. Both options are fixed monthly subscriptions in USD, so there is no per-visit invoicing to reconcile and no currency-conversion exposure, since the RMI already uses the US dollar.

Affordability and Income

The World Bank classifies the Republic of the Marshall Islands as an upper-middle-income economy with GNI per capita around $9,760 in PPP terms, well under the levels seen in high-income Pacific neighbours. In that context, a fixed monthly rate matters more than an occasional low headline price, because a household can build $448 for weekly therapy or $224 for an every-other-week rhythm into a real budget and hold it across the months it takes for the work to add up. Because the RMI has no meaningful private psychiatry sector of its own, the alternative for Marshallese adults seeking licensed clinician quality has historically been off-island fee-for-service care in Honolulu or Manila, where a single session frequently costs more than a full month of Grouport. Anchored against that comparison, weekly individual therapy at $103 per session, well below the global average of $150 to $250, is the option built to be sustained.

Hidden Cost and Barriers

The visible fee on an in-person mental health appointment in the Marshall Islands is only part of what it actually costs. For an outer-atoll resident, real cost includes Air Marshall Islands airfare or field-trip ship passage into Majuro, lodging around the appointment, lost wages or lost subsistence-fishing time, and childcare in the days away. For a Majuro or Ebeye resident, the hidden cost is usually the sessions that never happen, because the local workforce cannot accommodate them. A Grouport subscription removes all of those line items at once. There is no commute, no leave day, no cash-only surprise, no currency-conversion friction since the RMI already runs on the US dollar, and no session-by-session billing to reconcile. One predictable monthly rate covers everything, and it can be cancelled at any time.

Immediate Availability

Where the local alternative is a 20-week wait or the arrival of the next visiting specialist rotation, being in a first individual therapy session within days is a categorical change in what care looks like, not an incremental improvement. Intake is short: a brief matching step pairs the client with a licensed therapist, and the first session is scheduled from there. Continuity is the other half of the story, because a weekly video appointment with the same clinician does not depend on whether an Air Marshall Islands flight or a Ministry of Transportation ship rotation runs on schedule. For Marshall Islands 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

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

Marshall 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 includes licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each with graduate-level clinical training and independent state licensure. Sessions are delivered in English, one of the Marshall Islands' two co-official languages and the working language of the country's public sector, healthcare system, and Compact-linked economy. Therapists routinely work with globally distributed clients and are practiced at holding a session where the person on the other side may be balancing island context, ties to a US-based diaspora, and their own working life. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in the Marshall 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 Marshall Islands.

What technology do I need for online therapy?

You’ll need a device with a camera and microphone such as a smartphone, tablet, laptop, or desktop computer along with a stable internet connection. Grouport's platform works on most modern devices and browsers. If you can video call with friends or family, you can attend Grouport therapy sessions. Many of our sessions happen within our member portal, in which case it uses our proprietary video chat technology. If the session doesn’t happen within our member portal, many of our sessions also happen over Zoom’s HIPAA compliant platform, so in that case you would have to download zoom which you can do for free.

How long does it take to get matched with a licensed therapist?

For group sessions, most clients select their group directly upon signing up so they are matched right away. For private therapy sessions, like individual therapy or couples therapy etc. most clients are matched with a licensed therapist within 24- 72 hours of signing up. This quick turnaround is one of Grouport's key advantages over traditional in person therapy, where wait times average 8-12 weeks nationally. A dedicated care coordinator will get in touch with you upon signup to get you situated with the care that fits your schedule and goals. Once matched, you'll receive access to your sessions either through our member portal or through weekly session links that are emailed to your inbox 24-hrs before each session. You can typically schedule your first session within the same week upon signing up allowing you to start therapy right away rather than waiting months.

What if I don't like my therapist?

We want you to feel comfortable with your therapist, so switching therapists is always an option at any time. Simply contact our support team at support@grouporttherapy.com, and we'll match you with a different therapist from there. We’ll present you alternative therapist options and time slots that fit your preferences, and you’ll ultimately select which therapist you’d like to switch to. So the choice is always yours in terms of who you are meeting with and when. We understand that therapeutic fit is personal and that finding the right fit is essential, so we’ll be happy to work with you to ensure you’re in the optimal fit and are satisfied with your care. This type of flexibility that we provide in switching therapists or groups easily is one of the many benefits of Grouport. You can switch as many times as needed to find the right match.

Can I use Grouport individual therapy while also seeing an in-person therapist?

Generally no. Working with two therapists at the same time (one online, one in-person) can create conflicting therapeutic direction and dilute the effectiveness of both. If you're transitioning from an in-person therapist and want to try online with Grouport, or vice versa, that's fine — many clients do. But sustained parallel therapy with two therapists is not recommended. If you need specialty care that your primary therapist doesn't offer (e.g., a psychiatrist for medication), that's a different situation, and coordinated care is welcomed.

How is online individual therapy different from online individual therapy?

Online Group therapy differs from individual therapy in several ways in that you share therapist attention with other members versus exclusive focus on you, you receive feedback from multiple perspectives not just the therapist, you learn by observing others' experiences and progress, and you practice interpersonal skills in real-time with peers. Groups create this whole other dimension as you get multiple perspectives and see how others handle similar problems which helps you feel less alone. Cost per session is typically lower than individual therapy, as individual sessions cost about $25 - $35 per group session. Group provides community and reduces isolation in ways individual therapy cannot. However, individual therapy offers personalized attention, and exploration of issues you might not share in groups. Many people benefit from both simultaneously, group for skill-building and support and individual therapy for deeper personal work. Neither is better, they serve different functional needs but have complementary purposes. Many people find individual therapy to be more powerful than individual therapy because of the connection factor.

What if I don't want to hear about other people's problems?

This concern is understandable as when you're struggling, it seems counterintuitive that listening to others' problems can help you. However, online individual therapy works differently than expected as hearing others describe similar struggles reduces isolation and shame, observing others' progress provides hope and practical strategies that you can implement, giving support to others builds confidence and purpose, and different perspectives help you see your situation more clearly, and witnessing others' challenges often provides needed perspective on your own. Online Individual Therapy isn't just venting about problems, but rather it's active problem-solving and skill-building together. If group feels like it's dragging you down rather than helping, perhaps it’s a matter of the group fit and it's worth exploring a different group fit, or individual therapy might be a better fit. But most people find that supporting and learning from others is surprisingly beneficial, and that is why the majority of our members do online individual therapy as a primary part of their treatment plan.

Is individual therapy with Grouport confidential?

Yes. All Grouport individual therapy sessions are fully HIPAA-compliant and confidential. The video platform is encrypted, session notes are stored securely, and your therapist follows the confidentiality standards required by their state licensing board. The only exceptions are legally-required duty-to-warn situations (imminent danger to self or others, suspected abuse of a child or vulnerable adult), which apply to any licensed therapist regardless of setting.

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.

Can I do therapy if I've moved to a new country recently?

Yes. Moving to a new country creates adjustment stress, loneliness, identity shifts, and practical challenges. Therapy helps you navigate the transition, process what you've left behind, and build life where you are now. Moving countries is genuinely difficult even when you chose it.

Can I get therapy without a formal diagnosis?

Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.

I live on an outer atoll and only reach Majuro by boat or Air Marshall Islands flight. Can Grouport work without traveling to the hospital?

Yes. With roughly 1.89 mental health workers per 100,000 people concentrated at the Majuro hospital-based unit, getting to a weekly appointment from an outer atoll usually means a boat trip or an infrequent Air Marshall Islands flight. Grouport runs entirely over a standard internet connection, so you can join a weekly video sessions of one-on-one members from Ebeye, Jaluit, or any island with connectivity. Sessions are led by a licensed therapist, cost $103 per session, are HIPAA-secure, and you can join right away.

How does Grouport handle scheduling around Marshallese holidays like Nuclear Victims Remembrance Day or Gospel Day when I'm on UTC+12?

Marshall Islands Time (UTC+12) is one of the earliest zones in the world, so mid-morning in Majuro maps cleanly to late-afternoon slots the prior day in the US. Multiple weekly one-on-one times are available, and you can pick one that avoids Constitution Day, Nuclear Victims Remembrance Day, Gospel Day, and the family or church gatherings that anchor the Marshallese calendar. Groups run every week with licensed therapists at $103 per session, are HIPAA-secure, and you can join right away and settle into a consistent weekly rhythm.

Individual Therapy Available Across the Marshall Islands.

Regions

Ratak Chain (sunrise atolls), Ralik Chain (sunset atolls), Majuro Atoll, Kwajalein Atoll, Arno, Jaluit, Ailinglaplap, Mili, Wotje, Maloelap, Namdrik, Ebon, Likiep, Ujae, Lae, Namu

Cities

Majuro (Delap-Uliga-Djarrit), Ebeye, Rita, Laura, Jabor, Wotje town, Rongrong, Ajeltake, Kili, Enewetak town, Jabat

Zip Codes

Grouport serves all zip codes across Marshall Islands. If you have an address in Marshall 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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